The Travelers Insurance Company v. Susan J. Carpenter

313 F.3d 97, 2002 U.S. App. LEXIS 25532, 2002 WL 31780919
CourtCourt of Appeals for the Second Circuit
DecidedDecember 13, 2002
DocketDocket 01-9474
StatusPublished
Cited by7 cases

This text of 313 F.3d 97 (The Travelers Insurance Company v. Susan J. Carpenter) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Travelers Insurance Company v. Susan J. Carpenter, 313 F.3d 97, 2002 U.S. App. LEXIS 25532, 2002 WL 31780919 (2d Cir. 2002).

Opinion

SOTOMAYOR, Circuit Judge.

Plaintiff-appellant Travelers Insurance Company (“Travelers”), a Connecticut corporation, appeals from a judgment of the United States District Court for the District of Vermont (Murtha, C.J.) denying Travelers’ motion for summary judgment against defendant-appellee Susan J. Carpenter, a Vermont citizen, and dismissing without prejudice Travelers’ declaratory judgment complaint on abstention grounds in deference to parallel, pending state-court litigation.

Carpenter was in a car crash in February 1999 and suffered an injury for which she received workers’ compensation benefits from Travelers. In April 2000, after Carpenter received a $150,000 settlement under the Underinsured Motorist provision of her personal automobile liability policy (“UIM provision”), Travelers filed this action in the District Court of Vermont under Vt. Stat. Ann. tit. 21, § 624(e) (2001), seeking to have the workers’ compensation benefits it had paid reimbursed from the UIM settlement funds paid to Carpenter, and to have future payments offset against the remainder. At issue is whether the July 1, 1999 amendment to § 624(e) or the pre-amendment text provides the controlling law for Travelers’ reimbursement right, and, if the post-amendment text controls, how its prohibition on an employee receiving “double recovery” affects the rights of the parties to the UIM settlement proceeds. Because these issues present questions of law for which no controlling precedent or plain-meaning statutory analysis provides adequate answers, we certify the following questions to the Supreme Court of Vermont:

*99 1. Under the circumstances of this case, in which a worker was injured in February 1999 and settled under her privately purchased liability insurance policy in April 2000, was the § 624(e) reimbursement right of a workers’ compensation carrier “acquired [or] accrued” under § 214(b)(2) before or after the July 1,1999 amendment to § 624(e)?
2. If the § 624(e) reimbursement right accrued before July 1, 1999, is the amendment to § 624(e) a “clarifying” amendment that should be applied retroactively?
3. If the post-amendment text controls, under the circumstances of this case in which an injured worker received both workers’ compensation benefits and a recovery under the UIM provision of a privately purchased insurance policy, how is the prohibition on “double recovery” in § 624(e) defined and, if relevant, when and how are an injured worker’s “total” damages determined?

BACKGROUND

I. Facts

On February 26, 1999, Susan Carpenter sustained injuries in a single car accident; Kimberly Webb, a co-worker, was driving the car at the time of the accident, and the accident was within the scope of Carpenter’s employment for Bell Atlantic Yellow Pages (“Bell Atlantic”). As Bell Atlantic’s workers’ compensation carrier, Travelers received, accepted, and paid Carpenter’s claim for workers’ compensation benefits, including temporary total disability and medical expenses.

In addition to a claim against her coworker’s liability carrier that resulted in a $25,000 settlement payment, Carpenter made a claim under the UIM provision in her personal automobile liability policy (coincidentally also purchased from Travelers) and received a $150,000 settlement on or about April 13, 2000. Carpenter also brought a tort action in state court against Webb, to which Travelers is now the real party-in-interest. This state court action is still pending and, according to the district court, “will result in a determination of the total damages the defendant has suffered as a result of the accident.” 1

II. The July 1999 Amendment to § 624(e)

In Vt. Stat. Ann. tit. 21, § 624(e) (2001), Vermont law provides a workers’ compensation insurer with a right to reimbursement of workers’ compensation benefits paid to an injured worker if the worker subsequently receives certain types of recoveries that also compensate for the injury. The question here is what those rights are when the subsequent recovery flows from a UIM provision in an insurance policy privately purchased by the injured worker and when the Vermont legislature amended the relevant text of § 624(e) on July 1, 1999, over four months after the date of Carpenter’s injury but over nine months before Carpenter received the proceeds of her UIM settlement.

*100 Prior to its amendment, § 624(e) provided that:

In an action to enforce the liability of a third party, the injured employee may recover any amount which the employee or the employee’s personal representative would be entitled to recover in a civil action. 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 ... to date of recovery, and the balance shall forthwith be paid to the employee ... and shall be treated as an advance payment by the employer on account of any future payments of compensation benefits.

Section 624(e) (emphasis added). Interpreting this pre-amendment text, the Vermont Supreme Court held in Travelers Cos. v. Liberty Mutual Insurance Co., 164 Vt. 368, 372-73, 670 A.2d 827, 829 (1995), that proceeds from a UIM provision recovery, even when the injured employee paid for the policy, were to be considered a recovery from a “third party” for the purposes of § 624(e). Travelers Cos., 164 Vt. at 374, 670 A.2d at 830 (“UIM coverage is unlike other privately purchased insurance, and allowing a workers’ compensation insurer to treat a[ ] UIM award as a recovery from the tortfeasor is a rational way to achieve the Legislature’s policy goals.”).

The July 1999 amendment to § 624(e) appended the following sentence:

Reimbursement required under this subsection, except to prevent double recovery, shall not reduce the employee’s recovery of any benefit or payment provided by a plan or policy that was privately purchased by the injured employee, including uninsured-under insured motorist coverage, or any other first party insurance payments or benefits.

Section 624(e). While this amendment addresses a workers’ compensation carrier’s right to reimbursement from an injured employee’s recovery under a privately purchased policy, no Vermont court to date has addressed the effect of the amendment or the meaning of its prohibition on “double recovery.”

III. Proceedings in the District Court

On December 15, 2000, Travelers brought this action asking the court to declare that Travelers was entitled to the value of Carpenter’s UIM settlement, less costs of recovery under § 624(e).

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313 F.3d 97, 2002 U.S. App. LEXIS 25532, 2002 WL 31780919, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-travelers-insurance-company-v-susan-j-carpenter-ca2-2002.