Michigan Mutual Insurance v. Nikula

509 So. 2d 334, 12 Fla. L. Weekly 686, 1987 Fla. App. LEXIS 7099
CourtDistrict Court of Appeal of Florida
DecidedMarch 4, 1987
DocketNo. 4-86-0944
StatusPublished
Cited by4 cases

This text of 509 So. 2d 334 (Michigan Mutual Insurance v. Nikula) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michigan Mutual Insurance v. Nikula, 509 So. 2d 334, 12 Fla. L. Weekly 686, 1987 Fla. App. LEXIS 7099 (Fla. Ct. App. 1987).

Opinions

GLICKSTEIN, Judge.

The workers’ compensation lienholder, Michigan Mutual Insurance, in a suit for a share of the injured worker’s recovery in a settlement of a tort suit against the manufacture of his safety helmet, appeals the judgment.

Gustaf Thorarinsson, now the ward of Karl Nikula, was severely and permanently injured in the course and scope of his employment as a welder in construction when he was hit on the head by a piece of steel scaffolding when the scaffold was being dismantled. Thorarinsson was wearing a construction helmet manufactured by the E.D. Bullard Company. He sued the manufacturer under product liability principles and received a settlement in the amount of $3,600,000. He had received workers’ compensation, from his employers’ carrier, of $535,452.84. Appellant, the employer’s carrier, sought to recover all of the benefits paid out to appellee’s ward, claiming he had received from the product liability settlement more than the full amount of his tort claim; or at least that it should receive pro rata shares of his receipts from the product liability settlement as he receives payments under it.

The trial court ruled that the full value of appellee’s tort claim was $15 million; his settlement was $3.6 million, and his workers’ compensation benefits so far amounted to $535,452.84. It said the settlement had been reduced because the injured party was found comparatively negligent to the tune of 90%.

The court said that under the statute the court must reduce the amount of the insurer’s lien by the percent of comparative negligence, and therefore appellant would be entitled only to 10% of its payments to the injured worker to date, or $53,545.28, and to retain 10% of any further payments it would make to the appellee’s ward, until it had received and retained amounts equal to the worker’s “net recovery on his tort claim of $2,031,000.” This is the present value of appellee’s ward’s settlement after fees and costs. Thereafter it was to resume payment of full workers’ compensation benefits.

The insurer/lienholder moved for rehearing, claiming the evidence showed the ap-pellee’s ward’s recovery was not $3.6 million but approximately $17 million; and that while the worker was in fact receiving 24%, not 10%, of the value of his tort claim, the court was allowing the lienholder to get back only 10% of its present and future payments to the injured worker. It argued it should at least get a pro rata share,, out of the settlement, or 24%. The rehearing motion was denied.

During the proceedings, plaintiff’s trial counsel testified as an expert that had the case gone to a jury, the jury might have found plaintiff’s ward 100% at fault. There was another attorney/expert witness who said the case was worth $15 million but plaintiff’s ward was at least 75% at fault, since he had been placed where he was precisely to keep a lookout for falling scaffolding parts, and was injured because he was not looking up. There were two additional expert witnesses (one by deposition) testifying that the total damages were, respectively, $7-10 million, and greater than $15 million.

There are three issues:

I. Whether the trial court erred in reducing the amount of the workers’ compensation carrier’s lien by the percent of the claimant’s comparative negligence, and not by the ratio borne by the amount of claimant’s tort claim settlement to the full value of his tort claim. We conclude that it did, and reverse and remand on this point.

[336]*336II. Whether the trial court erred in finding that the extent of appellee’s award’s comparative negligence was 90%. Our decision on the first issue renders this issue moot.

III. Whether the trial court erred when it determined appellant was not entitled to reimbursement of 100% of its outstanding lien, inasmuch as appellee’s ward will receive via periodic payments more than the full value of his tort claim, which the court has found to be $15 million. We conclude that it did not, and therefore affirm on this point.

I

The relevant statute, governing how the carrier’s recovery on a workers’ compensation lien is prorated, is section 440.39(3)(a), Florida Statutes (1981). The accident involved here occurred September 7, 1982. The relevant subsection is as follows:

(3)(a) In all' claims or actions at law against a third-party tortfeasor, the employee, or his dependents or those entitled by law to sue in the event he is deceased, shall sue for the employee individually and for the use and benefit of the employer, if a self-insurer, or employer’s insurance carrier, in the event compensation benefits are claimed or paid, and such suit may be brought in the name of the employee, or his dependents or those entitled by law to sue in the event he is deceased, as plaintiff or, at the option of such plaintiff, may be brought in the name of such plaintiff and for the use and benefit of the employer or insurance carrier, as the case may be. Upon suit being filed, the employer or the insurance carrier, as the case may be, may file in the suit a notice of payment of compensation and medical benefits to the employeee or his dependents, which said notice shall constitute a lien upon any judgment or settlement recovered to the extent that the court may determine to be their pro rata share for compensation and medical benefits paid or to be paid under the provisions of this law. The employer or carrier shall recover from the judgment, after attorney's fees and costs incurred by the employee or dependent in that suit have been deducted, 100 percent of what it has paid and future benefits to be paid, unless the employee or dependent can demonstrate to the court that he did not recover the full value of damages sustained because of comparative negligence or because of limits of insurance coverage and collecti-bility. The burden of proof will be upon the employee. Such proration shall be made by the judge of the trial court upon application therefor and notice to the adverse party. Notice of suit being filed shall be served upon the employer and compensation carrier and upon all parties to the suit or their attorneys of record by the employee. Notice of payment of compensation benefits shall be served upon the employee and upon all parties to the suit or their attorneys of record by the employer and compensation carrier.

In its initial brief, appellant relies substantially on the opinion in Miceli v. Litton Systems, Inc., 566 F.Supp. 875 (S.D.Fla.1983). There the trial court had found that Miceli had settled his suit against Litton for $125,000, and, after fees and costs, had a net recovery of $50,000. The workers’ compensation lienholder estimated its total payments, past and future, would come to $225,000. The full value of the worker’s claim was determined to be $1 million, based on testimony of an expert attorney witness as well as testimony of defense counsel and the opinion of plaintiff’s attorneys.

The trial court also found that Miceli had been comparatively negligent.

The appellate court called particular attention to the language of section 440.-39(3)(a) which at times pertinent to Miceli read, “The carrier shall recover, ... after attorney’s fees and costs have been deducted, 100 percent of what it has paid and future benefits to be paid, unless the employee ... can demonstrate that he did not recover the full value of damages sustained because of comparative negligence ...” Id. at 877 (emphasis added by Miceli court).

The appellate court said that since, in Miceli,

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Nikula v. Michigan Mut. Ins.
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Cite This Page — Counsel Stack

Bluebook (online)
509 So. 2d 334, 12 Fla. L. Weekly 686, 1987 Fla. App. LEXIS 7099, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michigan-mutual-insurance-v-nikula-fladistctapp-1987.