Western National Mutual Insurance Co. v. Casper

549 N.W.2d 914, 1996 Minn. LEXIS 388, 1996 WL 336033
CourtSupreme Court of Minnesota
DecidedJune 20, 1996
DocketC2-94-2441
StatusPublished
Cited by10 cases

This text of 549 N.W.2d 914 (Western National Mutual Insurance Co. v. Casper) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Western National Mutual Insurance Co. v. Casper, 549 N.W.2d 914, 1996 Minn. LEXIS 388, 1996 WL 336033 (Mich. 1996).

Opinion

OPINION

COYNE, Justice.

On February 13, 1989, Raymond Casper sustained a work-related injury when Robert Johnson negligently rear-ended Casper’s vehicle while it was stopped for the red light displayed by a semaphore. Casper’s employer and workers’ compensation insurer accepted liability for benefits pursuant to the Workers’ Compensation Act and paid medical expenses, periodic compensation benefits, and economic recovery compensation for permanent partial liability.

*915 Pursuant to the third-party liability provisions of Minn.Stat. § 176.061, subd. 5 (1994), Casper commenced an action against Johnson to recover common law damages. That action was settled prior to trial by payment of the liability limits of Johnson’s automobile insurance policy — $50,000. The proceeds of that settlement were distributed pursuant to Minn.Stat. § 176.061, subd. 6 (1994): After deducting $16,500, the reasonable cost of collection, including attorney fees, one-third of the remainder, $13,589.15, was paid to Cas-per; and the balance remaining, $19,910.85, was paid to Casper’s employer in partial reimbursement of the workers’ compensation benefits the employer had paid Casper.

In the meantime, Casper claimed entitlement to underinsured motorist benefits provided by his employer’s automobile insurance policy. The policy, issued by Western National Mutual Insurance Company, insured the vehicle Casper was driving at the time of the accident.

The insuring agreement of the underin-sured motorist coverage provided by the Western National auto policy makes this promise:

The company will pay all sums which the insured or his legal representative shall be legally entitled to recover as damages from the owner or operator of an [underin-sured] 1 highway vehicle because of bodily injury sustained by the insured, caused by accident and arising out of the ownership, maintenance or use of such [underinsured] highway vehicle; provided, for the purposes of this coverage, determination as to whether the insured or such representative is legally entitled to recover such damages, and if so the amount thereof, shall be made by agreement between the insured or such representative and the company or, if they fail to agree, by arbitration.

Evidently, Casper and the insurer did not agree on the amount of damages Casper was entitled to recover from Johnson, the operator of the underinsured vehicle, because in May of 1993 Casper commenced an arbitration proceeding seeking underinsured motorist benefits under the Western National auto policy. On December 4, 1993 a panel of three arbitrators issued the following award:

1. Past pain, suffering, and emotional distress: $ 20,000
2. Past disability: 5,000
3. Past loss of earnings: 40,000
4. Past medical expenses: None presented
5. Future pain, suffering, and emotional distress: 25,000
6. Future loss of earnings: 30,000
7. Future medical expenses: None claimed
Total $120,000

In addition to the monetary award, this statement appeared above the arbitrators’ initials:

The issue of collateral source offsets was not submitted to the arbitrators and was not considered by them. The W.C. decision was not considered by the arbitrators.

It may be helpful to note that shortly before issuance of the arbitration award, a workers’ compensation judge had found Casper permanently totally disabled from and after November 23, 1992. The workers’ compensation court of appeals affirmed that determination with some modification of the extent of impairment of Casper’s lumbar spine.

Western National contends that it is entitled to set off against the arbitration award the $50,000 paid by Johnson’s insurer pursuant to the agreement for settlement of Casper’s action against Johnson and that it is also entitled to an offset equal to all workers’ compensation benefits paid Casper together 1 with the present value of all future payments. The district court ruled that only the net amount Casper received from the settlement proceeds could be set off from the amount of the award, and the court of appeals affirmed in an unpublished opinion. Western Nat’l Mut. Ins. Co. v. Casper, No. C2-94-2441, 1995 WL 238767 (Minn.App., Apr. 25, 1995). With respect to this issue we reverse. The general purpose of underinsured motorist coverage is to place the insured in as good a *916 position as he would have occupied had the negligent motorist been adequately insured. Casper entered into a settlement agreement with Johnson for a stated consideration of $50,000. That the Workers’ Compensation Act mandates distribution of the proceeds of Casper’s settlement does not reduce the amount of the tortfeasor’s automobile insurance. Neither does it convert any portion of the settlement proceeds payable to others than Casper for collection costs and satisfaction or partial satisfaction of the employer’s subrogation interests into something other than proceeds' of a settlement paid by Johnson’s automobile insurer. Perhaps the point can be illustrated by this hypothetical: Let us assume that Casper’s damages were exactly $50,000 and that Casper’s claim was settled for $50,000. Inasmuch as it is perfectly apparent that under such circumstances Johnson’s automobile insurance was fully adequate to compensate Casper for all his damages, the facts that Casper was obligated to use part of the proceeds to pay the costs of collection and that the Workers’ Compensation Act required Casper to reimburse his employer for the workers’ compensation benefits paid Casper (less the employer’s pro rata share of the collection costs) do not make Johnson’s automobile underin-sured.

We hold, therefore, that Western National is entitled to reduce the arbitration award by offset of the $50,000 Casper received pursuant to his settlement agreement with Johnson and Johnson’s automobile insurer. We affirm, however, the ruling that the arbitration award is not subject to reduction by the amount of the workers’ compensation benefits paid Casper or by the present value of all future workers’ compensation benefits.

Western National’s second contention is that what it calls the “reducing clause” of its underinsured motorist coverage entitles it to set off against the arbitration award an amount equal to all workers’ compensation payments paid to Casper and the present value of all future payments on account of past disability and past and future loss of earnings. The “reducing clause,” which appears in the Limits of Liability section of the underinsured motorist coverage, provides as follows:

LIMITS OF LIABILITY
* * * *
* * * *
(b) Any amount payable under the terms of this insurance because of bodily injury sustained in an accident by a person who is an insured under this coverage shall be reduced by

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Cite This Page — Counsel Stack

Bluebook (online)
549 N.W.2d 914, 1996 Minn. LEXIS 388, 1996 WL 336033, Counsel Stack Legal Research, https://law.counselstack.com/opinion/western-national-mutual-insurance-co-v-casper-minn-1996.