Newberg v. Sarcione

865 S.W.2d 317, 1993 Ky. LEXIS 155, 1993 WL 482017
CourtKentucky Supreme Court
DecidedNovember 24, 1993
DocketNo. 93-SC-91-WC
StatusPublished
Cited by8 cases

This text of 865 S.W.2d 317 (Newberg v. Sarcione) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Newberg v. Sarcione, 865 S.W.2d 317, 1993 Ky. LEXIS 155, 1993 WL 482017 (Ky. 1993).

Opinion

[318]*318OPINION OF THE COURT

On July 22, 1986, claimant sustained a work-related injury to his knee for which he later sought compensation benefits. On August 11, 1987, he entered into a settlement agreement with his employer whereby the employer agreed that the 56.32 weeks of temporary, total disability, which had already been paid, would be followed by a 51.4% permanent, partial disability benefit. Under the terms of the agreement, the permanent, partial disability benefit was to be reduced to present value and paid in a lump sum of $39,500. The settlement agreement also contained the following language:

The parties agree that said percentage and sum are reasonable and shall be paid by the employer; provided, however, a bona fide controversy exist between the Special Fund and the employer as to liability and/or apportionment, and a determination of those issues is hereby reserved to the Board. If the Board determines apportionment against the Fund, then the employer shall be reimbursed by the Fund. Voluntary participation in this settlement was offered to the Special Fund, and rejected by it. Plaintiff also waives all future medicals and rehabilitation benefits.

The Special Fund was invited to participate in the agreement, but refused to do so and raised no objection.

On August 14, 1987, a copy of the agreement was filed with the “old” Workers’ Compensation Board (“old” Board). On that same day claimant filed a pro se application for permanent, partial disability benefits, naming his employer and the Special Fund as party defendants. The “old” Board approved the settlement agreement, without objection by the Special Fund, and set the issue of Special Fund liability for a hearing. The employer moved to be realigned as a plaintiff in claimant’s case against the Special Fund and to be subrogated to the interests of the claimant against the Special Fund, pursuant to the terms of the settlement agreement. The Special Fund’s motion to dismiss, based on arguments that the settlement had been approved by the “old” Board and that the employer was not authorized to proceed against the Special Fund for apportionment of the settlement award, was overruled.

The Administrative Law Judge (ALJ) who heard the proof awarded claimant a 60% permanent, partial, occupational disability, with the entire liability falling upon the Special Fund. Pursuant to the settlement agreement between claimant and the employer, the Special Fund was ordered to reimburse the employer for 425 weeks in an amount that equalled a 60% occupational disability award. Subsequently, however, the ALJ sustained the Special Fund’s petition for reconsideration, ruling that the employer could not be reimbursed by the Special Fund for the sums it had paid. Claimant obtained counsel and, pursuant to his petition for rehearing, the ALJ amended his prior order and ordered the Special Fund to pay claimant for an 8.6% occupational disability, the difference between the 60% figure and the 51.4% claimant had received from the employer under the terms of the settlement.

The employer appealed to the “new” Workers’ Compensation Board (“new” Board) seeking reimbursement from the Special Fund as contemplated by the settlement agreement. The Special Fund filed a protective appeal. During the pendency of the appeals, the Special Fund and claimant entered into an agreement for a lump-sum settlement of the remaining 8.6% occupational disability. The Special Fund’s subsequent motion to dismiss the claimant as a party to its appeal was sustained, with the “new” Board noting that claimant remained a party to the employer’s appeal. The “new” Workers’ Compensation Board, in a two to one decision, reversed the ALJ and ruled that fundamental fairness required that the Special Fund reimburse the employer, in weekly payments, for the 51.4% disability represented by the settlement.

Board Member Miller dissented, reasoning that the settlement with the employer was for the employer’s liability only. Any liability of the Special Fund was a separate claim. To require Special Fund reimbursement to the employer amounted to a partial assignment to the employer of claimant’s recovery against the Special Fund which is specifically prohibited by KRS 342.180. Likewise, sub-[319]*319rogation is authorized by KRS 342.700 only when the worker has a cause of action against a third-party tortfeasor. In compensation claims, the Special Fund is no such third party. The employer was likened to an alleged tortfeasor who settles with the injured party and is subsequently found to have no liability. He is not entitled to reimbursement of his bad bargain. See, Orr v. Coleman, Ky., 455 S.W.2d 59 (1970). Board member Miller concluded that the employer here was merely a volunteer, entitled to neither contribution, indemnity, nor subrogation.

The Court of Appeals affirmed the decision of the “new” Board, and the instant appeal ensued.

As was noted in the decisions below, it is settled that an injured worker may reach a lump sum settlement with one defendant and continue to maintain an action against a codefendant for its share of the ultimate liability. Palmore v. Helton, Ky., 779 S.W.2d 196 (1989). If the settling defendant agrees to settle for more than his share of the liability, the rule is that he bears the consequences of his poor bargain. There is, however, no rule which requires that one defendant’s poor bargain relieves a codefend-ant, whose liability has been fully litigated, from its obligation to pay the entire amount for which it is adjudged liable. In the instant case, the settling defendant and the claimant agreed that a controversy continued to exist regarding both Special Fund liability and apportionment. They incorporated into them agreement a provision whereby the employer would be reimbursed by the Special Fund if part of the occupational disability for which they settled was determined to be the responsibility of the Special Fund. We find nothing in Palmore v. Helton, Id. which precludes a settling defendant and an injured worker from agreeing to the maximum occupational disability for which that defendant may be liable or from incorporating into their agreement a reimbursement provision, such as is present in the instant case, in the event that part of that occupational disability is apportioned to the Special Fund by the ALJ. Since 1982, KRS 342.120 has provided for Special Fund payment directly to the injured worker. It does not address whether a worker may agree that his employer will be reimbursed for sums which the employer paid to the worker but which were later determined to be the responsibility of the Special Fund.

We note that the primary purpose of the Workers’ Compensation Act is to provide for the timely payment of income benefits to injured workers and that the policy of encouraging settlements in compensation cases is one path to achieving that end. KRS 342.180 states as follows:

No claim

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Am. Gen. Life Ins. Co. v. DRB Capital, LLC
562 S.W.3d 916 (Missouri Court of Appeals, 2018)
Kentucky Employers' Mutual Insurance v. Novation Capital, LLC
361 S.W.3d 320 (Court of Appeals of Kentucky, 2011)
YUSTIN v. Department of Public Safety
2011 VT 20 (Supreme Court of Vermont, 2011)
Keith v. Hopple Plastics
178 S.W.3d 463 (Kentucky Supreme Court, 2005)
Whittaker v. Pollard
25 S.W.3d 466 (Kentucky Supreme Court, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
865 S.W.2d 317, 1993 Ky. LEXIS 155, 1993 WL 482017, Counsel Stack Legal Research, https://law.counselstack.com/opinion/newberg-v-sarcione-ky-1993.