SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-3776-97T2
JOHN J. WEIR,
Plaintiff-Respondent,
v.
THE MARKET TRANSITION FACILITY
OF NEW JERSEY, AMGRO, INC. as
servicing carrier,
Defendants,
and
LIBERTY MUTUAL INSURANCE COMPANY,
Defendant-Appellant,
and
BARBARA L. WEIR,
Defendant-Respondent.
________________________________________
Argued: January 12, 1999 Decided: February
19, 1999
Before Judges Long, Wefing and Carchman.
On appeal from the Superior Court of New
Jersey, Law Division, Gloucester County.
William J. Martin argued the cause for
appellant (Martin, Gunn & Martin, attorneys;
Mr. Martin, on the brief).
Marian I. Kelly argued the cause for
respondents John and Barbara Weir (Law
Offices of William Mackin, attorneys for
Barabara Weir. Hoffman, DiMuzio & Hoffman,
attorneys for John J. Weir; Ms. Kelly on the
joint brief).
The opinion of the court was delivered by
WEFING, J.A.D.
On December 22, 1992, John Weir was a passenger in a motor
vehicle driven by Roxene Caron that was involved in a collision
with a vehicle driven by Anthony DeRosa. Weir suffered a number
of injuries, the most significant of which was a comminuted
fracture of the right humerus that required surgery to repair.
Weir's recovery from this fracture was significantly impeded by a
post-operative infection; several successive surgeries were
required to deal with complications attendant to that infection.
Weir, who was fifty-four years of age at the time of the
accident, has not recovered full use of his right arm.
At the time of the accident, Weir was employed as a
custodian by the Deptford school system. The accident occurred
while Weir was discharging his employment responsibilities; his
injuries were therefore covered by workers' compensation.
Liberty Mutual Insurance Company (Liberty Mutual), the workers'
compensation carrier for the Deptford school system, provided
workers' compensation benefits to John Weir.
In addition to filing a claim for workers' compensation
benefits, Weir also instituted suit against DeRosa, whose vehicle
was insured by Ohio Casualty Insurance Company (Ohio Casualty)
under a policy with a $300,000 limit. His wife, Barbara Weir,
joined in that action and asserted a per quod claim. Caron also
filed a claim against DeRosa, and both claims were settled within
DeRosa's policy limits, Caron's for $47,500 and the Weirs' for
$252,500.
The Weirs' settlement was for a lump sum amount that made no
distinction between the claim of John Weir and the per quod claim
of his wife Barbara. They signed the same release on December
14, 1994 in favor of DeRosa and his insurer, Ohio Casualty. The
release included the following clause:
It is further understood that it is our
[i.e., the Weirs] obligation and the
obligation of our attorney to compromise or
otherwise satisfy in its entirety the pending
worker's compensation lien of Liberty Mutual
Insurance Company arising out of the payment
of worker's compensation benefits by (sic) or
on behalf of John J. Weir arising out of the
December 22, 1992 accident . . . .
Six days later, on December 20, 1994, John Weir filed a
complaint against Liberty Mutual and his wife. In that
complaint, Weir alleged that the workers' compensation lien at
that time was approximately $100,000 and that he would receive
little or no recovery for his injuries if the lien was paid in
full after providing for his wife's per quod claim. He sought a
declaratory judgment allocating the settlement amount between
himself and his wife and determining the amount reimbursable to
Liberty Mutual. He also asserted a claim in connection with his
PIP benefits; that claim has been resolved and is not involved in
this appeal. Liberty Mutual answered and cross-claimed against
Barbara Weir. Barbara Weir filed an answer, counterclaim and
cross-claim.
The separate pleadings filed on behalf of John Weir and
Barbara Weir reveal that they reside at the same address. In
addition, they both took the same position in this litigation,
i.e., that the amount of the settlement attributable to Barbara
Weir's per quod claim is not subject to Liberty Mutual's
statutory lien. We note also that Barbara Weir was originally
represented in this suit by the attorney who handled John Weir's
third-party claim against DeRosa. It is thus inferable that John
Weir joined Barbara as a defendant in this law suit to assure the
greatest possible net recovery for both rather than because of
any marital discord.
Three days after the complaint was filed, on December 23,
1994, John Weir and Barbara Weir executed a Statement of
Settlement (prepared by the attorney who had represented John
Weir in the liability action and who was now defending Barbara in
this action) that showed a gross settlement of $252,500, costs of
$373.39, and a counsel fee of $84,042.20. It approved holding
the sum of $67,736.70 in an interest-bearing escrow account for
Liberty Mutual's workers' compensation lien and the payment of an
additional counsel fee of $5,000 to the attorney representing
John Weir in the complaint filed three days earlier against
Liberty Mutual and Barbara. John and Barbara Weir acknowledged
receipt of the balance of $95,347.71.
It is difficult to escape the impression that there was an
attempt to conclude the matter and disburse the funds in the
quickest way possible. It may be coincidental but the attorney
who prosecuted and settled the Weirs' third-party action was the
subject of a disciplinary matter which was argued before the
Supreme Court approximately two months after the settlement
statement was executed.
140 N.J. 430 (1995).
The trial court handled this matter sequentially, concluding
first that the portion of the settlement attributable to Barbara
Weir's per quod claim was not subject to Liberty Mutual's
workers' compensation lien. It then held a hearing to determine
which portion of the gross settlement should be allocated to the
per quod claim. It concluded that the economic value of John
Weir's loss of use of his right arm was $400,000 and that Barbara
Weir's per quod claim was worth $80,000. It then attempted to
apply those hypothetical values to the Weirs' settlement. Noting
that $80,000 was 20" of $400,000, the trial court concluded that
20" of the settlement ($33,616.80) should be allocated to Barbara
Weir's per quod claim and thus should not be subject to the
workers' compensation lien of Liberty Mutual. It attributed the
80" balance of the net settlement proceeds ($134,467.61) to John
Weir.
We have concluded, for the reasons we set forth below, that
plaintiff was entitled to a declaratory judgment on the question
whether a spouse's per quod award is subject to a workers'
compensation lien and that the trial court correctly held that it
is not. We have further concluded, however, that plaintiff was
not entitled to a declaratory judgment allocating the proceeds of
this settlement between himself and his wife. We thus affirm in
part and reverse in part.
There are certain fundamental attributes of a declaratory
judgment action.
There must be an actual controversy between a
plaintiff and a defendant having an interest
in opposing a claim. The action must be
adversary in character. The controversy must
be bona fide. . . .
[Hungerford & Terry, Inc. v. Geschwindt,
24 N.J. Super. 385, 393 (Ch. Div. 1953), aff'd
o.b.,
27 N.J. Super. 515 (App. Div. 1953).]
There was a clear dispute between John Weir and Liberty
Mutual concerning the scope of Liberty Mutual's workers'
compensation lien. We are satisfied that John Weir was entitled
to obtain "a declaration of rights" pursuant to N.J.S.A. 2A:16-53
to determine whether Liberty Mutual's statutory lien could extend
to a spouse's per quod recovery for research has not disclosed a
reported New Jersey opinion on the issue.
Liberty Mutual contends on appeal that the trial court erred
by holding that a spouse's per quod recovery is not subject to
the workers' compensation lien imposed by N.J.S.A. 34:15-40
("section 40 lien") upon the proceeds of a recovery received by
an injured employee against a third-party.
That statute provides in pertinent part:
Where a third person is liable to the
employee or his dependents for an injury or
death, the existence of a right of
compensation from the employer or insurance
carrier under this statute shall not operate
as a bar to the action of the employee or his
dependents, nor be regarded as establishing a
measure of damages therein. In the event
that the employee or his dependents shall
recover and be paid from the said third
person or his insurance carrier, any sum in
release or in judgment on account of his or
its liability to the injured employee or his
dependents, the liability of the employer
under this statute thereupon shall be only
such as is hereinafter in this section
provided.
* * *
(b) If the sum recovered by the employee or
his dependents from the third person or his
insurance carrier is equivalent to or greater
than the liability of the employer or his
insurance carrier under this statute, the
employer or his insurance carrier shall be
released from such liability and shall be
entitled to be reimbursed, as hereinafter
provided, for the medical expenses incurred
and compensation payments theretofore paid to
the injured employee or his dependents less
employee's expenses of suit and attorney's
fee as hereinafter defined.
(c) If the sum recovered by the employee or
his dependents as aforesaid is less than the
liability of the employer or his insurance
carrier under this statute, the employer or
his insurance carrier shall be liable for the
difference, plus the employee's expenses of
suit and attorney's fee as hereinafter
defined, and shall be entitled to be
reimbursed, as hereinafter provided for so
much of the medical expenses incurred and
compensation payments theretofore paid to the
injured employee or his dependents as exceeds
the amount of such difference plus such
employee's expenses of suit and attorney's
fee.
The strong public policy that undergirds a section 40 lien
is the prevention of a double recovery. An injured employee is
entitled to be compensated for injuries sustained but is not
entitled to be compensated twice for those injuries. Frazier v.
New Jersey Mfrs. Ins.,
142 N.J. 590, 597 (1995); Schweizer v.
Elox Div. of Colt Indus.,
70 N.J. 280, 287 (1976) (explaining
that an employee is "guaranteed recovery for his common-law
damages against contributing third-party tortfeasors or for his
[workers'] compensation award, whichever is greater, but he may
not duplicate these recoveries"); Montedoro v. City of Asbury
Park,
174 N.J. Super. 305, 308 (App. Div. 1980) (positing that
"[a]n employee injured in a worker-related automobile accident by
an insured tortfeasor cannot, under N.J.S.A. 34:15-40, retain
both workers' compensation benefits and the fruits of the common
law damage action against a third-party tortfeasor"). Our public
policy against a double recovery is so strong that a section 40
lien is valid even if the recovery in the third-party action is
insufficient to compensate the injured employee fully for all
injuries received. Frazier, supra, 142 N.J. at 602.
In support of its contention that the portion of the
settlement proceeds attributable to Barbara Weir's per quod claim
is subject to its section 40 lien, Liberty Mutual stresses the
derivative nature of a per quod claim and argues that under Danek
v. Hommer, 9 N.J. 56 (1952), per quod claims are subsumed within
the framework of the workers' compensation statute. We are not
persuaded.
It is true that cases speak of the derivative nature of a
per quod claim.
A per quod claim is only maintainable by
reason of a spouse's personal injury. It
depends upon and is incidental to the
personal injury action. Our courts have
characterized it as a derivative claim, not a
separate cause of action. Such claims must
be joined with the primary claim in a single
action. The derivative claim can rise no
higher than the personal injury claim of the
other spouse.
[Tichenor v. Santillo,
218 N.J. Super. 165,
173 (App. Div. 1987) (citations omitted).]
Although a per quod claim may be derivative and dependent, it
also represents a claim for damages personal to that spouse.
Hauck v. Danclar,
262 N.J. Super. 225, 227-28 (Law Div. 1993)
(concluding that a spouse pursuing a per quod claim is entitled
to be represented by separate counsel). Moreover, the personal
nature of the damages recoverable under a per quod claim
precludes those damages being subject to equitable distribution
in a subsequent divorce proceeding. Landwehr v. Landwehr,
111 N.J. 491, 501 (1988) (declaring that "the pain and suffering that
the per quod claim seeks compensation for is just as personal as
the pain and suffering at issue in the primary action. . . .").
In addition, it is significant that the spouse of an injured
employee cannot assert a per quod claim within a workers'
compensation proceeding. Danek, supra, 8 N.J. at 59-61. Because
there has been no recovery in the workers' compensation
proceeding which is attributable to the per quod claim, exempting
a spouse's per quod recovery from the scope of the section 40
lien does not conflict with the public policy to prevent a double
recovery. We hold, therefore, that an employer or its insurance
carrier, who has provided workers' compensation benefits to an
injured employee, may not assert a section 40 lien against a
spouse's per quod recovery obtained in a third-party action.