The Travelers Insurance Company v. Susan J. Carpenter

411 F.3d 323, 2005 U.S. App. LEXIS 11766, 2005 WL 1427430
CourtCourt of Appeals for the Second Circuit
DecidedJune 20, 2005
DocketDocket 01-9474
StatusPublished
Cited by63 cases

This text of 411 F.3d 323 (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, 411 F.3d 323, 2005 U.S. App. LEXIS 11766, 2005 WL 1427430 (2d Cir. 2005).

Opinion

SOTOMAYOR, Circuit Judge.

This case is before us for the second time, following our certification to the Vermont Supreme Court of three questions regarding Vermont workers’ compensation law. See Travelers Ins. Co. v. Carpenter, 313 F.3d 97, 109 (2d Cir.2002) (“Travelers I”). By order dated August 31, 2004, the Vermont Supreme Court dismissed the certified proceeding, holding that its earlier acceptance was improvidently granted. Travelers Ins. Co. v. Carpenter, No. 2002-558, 2004 WL 2332085, slip op. at 1-2 (Vt. Aug. 31, 2004). We proceed, in the absence of guidance from the state court, to answer two of the certified questions of state law and to dispose of the appeal from the judgment of the United States District Court for the District of Vermont (Murtha, C.J.). We hold that a workers’ compensation insurer’s right to reimbursement under Vt. Stat. Ann. tit. 21, § 624(e) (2003) of proceeds of an uninsured/underinsured motorist policy is governed by the law in effect at the time that the injured worker recovers those proceeds. We further hold that under § 624(e) as amended in 1999, *325 the insurer has no right to reimbursement unless and until the injured worker has received compensation in-excess of the total damages sustained. Finally, we hold that the district court erred in dismissing this action on abstention grounds instead of granting judgment in favor of defendant-appellee Susan J. Carpenter for the limited declaratory relief she requested.

BACKGROUND

The facts underlying this case are fully set forth in our order of certification, see Travelers I, 313 F.3d at 99-102, and we restate them only briefly here. On February 26, 1999, defendant-appellee Susan J. Carpenter was injured in a single-car accident. Carpenter’s coworker Kimberly Webb was driving the car. Because the injury occurred within the scope of Carpenter’s employment for Bell Atlantic Yellow Pages (“Bell Atlantic”), plaintiff-appellant Travelers Insurance Company (“Travelérs”), the workers’ compensation insurance carrier for Bell Atlantic, paid her resulting claim for workers’ compensation benefits. Carpenter also sought compensation through at least three other channels. She made a claim against Webb’s liability carrier, which was settled for $25,000. She made another claim under the underinsured motorist (“UIM”) provision of her own personal automobile liability policy, coincidentally also carried by Travelers, which was settled in April of 2000 for $150,000. Finally, Carpenter sued Webb in state court for negligent driving. Because Travelers also happens to be the issuer of a commercial auto insurance policy to Bell Atlantic that covers the occupants of the vehicle involved in the accident, Travelers is the real party-in-interest to the state negligence suit as well. At the time of our first decision, the negligence lawsuit was still pending.

Travelers brought the instant action in the United States District Court for the District of Vermont in December of 2000 seeking, inter alia, a declaration that it was entitled to the value of Carpenter’s settlement under her personal UIM policy, less the costs of recovery, as an offset against its workers’ compensation benefits liability. Travelers based its claim on section 624 of title 21 of the Vermont Statutes. Under § 624(a), an injured employee may both claim workers’ compensation benefits- and seek compensation from a party other than the employer who is under some legal liability to pay. Vt. Stat. Ann. tit. 21, § 624(a) (2003). If the injured worker has not commenced an action against a responsible third party within a year of the injury, the employer or its insurance carrier may prosecute the action in the worker’s name. Id.

Section 624(e) governs the operation of such -dual liability where, as here, the worker brings the third party action. At the time of the accident in February of 1999, section 624(e) provided in relevant part:

In an action to enforce the liability of a third party, the injured employee may recover any amount which the employee ... 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 payment of compensation benefits.

Vt. Stat. Ann. tit. 21, § 624(e) (1987 & Supp.1993). In 1995, the Vermont Su *326 preme Court interpreted the phrase “third party” in this version of § 624(e) to include carriers of UIM policies. See Travelers Cos. v. Liberty Mut. Ins. Co., 164 Vt. 368, 372-73, 670 A.2d 827, 829-30 (1995). Accordingly, an injured employee who received workers’ compensation benefits and who also recovered under his or her own first party UIM policy was obliged, after deducting expenses of recovery, to reimburse the employer or its insurance carrier fully before retaining any of the proceeds. 1 Id. In other words, as the law stood on the date of Carpenter’s accident, recovery of the proceeds of a UIM first party insurance policy was treated like any recovery from a liable third party under § 624(e).

In May of 1999, the Vermont legislature amended § 624(e) by adding at the end of the text quoted a third sentence, as follows:

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.

Act of May 12, 1999, No. 41, § 4, 1999 Vt. Acts & Resolves 765, 770 (codified at Vt. Stat. Ann. tit. 21, § 624(e) (2003)). This amendment became effective in July of 1999, id., after Carpenter was injured in the car accident but before she settled her claim under her UIM policy.

The parties cross-moved for summary judgment before the district court, disputing both the applicability and the meaning of the amendment to § 624(e). The district court held that the July 1999 change to § 624(e) was a “clarification” of the law as it stood prior to the change and applied to Carpenter’s claim no matter when the law governing that claim was fixed.

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411 F.3d 323, 2005 U.S. App. LEXIS 11766, 2005 WL 1427430, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-travelers-insurance-company-v-susan-j-carpenter-ca2-2005.