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MAINESUPREMEJUDICIALCOURT ReporterofDecisionsDecision: 2018ME24Docket: WCB-16-524Argued: September13,2017Decided: February8,2018Panel: SAUFLEY,C.J.,andALEXANDER,MEAD,GORMAN,JABAR,HJELM,andHUMPHREY,JJ.Majority: SAUFLEY,C.J.,andMEAD,GORMAN,HJELM,andHUMPHREY,JJ.Dissent: JABARandALEXANDER,JJ.
VICTORS.URRUTIAv.
INTERSTATEBRANDSINTERNATIONALetal.HJELM,J.
[¶1]Aftersustaininginjuriesinanindustrialworkplaceaccident,Victor
S. Urrutia was paid total incapacity workers’ compensation benefits by his
employer, Interstate Brands International. For more than three years, he
receivedthefullamountofthosebenefitswhilealsocollectingSocialSecurity
retirementbenefits.WhenInterstatelearnedthatUrrutiawasreceivingSocial
Security benefits, it sought a credit, by way of a payment holiday, against
ongoingincapacitypaymentspursuanttoastatutoryprovisionthatreducesthe
amount of incapacity benefit payments by half of the amount of retirement
benefitstheemployeeisalsoreceiving.See 39-AM.R.S.§221(2017).
2
[¶2]Ahearingofficer(Stovall,HO)1orderedthatInterstatewasentitled
toacreditof$24,131.38,but theWorkers’CompensationAppellateDivision
decided the issue differently, determining that section221 doesnot allowa
reductionbasedonincapacityoverpaymentsmadeinthepast.Onthisappeal
byInterstateandACEAmericanInsuranceCompany(collectively,Interstate),
we conclude that section 221 entitles an employer to a credit for workers’
compensationbenefitspreviouslypaidforthesameliabilityperiodwhenthe
employeealsowasreceivingSocialSecurityretirementbenefits.Wetherefore
vacatethedecisionoftheAppellateDivision.
I.BACKGROUND
[¶3]Thefollowingfactsareundisputedbythepartiesandestablished
bytherecord.
[¶4]In2001,VictorUrrutiabeganworkingforInterstateasaproduction
mechanic.InJuly2009,whenhewas62yearsold,Urrutiaslippedonacatwalk
intheworkplaceandgrabbedarailingtocatchhimself,resultingininjuriesto
hisspineandextremities.
[¶5] Interstate began paying Urrutia total incapacity workers’
compensation benefits in December 2010. Unbeknownst to Interstate,
1 ThehearingoccurredonApril11,2014,priortothechangeintitlefrom“hearingofficer”to
“administrativelawjudge.”SeeP.L.2015ch.297(effectiveOct.15,2015).
3
however,UrrutiahadstartedreceivingSocialSecurityretirementbenefits in
August2010.2 InMay2013,InterstatesentUrrutiaaCertificateAuthorizing
ReleaseofBenefit InformationforhimtosignsothatInterstatecouldobtain
hisSocialSecurityrecords.InAugust2013,InterstatewasinformedbyUrrutia
that he had been and was currently receiving Social Security retirement
benefits.
[¶6]InapetitionfiledwiththeWorkers’CompensationBoard,Interstate
soughtadeterminationthatpursuanttosection221itwasentitledtoreduce
Urrutia’songoingworkers’compensationbenefitsbyhalfoftheamountofhis
SocialSecurityretirementbenefits—areductionthatUrrutiaultimatelydidnot
contest. Interstatealsosoughtacreditpursuant tosection221,bywayofa
paymentholiday,foramountsithadoverpaidUrrutiabeforelearningthathe
hadbeenreceivingretirementbenefits.
[¶7] Afteracontestedhearingheldon thelatter issueinApril2014,a
hearing officer granted Interstate’s petition, concluding that section 221
entitledInterstateto“acreditforallperiodsforwhichtheemployeereceived
old-age[S]ocial[S]ecuritybenefitsandworkers’compensationbenefits.”For
2InterstatedisclaimsanycontentionthatUrrutiaactedinbadfaithbynotadvisingInterstatethat
hewascollectingSocialSecurityretirementbenefitswhilealsoreceiving the fullamountof totalincapacitybenefits.
4
thatreason, thehearingofficerordered that Interstate “maycease lostwage
benefitspaymentuntilsuchtimeas itexhausts itscreditof$24,141.38”that
accrued between December 2010 and November 2013—the period when
Urrutia was receiving both Social Security retirement benefits and the full
amountofincapacitybenefits.
[¶8] Urrutia appealed the hearing officer’s decree to the Appellate
Division,see39-AM.R.S.§321-B(2017),whichvacatedthedecree,concluding
thattheplainlanguageofsection221doesnotpermitacreditforincapacity
overpayments already made to the employee when the employee was also
receiving Social Security benefits, and that the section 221 credit may be
applied only against ongoing incapacity benefits that are being paid for the
“sametimeperiod”astheSocialSecurityretirementbenefits. TheAppellate
DivisionconcludedthatInterstatethereforewasnotentitledtoacreditbased
on Urrutia’s past receipt of retirement benefits. Interstate filed a timely
petitionforappellatereview,whichwegranted.See39-AM.R.S.§322(2017);
M.R.App.P.23(Tower2016).3
3 TherestyledMaineRulesofAppellateProceduredonotapplybecausethisappealwasfiled
priortoSeptember1,2017.SeeM.R.App.P.1(restyledRules).
5
II.DISCUSSION
[¶9]Thiscasecallsforustoaddressanissuewehavenotpreviouslyhad
occasion to consider: whether the “coordination of benefits” statute in the
Workers’CompensationAct, 39-AM.R.S. §221(1), entitles anemployer to a
creditagainstongoingincapacitybenefitpaymentsforoverpaymentsmadein
thepastwhiletheemployeewasalsoreceiving“old-age”SocialSecuritybenefit
payments(i.e.,retirementbenefitpayments).
[¶10] Section 221(1) provides for an adjustment of the amount of
workers’compensationbenefitswhen
eitherweeklyorlumpsumpaymentsaremadetoanemployeeasaresultofliabilitypursuanttosection212or213withrespecttothesametimeperiodforwhichtheemployeeisalsoreceivingorhasreceivedpaymentsfor:
A. Old-age insurance benefit payments under the United StatesSocialSecurityAct,42UnitedStatesCode,Sections301to1397f.
(Emphasisadded.)Theamountoftheadjustmentisdeterminedpursuantto
section221(3),whichprovides,inpertinentpart:
Benefit payments subject to this section must be reduced inaccordancewiththefollowingprovisions.A. The employer’s obligation to pay or cause to be paidweekly[incapacity]benefits...isreducedbythefollowingamounts:
6
(1) Fifty percent of the amount of the old-age insurancebenefitsreceivedorbeingreceivedundertheUnitedStatesSocialSecurityAct.
(Emphasisadded.)
[¶11] Thequestionpresentedhere iswhetherthe“sametimeperiod”
identified insection221(1)means theperiodwhen theemployee isactually
receivingboththeretirementbenefitandtheincapacitybenefitthatissubject
to the adjustment, or the period when the employer is—or was—liable for
incapacity benefits and the employee is—or was—receiving retirement
benefits. If the phrase in section 221(1), “the same time period,” modifies
“payments”—theconstructionurgedbyUrrutia—thenanemployerwouldbe
entitledtoareductiononlyofthosepaymentsmadeduringthesameperiod
whentheemployeecontemporaneouslyreceivedold-ageretirementbenefits,
and Interstate would not be entitled to a retroactive credit on account of
Urrutia’s receipt of retirement benefits from December 2010 through
November2013. If,however—asInterstateasserts—“thesametimeperiod”
modifies“liability,”thenanemployerwouldbeentitledtoacreditforthesame
periodwhentheemployerwasliableforincapacitybenefitsandforwhichthe
employee received retirement benefits, regardless of when the incapacity
7
paymentswereactuallymade,therebyentitlingtheemployertoaretroactive
credit.
[¶12] The resolution of this dispute is entirely a matter of statutory
construction. SeeBeaulieu v.MaineMed. Ctr., 675A.2d110,112 (Me.1996)
(“‘[T]he law of workers’ compensation is uniquely statutory.’”) (quoting
Wentzell v. Timberlands, Inc., 412 A.2d 1213, 1215 (Me. 1980)). “Statutory
interpretationisaquestionoflawthatwereviewdenovo.”Darling’sv.Ford
MotorCo.,2003ME21,¶7,825A.2d344;seealsoFreemanv.NewPageCorp.,
2016ME45,¶5,135A.3d340.“‘Ourmainobjectiveinstatutoryinterpretation
istogiveeffecttotheLegislature’sintent.’”CityofBangorv.PenobscotCounty,
2005ME35,¶9,868A.2d177(quotingTownofEagleLakev.Comm’r,Dep’tof
Educ.,2003ME37,¶7,818A.2d1034).“[W]elookfirsttotheplainmeaning
of thestatutory language” inorder todetermine that intent. Jordanv.Sears,
Roebuck&Co.,651A.2d358,360(Me.1994). Indoingso,we“construethat
languagetoavoidabsurd,illogicalorinconsistentresults,”andweconsider“the
whole statutory schemeofwhich the sectionat issue forms apart so that a
harmoniousresult,presumablytheintentoftheLegislature,maybeachieved.”
Id. (citations omitted) (quotation marks omitted); accord Ford Motor Co. v.
Darling’s,2014ME7,¶25,86A.3d35;TownofEagleLake,2003ME37,¶7,
8
818 A.2d 1034; Hallissey v. School Admin. Dist. No.77, 2000ME 143, ¶ 14,
755A.2d1068. Ifastatuteisunambiguous,wewillnotdefertoanagency’s
interpretationofthatstatute.SeeWorkers’Comp.Bd.AbuseInvestigationUnit
v.NateHolyokeBuilders, Inc.,2015ME99,¶16,121A.3d801(“Because the
statutesat issue in thiscaseareunambiguous,weneedgono further inour
examinationofthemthantheirplainmeaning.”);Friedmanv.Bd.ofEnvtl.Prot.,
2008ME 156, ¶ 9, 956 A.2d 97; Cobb v. Bd. of Counseling Prof’ls Licensure,
2006ME 48, ¶ 13, 896 A.2d 271; see also Chevron, U.S.A., Inc. v. NRDC, Inc.,
467U.S. 837, 842-43 (1984); Bailey v. City of Lewiston, 2017 ME 160, ¶ 9,
168A.3d 762 (stating that we will not defer to the Appellate Division’s
interpretation of the Workers’ Compensation Act where the statute’s plain
languageandlegislativehistory“compelacontraryresult”).
[¶13]Applyingtheseestablishedprinciplesofstatutoryconstruction,we
concludethattheplainlanguageofsection221(1)unambiguouslyentitlesan
employer to a credit based on an employee’s past receipt of Social Security
retirementbenefits.Wemakethisdeterminationbasedonseveralaspectsof
the language of section 221, as well as a consideration of the underlying
purposeofthestatute.
9
[¶14] We firstnote thegrammaticalstructureof thepertinentpartof
section 221(1), which lacks a comma or other punctuation to separate the
references to “liability” and “the same time period.” This indicates that the
phrase “with respect to the same time period” modifies the immediately
precedingword—“liability”—ratherthan“payments,”whichappearsearlierin
that sentence. SeeLabbe v. Nissen Corp., 404A.2d 564, 567 (Me. 1979) (“A
commaisgenerallyusedtoindicatetheseparationofwords,phrases,orclauses
fromothersnotcloselyconnectedinthestructureofthesentence.”).
[¶15]Next,andmoresubstantively,byitsexpresstermssection221(1)
provides for a reductionof the amountofworkers’ compensation payments
madeforaperiodduringwhichtheemployee“isalsoreceivingorhasreceived
payments” for old-age Social Security benefits. 39-A M.R.S. § 221(1)(A)
(emphasis added). The reference to past receipt of retirement benefits
demonstrates that the Legislature intended that the amount of incapacity
paymentsistobecoordinatedwithotherqualifyingbenefits—includingSocial
Security retirement benefits—even when the benefits were received in the
past,beforetheadjustmentisimplemented.
[¶16]Anotherprovisioncontainedinsection221specificallyreferstoa
“creditorreduction”ofincapacitybenefitsbasedonanemployee’sreceiptof
10
SocialSecuritybenefits. See39-AM.R.S.§221(3)(B)(emphasisadded). The
words “credit” and “reduction” must be seen to signify distinct recovery
mechanismsinordertoavoideitherwordbecomingsurplusage.SeeHicksonv.
VescomCorp.,2014ME27,¶15,87A.3d704. Thisdemonstrates thatwhile
section 221 allows for a “reduction” of ongoing incapacity payments arising
fromtheemployee’sreceiptofSocialSecurityretirementbenefits,thestatute
alsoprovidesforsomethingdifferent,namely,a“credit,”which—inlightofthe
statutoryreferencetoa“reduction”—canonlybebasedonpastoverpayments.
[¶17]Theavailabilityofa“creditorreduction”alsocorrespondstothe
statutoryreference insection221(1) toSocialSecuritybenefits“receivedor
beingreceived”bytheemployee:pastoverpaymentofincapacitybenefitswhen
the employee also “received” retirement benefits entitles the employer to a
“credit,”whereastheemployerisentitledtoa“reduction”ofincapacitybenefits
being presently paid based on retirement benefits “being received” by the
employee.See39-AM.R.S.§221(3)(B),(C),(D).
[¶18] Further, we construe the language of the statute in light of its
purpose. As we have previously held, the adjustment created by the
predecessortotheportionofsection221applicablehereisdesignedto“ensure
a minimum income during the period of an employee’s incapacity and to
11
prevent a double recovery of both retirement and compensation benefits.”
Jordan,651A.2dat361;4seealsoFoleyv.Verizon,2007ME128,¶11,931A.2d
1058.PermittingInterstatetopresentlyreceiveacreditbasedonincapacity
benefitoverpaymentsmadeduringthepastperiodwhenUrrutiaalsoreceived
old-age Social Security benefits comports with both of those objectives.
Withoutthecredit,Urrutiawouldretainthedoublerecoveryofbenefitsthat
section 221 is intended to prevent, while application of the credit formula
prescribedinthatstatuteresultsinUrrutia’sreceiptofthecombinedlevelof
benefitsintendedbytheLegislature.
[¶19] Supporting this purpose, section 221(3) states explicitly that
“[b]enefitpaymentssubjecttothissectionmustbereducedinaccordancewith
thefollowingprovisions.”(Emphasisadded.)Thestatutethusnotonlycreates
anemployer’sentitlementtothecreditbutmakesthatcreditmandatory.The
constrictive reading of section 221(1) urged by Urrutia would deny the
employer that stated entitlement and runs counter to the plain language of
section221(3),whichcreatesacreditcalculatedonthebasisofSocialSecurity
4ThestatuteconstruedinJordan,39M.R.S.A.§62-B(1989),wasthepredecessortothecurrent
section221“coordinationofbenefits”statute.Jordanv.Sears,Roebuck&Co.,651A.2d358,359-60(Me.1994).Thepertinentaspectsofthosestatutescontainsimilarlanguage.Compare39M.R.S.A.§62-B(3)(A)(1)(1985),with39-AM.R.S.§221(3)(A)(1)(2017),andP.L.1991,ch.885§§A-7,A-8(effectiveOct.7,1992)(repealedandreplacedTitle39M.R.S.A.§62-Basamended).Section221hassincebeenamended,mostrecentlybyP.L. 2013, ch. 152§1 (effectiveOct. 9, 2013)(codified at39-AM.R.S.§221(3)(2017)).
12
retirementbenefitsthattheemployeehasalready“received.”Section221(3)
thereforecomportswiththepurposeofthestatutebyprovidingamechanism
bywhichtoimplementthecreditandpreventadoublerecovery.
[¶20]AsUrrutiacorrectlypointsout,inseveraldifferentcircumstances
werejectedanemployer’sattempttorecouppastoverpaymentsofworkers’
compensation benefits. For example, in Pelotte v. Purolator Courier Corp.,
464A.2d186(Me.1983),theemployervoluntarilymadepaymentsthatturned
outtobeinagreateramountthantheemployeewasentitledtoreceive.Id.at
187. Weaffirmedthecourt’s refusal toallowtheemployerrecovery for the
pastoverpayments,observingthatsucharemedywasneithercreatedinthe
statute addressing voluntary incapacity payments, see 39 M.R.S.A. § 51-A
(Supp.1982-1983),5norrevealedinthatstatute’slegislativehistory.Id.at188.
InLaRochellev.CrestShoeCo.,655A.2d1245(Me.1995),weconcludedthat
theplain,expresslanguageof39M.R.S.A.§104-A(1)(1989),whichprovided
foranemployer’srecoveryofoverpaymentsthatwere“madependingappeal,”
5ThestatuteatissueinPelottev.PurolatorCourierCorp.,464A.2d186(Me.1983),wasrepealed
whentheWorkers’CompensationActwasrecodifiedin1991andnotreplacedinsubstance.SeeP.L.1991ch.885.Wenotethat,forreasonsthatarenotapparent,ourdecisioninPelottedidnotaddressoreven
acknowledgethe“compensationpayments;penalty”provision,39M.R.S.A.§104-A(1983),thatwasineffectat the timeandcontainedsimilar languageasthecurrentprovision foundat39-AM.R.S.§324(1)(2017).Compare39-AM.R.S.§324(1),with39M.R.S.A.§104-A.
13
didnotallowtheemployertorecoupoverpaymentsthatweremadebeforethe
appeal was filed. Id. at 1246-47; see also Bureau v. Staffing Network, Inc.,
678A.2d 583, 590 (Me.1996) (stating that, absent statutory entitlement,
reimbursementisnotavailableforpastoverpayments).Additionally,wehave
held that in order to promote timely filings and compliance with the
administrativeprocess,whenanemployerfailstofileatimelyresponsetothe
employee’s notice of injury, the employee is entitled to retain benefits
exceeding the amount to which the employee was otherwise entitled. See
Doucette v. Hallsmith/Sysco Food Servs., Inc., 2011 ME 68, ¶¶ 7, 24, 25-26,
21A.3d99.
[¶21] In contrast to those cases, both the plain language of section
221(1) and its underlying purpose—to prevent a double recovery by the
employee—establishthattheLegislatureintendedthatanemployerisentitled
to a “credit” forpastoverpayments resulting from theemployee’s receiptof
SocialSecurityretirementbenefitsduringthesameperiodwhentheemployer
was required to make the incapacity benefit payments. Consequently,
Interstateisentitledtoacredit for incapacitybenefitoverpaymentsmadeto
Urrutiaduring thesameperiodwhenhereceivedSocialSecurityretirement
14
benefits, fromDecember2010throughNovember2013,totaling$24,141.38.
WethereforevacatethedecisionoftheAppellateDivision.
[¶22] We also remand for further proceedings to allow the
administrative law judge, see infra n.1, to determine, based on a hardship
analysis,whetherthefinancialeffectofInterstate’sbenefitpaymentholidayon
Urrutiamaybeconsideredand,ifso,theextentandtermsoftheholiday.We
do so because, at oral argument, counsel for Interstate acknowledged the
prospectthattheALJisauthorized,pursuantto39-AM.R.S.§324(1)(2017)6
orother authority, to consider suchan effectwhendetermining the specific
terms of the credit and resulting payment holiday, to which we have now
establishedthatInterstateisentitled.7Becausetheissueisnotbeforeus,we
donotaddresswhether,inthecircumstancespresentedhere,anALJmaytailor
theimplementationofapaymentholidaytoaccommodateanyhardshipthat
the holiday creates. Because, however, Interstate has indicated that such
authoritymayexist,weremandtogivethepartiestheopportunitytodevelop
theissuefurther.
6 Section324(1)providesinpartthatthe“board”isauthorizedtodetermine“whetherornot
repaymentshouldbemadeandtheextentandscheduleofrepayment”inlightofitseffectontheemployee’sfinancialsituation.39-AM.R.S.§324(1).7AlthoughintheamendeddecreethehearingofficerpermittedInterstateto“cease”paymentof
incapacitybenefitsuntilthecreditwasexhausted,itisunclearfromtherecordwhethertheofficeractuallyconsideredwhethertheholidaywouldworka“hardshiporinjustice”onUrrutia.Id.
15
Theentryis:
ThedecisionoftheAppellateDivisionisvacated.Remanded to the Appellate Division withinstructionstoaffirmthedecisionthatInterstateBrands International is entitled to a credit of$24,141.38 and to then remand to the ALJ forfurther proceedings addressing the applicationandeffectofsection324.
JABAR,J.,withwhomALEXANDER,J.,joins,dissenting.
[¶23] We respectfully dissent because the Workers’ Compensation
Board Appellate Division was correct when it held that the Workers’
Compensation Act (the Act) does not provide an employer a remedy for
overpayments made to employees as a result of that employer’s failure to
coordinate workers’ compensation benefits with Social Security benefits
pursuantto39-AM.R.S.§221(2017).
[¶24]AdecisionoftheAppellateDivisionis“entitledtogreatdeference
and will be upheld on appeal unless the statute plainly compels a different
result.”Jordanv.Sears,Roebuck&Co.,651A.2d358,360(Me.1994)(quotation
marksomitted).Here,aproperreadingofsection221doesnotcompelaresult
in Interstate’s favor, and unlike the Court, wewould defer to the Appellate
Division’sanalysisandaffirmitsdecision.
16
A. ThePlainLanguage
[¶25] TheAppellateDivisionunanimouslyconcluded that “[t]heplain
language of section 221(1) requires that the offset or credit be taken ‘with
respecttothesametimeperiod’forwhichtheemployeeisalsoreceivingorhas
received payments.” Urrutia v. Interstate Brands International, Me. W.C.B.
No.16-35, ¶ 7 (App. Div. 2016). The Appellate Division reasoned that to
“permit an offset when weekly incapacity benefits are being made for a
different period than that in which the employee received Social Security
retirementbenefits...isincontraventionoftheplainmeaningofthelanguage
insection221(1).”Id.
[¶26] The Appellate Division was correct. Workers’ compensation
benefits for total incapacity (39-AM.R.S. §212 (2017))orpartial incapacity
(39-AM.R.S.§213(2017))arepaidonaweeklybasis.Followinganinjury,an
employerhas14daystodisputetheemployee’sclaimofincapacity.Me.W.C.B.
Rule,ch.1,§1;see39-AM.R.S.§304(3)(2017).Anemployeewillthenreceive
workers’ compensation benefits under two scenarios. See 39-AM.R.S.
§§205(2),305(2017).First,intheeventthattheemployerdoesnotdispute
theclaim,theemployermustbeginpayingtheemployeebenefitsonaweekly
basis,plusanyaccruedcompensation. See39-AM.R.S.§205(2). Under this
17
scenario,evenwheretheemployeragreestopaytheemployee,theremaybe
anaccruedamountdueforthetimeperiodbetweentheemployee’snoticeof
claimandtheemployer’sdecisiontoaccepttheclaim.
[¶27]Thesecondscenarioinwhichanemployeereceivescompensation
is when the employer disputes the claim. 39-A M.R.S. § 305. Under this
scenario,inordertoreceivebenefits,theemployeemustfileapetitionforan
award with the Workers’ Compensation Board. Id. This leads to hearings
before an administrative law judge (ALJ) and, unless the employer accepts
responsibilityduringthecourseoftheproceedings,theALJrendersadecision
either denying the claim or granting the claim and awarding the employee
benefitsforhis incapacity. 39-AM.R.S.§318(2017). If theemployeeisstill
incapacitated, the award will indicate that the employer has a continuing
obligation to make ongoing payments and, depending on the decision, the
employer may be held responsible for payments retroactive to when the
employee’speriodofincapacitybegan.Theemployee’scompensationforthat
pastperiodoftimewillthenbepaidinalumpsumbytheemployer.8
[¶28]Section221providesforadjustmentstoanemployee’sworkers’
compensation benefits covering these two scenarios. If the employee is to
8Thislumpsumpaymentforaccruedbenefitsisnottobeconfusedwithalumpsumsettlement
madepursuantto39-AM.R.S.§352(2017),wheretheentirecaseissettled.
18
beginreceivingweeklyworkers’ compensationbenefits and theemployee is
also receiving Social Security benefits, then the employer is entitled to an
adjustment against the ongoing workers’ compensation benefits that it is
requiredtopay.39-AM.R.S.§221(1).Ontheotherhand,iftheemployeeisset
to receive a lump sumworkers’ compensation payment—retroactive to the
employee’s period of incapacity—then the employer is entitled to an
adjustmentagainstthatlumpsumpaymentreflectingacreditfortheamount
ofSocialSecuritybenefitstheemployeereceivedduringthe“sametimeperiod”
thatheorshewasentitledtoreceiveworkers’compensationbenefits.Id.
[¶29] Accordingly, the plain language of section 221 cannot be
interpretedtoallowalumpsumcredit intheformofapayment“holiday”—
covering a past period of time—to be applied to ongoing weekly benefits.
Rather,thecoordinationsetoutinsection221mustbeappliedtothesametime
period forwhich theemployee is receivingSocialSecuritybenefits,or to the
sametimeperiodforwhichtheemployeehasreceivedSocialSecuritybenefits.
[¶30]Here,theCourtdoesnotrecognizethedistinctionbetweenpresent
andpastpaymentsinsection221.TheCourtconcludedthatthephrase“credit
orreduction”in39-AM.R.S.§221(3)(B)(2017)signifiesarecoverymechanism
becauseacredit“canonlybebasedonpastoverpayments.” Court’sOpinion
19
¶16.However,insoreasoning,theCourtfailedtoconsiderthata“credit”is
appliedwhen an employee is entitled to—buthasnot yet received—a lump
sumpaymentforworkers’compensationbenefitsretroactivetotheemployee’s
periodofincapacity.Similarly,theCourtwrongfullyconcludedthat“credit”as
used in section 221 can only be given meaning by applying it to a future
payment “holiday,” even though the credit applies to a lump sum payment
coveringapastperiodoftime.AccordingtotheCourt,“[t]hereferencetopast
receiptofretirementbenefitsdemonstratesthattheLegislatureintendedthat
the amountof incapacitybenefits is to be coordinatedwithotherqualifying
benefits—including Social Security retirement benefits—even when the
benefits were received in the past, before the adjustment is implemented.”
Court’sOpinion¶15.
[¶31]Wedonotagree,asthisanalysisfailstotakeintoconsiderationthe
lump sum provision in section 221. The language “credit or reduction” in
section 221(3)(B) is in the disjunctive, and therefore the adjustments to an
employee’sworkers’ compensationbenefitsare intended toaddress the two
methods by which an employee will receive those benefits. It is when the
employeereceivesworkers’ compensationbenefits in a lumpsumforapast
periodoftime—asisusualincontestedcases—thattheadjustmentbecauseof
20
SocialSecuritypaymentsreceivedduringthatperiodiscoordinatedwiththe
workers’compensationliabilityforthatsameperiodoftime.Statedsimply,the
statutedoesnotpermitanemployertoreceiveacreditforapastperiodoftime,
thatwasneverapplied,tothenbeappliedtooffsetongoingweeklybenefits.
B. PolicyConsideration
[¶32]Inadditiontocorrectlyconcludingthattheplainlanguageofthe
statutedeniesInterstatetheremedyofcollectinganoverpaymentbycrediting
ongoingweekly benefits, the Appellate Division also properly identified the
policy considerations underlying section 221. Urrutia v. Interstate Brands
International,Me.W.C.B.No.16-35,¶8(App.Div.2016).Itacknowledgedthat
thedualpurposeofthestatuteisto(1)“ensureaminimumincomeduringthe
periodof incapacity,” and(2) “prevent adoublerecoveryofbothretirement
and compensation benefits.” Id. (quoting Jordan, 651 A.2d at 361). The
AppellateDivisionreasonedthat“[a]llowinganoffsetthatisconcurrentwith
receipt of more than one type of benefit effectuates both of the articulated
purposes, whereas allowing an employer to take a payment holiday from
payingbenefitstocompensateforanoffsetnottakenpreviouslydoesnot.”Id.
Here,theCourtdiscussessection221’spolicyagainstdoublerecovery.Court’s
Opinion ¶ 18. However, in attempting to address the policy of ensuring a
21
minimum income during the period of incapacity, the Court has erred by
improperlyengraftinga“hardshipanalysis”ontotheplainlanguageofsection
221.SeeCourt’sOpinion¶22.
[¶33]Onnumerousoccasions,wehaveheldthattheActdoesnotcontain
anyremedytoprotectagainstadoublerecoverybyanemployee.TheCourt’s
decisionprioritizesthepolicyagainstdoublerecoveryoverthepolicytoensure
aminimumincome,andthisiscontrarytoournumerousdecisionsholdingthat
theActdoesnotprovideanemployeraremedy tocollectoverpayments. In
AmericanMutualInsuranceCompaniesv.Murray,weheld:
“To . . . engraft[] upon the statutory scheme judicially createddoctrinesof restitutionwould involveus in the establishmentofbroad social policy in a fieldof lawcreatedby the legislature inresponsetolegislativedissatisfactionwithjudicialsolutionstotheproblems of compensation for workers injured in industrialaccidents....Intheabsenceofanexpresslegislativecommandora clear indication of legislative intention, we leave the partieswherethelegislatureleftthem.”9
420 A.2d 251, 252 (Me. 1980); see also Pelotte v. Purolator Courier Corp.,
464A.2d 186, 188 (Me. 1983) (“Although the absence of a right to set off
9 The Court posits that its construction of section 221 fulfills the statutory purpose of
“prevent[ing]adouble recoveryof both retirement and compensationbenefits.” Jordan v. Sears,Roebuck&Co.,651A.2d358,361(Me.1994).However,theequitableremedyofrestitutionexistsinthe common law, outside theWorkers’ Compensation Act, and thus, there is nothing to preventInterstate fromattempting tocollectanyoverpayment inanaction forequitablerestitution. SeeHorton&McGehee,MaineCivilRemedies§7-5at178-83(4thed.2004).
22
voluntary pre-decree overpayments against subsequent periodic
compensationmaydiscourageemployersfrommakingmaximumpre-decree
payments, it is for the Legislature, rather than this Court, to address that
issue.”);LaRochellev.CrestShoeCo.,655A.2d1245,1247(Me.1995)(“Ifthe
Legislature intended to enable employers to recoup overpayments made
duringthependencyofamotionforfindingsoffact,itcouldhaveeasilydrafted
thestatutetosayso.”);Doucettev.Hallsmith/SyscoFoodServs.,2010ME138,
¶5,10A.3d692(reaffirmingtheprinciplethat“wearelimitedtothestatutory
remediesforrepaymentofbenefitsultimatelydeterminednottobeproperly
paid”).
[¶34] The Appellate Division properly concluded that the workers’
compensation statute—which is uniquely statutory—does not, with the
exceptionof39-AM.R.S.§324(1)(2017),providearemedytoanemployerto
recoupanoverpayment.Urrutiav.InterstateBrandsInternational,Me.W.C.B.
No.16-35,¶9n.2(App.Div.2016).WehaveconsistentlyheldthatthisCourt
hasnoauthoritytosupplementthestatutorylanguageoftheAct.SeeWentzell
v. Timberlands, Inc., 412 A.2d 1213, 1215 (Me. 1980) (“Since the Workers’
Compensation Act is a creation of the legislature, the legislature bears the
primaryresponsibilityforenunciatingwithclaritythepurposes it intendsto
23
achieve through thatstatute.”);Ryerson v.Pratt&WhitneyAircraft,495A.2d
808,812(Me.1985)(“Ifapolicydifferentfromthat laiddownbyth[e]clear
languageistobeadopted,itisthelegislaturethatshoulddoit....”).Assuch,
theCourt’s remand to theALJ to consider the issueof a “hardship analysis”
demonstrates the problemwith providing a remedy under section 221 that
does not exist. Ahardship analysis pursuant to section324(1)only applies
when,followinganemployer’ssuccessfulappealormotionforfindingsoffact
orconclusionsoflaw,itisdeterminedthatanoverpaymenttoanemployeehas
beenmadeduringthependencyofthatappealormotion.10Becausewearenot
dealing with this type of overpayment, the hardship analysis provided in
section324(1)doesnotapply.HowevercompassionatetheCourt’sapproach
1039-AM.R.S.§324(1)(2017)provides,inpertinentpart:
Iftheboardentersadecisionawardingcompensation,andamotionforfindingsoffactandconclusionsoflawisfiledwiththeadministrativelawjudgeoranappealisfiledwiththedivisionpursuanttosection321-BortheLawCourtpursuanttosection322, payments may not be suspended while the motion for findings of fact andconclusionsoflaworappealispending.TheemployerorinsurermayrecoverfromanemployeepaymentsmadependingamotionforfindingsoffactandconclusionsoflaworappealtothedivisionortheLawCourtifandtotheextentthattheadministrativelawjudge,divisionortheLawCourthasdecidedthattheemployeewasnotentitledtothecompensationpaid. Theboardhasfull jurisdictiontodeterminetheamountofoverpayment,ifany,andtheamountandscheduleofrepayment,ifany.Theboard,in determining whether or not repayment should be made and the extent andscheduleofrepayment,shallconsiderthefinancialsituationoftheemployeeandtheemployee’s family and may not order repayment that would work hardship orinjustice.
(Emphasisadded.)
24
may be, and however consistent it may be with the policy of “ensuring a
minimumincomeduringaperiodofincapacity,”thereisnoprovisionintheAct
that provides such relief. The Court characterizes this remedy as an
“entitlement”fortheemployer.Court’sOpinion¶19.Ifitisanentitlementfor
the employer, the Legislaturewould have identified it as an entitlement—it
didn’t. By judiciallyengraftingthis“hardshipanalysis”ontosection221,the
Courtislegislating.
[¶35] Had the Legislature intended to permit the recovery of
overpaymentscausedbya failure tocoordinatebenefitspursuant tosection
221—or, for thatmatter, any overpayment other than the type specified in
section324(1)—it couldhavedone so. TheLegislaturedidnotprovideany
remedy in the Act to an employer who overpays as a result of failing to
coordinatebenefitsundersection221,andtheonlymechanismthatgrantsan
employer any such remedy is limited to the specific scenario contained in
section324(1).Becausesection324(1)isnotapplicablehere,itisinerrorto
remandtotheALJfora“hardshipanalysis.”
C. Conclusion
[¶36]ItisuptotheLegislatureandnotthisCourttoprovideemployers
aremedywithintheActto“recoup”overpaymentsthatanemployermadeto
25
anemployeebecausetheemployerfailedtocoordinateworkers’compensation
benefitswithSocialSecuritybenefitspursuanttosection211.Becausesection
211containsnosuchremedy,weshouldaffirmthedecisionoftheAppellate
Division.
StephenW.Moriarty,Esq. (orally),Norman,Hanson&DeTroy,Portland, forappellants Interstate Brands International and Ace American InsuranceCompanyJamesJ.MacAdam,Esq.,NathanA.Jury,Esq.(orally),andDonaldM.Murphy,Esq.,MacAdamJury,P.A.,Freeport,forappelleeVictorS.UrrutiaBenjaminK.Grant,Esq.,McTeagueHigbee,Topsham,foramicuscuriaeMaineAFL-CIORichardD.Tucker,Esq.,TuckerLawGroup,Bangor,foramicuscuriaeCatalystPaperCorporationThomasE.Getchell,Esq.,andDanielF.Gilligan,Esq.,TroubhHeisler,Portland,foramicuscuriaeS.D.WarrenCompanyWorkers’CompensationBoardAppellateDivisiondocketnumber15-0028FORCLERKREFERENCEONLY