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Oberson v. Federated Mutual Insurance

Court: Montana Supreme Court
Date filed: 2005-12-20
Citations: 2005 MT 329, 126 P.3d 459, 330 Mont. 1
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16 Citing Cases

                                          No. 04-807

               IN THE SUPREME COURT OF THE STATE OF MONTANA

                                          2005 MT 329


LORI OBERSON, as conservator of the
Estate of BRIAN MUSSELMAN, an
Incapacitated Person,

              Plaintiff and Respondent,

         v.

FEDERATED MUTUAL INSURANCE COMPANY,

              Defendant and Appellant.



APPEAL FROM:         The District Court of the Second Judicial District,
                     In and For the County of Silver Bow, Cause No. DV 2001-242,
                     Honorable John W. Whelan, Presiding Judge


COUNSEL OF RECORD:

              For Appellant:

                     Charles G. Adams, Esq., Keller, Reynolds, Drake, Johnson
                     & Gillespie, P.C., Helena, Montana

              For Respondent:

                     Keith Marr, Esq., J. David Slovak, Esq., Lewis, Slovak & Kovacich,
                     Great Falls, Montana



                                                            Submitted on Briefs: July 5, 2005

                                                                Decided: December 20, 2005

Filed:

                     __________________________________________
                                        Clerk
Justice Patricia O. Cotter delivered the Opinion of the Court.

¶1     Appellant, Federated Mutual Insurance Company (Federated) seeks subrogation

against Brian Musselman=s (Musselman) estate for workers= compensation benefits it paid

pursuant to a workers= compensation claim Musselman made against his Michigan-based

employer, International Engineering & Manufacturing, Inc. (International). Respondent, Lori

Oberson (Oberson), is Musselman=s sister who serves as the guardian and conservator of

Musselman=s estate, as he is incapacitated. Upon her motion, the District Court granted

Oberson summary judgment, concluding that Montana law governs this case and prevents

subrogation from Musselman=s personal injury tort award until Musselman is made whole.

¶2     Federated appeals the District Court=s grant of summary judgment in Oberson=s

favor. We affirm.

                                          ISSUE

¶3     The restated dispositive issue on appeal is whether Montana law governs a

subrogation claim brought by a workers= compensation insurer for reimbursement of benefits

paid to a Michigan worker who, injured while working in Montana, recovered a third-party

personal injury judgment in a Montana court?

                 FACTUAL AND PROCEDURAL BACKGROUND

¶4     On February 25, 1996, Musselman, a Michigan resident, suffered an incapacitating

head injury while working in Montana for his Michigan-based employer, International.

Following his injury, Musselman filed a workers= compensation claim in Michigan.

Concurrently, Musselman filed a personal injury claim against third-party tortfeasors in

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Montana pursuant to which the United States District Court for the District of Montana

awarded him a $11,296,800.00 judgment. After extensive litigation regarding the legitimacy

of Musselman=s workers= compensation claim, the Michigan Court of Appeals affirmed that

Musselman was acting in the course and scope of his employment when he was injured. (See

Musselman v. International Engineering & Mfg., Inc. (Mich. 2002), 651 N.W.2d 912

(Table), denying reconsideration). Federated then paid Musselman workers= compensation

benefits.

¶5     Musselman=s injuries are catastrophic and the cost of his life-long care will be

exorbitant. In granting Musselman $11,296,800.00 in damages, Montana=s federal court

found that Musselman=s injury resulted in cerebral spastic quadriparesis and an inability to

swallow or speak. Musselman now resides in an adult care facility. He will be fully

dependent on others and will require 24-hour care to attend to his basic needs such as

feeding, bathing, grooming, and dressing, for the rest of his life. Unfortunately, Musselman

will never recover the full amount of the judgment awarded him by Montana=s federal court,

as the court apportioned 10% of the fault for Musselman=s accident to Musselman himself,

40% to the United States Forest Service, and 50% to an insolvent third-party defendant.

Also, costs and attorney fees incurred in the litigation of Musselman=s claims further

reduced his recovery of the awarded judgment.

¶6     Federated filed a subrogation claim against Musselman=s Montana personal injury

award in Michigan=s workers= compensation court. In response, Oberson, on behalf of

Musselman, filed this declaratory action in Montana. On March 12, 2004, Oberson filed a

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motion for summary judgment in the District Court seeking a declaration that (1) Montana

law governs the enforceability of Federated=s subrogation interest, and (2) Montana law bars

Federated from recovering on a subrogation claim until Musselman is made whole.

Federated filed a cross-motion for summary judgment contending that Montana lacks

jurisdiction over this dispute and Michigan law should control.

¶7     The District Court heard oral argument on July 12, 2004, and on September 28, 2004,

the District Court granted Oberson=s motion for summary judgment.

                               STANDARD OF REVIEW

¶8     We review a district court=s grant of summary judgment de novo, and apply the same

criteria applied by the district court pursuant to Rule 56(c), M.R.Civ.P. Hanson v. Water Ski

Mania Estates, 2005 MT 47, & 11, 326 Mont. 154, & 11, 108 P.3d 481, & 11. A district

court properly grants summary judgment only when no genuine issues of material fact exist,

and the moving party is entitled to judgment as a matter of law. Baumgardner v. Pub. Empl.

Bd. of State, 2005 MT 199, & 14, 328 Mont. 179, & 14, 119 P.3d 77, & 14 (citations omitted).

                                      DISCUSSION

¶9     We are asked by the parties to determine whether Montana=s or Michigan=s

substantive law governs Federated=s subrogation interest in Musselman=s third-party tort

award. The underlying facts are not in dispute. Further, the parties agree that if Michigan

law applies, the District Court lacked jurisdiction to grant summary judgment and

Michigan=s courts are free to allow subrogation in keeping with Michigan law. The parties

also agree that if Montana law applies, our well-established “made whole” doctrine

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proscribes subrogation here.

¶10      First, Federated contends that comity demands we defer to Michigan=s workers=

compensation court to determine Federated=s subrogation interests in proceedings now

pending before that tribunal. Comity is Anot a rule of law@ but rather Aan expression of

one state=s entirely voluntary decision to defer to the policy of another.@ Simmons v. State

(1983), 206 Mont. 264, 289, 670 P.2d 1372, 1385 (citations omitted). Federated points us to

Siira v. Employers Mut. Liability Insurance Co. (Mich. Ct. App. 1979), 274 N.W.2d 26. In

that case a Montana resident, injured in Montana, received benefits under Montana=s

Workers= Compensation Act, and subsequently recovered a third-party judgment in

Michigan.      The Michigan Court of Appeals determined Montana law governed a

subrogation-related dispute between Mr. Siira and his employer=s workers= compensation

insurer. Notably missing from the Siira court=s decision, however, is any discussion

suggesting a Michigan public policy interest in retaining jurisdiction over the subrogation

issue.    In contrast, as illustrated below, Montana=s firm public policy disallowing

subrogation prior to full recovery by damaged parties is embodied in Article II, Section 16 of

Montana=s Constitution, and has been applied repeatedly by this Court. Therefore, with all

due respect to Michigan=s court, we reject Federated=s comity argument, and decline to

voluntarily relinquish jurisdiction over this dispute.

¶11      In the alternative, Federated argues that if Montana does have jurisdiction, the

Montana Workers= Compensation Court is the proper forum for resolution. We reject this

contention. Montana=s Workers= Compensation Court maintains limited jurisdiction over

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benefits flowing from Montana=s Workers= Compensation Act. Section 39-71-2905, MCA.

Federated concedes Musselman never filed for workers= compensation benefits in Montana.

The monetary recovery implicated here flows exclusively from tort damages suffered in

Montana, adjudicated in federal civil court, and directed by Montana=s substantive tort law.

Therefore, Montana=s Worker Compensation Court has no jurisdiction over this subrogation

issue.

¶12      Finally, Federated urges this Court to adopt § 185 of the Restatement (Second) on

Conflict of Laws (§185) concerning workers= compensation subrogation. Section 185

provides that the local law of the state in which workers= compensation benefits were paid

shall determine what interest the benefit-paying entity has in any recovery for tort. Were we

to agree with Federated, Michigan law would be applied to this dispute.

¶13      This Court has not adopted the Restatements of Law whole cloth, opting instead to

evaluate the language and provisions of the Restatements in light of Montana=s public

policies and the Legislature=s statutory guidance. Compare Phillips v. General Motors

Corp., 2000 MT 55, & 23, 298 Mont. 438, & 23, 995 P.2d 1002, & 23 (a conflict of law case

where we adopted the Amost significant relationship@ test from the Restatement (Second)

on Conflict of Laws to determine the applicable substantive law for issues in tort) to

Sternhagen v. Dow Co. (1997), 282 Mont. 168, 173-74, 935 P.2d 1139, 1142, (where we

acknowledged previous adoption of Restatement (Second) of Torts § 402A but rejected

corresponding comments to that section as inconsistent with established Montana law) and

Warnack v. Conen Family Trust (1996), 278 Mont. 80, 87, 923 P.2d 1087, 1091 (where we

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declined to adopt §§ 478 and 479 of the Restatement of Property which contradict Montana

jurisprudence). Moreover, in choice of law cases, this Court has consistently rejected rigid

rules, favoring the modern trend toward a Amore flexible approach which permits analysis of

the policies and interests underlying the particular issue before the court.@ Phillips, ¶ 22

(citation omitted). Finally, as noted above, the workers= compensation context giving rise to

the parties= relationship here is of no legal consequence, as the money Federated seeks flows

directly from Musselman=s injury in Montana, to which Montana=s federal court applied

Montana tort law to conclude that damages were warranted. In light of these factors, we

decline to adopt and apply § 185 here.

¶14    This Court has consistently interpreted the language of Article II, Section 16 as

precluding the subrogation of a tort award until the damaged party fully recovers. Article II,

Section 16 of the Montana Constitution provides:

              Courts of justice shall be open to every person, and speedy remedy
       afforded for every injury of person, property, or character. No person shall be
       deprived of this full legal redress for injury incurred in employment for which
       another person may be liable except as to fellow employees and his immediate
       employer who hired him if such immediate employer provides coverage under
       the Workmen=s Compensation Laws of this state. Right and justice shall be
       administered without sale, denial, or delay.

Based on this provision and the equities flowing therefrom, Montana has rebuked the

insurance industry=s efforts to garnish an accident victim=s third-party recovery. In

Francetich v. State Comp. Mut. Ins. Fund, we held that Article II, Section 16 expressly

prohibits efforts to restrict the right to obtain full legal redress against third-party tortfeasors:

               The record of the debate at the Convention is clear that this was the

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       delegates= intent in amending the provision. The second sentence [of Article
       II, Section 16] is mandatory, prohibitive, and self-executing and it prohibits
       depriving an employee of his full legal redress, recoverable under general tort
       law, against third parties.

Francetich (1992), 252 Mont. 215, 224, 827 P.2d 1279, 1285.

¶15    We reaffirmed this Amade whole@ doctrine in Trankel v. State Dept. of Military

Affairs, expanding its principles to protect against interference by either the federal courts or

foreign jurisdictions. Trankel (1997), 282 Mont. 348, 938 P.2d 614.

                [A]ny statute or court decision which deprives an employee of his right
       to full legal redress, as defined by the general tort law of this state against third
       parties, is absolutely prohibited. The second sentence of [Article II, Section
       16] is mandatory and self-executing, and leaves no room for erosion based
       on what federal courts or the courts of other states would do pursuant to
       federal laws or the laws of other states. [Emphasis added.]

Trankel, 282 Mont. at 362, 938 P.2d at 623.

¶16    Musselman cites two illustrative cases in which this Court applied Montana law to

prohibit subrogation by out-of-state insurers. In one personal injury case, we rejected

subrogation efforts by an Oregon insurer, and found in favor of a Washington resident

injured in Montana, stating that subrogation of medical benefits in Montana is void as against

public policy. Youngblood v. American States Ins. Co. (1993), 262 Mont. 391, 400, 866 P.2d

203, 208. Later, we held that a third-party recovery in Montana could not be subjected to a

Colorado insurance policy=s Achoice of law@ provision, as Colorado law would trigger

subrogation rights resulting in violation of Montana=s Amade whole@ doctrine. Swanson v.

Hartford Ins. Co. of Midwest, 2002 MT 81, & 33, 309 Mont. 269, & 33, 46 P.3d 584, & 33.



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¶17    Trankel, Youngblood, and Swanson are determinative in our choice of law analysis

here. Montana=s public policy, as defined in Article II, Section 16, precludes application of

Michigan subrogation law to Musselman=s personal injury recovery until Musselman

realizes the full measure of his adjudicated damages. As the parties agree that application of

Montana law precludes subrogation by Federated in keeping with Montana=s Amade

whole@ doctrine, we need not review the District Court=s application of Montana law.

                                      CONCLUSION

¶18    For the foregoing reasons, we affirm.

                                                         /S/ PATRICIA O. COTTER



We Concur:

/S/ KARLA M. GRAY
/S/ JAMES C. NELSON
/S/ W. WILLIAM LEAPHART
/S/ BRIAN MORRIS




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