Peters v. North River Insurance

764 F.2d 306, 1986 A.M.C. 886
CourtCourt of Appeals for the Fifth Circuit
DecidedJune 27, 1985
DocketNo. 84-3284
StatusPublished
Cited by1 cases

This text of 764 F.2d 306 (Peters v. North River Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peters v. North River Insurance, 764 F.2d 306, 1986 A.M.C. 886 (5th Cir. 1985).

Opinion

RANDALL, Circuit Judge:

This appeal presents the question whether an injured worker covered by the Longshoremen’s and Harbor Workers’ Compensation Act and a third-party tortfeasor may settle their dispute independently of the employer’s subrogation claim for reimbursement of the amount of compensation benefits paid to the worker pursuant to the Act. We hold that, while the worker and the third party may allocate responsibility for reimbursement between themselves, settlement of the worker’s claim necessarily settles the employer’s subrogation claim and entitles the employer to reimbursement to the extent of the funds that the third party has agreed to pay in settlement. Accordingly, the judgment of the district court is reversed, and the case is remanded with instructions.

I.

BACKGROUND

On February 17, 1982, Terrence Peters (Peters) suffered an on-the-job eye injury when a spray gun that he was cleaning escaped his grasp and struck him in the face. At the time of the accident, Peters worked for Bergeron Shipyards, Inc. (Ber-geron) at its shipyard in Plaquemines Parish, Louisiana. Following the accident, Bergeron’s insurance carrier, North River Insurance Company (North River), voluntarily began, without a formal compensation award, to pay Peters benefits to which he was entitled under the Longshoremen’s and Harbor Workers’ Compensation Act (LHWCA or the Act), 33 U.S.C. §§ 901 et seq. North River ultimately paid approximately $30,000 in medical bills and compensation payments.

Approximately one year after the accident, Peters commenced this diversity lawsuit against Speeflo Manufacturing Corporation (Speeflo), the manufacturer of the spray gun, in which he asserts negligence and product liability claims under Louisiana law. North River and Bergeron1 intervened and alleged that, to the extent of compensation benefits paid to Peters pursuant to the Act, they are subrogated to his rights against third parties. The com[309]*309plaint in intervention alleges that the subrogation claim “take[s] precedence over all of the claims of Terrence Peters” and should be paid first out of any recovery obtained by Peters from Speeflo.

Peters and Speeflo settled their dispute on the day before the scheduled trial date. Intervenors, however, did not participate in the settlement negotiations and did not reach a settlement agreement with either Peters or Speeflo. The settlement agreement between Peters and Speeflo was not written down. The agreement’s terms came to light, however, during proceedings on Peters’ motion to enforce the settlement. The district court received evidence of the negotiations and found that Peters and Speeflo settled the case on the following terms: “Plaintiff, [Peters,] was to receive $60,000, and in addition defendant, [Speeflo,] was obligated either to settle or litigate the intervenors’ claim [for reimbursement of compensation benefits paid to Peters].” 586 F.Supp. at 1391.2

Following the settlement, Intervenors moved for recognition that their right to recoup the compensation benefits paid to Peters constitutes a lien that attached automatically as soon as Speeflo and Peters agreed to the compromise. Intervenors did not specify whether the lien should be satisfied from the $60,000 paid to Peters or from funds retained by Speeflo. The thrust of their position was apparently that an agreement between the settlors to allocate responsibility for the compensation lien does not change the rule that the lien attaches to a judgment or settlement fund automatically and that the employer or its compensation carrier is entitled to recover the compensation benefits paid without independently proving the liability of the third party against whom the worker has asserted a cause of action.

The district court denied Intervenors’ request for recognition of their compensation lien and set the intervention for trial. In-tervenors moved for reconsideration of that ruling and, in the alternative, for summary judgment. The district court acknowledged that Intervenor’s position would be correct if Peters and Speeflo had settled the case without mentioning the compensation lien. The district court denied the motions, however, on the theory that, because the settlement agreement between Peters and Speeflo expressly does not compromise the reimbursement claim, Inter-venors must either themselves settle with Speeflo or must establish their right to reimbursement at trial by “proving the alleged tortfeasor’s negligence.” 586 F.Supp. at 1395.

The intervention was tried on April 11, 1984. Intervenors persisted in the view that, because of settlement for an amount in excess of the compensation benefits paid to Peters, they were entitled to automatic reimbursement in full without having to prove Speeflo’s liability for Peters’ injuries. Accordingly, Intervenors simply presented evidence of the amount of compensation benefits that they had paid on account of Peters’ injuries and prayed for judgment in that amount against either Peters or Spee-flo. The district court, on the other hand, persisted in the view that, because Peters and Speeflo expressly excluded the intervention from the scope of the settlement, Intervenors could not recover unless they established Speeflo’s liability for Peters’ injuries. Accordingly, the district court dismissed the intervention, and this appeal followed. The only issue on appeal is whether a worker and a third-party tort-feasor may settle their dispute independently of the employer’s compensation lien.

II.

OVERVIEW OF THE LHWCA A brief overview of the Act’s compensation scheme will place in context the dis-

[310]*310trict court’s decision and the parties’ positions. The LHWCA allocates the costs of industrial accidents through a compromise between the rights of employees and employers that is typical of many workers’ compensation schemes: an injured worker is entitled to “prompt and certain” compensation benefits from his employer even if the employer is not to blame for the accident, see Louviere v. Shell Oil Co., 509 F.2d 278, 283 (5th Cir.1975), cert. denied, 423 U.S. 1078, 96 S.Ct. 867, 47 L.Ed.2d 90 (1976); the benefits, however, are generally less than the worker could recover under traditional tort compensation systems and constitute the employer’s exclusive liability for the worker’s injuries, see 33 U.S.C. § 905(a). To accomplish its “manifest purpose ... to assure prompt aid to the employee when his need is greatest,” Louviere, 509 F.2d at 283, the Act encourages the voluntary payment of benefits, see 33 U.S.C.A. § 914(a), (d), but also provides an administrative procedure for resolving disputed cases, see id. § 914(d); 20 C.F.R. pt. 702 (1984).

We have recognized that the compensation scheme of the Act furthers at least two other objectives, both of which are particularly relevant to the issue in this case; (1) “placing the burden ultimately on the company whose default caused the injury,” Louviere, 509 F.2d at 283 (quoting Italia Societa v. Oregon Stevedoring Co., 376 U.S. 315, 324, 84 S.Ct.

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