Liberty Mutual Insurance Co. v. Winter

385 N.W.2d 529, 1986 Iowa Sup. LEXIS 1149
CourtSupreme Court of Iowa
DecidedApril 16, 1986
Docket84-1676
StatusPublished
Cited by10 cases

This text of 385 N.W.2d 529 (Liberty Mutual Insurance Co. v. Winter) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Liberty Mutual Insurance Co. v. Winter, 385 N.W.2d 529, 1986 Iowa Sup. LEXIS 1149 (iowa 1986).

Opinion

WOLLE, Justice.

In April of 1974 plaintiff Roger Winter sustained a work-related injury in a fall on premises controlled by J.I. Case Company (Case). Winter was paid workers’ compensation benefits of $20,323.29 by his employer’s insurer, Liberty Mutual Insurance Company (Liberty). Winter and his wife subsequently received $30,000 from Case’s insurer in settlement of their negligence lawsuit against Case. Liberty brought this action against the Winters pursuant to Iowa Code section 85.22 (1979) to obtain indemnification out of the settlement proceeds. The Winters by answer and counterclaim alleged that Liberty had breached the terms of its workers’ compensation insurance contract with Winter’s employer, and they claimed to be third-party beneficiaries of that contract. They alleged that Liberty breached the contract by giving Case’s insurer a copy of a recorded statement Liberty’s adjuster had obtained from Roger Winter. The Winters prayed for two separate forms of relief: (1) that Liberty’s action be dismissed on the ground that it had forfeited its right to indemnification by its breach of contract; and (2) that Liberty be adjudged liable to them for $70,-000 damages caused by its breach of contract. Following a bench trial the trial court dismissed Liberty’s action, finding that Liberty had forfeited its right to indemnity by turning the statement over to Case’s insurer. The trial court dismissed the Winters’ counterclaim for damages on the ground that they had not carried their burden of proof. We find no merit in either the Winters’ forfeiture theory or their damage claim. We therefore reverse and remand with directions.

Liberty filed its petition as a law action to enforce its indemnity rights under Iowa Code section 85.22 (1979). The bench trial was conducted by consent as an action at law. We review not de novo but for correction of errors at law, and the trial court’s findings of fact are binding upon us if *531 supported by substantial evidence. See Iowa Electric Light & Power Co. v. General Electric Co., 352 N.W.2d 231, 234 (Iowa 1984); Citizens Savings Bank v. Sac City State Bank, 315 N.W.2d 20, 24 (Iowa 1982); Iowa R.App.P. 4, 14(f)(1).

Although the parties have presented numerous disputed issues of fact and law for our review, we find two issues dispositive and pass the others. First, we conclude that the trial court erred in finding for the Winters on their forfeiture theory; that theory was not supported by the evidence and applicable Iowa law. Second, we conclude that the trial court correctly dismissed the Winters’ damage counterclaim on the ground that they had failed to satisfy their burden of proving its essential elements.

I. Because the trial court found for the Winters on their forfeiture theory, we view the facts pertinent to that issue in the light most favorable to them. The trial court could have found from the evidence that Liberty’s claims adjuster obtained a recorded statement from Roger Winter ten days after his fall, when he was in pain and awaiting further surgery. The adjuster assured Winters that the statement was needed so Liberty could commence paying workers’ compensation benefits. He did not tell the Winters that the tape recording would be transcribed and disclosed to other persons, and he did not furnish them with a copy. Liberty, however, transcribed the statement and furnished a copy to Case’s insurer without so informing the Winters.

Roger Winter’s deposition was taken three years later in connection with the Winters’ negligence action against Case. At that time the attorney defending Case used the transcribed statement in questioning Winter about the circumstances of his fall and injuries. Winter had forgotten that he gave the recorded statement to Liberty’s adjuster and was surprised when the attorney questioned him about it. The Winters do not contend that the transcript was inaccurate or contained incorrect information. Rather, they argue that its unauthorized use by Case’s attorney embarrassed Roger Winter and diminished the settlement value of his lawsuit. Winter testified that he settled for $30,000 rather than some unidentified higher amount (the prayer of the lawsuit was $150,000) because Case’s attorney had used the transcribed statement to “put the assumption of risk on me.”

Liberty was not a party to the settlement of that lawsuit. A district court judge entered an order in that case placing the amount of Liberty’s workers’ compensation claim — $20,323.29—in a bank trust account. Thereafter, pretrial proceedings in this action resulted in entry of a partial summary judgment designating $5,080.82 of that fund as a fee for the Winters’ attorney and allowing Liberty the balance of $15,242.47, subject to the Winters’ breach of contract claims. Liberty’s partial summary judgment was set aside only because the trial court found merit in the Winters’ forfeiture theory.

The trial court found that when Liberty furnished the transcribed statement to Case’s insurer, it violated a duty of good faith and fair dealing owed to Winters and thereby forfeited its statutory right to indemnification from the settlement proceeds. We need not and therefore do not decide whether Liberty owed and violated such a duty. The Winters’ forfeiture theory is unsound because the statute does not provide them that relief and we are unwilling to create such a remedy.

The several paragraphs of Iowa Code section 85.22 constitute a comprehensive system for allocating the proceeds of a third-party judgment or settlement between the worker and his employer or insurer who has paid workers’ compensation. The statute provides the employer or insurer two methods of recovering benefits paid the worker: indemnification with a lien on settlement proceeds pursuant to section 85.22(1); and subrogation pursuant to subsequent subsections. See American Mutual Liability Insurance Co. v. State Automobile Insurance Association, 246 Iowa 1294, 1301, 72 N.W.2d 88, 92 (1955). The statute describes with particularity the *532 reimbursement rights it creates, and it explicitly identifies circumstances which may cause loss of certain of those rights. See Armour-Dial, Inc. v. Lodge & Shipley Co., 334 N.W.2d 142, 144 (Iowa 1983). For example, the employer or insurer may lose its lien on settlement proceeds by failing to give a timely notice of lien pursuant to subsection 85.22(1). Id. at 145. Moreover, the right of subrogation against third parties is dependent upon compliance with the separate notice requirement of subsection 85.22(2) through which the employer or insurer must first make demand upon the employee to initiate the action. Id. at 146. But the statute contains no provision suggesting that the employer or insurer risks loss of its right of indemnification under circumstances like those shown in this record. Neither do the Winters cite a single case from Iowa or other states recognizing the forfeiture theory they ask us to adopt.

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Bluebook (online)
385 N.W.2d 529, 1986 Iowa Sup. LEXIS 1149, Counsel Stack Legal Research, https://law.counselstack.com/opinion/liberty-mutual-insurance-co-v-winter-iowa-1986.