MARYLAND CASUALTY COMPANY, APPELLANT,
v.
THOMAS WHITLEY AND SHEILA WHITLEY, APPELLEES
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Maryland Casualty sought reimbursement for 50% of workmen's compensation benefits paid to an injured worker under Florida Statute 440.39, which allows carriers to recover half the benefits if the employee recovers full value of damages. The trial court awarded only 25% reimbursement, finding the employee failed to recover full value due to policy limits and collectibility issues. The appellate court reversed, holding the employee failed to meet his burden of proof on collectibility.
The court held that while the trial court correctly found inadequate insurance coverage, the employee failed to meet his burden of proving collectibility issues. Because the employee did not demonstrate that Treadwell was financially unable to pay more, the carrier is entitled to recover 50% of the benefits paid, not 25%.
[1] A workers' compensation carrier's right to recover benefits paid from a third-party tortfeasor recovery is subject to reduction if the employee can demonstrate that the r…
[2] The burden of proof rests on the employee to demonstrate that a settlement recovery did not represent the full value of damages sustained due to insurance coverage limits…
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Join FLexlaw to unlock all legal intelligence“the employee or dependent can demonstrate to the court that he did not recover the full value of damages sustained because of comparative negligence or because of limits of insurance coverage and collectibility”
Sets forth the statutory exception allowing reduced carrier reimbursement, requiring proof of both insurance limits AND collectibility issues
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Join FLexlaw to unlock all legal intelligenceThomas Whitley was injured on a construction site and received workmen's compensation benefits of approximately $27,500 from Maryland Casualty. He set…
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PER CURIAM.
Thomas Whitley was injured while working on a construction site in Jacksonville. He collected workmen’s compensation benefits from his employer and sued the third-party tortfeasor, Ray Treadwell Building Contractors, Inc., for the alleged negligence of its crane operator. Shortly before trial, Whitley settled for $250,000 from Tread-well’s insurer; a fellow worker, injured in the same accident, exhausted the $300,000-per-occurrence policy limit when, the same week, he settled for $50,000. The co-worker also received $1,000 directly from Tread-well.
As a result of the injuries, appellant had paid Whitley some $27,500 in workmen’s compensation benefits. Under the law in effect at the time of this industrial accident, Section 440.39, Florida Statutes (1975), Maryland Casualty Company could recover, from the employee’s recovery against the third-party tortfeasor, 50 percent of what Maryland Casualty had paid to the injured employee.
Maryland Casualty, in the instant action, sought reimbursement for half the amount it had paid Whitley. Section 440.39(3)(a), however, provides that the carrier will not recover half of the benefits paid if:
[T]he employee or dependent can demonstrate to the court that he did not recover the full value of damages sustained because of comparative negligence or because of limits of insurance coverage and collectibility.
The trial court ruled that Whitley received less than the full value of his damages because of policy limits and difficulty of collecting beyond those limits from Tread-well. The court ordered that appellant should receive only 25 percent of what it had paid Whitley. Maryland Casualty has appealed that order. Our review of the evidence in light of the statute leads us to conclude that, as to the question of insurance coverage, the trial court did not err in finding the policy to have been exhausted at less than the full value of Whitley’s damages. An economic expert placed the present value of his damages at nearly $500,000. Although that figure is disputed, it is clear that the settlement reached by Whitley was far below the only damages estimate in the record; added to the nearly simultaneous settlement by Whitley’s co-worker, the $250,000 Whitley accepted exhausted the policy at what the trial court could properly have concluded to be less than the full value of Whitley’s damages.
Inadequate insurance, however, is only one prong of the statutory test. The employee must demonstrate that he got less than the full value of his claim “because of limits of insurance coverage and collectibility.” (Emphasis supplied.) The burden of proof is on the employee. Whitley failed to meet that burden; we reverse. Essentially the only evidence Whitley presented as to collectibility was that Treadwell paid just $1,000 of its own money to the injured co-worker. Nothing in the record, however, demonstrates that the coworker’s injuries justified a higher settlement but that Treadwell was financially unable to pay. By contrast, an affidavit of Treadwell’s attorney states that Treadwell indeed could have paid more than was actually paid in settlement of the two claims.
Because Whitley failed to meet his burden of proof on the question of collectibility, the trial court’s order must be reversed and the cause remanded for reimbursement to appellant of 50 percent of the benefits it paid to Whitley. Appellees’ motion for attorney’s fees is denied.
ERVIN, Acting C. J., and BOOTH and LARRY G. SMITH, JJ., concur.
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Edmondson v. Avis Mitchell Swope & Nationwide Gen. Ins. Co., 395 So. 2d 553 (Fla. 5th DCA 1980)…r 50% of what it paid unless Edmondson demonstrated that he did not recover the full value of damages sustained by him because of comparative negligence or because of limits of insurance coverage and collectibility. Maryland Casualty Co. v. Whitley, 375 So. 2d 18 (Fla. 1st DCA 1979); National Ben Franklin Insurance Co. v. Hall, 340 So. 2d 1269 (Fla. 4th DCA 1976); Ramar-Dooley Construction Co. v. Norris, 341 So. 2d 546 (Fla. 2d DCA 1977). Ed-mondson failed to meet his burden of proof since no evidence was pr…
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Safeco Ins. Co. v. Sarkisian, 389 So. 2d 1088 (Fla. 4th DCA 1980)…employee if he is to succeed in reducing the employer’s carrier’s recovery from the 50% statutory entitlement. Id. at 548. See also, Lumbermens Mutual Casualty Co. v. Simon, 375 So. 2d 894 (Fla. 4th DCA 1979), and Maryland Casualty Co. v. Whitley, 375 So. 2d 18, 19 (Fla. 1st DCA 1979) where the court held: • Inadequate insurance, however, is only one prong of the statutory test. The employee must demonstrate that he got less than the full value of his claim “because of limits of insurance coverage and col…
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Travelers Indem. Co. v. Jacobs, 402 So. 2d 1261 (Fla. 3d DCA 1981)…cover the full value of damages sustained because of comparative negligence or because of limits in insurance coverage and collectibility.” See Safeco Insurance Co. v. Sarkisian, 389 So. 2d 1088 (Fla. 4th DCA 1980); Maryland Casualty Co. v. Whitley, 375 So. 2d 18 (Fla. 1st DCA 1979), cert. denied, 383 So. 2d 1205 (Fla.1980). Although comparative negligence is no longer an issue because the court entered a summary judgment in favor of the Jacobs on the issue of liability, the question of collectibility remain…
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