Trujillo v. Sonic Drive-In/Merritt

924 P.2d 1371, 122 N.M. 359
CourtNew Mexico Court of Appeals
DecidedAugust 16, 1996
Docket17041
StatusPublished
Cited by3 cases

This text of 924 P.2d 1371 (Trujillo v. Sonic Drive-In/Merritt) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Trujillo v. Sonic Drive-In/Merritt, 924 P.2d 1371, 122 N.M. 359 (N.M. Ct. App. 1996).

Opinion

OPINION

APODACA, Chief Judge.

1.Worker appeals from an order of the workers’ compensation judge (the judge). The order established the employer’s and insurer’s (referred to collectively as Employer) right to reimbursement for compensation .benefits and advanced litigation expenses from sums obtained by Worker in settlement of a third-party tort claim. Worker argues the following issues on appeal: (1) the amount by which Employer was relieved from paying future benefits should be added to the value of its reimbursement claim for benefits already paid in determining Employer’s share of attorney fees and costs; (2) the judge lacked jurisdiction to order that Worker reimburse litigation expenses advanced by Employer; (3) the judge erred in not finding that Employer’s negligence was a proximate cause of Worker’s injury; and (4) the judge erred in finding that Worker was made financially whole by the third-party recovery and in terminating her right to future benefits.

2. This appeal presents an issue of first impression — whether calculation of an employer’s share of the litigation costs and fees incurred by a worker in obtaining a settlement with a third-party tortfeasor should include the employer’s relief from future liability. We answer this question in the affirmative and therefore reverse and remand for additional findings and considerations. We affirm the inclusion of the litigation expenses advanced by Employer to the extent they are subject to reimbursement, but we correct the amount advanced and we direct that, on remand, the expenses be apportioned together with the sums expended by Worker. Because disposition of Worker’s third issue (whether Employer’s negligence proximately caused Worker’s injuries) may have an impact on remand, we address that issue and we affirm. Finally, we affirm the judge’s rejection of Worker’s proposed finding that she was not made financially whole by the third-party recovery.

I. FACTUAL AND PROCEDURAL BACKGROUND

3. On July 22,1993, Worker disassembled Employer’s soft ice cream machine in order to clean it. She was attempting to assemble the machine when it unexpectedly activated and caught her arm in its rotating blades. As a result of Worker’s extensive injuries, her arm was amputated below the elbow.

4. Employer paid Worker $50,581 in indemnity and medical benefits. Worker then settled a third-party tort claim against the machine’s manufacturer for $1,000,000, netting $616,595 after paying attorney fees, taxes, and other litigation-related expenses. Pursuant to NMSA 1978, § 52-5-17 (Repl. Pamp.1991) (effective Jan. 1, 1991), Employer filed a claim for reimbursement of benefits paid and litigation expenses advanced. Employer did not contest the fairness of the third-party settlement. Its reimbursement claim was the subject of an evidentiary hearing held on August 29,1995.

5. The judge determined that Employer should be reimbursed for past benefits paid, less 38.4% of that amount for Employer’s proportional share of the litigation costs and fees incurred by Worker, 1 and reimbursed for a full $18,800 in advanced litigation expenses. The judge rejected Worker’s tendered findings on (1) the value of the future benefits that, Worker argued, Employer was relieved from paying and (2) the formula for computing that reimbursement. The judge also determined that Worker was made financially whole by the third-party recovery and that Employer had no further obligations in this respect. Finally, the judge rejected Worker’s proposed finding that Employer’s alleged negligence was a proximate cause of Worker’s injuries. See generally Varela v. Arizona Pub. Serv., 109 N.M. 306, 309, 784 P.2d 1049, 1052 (Ct.App.1989) (“The legal effect of a refusal to make a finding is a finding against the party requesting it.”), certs. denied, 109 N.M. 262, 784 P.2d 1005 (1989 & 1990).

II. DISCUSSION

A. Future Benefits

6. To demonstrate the economic benefit to Employer as a result of being released from further obligations, Worker attempted to establish the value of remaining workers’ compensation income benefits and future medical expenses. The value of the remaining income benefits was not in dispute; an employee of Employer testified that the value, not discounted to present dollars, was $21,062.99. The value of future medical expenses, however, was contested.

7. Worker’s physician testified that Worker would need to be refitted with functional and cosmetic prostheses every three to five years for the rest of her life. The combined expense for the two prostheses in 1993 was $12,440. Worker testified she would probably want to replace the two prostheses every three years because she was already experiencing loss of fit and comfort less than two years after the first set was purchased. One of Worker’s exhibits, a letter from her attorney dated May 4, 1994, stated that Worker’s life expectancy “taken from the U.S. Life Table” was 54.58 years. Dr. Dillman, an economist, computed a present value of $37,552 for expenses of $1000 per year. He opined that the present value of $12,440, spent each three years, was $155,-728. Worker requested findings of fact consistent with Dr. Dillman’s opinion.

8. Worker requested a finding that she was reasonably certain to incur prosthetic adjustment expenses of $180 per year of her fifty-five-year life expectancy and that these expenses had a present value of approximately $10,000. Worker also requested a finding that the present value of spending $144 a year on prosthetic socks over the remaining fifty-five years of her life was $8000.

9. Employer did not request any findings and conclusions. Nor is there any indication that Employer directly challenged the evidence presented below on future medical expenses and present value. Employer’s single argument on appeal regarding the refusal of Worker’s requested findings on the value of future medical expenses is that the judge could have rationally rejected Dr. Dillman’s affidavit based on Worker’s testimony that her actual medical expenses for the past year totaled only $180.

1. Should Future Benefits Be Considered?

10. Worker urges that New Mexico join those jurisdictions whose courts have concluded that an employer’s share of the fees and costs involved in a worker’s third-party recovery are determined by including in the calculation the employer’s relief from total potential liability rather than including only past benefits actually paid by the employer. See generally 2A Arthur Larson & Lex K. Larson, The Law of Workmen’s Compensation § 74.32(a)(4), n. 18 (1996 & 1996 Supp.) (citing cases). Employer, on the other hand, argues that Gutierrez v. City of Albuquerque, 121 N.M. 172, 909 P.2d 732 (Ct.App.), cert. granted, 120 N.M. 828, 907 P.2d 1009 (1995), requires reimbursement from Worker’s tort recovery only for the full amount of benefits already paid.

11.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bellman v. NXP Semiconductors USA, Inc.
248 F. Supp. 3d 1081 (D. New Mexico, 2017)
In re Augé
559 B.R. 223 (D. New Mexico, 2016)
Agua Fria v. Rowe
New Mexico Court of Appeals, 2014

Cite This Page — Counsel Stack

Bluebook (online)
924 P.2d 1371, 122 N.M. 359, Counsel Stack Legal Research, https://law.counselstack.com/opinion/trujillo-v-sonic-drive-inmerritt-nmctapp-1996.