Sneath v. Express Messenger Service

931 P.2d 565, 1996 Colo. App. LEXIS 366, 1996 WL 714837
CourtColorado Court of Appeals
DecidedDecember 12, 1996
Docket96CA0030
StatusPublished
Cited by13 cases

This text of 931 P.2d 565 (Sneath v. Express Messenger Service) is published on Counsel Stack Legal Research, covering Colorado Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sneath v. Express Messenger Service, 931 P.2d 565, 1996 Colo. App. LEXIS 366, 1996 WL 714837 (Colo. Ct. App. 1996).

Opinion

*567 Opinion by

Judge CRISWELL.

Claimant, Greg A. Sneath, seeks review of an order of the Industrial Claim Appeals Office (Panel) that allowed Colorado Compensation Insurance Authority (CCIA) to offset against its liability for workers’ compensation benefits due to claimant an amount that claimant had received from the settlement of his personal injury claim against a third party. We set aside the order and remand for further proceedings.

The underlying facts are virtually undisputed and disclose the following:

Claimant was employed as an “express driver” by an employer, who was insured for workers’ compensation benefits by CCIA. He used his own vehicle to make deliveries for his employer, and he received a commission of 45% of the revenues received from customers to whom he made deliveries. However, his employer arbitrarily designated 50% of these commissions as an “expense reimbursement” for which it did not pay social security taxes and for which it did not withhold federal or state income taxes.

In February 1991, claimant was involved in a work-related automobile accident and sustained a compensable injury. He filed a claim for workers’ compensation benefits and an initial series of hearings was held before an Administrative Law Judge (ALJ). As a result of these hearings, the amount of the “expense reimbursement” was subtracted by the Panel from claimant’s gross commissions, resulting in a substantially reduced average weekly wage and lesser benefits.

This initial award was made in July 1993, and claimant appe'aled that award to this court. A division of this court, relying upon Filippone v. Industrial Commission, 41 Colo App. 322, 590 P.2d 977 (1978) (for workers’ compensation purposes, employee’s expenses are not to be deducted from gross pay in determining wages), set aside the order and directed that benefits be based upon all of the commission payments made to claimant. Sneath v. Express Messenger, 881 P.2d 453 (Colo.App.1994). That opinion became final, and consequently, in November 1994, an increased award was entered.

While these workers’ compensation proceedings were pending, claimant instituted a third-party action to recover damages for his personal injuries sustained in the automobile accident. In 1992, he inquired of CCIA whether he should include CCIA’s statutory subrogation claim in his demand and was specifically informed, in writing, that he should not do so and that CCIA would prosecute that claim on its own behalf.

Thereafter, in November 1993, after the entry of the Panel’s initial award, but while claimant’s appeal to this court was pending, CCIA demanded that the third party’s liability carrier reimburse it for the payments that CCIA had made to claimant. That carrier made such payment, but the record does not reflect that the carrier required CCIA to release any claim that might accrue to it as the result of any future payment of benefits.

On July 18, 1994—four days after Sneath v. Express Messenger, supra, was announced—CCIA inquired of claimant whether he had settled the claim he had asserted against the third party. Claimant responded that he had not. In addition, claimant explained that, in accordance with CCIA’s previous direction to him, he would not seek to recover for any subrogated claim. CCIA failed to respond to claimant with respect to this subject.

Some two months after this exchange of correspondence, claimant settled his third-party claim, and shortly thereafter, the ALJ entered a new award, based upon a recompu-tation of benefits as required by Sneath v. Express Messenger, supra. However, the ALJ also held that CCIA was entitled to “set off’ an identical amount from the proceeds of claimant’s settlement.

Claimant sought review from the Panel, asserting that, given the circumstances described above, CCIA is estopped from seeking to set off any portion of the proceeds from his settlement with the third party against its liability for payment of workers’ compensation benefits. Because the Panel concluded that claimant had not raised any issue of estoppel before the ALJ, it affirmed the ALJ’s award without passing upon that issue. That order is the subject of this review.

*568 i.

Claimant first contends that the Panel erred in concluding that he had not raised the issue of equitable estoppel in the hearing before the ALJ and that he was, therefore, precluded from raising that issue on review. We agree.

Failure to raise an issue before the ALJ in a workers’ compensation proceeding will preclude consideration of such issue by the Panel on review. See Lewis v. Scientific Supply Co., 897 P.2d 905 (Colo.App.1995).

Here, claimant concedes that he did not use the term “estoppel” in his argument before the ALJ. However, claimant argues, and we agree, that the majority of his argument as to why CCIA was not entitled to a setoff against his third-party settlement proceeds was, indeed, based on the principle of estop-pel.

Specifically, claimant’s position statement filed prior to the hearing describes one of the central issues as being whether CCIA should be allowed a setoff against claimant’s settlement when it had previously represented to claimant’s counsel that it would pursue its subrogated interest directly. That position statement further states that, because of CCIA’s representations, claimant did not attempt to collect any amounts representing CCIA’s subrogated interest. In support of this argument, claimant presented evidence at the hearing that the third-party settlement did not take into consideration any subrogated interest of CCIA.

We conclude that, by making such arguments, claimant preserved for review the issue whether CCIA should be equitably es-topped from satisfying any subrogation interest it had from claimant’s third-party settlement proceeds. See In re Marriage of Wright, 841 P.2d 358 (Colo.App.1992) (although party did not explicitly use term “res judicata,” arguments raised were analogous and sufficient to preserve issue for review.)

II.

Placing its primary reliance upon Metcalfe v. Bruning Division of AMI, 868 P.2d 1145 (Colo.App.1993), CCIA asserts that, even if we conclude that claimant timely raised the issue of estoppel, such doctrine could not, as a matter of law, be applied in this ease. We disagree.

Section 8-41-203(1), C.R.S. (1996 Cum.Supp.) provides that “the payment of compensation” to a claimant “shall operate as and be an assignment of [any] cause of action” that the claimant might have against any third party who was responsible for his or her injuries. This “assignment” of the “cause of action,” however, is only a partial one. It extends only to that part of the claim for economic

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Bluebook (online)
931 P.2d 565, 1996 Colo. App. LEXIS 366, 1996 WL 714837, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sneath-v-express-messenger-service-coloctapp-1996.