Timothy Nelson, V Department Of L&i State Of Wa

Court of Appeals of Washington·Decided March 7, 2017·No. 47672-0·Published

Opinion

Filed

Washington State

Court of Appeals

Division Two

March 7, 2017

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

TIMOTHY M. NELSON. No. 47672-0-II

Appellant, PART PUBLISHED OPINION v.

DEPARTMENT OF LABOR & INDUSTRIES, Respondent.

BJORGEN, C.J. — Timothy Nelson appeals the superior court’s decision affirming the Board of Industrial Insurance Appeals (Board), which determined that the allocation of Nelson’s recovery from a third party under the distribution formula of RCW 51.24.060 was proper. Under the Industrial Insurance Act (IIA), title 51 RCW, a worker injured in the course of his employment has a right to sue any third party involved in the tortious act. RCW 51.24.030(1).1

1 “If a third person, not in a worker’s same employ, is or may become liable to pay damages on account of a worker’s injury for which benefits and compensation are provided under this title, the injured worker or beneficiary may elect to seek damages from the third person.” RCW 51.24.030(1).

If the injured worker collects any “recovery” from the third party, it is subject to a distribution formula that requires, among other matters, the attorney fees and costs to be proportionately shared by the injured worker and the Department. RCW 51.24.060(1).

In the published portion of this opinion, we address Nelson’s contention that the Department’s distribution of his recovery was premature because the pertinent IIA provisions require that attorney fees and costs from all claims pursued, even if unsuccessful, be included in the distribution of recovery. We hold that the Department’s distribution of Nelson’s recovery was not erroneous because the plain language of RCW 51.24.060 indicates that only attorney fees and costs associated with the resolved claims causing the recovery must be included in a distribution—not attorney fees and costs related to other unsuccessful claims. We address Nelson’s remaining arguments in the unpublished portion of this opinion and hold that they fail. Accordingly, we affirm.

FACTS

In the course of his employment, Nelson was in a motor vehicle accident with Amanda Wade and suffered personal injuries. The Department paid $116,958.64 in worker’s compensation benefits to Nelson. Pursuant to RCW 51.24.030(1), Nelson elected to pursue civil damages against Wade and Pierce County.2 The trial court granted summary judgment in favor of Pierce County on all Nelson’s claims against it. Nelson then settled with Wade, releasing all claims and causes of action against her. The settlement amount totaled $525,000, $408,000 of

2 Other than a faulty highway design claim, it is unclear from the record what claims Nelson asserted against Pierce County.

which was allocated to pain and suffering.3 The remaining $117,000 constituted economic damages considered a “recovery” and triggered distribution under the formula set forth in RCW 51.24.060.

The Department contacted Nelson about the settlement with Wade and requested a copy of the settlement agreement, his attorney fee agreement, and “a ledger of costs relating to this recovery.” Clerk’s Papers (CP) at 77. The attorney fee agreement indicated that Nelson’s lawyers represented him on all claims relevant to his motor vehicle accident with Wade and that he would pay his lawyers one-third of the total recovery in the case. The ledger of attorney costs showed various expenses totaling $6,523.23.

After receiving this information, the Department asserted a lien of $114,957.324 against Nelson’s settlement. Pursuant to the RCW 51.24.060 formula, the Department then calculated the distribution of Nelson’s $117,000 settlement. First, the Department calculated the total attorney fees and costs associated with the settlement as $40,453.75. RCW 51.24.060(1)(a). Second, the Department distributed 25 percent of the award’s balance, $19,136.56, directly to Nelson. RCW 51.24.060(1)(b). Finally, the Department allocated the remaining portion, $57,409.69, to itself for reimbursement of benefits paid out to Nelson. RCW 51.24.060(1)(c).

3 Under Tobin v. Department of Labor & Industries, 169 Wn.2d 396, 404, 239 P.3d 544 (2010), pain and suffering damages are not subject to distribution. 4 According to the Department, the lien was for less than benefits paid out to Nelson because certain administrative expenses are excluded when the Department asserts a lien against a third party recovery. E.g. Ziegler v. Dep’t of Labor & Indus., 42 Wn. App. 39, 42, 708 P.2d 1212 (1985) (medical examinations not reimbursable).

Subsequently, the Department issued an order that requested Nelson to reimburse the Department in the amount of $57,409.69.

Nelson objected to the Department’s distribution order. He argued that the Department’s order was “premature and potentially overstate[d] the amount the [Department] is entitled to recover” because the calculation “understates costs and attorney fees incurred in causes of action[s] . . . being pursued and/or investigated for underinsured motorist, highway design and products liability, based on the same injuring event.” CP at 100. Nelson hypothesized that because those cause of actions may ultimately prove unsuccessful, he would never recover the costs and attorney fees associated with those claims. Furthermore, Nelson alleged that at least $25,000 in additional expenses had been incurred after the settlement for the other pending causes of action. He did not contend that the Department’s calculation was incorrect, nor did he make an argument that its calculation was contrary to the statutory language of RCW 51.24.060. The Department denied reconsideration of its distribution order.

Nelson appealed to the Board, where both Nelson and the Department moved for summary judgment. Nelson reiterated the same argument to the Board that the Department’s distribution was premature because it failed to account for attorney fees and costs that might result from other potential causes of action arising from the same incident. Further, Nelson argued for the first time that the plain language of RCW 51.24.060 does not limit the distribution of attorney fees and costs to successful claims against parties. Rather, he argued the purpose of the IIA requires the Department to wait until all claims are resolved to ensure an injured worker receives the full benefit of sharing attorney fees and costs with the Department. Thus, Nelson

contended the Department should not have distributed the money received from the settlement with Wade until all claims related to the auto accident were resolved.

After a hearing, the Board granted summary judgment in favor of the Department, reasoning that the plain language of RCW 51.24.060 applies only to actual or realized recoveries, not to potential or possible recoveries. Relying on RCW 51.24.030(2)5 and prior cases it adjudicated,6 the Board concluded that the IIA contemplates “multiple . . . causes of action arising from a claim.” CP at 42-43. Furthermore, the Board explained that the settlement completely resolved Nelson’s lawsuit against Wade and that the settlement was a recovery triggering application of RCW 51.24.060 for calculation of a distribution. Along with these reasons, the Board entered findings of fact and conclusions of law, reflecting that the Department properly calculated the distribution.7 Nelson appealed to the superior court. The superior court affirmed the Board and adopted the Board’s findings of fact and conclusions of law to support its decision. Nelson appeals.

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