Martinez v. St. Joseph Hospital & Nursing Home of Del Norte, Inc.

878 P.2d 13, 17 Brief Times Rptr. 2028, 1993 Colo. App. LEXIS 355, 1993 WL 539937
CourtColorado Court of Appeals
DecidedDecember 30, 1993
Docket92CA0515
StatusPublished
Cited by14 cases

This text of 878 P.2d 13 (Martinez v. St. Joseph Hospital & Nursing Home of Del Norte, Inc.) is published on Counsel Stack Legal Research, covering Colorado Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martinez v. St. Joseph Hospital & Nursing Home of Del Norte, Inc., 878 P.2d 13, 17 Brief Times Rptr. 2028, 1993 Colo. App. LEXIS 355, 1993 WL 539937 (Colo. Ct. App. 1993).

Opinion

Opinion by

Judge NEY.

In this premises liability action, plaintiff, Larry Martinez, appeals the judgment of the trial court which reduced his award of damages in favor of intervenor, State Compensation Insurance Authority (SCIA). We reverse and remand with instructions.

Plaintiff was working as a volunteer fireman when he slipped and fell in the parking lot of defendant, St. Joseph Hospital and Nursing Home of Del Norte, Inc. As a result of his injuries, he was paid in excess of $100,000 in workers’ compensation benefits.

He subsequently brought the underlying action, claiming that, because of defendant’s negligence, he sustained noneconomic damages. SCIA intervened to secure its right of subrogation to plaintiffs economic damages.

At trial, the jury awarded $70,000 to plaintiff and $50,000 to SCIA. However, because the jury also determined that the comparative negligence of plaintiff was 49%, the awards were reduced by that percentage to $35,700 and $25,500 respectively.

Thereafter, in response to a post-trial motion, the trial court concluded that SCIA was “entitled to be reimbursed from the plaintiff for the reduction in its award as a result of plaintiffs comparative negligence.” In consequence, the award to plaintiff was reduced, and the amount of the reduction was awarded to SCIA as reimbursement. This appeal followed.

I.

Plaintiff contends that the trial court erred by its invasion of his recovery. We agree.

A.

As a threshold matter, we reject the contention of plaintiff that this “cost claim” by SCIA was not properly before the trial court.

Plaintiff bases this contention upon the lack of inclusion in SCIA’s disclosure certificate of its intention to seek reimbursement based upon a finding of comparative negligence. However, § 8-41-203(1), C.R.S. (1993 Cum.Supp.) provides statutory notice that an insurer is entitled to seek recovery of all funds it has paid as workers’ compensation benefits. Furthermore, the right of an insurer to recover is not predicated upon its participation at trial. See County Workers Compensation Pool v. Davis, 817 P.2d 521 (Colo.1991).

B.

At issue here is the interpretation of § 8-41-203(1), C.R.S. (1993 Cum.Supp.), which reads in pertinent part:

[T]he payment of compensation shall operate as and' be an assignment of the cause of action ... to the Colorado compensation insurance authority.... [To the extent of compensation for which it is liable] said carrier shall be subrogated to the rights of the injured employee against said third party causing the injury.... The right of subrogation provided by this section shall apply to and include all compensation ... to which the employee [is] entitled ... or for which employee’s employer or insurance carrier is liable.... [The section does not limit the injured employee’s right to] proceed against the third party causing the injury to recover any damages in excess of the subrogation rights described in this section.

SCIA maintains that the statute entitles it to reimbursement from any recovery by plaintiff, regardless of the basis of that recovery, for all monies expended on plaintiffs behalf. Consequently, SCIA contends that the trial court correctly ordered plaintiff to compensate it for the amount deducted from its award as attributable to plaintiffs negligence. Plaintiff asserts that the statute limits SCIA to the award it received at trial as subrogee. We agree with plaintiff.

To justify the trial court’s reimbursement from plaintiffs recovery for noneconomic damages, SCIA relies upon cases that culminate in Kennedy v. Industrial Commission, 735 P.2d 891 (Colo.App.1986).

*15 In Kennedy, the claimant and tortfeasor reached a settlement to which the insurer was not a party and which characterized settlement proceeds as entirely for pain and suffering. Therefore, because pain and suffering damages were not covered by the Workmen’s Compensation Act, the claimant maintained that the insurer was not entitled to offset its subrogation interest therefrom.

This court affirmed the trial court’s conclusion that the carrier’s subrogation rights could not thus be defeated, that “the statute contains no provision allowing the claimant unilaterally to characterize the settlement as being only for pain and suffering,” and that, regardless of the label applied to the recovery by the claimant without participation by the insurer, the characterization was of no effect. Kennedy v. Industrial Commission, supra, at 893.

Here, we distinguish Kennedy in that SCIA participated in the trial, and the characterization of the recovery was made not by plaintiff but rather by the jury.

Additionally, SCIA relies upon Capitol Aggregates, Inc. v. Great American Insurance Co., 408 S.W.2d 922 (Tex.1966). There, the Supreme Court of Texas concluded that the insurer was entitled to recover the injured employee’s separate settlement when the carrier, which had proceeded to trial against the third party, did not recover the full extent of compensation it had previously paid. However, in reaching its conclusion that the employee had no right to any portion of the recovery until the carrier was paid in full, the court relied upon the Texas statute which provided that: “[T]he association shall reimburse itself [and any] excess so recovered shall be paid to the injured [employee] _” Tex.Rev.Civ.Stat.Ann. art. 8307 § 6a (Vernon 1967) (emphasis added). Capitol Aggregates is, thus, distinguishable.

We further conclude that SCIA’s reliance upon United States v. Lorenzetti, 467 U.S. 167, 104 S.Ct. 2284, 81 L.Ed.2d 134 (1984) is misplaced. Lorenzetti is also distinguishable in that the Court based its decision upon interpretation of the Federal Employee Compensation Act, which requires an injured federal worker to “refund to the United States the amount of compensation paid by the United States....” 5 U.S.C. § 8132 (1988) (emphasis added). The court noted that the federal compensation act “does not confine the United States to the rights of a subro-gee .... ” United States v. Lorenzetti, supra, 467 U.S. at 174, 104 S.Ct. at 2289, 81 L.Ed.2d at 142.

The recovery in both Capitol Aggregates and Lorenzetti rested upon interpretation of statutes which specifically did not confine the position of the insurer to that of subrogee. Rather, recovery was directly reimbursed or refunded. In contrast, § 8-41-203(1) expressly limits the insurer’s right to recovery to damages obtainable through subrogation.

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Cite This Page — Counsel Stack

Bluebook (online)
878 P.2d 13, 17 Brief Times Rptr. 2028, 1993 Colo. App. LEXIS 355, 1993 WL 539937, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-st-joseph-hospital-nursing-home-of-del-norte-inc-coloctapp-1993.