DocketNumber: 91-CV-0516; 91-CV-0596; CA A84846
Judges: Landau, Leeson, Riggs
Filed Date: 10/25/1995
Status: Precedential
Modified Date: 11/13/2024
Lumbermen’s Underwriting Alliance, Inc. (Lumbermen’s), appeals from an order issued by a probate court. The order distributes the recovery obtained in a wrongful death action brought by a decedent’s personal representative, who is also a workers’ compensation claimant.
The decedent was killed in a logging truck accident that arose out of and m the course of his employment with an insured of Lumbermen’s. The decedent’s surviving spouse (plaintiff), filed a workers’ compensation claim that was accepted by Lumbermen’s, and she began to receive benefits. Plaintiff was appointed personal representative of the decedent’s estate and she elected to seek recovery against the third parties who allegedly caused the fatal injury: D-9 Construction, Inc. (D-9), Northwest International Trucks (Northwest) and Navistar International Transportation Corporation (Navistar).
A dispute arose between plaintiff and Lumbermen’s over the distribution of the total recovery ($57,343.64)
After the Board issued its order, plaintiff filed a motion in the probate court requesting distribution of the recovery from the wrongful death action. Applying ORS 30.030,
“[T]here is and will be no distribution from the Estate of Robbie Worthen to [plaintiff], as the surviving spouse of the decedent, from the wrongful death action recoveries against which a paying agency lien under ORS 656.580(2) might otherwise be applied in favor of Lumbermen’s Underwriting Alliance, Inc., the workers’ compensation insurer of decedent’s employer.”
On appeal, Lumbermen’s challenges the court’s distribution of the wrongful death recovery, arguing that the court
*372 “(5) The remainder of the damages accepted or recovered shall be distributed to the beneficiaries * * (Emphasis supplied.)
A wrongful death action that is brought as a third-party action by, or on behalf of, a workers’ compensation claimant is not necessarily exclusive to that claimant. The action may also involve dependents of the decedent who do not qualify as workers’ compensation beneficiaries.
Like Scarino, this wrongful death action involves a workers’ compensation claimant and three nonclaimants. Therefore, we begin by applying ORS 30.030 to the recovery. According to the prioritization scheme set forth in that statute, the costs, fees and expenses incurred in pursuing the wrongful death claim must be paid first. ORS 30.030(2).
Lumbermen’s contention that Liberty Northwest v. Golden, 116 Or App 64, 840 P2d 1362 (1992), rev den 315 Or 442 (1993), controls the outcome of this case is incorrect. In Golden, we recognized an exception to Scarino, holding that when a third-party wrongful death action involves workers’ compensation claimants exclusively, the paying agency’s lien attaches to the entire amount of the recovery distributed to
In applying ORS 30.030, the probate court was required to distribute the recovery in a manner consistent with the statute, and was not affected by the Board’s determination that Lumbermen’s was entitled to an amount representing a “just and proper” share of the D-9 settlement.
Affirmed.
The order was issued by the circuit court that presided over the wrongful death action, sitting in its capacity as a probate court.
Oregon’s workers’ compensation laws permit a worker or worker’s beneficiary to pursue recovery for injury or death against a negligent third party. ORS 656.154; ORS 656.578.
The decedent’s children are not workers’ compensation beneficiaries. ORS 656.005(2), (5); ORS 656.204.
If a claimant elects to proceed against a third party for damages, ORS 656.580(2) grants the paying agency a “lien” against the cause of action. Toole v. EBI Companies, 314 Or 102,105-06, 838 P2d 60 (1992). This arrangement shifts the cost of compensating the claimant to the wrongdoer and provides “both the paying agency and the [claimant] some benefit from the third-party claim recovery.” SAIF v. Parker, 61 Or App 47, 53, 656 P2d 335 (1982). A “payingagency” is defined by ORS 656.576 as “the self-insured employer or insurer paying benefits to the worker or beneficiaries.” The parties do not dispute that Lumbermen’s qualifies as a paying agency under that definition.
The claims against Northwest were dismissed with prejudice.
The Board’s third-party distribution order is the subject of a separate appeal. See Worthen v.Lumbermen’s Underwriting (A83303), 137 Or App 434, 904 P2d 1091 (1995).
ORS 30.030 provides, in part:
“(1) Upon settlement of a claim, or recovery of judgment in an action, for damages for wrongful death, * * * the amount of damages so accepted or recovered shall be distributed in the manner prescribed by this section.
“(2) The personal representative shall make payment or reimbursement for costs, expenses and fees incurred in prosecution or enforcement of the claim, action or judgment.
((‡ ‡ ‡ ‡ ‡
“(4) If under ORS 30.040 or 30.050 or by agreement of the beneficiaries a portion of the damages so accepted or recovered is apportioned to a beneficiary as recovery for loss described in ORS 30.020(2)(d), the personal representative shall distribute that portion to the beneficiary.
A paying agency’s lien is qualified by ORS 656.593, which ultimately controls the amount that a paying agency may recover from a third-party action. In the event that a claimant recovers damages, the paying agency is entitled to an “amount equal to any compensation benefits paid and ‘the present value of its reasonably to be expected future expenditures.’ ” Estate of Troy Vance v. Williams, 84 Or App 616, 619, 734 P2d 1372 (1987) (quoting ORS 656.593(1)(c)). If, on the other hand, a claimant settles the third party action, the paying agency is authorized to accept a “just and proper” share of the settlement proceeds. ORS 656.593(3); Vance, 84 Or App at 619-20. That amount is either less than or equal to “the amount of the lien to which it would be entitled if the claim had not been settled.” Id. If the parties dispute what constitutes a “just and proper” share of a settlement, the Board resolves such conflicts. ORS 656.593(3).
In Liberty Northwest v. Golden, 116 Or App 64, 67, 840 P2d 1362 (1992), rev den 315 Or 442 (1993), we noted:
“The beneficiaries of a wrongful death action, ORS 30.020, are not the same as beneficiaries under the Workers’ Compensation Act. ORS 656.204.”
See n 7 above.
We use the term “lien” to refer generally to the interest that the paying agency has in the third-party claim. See ORS 656.580(2).
The settlement obtained in the wrongful death action in Golden was distributed to two of the three claimants only. Nevertheless, we held that the paying agency could recover the claim costs attributed to all three claimants. Golden, 116 Or App at 68. Had we followed the rule in Scarino, the paying agency would have been able to recover only the claim costs attributed to the two claimants who actually received a share of the settlement.