McKnight v. Work Environment Associates & Travelers

596 S.E.2d 573, 43 Va. App. 189, 2004 Va. App. LEXIS 249
CourtCourt of Appeals of Virginia
DecidedJune 1, 2004
Docket0482032
StatusPublished
Cited by5 cases

This text of 596 S.E.2d 573 (McKnight v. Work Environment Associates & Travelers) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McKnight v. Work Environment Associates & Travelers, 596 S.E.2d 573, 43 Va. App. 189, 2004 Va. App. LEXIS 249 (Va. Ct. App. 2004).

Opinion

McCLANAHAN, Judge.

Jeffrey McKnight (claimant) appeals from a decision of the Virginia Workers’ Compensation Commission allowing his employer an offset on claimant’s future entitlements for a portion of a settlement claimant recovered from a third-party tortfeasor. Claimant contends that the commission erred in finding that Code § 65.2-313 requires such offset, because the third-party settlement did not exceed the employer’s compensation lien prior to the lien being compromised. For the reasons that follow, we affirm the commission.

*192 I. Background

On appeal from a decision of the commission, “we view the evidence in the light most favorable to the party prevailing below” and grant that party the benefit of all reasonable inferences. Tomes v. James City (County of) Fire, 39 Va. App. 424, 429-30, 573 S.E.2d 312, 315 (2002) (citation omitted); Grayson Sch. Bd. v. Cornett, 39 Va.App. 279, 281, 572 S.E.2d 505, 506 (2002); Creedle Sales Co. v. Edmonds, 24 Va.App. 24, 26, 480 S.E.2d 123, 124 (1997). On August 28, 1998, claimant suffered compensable head and back injuries when he fell through the roof of a building. Claimant was working as an industrial hygienist for an environmental consulting company, under contract to the Virginia Department of Transportation (VDOT). By agreement of the parties, the commission entered an award on September 29, 1998, providing for payment of medical benefits and temporary total disability benefits. Claimant’s benefits were reduced to partial temporary benefits starting November 10, 1998, based on claimant’s post-injury wages. He currently receives temporary partial benefits pursuant to an award entered April 22, 2002.

In late 2001, claimant settled a third-party lawsuit against VDOT. The parties have stipulated that at the time of the settlement, employer had paid approximately $100,000 in medical and indemnity benefits to claimant. Prior to the settlement, employer agreed to reduce its $100,000 lien to $12,000 and consented to claimant’s settlement with VDOT for $36,000. The parties verbally agreed that the employer would settle its lien for $12,000 from the proceeds of the settlement. When claimant requested that the settlement papers with employer reflect that claimant’s future benefits not be affected, employer told claimant that it was due an offset on future entitlements for claimant’s remaining recovery pursuant to Code § 65.2-313. 1 Claimant disagreed, contending that em *193 ployer had fully compromised its lien, in effect, waiving any offset against future benefits.

The deputy commissioner denied the employer an offset, concluding that the language, “employer’s compensation lien” in Code § 65.2-313, means the actual amount of compensation benefits paid up to the time of the third-party settlement—not the compromised lien amount. The commission disagreed with the deputy commissioner’s analysis and reversed on the basis that an “employer has a right of subrogation against an employee’s third-party claim to the full extent of the benefits it has paid under the Act.” The commission, quoting Artrip v. Kerns Bakeries, Inc., 75 OWC 207 (1996), stated that “ ‘the purpose of the [subrogation] section is to reimburse an employer for added expenses incurred as a result of the negligence of a third party and to prevent an employee from obtaining a double recovery of funds already paid to him by his employer.’ ”

II. Analysis

Claimant raises a purely legal question on appeal. Although we defer to the commission in its role as fact finder, we “review questions of law de novo.” Rusty’s Welding Serv., Inc. v. Gibson, 29 Va.App. 119, 127, 510 S.E.2d 255, 259 (1999) (citation omitted).

The issue before us is whether the employer is entitled to an offset for post-settlement indemnity and medical payments when the third party settlement did not exceed the employer’s compensation lien prior to the lien being compromised. When employers are asked by employees and/or third parties to compromise a lien in order to facilitate a third-party settlement, employees lose future benefits unless the employer otherwise agrees. See Henry’s Wrecker Serv. Co. v. Smoot, 35 Va.App. 365, 371, 545 S.E.2d 551, 554 (2001) (citing Safety-Kleen Corp. v. Van Hoy, 225 Va. 64, 70, 300 S.E.2d 750, 754 (1983)). The compromise is often conditioned on the employee settling the case with the third party. Once a settlement has been achieved, the employer is reimbursed for the benefits it *194 has already paid to the employee, and it is discharged from liability for future benefit payments to the extent that the recovery from the third party is sufficient to satisfy the amount already expended. See Bohle v. Henrico County Sch. Bd., 246 Va. 30, 35-36, 431 S.E.2d 36, 39-40 (1993); Safety-Kleen Corp., 225 Va. at 70-71, 300 S.E.2d at 754.

Although the employer paid about $100,000 in benefits to claimant, it agreed to compromise its lien to $12,000. After the $12,000 was deducted from the $36,000 recovery, the claimant received $24,000 from the third-party settlement. The claimant argues that he is entitled to a full recovery of the $24,000 recovered in tort without any credit to the employer because the lien was compromised. This argument overlooks the fact that the employer already has paid the claimant’s indemnity and medical losses and gave claimant the benefit of a lien reduced by $88,000. Because he settled the third-party claim, the claimant received $24,000, less attorneys’ fees and costs, to which the employer contributed. Not only does he have the present use of the money, he would not have to repay it if he recovers from his injury and can work before the offset is applied.

Neither Hawkins v. Commonwealth, 255 Va. 261, 267, 497 S.E.2d 839, 841 (1998), nor the other case referred to by the deputy commissioner, Rodgers v. Giant Food, Inc., VWC File No. 145-82-01 (Feb. 27, 1996), dealt with a reduced lien. These cases stand for the general proposition that if the third-party recovery is less than the past payment of benefits, then there can be no offset, because the claimant has no recovery. (In that situation, the entire third-party recovery would be used to pay the employer’s lien.) Here, the third-party settlement was less than the past payment of benefits, but the claimant had a recovery from the settlement because the employer compromised its lien.

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596 S.E.2d 573, 43 Va. App. 189, 2004 Va. App. LEXIS 249, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcknight-v-work-environment-associates-travelers-vactapp-2004.