Workers Comp Liens on Legal Mal Actions: The Way it Used to Be

Wausau Ins. Companies v. Fuentes,  215 N.J. Super. 476, 522 A.2d 440 (1986).

NJ Underyling Worker’s Compensation Lien on legal mal cause of action .

Student Contributor: Anthony J. Forzano

Facts: Worker, who suffered job-related accidental injury and received workers' compensation benefits, brought a legal malpractice action against attorney that had failed to file products liability action within limitations period against manufacturer of machine upon which worker was working at time of injury. Worker obtained a compensation settlement of $115,000 and $670 a month for the rest of defendant's life. Workers' compensation carrier then asserted lien. The Superior Court recognized compensation carrier's lien, and appeal was taken. The Appellate Division held that worker's compensation lien stops at the payments actually made by a third person whose tortious conduct contributed to happening of industrial accident; therefore, worker's compensation carrier had no lien upon settlement fund recovered in legal malpractice action brought against attorney. The insurance company appealed.

Issue: Does a lawyer who committed malpractice take on the legal status of a “Third Person” as it pertains to the ability for an Insurance company to assert a lien for workers compensation benefits paid?

Ruling: No.  

“We hold that plaintiff's right of recovery goes no further than to payments actually made by the “third person” whose tortuous conduct contributed to the happening of the industrial accident. The lawyer whose delinquency deprived the employee of a possible recovery from the machine manufacturer does not take on the identity of the statutory “third person.”

The court in part based their opinion on the that fact that it would not have been known whether the compensation payments covered by the carrier's compensation lien would even have been recoverable in the malpractice action. The court held

“Since only the carrier was entitled to those monies, and it was able to sue for them in its own right, N.J.S.A. 34:15-40(f), they could hardly be claimed as an element of damage suffered by defendant as a result of her former attorney's malpractice or contemplated as such by the malpractice settlement.”

Lesson: If a third party with a pecuniary interest in a case wishes to bring an action for malpractice against an attorney on the grounds that his malpractice damaged them, then they must follow the statutory guidelines and bring the action themselves. One cannot rely on the result of a malpractice case, then attempt to recover money on a lien claiming that the attorney was a statutory “third person” who contributed to the original negligence.

Editor's Note: Make sure to see Frazier v. NJ Manufacturers' Ins. Co., 142 NJ 590 (1995), a more recent statement of the law in NJ on the workers compensation lien and whether it attaches to the legal malpractice cause of action. 

NJ: Workers Compensation Liens Attach to Legal Malpractice Recovery

Utica Mutual. Ins. Co. v. Maran & Maran, 142 N.J. 609 (1995)

NJ Underlying workers comp proceeding

Student Contributor:  Lisa Larato

Facts: Defendant Ingala sustained work related injuries and had been receiving workers compensation benefits from the Plaintiff, Utica Mutual Insurance Co. (Utica). Ingala retained a separate attorney to handle a products liability claim against the third party liable for his injuries. That attorney failed to file suit within the statute of limitations. Plaintiff then retained  Maran & Maran, to sue that attorney for malpractice. The malpractice suit settled for $585,000.

Utica contended that it had a workers compensation lien on the legal malpractice settlement proceeds, but Maran & Maran disagreed. Utica filed the instant lawsuit and the parties cross-filed for summary judgment. Maran & Maran argued that even if such a lien could attach to a legal malpractice recovery, it should not attach if the malpractice and workers compensation recoveries do not fully compensate the injured worker. They also argued that the workers compensation carrier had no claim because it failed to institute its own action against the tortfeasor.

The Superior Court, Law Division, granted Ingala and Maran & Maran’s motion and held that the lien did not attach to a malpractice recovery. Utica appealed, and the Supreme Court, Appellate Division, affirmed. Utica then moved for reconsideration and the Supreme Court granted that motion.

Issue: Whether, pursuant to N.J.S.A. 34:15-40, a workers compensation lien attaches to the proceeds of a malpractice suit brought to recover damages from an attorney who failed to institute an action against the third-party tortfeasor?

Ruling: The Supreme Court held that the statute establishing workers compensation liens prevents Maran & Maran from retaining any workers compensation benefits that have been supplemented by recovery against a liable third party, even if recovery and benefits when combined would leave Ingala less than fully compensated. Under N.J.S.A. 34:15-40, Utica is entitled to reimbursement, irrespective of whether or not Ingala is fully compensated.

Lesson: The Purpose of N.J.S.A. 34:15-40 is to prevent recovery from different sources for the same injury; no justification exists for allowing an injured employee who receives a legal malpractice recovery to be in a better position than an injured employee who recovers directly from the tortfeasor. The court reasoned that the “no double recovery” rule should not be different when the third-party recovery is against a party other than the tortfeasor.

 

NJ: No Double Recovery: Underlying Workers Comp Lien Attaches to Legal Malpractice Recovery


Frazier v. New Jersey Manufacturers Insurance Company, 142 N.J. 590, 667 A.2d 670 (1995) (pdf)

NJ: Underlying litigation; workers compensation lien

Student Contributor: Michael Park

Facts: Plaintiff was injured on the job while working for a third-party general contractor, and his attorney filed a worker's compensation claim against his employer's insurance carrier. However, his attorney failed to file a complaint against the third-party general contractor before the statute of limitations had run out. Plaintiff then retained a new lawyer to file a malpractice claim against his former attorney, and obtained a settlement. After learning of the settlement, the insurance carrier said it would file a lien against the recovery for legal malpractice. The matter went to court and the trial court ruled that the workers' compensation lien could not attach to his legal malpractice settlement. However, the Appellate Division reversed and held for the insurance carrier, and the plaintiff appealed.

Issue: Can a workers' compensation lien attach to the proceeds of a malpractice suit brought to recover damages from an attorney who failed to institute an action against the third-party tortfeasor responsible for the worker's injury?

Ruling: In affirming the Superior Court, Appellate Division, the Supreme Court held that a worker's compensation lien can attach to a legal malpractice settlement.

“It was the tortious act of the third party (the general contractor) that was the predicate for Frazier's malpractice action against his former attorney. But for the third-party tortfeasor's tortious conduct, Frazier would not have recovered against his attorney...No apparent justification exists for allowing an injured employee who receives a legal malpractice recovery to be in a better position than an injured employee who recovers directly from the tortfeasor. Malpractice claims that are derivative of third-party claims are therefore subject to the workers' compensation lien under N.J.S.A. 34:15-40."

Lesson: The Court did not want to allow the plaintiff to receive double recovery, pocketing the money from the legal malpractice settlement that arose from the attorney not filing a complaint against the original tortfeasor, and the money he received for workers' compensation for being injured. If the lien did not attach, he would be receiving compensation twice for the same injury.