ProAssurance Grp., d/b/a Eastern Alliance Ins. Co. v. Edna Manz

CourtSupreme Court of Delaware
DecidedNovember 7, 2025
Docket55, 2025
StatusPublished

This text of ProAssurance Grp., d/b/a Eastern Alliance Ins. Co. v. Edna Manz (ProAssurance Grp., d/b/a Eastern Alliance Ins. Co. v. Edna Manz) is published on Counsel Stack Legal Research, covering Supreme Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ProAssurance Grp., d/b/a Eastern Alliance Ins. Co. v. Edna Manz, (Del. 2025).

Opinion

IN THE SUPREME COURT OF THE STATE OF DELAWARE

PROASSURANCE GRP. d/b/a/ § EASTERN ALLIANCE INS. CO., § No. 55, 2025 § Defendant Below, Appellant, § Court Below–the Superior § Court of the State of v. § Delaware § EDNA MANZ, § C.A. No. N18C-03-092 § Plaintiff Below, Appellee. §

Submitted: September 10, 2025 Decided: November 7, 2025

Before SEITZ, Chief Justice; TRAYNOR and GRIFFITHS, Justices.

ORDER

On this 7th day of November 2025, after careful consideration of the parties’

briefs and the record on appeal, it appears to the Court that:

(1) Appellant ProAssurance Group d/b/a/ Eastern Alliance Ins. Co., a

workers’ compensation insurance carrier, appeals from a Superior Court decision

denying subrogation rights for payments Appellee Edna Manz received from her

employer’s underinsured motorist carrier. On appeal, ProAssurance asks us to

decide whether our decision in Horizon Servs. v. Henry (“Henry II”)1 applies to the

1 304 A.3d 552 (Del. 2023).

1 instant case. The Superior Court concluded that it did not. We respectfully disagree

and therefore reverse and remand for further proceedings.

(2) While acting within the scope of her employment with Apis Services,

Inc., Manz was involved in a motor vehicle accident.2 At the time of the accident,

Apis used ProAssurance as its workers’ compensation carrier.3 Following the

accident, Manz filed a workers’ compensation claim against ProAssurance.

ProAssurance paid Manz $374,070.72 for medical expenses and lost wages, as well

as a lump sum of $80,000.00 for all future workers’ compensation entitlements.4

(3) ProAssurance and Manz executed a settlement agreement to

memorialize the settlement.5 In the settlement agreement, ProAssurance and Manz

stipulated that ProAssurance reserved “any lien rights against any recovery by

[Manz] from any entity, to include any insurance carrier, as a result of the work

accident.”6

(4) For the same accident, Manz separately recovered $8,571.00 from the

driver who caused her injuries. Due to the insufficiency of that recovery, Manz filed

2 See Consol’d John Henry et al. v. Cincinnati Ins. Co., C.A. No. N18C-03-092, at p. 6 (Del. Super. Dec. 23, 2024) [Dkt. 88] [hereinafter “Op.”]. 3 Id. 4 Id. 5 Id. 6 App. to Appellant’s Opening Br. at A12 (Affidavit of Edna Manz for the commutation of workers’ compensation benefits) [hereinafter “A_”].

2 another claim with Apis’s Underinsured Motorist policy (“UIM”) carried by

Philadelphia Insurance Companies (“PIC”).7 The UIM policy contained the

following non-duplication clause:

No one will be entitled to receive duplicate payments for the same elements of “loss” under this Coverage Form and any Liability Coverage Form or Medical Payments Coverage Endorsement attached to this Coverage Part. We will not make a duplicate payment under this Coverage for any element of “loss” for which payment has been made by or for anyone who is legally responsible, including all sums paid under the policy’s Liability Coverage. We will not pay for any element of “loss” if a person is entitled to receive payment for the same element of “loss” under any workers’ compensation, disability benefits or similar law.8

(5) On December 18, 2023, following an arbitration proceeding between

Manz and PIC, the arbitrator awarded Manz $215,000.00 for her UIM claim.9

ProAssurance subsequently asserted a lien on Manz’s UIM award, alleging a right

to subrogate on the UIM award under 21 Del. C. § 2363(e).10 In response, Manz

7 Op. at 6. 8 A26 at ¶ D2 (non-duplication provision of the applicable Philadelphia Insurance Co. Policy). 9 A33 (Arbitration Allocation). 10 Op. at 8. The statute provides: In an action to enforce the liability of a third party, the plaintiff may recover any amount which the employee or the employee’s dependents or personal representative would be entitled to recover in an action in tort. Any recovery against the third party for damages resulting from personal injuries or death only, after deducting expenses of recovery, shall first reimburse the employer or its workers’ compensation insurance carrier for any amounts paid or payable under the Workers’ Compensation Act to date of recovery, and the balance shall forthwith be paid to the employee or the employee’s dependents or personal representative and shall be 3 filed a declaratory judgment action in the Superior Court seeking an order “declaring

her proceeds from her UIM claim exempt from [ProAssurance’s] lien,” claiming that

she was “only awarded monies not previously paid by her workers’ compensation

claim” due to the non-duplication clause contained in the UIM policy.11

ProAssurance filed a motion for summary judgment, arguing, among other things,

that this Court’s opinion in Henry II applied to the instant case. According to

ProAssurance, Henry II mandated subrogation for workers’ compensation carriers

against an injured employee’s subsequent UIM recovery.12

(6) The Superior Court denied ProAssurance’s motion, ruling that Henry II

did not apply because “when Manz resolved her claims [with PIC] and

acknowledged the application of [the non-duplication clause], Henry II [had not

been] decided.”13 ProAssurance appealed.

(7) On appeal, ProAssurance argues that the Superior Court erred in ruling

that Henry II did not apply here, because Henry II had been decided before Manz

treated as an advance payment by the employer on account of any future payment of compensation benefits, except that for items of expense which are precluded from being introduced into evidence at trial by § 2118 of Title 21, reimbursement shall be had only from the third-party liability insurer and shall be limited to the maximum amounts of the third party’s liability insurance coverage available for the injured party, after the injured party’s claim has been settled or otherwise resolved. 21 Del. C. § 2363(e). 11 Op. at 7. 12 A35, A56 (Appellant’s Brief in support of its Motion for Summary Judgment below). 13 Op. at 19.

4 arbitrated her UIM claim with PIC and also before she settled her workers’

compensation claim with ProAssurance.14 Manz counters that even if Henry II

predates the relevant events of this case, ProAssurance is still not entitled to assert a

subrogation lien on her UIM award, because Henry II does not provide the workers’

compensation carrier (in this case, ProAssurance) a guaranteed right to

subrogation.15

(8) “We review the Superior Court’s decision on a motion for summary

judgment de novo, applying the same standard as the trial court. A motion for

summary judgment will be granted on a claim when the moving party shows ‘that

there is no genuine issue of fact and that the moving party is entitled to judgment as

a matter of law.’”16 We consider all facts in the light most favorable to the non-

moving party.17

14 Appellant’s Opening Br. at 11–12. 15 Appellee’s Answering Br. at 14. Appellee Manz argues that: In Henry II, this Court did not decide the seminal issue of whether the non- duplication clause in the UIM policy was valid. In withholding decision, this Court noted: ‘It is possible that . . . there will be no [UIM] recovery that would be subject to a [] lien. . . the prudent course is to allow those facts to develop through litigation in the trial court rather than asking this Court to issue a hypothetical ruling in the first instance.’ . . . . [ProAssurance’s] position ignores the fact that the validity of a non-duplication clause in a UIM policy remained undecided by Henry II. (citation omitted). 16 GMG Ins. Agency v. Edelstein, 328 A.3d 302, 309 (Del. 2024) (citing Paul v.

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ProAssurance Grp., d/b/a Eastern Alliance Ins. Co. v. Edna Manz, Counsel Stack Legal Research, https://law.counselstack.com/opinion/proassurance-grp-dba-eastern-alliance-ins-co-v-edna-manz-del-2025.