Texas Workers' Compensation Commission and Subsequent Injury Fund v. Texas Municipal League Intergovernmental Risk Pool

38 S.W.3d 591, 2000 Tex. App. LEXIS 6310, 2000 WL 1288903
CourtCourt of Appeals of Texas
DecidedSeptember 14, 2000
Docket03-98-00169-CV
StatusPublished
Cited by13 cases

This text of 38 S.W.3d 591 (Texas Workers' Compensation Commission and Subsequent Injury Fund v. Texas Municipal League Intergovernmental Risk Pool) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Texas Workers' Compensation Commission and Subsequent Injury Fund v. Texas Municipal League Intergovernmental Risk Pool, 38 S.W.3d 591, 2000 Tex. App. LEXIS 6310, 2000 WL 1288903 (Tex. Ct. App. 2000).

Opinion

J. WOODFIN JONES, Justice.

The opinion and judgment filed herein on June 17, 1999 are withdrawn, and the following opinion is issued in lieu of the earlier one.

Appellee Texas Municipal League Intergovernmental Risk Pool (“Risk Pool”) sued appellants Texas Workers’ Compensation Commission (“TWCC”) and the Subsequent Injury Fund (“Fund”) seeking a declaratory judgment that certain provisions of the Texas Workers’ Compensation Act 1 and the TWCC rules implementing those statutory provisions 2 are unconstitutional as applied to Risk Pool members. The trial court held the challenged statutory provisions and TWCC rules to be unconstitutional to the extent they require the Risk Pool to contribute to the Fund. We will reverse the judgment of the trial court and render judgment for appellants.

BACKGROUND

The Statutory Scheme

This case involves the interplay between the Subsequent Injury Fund, administered by TWCC, and the statutory requirement that political subdivisions provide workers’ compensation coverage to their employees.

All political subdivisions are required to provide workers’ compensation benefits to their employees by (1) becoming a self-insurer, (2) obtaining an insurance policy, or (3) joining with other political subdivisions to self-insure through a “joint insurance fund.” See Tex. Lab.Code Ann. §§ 504.011, .016 (West 1996). The Risk Pool is a joint insurance fund consisting of more than 1600 Texas cities that have chosen to collectively self-insure.

The Subsequent Injury Fund is a special fund in the state treasury that is administered by TWCC. See id. § 403.006(a), (c) (West 1996). The Fund is liable for workers’ compensation benefit payments whenever an injured employee from anywhere in Texas has suffered a compensable injury. that, combined with the effects of a previous injury, results in a condition for which the employee is entitled to lifetime workers’ compensation benefits. Id. § 408.162 (West 1996). 3 Most states have adopted similar statutes implementing second- or subsequent-injury funds. See 7B John Alan Appleman, Insurance Law & Practice (Berdal ed.), § 4595 (1979). Such funds are meant to encourage employers to hire people with handicaps or pre-exist-ing injuries. See id. If the employee suffers further injury, the employer is charged only with payments due to the employee for the new injury; the Fund covers the cost of the added severity caused by the combined effect of the prior and current injury. See id.

The Subsequent Injury Fund is funded through mandatory contributions from workers’ compensation insurance carriers. 4 See id. §§ 403.007(a), 408.184(c) (West 1996). Simply put, the Fund claims death benefits that are payable to, yet left unclaimed by, a beneficiary. Specifically, if a covered person dies as a result of a com-pensable injury and has no legal beneficia *595 ry at the time of death, the carrier must contribute 364 weeks of death benefits to the Fund. See id. § 403.007(a). Similarly, if a legal beneficiary ceases to exist before the expiration of 364 weeks, the carrier must contribute the difference between the amount paid to the beneficiary and the amount that would have been paid for 364 weeks. See id. § 408.184(c). TWCC has promulgated rules to implement sections 403.007(a) and 408.184(c). See Tex. Admin. Code §§ 132.10-12 (2000). These mandatory contribution requirements form the basis of the Risk Pool’s constitutional challenge.

Procedural Background

In 1997, TWCC ruled that the municipal members of the Risk Pool are required to pay into the Fund any unclaimed death benefits pursuant to sections 403.007(a) and 408.184(c) and the related TWCC rules. In response to that determination, the Risk Pool sought declaratory relief that these statutory provisions and TWCC rules are unconstitutional as applied to the cities participating in the Risk Pool. The trial court agreed, finding that the provisions violated article III, section 52(a) of the Texas Constitution (prohibiting political subdivisions from lending credit or granting public money) and article VIII, section 1-e of the constitution (abolishing state ad valorem property taxes). This appeal followed.

In four issues, TWCC asserts that the statutory provisions and TWCC rules in question do not violate either constitutional provision 5 and that the Risk Pool lacks associational standing to bring a constitutional challenge on behalf of its members or, alternatively, lacks standing to bring this suit because it has accepted benefits under the very statutory scheme it now challenges.

DISCUSSION

Associational Standing

The Texas Supreme Court has adopted the three-prong test for associational standing set forth by the United States Supreme Court in Hunt v. Washington State Apple Advertising Commission, 432 U.S. 333, 97 S.Ct. 2434, 53 L.Ed.2d 383 (1977). See Texas Ass’n of Bus. v. Texas Air Control Bd., 852 S.W.2d 440, 447 (Tex.1993). Under that test, an association has standing to sue on behalf of its members when: (1) the members themselves have standing to sue in their own right; (2) the interests the association seeks to protect are germane to the organization’s purpose; and (3) participation of the individual members in the lawsuit is not necessary. See id. (citing Hunt, 432 U.S. at 343).

TWCC concedes that prongs one and three are met in the present suit but contends the interests that the Risk Pool seeks to protect are not germane to the organization’s purpose. TWCC argues that the Risk Pool has authority only to process and pay or defend claims, not to “crusade for the constitutional rights of municipalities.” See Tex. Lab.Code Ann. § 504.016 (West 1996).

Clearly, the purpose of a joint insurance fund at its most basic level is to administer workers’ compensation coverage on behalf of its members, ie., to pay or defend against workers’ compensation claims brought by city employees. See id. §§ 504.011, .016. This, however, is the exact interest the Risk Pool seeks to further by its request for a declaratory judgment in this case — a determination whether the Risk Pool must pay workers’ compensation death benefits on behalf of a member city.

*596 Further, the bylaws of the Risk Pool show that the interest the Risk Pool seeks to protect is germane to the organization’s purpose.

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Bluebook (online)
38 S.W.3d 591, 2000 Tex. App. LEXIS 6310, 2000 WL 1288903, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-workers-compensation-commission-and-subsequent-injury-fund-v-texas-texapp-2000.