Sperling v. Board of Review
Sperling v. Board of Review
Dissenting Opinion
dissenting.
I respectfully disagree with my colleagues. The plain import of N.J.S.A. 43:21-30 is that State Temporary Disability Benefits are to be withheld only with respect to those weeks for which the claimant has recovered workers’ compensation benefits for the same period of temporary disability pursuant to N.J.S.A 34:15-12(a).
My colleagues are correct that merely because the benefit comes by way of a settlement and dismissal under N.J.S.A. 34:15-20 does not mean that there can be a duplication of benefits. Nor should we permit any device or tactic to deny the State Temporary Disability Plan the opportunity to contest payment of benefits where one is not entitled.
Here, however, it is clear that the $1,500 paid under section 20 represents only a nuisance settlement for a non-work related accident with the claimant receiving only $1,000 after counsel fees. A section 20 dismissal, when approved by a compensation judge, is “a complete surrender of any right to compensation.” Id. The spirit, and I believe the letter, of N.J.S.A 43:21-30 compels the conclusion that, if the claimant proves his disability and entitlement to benefits for a period that is longer than the compensation he received would cover, he is then entitled to State Temporary Disability for the additional period not covered by Workers’ Compensation.
Opinion of the Court
The opinion of the court was delivered by
This is an appeal from the denial of appellant’s application for temporary disability benefits. The Board of Review adopted the Appeal Tribunal’s finding that appellant was barred from receiving disability benefits because he had obtained a lump sum settlement of his workers’ compensation claim under N.J.S.A 34:15-20 for the same injury. We agree with the Board’s decision.
Appellant was involved in an automobile accident on November 2, 1992.' At the time of the accident, appellant just had left his mechanic who had installed a water pump in his personal automobile which he also used for business purposes. Appellant was
Appellant filed a petition for workers’ compensation, claiming that his injury and consequent disability were work-related. According to appellant’s testimony, in April or May 1993, he applied to the Division of Temporary Disability Insurance for disability benefits. The Division never received that application. On June 10, 1993, appellant’s attorney filed with the Division a certification indicating that a workers’ compensation petition had been made and that the case was contested. The Division sent a letter to appellant, dated August 11, 1993, notifying him that it had received the attorney’s certification but noting that it had no record of a temporary disability claim. Appellant never responded to this letter.
On October 25, 1994, appellant entered into a settlement of his workers’ compensation claim pursuant to N.J.S.A. 34:15-20. Under the settlement, $500 was devoted to counsel fees and court costs. Appellant received $1,000 in full settlement of his claim. On July 27, 1995, appellant applied to the Division for temporary disability benefits. However, the Division found that appellant was ineligible because he had received a workers’ compensation award for the same disability. This appeal followed.
This appeal presents questions relating to the interplay between the Workers’ Compensation Act (N.J.S.A 34:15-1 to -128) and the Temporary Disability Benefits Law (N.J.S.A. 43:21-25 to -56). The purpose of the Workers’ Compensation Act is to compensate workers who become disabled by reason of work-related accidents. N.J.S.A. 34:15-1. When originally adopted, “no provision [was]
Our Supreme Court has said that “the overriding legislative plan and its practical operation [are] fairly evident.” Janovsky v. American Motorists Ins. Co., 11 N.J. at 5, 93 A2d 1. In describing these provisions, the Court noted:
Where an employee is disabled by accident or illness he will generally be entitled to benefits under either the compensation law or the benefits law, but not under both. If liability under the compensation law is clear, payment will be made thereunder, and if absence of liability under that statute is clear, payment will be made under the benefits law. If, however, as in the instant matter, the occurrence is in a twilight zone, with liability under the compensation law doubtful and dependent on the outcome of contested proceedings, immediate payment to help tide the worker over during his inability to work should be permissible and, indeed, readily available, under the benefits law, with full reimbursement from any award subsequently rendered in the compensation proceeding.
[Ibid, (citation omitted).]
We thus hold that an individual who settles a workers’ compensation claim may not obtain temporary disability benefits for the same injury. Receipt of a lump sum settlement under N.J.S.A 34:15-20 constitutes an implied acknowledgment that the claimant’s disability was work-related and compensable under the Workers’ Compensation Act. Cf. In re Douglas H. Paterson, 298 N.J.Super. 333, 689 A.2d 772 (App.Div. 1997).
Affirmed.
Reference
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- MARK SPERLING v. BOARD OF REVIEW
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- 9 cases
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- Published