|
A Closer Look At
Subrogation
As explained in the introductory paragraphs,
subrogation was devised to protect the innocent employer and prevent
the employee from getting more than his/her fair share in remedies. It
is important to note that while these principles are universally
honored and the end result remains the same, the application of this
methodology varies from state to state. Under some Workers’
compensation statutes, it is the employer who sues the third party and
recovers the common law damages, giving the employee any remaining
excess after deducting the compensation benefits. Under other
statutes, it is the employee who sues the third party and the employee
is responsible for reimbursing the employer for the statutory
benefits. The difference, thus, lies in who sues the third party and
who is responsible for the employer’s reimbursement: the employee or
the employer. In either case, the parties win and lose the same
amount. The employee recovers an amount equivalent to the common law
damages recovered from the third party; the employer breaks even; and
the third party pays in common law damages the same amount it would
pay in the absence of statutory benefits.
In order to achieve these balancing interests, a
subrogation statute ensures that both the employer and employee are
given ample opportunity to sue the third party. The suit involving the
third party is of crucial importance because the employer is
reimbursed from the damages obtained from the third party.
It is important to finally note a special
circumstance involving insurers where a subrogation statute provides
that the employer rather than the employee is the party responsible
for suing the third party. If an insurer is involved, most states
provide the insurer can step inside the shoes of the employer and sue
the third party. Other states go one step further and provide that the
insurer alone is the proper plaintiff in the subrogation suit. The
rationale is that it is the insurer who has directly paid out the
statutory compensation benefits, not the employer, and therefore, it
is more appropriately the insurer who should sue to be reimbursed.
|