Primus v. Alfred Sanzari Enterprises

833 A.2d 697, 363 N.J. Super. 538, 2003 N.J. Super. LEXIS 291
CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 25, 2003
StatusPublished
Cited by1 cases

This text of 833 A.2d 697 (Primus v. Alfred Sanzari Enterprises) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Primus v. Alfred Sanzari Enterprises, 833 A.2d 697, 363 N.J. Super. 538, 2003 N.J. Super. LEXIS 291 (N.J. Ct. App. 2003).

Opinion

WALSH, J.S.C.

This matter is before the Court on a motion made by the plaintiffs Leon and Isis Primus (“the Primuses”) to limit reimbursement of a portion of the outstanding workers’ compensation lien after their tort action against a number of defendants and their potential claims against others were settled on June 19, 2002. This tort action and the other potential claims arose from an accident at a construction site in Hasbrouck Heights, New Jersey on August 8, 1996. At that time, Leon Primus, a construction employee of County Glass and Metal Installers, Inc. (“County Glass”), suffered serious injuries as he sought to clear a trash chute at the construction site. This civil action followed.

One of the potential claims which was compromised by the Primuses as part of the settlement involved their former lawyers, Horn Shechtman & Hirsh, P.C. (“Horn Shechtman”). At the time the matter was settled, it had yet to be determined whether Horn Shechtman, while representing the Primuses, had been diligent in its use of the fictitious practice rule, R. 4:26-4. This rule initially [542]*542permits the naming of fictitious parties subject to an amendment to name the actual tortfeasors upon discovery. Failure to exercise proper diligence when employing fictitious practice could lead to the statute of limitations running against a later joined party. Farrell v. Votator Div. of Chemetron Corp., 62 N.J. 111, 299 A.2d 394 (1973). Here, if it was determined that the statute of limitations had run as to one of the later named defendants, Ace Scaffolding, Inc., and if thereafter a jury were to assess responsibility as to that entity, a professional negligence claim against Horn Shechtman would be a distinct possibility. It was for this reason, that Horn Shechtman was being defended by the New Jersey Property Liability Insurance Guarantee Association (“NJPLIGA”).1 NJPLIGA had undertaken this defense when Horn Shechtman’s insurance carrier, Reliance Insurance Company, went into receivership. Though not as yet named as a defendant, Horn Shechtman sought to and did participate in the settlement conference held on June 19, 2002.

The settlement reached that day involved the payment of $800,000 to the Primuses. NJPLIGA contributed $50,000 or 1/16 of the total amount to settle all potential claims against Horn Shechtman. Counsel for the plaintiffs were advised of NJPLIGA’s contribution at the time of settlement but were not advised as to the other entities’ contributions.

The Primuses, Horn Shechtman and the other participants in these settlement discussions were aware that a substantial workers’ compensation lien existed. Horn Shechtman’s representatives made it clear during the settlement discussions that NJPLIGA [543]*543had no responsibility to satisfy this lien and the lien could not attach to any funds paid by NJPLIGA.

New Jersey Manufacturers Insurance Company (“NJM”) provided workers’ compensation coverage to Leon Primus’ employer, County Glass. As a result of Leon Primus’ accident, by July 12, 2002 NJM had expended $186,638.94 and anticipated paying an additional $79,872.00 in permanent compensation. NJM was not present at the settlement discussions and there is nothing in the record to indicate it ever was invited to participate.

NJM sought payment of $266,510.94 from the plaintiffs’ recovery after learning of the settlement. Plaintiffs acknowledge responsibility for the bulk of this lien but claim they are entitled to offset 1/16 of the workers’ compensation lien or $16,656.93 given NJPLIGA’s contribution to the overall settlement. The Primuses further claim that NJPLIGA’s counsel advised their counsel that the Primuses would receive such a credit. NJM, on the other hand, believes that no offset or credit against its lien is appropriate. When the plaintiffs and NJM could not resolve this dispute, the present motion was made. NJM has sought to intervene in this action and the Court now grants that request. R. 4:33-2.

For the reasons that follow, the Court believes the Primuses are entitled to an offset or credit for the portion of the workers’ compensation lien paid by NJPLIGA subject to NJM’s right to contest the exact amount of this offset or credit at a hearing. In short, the interaction between New Jersey’s workers’ compensation scheme and its insurance guarantee fund in a multi-defendant case requires an offset or credit because of NJPLIGA’s privileged position with respect to existing workers’ compensation liens. Simply put, NJM may not necessarily expect to recover its entire workers’ compensation lien in the event of a verdict or settlement in a multi-defendant case where one of the responsible tortfeasors is defended by NJPLIGA. This result is required to properly balance the public policy considerations reflected in the workers’ compensation scheme and those reflected in the insurance guarantee fund legislation. Because NJM was not present at the settle[544]*544ment conference and was not asked to attend, the Court finds that NJM is entitled to a hearing to determine the relative liability of the NJPLIGA defended tortfeasor when compared with the other tortfeasors in accordance with the procedures set forth in this Opinion.

The Labor and Workmen’s Compensation Act, N.J.S.A. 34:15-40, permits the recovery by an injured worker against a third party responsible for that injury while at the same time permitting recovery against the employer under the workers’ compensation scheme. In such instances “the employer or his compensation carrier is subrogated to the injured employee’s cause of action in tort against the third-party tortfeasor to the extent of compensation payments made by the employer or its carrier.” Schweizer v. Elox Div. of Colt Indus., 70 N.J. 280, 284, 359 A.2d 857, 859 (1976). The Appellate Division persuasively describes the public policy considerations upon which this scheme is based:

First, the injured employee, while vouchsafed full recovery for all his losses occasioned by the injury, is nevertheless limited to one, non-duplicative recovery. Second, as between the employer’s statutory obligation to his injured employee and the tortfeasor’s common-law obligation to his injured victim, the intent of the reimbursement statute is to place the total compensatory burden on the tortfeasor, at least where the common-law recovery exceeds the compensation benefits!) Sussman v. Ostroff, 232 N.J.Super. 306, 310, 556 A.2d 1301[, 1303] (App.Div.). certif. denied, 117 N.J. 143, 564 A.2d 865 (1989).]

Obviously then, in the normal course of events, any recovery obtained by way of verdict or settlement would be available to satisfy some or all of the workers’ compensation lien. N.J.S.A. 34:15-40(b) & (c). See generally United States Cas. Co. v. Hercules Powder Co., 4 N.J. 157, 165-166, 72 A.2d 190, 194-95 (1950) (as to the purposes of N.J.S.A. 34:15-40 and the requirement that the insurance carrier proceed under this statute to recover its compensation payments).

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Related

Primus v. Alfred Sanzari Enterprises
859 A.2d 452 (New Jersey Superior Court App Division, 2004)

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Bluebook (online)
833 A.2d 697, 363 N.J. Super. 538, 2003 N.J. Super. LEXIS 291, Counsel Stack Legal Research, https://law.counselstack.com/opinion/primus-v-alfred-sanzari-enterprises-njsuperctappdiv-2003.