Olson v. Horton

258 N.W.2d 610, 1977 Minn. LEXIS 1380
CourtSupreme Court of Minnesota
DecidedSeptember 23, 1977
Docket46952
StatusPublished
Cited by7 cases

This text of 258 N.W.2d 610 (Olson v. Horton) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Olson v. Horton, 258 N.W.2d 610, 1977 Minn. LEXIS 1380 (Mich. 1977).

Opinion

PETERSON, Justice.

Plaintiff, Reverend Orville T. Olson, a Lutheran minister, was injured while in the scope of his employment on January 29, 1971, when his automobile was struck by a truck driven by defendant Jack H. Horton for Horton’s employer, defendant Midwest Coast Transport, Inc. Plaintiff was covered by worker’s compensation insurance purchased by the Association of Free Lutheran Churches (AFLC) from St. Paul Fire and Marine Insurance Company (hereafter “insurance company”), which was also Horton’s employer’s liability insurer. On December 8, 1971, plaintiff reached a settlement agreement with a claims agent employed by the insurance company and signed a “full and final” release of all claims against defendants.

Approximately 2 years after signing the release and several months after undergoing surgery for fusion of fractured vertebrae, plaintiff instituted this action for damages. Defendants alleged the release in defense. Plaintiff moved for partial summary judgment primarily on the grounds that a conflict of interest is created when a single insurer is both worker’s compensation carrier and liability insurance carrier and that a release given to an insurer in that position is invalid where the insurer has acted to prejudice the employee’s rights. The trial court denied plaintiff’s motion and granted summary judgment in favor of defendants, dismissing with prejudice plaintiff’s cause of action. We affirm.

Following the accident, 1 which occurred near Rothsay, Minnesota, plaintiff was hospitalized in nearby Fergus Falls for several days. The first doctor to treat plaintiff described his injury as a “compression fracture of the first lumbar vertebra.” Subsequent reports from doctors at the Mayo Clinic diagnosed his injury as a musculoliga-mentous strain.

In mid-February 1971, the AFLC filed a first report of plaintiff’s injury with the insurance company’s worker’s compensation division located in Minneapolis, and Horton’s employer filed a loss notice with the insurance company’s liability insurance division. The worker’s compensation claim was assigned to claims agent Janis Bohlken, who notified the Department of Labor and Industry of the injury report. The loss notice was referred to Garry Anderson, a claims agent in the insurance company’s Fargo, North Dakota, office, which handled casualty claims originating in northwestern Minnesota.

Although a bill dated March 10, 1971, for medical treatment was submitted to Bohlken, no worker’s compensation benefits were paid to plaintiff because Bohlken requested and was granted extensions until April 9, 1971, during which to conduct an investigation. It appears that no investigation had in fact been conducted by April 5, when plaintiff advised Bohlken that he was going to pursue his third-party claim. Bohlken thereafter considered the file dormant and so advised the Department of Labor and Industry.

Plaintiff chose to pursue his third-party claim rather than his worker’s compensation claim when, on April 5, 1971, Bohlken telephoned to advise him that he had “two claims pending with the [insurance] company, one with [Horton’s employer] and the other with AFLC.” Bohlken asked that plaintiff “release one claim in order to simplify the records.” She indicated that it did not matter which he chose to pursue first.

*613 Plaintiff had previously been in communication with Anderson, who had requested him to submit a report of the damage done to his automobile and to submit his medical bills for reimbursement pending a settlement. Payments in advance of settlement were made under an arrangement of the insurance company known as the “Quiet Assistance Program.” Between May 14, 1971, and December 8,1971, Anderson reimbursed plaintiff for medical and mileage expenses; reimbursed plaintiff’s parish for the wages paid to plaintiff while he was unable to work; and reimbursed plaintiff’s automobile insurer for $2,484.89 of the amount paid to plaintiff for damage to his automobile.

On December 8, 1971, plaintiff brought additional outstanding medical bills to Anderson’s office. At that time, he signed the release of all claims against defendants. The release by its terms applies to “all known and unknown and anticipated and unanticipated injuries and damages resulting from said accident, casualty or event, as well as to those now known or disclosed.” 2 In consideration for the release, plaintiff received $7,500, including the amounts already paid by the insurance company other than the property damage award. At the time plaintiff signed the release, the $7,500 paid in settlement exceeded the special damages he had thus far incurred by between $3,500 and $4,000. However, when plaintiff instituted this action, the $7,500 sum approximated his special damages.

Plaintiff asserts that the intent of the worker’s compensation laws is that the compensation insurer assist the employee in maximizing his recovery against a third-party tortfeasor. He argues that we should invalidate this release since, because of the conflict of interest here present, the insurer not only did not assist plaintiff in pursuing his third-party claim, but affirmatively acted to impede plaintiff’s chances of maximum recovery. Plaintiff does not propound a per se rule invalidating any release given to an insurer with a conflict of interest, but seeks to void a release where the insurer has used its position to its own advantage and the employee’s detriment. He asks us to fashion a rule requiring an insurer which in a given situation is both a liability and worker’s compensation insurer to report this fact to the Department of Labor and Industry and give a full disclosure to the employee of the existing conflict of interest.

Plaintiff also contends that where such a conflict of interest is present, a less stringent standard of duress, misrepresentation, or overreaching should suffice to invalidate a release than would be sufficient in the ordinary case. In this case, plaintiff argues that the release should be set aside because of the following alleged misconduct of the insurer: Economic coercion imposed by denying plaintiff worker’s compensation benefits pending completion of an illusory investigation, and by telling plaintiff to pursue either of the two claims when he could have received worker’s compensation benefits while pursuing the third-party claim; Bohlken’s and Anderson’s failure to explain that two-thirds of any third-party settlement would offset worker’s compensation benefits otherwise payable; Anderson’s exploitation, by pounding on the table and refusing to accept plaintiff’s suggested settlement figure of $10,000, of plaintiff’s reluctance to resort to court proceedings because of plaintiff’s belief that litigation was unbecoming to one in his profession; Anderson’s placement of the settlement discussions in his own office, the “environment of the opposition”; and Anderson’s use of a “psychological approach” in which he agreed to pay each bill without question while reminding plaintiff of his desire to settle the case. Plaintiff admits that in the absence of the alleged conflict of interest present in this case, he would have no grounds upon which to challenge the settlement.

*614 We hold that no conflict of interest was created in this case. The interests of a third-party liability insurer are always adverse to those of an individual in plaintiff’s position.

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Cite This Page — Counsel Stack

Bluebook (online)
258 N.W.2d 610, 1977 Minn. LEXIS 1380, Counsel Stack Legal Research, https://law.counselstack.com/opinion/olson-v-horton-minn-1977.