United States Fidelity & Guaranty Co. v. Smith

580 S.W.2d 216, 1979 Ky. LEXIS 244
CourtKentucky Supreme Court
DecidedMarch 20, 1979
StatusPublished
Cited by10 cases

This text of 580 S.W.2d 216 (United States Fidelity & Guaranty Co. v. Smith) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States Fidelity & Guaranty Co. v. Smith, 580 S.W.2d 216, 1979 Ky. LEXIS 244 (Ky. 1979).

Opinion

REED, Justice.

This is a “no fault” automobile insurance case which involves the problem of the extent of recovery of basic reparation benefits by the insured when he also effects recovery from collateral sources.

Peggy Smith is the widow of Michael Smith. He was employed as a police officer by the Jefferson County Police Department. United States Fidelity & Guaranty was the basic reparation obligor for Jefferson County insuring the police vehicle of officer Smith. U.S.F.&G. was also the workmen’s compensation carrier covering Jefferson County policemen. On March 11, 1976 Smith was killed in a work-connected accident when he had a vehicle collision with a car driven by Howard Middleton. Middleton had liability coverage with State Farm Insurance Company. The policy limits were $25,000.

Following Smith’s death, his widow received workmen’s compensation benefits at a rate of $96.00 per week from U.S.F.&G. until she settled with Middleton and his liability carrier, State Farm, on a third-party tort-feasor claim under KRS 342.700.

The Workmen’s Compensation Board approved an agreement dated September 17, 1976. Pursuant to the provisions of this agreement, State Farm paid its liability policy limits of $25,000 to Mrs. Smith. The board ordered that U.S.F.&G. pay the burial allowance of $1500 under the compensation Act and, after allowing Mrs. Smith’s attorney an agreed fee of $8,750 (35% of the *218 $25,000 settlement) and expenses of $50.00, ordered that the balance of $16,200 be allowed as a credit at the maximum rate of $96.00 each week against workmen’s compensation benefits to be paid by U.S.F.&G. in the future. U.S.F.&G.’s right to reimbursement for compensation paid from the recovery from the third-party tort-feasor granted by KRS 342.700 was thus protected.

U.S.F.&G. does not deny that it was a party to and apprised of all facts surrounding the settlement. It endorsed the settlement draft. In the agreement, Mrs. Smith released Middleton and State Farm from tort liability but expressly reserved all rights to proceed against U.S.F.&G. as the “no fault” insurer of her husband’s police vehicle for any and all benefits due her pursuant to the Kentucky Motor Vehicle Reparation Act. (KRS 304, Subtitle 39).

Alleging that her loss exceeded the collateral benefits received, Mrs. Smith sued U.S. F.&G. for basic reparation benefits under the Motor Vehicle Reparation Act. U.S. F.&G. defended on the basis that the benefits received by Mrs. Smith under the Workmen’s Compensation Act and the proceeds from the settlement with the third-party tort-feasor each exceeded its policy limits of liability for basic reparation benefits, therefore it asserted exoneration from responsibility. U.S.F.&G. and Mrs. Smith also disagreed concerning this insurer’s obligation to pay funeral expenses in addition to the $1500 burial allowance she received under the Workmen’s Compensation Act. In her suit, Mrs. Smith also joined as defendants, the Kentucky Assigned Claims Bureau, its insurance carrier, and Firemen’s Fund American Insurance Company, the no fault insurer of officer Smith’s personal vehicle.

The circuit court dismissed the complaint against all defendants. The Court of Appeals affirmed the dismissal as to all defendants except U.S.F.&G. As to it, the Court of Appeals reversed and remanded the cause to the circuit court for further proceedings with directions that: “If it should be determined in those proceedings that the insured incurred loss not otherwise compensated, the insurer, U.S.F.&G., shall be liable for that loss not to exceed the limits of liability as set forth in the policy of insurance.” Only U.S.F.&G. moved for discretionary review by this court. We granted the motion. We confine our consideration to the correctness of the decision of the Court of Appeals as to U.S.F.&G. We affirm that decision.

The keystone of U.S.F.&G.’s case is its overbroad construction of the effect of KRS 304.39-070(2), which provides:

“A reparation obligor which has paid or may become obligated to pay basic reparation benefits shall be subrogated to the extent of its obligations to all the rights of the person suffering the injury against any person or organization other than a secured person.” (emphasis supplied).

U.S.F.&G. argues that this statutory provision vests in it the right to credit all collateral payments received by its insured to reduce its obligation to pay basic reparation benefits, and that regardless of the element of loss for which the collateral source payment compensates, it may be used by the insurer as a credit to satisfy even a potential obligation to pay basic reparation benefits.

KRS 304.39-070(2) by its provisions did not operate to constitute U.S.F.&G. a statutory “subrogee” of Mrs. Smith. She asserted her tort rights against “a secured person.” KRS 304.39-070(1) defines “secured person” as meaning “the owner, operator or occupant of a secured motor vehicle, and any other person or organization legally responsible for the acts or omissions of such owner, operator or occupant.” KRS 304.-39-080(1) states: “ ‘Security covering the vehicle’ is the insurance or other security so provided. The vehicle for which the security is so provided is the ‘secured vehicle’ ”.

Therefore, we are persuaded that U.S. F.&G. was not a statutory “subrogee” in the sense that term is used in other provisions of the concerned statutory sections such as KRS 304.39-140(3), because its insured’s tort rights were asserted against “a secured person.”

*219 KRS 304.39-140(3) provides: “If the injured person, or injured persons, is entitled to damages under KRS 304.39-060 from the liability insurer of a second person, a self-insurer or an obligated government, collection of such damages shall have priority over the rights of the subrogee for its reimbursement of added reparation benefits paid to or in behalf of such injured person or persons.” 1 We regard this statutory section inapplicable to this case since it addresses itself to priority between the insured collecting collateral payments and his insurer which is a statutory “subrogee.”

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Cite This Page — Counsel Stack

Bluebook (online)
580 S.W.2d 216, 1979 Ky. LEXIS 244, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-fidelity-guaranty-co-v-smith-ky-1979.