SAIF Corp. v. Wright

817 P.2d 1317, 312 Or. 132, 1991 Ore. LEXIS 67
CourtOregon Supreme Court
DecidedSeptember 19, 1991
DocketWCB TP-88016; CA A51030; SC S37533
StatusPublished
Cited by11 cases

This text of 817 P.2d 1317 (SAIF Corp. v. Wright) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SAIF Corp. v. Wright, 817 P.2d 1317, 312 Or. 132, 1991 Ore. LEXIS 67 (Or. 1991).

Opinion

*134 GRABER, J.

The issue in this workers’ compensation case is whether ORS ese^SO) 1 gave the Workers’ Compensation Board (the Board) the authority to determine whether SAIF Corporation (SAIF) was a “paying agency” within the meaning of that statute. We hold that the Board had the authority to make that determination. Accordingly, we reverse the decision of the Court of Appeals, which held to the contrary.

Claimant suffered injuries in a two-car accident in 1984. He filed claims with four employers, contending that he was injured in the course and scope of employment and that at least one of the four was his employer. SAIF received and processed three of the claims, because they involved noncomplying employers. ORS 656.054(1). 2 In June 1985, SAIF denied all three claims, on the ground that claimant was not a subject worker of any of the employers. The fourth purported employer denied the claim on the same ground.

Also in 1985, claimant filed an action against the other driver who had been involved in the accident. His case against the other driver was settled on January 20,1986, for $81,960.75. Claimant did not inform SAIF of the settlement, and SAIF was not otherwise aware of the litigation or of the settlement. Thus, SAIF did not consent to the settlement. See ORS 656.587 (settlement between worker and third party *135 must have written approval of paying agency); ORS 656.593(3) (claimant may settle third party case with approval of paying agency). The settlement was distributed as follows: $29,869.72 to claimant; $27,243.18 to claimant’s lawyers; $24,616.65 for medical expenses; and $231.20 for costs.

Meanwhile, claimant had appealed the denials of his four claims. After a hearing on January 30,1986, the referee upheld the denials, on the ground that no employer-employee relationship existed with any of the four purported employers. Claimant appealed to the Board, which found that claimant was a subject worker of one of the three noncomplying employers whose claim had been referred to SAIF for processing. The Board set aside SAIF’s denial as to that employer and remanded the claim to SAIF for processing. 3 Thereafter, SAIF paid claims costs of $43,418.82, comprised of temporary total disability compensation ($39,693.35), a permanent disability award ($2,359.45), and medical expenses ($1,366.02).

SAIF first learned of claimant’s settlement with the other driver in April 1988, when claimant sought reimbursement for the $24,616.65 in medical bills that had been paid directly to the providers from the settlement. On June 23, 1988, SAIF filed a “Petition for Distribution” asking the Board for an order that would require claimant to distribute to SAIF $36,324.23 as its “statutory share” of the third-party settlement, pursuant to ORS 656.593(3). The Board denied the petition on the ground that SAIF was not a “paying agency” 4 entitled to share in the settlement under ORS 656.593(3), because SAIF had denied the underlying claim. SAIF sought judicial review of the Board’s order.

The Court of Appeals held that, although the Board had jurisdiction over SAIF’s petition, it had no authority to grant the specific relief sought. There was a dispute between SAIF and claimant, not about what amount claimant would *136 owe under ORS 656.593(3), but about whether SAIF was entitled to any distribution at all. The Court of Appeals reasoned:

“In the settlement of a third-party action and the distribution of the proceeds, the Board has authority to do only two things. First, it may order written approval of the settlement by the paying agency, if there is a dispute between the parties regarding it. ORS 656.587. Second, if the settlement is approved,
‘the paying agency is authorized to accept such a share of the proceeds as may be just and proper * * *. Any conflict as to what may be a just and proper distribution shall be resolved by the board.’ ORS 656.593(3).”

SAIF v. Wright, 102 Or App 598,601,795 P2d 604 (1990). We allowed SAIF’s petition for review.

We note at the outset that “matters concerning a claim under ORS 656.001 to 656.794” are generally within the Board’s jurisdiction. ORS 656.704(1). This dispute involves a matter concerning a claim, because the amount of compensation to which claimant is entitled is directly in issue. See ORS 656.704(3) (providing definition). 5 The more that a paying agency is entitled to receive, the less that the claimant is entitled to retain. A paying agency’s right to a share of third-party recoveries derives from its responsibility for compensation. The amount that the paying agency is entitled to recover is determined, in part, by the amount of compensation that it paid. See generally ORS 656.576 to 656.595 (providing procedures for paying agency to recover from third persons and noncomplying employers). 6 Moreover, ORS 656.593 gives the Board jurisdiction over the parties of a worker and a paying agency and over the subject matter of a worker’s recovery from a direct third-party action.

The question here is: Did the Board have the authority under ORS 656.593 to decide that SAIF was not a “paying *137 agency” and thus was not entitled to any share of the third-party settlement? Or, as the Court of Appeals concluded, does ORS 656.593

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

Related

Longstreet v. Liberty Northwest Ins. Corp.
245 P.3d 656 (Court of Appeals of Oregon, 2010)
Pahl v. Board of Chiropractic Examiners
993 P.2d 149 (Court of Appeals of Oregon, 1999)
LeGore v. Self-Insured Management Services
972 P.2d 892 (Court of Appeals of Oregon, 1998)
Lee v. Oregon Racing Commission
920 P.2d 554 (Court of Appeals of Oregon, 1996)
Weems v. American International Adjustment Co.
874 P.2d 72 (Oregon Supreme Court, 1994)
Pacific Northwest Bell Telephone Co. v. Katz
841 P.2d 652 (Court of Appeals of Oregon, 1992)
Toole v. EBI Companies
838 P.2d 60 (Oregon Supreme Court, 1992)
SAIF Corp. v. Wright
832 P.2d 1238 (Court of Appeals of Oregon, 1992)
Urbach v. Monchamp Corp.
821 P.2d 1116 (Court of Appeals of Oregon, 1991)
Kaady ex rel. Professional Liability Fund v. EBI Companies
820 P.2d 465 (Court of Appeals of Oregon, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
817 P.2d 1317, 312 Or. 132, 1991 Ore. LEXIS 67, Counsel Stack Legal Research, https://law.counselstack.com/opinion/saif-corp-v-wright-or-1991.