Thomas v. Department of Developmental Services

999 A.2d 682, 297 Conn. 391, 2010 Conn. LEXIS 242
CourtSupreme Court of Connecticut
DecidedJuly 13, 2010
DocketSC 18458
StatusPublished
Cited by44 cases

This text of 999 A.2d 682 (Thomas v. Department of Developmental Services) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Department of Developmental Services, 999 A.2d 682, 297 Conn. 391, 2010 Conn. LEXIS 242 (Colo. 2010).

Opinion

Opinion

ZARELLA, J.

The issue in this workers’ compensation appeal is whether the statutory hen provision contained in General Statutes § 31-293 (a) 1 entitles an employer *393 to a credit for unknown, future workers’ compensation *394 benefits that it may become obligated to pay to an injured employee in the amount of the net proceeds that the injured employee has received from a judgment against or settlement with a third party tortfeasor. The plaintiff, Janice Thomas, appeals from the decision of the compensation review board (board), which reversed the decision of the workers’ compensation commissioner for the eighth district (commissioner) and concluded that the statutory lien provision entitles employers to such a credit. The plaintiff claims that the board improperly interpreted the statutory lien provision as applying to future workers’ compensation benefits and that the correct interpretation limits the scope of the lien to the amount of benefits paid by the employer to the injured employee up to the date of recovery from the third party. The named defendant, the department of developmental services, 2 responds that the board correctly concluded that the statutory *395 lien provision includes a right to a credit for future workers’ compensation benefits in light of the lien provision’s context and prior case law interpreting § 31-293 (a). We agree with the defendant and, therefore, affirm the decision of the board.

The record reflects the following relevant facts and procedural history. On January 29, 2004, the plaintiff, an employee of the defendant at all relevant times, sustained various injuries when she fell on an icy walkway leading to her workplace. As a result of these injuries, the plaintiff filed a claim for workers’ compensation benefits, which the defendant initially accepted. 3 In addition, the plaintiff asserted a third party liability claim pursuant to § 31-293 (a). The plaintiff did not, however, file an action in connection with her third party claim because she opted, instead, to negotiate her claim with the third party’s insurance carrier. The defendant did not file an action against the third party either. Rather, the defendant issued a letter to the plaintiffs counsel indicating that it was claiming a lien, pursuant to § 31-293 (a), against the proceeds from the plaintiffs third party claim and documenting that the defendant then had paid $2523.43 in workers’ compensation benefits to or on behalf of the plaintiff. 4

*396 On November 1, 2005, the plaintiff settled her third party claim in the amount of $45,000. After deducting attorney’s fees and costs, and reimbursing the defendant for the then outstanding lien of $2523.43, the plaintiff netted $24,713.37 from the third party settlement. Following the settlement, the parties disputed the scope of the defendant’s lien. At a hearing before the commissioner, the defendant claimed that its lien entitled it to a credit for unknown, future workers’ compensation benefits that it may become obligated to pay to the plaintiff in the full amount of the plaintiffs net proceeds from the third party settlement. The plaintiff opposed the claim, arguing that the scope of the lien provision of § 31-293 (a) did not encompass such a credit.

On November 14, 2007, the commissioner ruled in favor of the plaintiff. The commissioner noted that § 31-293 (a) creates separate rights of subrogation and rights to establish a hen, and the lien provision is silent with respect to the issue of whether an employer is entitled to a credit for future workers’ compensation benefits that it may become obligated to pay to a claimant. On the basis of the foregoing and, in the words of the commissioner, a “strict construction of [§] 31-293 . . . and applicable case law,” the commissioner concluded that the defendant was not entitled to such a credit for future workers’ compensation benefits.

The defendant appealed from the commissioner’s decision to the board, which reversed the commissioner’s decision. In its decision of October 22, 2008, the board acknowledged that the hen provision was silent with respect to its scope; the board concluded, however, that it could discern its meaning by reading the hen provision in hght of § 31-293 (a) as a whole. Viewing *397 the lien provision in this light, and considering the public policy discouraging a claimant’s double recoveiy, the board concluded that the defendant’s lien encompassed the entire amount of the plaintiffs net proceeds from the third party settlement and that such proceeds were to be credited against future workers’ compensation benefits that the defendant may become obligated to pay to the plaintiff. This appeal followed. 5

On appeal, the plaintiff claims that the statutory lien provision in § 31-293 (a) is ambiguous because the provision is silent with respect to its scope and is susceptible to more than one reasonable interpretation. The plaintiff argues that the language in the lien provision reasonably can be interpreted as applying to only those benefits that an employer has paid to date, and not to unknown, future benefits. Specifically, the plaintiff contends that, because the language in the lien provision does not mirror the language in that portion of § 31-293 (a) defining an employer’s “claim,” which term previously has been interpreted to include unknown, future benefits; see Enquist v. General Datacom, 218 Conn. 19,20-21, 26, 587 A.2d 1029 (1991); the lien provision should not be interpreted in a like manner. The plaintiff further argues that the notion that a double recovery necessarily arises whenever a claimant settles with a third party tortfeasor is “fundamentally flawed,” and, therefore, the public policy disfavoring double recoveries should not be invoked in the present case. Finally, in light of the fact that this court has not yet interpreted the scope of an employer’s rights under the lien provision, the plaintiff argues that the defendant has waived any claim that it might have to a credit for future workers’ compensation benefits because it was “less than vigilant” in protecting its rights by taking *398 the less prudent and easier course of action of merely sending a letter of notification of the lien, rather than filing an action directly against the third party tortfeasor.

The defendant responds that the board correctly concluded that the statutory hen provision includes a right to a credit for future workers’ compensation benefits on the basis of sound statutory construction principles, including that the hen provision must be read in context and in light of case law interpreting § 31-293 (a).

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Bluebook (online)
999 A.2d 682, 297 Conn. 391, 2010 Conn. LEXIS 242, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-department-of-developmental-services-conn-2010.