1 Boney, Richard, Dec'd THIRD PARTY ACTIONS (RCW 1.) Multiple beneficiaries The third party recovery distribution is not altered when monies from third parties are received after a worker's death. Monies received after the death and a spouse's pension are not exempt from offset under the third party distribution scheme..in re Richard Boney, Dec'd, BIIA Dec., 1, (001) [Editor's Note: The Board's decision was appealed to superior court under Pierce County Cause No ] Scroll down for order.
2 BEFORE THE BOARD OF INDUSTRIAL INSURANCE APPEALS STATE OF WASHINGTON IN RE: RICHARD L. BONEY, DEC'D ) DOCKET NOS. 1, 1, ) 00 1 & 00 1 ) CLAIM NO. T- ) DECISION AND ORDER APPEARANCES: Joan Boney, Surviving Spouse of Richard L. Boney, Dec'd, by Schroeter, Goldmark & Bender, per Sidney S. Royer Self-Insured Employer, City of Tacoma, by Craig, Jessup & Stratton, per Richard A. Jessup Department of Labor and Industries, by The Office of the Attorney General, per Diane Hunter-Cornell, Assistant Joan Boney, the surviving spouse of Richard L. Boney, Dec'd, filed appeals with the Board of Industrial Insurance Appeals to four orders of the Department of Labor and Industries. Docket No. 1: Mrs. Boney filed a Notice of Appeal on May, 1, with the Board from an order of the Department of Labor and Industries dated April 1, 1. The Department order of April 1, 1, allowed the claim for spousal pension and ordered that the pension benefits would be deducted from the remaining third party recovery balance of $10,., until the total sum had been expended in benefits. AFFIRMED. Docket No. 1: Mrs. Boney filed an appeal on December 1, 1, with the Board from a Department order dated August, 1. The Department order dated August, 1, determined that no benefits or compensation would be paid until such time as the excess recovery totaling $,. had been expended for costs incurred as a result of the conditions covered under the claim. AFFIRMED. Docket No. 00 1: Mrs. Boney filed an appeal on February, 000, with the Board from a Department order dated June, 1. The Department order of June, 1, determined that no benefits or compensation would be paid until such time as the excess third party recovery totaling $1,0. had been expended for costs incurred as a result of conditions covered under the claim. AFFIRMED. 1 //01
3 Docket No. 00 1: Mrs. Boney filed an appeal on February, 000, with the Board from a Department order dated August, 1. The Department order of August, 1, determined that no benefits or compensation would be paid until such time as the excess third party recovery totaling $1,., had been expended for costs incurred as a result of conditions covered under the claim. AFFIRMED. PROCEDURAL AND EVIDENTIARY MATTERS Pursuant to RCW 1.. and RCW 1.., this matter is before the Board for review and decision on a timely Petition for Review filed by the self-insured employer to a Proposed Decision and Order issued on March 1, 001, in which the orders of the Department dated June, 1, August, 1 and August, 1 were affirmed, and the Department order dated April 1, 1, was reversed. The Board has reviewed the evidentiary rulings in the record of proceedings and finds that no prejudicial error was committed and the rulings are affirmed. DECISION The controversy in these appeals focuses on the whether the Department of Labor and Industries, pursuant to the third party recovery section of the Industrial Insurance Act, can offset the recovery against the pension benefits claimed by Mrs. Boney. In her Proposed Decision and Order, our industrial appeals judge relied on our decision in In re Lawrence Guyette, Dec'd, BIIA Dec., 0 (10), and determined that the third party recovery received during Mr. Boney's lifetime could not be used to offset the pension benefits due Mrs. Boney under her claim. Our industrial appeals judge also determined that the monies received after Mr. Boney's death could be used to offset the pension benefits due Mrs. Boney. We have granted review because we agree with the self-insured employer's position that all recoveries made by Mr. and Mrs. Boney prior to or after Mr. Boney's death may be used to offset Mrs. Boney's pension benefits due under this claim. To the extent that our decision in Guyette is inconsistent with this decision, it is overruled. Richard Boney suffered from epitheloid mesothelioma. This condition was accepted by the Department of Labor and Industries as an occupational disease. Mr. Boney and his wife, Joan Boney, brought a third party action against a number of asbestos manufacturers. The Boneys reached settlement with a number of the third party defendants. At the time of the settlement the Department of Labor and Industries, the third party, and Mr. and Mrs. Boney agreed that 0 percent of each gross recovery was attributable to a loss of consortium claim of Mrs. Boney and would be excluded from the third party distribution calculations.
4 As the monies were received from the various settlements, the Department issued third party distribution orders. These orders followed the statutory scheme calculating the amounts assigned to attorneys' fees and costs, the dollars due the Department and self-insured employer, and determined the excess recovery subject to offset. On February 0, 1, Mr. Boney died from mesothelioma. Subsequently, Mrs. Boney filed a claim for spousal benefits. On April 1, 1, the Department issued an order allowing Mrs. Boney's claim for pension benefits. The order also determined that Mrs. Boney's pension would be subject to the remaining third party recovery balance of $10,., until the total amount was expended. After Mr. Boney's death additional third party settlements were paid. These additional recoveries were distributed by Department orders dated June, 1, August, 1, and August, 1. These orders determined there was an additional excess recovery subject to offset in the amount of $,.0. Third party actions allow an injured worker to recover damages from responsible third parties, and, at the same time, seek industrial insurance benefits. The third party section of the Industrial Insurance Act is Chapter 1. of the Revised Code of Washington. RCW provides that: (1) If a third person, not in a worker's same employ, is or may become liable to pay damages on account of a worker's injury for which benefits and compensation are provided under this title, the injured worker or beneficiary may elect to seek damages from the third person.... () For the purposes of this chapter, "injury" shall include any physical or mental condition, disease, ailment or loss, including death, for which compensation and benefits are paid or payable under this title.... () For the purposes of this chapter, "recovery" includes all damages except loss of consortium. RCW provides for the method of the distribution of the amounts recovered under the third party statute. RCW 1..00(1)(e) provides that: Thereafter no payment shall be made to or on behalf of a worker or beneficiary by the department and/or self-insurer for such injury until the
5 amount of any further compensation and benefits shall equal any such remaining balance.... Thereafter, such benefits shall be paid by the department and/or self-insurer to or on behalf of the worker or beneficiary as though no recovery had been made from a third person. Our reading of the provisions of the third party chapter, RCW 1., reveals a legislative scheme that all excess third party recoveries must be exhausted before benefits, including surviving spouse benefits, are paid under the Industrial Insurance Act. The mandatory distribution scheme requires that excess third party recoveries related to the injury or disease that is the subject of the third party action, be used to offset industrial insurance benefits. In this case, Mrs. Boney's pension benefits are undisputedly related to Mr. Boney's occupational disease and subsequent death. The mandatory distribution scheme is not altered simply because a portion of the third party funds were paid before Mr. Boney's death. We fail to recognize a principled reason for treating settlement funds recovered prior to Mr. Boney's death differently from funds recovered after his death. This is especially true in light of the fact that all funds were recovered as a result of the worker's injury. (See RCW 1..00) Both the worker's and the beneficiary's right to bring a third party action and the beneficiary's right to receive industrial insurance benefits flow from the worker's injury (or disease). To the extent that the Guyette decision suggests that a spouse's pension is a separate claim for third party distribution purposes, it is overruled. The plain language of the third party chapter establishes that the Department was correct when it offset Mrs. Boney's spousal pension against all of the remaining balance of excess third party recoveries, including those received by Mr. Boney before his death. The Department orders are correct and should be affirmed. FINDINGS OF FACT 1. On March 1, 1, the Department of Labor and Industries received an application for benefits filed on behalf of the claimant alleging an occupational disease of asbestos-related mesothelioma. The claim was subsequently allowed and benefits were paid to the claimant. On July 0, 1, the Department issued a third party distribution order distributing third party recoveries received by Mr. Boney in the amount of $1,00, of which the self-insured employer received $,0. and the Department received $,1. for their statutory liens, and determined an offset of excess recovery in the amount of $1,1..
6 On December, 1, the Department issued an order distributing an additional third party recovery by Mr. Boney of $10,000 and determining an excess recovery in the amount of $,,. On December 1, 1, the Department issued an order distributing an additional third party recovery in the amount of $0,000 and determining an additional offset against excess recovery in the amount of $,.1. An additional order was issued on December 1, 1, distributing an additional third party recovery of $,000 and determining an offset of against excess recovery in the amount of $,.1. On December, 1, the Department issued an order distributing an additional third party recovery of $,000 and establishing a further offset against excess recovery in the amount of $,.1. On April 1, 1, the Department issued an order placing Joan Boney, the surviving spouse of a totally and permanently disabled worker, on the pension rolls, effective February 0, 1. On April 1, 1, the Department issued an additional order allowing the spouse's claim for a pension and then deducting her benefits from the remaining third party recovery balance of $10,.. On May, 1, Mrs. Boney filed a Notice of Appeal with the Board of Industrial Insurance Appeals from the April 1, 1 Department order. On July, 1, the Board issued an order granting the appeal, assigned Docket No. 1, and ordered that further proceedings be held. On June, 1, the Department issued an order distributing an additional third party recovery in the amount of $0,000 and determining an excess recovery in the amount of $1,0.. On or after January, 000, the claimant received the Department order dated June, 1. On February, 000, Mrs. Boney filed a Notice of Appeal with the Board of Industrial Insurance Appeals from the Department order dated June, 1. On March 1, 000. The Board issued an order granting the appeal, assigned Docket No. 00 1, and ordered that further proceedings be held. On August, 1, the Department issued an order distributing an additional third party recovery in the amount of $,00 and determining an offset against the excess recovery in the amount of $1,.. On or after January, 000, the claimant received the August, 1 Department order. On February, 000, Mrs. Boney filed a Notice of Appeal with the Board of Industrial Insurance Appeals from the Department order dated August, 1. On March 1, 000, the Board issued an order granting the appeal, assigned Docket No. 00 1, and ordered that further proceedings be held.
7 On August, 1, the Department issued an order distributing a further third party recovery in the amount of $,0.0 and determined a further offset against excess recovery in the amount of $,.. On or after November, 1, the claimant received the Department order dated August, 1. On December 1, 1, Mrs. Boney filed a Notice of Appeal with the Board of Industrial Insurance Appeals from the Department order dated August, 1. On January 1, 000, the Board issued an order granting the appeal, assigned Docket No. 1, and ordered that further proceedings be held.. Richard L. Boney contracted asbestos-related mesothelioma. This condition constitutes an occupational disease under the Washington State Industrial Insurance Act.. On September, 1, Richard L. Boney signed a third party election form pursuant to RCW Subsequently Richard and Joan Boney made a third party recovery against several asbestos manufacturers.. Twenty percent of the total third party recovery consisted of Mrs. Joan Boney's claim for loss of consortium.. Richard L. Boney died on February 0, 1, as a result of the effects of his occupational disease.. The third party recovery was received in part prior to Mr. Boney's death and part after his death. The excess third party recovery received prior to his death and subject to offset at the time of his death was the amount of $10,.. The amount of excess third party recovery received after his death and subject to offset was the amount of $,.0.. Mrs. Joan Boney, as the surviving spouse of a deceased worker whose death resulted from the occupational disease, is entitled to benefits pursuant to RCW CONCLUSIONS OF LAW 1. The Board of Industrial Insurance Appeals has jurisdiction over the parties and the subject matter to these appeals.. Pursuant to RCW 1..00, the Department and the self-insured employer are entitled to offset all excess third party recovery against the benefits paid or payable to Joan Boney under the provisions of RCW
8 The orders of the Department of Labor and Industries dated April 1, 1, June, 1, August, 1, and August, 1, are correct, and are affirmed. It is so ORDERED. Dated this th day of October, 001. BOARD OF INDUSTRIAL INSURANCE APPEALS /s/ THOMAS E. EGAN Chairperson /s/ JUDITH E. SCHURKE Member
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