Wray v. State Compensation Insurance Fund

879 P.2d 725, 266 Mont. 219, 51 State Rptr. 735, 1994 Mont. LEXIS 170
CourtMontana Supreme Court
DecidedAugust 16, 1994
Docket94-054
StatusPublished
Cited by25 cases

This text of 879 P.2d 725 (Wray v. State Compensation Insurance Fund) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wray v. State Compensation Insurance Fund, 879 P.2d 725, 266 Mont. 219, 51 State Rptr. 735, 1994 Mont. LEXIS 170 (Mo. 1994).

Opinion

JUSTICE GRAY

delivered the Opinion of the Court.

Brian Wray appeals from the Findings of Fact, Conclusions of Law, and Judgment entered by the Workers’ Compensation Court which determined that no agreement existed between himself and the State Compensation Mutual Insurance Fund regarding recoupment of lump sum advances and, as a result, that recoupment from his current workers’ compensation disability benefits is appropriate. We *221 conclude that the parties agreed to recoupment only from Wray’s future permanent partial disability benefits and, therefore, reverse the Workers’ Compensation Court.

On December 5,1985, Brian Wray (Wray) injured his cervical spine during the course of his employment with Harp Line Construction Company in Kalispell, Montana. The State Compensation Mutual Insurance Fund (State Fund) determined that the injury was compensable and paid weekly temporary total disability benefits of $266.66 from the date of injury.

Wray petitioned for partial lump sum advances in November of 1987, June of 1988, and March of 1989. The State Fund joined in the petitions as submitted by Wray, the Division of Workers’ Compensation of the Montana Department of Labor and Industry (the Division) approved them for payment, and the State Fund paid the requested lump sum advances totalling $14,671.43. Wray’s ultimate disability status was unknown at the time these advances were made.

In February of 1990, Wray was awarded social security disability benefits retroactive to March of 1987 based on his back injury. The State Fund subsequently was notified of Wray’s social security award and in July, 1990, it reduced Wray’s temporary total disability benefits to $193.01 to offset the social security benefits he was receiving. Notification of the social security award apparently was the State Fund’s first indication that Wray might be permanently totally disabled. The State Fund continued Wray’s temporary total disability benefits.

Wray again petitioned for a lump sum advance in January, 1992. The order approving the advance provided for recoupment to begin immediately from Wray’s current disability benefits. Wray returned the advance because of the immediate recoupment provision.

In June of 1992, the State Fund further reduced Wray’s temporary total disability benefits to $153.06. The reduction was instituted to recoup both the lump sum advances and an overpayment of workers’ compensation benefits which resulted from the retroactive social security award.

Wray petitioned the Workers’ Compensation Court for reinstatement of his full temporary total disability benefits in December, 1992. The State Fund generally denied his entitlement to the full amount. With regard to the State Fund’s reduction to recoup the lump sum advances, Wray contended that the language of his petitions for the advances, the State Fund’s concurrence in the petitions as submitted, and the Division’s approval of those petitions, allowed recoupment only from future permanent partial disability benefits.

*222 After the hearing held on May 24, 1993, the hearings examiner entered Findings of Fact, Conclusions of Law, and Proposed Judgment which were adopted by the Workers’ Compensation Court. The court subsequently denied Wray’s motion to amend the judgment as it pertained to the recoupment of the lump sum advances from his current benefits and for a rehearing. Wray appeals.

The Workers’ Compensation Court found that there was no written agreement between the parties concerning recoupment of the lump sum advances. In its order declining to amend the judgment as it pertained to recoupment of the advances, the court in essence concluded that the petitions for advances were ambiguous and that the testimony of Wray and Bill Visser (Visser), claims manager for the State Fund, demonstrated that the parties failed to have a meeting of the minds regarding recoupment.

The Workers’ Compensation Court also found that the State Fund had begun recoupment from Wray’s current benefits based on his age and medical history. The court concluded that “it is only fair” to allow the State Fund to recoup the lump sum advances from Wray’s current temporary total disability benefits.

The parties agree that a workers’ compensation insurer generally is entitled to recoup lump sum advances. See, e.g., Hedegaard v. Knife River Coal Mining Co. (1989), 238 Mont. 290, 293, 776 P.2d 1225, 1227. The threshold issue before us is whether Wray and the State Fund entered into an agreement as to the type of disability benefits from which Wray’s advances could be recouped. Wray argues that the approved petitions for the advances constitute unambiguous, enforceable agreements allowing recoupment only from his future permanent partial disability benefits. The State Fund contends that the approved petitions are ambiguous and relies on extrinsic evidence purportedly establishing the absence of a meeting of the minds.

Although the Workers’ Compensation Court’s determination that no agreement concerning recoupment existed is denominated a “finding,” the construction and interpretation of written agreements is, as a general rule, a question of law. First Sec. Bank v. Vander Pas (1991), 250 Mont. 148, 152-53, 818 P.2d 384, 387. Thus, we treat the “finding” as if it were denominated a conclusion of law. We review a legal conclusion of the Workers’ Compensation Court to determine whether it is correct. Lund v. State Fund (1994), 263 Mont. 346, 868 P.2d 611, 612.

Wray’s petitions, including the State Fund’s written concurrence in them as submitted, constitute the “agreements” or contracts *223 in the case before us. The principles governing interpretation of contracts are well-established:

When the language of a contract is clear and unambiguous, the contract does not require the application of the rules of construction and it is the court’s duty too [sic] enforce the contract as made by the parties. ... Where the words are clear, certain, and unambiguous, the language alone controls and there is nothing for the courts to interpret or construe. The language employed must be given its ordinary meaning.... We may resort to the usual rules of construction to ascertain what the parties intended by the language they employed only when an ambiguity exists. An ambiguity exists when the contract taken as a whole in its wording or phraseology is reasonably subject to two different interpretations.... In interpreting a written contract, the intention of the parties must be ascertained, first and foremost from the writing alone, taken as a whole if possible, and resort to extrinsic evidence in aid of discovering the parties’intent may be had only when the contract appears on its face to be ambiguous or uncertain in this regard.

Morning Star Enterprises v. R.H. Grover (1991), 247 Mont.

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

Related

Morris v. Walmart Inc.
D. Montana, 2024
Asarco LLC v. Atl. Richfield Co.
353 F. Supp. 3d 916 (D. Montana, 2018)
State v. Old-Horn
2014 MT 161 (Montana Supreme Court, 2014)
State v. OldHorn
2014 MT 161 (Montana Supreme Court, 2014)
Rich v. Ellingson
2007 MT 346 (Montana Supreme Court, 2007)
Tvedt v. Farmers Insurance Group of Companies
2004 MT 125 (Montana Supreme Court, 2004)
In Re the Marriage of Mease
2004 MT 59 (Montana Supreme Court, 2004)
Stockman Bank of Montana v. Potts
2002 MT 178 (Montana Supreme Court, 2002)
Keeney Construction v. James Talcott Construction Co.
2002 MT 69 (Montana Supreme Court, 2002)
Henderson v. Estate of Henderson
2002 MT 56N (Montana Supreme Court, 2002)
Cape-France Enterprises v. Estate of Peed
2001 MT 139 (Montana Supreme Court, 2001)
Habets v. Swanson
2000 MT 367 (Montana Supreme Court, 2000)
Windemere Homeowners Ass'n Inc. v. McCue
1999 MT 292 (Montana Supreme Court, 1999)
In Re the Marriage of Pfennigs
1999 MT 250 (Montana Supreme Court, 1999)
Doble v. Bernhard
1998 MT 124 (Montana Supreme Court, 1998)
South v. Transportation Insurance
913 P.2d 233 (Montana Supreme Court, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
879 P.2d 725, 266 Mont. 219, 51 State Rptr. 735, 1994 Mont. LEXIS 170, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wray-v-state-compensation-insurance-fund-mont-1994.