SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-2476-01T5
MANUEL CALALPA and
AUGUSTINA CALALPA,
Plaintiffs-Appellants,
v.
DAE RYUNG CO., INC., and
C & K MOULDING CO., INC.,
Defendants-Respondents.
_______________________________________
Argued January 15, 2003 _ Decided January 31, 2003
Before Judges Conley, Carchman and Parrillo.
On appeal from Superior Court of New Jersey,
Law Division, Passaic County, L-1096-99.
Brian E. Mahoney argued the cause for appellants
(Ginarte, O'Dwyer, Winograd & Laracuente,
attorneys; Mr. Mahoney, of counsel and
on the brief).
Respondent Dae Ryung Co., Inc., has not file
a brief.See footnote 11
Patricia L. Dee argued the cause for respondent
C & K Moulding Co., Inc. (Capehart & Scatchard,
attorneys; Mr. Dee, of counsel and on the brief).
The opinion of the court was delivered by
CONLEY, P.J.A.D.
This appeal arises in the context of a workers' compensation
benefitted employee's settled intentional wrong tort litigation
against defendants, one of whom is unquestionably his employer and
the other an apparent, but not dispositively determined, joint
employer.See footnote 22 The workers' compensation carrier successfully obtained
an order from the trial judge according it the benefit of the
workers' compensation lien pursuant to N.J.S.A. 34:15-40 and, thus,
directing that "plaintiff shall reimburse [the workers'
compensation carrier] its compensation lien out of the settlement
proceeds in the amount of $39,020.00." Plaintiff appeals, arguing
that the $200,000 settlement proceeds for his injury, three
amputated fingers, hardly reflects his full damages, that he has
not received a prohibited "double recovery" and, further, that the
intentional wrong tort litigation settlement proceeds are not a
"third person" recovery triggering the statutory lien.
In Millison v. E.I. du Pont de Nemours,
101 N.J. 161 (1985),
the Supreme Court had this to say about the subject:
If, however, a plaintiff should prevail in his
suit based on intentional wrong, he would not
be entitled to keep the entire amount of his
compensation award as well as his civil suit
remedy. That double recovery is to be avoided
is evident from so much of the Compensation
Act as demands that compensation claimants who
have recovered from third parties be required
to reimburse their employer or its insurance
carrier for compensation payments already
made. N.J.S.A. 34:15-40. Thus if the
trier-of-fact determines that [the employer or
co-employees] have been guilty of an
intentional wrong . . . [the employer] or its
insurance carrier will be able to offset
compensation benefits previously paid to the
extent that the civil damage award would serve
as a double recovery.
[Id. at 187 (emphasis added).]
See also Kristiansen v. Morgan,
153 N.J. 298, 312 (1998), opinion
modified on other grounds,
158 N.J. 681 (1999).
Thus, the motion judge here found:
that Millison v. E.I. DuPont,
101 N.J. 161
(1985), is dispositive of this motion.
Therein, the Supreme Court acknowledged an
employee's right to maintain a separate
[intentional wrong] tort action against his
employer where the employer [committed an
intentional wrong].
At the same time, the Court upheld the
reimbursement to the comp carrier for amounts
paid in workers['] compensation. The
plaintiff is not entitled to keep the entire
amount of the comp award as well as his civil
suit remedy because as I find the Millison
Court held, this would amount to a double
recovery.
The Supreme Court in several opinions has
held that the Legislature's reference to a
third person in title 34:15-40 is not to be
confined to just third party tortfeasors, but
also applies to recoveries that are the
"functional equivalent of a recovery from a
third party," such as here.
In that regard, the Court reviewed the
Supreme Court cases in Frazier v. New Jersey
Manufacturers,
142 N.J. 590 (1995), and Utica
Mut. Ins. v. Maran & Maran,
142 N.J. 609
(1995).
Further, in the Appellate Division
decision in Montedoro v. City of Asbury Park,
174 N.J. Super. 305 (App. Div. 1980), the
Appellate Division came to a similar
conclusion. These cases recognize that the
legislative intent [of N.J.S.A. 34:15-40] to
integrate the sources of recovery and prevent
a double recovery is paramount regardless of
whether the cumulative awards are sufficient
to compensate the plaintiff fully for his
injuries.
Under the circumstances, I can appreciate
the plaintiff's desire to keep both awards but
I do not find this to be legally permissible
and as a result, the plaintiff's motion is
denied.
[Emphasis added.]
In its main appellate brief, plaintiff disagrees, contending:
THE WORKERS' COMPENSATION CARRIER IS
NOT ENTITLED TO ANY REIMBURSEMENT OF
ITS LIEN OUT OF THE RECOVERY IN THIS
ACTION BECAUSE THE GOVERNING
STATUTE, N.J.S. 34:15-40, APPLIES
ONLY TO THIRD PARTY ACTIONS AND, BY
ANY SENSIBLE ANALYSIS, THIS ACTION
IS IN THE NATURE OF A FIRST PARTY
ACTION.
The argument is that defendants are not "third person" tortfeasors
within the scope of N.J.S.A. 34:15-40. The reply brief takes a
somewhat different tack, contending:
POINT I: AS HAPPENED IN THE MOTION COURT,
DEFENSE COUNSEL PERSISTS WITH AN
ARGUMENT THAT EQUATES AN OFF-SETTING
ANTI-DUPLICATION CREDIT WITH A
WORKERS' COMPENSATION LIEN.
A. THERE IS A DISTINCTION BETWEEN A
WORKERS' COMPENSATION LIEN AND AN
OFF-SETTING ANTI-DUPLICATION CREDIT.
B. THE OFF-SETTING ANTI-DUPLICATION
CREDIT WORKS DIFFERENTLY THAN A
WORKERS' COMPENSATION LIEN.
C. THE MOTION COURT'S APPLICATION OF
N.J.S. 34:15-40 WAS ILLOGICAL AND
UNFAIR.
The reply brief recognizes that the statutory workers' compensation
lien accords the employer's compensation carrier a dollar for
dollar off-set and, thus, "does not require examination of whether
an injured claimant has been made whole." See Utica Mut. Ins. v.
Maran & Maran,
142 N.J. 609, 613 (1995); Frazier v. New Jersey
Mfrs. Ins.,
142 N.J. 590, 602 (1995). Indeed, the lien attaches to
the entire amount of third party proceeds and not just those monies
which match the compensation benefits. DeLane ex rel. DeLane v.
City of Newark,
343 N.J. Super. 225, 233-35 (App. Div. 2001). But
plaintiff distinguishes this statutory lien from an "off-setting
anti-duplication credit" which, he claims, is "an entirely
different kettle of fish," appearing, as a creation of decisional
law, in "at least four different scenarios." In this respect, the
reply brief asserts:
First, an off-setting anti-duplication
credit may appear in the familiar context of
successive torts:
Prior to the adoption of the
Comparative Negligence Act, the
courts in New Jersey formulated a
separate "credit" concept designed
to avoid duplicating compensation in
cases in which the injured party
settled with one tortfeasor and then
instituted separate litigation
against a person whose subsequent
negligence aggravated the initial
tort. The subsequent aggravation in
those cases typically occurred as a
result of medical malpractice. The
courts reasoned that the torts in
those cases were "successive" rather
than "joint," thus precluding a
contribution credit under the Joint
Tortfeasors Contribution Law.
Nevertheless, the courts
acknowledged the possibility that
the plaintiff may have received
partial or total compensation for
the subsequent tort as a result of
the settlement with the initial
tortfeasor. Consequently, the
courts ultimately required that the
second tortfeasor receive what was
in effect a pro tanto credit in the
amount by which the first settlement
exceeded the damages attributable to
the settling party's tort.
[Brian E. Mahoney, New Jersey
Comparative Fault and Liability
Apportionment Law (Gann 2002), sec.
14:8, pp. 344-345 (emphasis added,
citations omitted).]
Second, an off-setting anti-duplication
credit may appear in the context of "second-
collision" (or "crashworthiness") cases which,
in the appropriate circumstances, may warrant
a "credit" to the defendant vehicle
manufacturer to subtract duplicative damages
recovered by a plaintiff from the negligen[t]
defendants in an earlier action. Id. at 15:6-
6, p. 437 and at 14:8, p. 348, discussing
Crispin v. Volkswagenwerk, A.G.,
96 N.J. 336,
346 (1984).
Third, an off-setting anti-duplication
credit may be warranted in the unusual context
of a wrongful life suit which was preceded by
a wrongful birth suit. Moscatello v. UMDNJ,
342 N.J. Super. 351, 361-362 (App. Div.) [,
certif. denied,
170 N.J. 207 (2001)]
(contemplating a credit in a disabled child's
wrongful life suit for amounts received by his
parents in a settlement of earlier litigation
based on a wrongful birth theory).
Fourth and finally, an off-setting anti-
duplication credit is plainly what the New
Jersey Supreme Court [in Millison] had in mind
for an "intentional wrong" suit against an
employer who had earlier paid workers'
compensation.
These instances of "off-setting anti-duplication credit," plaintiff
argues, "work different than a workers' compensation lien." The
argument is that:
enforcement of a workers' compensation lien
does not require examination of whether an
injured claimant has been made whole. In
contrast, however, by its nature, an off-
setting anti-duplication credit analysis may
require an examination of whether an injured
claimant has been made whole. On the one
hand, if the injured claimant has proceeded to
verdict before a fact-finder and prevailed
(and all the recoverable New Jersey damages
components have been fully aired before the
fact-finder), it stands to reason that the
fact-finder's determination establishes the
full measure of plaintiff's damages in the
eyes of the law, and the defendant/judgment-
debtor is entitled to a pro tanto (or dollar-
for-dollar) reduction in liability in an
amount equivalent to the workers' compensation
benefits previously paid. The Court in
Millison evidently contemplated that the off-
setting credit would be subtracted from the
ultimate findings of the "trier of fact" where
plaintiff has "prevailed" and a "civil damage
award" has been made.
On the other hand, if plaintiff has
settled his Superior Court action, there is no
assurance that plaintiff has been made whole
and the direct subtraction of off-setting
credits hardly serves to prevent a "double
recovery" _ it may well unjustly exacerbate
what is already an "under recovery." A
settlement usually represents a compromise on
both sides, with many variables, and does not
necessarily "make whole" the injured claimant.
Werner v. Latham,
332 N.J. Super. 76, 79, 84-
85 (App. Div. 2000); O'Brien v. Two West
Hanover Co.,
350 N.J. Super. 441 (App. Div.
2002).
Thus, where there has been a settlement
of an "intentional wrong" case against an
employer, plaintiff's counsel is entitled to
ask the motion court to determine that the
settlement represents a substantial
compromise, that there has not been a double
recovery, and that NO off-setting anti-
duplication credit is appropriate . . . .
In essence, where there is an employer intentional wrong tort
litigation settlement, plaintiff asks us to treat the workers'
compensation carrier's lien as an equitable lien, subject to such
equitable considerations as whether plaintiff has yet been fully
recompensed for his injuries and to credit the carrier with only so
much of the tort settlement as reflects an excess. The result here
would be that the carrier would have no lien against the tort
settlement proceeds as plaintiff contends those proceeds, even when
combined with his workers' compensation benefits, do not fully
compensate him for his injuries. And, to be sure, we have in other
contexts imposed similar equitable lien concepts. See Werner v.
Latham,
332 N.J. Super. 76 (App. Div. 2001) (health benefits
insurer's contractual lien upon tort settlement proceeds requires
equitable considerations and matter was remanded for a hearing to
determine whether plaintiff had been fully compensated for his
damages before lien could attach); Charnecky v. American Reliance
Ins. Co.,
249 N.J. Super. 91 (App. Div. 1991), aff'd o.b.,
127 N.J. 188 (1992) (where uninsured motorist settlement and workers'
compensation benefits, combined, may not fully compensate injured
employee, N.J.S.A. 34:15-40 does not apply, rather, equitable
considerations required a determination of whether employee was
made whole and lien could attach only to excess), overruled,
Frazier v. New Jersey Mfrs. Ins., supra, 142 N.J. at 605.
Plaintiff's arguments are not entirely without merit.
Defendants are plaintiff's employers. They are not "third person"
entities, so to speak. The statutory lien, then, could reasonably
be said not to apply to a recovery from them in the intentional
tort litigation. And, while Millison did recognize that credit for
the workers' compensation benefits would be appropriate, the credit
the court envisioned was to be accorded "to the extent that the
civil damages award [or monies received by plaintiff employee in
settlementSee footnote 33] would serve as a double recovery." Millison v. E.I.
du Pont de Nemours, supra, 101 N.J. at 187 (emphasis added). The
use of the phrases "to the extent" and "would serve as a double
recovery" could be construed as calling for an equitable lien
because, if the monies received in the tort litigation and the
workers' compensation benefits do not fully compensate plaintiff,
as is contended here, how can there be a double recovery?
Moreover, the "double recovery" that a workers' compensation
lien is intended to prevent does not neatly fit the circumstances
here. As explained in 6 Arthur Larson and Lex K. Larson, Larson's
Workers' Compensation Law, § 110.02 at 110-3 to -4 (2002):
It is equally elementary that the claimant
should not be allowed to keep the entire
amount both of his or her compensation award
and of the common-law damage recovery. The
obvious disposition of the matter is to give
the employer so much of the negligence
recovery as is necessary to reimburse it for
its compensation outlay, and to give the
employee the excess. This is fair to everyone
concerned: the employer, who, in a fault
sense, is neutral, comes out even; the third
person pays exactly the damages he or she
would ordinarily pay, which is correct since
to reduce the third party's burden because of
the relation between the employer and the
employee would be a windfall that the third
party has done nothing to deserve; and the
employee gets a fuller reimbursement for
actual damages sustained than is possible
under the compensation system alone.
[Emphasis added.]
Where, however the tortfeasor is the employer, the employer is not
"neutral" and, if entitled to a lien, would not in the tort
litigation "pay[s] exactly the damages he or she ordinarily
pay . . . ," or "come out even." This is so because, facially, the
employer has paid damages from its tort pocket, but took some of
that payment back from its workers' compensation pocket.See footnote 44
Nonetheless, we think the workers' compensation carrier was
properly accorded a dollar for dollar lien here for two reasons.
First, the "double recovery" referred to by the Millison Court
within the context of an injured employee's receipt of both
workers' compensation benefits and civil damages for the same
injuries focuses upon the notion that an employee cannot have both.
As the Court observed in Frazier v. New Jersey Mfrs. Ins., supra,
142 N.J. at 596-98:
"The Workmen's Compensation Act, as enacted
in 1911 [L. 1911, c. 95], did not provide for
the employer's recovery from the third person
alleged to be responsible for the injuries
sustained." Johns-Manville Prods. Corp. v.
Dronebarger,
211 N.J. Super. 520, 524 (Law
Div. 1986). Hence, an employee who recovered
against a liable third party was entitled to
keep 100% of the workers' compensation
benefits, as well as 100% of any third-party
recovery. "Thus, an injured employee was in
some instances permitted a double recovery."
Ibid.
To overcome the inequity of double
recovery, the Legislature amended the Workers'
Compensation Act in 1913 by adding N.J.S.A.
34:15-40 (section 40), (L. 1913, c. 174, § 8).
Newark Paving Co. v. Klotz,
85 N.J.L. 432
(Sup. Ct.), aff'd,
86 N.J.L. 690 (E. & A.
1914). With minor changes in 1931 (L. 1931,
c. 279, § 3), 1936 (L. 1936, c. 162, § 1),
1951 (L. 1951, c. 169, § 1), and 1956 (L.
1956, c. 141, § 6), the 1913 amendment became
codified in N.J.S.A. 34:15-40 . . . .
. . . .
[s]ection 40 provides that an employee will be
"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."
[Emphasis added.]
That is to say, while an employee may pursue both compensation
benefits and common-law tort damages, he may not keep both.
Allowing equitable considerations to permit an employee to retain
all or a part of both his or her compensation benefits and tort
proceeds would allow recovery of both. Further, the "to the
extent" language in Millison probably reflects the Court's
recognition that employer intentional wrong is difficult to prove
and a plaintiff, therefore, may well not obtain any monies at all
in the tort litigation.
Second, we agree with the motion judge's characterization of
the tort litigation as the equivalent of a "third person" action.
In this respect, the "third person" concept in N.J.S.A. 34:15-40
has been broadly applied to both true third person tortfeasors and
tortfeasors who are the "functional equivalent." Frazier v. New
Jersey Mfrs. Ins., supra, 142 at 598 (statutory lien applied to
attorney malpractice damages); Midland Ins. Co. v. Colatrella,
102 N.J. 612, 618 (1986) (statutory lien applied to uninsured motorist
insurance recovery). We are convinced the intentional wrong civil
tort litigation against defendants is the functional equivalent of
a "third person" tortfeasor suit. Where an employee has pierced
the threshold of the compensation bar, he or she has established
that the employer's conduct is beyond the "natural risk[s] of"
employment and does not "arise[] out of" the employment
relationship. Laidlow v. Hariton Machinery Co., Inc.
170 N.J. 602,
606 (2002). In effect, the employer has stepped out of its
employer shoes into those of an actionable tortfeasor. See N.J.
Practice Series, Workers' Compensation Law, § 17.13 "Third-Party
Liens" ("The lien of the employer may be asserted upon any third
party including those that involve intentional wrong" (citing
Millison v. E.I. du Pont de Nemours, supra,
101 N.J. 161)); 6
Arthur Larson and Lex K. Larson, Larson's Workers' Compensation
Law, supra, § 103.02 at 103-07.
Other states that have considered the issue, usually in the
context of whether the employee must elect one or the other remedy,
have required an offset or lien. For instance, the Supreme Court
of Connecticut, in holding that an employee may seek both workers'
compensation benefits and civil tort damages where the employer
commits an intentional tort, also held that the employer must be
entitled to an offset for the compensation benefits paid to avoid
double recovery, observing:
This approach is not without precedent. See, e.g.,
Whitney-Fidalgo Seafood, Inc. v. Beukers,
554 P.2d 250, 254 (Alaska 1976) (court held that mere
acceptance of workers' compensation benefits by the
employee did not constitute an election and
therefore the employee could bring his common law
suit, but payments made would be applied against
any damage judgment he obtained); and Worthington
v. Industrial Commission of Arizona,
85 Ariz. 310,
316,
338 P.2d 363 (1959) (court held that receipt
of workers' compensation benefits did not cause a
widow to lose her rights to bring a wrongful death
action although the sum received in the tort
settlement could be offset against the amount of
any compensation recovery); Mike v. Aliquippa,
279 Pa.Super. 382, 393,
421 A.2d 251 (1980) (court held
that any compensation benefits that had been
accepted would be duly credited against any
recovery from the tort action to prevent any
possibility of double recovery).
[Suarez v. Dickmont Plastics Corp.,
639 A.2d 507,
515-16 (Conn. 1994).]
See also Gagnard v. Baldridge,
612 So.2d 732, 736 (La. 1993)
(employer entitled to offset in intentional wrong suit, but only
for monies received for past and future wages and medical
expenses.). On the other hand, a few states have strictly
required an election, thus obviating the necessity for a lien or
offset. See 6 Arthur Larson and Lex K. Larson, Larson's Workers'
Compensation, § 115.02 at 115-2. Only Ohio has allowed an employee
to seek both types of remedies and keep both the compensation and
tort damages award. Jones v. VIP Dev. Co.,
472 N.E.2d 1046 (Ohio
1984).See footnote 55
Irrespective of foreign jurisdiction law on the issue,
Millison has clearly permitted an employee to pursue both remedies,
but recognized that the employer retains the right to a lien or
offset for compensation benefits against monies obtained in the
tort litigation. We are convinced this is a section 40 lien.
Affirmed.
Footnote: 1 1On appellants' reply brief is the following "note":
The sole respondent on appeal will be C & K Moulding Co., Inc. whose interests on the motion which produced the order under review were advanced by the workers' compensation carrier, State Claims Adjusters, Inc. Footnote: 2 2The workers' compensation benefits paid to plaintiff Manuel Calalpa (hereinafter plaintiff) were paid by defendant C & K Moulding Co., Inc.'s workers' compensation insurance carrier. The tort litigation settlement monies were paid by defendant Dae Ryung Co., Inc.'s liability insurance carrier. But, although separate corporate entities, the record fairly well establishes a close interrelationship _ both operate out of the same premises, both engage in the same work, both have the same corporate agent who also is their landlord, both filed joint tax returns, both, in this litigation, filed a joint answer (although Dae Ryung later filed a separate answer), and, finally, deposition testimony of their employees and representatives can fairly be read to describe them as indistinguishable. Indeed, when both defendants initially, albeit unsuccessfully, moved for summary judgment relying upon the workers' compensation bar, they asserted they were plaintiff's joint employers. Footnote: 3 3We recognize that Millison refers to a "trier-of-fact" adjudication. Millison v. E.I. du Pont de Nemours, supra, 101 N.J. at 187. But we find it hard to ascribe to our Supreme Court a lack of understanding that many of these cases are settled. We are sure the offsetting credit was thought to encompass all monies a plaintiff might obtain from an intentional wrong tort employer, whether by verdict or by settlement, just as would occur in what might be considered the typical third person tort litigation. Footnote: 4 4Under the particular facts here, the appearance of the employer giving from one pocket and taking back from the other is not entirely accurate. As we have previously said, the workers' compensation benefits were paid by C & K Moulding's insurance carrier whereas the tort settlement was paid by Dae Ryung Co.'s liability carrier. We suppose in most instances of employer intentional wrong tort actions there will be two different pockets _ the workers' compensation insurance carrier and the liability insurance carrier. Footnote: 5 5Jones was superceded by the Ohio Tort Reform Act, Ohio Rev. Code Ann. § 2317.45, that required collateral benefits received by a party to be deducted from a jury verdict. Felden v. Ashland Chem. Co., Inc., 631 N.E.2d 689, 702-03 (Ohio Ct. App. 1993). Jones, has however, apparently been resurrected by a declaration of the act's unconstitutionality. Johnson v. BP Chemicals, Inc., 707 N.E.2d 1107 (1999). The act, moreover, was repealed in 2001.