FOR PUBLICATION
ATTORNEY FOR APPELLANT: ATTORNEYS FOR APPELLEE:
WILLIAM F. CONOUR JULIA BLACKWELL GELINAS
Conour, Doehrman & Starkey DAVID T. KASPER
Indianapolis, Indiana NELSON D. ALEXANDER
Locke Reynolds
Indianapolis, Indiana
IN THE
COURT OF APPEALS OF INDIANA
JOHN SIMS, )
)
Appellant-Plaintiff, )
)
vs. ) No. 49A02-9904-CV-295
)
UNITED STATES FIDELITY & GUARANTY )
COMPANY, )
)
Appellee-Defendant. )
APPEAL FROM THE MARION SUPERIOR COURT
The Honorable Susan Macey-Thompson, Judge
Cause No. 49D12-9904-CT-489
OPINION FOR PUBLICATION
The trial court granted the motion to dismiss for lack of subject matter
jurisdiction. Sims now appeals.
According to Sims, granting the Workers Compensation Board the exclusive jurisdiction to adjudicate
independent tort claims effectively closes the courthouse doors to workers seeking to pursue
redress against errant employers or workers compensation insurance carriers in attempting to settle
their workers compensation claims. We agree.
Article I, Section 12 of the Indiana Constitution provides: All courts shall
be open; and every person for injury done to him in his person,
property, or reputation, shall have remedy by due course of law. Justice
shall be administered freely, and without purchase; completely and without denial; speedily, and
without delay. Ind. Const. art. I, § 12.
In Stump v. Commercial Union, 601 N.E.2d 327 (Ind. 1992), our supreme court
examined the issue of what types of actions would be permitted to be
brought by an injured worker against a workers compensation insurance carrier based upon
harm caused to the worker as the result of processing or settling the
workers compensation claim. The court stated that Indiana courts have consistently held
that the exclusive remedy provision [of the Workers Compensation Act] does not apply
to bar the right of an employee to assert actions against third parties.
Id. at 330. The court approved of the reasoning in Baker
v. American States Ins. Co., 428 N.E.2d 1342 (Ind. Ct. App. 1981), in
which a panel of the Court of Appeals held that the exclusivity provisions
do not prohibit an action against the insurer for fraudulent misrepresentations made by
the insurer in the course of settling a claim with an injured employee.
Id. It was determined that such harm is not the kind
of harm for which the Workmens Compensation Act was calculated to compensate as
it did not arise out of or in the course of employment, but
instead arose after the worker had been injured at work. Id. (quoting
Baker, 428 N.E.2d at 1347).
Following this reasoning, the Stump court stated: The relationship of the compensation
insurance carrier to the employer should not afford it special immunity. . .
. We find no adequate justification to absolve workers compensation insurance carriers and
other such third parties of their responsibilities in the event of additional injuries
or harm proximately caused by their actionable conduct. Id. at 331.
The court further noted that this interpretation was consistent with the open courts
provision of Article 1, Section 12. Id. Finally, in specifically
holding that Indiana law would recognize gross negligence as a cognizable claim against
a workers compensation insurance carrier, the court emphasized the strong Indiana policy value
embodied in the . . . constitutional right to remedy by due course
of law. Id. at 332. The court ultimately determined that gross
negligence, intentional infliction of emotional distress, and constructive fraud were cognizable claims a
worker may maintain against an insurer.
Based upon the reasoning of Stump, we hold that the portion of Section
12.1 which states that the Board has the exclusive jurisdiction to determine whether
the . . . employers workers compensation insurance carrier has . . .
committed an independent tort in adjusting or settling the claim for compensation is
unconstitutional as violative of Article 1, Section
12 of the Indiana Constitution.
See footnote
Simss allegations of gross negligence, intentional infliction
of emotional distress, and intentional deprivation of statutory rights amount to independent
torts, which do not fall within the exclusive jurisdiction of the Workers Compensation
Board. We recognize that Section 12.1 was adopted after
Stump, and perhaps
in part because of the result of the decision. However, we disagree
with USF&G that our reliance upon Stump is misplaced.
Recently, in Martin v. Richey, 711 N.E.2d 1273 (Ind. 1999), our supreme court
examined Article 1, Section 12 in the context of considering the constitutionality of
the medical malpractice statute of limitations. The plaintiff in Martin argued that
the open courts clause created both a fundamental right of access to the
courts and a complete tort remedy. The defendant, however, argued that no
such fundamental rights existed and that the general assembly can abolish any cause
of action for any reason. The court rejected both views.
In so doing, the court noted that its prior holdings did not establish
a fundamental right of access to the courts. Yet, the court also
stated that the legislature has the authority to modify or abrogate common law
rights provided that such change does not interfere with constitutional rights. Id.
at 1283 (emphasis added). The court reiterated that there is a
right of access to the courts, and that the legislature cannot unreasonably deny
citizens the right to exercise this right. Id. Furthermore, the legislature
cannot deprive a person of a complete tort remedy arbitrarily and unreasonably, consistent
with the protections Section 12
affords, and . . . legislation which restricts such a right must
be a rational means to achieve a
legitimate legislative goal. Id.
Ultimately, the Martin court invalidated the Medical Malpractice Acts two-year statute of limitations
provision as applied to the plaintiff because otherwise she would have been completely
denied access to the courts since she could not have known of her
medical condition within the two-year occurrence based statute of limitations. Id. at
1284. The statute of limitations period required the plaintiff to file a
claim prior to being able to discover the alleged malpractice, and thus imposed
an impossible condition on her access to the courts and to a tort
remedy. Id. at 1297.
In light of Martin, we find that Simss right of access to the
courts has been unreasonably denied. Martin unequivocally held that the General Assembly
can abrogate common law rights and remedies, as long as doing so does
not interfere with constitutional rights. Removing a workers access to the court
for a determination of the workers independent cause of action against a workers
compensation insurance carrier is not constitutionally permissible. The result is to deprive
injured workers who have been subsequently harmed by the malfeasance of the insurer
the right to a complete tort remedy. This is not the type
of harm that the Workers Compensation Act was intended to compensate. See
Baker, 428 N.E.2d 1342, 1347. Simss claims against USF&G arose solely from
subsequent, additional injuries allegedly caused by USF&G. Depriving Sims of
his day in court for the subsequent independent torts allegedly committed by USF&G
is not consistent with the open courts provision of Article 1, Section 12
of our Constitution.
The purpose of the Workers Compensation Act is not to immunize third-party tortfeasors
and insurers from liability for the harm caused by their own independent torts.
Samm, 715 N.E.2d 420, 425 (citing Frampton v. Central Ind. Gas Co.,
260 Ind. 249, 297 N.E.2d 425, 427 (1973)). Instead, the goal
is to benefit employees by providing a means for workers injured in the
course of their employment to receive immediate compensation for their injuries. Id.
Such statutory compensation is the sole remedy available to an employee.
It does not logically or constitutionally follow to allow workers compensation insurers to
use the Workers Compensation Act as a shield to immunize themselves from liability
for their own independent torts. Therefore, we hold that that portion of
Section 12.1 which gives the Workers Compensation Board exclusive jurisdiction to determine whether
workers compensation insurers have committed independent torts in the course of adjusting or
settling the claim is unconstitutional as violative of Article 1, Section 12.
Alternatively, Sims advances the argument that the exclusivity provision of Section 12.1 violates
his constitutional right to trial by jury as expressed in Article 1, Section
20 of the Indiana Constitution. We agree.
Article 1, Section 20 of our Constitution provides: In all civil cases
the right of trial by jury shall remain inviolate. This Court has
observed that the right to a jury trial is immemorial and is a
fundamental right in our democratic judicial system. Levinson v. Citizens Nat. Bank
of Evansville, 644 N.E.2d 1264, 1267 (Ind. Ct. App. 1994). Courts of
this State have scrupulously guarded the right to a jury trial and remained
vigilant in protecting the right against encroachment. Id.
The jury trial right is preserved only when the action was triable by
a jury at common law. Id. In Warren v. Indiana Telephone
Co., 217 Ind. 93, 102, 26 N.E.2d 399, 403 (1940), our supreme court
determined that actions for injuries to the person caused by anothers negligence were
actionable under the common law of England and triable by jury.
The court concluded that because of this, the right to a jury trial
in common law actions for injuries to the person due to negligence is
fully protected under Article 1, Section 20. Id. The Warren
court went on to hold that the Workers Compensation Act did not abrogate
the right to a jury trial because the rights and duties created by
the Act are contractual in nature and arise out of the voluntary acceptance
of such terms. Id. In other words, once an employee elects to
be bound by the terms of the Act, he cannot complain that he
no longer has the right to a jury trial.
Relying upon Warren, USF&G contends that Sims cannot complain about the burdens of
the Act, including Section 12.1, while at the same time accepting the benefits
of the Act. We find this argument unpersuasive. As stated, we
hold that the exclusivity provision of Section 12.1 giving exclusive jurisdiction to the
Workers Compensation Board to determine whether the employer or insurance carrier has committed
an independent tort is unconstitutional as violative of both the open courts provision
and the right to a jury trial. Therefore, because a case such
as Simss involving an independent tort would not fall within the exclusive jurisdiction
of the Workers Compensation Board in any event, the holding and rationale of
Warren do not apply.
Under our Constitution, the right to a jury trial must remain inviolate in
civil cases. Because the exclusivity provision of Section 12.1 eviscerates this right,
we conclude that this portion of the statute is unconstitutional as violative of
Article I, Section 20.
Reversed and remanded.
RILEY, J. concurs.
BAKER, J., dissents with separate opinion.
BAKER, Judge, dissenting
I respectfully dissent, inasmuch as Sims has failed to carry his burden of
rebutting the presumption of constitutionality of Ind. Code § 22-3-4-12.1, the bad faith
statute. See Boehm v. Town of St. John, 675 N.E.2d 318, 321
(Ind. 1996). I would note that the alleged torts at issue here
are an offshoot of the Workers Compensation Act: but for the Act
there would be no insurance carrier against whom to bring an action.
Further, it is apparent to me that the bad faith statute includes the
alleged commission of an independent tort in adjusting or settling a claim for
compensation just as it properly encompasses a claim that the employer, its carrier,
or its administrator has acted in bad faith or with lack of diligence.
Even if this court were to uphold the constitutionality of the bad faith
statute as I advocate, it does not follow that the Workers Compensation Board
is subject to judicial oversight as the majority advocates. Rather, proceeding through
the Board is simply a pre-requisite to an appeal through the court system.
I would note that the circumstances here are somewhat analogous to the
Medical Malpractice Review Board where aggrieved plaintiffs must initially submit their claims before
entering the court house door.
Ind. Code § 34-18-10-1 et seq.
My review of the Workers Compensation Act suggests deliberate policy choices and trade-offs
which our government has supported since the Progressive Era. The remedies available
to injured workers were limited under the Act in return for a system
in which those aggrieved claimants did not have to show fault on the
part of their employers. Such a goal was certain to create a
swift and definitive system of compensation under more informal rules. I would
note that this goal has been realized to a great extent.
Contrary to the majoritys view, I would find that the bad faith statute
is not unconstitutional merely because it alters or restricts the manner of achieving
a remedy in the court system.
See Borgman v. State Farm Ins.
Co., 713 N.E.2d 851, 856 (Ind. Ct. App. 1999), trans. denied. In
Borgman this court determined that an action against an employers workers compensation insurance
carrier for lack of diligence, bad faith, or an independent tort, falls within
the exclusive jurisdiction of the Workers Compensation Board. We also noted that,
after applying the traditional deferential tests of constitutionality, the open courts provision of
Article I, § 12 was not violated by the provision. Specifically, we
reasoned that the statute simply designates the proper forum for bringing enumerated claims
against the workers compensation insurance carrier and does not operate to strip the
[claimant] of an established right of recourse. Id. at 856. In
accordance with the reasoning set forth in Borgman, I see no viable reason
to find otherwise here.
Our supreme court recently noted that the legislature has the authority to modify
or abrogate common law rights provided that such change does not interfere with
constitutional rights.
Martin v. Richey, 711 N.E.2d 1273, 1283 (Ind. 1999); see
also McIntosh v. Melroe Co., Ind. No. 71S03-9805-CV-00297 (May 26, 2000), slip op.
at 11 (the General Assembly has the authority to modify the common law
and . . . there is no fundamental right to bring a particular
cause of action to remedy an asserted wrong). Inasmuch as
I believe that access to the courts as required in Art. I, §
12 has not been barred by the exclusionary provision at issue, I would
find it constitutional. In addition, because the statute in question went into
effect after the cases upon which the majority relies,
See footnote
review of the statute
does not necessarily depend upon the outcome of the older cases. Indeed,
the majority recognizes that the statute was possibly passed in reaction to the
prior decisions. Slip op. at 7. Our courts traditional deference to
the legislature should prevail over earlier case decisions which state that a worker
had access to the courts to bring an action for particular injuries committed
by an insurance carrier.
I am also unable to agree with the majoritys view that the exclusivity
provision of the bad faith statute violated Sims right to a trial by
jury.
Slip op. at 9. I recognize that under workers compensation,
the plaintiff does not have the right to a trial by jury as
does the medical malpractice plaintiff who prevails before the malpractice board. However,
because a
meaningful right to appeal an adverse decision is available, it is my belief
that the lack of a jury trial to be merely one of the
policy trade-offs involved in guaranteeing to workers a system of compensation superior to
that which preceded it, a system which has been found constitutional in previous
challenges.
See Warren v. Indiana Telephone Co., 217 Ind. 93, 103, 26
N.E.2d 399, 403, (1940) (Workmens Compensation Act does not violate constitutional mandates that
the courts shall be open or that the right to trial by jury
shall remain inviolate in civil cases); Tribett v. Tay Mor Industries, Inc., 471
N.E.2d 332, 335 (Ind. Ct. App. 1984) (not unconstitutional for legislature to make
Workmens Compensation Act the exclusive remedy of injured workers). Thus, I cannot
agree with the majoritys view that the exclusivity provision of the bad faith
statute is unconstitutional with regard to Sims claim that he was denied the
right to a jury trial.
Lastly, while I vote to uphold the constitutionality of the statute, I am
compelled to address the $20,000 limitation on recovery on a bad faith or
independent tort claim brought against a workers compensation insurance carrier. I do
so despite my agreement with my colleagues that the issue was not properly
raised before the trial court.
In my view, the $20,000 limitation set forth in the statute may very
well preclude meaningful recovery in some instances. Thus, I agree with Sims
assertion that such a cap serves to bar a complete remedy for some
claimants. Notwithstanding, I would defer to the legislature regarding what the proper
limitation might be, but I perceive extreme danger in the present limit.
In fact, the monetary cap set forth in the statute effectively invites some
insurance carriers who are confronted with the case of a seriously injured employee
to simply pay the limit and escape further liability.
Once again, the analogy to our medical malpractice statutes is helpful here.
The legislative cap on recovery from a physician for malpractice has been repeatedly
found constitutional.
Johnson v. St. Vincent Hospital, Inc., 273 Ind. 374, 396,
404 N.E.2d 585, 599 (1980); Bova v. Roig, 604 N.E.2d 1, 3 (Ind.
Ct. App. 1992); St. Anthony Medical Center, Inc. v. Smith, 592 N.E.2d 732,
739 (Ind. Ct. App. 1992), trans. denied. However, the legislature has periodically
raised that cap, no doubt recognizing that a limitation which was too low
might invite a finding of unconstitutionality. See Ind. Code § 16-9.5-2-2 (1975)
(total recovery for malpractice limited to $500,000); Ind. Code § 27-12-14-1 (1993) total
recovery limited to $750,000 for act of malpractice after January 1, 1990); Ind.
Code § 34-18-14-1 (1998) (total recovery limited to $1,250,000 for act of malpractice
after June 30, 1999). Similarly, legislation has periodically raised the scheduled benefits
for injuries under the Workers Compensation Act and thus avoided the issue of
constitutionality. See Ind. Code § 22-3-3-10. Rather than invalidate the route
to judicial review of a claim of this sort, I would find the
cap to be the much more urgent matter for constitutional review.
For all of the above reasons, I would find that the bad faith
statute is constitutional insofar as it brings independent torts by an employer, insurance
carrier or administrator under the jurisdiction of the Workers Compensation Board. Moreover,
it is my belief that the statute should not be deemed unconstitutional upon
Sims claim that his right to a jury trial has been eviscerated.
Finally, I would urge the legislature to consider raising the $20,000 limitation on
recovery to avoid constitutional challenges in the future.