PUBLISHED
OPINION
Case Nos.: 95-0662
& 95-0686
† Petition for Review Pending
Complete Title
of Case:
JAMES L. HOULIHAN and
KATHLEEN A. HOULIHAN,
†
Plaintiffs-Appellants,
v.
ABC INSURANCE COMPANY,
DEF INSURANCE COMPANY
and SQUARE D COMPANY,
Defendants,
TRANSPORTATION INSURANCE
COMPANY,
Defendant-Respondent,
BRILLION IRON WORKS, INC.,
THE HOME INSURANCE
COMPANY OF WISCONSIN and
INTERNATIONAL INSURANCE
COMPANY,
Defendants-Third Party Plaintiffs,
SUPERIOR ELECTRIC COMPANY
and TRANSCONTINENTAL
INSURANCE COMPANY,
Third Party Defendants.
No. 95-0686
TRANSPORTATION INSURANCE
COMPANY, INC.,
Plaintiff,
WALTER GOY, DONELDA GOY
and JAMES HALL,
† Plaintiffs-Appellants,
v.
SQUARE D COMPANY,
a foreign corporation, and
SQD INSURANCE COMPANY,
Defendants,
BRILLION IRON WORKS, INC.,
THE HOME INSURANCE COMPANY
OF WISCONSIN and
INTERNATIONAL INSURANCE
COMPANY,
Defendants-Third Party Plaintiffs,
SUPERIOR ELECTRIC COMPANY,
Third Party Defendant,
TRANSPORTATION INSURANCE
COMPANY, INC.,
Third Party Defendant-Respondent.
Submitted on Briefs: September
1, 1995
COURT COURT
OF APPEALS OF WISCONSIN
Opinion Released: November
14, 1995
Opinion Filed: November 14, 1995
Source of APPEAL Appeals from
an order
Full Name JUDGE COURT: Circuit
Lower Court. COUNTY: Outagamie
(If "Special", JUDGE: Joseph
M. Troy
so indicate)
JUDGES: Cane, P.J., LaRocque and
Myse, JJ.
Concurred:
Dissented:
Appellant
ATTORNEYSOn behalf of the plaintiffs-appellants, Walter
Goy and Donelda Goy, the cause was submitted on the brief of David M.
Skoglind of Warshafsky, Rotter, Tarnoff, Reinhardt & Bloch, S.C.
of Milwaukee.
On behalf of the plaintiffs-appellants, James L.
Houlihan and Kathleen A. Houlihan, the cause was submitted on the brief of Patrick
O. Dunphy of Cannon & Dunphy, S.C. of Brookfield.
On behalf of the plaintiffs-appellants, Walter
Goy, Donelda Goy, James L. Houlihan and Kathleen A. Houlihan, the cause was
submitted on the joint reply brief of David M. Skoglind of Warshafsky,
Rotter, Tarnoff, Reinhardt & Bloch, S.C. and Patrick O. Dunphy
of Cannon & Dunphy, S.C.
Respondent
ATTORNEYSOn behalf of the defendant-respondent,
Transportation Insurance Company, the cause was submitted on the brief of David
M. Victor of Law Offices of Mark H. Miller of Brookfield.
|
COURT OF APPEALS DECISION DATED AND RELEASED NOVEMBER 14, 1995 |
NOTICE |
|
A party may file with the
Supreme Court a petition to review an adverse decision by the Court of
Appeals. See § 808.10 and
Rule 809.62(1), Stats. |
This opinion is subject to
further editing. If published, the
official version will appear in the bound volume of the Official Reports. |
Nos. 95-0662
95-0686
STATE
OF WISCONSIN IN COURT OF
APPEALS
No. 95-0662
JAMES L. HOULIHAN and
KATHLEEN A. HOULIHAN,
Plaintiffs-Appellants,
v.
ABC INSURANCE COMPANY,
DEF INSURANCE COMPANY
and SQUARE D COMPANY,
Defendants,
TRANSPORTATION INSURANCE
COMPANY,
Defendant-Respondent,
BRILLION IRON WORKS, INC.,
THE HOME INSURANCE
COMPANY OF WISCONSIN and
INTERNATIONAL INSURANCE
COMPANY,
Defendants-Third Party Plaintiffs,
SUPERIOR ELECTRIC COMPANY
and TRANSCONTINENTAL
INSURANCE COMPANY,
Third Party Defendants.
No. 95-0686
TRANSPORTATION INSURANCE
COMPANY, INC.,
Plaintiff,
WALTER GOY, DONELDA GOY
and JAMES HALL,
Plaintiffs-Appellants,
v.
SQUARE D COMPANY,
a foreign corporation, and
SQD INSURANCE COMPANY,
Defendants,
BRILLION IRON WORKS, INC.,
THE HOME INSURANCE COMPANY
OF WISCONSIN and
INTERNATIONAL INSURANCE
COMPANY,
Defendants-Third Party Plaintiffs,
SUPERIOR ELECTRIC COMPANY,
Third Party Defendant,
TRANSPORTATION INSURANCE
COMPANY, INC.,
Third Party Defendant-Respondent.
APPEALS from an order of
the circuit court for Outagamie County:
JOSEPH M. TROY, Judge. Affirmed.
Before Cane, P.J.,
LaRocque and Myse, JJ.
CANE, P.J. The appellants appeal a circuit court order
directing them to pay Transportation Insurance Company a distributive share of
their settlement proceeds, pursuant to § 102.29(1), Stats. Because we
conclude that under § 102.29(1), Transportation is entitled to
reimbursement for worker's compensation payments it made to the appellants, we
affirm the circuit court's order.
In
July 1990, James Houlihan and Walter Goy suffered severe burn injuries in an
industrial accident at Brillion Iron Works, Inc. At the time of the accident, Houlihan and Goy were employed by
Superior Electric Company. Pursuant to
ch. 102, Stats., Houlihan and Goy
received worker's compensation payments to date of over $566,000 and
$1,084,000, respectively, from Superior's worker's compensation insurer,
Transportation.
Appellants Houlihan and
his wife, Kathleen, and Goy and his wife, Donelda, sued Brillion and Square D
Company,[1]
and their respective insurers, alleging negligence on their part. The appellants acknowledged that they could
not sue Superior because of the immunity granted to their employer by
§ 102.03, Stats. The Houlihans' and the Goys' actions were
consolidated.
Brillion commenced a
third-party action against Superior and its liability carrier, Transcontinental
Insurance Company. Brillion's complaint
alleged that Superior negligently trained Houlihan and Goy and further alleged
that Goy's negligent use of a ruler caused the electrical arc that injured
Houlihan. The basis for Brillion's
third-party claim against Superior was an indemnification provision within a
contract that Superior had entered into with Brillion for the job Houlihan and
Goy performed at Brillion.[2] The provision stated:
The
Contractor [Superior] shall assume entire responsibility and liability and
hereby agree to indemnify and hold Brillion Iron Works, Inc. harmless from any
and all damage or injury of any kind or nature whatsoever (including but
without limitation to personal injury and death) to all property and persons,
whether employees of the Contractor or otherwise, caused by, resulting from,
arising out of, or occurring in connection with the work to be performed under
this contract.
The
contractor will carry, at his own expense, a minimum of one million dollars
($1,000,000.00) liability insurance.
The appellants,
Brillion, Square D, Superior and Transcontinental engaged in settlement
negotiations. In July and September
1994, the Houlihans and the Goys each signed an indemnification agreement with
Superior and Transcontinental, agreeing to assume Superior's obligations under
its indemnification agreement with Brillion.
In consideration for the indemnification agreements, Superior and
Transcontinental paid the Houlihans $1.1 million and the Goys $687,500.
Settlement negotiations
with Brillion and Square D continued.
The parties eventually reached an agreement whereby Brillion would pay
the Houlihans $500,000 and the Goys $225,000.
Square D agreed to pay the Houlihans $197,500 and the Goys
$195,000. In October 1994, the
Houlihans and the Goys petitioned the circuit court pursuant to § 102.29, Stats., for approval of the
distribution of the proceeds of settlements reached with Brillion, Square D,
Superior and their insurers.
Both the Houlihans and
the Goys specifically asked the circuit court to determine that the settlements
from Superior and its insurer, Transcontinental, were not subject to allocation
under § 102.29(1), Stats. The circuit court denied their request and
on motion for reconsideration, affirmed its determination that Transportation
was entitled to reimbursement under § 102.29(1).
The issue on appeal is
whether a worker's compensation insurer is entitled to reimbursement under
§ 102.29(1), Stats., from an
employee's settlement with his or her employer where the employer's basis for
liability was an indemnification agreement with a third-party tortfeasor. Because we conclude that the insurer is
entitled to reimbursement pursuant to § 102.29(1), we affirm the circuit
court's order.
Whether Transportation
is entitled to share in the settlement proceeds Houlihan and Goy received from
Transcontinental on behalf of its
insured, Superior, involves the construction of § 102.29(1), Stats.
The interpretation of a statute is a question of law that appellate
courts review without deference to the circuit court. Johnson v. ABC Ins. Co., 193 Wis.2d 35, 43, 532
N.W.2d 130, 132-33 (1995).
Section 102.29, Stats., governs third-party liability
in the area of worker's compensation.
It provides in relevant part:
(1) The making of a claim for compensation
against an employer or compensation insurer for the injury or death of an
employe shall not affect the right of the employe, the employe's personal
representative, or other person entitled to bring action, to make claim or
maintain an action in tort against any other party for such injury or death,
hereinafter referred to as a 3rd party; nor shall the making of a claim by any
such person against a 3rd party for damages by reason of an injury to which ss.
102.03 to 102.64 are applicable, or the adjustment of any such claim, affect
the right of the injured employe or the employe's dependents to recover
compensation. The employer or
compensation insurer who shall have paid or is obligated to pay a lawful claim
under this chapter shall have the same right to make claim or maintain an
action in tort against any other party for such injury or death. (Emphasis
added.)
Our supreme court has
concluded that in order for § 102.29(1), Stats.,
to apply, a three-element test must be met.
Johnson, 193 Wis.2d at 45, 532 N.W.2d at 133. In Johnson, the court
summarized the elements of the test it had first established in Kottka v.
PPG Indus., Inc., 130 Wis.2d 499, 388 N.W.2d 160 (1986):
First,
the action must be one grounded "in tort." Berna-Mork v. Jones, 174 Wis.2d 645, 651, 498
N.W.2d 221 (1993). Second, the action
must be one for the employee's injury or death. Third, the injury or death must be one for which the employer or
its insurer has or may have liability.
Johnson, 193
Wis.2d at 45, 532 N.W.2d at 133. We
must apply the Kottka test to the instant case to determine
whether Transportation is entitled to reimbursement under § 102.29(1).
First, the action must
be one grounded in tort. Johnson,
193 Wis.2d at 45, 532 N.W.2d at 133.
Appellants argue that their settlement with Superior was based on
contract, rather than tort, so the settlement proceeds are not subject to
Transportation's right to reimbursement under § 102.29(1), Stats.
The Goys explain:
Superior
Electric's involvement in this case is based on the contract between it and
Brillion. In settling with Superior
Electric, among other things, the Goys assumed Superior Electric's liability
under its contract with Brillion.
Moreover, the settlement between the Goys and Superior Electric is based
on a contractual agreement. (Record cites omitted.)
The
Goys also note that as a matter of law, they had no claim based in tort against
Superior, because § 102.03(2), Stats.,
provides Superior with immunity from torts arising out of the employer-employee
relationship.
The Houlihans argue that
Superior and Transportation paid the appellants pursuant to a contract, and
that under Berna-Mork v. Jones, 174 Wis.2d 645, 498 N.W.2d 221
(1993), contractual payments recovered by a worker arising out of a work-related
injury are not subject to § 102.29(1), Stats. They also argue that § 102.29(1) limits its
application to claims against third parties, which would not include proceeds
recovered from the employee's employer.
The Houlihans state: "The
fact that the worker's right of recovery, or in this case the employer's
exposure, is based on a finding of negligence does not turn the employer into a
'third party', nor convert the action into a tort action."
In contrast,
Transportation argues that the indemnification agreement was a matter strictly
between Superior and Brillion and therefore the fact that Superior and its
insurer, rather than Brillion, paid part of the settlement did not change the
nature of the underlying case from a tort action to a contract action. We agree with Transportation. While it is true that Superior's liability
arose from a contract with Brillion, the appellants' action against Brillion
was in tort; they sued Brillion and Square D alleging negligence on their
part. We agree with Transportation's
assessment of the case:
The
Goys and Houlihans did not sue anyone in contract. They commenced an action in tort against Brillion, seeking
recovery for damages arising from a job-related incident. It does not matter who actually ended up paying
the Goys/Houlihans for such damages.
All that matters is that the money was paid to settle their third-party
tort claims, and that the money came from parties with a legal obligation to
make such payments.
We also agree with
Transportation that Berna-Mork can be distinguished from the
instant case. In Berna-Mork,
employee Jennifer Berna-Mork was injured while riding in a car her co-employee
Jane Jones was driving. Id.
at 649, 498 N.W.2d at 222. Berna-Mork's
injuries occurred when Jones's car was rear-ended by a car driven by Keith
Plasky, an uninsured motorist. Id. Berna-Mork received worker's compensation
payments from Lumberman's Mutual Casualty Company for her injuries. Id. at 649, 498 N.W.2d at
223. Berna-Mork also brought a
third-party tort action against Plasky, Jones and Jones's liability and
uninsured motorist carrier, West Bend Mutual Insurance Company. Id. Lumberman's commenced an action against West Bend to participate
in the third-party action and alleged that it was entitled to reimbursement
under § 102.29(1), Stats., from
West Bend's uninsured motorist coverage.
Berna-Mork, 174 Wis.2d at 649, 498 N.W.2d at 223.
Our supreme court held
that Lumbermen's was not entitled to reimbursement because Berna-Mork's right
to uninsured motorist coverage was contractual. Id. at 651, 498 N.W.2d at 223. Although the Berna-Mork
decision does not contain the language of Jones's uninsured motorist policy, we
must assume, based on the decision, that Berna-Mork was covered as a passenger
under Jones's uninsured motorist policy.
Thus, although Berna-Mork originally sued in tort, her claim for
uninsured motorist benefits was based on contract, not tort, and therefore
Lumberman's had no right to reimbursement under § 102.29(1), Stats.
Berna-Mork, 174 Wis.2d at 651, 498 N.W.2d at 223.
Here, the appellants had no claim in
contract against Superior and, in fact, did not sue Superior. Instead, they sued Brillion alleging that it
was negligent. While Brillion in turn
sued Superior on the basis of its indemnification contract with Superior, this
fact does not alter the nature of the appellants' original tort actions against
Brillion.
As a result of its
indemnification agreement, Superior, unlike the uninsured motorist insurer in
Berna-Mork, agreed to step into the shoes of the wrongdoer, Brillion. See id. at 652, 498
N.W.2d at 224 (uninsured motorist insurer is not a wrongdoer). In effect, Superior acted like a liability
insurer for Brillion because it contracted to assume some or all of Brillion's
tort obligation to the appellants.[3] Just as liability insurers agree by contract
to step into the shoes of their insureds, the tortfeasors, Superior agreed by
contract to step into the shoes of Brillion, the tortfeasor. In liability insurance cases, the fact that
the insurer's obligation to pay a plaintiff is based on a contract with its
insured does not negate the fact that the underlying liability rests in
tort. In such cases, when the liability
insurer pays an injured employee for the insured's negligence, the worker's
compensation carrier who compensated the employee is entitled to reimbursement
from those funds under § 102.29(1), Stats. Similarly, where Superior paid the
appellants because it had assumed some or all of Brillion's tort obligations,
Transportation is entitled to reimbursement under § 102.29(1).
Finally, we reject the
appellants' argument that the application of § 102.29(1), Stats., is limited to tort claims made
by the employee, employer or compensation insurer against third parties,
and, therefore, because Superior as the appellants' employer is not a third
party, § 102.29(1) cannot apply. We
begin with the proposition that an employer's liability to its injured employee
is limited to the liability imposed by the Worker's Compensation Act. Young v. Anaconda Am. Brass Co.,
43 Wis.2d 36, 53-54, 168 N.W.2d 112, 122 (1969). Our supreme court has recognized that the employer can forego
this statutory limitation of liability to third persons by an express contract. Id. In this case, Superior had an express contract with
Brillion. Therefore, Superior extended
its liability beyond the limits of the Act and may be liable, as an indemnitor
for Brillion, to pay damages in addition to the worker's compensation Superior
paid for Houlihan's and Goy's injuries.
In effect, when Superior
signed the indemnification agreement, it agreed to wear two hats: one as employer and one as indemnitor. It was Superior acting as indemnitor, not as
employer, that made payments to the appellants through Transcontinental. Therefore, these funds are subject to
distribution under § 102.29(1), Stats.,
because they are derived from a third-party action against Brillion that is
grounded in tort. This conclusion is
not altered by the fact that Superior, the indemnitor, which Brillion joined as
a third party, was also the appellants' employer.
Because we conclude that
the appellants' action was grounded in tort, and that payments made by an
employer acting as an indemnitor to a third party do not make § 102.29(1), Stats., inapplicable, we conclude that
the first element of the Kottka test for determining whether §
102.29(1) distribution is appropriate has been met.
The second element of
the Kottka test requires that the action be one for the
employee's injury or death. Johnson,
193 Wis.2d at 45, 532 N.W.2d at 133.
Section 102.01(2)(c), Stats.,
defines injury, for the purposes of ch. 102, as "mental or physical harm
to an employe caused by accident or disease ...." There is no dispute that the injuries
Houlihan and Goy suffered were the type of injury contemplated by § 102.29, Stats., and therefore this element of
the test is satisfied. But cf. Smith
v. Long, 178 Wis.2d 797, 804, 505 N.W.2d 429, 432 (Ct. App. 1993)
(injury employee suffered as a result of attorney's malpractice was not the
type of injury contemplated by § 102.29).
The third element of the
Kottka test is that the injury or death must be one for which the
employer or its insurer has or may have liability. Johnson, 193 Wis.2d at 45, 532 N.W.2d at 133. Because Superior and Transportation were
liable for worker's compensation and in fact paid the appellants this
compensation, this element is satisfied.
See id. at 47-48, 532 N.W.2d at 134 (where worker's
compensation insurer paid a death benefit based upon employee's wages and the
statutory formula in § 102.46, Stats.,
it had the requisite liability for the employee's death to qualify for
reimbursement under § 102.29(1), Stats.).
Because the three
elements of the Kottka test have been established, we conclude
that distribution under § 102.29(1), Stats.,
is required. Therefore, we affirm the
circuit court's order directing that Transportation receive reimbursement as
outlined in § 102.29(1).
By the Court.—Order
affirmed.
[1] According to an indemnification agreement in the record, the appellants alleged that Houlihan and Goy were injured while allegedly engaged in the examination of certain equipment designed, manufactured, assembled and/or sold by Square D Company or its subsidiary.
[2] In general, a third-party tortfeasor has no remedy against an employer because ch. 102, Stats., makes the payment of worker's compensation the employer's exclusive liability for work-related injuries. Mulder v. Acme-Cleveland Corp., 95 Wis.2d 173, 177-78, 290 N.W.2d 276, 278 (1980). Thus, where a negligent third party is held liable to an injured worker, it cannot require contribution from an employer even if the employer was substantially more at fault than the third party. Id. However, our supreme court has recognized that the employer can forego its statutory limitation of liability to third persons by an express contract for indemnification. Young v. Anaconda Am. Brass Co., 43 Wis.2d 36, 53-54, 168 N.W.2d 112, 122 (1969).
[3] We use the phrase "some or all" in reference to Superior's obligations under its indemnification agreement with Brillion because this court has not determined whether the agreement requires Superior to indemnify Brillion solely for Superior's own negligence, or also for Brillion's negligence. We will not interpret the agreement because the parties have not raised the issue and because our decision would be the same under either interpretation.