No Insurance Section/Special Fund Division v. Industrial Commission

EHRLICH, Judge,

dissenting.

The majority’s determination that the No-Insurance Section/Special Fund Division *134(“Special Fund”) must pay a “benefit penalty” assessed against an uninsured employer for interposing a defense of fraud in bad faith is neither supported by statute nor justified by the policies and purposes underlying the Workers’ Compensation Act. Ariz.Rev.Stat. Ann. (“A.R.S.”) § 23-901 et seq. The fact that we must broadly interpret the provisions of the Act in order to promote its underlying purpose, see, e.g., Wiley v. Industrial Comm’n, 174 Ariz. 94, 100, 847 P.2d 595, 601 (1993), “to compensate an employee for lost earning capacity and to prevent the injured employee and dependents from becoming public charges during the period of disability,” Mail Boxes v. Industrial Comm’n, 181 Ariz. 119, 121, 888 P.2d 777, 779 (1995), does not justify the statutorily-questionable determination that the Special Fund is liable to pay the “benefit penalty” in this ease. I would set aside the award.

Beginning with section 23-1065(A), the section establishing the general purpose of the Special Fund and its funding, we are pertinently informed that:

The industrial commission may direct the payment into the state treasury of not to exceed one and one-half per cent of all premiums received by the state compensation fund and private insurance carriers during the immediately preceding calendar year____ Such assessments ... shall be no more than is necessary to keep the special fund actuarially sound. Such payments shall be placed in a special fund within the administrative fund to provide, at the discretion of the commission, such additional awards as may be necessary to enable injured employees to accept the benefits of any law of the state or of the United States, or both jointly, for the promotion of vocational rehabilitation of persons disabled in industry. [Emphasis added.]

The majority wholly ignores this statute and, more importantly, the clause emphasized above. As written, the statute provides that the only additional awards which the Special Fund can make — and, it should be noted, made only “at the discretion of the commission” — are those which will enable injured employees to take advantage of any state or federal program of vocational rehabilitation. As the “benefit penalty” assessed pursuant to section 23-930(B) is not, by its very nature, a “law ... for the promotion of vocational rehabilitation,” section 23-1065(A) provides no basis to support the Special Fund’s liability for such payments.

This reading of section 23-1065(A) also informs an understanding of the other relevant provisions of the Workers’ Compensation Act. See, e.g., Carter v. Industrial Comm’n, 182 Ariz. 128, 130, 893 P.2d 1291, 1293 (1995) (“[A] statute must be viewed as a whole and, where possible, intent given to all its parts.”). As a consequence, I also disagree with the majority’s interpretation of sections 23-907(B), 23-901(4) and 23-930(B).

Section 23-907(B) provides:

An employee of [an uninsured] employer ... may, in lieu of proceeding against the employer by civil action in court, file his application with the commission for compensation in accordance with the provisions of this chapter, and the commission shall hear and determine the application for compensation in the manner other claims are heard and determined before the commission. The compensation so determined shall be paid from the special fund established by § 23-1065 to the person entitled thereto after a finding and award for benefits has been issued and becomes final.

As defined in section 23-901(4), “compensation” means “the compensation and benefits provided by this chapter.” The majority adopts Leanza’s contention that these provisions, and more specifically the phrase “compensation and benefits,” should be broadly construed. I cannot agree. As stated above, section 23-1065(A) unambiguously sets forth the basis for making payments to injured employees from the Special Fund; neither a broad nor, as advocated by the Special Fund, strict interpretation of sections 23-907(B) or 23-901(4) is necessary or required. See, e.g., Mail Boxes, 181 Ariz. at 121, 888 P.2d at 779 (“Where language is unambiguous, it is normally conclusive, absent a clearly expressed legislative intent to the contrary.”). In neither statute is a legislative intent to include “benefit penalties” under section 23-930(B) as “compensation and benefits” either “clearly expressed” or implied.

*135Even an examination of section 2S-930(B) provides little, if any, support for the position taken by Leanza and the majority. That section provides:

If the commission finds that unfair claim processing or bad faith has occurred in the handling of a particular claim, it shall award the claimant, in addition to any benefits it finds are due and owing, a benefit penalty of twenty-five per cent of the benefit amount ordered to be paid or five hundred dollars, whichever is more.

The majority finds “it .significant that the legislature used the word ‘benefit’ in conjunction with the word ‘penalty’ ” and, as a result, presumes that the legislature “intended the penalty to be part of the benefit and thus fall within the definition of compensation.” In light of our duty to give words of a statute their ordinary meaning when there is no contextual need to do otherwise, see A.R.S. § 1-213; Mail Boxes, 181 Ariz. at 121, 888 P.2d at 779; Martinez v. Industrial Comm’n, 175 Ariz. 319, 322, 856 P.2d 1197, 1200 (App.1993), the majority’s conclusion is not supportable.

Although the Workers’ Compensation Act does not define the terms “benefit” and “penalty,” definitions are easily found. For example, Webster’s Ninth New Collegiate Dictionary 144, 869 (1987), defines “benefit” as “financial help in time of sickness, old age, or unemployment,” and “penalty” as “the suffering in person, rights, or property that is annexed by law or judicial decision to the commission of a crime or public offense.” Black’s Law Dictionary 158, 1133 (6th ed. 1990), respectively defines the terms as “[f]inancial assistance received in time of sickness, disability, unemployment, etc. either from insurance or public programs such as social security” and “[a]n elastic term with many different shades of meaning; it involves idea of punishment, corporeal or pecuniary, or civil or criminal, although its meaning is generally confined to pecuniary punishment.”

Certainly, there is no quarrel that Leanza would benefit from a payment of $500. That said, the majority’s emphasis on the word “benefit” ignores the crucial distinction between statutes intended to “benefit” an injured employee and, as with section 23-930, statutes intended to punish those who act in bad faith. The wording of the statute’s subsections makes clear the intent of the section to punish, as stated in subsection (A), “unfair claim processing or bad faith by an employer, self-insured employer, insurance carrier or claims processing representative.” In this penal context, the word “benefit” is more logically read as modifying the word “penalty,” not, as the majority and Leanza propound, the reverse. By the majority’s reasoning, the word “penalty” is rendered superfluous, a consequence proscribed by well-established rules of statutory construction. E.g., Fremont Indem. Co. v. Industrial Comm’n, 182 Ariz. 405, 408, 897 P.2d 707, 710 (App.1995) (court must giv.e meaning to each clause and word so as to avoid rendering any part of the statute superfluous) (citing Devenir Assoc. v. City of Phoenix, 169 Ariz. 500, 503, 821 P.2d 161, 164 (1991)).

Interpreting section 23-930(B) in this fashion also comports with the fact that, at least on appeal, there is no claim that the Special Fund itself engaged in bad faith.2 Because the Special Fund did not commit bad faith, there is no purpose in assessing the “benefit penalty” against it. This lack of justification for making the Special Fund pay the “benefit penalty” also undermines the majority’s adoption of the reasoning in Flores v. Workmen’s Compensation Appeals Board, 11 Cal.3d 171, 113 Cal.Rptr. 217, 520 P.2d 1033 (1974) (superseded by statute, 1976). Indeed, the California legislature’s swift nullification of the Flores decision suggests what I believe is the more prudent course: Let the Arizona legislature decide whether to amend the Workers’ Compensation Act to authorize the Special Fund to pay “benefit penalties” in cases when uninsured employers act in bad faith.

Finally, because I do not believe that the benefit penalty is part of the “compensation *136and benefits” which the Special Fund is obligated to pay to injured employees of uninsured employers, I part with the majority’s conclusion that the Special Fund would be statutorily eligible for reimbursement of the payment from the employer under section 23-907(C). There is absolutely nothing contradictory about opposing payment of “benefit penalties” under section 23-930(B) because they are unjustified and beyond the statutory scope of the Special Fund’s authority, and accepting penalty payments into the Special Fund under section 23-930(C).3 The latter is an administrative penalty that forms one of the statutorily accepted funding sources for the Special Fund, see section 23-1065(1); the former is not.

Based on the foregoing, I would set aside the ALJ’s award directing the Special Fund to pay the $500 benefit penalty.

. Leanza’s original claim asserted bad faith by the Special Fund. The record reveals, however, that she no longer pursued this contention after being informed that the Special Fund was not subject to investigation under the statute. As a result, we are not here asked to decide whether a "benefit penalty" can be assessed against the Special Fund because of any bad faith action or lack of action on its part.

. Section 23-930(C) provides:

If the commission finds that an employer, self-insured employer, insurance carrier or claim processing representative has a history or pattern of repeated unfair claim processing practices or bad faith, it may impose a civil penalty of up to one thousand dollars for each violation found. The civil penalty shall be deposited in the special fund.