ELLINGTON, Chief Judge.
In this appeal arising from a personal injury lawsuit, SunTrust Bank ("SunTrust"), as the administrator of the estate of Michael Patrick, appeals from the trial court's order granting a motion to enforce a subrogation lien that was filed by Travelers Property Casualty Company of America ("Travelers"), the workers' compensation insurer for Patrick's employer, Unique Industry Corporation. Patrick was injured in a collision while working for his employer, and he received workers' compensation benefits before filing suit against two third-party tortfeasors, Associated Grocers of the South, Inc. ("Associated Grocers") and Larry Granger, whose negligence caused the collision. Although-Travelers timely intervened in the suit in order to protect its workers' compensation subrogation lien, Patrick and the tortfeasors settled the case for a confidential "lump sum" without Travelers' knowledge, participation or consent. Among other terms, the settlement agreement included a conclusory statement that the proceeds of the settlement did not fully and completely compensate Patrick for his injuries. On appeal, SunTrust contends that the trial court erred in finding that the express terms of the settlement agreement did not extinguish Travelers' right to enforce its subrogation lien. For the following reasons, we find no error and affirm.
The record shows the following relevant, undisputed facts. On March 27, 2007, Patrick was driving a pickup truck on Interstate 985 when a tractor-trailer driven by Granger struck his truck from behind and caused Patrick to suffer severe, permanent injuries. At the time of the collision, Granger was working for Associated Grocers, while Patrick was working for Unique Industry Corporation. As a result of Patrick's injuries, Unique Industry's workers' compensation insurance carrier, Travelers, paid him over $800,000 in workers' compensation benefits for medical costs and lost wages.
In November 2008, Patrick filed a negligence and personal injury suit against Granger and Associated Grocers (collectively, "AG").
Unbeknownst to Travelers, however, Patrick and AG actually proceeded with the mediation on February 10, 2010, during which they executed a confidential, "lump sum" settlement of the suit. The next day, AG's attorney notified Travelers that his clients and Patrick had settled the suit and that he could not disclose the terms of the settlement to Travelers because they were confidential.
Patrick then filed a motion to extinguish Travelers' workers' compensation subrogation lien. In response, Travelers filed a motion to protect and enforce its lien interest. Patrick filed a motion for a protective order to keep the terms of the settlement agreement confidential, while Travelers filed a motion to compel discovery of, inter alia, the agreement's terms. Following a hearing on the motions, the trial court granted Travelers' motion to compel and denied Patrick's request for a protective order.
The terms of the settlement agreement were then disclosed, and, in addition to the settlement amount,
Following this disclosure, the trial court issued an order granting Travelers' motion to enforce its workers' compensation subrogation lien. In its order, the court concluded that Travelers' absolute right to intervene in Patrick's personal injury suit against AG, pursuant to OCGA § 34-9-11.1(b), would be rendered null and unenforceable if Patrick and AG could summarily extinguish Travelers' subrogation lien simply by executing a "lump sum" settlement agreement stating that the settlement amount did not completely compensate Patrick for his injuries. The court concluded that Travelers was entitled to a hearing, during which Travelers could attempt to enforce its subrogation lien by proving to the court, as the finder of fact, that Patrick had been "fully and completely compensated, taking into consideration both the benefits received under this chapter and the amount of the recovery in the third-party claim, for all economic and noneconomic losses [he] incurred as a result of the injur[ies]," pursuant to OCGA § 34-9-11.1(b).
1. In arguing that the trial court's order on Travelers' motion to enforce its subrogation lien constitutes reversible error, SunTrust contends that, given the express terms of the "lump sum" settlement agreement between Patrick and AG, it will be impossible for Travelers to meet its threshold burden for enforcing its subrogation lien under OCGA § 34-9-11.1(b), i.e., proving that the workers' compensation benefits Patrick received, plus the proceeds of his settlement with AG, "fully and completely compensated [him] ... for all [of his] economic and noneconomic losses" that resulted from his injuries. SunTrust asserts two bases for this argument: (a) the parties to the agreement specifically acknowledged in the agreement that Patrick has not been made whole or fully compensated for his injuries; and (b) the "lump sum" settlement amount fails to expressly divide the proceeds between Patrick's economic damages (i.e., his medical expenses and lost wages) and his noneconomic damages (i.e., pain and suffering).
(a) As to the first issue, it is solely for the trial court — not a jury, the employee,
Moreover, "one of the fundamental rules of the law of contracts is that only those parties to the agreement are bound by it." Leone Hall Price Foundation v. Baker, 276 Ga. 318, 320(3), 577 S.E.2d 779 (2003). Here, Travelers was intentionally excluded from the settlement negotiations, was not a party to the settlement agreement, and has never consented to the agreement. Thus, Travelers is not bound by the settlement agreement's statement that Patrick and AG "acknowledge" that Patrick has not been fully compensated for his injuries. Id.
(b) As to the second issue, SunTrust argues that Georgia's law is "clear" that an employer or insurer may never enforce a workers' compensation subrogation lien against an employee's recovery from a lawsuit against a third-party tortfeasor when that suit results in either a general, nonitemized jury verdict or a "lump sum" settlement. According to SunTrust, because a workers' compensation subrogation lien is limited to the total amount of economic benefits the insurer has paid to the employee and only applies to an employee's recovery of economic damages from the third-party tortfeasor,
(Citation omitted; emphasis supplied.) City of Warner Robins v. Baker, 255 Ga.App. at 604-605(3), 565 S.E.2d 919. Having thoroughly reviewed each of the opinions upon which SunTrust relies, however, we have concluded that those cases are neither applicable to nor dispositive in this case for the following reasons.
Several of the cases relied upon by SunTrust are clearly distinguishable from the instant case because, unlike Travelers, the employers or insurers in those cases did not intervene in the employees' lawsuits or take other available measures to protect their subrogation liens. For example, in Canal Ins. Co. v. Liberty Mutual Ins. Co., this Court held that an insurer's failure to intervene in an employee's suit against a third-party tortfeasor, and then to request a special verdict or settlement that distinguished between an award of economic versus noneconomic damages, constituted a failure by the insurer to protect its subrogation lien. 256 Ga.App. at 869-874(1), (2), 570 S.E.2d 60. As a result of its inaction, the insurer could not enforce its lien, because it would be unable to prove that the employee had been fully compensated under such circumstances. Id.; see also CGU Ins. Co. v. Sabel Indus., 255 Ga.App. 236, 564 S.E.2d 836 (2002) (accord).
As for other cases relied upon by SunTrust, the broad, conclusive language at issue constitutes mere dicta, because, in each of those cases, the trial court still provided the employer/insurer an opportunity to present evidence on whether the employee had been fully compensated, and the trial court and this Court still reviewed that evidence to determine whether the employer/insurer had met its burden of proof. For example, in City of Warner Robins v. Baker, the trial court conducted a hearing on whether the employer could enforce its subrogation lien even though the employer had failed to intervene in its employee's lawsuit, which ended in a $90,000 lump sum settlement. 255 Ga. App. at 601-602, 565 S.E.2d 919. Further, on appeal, even though there was no transcript of the hearing in the appellate record, this Court reviewed the evidence in the remaining record, which showed that the employee had presented evidence of his permanent disabilities, of the amount of medical expenses he had incurred, of the pain and suffering and severe mental health problems he continued to experience, and of his possible future medical expenses. Id. at 605(3), 565 S.E.2d 919. The record also showed that the employee recovered about $59,000 from the settlement (after subtracting attorney fees and costs), that he had incurred at least $135,000 in medical expenses, and that he had received about $49,000 through workers' compensation benefits (which was the amount of the lien). Id. Under these circumstances, this Court ruled that the trial court was authorized to conclude that the employer had failed to carry its burden of showing that the employee had been fully and completely compensated and, thus, could not enforce its subrogation lien. Id.
Similarly, in CGU Ins. Co. v. Sabel Indus., the insurer intervened in the employee's lawsuit after it had been settled for a lump sum of $4.5 million, but before it had been dismissed. 255 Ga.App. at 237-238, 564 S.E.2d 836. The settlement covered both the employee's tort claims and his wife's loss of consortium claim, although it did not allocate a specific amount of the award to the latter's
And, although this Court included the language at issue in North Bros. Co. v. Thomas, the jury in that case actually issued a special verdict, awarding the employee $25,000 for his medical expenses and $25,000 for his noneconomic damages. 236 Ga.App. 839, 841, 513 S.E.2d 251 (1999).
Finally, as for SunTrust's reliance on Bartow County Bd. of Educ. v. Ray, that case is clearly distinguishable on the facts from the instant case. 229 Ga.App. 333, 494 S.E.2d 29 (1997). Although the employer intervened in its employee's suit against the third-party tortfeasors, the employer did not request that the jury utilize a special verdict form when issuing its award. Id. The jury ultimately returned a general verdict for $175,000. Id. In an effort to enforce its subrogation lien against that award, the employer showed that the employee had received about $40,000 in workers' compensation benefits, and it argued that, because the amount of special damages proven at trial totaled about $55,000, "common sense" dictated a finding that the employee had been fully compensated by the jury's award of $175,000. Id. at 334, 494 S.E.2d 29. After opining that the use of a special verdict form would have assisted the employer in meeting its burden of proof, this Court concluded that the employer had failed to show that the employee had been fully compensated, and, as a result, the trial court properly denied its subrogation lien. Id. at 335, 494 S.E.2d 29.
Consequently, we conclude that all of the above cases are factually distinguishable
Accordingly, we reject SunTrust's argument that the trial court erred in denying its motion to extinguish Travelers' subrogation lien and in ruling that Travelers would have the opportunity to prove that Patrick had been fully and completely compensated for his injuries so that it can then enforce its lien, pursuant to OCGA § 34-9-11.1(b).
2. SunTrust also challenges the trial court's ruling that Travelers' exclusion from the mediation session between Patrick and AG compromised Travelers' ability to enforce its subrogation lien. According to the court, Travelers' absolute right to intervene in Patrick's lawsuit against AG, pursuant to OCGA § 34-9-11.1(b), necessarily encompassed a right to participate in mediation and settlement negotiations between those parties.
While we believe that the trial court's order expresses a legitimate concern about the potential consequences of a ruling that sanctions the exclusion of employers and insurers from settlement negotiations between employees and third-party tortfeasors, the question of whether Travelers should have been allowed to appear and participate in the mediation session at issue here — and the nature and extent of such participation — is no longer an issue in this case and is, thus, moot. The trial court did not order the parties to renegotiate the settlement with Travelers' participation and consent; instead, it effectively treated the settlement as final
Even so, we must address SunTrust's bold assertion that, after Travelers learned about the mediation session, Travelers "abandoned" its right to participate in the session by failing to obtain a court order allowing it to participate. The undisputed evidence of record clearly shows that this assertion is completely lacking in merit. In fact, the record shows that, two days before the mediation session, AG's attorneys told Travelers' attorney that the insurer's representative would not be allowed to attend the session and that the representative would be treated as a trespasser if he or she appeared at the session. After Travelers' attorney repeatedly insisted that the insurer had a right to be represented during the mediation
Judgment affirmed.
PHIPPS, P.J., and DILLARD, J., concur in judgment only.
DILLARD, Judge, concurring in judgment only.
I concur in judgment only because I do not agree with all that is said in the majority opinion. As such, the majority's opinion decides only the issues presented in the case sub judice and may not be cited as binding precedent. See Court of Appeals Rule 33(a).
See also OCGA § 9-11-24(a)(1) ("Intervention of right. Upon timely application anyone shall be permitted to intervene in an action ... [w]hen a statute confers an unconditional right to intervene[.]"); Dept. of Admin. Svcs. v. Brown, 219 Ga.App. 27, 28, 464 S.E.2d 7 (1995) (OCGA § 9-11-24(a)(1) grants an employer and its workers' compensation insurer an unconditional right to intervene in a suit brought by its employee against a third-party tortfeasor in order to protect and enforce its subrogation lien under OCGA § 34-9-11.1(b).).