Recovering Workers’ Compensation Lien Out Of Legal Malpractice Recovery In California

There is little law in California regarding the subrogation/reimbursement and/or future credit rights of an employer or workers’ compensation carrier when an employee makes a third-party recovery because of legal malpractice in the handling of the employee’s attorney. This is surprising, given that California usually leads the nation on cutting-edge issues such as this. Despite the paucity of lCalifornia Gavelaw on the subject, a recent Workers’ Compensation Appeals Board (W.C.A.B.) order seems to congeal the limited precedent out there into a ruling that prohibits the carrier from subrogation/reimbursement rights or the right to a future credit out of a legal malpractice tort recovery.

If an employee’s third-party tort claim is harmed due to the legal malpractice of the employee’s attorney, such as a complaint is not filed until after the statute of limitations has run, states differ as to whether the worker’s compensation carrier should benefit from the employee’s legal malpractice lawsuit and recovery. States including Alaska, Minnesota, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, and Virginia allow the worker’s compensation carrier to be reimbursed out of and take a future credit for any recovery the employee makes in such an action. Other states, including Alabama, Arizona, Connecticut, Delaware, Florida, Illinois, Iowa, Louisiana, Michigan, Missouri, North Carolina, North Dakota, and Wisconsin, do not. The remaining states are either undecided or have precedent which is murky and unclear on the subject.

The only California decision on this subject that does exist appears to deny the employer and/or carrier a right of subrogation and/or reimbursement out of the proceeds of a successful legal malpractice action. In Soliz v. Spielman, 118 Cal. Rptr. 127 (Cal. App. 1974), an employee who had collected worker’s compensation benefits hired a lawyer to bring a third-party action against the party responsible for causing the work-related injury. The attorney waited until after the statute of limitations ran before he filed the lawsuit, resulting in dismissal. The employee thereafter brought a legal malpractice action against the attorney, and the worker’s compensation carrier intervened and filed a notice of lien claim. After two days of trial, the employee settled the malpractice action and the Superior Court struck the carrier’s notice of lien. On appeal, the Court of Appeals held that the plaintiff’s attorney who allowed the statute of limitations to run was not liable to the employer or carrier who would have had a right of reimbursement had the third-party lawsuit been successful. The reason it gave — the employer was entitled to bring its own third-party suit against the tortfeasors but didn’t — seems both arbitrary and counter-productive to the public policy of limiting lawsuits, especially duplicative lawsuits. Nonetheless, that was their decision. It serves as a reminder to workers’ compensation carriers that, for several reasons, California remains a jurisdiction where you should engage subrogation counsel and intervene into existing third-party actions. Filing a notice of lien should be limited only to the smallest of liens where the financial loss of the plaintiff settling around the carrier is minimal.

The few W.C.A.B. decisions that discuss the issue of subrogating against legal malpractice actions are conflicting. Two of them hold that the lack of a duty owed by the employee’s attorney to the carrier, means that a legal malpractice third-party action could not be pursued. Assurance Co. of America v. Haven, 32 Cal. App.4th 78 (Cal. App. 1995); El Katan v. Barrett Business Services, Cal. Wrk. Comp. P.D. LEXIS 41 (2013). Another suggests that Soliz v. Spielman prohibits such an action. Escamilla v. Cacique, Inc. and Travelers Ins. Co., No.: ADJ7653984 (W.C.A.B.-Bakersfield District Office, Nov. 16, 2016). However, two more W.C.A.B. decisions hold that “recover” as contemplated in § 3861 includes proceeds from “fourth-party” claims (legal malpractice and bad faith claims) filed by an employee. Monarrez v. W.C.A.B., 56 Cal. Comp. Cases 453 (writ denied 1991); Myrick v. W.C.A.B., 63 Cal. Comp. Cases 772 (1998). In this connection it should be noted that W.C.A.B. panel decisions are not binding, while en banc decisions are binding. Gee v. W.C.A.B., 96 Cal. App.4th 1418 (Cal. App. 2002). However, the W.C.A.B. may consider panel decisions to the extent they are persuasive. Guitron v. Santa Fe Extruders, 76 Cal. Comp. Cases 228 (2011).

In Escamilla v. Cacique, Inc. and Travelers Ins. Co., the employee’s attorney filed the third-party suit after the statute expired, and the carrier intervened. The carrier did not file its own action. After the employee recovered $179,805 in the legal malpractice suit, the carrier applied for a future credit with the W.C.A.B. The workers’ compensation administrative law judge denied the petition for a credit, and the carrier sought reconsideration en banc. The W.C.A.B. affirmed the workers’ compensation administrative law judge, referring to legal malpractice cases as “fourth-party” actions, and noting that the carrier failed to fulfill certain procedural filing requirements. Cal. Code Regs. §§ 10205, 10205.12, and 10301. The label of “fourth-party action” is technically a misnomer, because the term “third-party” refers to a party other than the employee and the employer, which would include a lawyer from whom a legal malpractice recovery is made. However, the distinction the court made is that, while a medical malpractice action involves negligence which exacerbates or increases the amount the worker’s compensation carrier has and will pay to or on behalf of the employee, a legal malpractice action does not. In its order, the Board again noted that the carrier could have filed, but chose not to file, its own third-party action against the tortfeasor.

It now appears that in California, in addition to the threat of the employee settling around the workers’ compensation carrier, any dismissal of the third-party action due to the plaintiff’s attorney’s negligence will leave the carrier empty-handed. States that have allowed subrogation against legal malpractice actions, such as New York, use the logic that the carrier should be subrogated to any remedy that allows the employee satisfaction of his damages. McDowell v. LaVoy, 408 N.Y.S.2d 148 (N.Y. App. 1978), aff’d, 390 N.E.2d 1179 (N.Y. 1979).

While the law appears to lean in favor of disallowing a worker’s compensation carrier in California to recover its lien and/or a future credit out of a recovery obtained in a legal malpractice action, the lesson learned is that California remains a state in which a subrogated carrier has no choice but to engage qualified workers’ compensation subrogation counsel to protect its subrogation/reimbursement and future credit rights.

If you should have any questions regarding this article or workers’ compensation subrogation in general, please contact Hector Salitrero at [email protected]. Hector is in the managing partner of MWL’s Los Angeles office.

SHARE THIS:
Hector E. Salitrero
Partner

Hector E. Salitrero is an insurance trial lawyer and the managing partner of Matthiesen, Wickert & Lehrer, S.C.’s California office. Hector is licensed to practice law in all state and federal courts in California and is also licensed in Wisconsin.