Mesothelioma Law Suit Runs Into Problems Due to Plaintiff’s Failure to
Notify Insurance Company of Settlement*
Summary:
This is a review of a mesothelioma law suit
appeal. The main issue of the appeal was the lower court’s decision to
bar the wife of
a deceased and formerly injured man from receiving workers'
compensation death benefits after the woman, on behalf of her
husband’s estate, settled a lawsuit with a third party.
Normally,
a person can receive both workers' compensation and an
award from a settlement with a third party for the same injury,
but
there are certain rules that apply. The plaintiff in this case had
inadvertently violated one of those rules, namely the requirement that
the person receiving the benefits must get the consent of the court or
the insurance
company to the settle with the third party within three
months of the agreement.
The woman, distraught with her husband's death,
had failed to make
the proper notifications and the lower court had ruled she was no
longer eligible to receive her husband's benefits. She and her attorney
appealed the case, citing her emotional distress at the time of the
infraction.
Statement of Facts...
In
2009 Greg Lauter commenced a mesothelioma law suit against
Catstate Properties LDT and BQ Orange Industries seeking damages for
injuries he sustained from the inhalation of asbestos. At
the same
time, he also filed a disability
claim for workers compensation
benefits with DOL Insurance Company. When he died several months later
in 2010 from complications from mesothelioma lung cancer, his wife
pursued both cases on his behalf.
Greg Lauter began working at BQ Orange in 1998.
His job duties
included pipe fitting and welding. The building in which he was
employed was built in 1972 and at the time of its construction was
owned by Catstate. During his employment at Orange, Lauter was
unknowingly exposed to the asbestos used during the building’s
construction.
Beginning
in 2006, Lauter began to suffer shortness of breath and a
general weakness. His limbs also began to ache and he
complained often
of flu like symptoms. Over the next few years his condition worsened
until in 2008 he was too weak to work any longer. At about that time
Lauter was diagnosed with mesothelioma lung cancer.
In 2009 Lauter filed suit against Catstate for
personal injuries he
sustained as a result of the asbestos he inhaled. Once he died, his
wife Leigh modified the original petition to include a claim for
Lauter’s wrongful
death. Lauter also sued Orange for workers'
compensation benefits.
Four months into the lawsuit, Leigh Lauter entered
into settlement
negotiations with Catstate. Eventually Calstate and Lauter came to a
settlement agreement in the full amount of $750,000. Lauter continued
to press on with her husband’s workers' compensation claim
against Orange and the DOL Insurance Company. Lauter never notified
either Orange or DOL of her settlement with Calstate.
Upon learning of the settlement
in the mesothelioma law suit between
Lauter and Catstate, DOL
filed an intervening petition in the suit
requesting that the workers' compensation benefits presently being paid
to Lauter’s estate be suspended.
In support of their request, DOL cited the
provisions of workers'
compensation law which provided that a plaintiff may settle a third
party lawsuit arising out of the same conditions which were alleged to
have caused the injury only if the injured party notified the insurance
company or the court within three months of the settlement and obtained
the insurance company’s prior consent to settle, or with the
express approval of the court having jurisdiction over the claim.
In its request to have Lauter’s workers'
compensation death
benefits discontinued and forfeited, DOL cited the state workers'
compensation statute which read in part:
The failure to obtain either the
insurance company’s
(the carrier’s) consent or court approval with three (3)
months of any settlement will bar the plaintiff from receipt of
further workers
compensation benefits.
In her response Lauter argued she previously
discussed the possible
settlement with DOL’s representatives. Lauter contended she
spoke with several employees she contacted at the insurance company.
She was though ultimately unable to recall the names of the persons at
DOL she said she spoke with.
Lauter also contended she was too upset
and overwhelmed by the death of her husband Greg Lauter and as a result
was confused about many of the laws and regulations surrounding the
lawsuit.
Outcome...
After hearing all the evidence duly admitted in
the appeal of the
mesothelioma law suit, and after hearing arguments from all interested
parties and their counsel
the court ruled as follows:
Although we can empathize with the
plight of the plaintiff,
especially as the evidence was clear she had much to do in the months
and days leading to her husband’s death from mesothelioma lung
cancer, we must at long last hold her to the law as we would any other
individual seeking the recourse she prays for.
The
plaintiff’s
offer of evidence to support her contention of timely notification to
the defendant DOL Insurance Company is unsupportable by the evidence.
The only notification by the plaintiff
came after the lawsuit with BQ
Orange Industries was settled 10 months after the original lawsuits
were filed. The language in the statute
leaves us no room for
interpretation. It is clear on its face and must be respected by all
parties whom wish to invoke its authority.
The mandate of this court was to
decide whether the plaintiff
afforded the defendant DOL Insurance company notice of their
settlement with Catstate Properties LTD. And if that notice was
given, whether it was done so within the statutory three (3) month
period after the initial lawsuit
was filed by the plaintiff.
Additionally, and in the alternative
this court was asked to decide
if the plaintiff sought permission of the lower court to settle its
case with Catstate Property LTD. and if so whether such notice was
made to the court within the requisite three (3) month
period.
We
find in both matters the plaintiff wholly failed to make
proper notifications to either DOL Insurance Company, or to the
Court. We also find neither DOL Insurance Company, nor the
Court ever
expressed their acknowledgment or permission for the plaintiff to
settle the case with Catstate Properties LTD.
We therefore sustain the lower court's
decision and find for
the defendants.
Important
Points...
- Normally when an employee is
covered by workers' compensation
insurance and he is injured the law permits him only to seek
compensation for his injuries from his employer’s workers'
compensation insurance. There are exceptions to that rule.
When during
his employment the injuries are a result of a "third party" the injured
party is usually permitted to pursue a claim
against that third party.
There is a procedure to do so, and if that procedure is not followed
the injured party may lose his workman's compensation benefits.
When
an injured party fails to notify either the insurance company
or the court of their settlement with a third party, the court may
discontinue any further workman's compensation benefits.
- Appeals are
normally made when one party in a lawsuit is
dissatisfied with the results, but appeals can't be successful
unless there exists an issue of law to be reviewed.
Sometimes,
the issue of facts and the law become intertwined. In
this case, the law required three months notification of the settlement
of the original mesothelioma law suit. The facts included the
plaintiff’s failure to prove notice was timely given.
Appeals
such as the above case are not heard by another jury.
Instead they are heard by an appellate court. Depending upon
the state
and the level of the court, an appeal can be heard by one judge, or all
the way up to the United States Supreme Court, by nine judges.
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*This
case example is for educational purposes only. It is based on actual
events although names have been changed to protect those involved. Any
resemblance to real persons or entities is purely coincidental.
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