WORKERS'COMP. COM'N v. Continental Cas.

83 S.W.3d 901
CourtCourt of Appeals of Texas
DecidedAugust 8, 2002
Docket03-01-00510-CV
StatusPublished

This text of 83 S.W.3d 901 (WORKERS'COMP. COM'N v. Continental Cas.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
WORKERS'COMP. COM'N v. Continental Cas., 83 S.W.3d 901 (Tex. Ct. App. 2002).

Opinion

83 S.W.3d 901 (2002)

TEXAS WORKERS' COMPENSATION COMMISSION; The Subsequent Injury Fund; and Leonard W. Riley, Jr., Appellants,
v.
CONTINENTAL CASUALTY COMPANY, Appellee.

No. 03-01-00510-CV.

Court of Appeals of Texas, Austin.

August 8, 2002.

*903 Greg A. Halbrook, Assistant Attorney General, Austin, for appellant.

Trey Gillespie, Wilson Grosenheider Moore & Jacobs, L.L.P., Austin, for appellee.

Before Justices KIDD, YEAKEL and PATTERSON.

MACK KIDD, Justice.

Continental Casualty Company filed this declaratory judgment action[1] seeking an interpretation of provisions of the Texas Workers' Compensation Act against the Texas Workers' Compensation Commission (the "Commission") and the Subsequent Injury Fund (the "Fund") (collectively, the "Commission").[2] This case involves a dispute between Continental and the Commission, which is charged with administering the state workers' compensation fund, over the interpretation of statutory provisions requiring the Commission to reimburse insurers for benefits paid to claimants pursuant to the Commission's interlocutory orders. The Commission interpreted the statute as containing an exception to the reimbursement requirement. When the Commission refused to reimburse Continental, it judicially challenged the Commission's statutory interpretation of the Act. The district court granted a summary judgment in favor of Continental and declared that the statute contained no such exception and ordered reimbursement. The Commission appeals. We will affirm the district court's judgment.

BACKGROUND

This particular dispute arises out of an administrative proceeding at the Commission between Continental and Elisa Smith involving the compensability of a lumbar spine injury Smith sustained. A contested-case hearing officer found that the back injury was compensable. A Commission appeals panel affirmed that decision. At each stage of the administrative process, Continental paid to Smith the benefits required by the Commission's interlocutory orders. Finally, Continental appealed the appeals panel's decision to a Harris County district court, which found, after a trial *904 on the merits, that Smith's back injury was not compensable.

When the district court's judgment reversing the Commission's interlocutory decisions became final, Continental sought reimbursement from the Fund pursuant to section 410.205(c) of the Texas Labor Code, the Texas Workers' Compensation Act (the "Act"). The Fund reimbursed only $8,012.44 of the $42,107.92 that Continental paid to Smith. The Fund refused to pay $34,095.48 of the benefits paid by Continental to Smith because that amount had been paid during the stage of the administrative proceeding between the contested-case decision and the appeals panel decision. The Fund's refusal was based on the Commission's interpretation of the pre-1999 version of Chapter 410 of the Act.[3] The Commission interprets that version of the Act as having a "gap" in its reimbursement provisions between the contested-case hearing decision and the appeals panel decision. Continental paid to Smith $34,095.48 of benefits during this "gap." Therefore, the Fund concluded, it was not required to reimburse that portion of Continental's payments to Smith.

Continental sued for a judicial interpretation of its rights to reimbursement under the Act. The district court below granted Continental's motion for summary judgment and found that the pre-1999 version of the Act did not contain a reimbursement "gap." The court ordered the Fund to reimburse Continental the total amount it paid to Smith. The Commission now appeals.

DISCUSSION

Both the procedural posture and the substance of this case dictate that we review the decision de novo. Summary judgment is available where there are no genuine issues of material fact and the movant is entitled to judgment as a matter of law. Tex.R. Civ. P. 166a(c). Therefore, summary judgments are subject to de novo review. Vanliner Ins. Co. v. Texas Workers' Comp. Comm'n, 999 S.W.2d 575, 577 (Tex.App.-Austin 1999, no pet.). Interpreting statutes is a legal matter also subject to de novo review. Bragg v. Edwards Aquifer Auth., 71 S.W.3d 729, 734 (Tex. 2002).

The Commission raises two issues on appeal: (1) whether the trial court had jurisdiction to adjudicate the matter because Continental failed to first seek an administrative remedy, and (2) whether the trial court erred in interpreting the statute and granting summary judgment in favor of Continental. We address the jurisdictional challenge first.

I. JURISDICTION

The Commission challenges the district court's jurisdiction to decide this case. It argues that Continental was obliged to first contest the Commissioner's decision to refuse reimbursement at the Commission level through administrative proceedings. Because Continental failed to exhaust its administrative remedies, the Commission argues, the district court lacked subject matter jurisdiction over the reimbursement claim. This Court has previously *905 held that an insurer, refused reimbursement by the Commission under the pre-1999 version of the Act, may seek judicial relief through a direct declaratory judgment action. Everest Nat'l Ins. Co. v. Texas Workers' Comp. Comm'n, 80 S.W.3d 269, 276 (Tex.App.-Austin 2002, no pet. h.); Texas Workers' Comp. Comm'n v. Texas Builders Ins. Co., 994 S.W.2d 902, 907, 909 (Tex.App.-Austin 1999, pet. denied). The Commission's jurisdictional challenge is overruled.

II. STATUTORY INTERPRETATION

To determine whether the district court's interpretation of the Act was correct, we begin with rules of statutory construction, or textual aids. Determining legislative intent is the overriding goal of statutory interpretation. Continental Cas. Co. v. Downs, 81 S.W.3d 803, 805 (2002). In order to ascertain legislative intent, we first look to the plain and common meaning of the words used by the legislature. Tex. Gov't Code Ann. § 311.011 (West 1998); Kroger Co. v. Keng, 23 S.W.3d 347, 349 (Tex.2000); Texas Builders Ins. Co., 994 S.W.2d at 908. Unless a statute is ambiguous, courts abide by the clear language of the statute and enforce it as written. RepublicBank Dallas, N.A. v. Interkal, Inc., 691 S.W.2d 605, 607 (Tex. 1985).

Statutes are interpreted by considering the entire statute, not just disputed provisions. Thomas v. Cornyn, 71 S.W.3d 473, 481 (Tex.App.-Austin 2002, no pet.). Disputed provisions are to be considered in context, not in isolation. See Fitzgerald v. Advanced Spine Fixation Sys.,

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