Waldon v. Hartford Ins. Group
Waldon v. Hartford Ins. Group
Opinion
This is a workmen's compensation case. Mr. Anderson Waldon, Jr., was injured in a work-related accident on 31 March 1980. At that time he was working for J.A. Lett Construction Company, Inc. (Lett). Waldon received workmen's compensation benefits for injuries to his left leg which resulted from this accident. Later, Waldon became aware of additional injuries which, he contends, were the result of the same incident. The compensation carrier for Lett, Hartford Insurance Group (Hartford), refused to pay additional benefits for this injury.
Rather than suing for workmen's compensation benefits under the Compensation Act, §§
Two issues are presented for review: (1) Whether the employer, Lett, is immune from suit due to the exclusive remedy provisions of the Workmen's Compensation Act; and (2) Whether the employer's insurer, Hartford, is immune from suit brought by Waldon to recover for nonphysical injuries due to the exclusive remedy provisions of the Workmen's Compensation Act.
*Page 1273"No employee of any employer subject to this article, nor the personal representative, surviving spouse or next of kin of any such employee shall have any right to any other method, form or amount of compensation or damages for any injury or death occasioned by any accident proximately resulting from and while engaged in the actual performance of the duties of his employment and from a cause originating in such employment or determination thereof other than as provided in this article." (Emphasis added.)
It is well established that this provision precludes workmen from bringing claims outside the Act when such claims arise from work-related injuries. In Wilkins v. West Point-Pepperell,Inc.,
"We hold that the `exclusive remedy' sections of the Workmen's Compensation Act stand as an impenetrable barrier to the claims here sought to be asserted by the employee against his employer. §§
25-5-52 and -53, and25-5-3 and -4; see De Arman v. Ingalls Iron Works Co., Inc.,258 Ala. 205 ,61 So.2d 764 (1952)."Counsel's argument, particularly with reference to Plaintiff's `nonphysical injuries,' is commendably ingenious and highly persuasive; but it is in the nature of a policy argument which is more properly addressed to the legislature. However inclined we may be to accept Plaintiff's contention, we have no authority, constitutionally, statutorily, or otherwise, to judicially engraft an exception into the immunity provisions applicable to the employer. Clark v. Chrysler Corp.,
342 So.2d 902 (Ala. 1977); see, also, Adair v. Moretti-Harrah Marble Co., Inc.,381 So.2d 181 (Ala. 1980). By the explicit terms of the Workmen's Compensation Act, a compensable injury (and, in the case of pneumoconiosis, its aggravation) has its exclusive remedy against the employer under the act and not otherwise. Breimhorst v. Beckman,227 Minn. 409 ,35 N.W.2d 719 (1949). The trial court did not err in dismissing Plaintiff's claim against West Point-Pepperell."
For the reasons stated in Pepperell, Lett's motion to dismiss was properly granted by the trial court.
"The immunity from civil liability shall extend to any workman's compensation insurance carrier of such employer. . . ."
Waldon's argument is almost identical to that advanced and refuted in Wilkins v. West Point-Pepperell, supra.
It is well-settled that the exclusivity provisions of the Workmen's Compensation Act will not bar certain suits against workmen's compensation insurance carriers. In Fireman's FundAm. Ins. Co. v. Coleman,
On this subject, Professor Larson has stated that:
"[A] distinction should be drawn between the carrier's function of payment for benefits and services . . . and any function it assumes in the way of direct or physical performance of services related to the act."
Larson, Workmen's Compensation Insurer as Suable Third Party, 69 Duke L.J. 117 (1969).
Drawing on that reasoning, in Beasley v. MacDonald EngineeringCo.,
"In its role of supplying of the financial responsibility required of the employer *Page 1274 under the act, it is entitled to all of the rights of its insured under the act. . . ."
Under the facts of this case, where Waldon alleges an improper refusal to review a claim, Hartford clearly remains within the confines of the exclusivity provision of the Act. Waldon's dispute is with Hartford's failure "to supply the financial responsibility required" under the Act; its refusal to pay a claim. His common law claim is so interwoven with the compensation award under the provisions of the Act, that to allow an independent common law action would circumvent the statutory provisions and the policy behind the statute. For cases so holding, see: Gambrell v. Kansas City Chiefs FootballClub,
The motions to dismiss presented to the trial court by J.A. Lett Construction Company and Hartford Insurance Group were properly granted. The trial court's decision is due to be, and is hereby, affirmed.
AFFIRMED.
FAULKNER, ALMON and ADAMS, JJ., concur.
BEATTY, J., concurs in result.
Reference
- Full Case Name
- Anderson Waldon, Jr. v. Hartford Insurance Group
- Cited By
- 22 cases
- Status
- Published