DICKINSON, Justice, for the Court:
¶ 1. When the workers' compensation carrier making payments to Bridgette Blakeney was declared insolvent, its claims were transferred to the Mississippi Insurance Guaranty Association (MIGA),
¶ 2. After she was injured in an automobile accident, Blakeney collected the $10,000 policy limits of the other driver's liability policy, settled for $60,000 of the $100,000 policy limits of her employer's UM policy, and because the accident was work-related, began receiving workers' compensation ("comp") benefits from her employer's comp carrier, Coregis Insurance Company. After Coregis was declared insolvent, its claims, including Blakeney's, were assumed by MIGA.
¶ 3. After it started paying Blakeney's comp benefits, MIGA learned of the $70,000 she had collected from the two insurance companies, prompting it to petition the Commission to allow it to suspend paying her benefits until her accrued claims exceeded the $70,000 she already had collected. Upon reflection, MIGA amended its petition, claiming that, rather than the $70,000 the two insurance companies had paid, it actually was entitled to a credit of $110,000—their combined policy limits.
¶ 4. The ALJ held that, rather than a credit for the full policy limits, MIGA was entitled to offset the $70,000 actually paid, but the full Commission reversed, holding that MIGA was entitled to full credit for the $10,000 paid by the liability policy (less $4,000 in collection costs), but it was not entitled to any credit for the UM policy. Both the circuit court and Court of Appeals
¶ 5. Because most Commission decisions are fact-based, the appellate standard of review for those decisions is deferential.
¶ 6. An insurance policy is a contract with an insurance company, whose duty to pay claims ordinarily is contractual. But when the insurance company becomes insolvent, its policyholders face a substantial risk that their legitimate claims will be delayed or not paid at all. To address this problem, the Legislature enacted the Mississippi Insurance Guaranty Association Law (the "MIGA Act"), creating MIGA.
¶ 8. This "deemed the insurer" language has produced the aphorism: "MIGA stands in the shoes of an insolvent insurer."
¶ 9. The "association's obligation" often does not equal the insolvent insurer's obligations under the policy. For instance, MIGA is statutorily prohibited from paying punitive damages,
¶ 10. MIGA's duty and authority to pay claims—including Blakeney's—must be filtered through these, and all other MIGA Act limitations, and we must respect and apply those limitations, even where they would not have applied to the insurance company.
¶ 11. The MIGA Act states:
¶ 12. This statute—often called MIGA's "exhaustion provision"—seems clear enough: "Any person having a claim against an insurer under any provision in an insurance policy other than a policy of an insolvent insurer, which is also a covered claim" defines the policyholders to whom the statute applies; "shall be required to exhaust first his right under such
¶ 13. Applying the statute to the facts of this case: Blakeney had a claim against her employer's solvent UM carrier for the same loss (the damages she suffered from the automobile accident) being paid by MIGA; she was required to "exhaust" her right under the UM policy—which she did by settling for $60,000 and signing a release; and MIGA was required to reduce its "amount payable" on Blakeney's claim "by the amount of [Blakeney's] recovery" under the UM policy which, as correctly concluded by the ALJ, was the $60,000 actually recovered, not the $100,000 policy limits demanded by MIGA.
¶ 14. The dissent proposes an interesting interpretation of the statute, one which would require the claim against the solvent insurer to meet the statutory definition of "covered claim"
¶ 15. The question of whether UM benefits are off limits to MIGA was answered in Leitch, decided in 2010, in which MIGA assumed the claims of Reliance Insurance Company, the tortfeasor's insolvent liability carrier.
¶ 16. In appealing the ALJ's decision to the full Commission, Blakeney successfully argued that Leitch was distinguishable because, in her case, MIGA stood in the shoes of a comp carrier, bringing into play the Workers' Compensation Law's subrogation provision, which says:
¶ 17. The Commission found that MIGA was not entitled to any credit under the UM policy, citing as its authority our decision in Cossitt v. Nationwide Mutual Insurance Co., in which we held that, although Section 71-3-71 does allow comp carriers to subrogate against liable third parties, it does not allow them to subrogate against UM carriers, who are not liable "third parties" within the meaning of the subrogation provision.
¶ 18. Section 71-3-71 allows comp carriers to pursue and recover from liable third parties and, as acknowledged by the Commission, UM carriers are not "third parties" under that statute (thus, our holding in Cossitt). So while we agree that MIGA has no authority under Section 71-3-71 to take an offset for UM benefits, we cannot agree that the Legislature is precluded from granting that authority under another statute—which we find it clearly did under Section 83-23-123(1).
¶ 19. In its order, the Commission stated:
(Emphasis added.) It appears the Commission reached its mistaken conclusion by ending its quote too quickly, and completing the sentence using its own language. The statute actually says—and the Commission's order should have said: "any amount payable [by it to Blakeney] on a covered claim under this article . . . reduced by the amount of any recovery
¶ 20. The Commission's redraft of the statute changed its meaning in several important ways:
Then, having transformed the meaning of the statute, the Commission used it to reach three erroneous conclusions:
¶ 21. While we agree that a UM carrier "is not a `third party' within the meaning of the [workers' compensation] statute," it unquestionably is an "insurer" within the meaning of the MIGA statute. In essence, by changing the statute's language to label UM carriers as "third parties," the Commission brought MIGA's exhaustion provision under the purview of Section 71-3-71-a statute that allows comp carriers to recover their payments from third
¶ 22. We find that the Commission's interpretation and application of Section 83-23-123(1) was clearly erroneous; Section 71-3-71 is not applicable to the calculation of MIGA's credit under Section 83-23-123(1); and when MIGA assumes the claims of a comp carrier, Section 71-3-71 does not deprive it of credit for payments made by UM carriers.
¶ 23. MIGA argues that, even though Blakeney settled with the UM carrier for $60,000, it nevertheless is entitled to credit for the entire $100,000 policy limits. MIGA concedes there is no Mississippi authority on point, but cites the decisions of other states interpreting guaranty association statutes similar to Mississippi's. We decline to follow the guidance of other state's decisions because our statute is clear and unambiguous.
¶ 24. Blakeney settled with the UM carrier for $60,000, and we find no evidence or suggestion that the settlement involved fraud or bad faith. Applying Section 83-23-123(1)
¶ 25. In crafting this statute, the Legislature selected the word "recovery"—a word bristling with clarity, void of ambiguity, and, for our purposes, easily applied. Recovery, in the context of the statute and this case, means Blakeney's recovery. We find no merit in MIGA's argument on this issue.
¶ 26. The Commission held that MIGA was entitled to credit for the $10,000 liability policy under Section 83-23-123(1), filtered through Section 71-3-71's cost-deduction provision, resulting in "net proceeds" to MIGA of $6,000. Although MIGA does contest the Commission's use of Section 71-3-71 to deduct costs, neither MIGA nor Blakeney challenges
¶ 27. When a comp carrier exercises its subrogation rights under the workers' comp statutes, the following language from that statute comes into play: "any amount recovered by the injured employee . . . from a third party shall be applied as follows: reasonable costs of collection as approved and allowed . . . by the commission. . . shall be deducted. . . ."
¶ 28. Had MIGA pursued the liability policy proceeds under the subrogation statute, the Commission would have been justified in deducting costs under the provision. But as noted earlier, the Commission, MIGA, and Blakeney agree that MIGA's claim is properly analyzed under Section 83-23-123(1), which has no cost-reduction provision.
¶ 29. The determination of this issue rests on MIGA's authority for the credit. When it takes credit under Section 83-23-123(1), it is not, as we have said, subject to the provisions of Section 71-3-71, including its cost-reduction provision. In this case, Section 83-23-123(1) controls, and we find no authority for the Commission's reduction of costs.
¶ 30. MIGA is entitled to a $70,000 reduction in the amount it is obligated under the MIGA Act to pay on Blakeney's claim. We therefore reverse the decisions of the Court of Appeals and the trial court, and render judgement for MIGA.
¶ 31.
CARLSON, P.J., RANDOLPH, LAMAR AND CHANDLER, JJ., CONCUR. WALLER, C.J., DISSENTS WITH SEPARATE WRITTEN OPINION JOINED BY GRAVES, P.J., KITCHENS AND PIERCE, JJ.,
WALLER, Chief Justice, dissenting:
¶ 32. Before applying MIGA's exhaustion provision, the Court should determine whether Blakeney's claim for UM benefits is also a "covered claim." Blakeney's claim for UM benefits differs from her MIGA-assumed claim for workers' compensation benefits. Because her UM-benefit claim is not also covered claim, the MIGA Act does not require a reduction. Therefore, I respectfully dissent.
¶ 33. The MIGA Act's exhaustion provision must be read in conjunction with Mississippi Code Section 83-23-109(f), which defines "covered claim." Miss.Code Ann. § 83-23-109(f) (Rev.1999); Miss.Code Ann. § 83-23-123(1) (Rev.2009). Section 83-23-109(f) explains that a covered claim is "an unpaid claim, . . . which arises out of and is within the coverage . . . of the applicable limits of an insurance policy . . . issued by an insurer, if such insurer becomes an insolvent insurer. . . ." Miss. Code Ann. § 83-23-109(f) (emphasis added). The relevant MIGA statutes and this Court's opinion in Leitch v. Mississippi Insurance Guaranty Association, 27 So.3d 396, 400 (Miss.2010) do not state that a party's claim against a solvent insurer becomes a covered claim subject to MIGA's exhaustion provision simply because both
¶ 34. MIGA may reduce its obligation to pay when a party collects benefits on a claim that is also a covered claim. See Miss.Code Ann. § 83-23-123(1) (Rev.1999). A covered claim is a claim that "arises" from an insolvent insurer's coverage. Miss.Code Ann. § 83-23-109(f) (Rev.1999). In other words, when the insured recovers on a claim that is the same type of claim assumed by MIGA, MIGA must reduce its payment by the amount of that recovery. Thus, the exhaustion provision prevents duplicate recovery for identical claims.
¶ 35. The Court explained this concept in Leitch. After an automobile accident, Leitch filed suit against Reliance, the negligent driver's insurance company. Leitch, 27 So.3d at 397. After Reliance later was declared insolvent and MIGA assumed its obligations, Leitch joined in the suit State Farm, his own insurance company, which initiated the UM coverage on his policy. See id. See also Leitch v. Miss. Ins. Guar. Ass'n, 27 So.3d 405, 409 (Miss.Ct. App.2010). Eventually, State Farm, the solvent company, settled with Leitch, and MIGA attempted to reduce its obligation to Leitch by the settlement amount. Leitch, 27 So.3d at 398. This Court determined that Leitch's claim against State Farm (the solvent insurer) was the same as the covered claim he had against MIGA. Id. at 400. Because Leitch would have recovered twice on the same type of claim, MIGA could reduce its obligation by the amount of Leitch's recovery under the State Farm policy. See id. In other words, Leitch did not authorize MIGA automatically to reduce its obligation when the insured had received UM benefits. See id. at 401.
¶ 36. Here, Blakeney's claim against Coregis and Progressive is wholly unrelated to her covered claim, which precludes application of the exhaustion provision. See Miss.Code Ann. § 83-23-123(1) (Rev. 2009); Leitch, 27 So.3d at 400. Blakeney's claim against Coregis and Progressive involved UM benefits, while her claim against MIGA involved workers' compensation benefits. Because her claim for UM benefits is not the same as her covered claim for workers' compensation benefits, MIGA cannot suspend its obligation to pay. See Leitch, 27 So.3d at 400. Further, unlike Leitch's claim, Blakeney's claim for UM benefits from the solvent insurance companies did not arise from another insurer's insolvency.
¶ 37. In sum, under the MIGA statutes and Leitch, Blakeney's claim against Coregis and Progressive for UM benefits is not the same as her covered claim for workers' compensation benefits. Any amount payable by MIGA on her covered claim for workers' compensation benefits cannot be reduced by her recovery from Coregis and Progressive. Because the exhaustion provision does not apply, MIGA must pay Blakeney's claim pursuant to Mississippi Code Section 83-23-115(1)(a)(i), which provides that MIGA shall satisfy its obligation to a claimant by paying "[t]he full amount of a covered claim for benefits under a workers' compensation insurance coverage. . . ." Miss.Code Ann. § 83-23-115(1)(a)(i) (Rev.2009).
¶ 38. Therefore, I would hold that MIGA is not entitled to a $70,000 reduction in the amount it is obligated to pay on Blakeney's claim.
GRAVES, P.J., KITCHENS AND PIERCE, JJ., JOIN THIS OPINION.