Tate v. Industrial Claim Appeals Office

815 P.2d 15, 15 Brief Times Rptr. 947, 1991 Colo. LEXIS 431, 1991 WL 123093
CourtSupreme Court of Colorado
DecidedJuly 9, 1991
Docket90SC195
StatusPublished
Cited by43 cases

This text of 815 P.2d 15 (Tate v. Industrial Claim Appeals Office) is published on Counsel Stack Legal Research, covering Supreme Court of Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tate v. Industrial Claim Appeals Office, 815 P.2d 15, 15 Brief Times Rptr. 947, 1991 Colo. LEXIS 431, 1991 WL 123093 (Colo. 1991).

Opinion

Justice LOHR

delivered the Opinion of the Court.

This case presents a question concerning the relationship between the Workmen’s Compensation Act of Colorado, §§ 8-40-101 to 8-54-127, 3B C.R.S. (1986), and the Colorado Auto Accident Reparations Act, §§ 10-4-701 to -723, 4A C.R.S. (1987 & 1990 Supp.), which establishes a no-fault automobile insurance system. The issue is whether a workers’ compensation insurance carrier is entitled to a credit against its obligations for workers’ compensation benefits due an employee injured in an auto accident within the course and scope of his employment for the proceeds of a settlement of the employee’s personal injury action against a third party tortfeasor when the benefits at issue would have been paid by the employer’s no-fault auto insurance carrier but for the work-related nature of the accident. In Tate v. Industrial Claim Appeals Office, No. 89CA0890 (March 2, 1990) (unpublished opinion), the Colorado Court of Appeals held that the workers’ compensation insurer was entitled to such a credit. We disagree and therefore reverse the judgment of the court of appeals.

I.

On December 7, 1983, the petitioner, Charles Tate (Claimant), was injured in an automobile accident during the course and scope of his employment. An employee of the Broadmoor Hotel failed to stop his vehicle at a red light and struck the truck operated by the Claimant. The Claimant’s employer, respondent Anschutz Corporation, and its workers’ compensation carrier, respondent National Union Fire Insurance Company (Carrier), admitted liability for workers’ compensation and paid the Claimant medical and temporary disability benefits totaling $7,697.00.

The Claimant later brought an action against the Broadmoor Hotel, insured by the Fireman’s Fund Insurance Company (Fireman’s), for personal injuries resulting from the accident. On July 28, 1985, this personal injury action was settled for $40,-000.00; the Claimant received $32,303.00 and the Carrier received $7,697.00. In return for these payments, both the Claimant and the Carrier released in full all their claims and rights against the Broadmoor Hotel and Fireman’s.

The Claimant also sought workers’ compensation benefits for permanent partial disability. A hearing was held before an administrative law judge (AU), who entered his ruling on January 24, 1989. The AU found that the Claimant had suffered a 10% permanent partial disability, which entitled him to a disability award of $14,-982.24. The AU did not require the Carrier to pay this additional amount. Instead, the AU allowed the Carrier to credit the $32,303.00 received by the Claimant in settlement of the personal injury action against the $14,982.24 disability award. Since the settlement credit exceeded the award, the Carrier had no liability. The Industrial Claim Appeals Office affirmed the AU’s ruling. The Colorado Court of Appeals in turn affirmed the decision of the Industrial Claim Appeals Office.

II.

The Claimant asserts that no part of the settlement in the personal injury action should have been credited against the Carrier's obligation for the disability award. In order to understand and evaluate the Claimant’s argument, we outline certain features of the systems for payment of workers’ compensation benefits and no-fault benefits. We consider the workers’ compensation system first.

A. The Workers’ Compensation System

The Workmen’s Compensation Act of Colorado, §§ 8-40-101 to 8-54-127, 3B *17 C.R.S. (1986) (Workers’ Compensation Act), 1 established an administrative system for compensating workers for employment-related injuries and occupational diseases. See Popovich v. Irlando, 811 P.2d 379, 381 (Colo.1991). The benefits provided under the workers’ compensation system include medical expenses, § 8-49-101 (current version at § 8-42-101), vocational rehabilitation, § 8-49-101, 2 and disability benefits that compensate for lost wages, §§ 8-51-102, -103 (current versions at §§ 8-42-105, -106). These benefits constitute the injured employee’s exclusive remedy against the employer for employment-related injuries. 3 § 8-42-102 (current version at § 8-41-102); Triad Painting Co. v. Blair, 812 P.2d 638, 641 (Colo.1991); Popovich, 811 P.2d at 381.

When the employment-related injury is caused by a third party tortfeasor, the injured employee has several alternatives. See § 8-52-108(1) (current version at § 8-41-203(1)). First, the employee may elect to receive workers’ compensation benefits. The workers’ compensation insurer then is subrogated to the employee’s rights against the tortfeasor for the amount of the compensation for which the insurer is liable. Second, the employee may elect to receive workers’ compensation benefits and also sue the tortfeasor for damages in excess of the amount of compensation benefits for which the insurer is liable. Again, the insurer is subrogated to the employee’s rights against the tortfeasor for the amount of the insurer’s workers’ compensation liability, so both the employee and the insurer have claims against the tort-feasor. Third, the employee may elect to pursue an action against the tortféasor. In that event, the insurer is liable for only any deficiency between the recovery from the tortfeasor and the worker’s compensation benefits to which the employee is entitled.

In general practice these remedies have been combined by allowing the injured employee to file for workers’ compensation benefits and sue the tortfeasor for the full amount of damages allowable in tort. See, e.g., Peterkin v. Curtis, Inc., 729 P.2d 977 (Colo.1986); Kennedy v. Industrial Comm’n, 735 P.2d 891 (Colo.App.1986). If the employee recovers from the tortfeasor, the employee must reimburse the insurer for any benefits paid. Continental Cas. Co. v. Gate City Steel, 650 P.2d 1336, 1338 (Colo.App.1982). The insurer may also offset any portion of the recovery not used to reimburse the insurer for past benefit payments against any future benefits the insurer may have to pay. See Peterkin, 729 P.2d at 980. Under this approach the employee receives interim workers’ compensation benefits, recovers from the tortfeasor, reimburses the insurer for the interim benefits, credits the insurer for potential future benefits, and keeps the remainder as excess damages. The employee has an incentive to recover the entire damages from the tortfeasor because the employee does not recover for the excess damages until the workers’ compensation benefits have been recovered. Moreover, the insurer’s subrogation right allows it to recover its workers’ compensation payments from the tortfeasor if the employee does not pursue a tort action or limits the claim to an amount in excess of workers’ compensation benefits.

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815 P.2d 15, 15 Brief Times Rptr. 947, 1991 Colo. LEXIS 431, 1991 WL 123093, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tate-v-industrial-claim-appeals-office-colo-1991.