Cross Maintenance, LLC v. Mark R. Riddle ( 2016 )

IMPORTANT NOTICE
NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNATED "NOT TO BE PUBLISHED."
PURSUANT TO THE RULES OF CIVIL PROCEDURE
PROMULGATED BY THE SUPREME COURT, CR 76.28(4)(C),
THIS OPINION IS NOT TO BE PUBLISHED AND SHALL NOT BE
CITED OR USED AS BINDING PRECEDENT IN ANY OTHER
CASE IN ANY COURT OF THIS STATE; HOWEVER,
UNPUBLISHED KENTUCKY APPELLATE DECISIONS,
RENDERED AFTER JANUARY 1, 2003, MAY BE CITED FOR
CONSIDERATION BY THE COURT IF THERE IS NO PUBLISHED
OPINION THAT WOULD ADEQUATELY ADDRESS THE ISSUE
BEFORE THE COURT. OPINIONS CITED FOR CONSIDERATION
BY THE COURT SHALL BE SET OUT AS AN UNPUBLISHED
DECISION IN THE FILED DOCUMENT AND A COPY OF THE
ENTIRE DECISION SHALL BE TENDERED ALONG WITH THE
DOCUMENT TO THE COURT AND ALL PARTIES TO THE
ACTION.
RENDERED: MARCH 17, 2016
NOT TO BE PUBLISHED
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CROSS MAINTENANCE, LLC APPELLANT
ON APPEAL FROM COURT OF APPEALS
V. CASE NOS. 2014-CA-001485-WC AND 2014-CA-001593-WC
WORKERS' COMPENSATION BOARD NO. 12-70373
MARK R. RIDDLE;
HONORABLE WILLIAM J. RUDLOFF,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD APPELLEES
AND 2015-SC-000306-WC
MARK RIDDLE CROSS-APPELLANT
ON APPEAL FROM COURT OF APPEALS
V. CASE NOS. 2014-CA-001485-WC AND 2014-CA-001593-WC
WORKERS' COMPENSATION BOARD NO. 12-70373
CROSS MAINTENANCE, LLC;
HONORABLE WILLIAM J. RUDLOFF,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD CROSS-APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
Appellant, Cross Maintenance, LLC, appeals a Court of Appeals decision
regarding an alleged settlement agreement between itself and Appellee, Mark R.
Riddle. Cross argues that there was not an enforceable settlement agreement
because: 1) the Administrative Law Judge ("ALJ") rendered an opinion and
award before the parties reached an agreement and thus KRS 342.285(1) made
his findings binding on the parties; 2) the ALJ's opinion and award was
unbeknownst to the parties while the negotiations were ongoing creating a
mutual mistake of fact which prevents enforcement of the settlement; and 3)
the parties' failure to negotiate when the weekly payments would commence
shows the settlement agreement was incomplete and therefore unenforceable.
Riddle cross-appeals from the Court of Appeals decision arguing that it was
error to remand the matter to the ALJ to determine if the settlement agreement
reached between the parties was for a complete dismissal of all rights. For the
below stated reasons, we affirm the Court of Appeals.
Riddle filed a workers' compensation claim on May 9, 2013, following a
work-related accident which caused him to lose range of motion and grip
strength in his left hand. In the days surrounding the October 23, 2013
evidentiary hearing, the parties engaged in ongoing settlement negotiations.
Riddle was represented by Chris Evensen and Cross by Douglas U'Sellis.
On October 24, 2013, Jason Swinney from U'Sellis's office, sent the
following e-mail to Evensen:
Chris,
I received authority from [Cross] to offer Mr. Riddle a lump sum of
$25,000 plus weekly benefits of $150 to be paid for 425 weeks. I
know [the ALJ] is deciding the claim, but I think we can make a
strong argument that Bilkey's rating is not accurate. Specifially,
Dr. Bilkey rated Mr. Riddle for an impairment for the fifth digit
despite Mr. Riddle's testimony that he does not even experience
symptoms in the fifth digit. His overall rating is also higher than
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the rating that would be appropriate if your client actually had
amputations at the PIP joint for the third and forth digits.
This settlement offer gives your guy a lump sum with the
security of additional income to compensate him for any lost
earning capacity. This also does not appear to be the type of injury
that would require any type of ongoing medical treatment, so it
seems mutually beneficial to buy the claim out in its entirety. If
[the ALJ] awards benefits based on Dr. DuBou's 5% impairment,
than your guy is going to be receiving $10 to $40 per week after
deducting for fees and costs, so there is certainly plenty for him to
lose.
Let me know what your guy thinks.
Evensen quickly responded with the following e-mail:
Just so I understand the terms, is this with all rights open? Or is
this for a complete dismissal? Or, something else?
Swinney responded that the offer "would be for a complete dismissal."
That same day, Evensen made a counter offer by the following e-mail:
Counter demand:
(1) $50,000.00 up front
(2) $200.00 per week for 425 weeks
(3) Complete dismissal of all future rights (assuming all medical
expenses to date have been paid - I think they have, but don't
want some bill popping up).
Total Pay-out over time is $135,000.00
If we proceed to the Judge, Mr. Riddle is going to get an award as
follows:
22% IMPAIRMENT WITH THE (3.4) FACTOR
$406.56 X 22% x (1.15) x 3.4 = $349.72 per week for 425 weeks,
which would be a total pay-out of $148,631.00
Thus, my demand provides your client a reduction in the amount
of indemnity benefits it will have to pay and it lets them off the
hook for medical coverage.
I expect a quick opinion, so please provide a response as soon as
possible.
Evensen did not receive the requested quick response to his counter
demand because the next correspondence between the parties occurred by the
following e-mail on November 22, 2013 written by U'Sellis:
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Hi Chris
We haven't yet received an e-mail today, but I am assuming that
the [ALJ] has not yet issued a decision on this claim. My last offer
had been for a lump sum of $25,000, plus $150 per week for 425
weeks. Your last demand had been for a lump sum of $50,000,
plus $200 per week for 425 weeks. I have spoken further with my
client. They have authorized me to offer $40,000, plus $175 per
week as a compromise. Please discuss that with your client as
soon as possible, and let me know if she [sic] is agreeable. Thank
you.
Doug
U'Sellis later wrote the following on a print out of that e-mail, "Past meds open
through 11-22-13, all other rights waived." After that e-mail was sent, U'Sellis
and Evensen had a telephone conversation in which Evensen stated he was
going to recommend Riddle accept the settlement. Later that day, U'Sellis sent
an e-mail to the ALJ asking that he delay the rendition of his decision because
he thought a settlement could be reached.
Also on November 22, 2013, Evensen sent U'Sellis and the Al.,J the
following e-mail:
Dear Judge Rudloff and Doug,
I am writing to advise [Riddle] has accepted [Cross's] offer and this
claim is settled. Therefore, there will not be a need for Judge
Rudloff to issue an opinion. Form 110 to follow.
Chris Evensen.
Evensen then sent the following e-mail to U'Sellis:
Dear Doug,
I am writing to advise we accept your offer and this claim is settled.
I attempted to 'reply to all' from your e-mail to the judge advising
we are settled. However, I am working off of a cell phone and am
not positive it went through. Accordingly, I request you e-mail the
judge's office advising we are settled.
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Unbeknownst to either party or their attorneys, the AU actually
rendered his opinion and award on November 21, 2013, a day before
U'Sellis's e-mail was sent.
On November 25, 2013, Evensen sent U'Sellis the following e-mail:
Dear Doug,
I trust you received the two e-mails I sent out on Friday 11/22/13
in which I (a) advised you we accepted your offer and the claim was
settled and (b) 'Replied to all' in response to your e-mail to Judge
Rudloff and his staff (cc'd to me) wherein you advised Judge
Rudloff and his staff we were negotiating. In my responsive e-mail,
I advised the Judge and you we had accepted your offer and the
claim was settled. I informed a Form 110 settlement agreement
would follow.
Today's mail contained the Opinion. Obviously, it is my position
we had all the material terms in writing (string of e-mails), a valid
offer, and a valid acceptance before either of us were aware of the
Judge's ruling. Therefore, I believe under controlling contract law
and applicable precedent, Coalfield Tel. Co. v. Thompson, 113
S.W.3d 178 (Ky. 2003), we have an enforceable agreement. I am
attaching a draft of a Form 110 settlement agreement. I request
you review the Form 110 and advise if any changes need to be
made. If it meets with your approval, please advise and I suggest
we file the Form 110 along with a Joint Motion to Vacate/Set aside
the Opinion.
Please let me know.
Later that day, U'Sellis responded via the following e-mail:
Chris,
I haven't seen the decision. I agree that we had a valid settlement.
What did he rule?
Doug
Evensen sent U'Sellis a completed Form 110 Agreement. The form stated
that this was a compromise settlement of a disputed claim. The following
monetary amounts were provided as consideration for the following waivers:
Waiver or buyout of past medical benefits -- $5,000.00; Waiver or buyout of
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future medical benefits -- $25,000.00; Waiver of vocational rehabilitation --
$5,000.00; Waiver of the right to reopen -- $5,000.00. The form also contained
the following language:
In an effort to resolve the claim, [Riddle] and [Cross] have each
compromised their respective positions and have agreed to enter
into this Settlement Agreement. [Riddle] is agreeing to accept
$40,000.00 payable in a lump sum and $175.00 per week for 425
weeks, beginning the date this Form 110 is approved, in exchange
for a complete dismissal of his claim for indemnity benefits (TTD,
PPD, PTD and/or death benefits), medical expenses/benefits, right
to reopen and vocational rehabilitation, with prejudice.
The Employer will pay Riddle and his attorney $40,000.00 in a
lump sum and $175.00 per week for 425 weeks in exchange for a
complete dismissal of this claim and all rights under the Workers'
Compensation Act.
U'Sellis sent an e-mail to Evensen on December 4, 2013, stating that he
was no longer authorized by Cross to sign the Form 110. By this time, U'Sellis
had reconsidered his position that the parties had an enforceable settlement
because the agreement was partially negotiated and finalized after the ALJ's
opinion and award had been rendered. Evenson filed a motion to enforce the
settlement. ' The ALJ subsequently reopened proof, limiting the evidence to be
"solely to the question of whether a meeting of the minds in regard to all terms
of the alleged settlement arose, thus rendering the alleged settlement
agreement enforceable."
At a hearing held by the ALJ, U'Sellis provided the following answers to
questions on why he changed his mind about the agreement's enforceability:
Question: Now, on your e-mail of November 25th, where you
indicated that you thought you had a valid settlement,
at that time were you aware that a decision had been
rendered?
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U'Sellis: I was aware that a decision had been rendered. I
didn't know when.
Question: And after you had indicated that there was a valid
agreement, what caused you to change your mind
about having a valid agreement?
U'Sellis: A couple of things; primarily the fact that the decision
from the Judge was actually rendered before we
started our settlement negotiations and then looking
at the case law dealing with enforceability of
settlements, I questioned whether we had enough
detail, although admittedly we had all the detail of the
payments, but whether under the case law if there was
enough detail that there was a valid agreement, if you
put aside the issue of the timing of the [ALJ's]
decision.
...
I do have one additional item to bring up. In terms of
[Evensen] having asked whether I had authority from
my client, I did have the authority that I extended.
Had my client known that the case had already been
decided, I don't know if I would have had the same
authority. I was dealing with - sort of, a conflict
between an adjuster and a supervisor - a supervisor
who didn't want to settle the case and an adjuster who
did. Had they known that a decision had already been
rendered that might have changed the authority I
would have been extended.
The AL1 entered an opinion and order sustaining the motion to enforce
the settlement. Relying on Coalfield Tel. Co., 113 S.W.3d 178, the ALJ found
that the parties had a meeting of the minds and reached an agreement to settle
the case for a lump sum of $40,000 plus $175.00 per week for 425 weeks.
Cross filed a petition for reconsideration arguing that the ALJ failed to address
several of his arguments in favor of not enforcing the settlement. The petition
was denied.
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Cross appealed to the Board arguing that there was not a meeting of the
minds between the parties because certain details of the settlement were not
included in their correspondence and that the ALJ failed to make rulings on
material terms of the agreement. Specifically, Cross argued that there was no
ruling as to whether: medical benefits would remain open until the day the
settlement was reached; the parties agreed that a complete dismissal of
Riddle's claim would occur upon approval of the settlement; the parties' failure
to set a starting date for the weekly payments invalidates the settlement; and.
KRS 342.285(1) bars enforcement of the settlement. The Board found that KRS
342.285(1) and the failure to select a starting date for the payments did not bar
enforcement of the settlement. However, the Board agreed with Cross that the
Al..J did not make a finding that the parties intended there to be a complete
dismissal of Riddle's claim in exchange for the settlement. The Board noted
that while the Form 110 listed monetary amounts to be given for the waiver of
certain benefits and stated that the claim was to be dismissed upon settling,
there was no finding that said terms were included in the correspondence. The
Board also found the ALj did not determine whether the parties agreed to what
period of time medical benefits were to remain open. Therefore, the Board
vacated and remanded the ALJ's opinion and order for further fact finding.
The Board's instructions on remand included:
Accordingly, the March 20, 2014, Opinion and Order finding the
parties reached a settlement agreement, sustaining Riddle's motion
to enforce the settlement agreement, and overruling Cross's
objection and response and the April 10, 2014, Opinion and Order
on Reconsideration affirming the decision are VACATED. This
matter is REMANDED to the ALJ for a determination of whether
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the parties' correspondence memorializes all of the terms of the
settlement agreement. If the ALJ determines the correspondence
establishes the parties reached a full and complete agreement, he
shall enter specific findings of fact setting forth the essential terms
of the agreement. However, if the ALJ determines the parties did
not reach a full and final resolution of all disputed issues, he shall
provide the findings of fact in support of his decision. Further, he
shall then deny Riddle's motion and reinstate the provisions of his
November 21, 2013, Opinion and Order and rule upon Riddle's
petition for reconsideration which he held in abeyance.
Cross appealed and Riddle cross-appealed to the Court of Appeals who
affirmed. This appeal followed.
The Board's review in this matter was limited to determining whether the
evidence is sufficient to support the ALJ's findings, or if the evidence compels a
different result. W. Baptist Hosp. v. Kelly, 827 S.W.2d 685, 687 (Ky. 1992).
Further, the function of the Court of Appeals is to "correct the Board only
where the Court perceives the Board has overlooked or misconstrued
controlling statutes or precedent, or committed an error in assessing the
evidence so flagrant as to cause gross injustice." Id. at 687-88. Finally, review
by this Court "is to address new or novel questions of statutory construction,
or to reconsider precedent when such appears necessary, or to review a
question of constitutional magnitude." Id. The ALJ, as fact-finder, has the sole
discretion to judge the credibility of testimony and weight of evidence.
Paramount Foods, Inc. v. Burkhardt, 695 S.W.2d 418 (Ky. 1985).
Settlement agreements which have not been reduced to a final form can
be found to be enforceable if correspondence between the parties indicate they
agreed on the material terms. Hudson v. Cave Hill Cemetery, 331 S.W.3d 267
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(Ky. 2011) (holding that correspondences between parties can constitute a valid
agreement); Coalfield Tel. Co., 113 S.W.3d 178 (Ky. 2003) (holding that letters
from both parties to a workers' compensation settlement negotiation are
evidence that the parties reached mutual agreement); Skaggs v. Wood Mosaic
Corp., 428 S.W.2d 617, 619 (Ky. 1968) (holding that KRS 342.265 does not
require a settlement agreement to be in a final written form if there is written
evidence of the terms of the agreement).
I. KRS 342.285(1) DID NOT BIND THE PARTIES TO ADHERE TO
THE ALJ'S ORIGINAL OPINION AND ORDER
Cross first argues that the Board and Court of Appeals erred by finding
KRS. 342.285(1) did not bind the parties to adhere to the ALJ's original opinion
and order. KRS 342.285(1) states:
An award or order of the [ALJ] as provided in KRS 342.275, if
petition for reconsideration is not filed as provided for in KRS
342.281, shall be conclusive and binding as to all questions of fact,
but either party may in accordance with administrative regulations
promulgated by the commissioner appeal to the [Board] for review
of the order or award.
Cross argues that since the parties were unaware of the terms of the ALJ's
opinion and order before they entered into a settlement, the opinion and order
became binding upon them, and prevented the settlement agreement from
being enforceable. We disagree. KRS 342.285(1) does not prevent the parties
from entering into a settlement agreement after the ALJ has ruled. Cross
acknowledges in his brief that workers' compensation claims may be settled
after the entry of an ALJ's opinion and order. KRS 342.285(1) only stands for
the proposition that a party must file a petition for reconsideration to later
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appeal to the Board a factual finding made by the ALJ. This does not prohibit
the parties from making,a motion to enforce a later negotiated settlement. The
fact that the parties were unaware of the terms of the ALJ's ruling while
negotiating goes to the merits of Cross's second argument, whether there was a
mutual mistake of fact which prevents enforcement of the settlement.
II. THERE IS INSUFFICIENT EVIDENCE AT THIS TIME TO SHOW
A MUTUAL MISTAKE OF FACT OCCURRED
Cross's second argument is that there was a mutual mistake of fact
between the parties because the settlement negotiations were based on their
common belief that the ALJ had not rendered an opinion and order. Cross
argues that if the parties knew the Al.,J had rendered an opinion and order, one
or both of them might have withdrawn from settlement negotiations. Cross
analogizes this situation to the "barren cow" scenario as outlined in Sherwood
v. Walker, 66 Mich. 568, 22 N.W.919, 923 (1887) (holding that a sale of a
supposedly barren cow could be rescinded when it was discovered the cow was
actually pregnant). Again, we must disagree.
To prove that a mutual mistake of fact occurred, which caused the
parties to not have a meeting of the minds, Cross must prove that: 1) the
mistake was mutual, not unilateral; 2) the mutual mistake is proven in the
record by clear and convincing evidence; and 3) the parties had actually agreed
upon terms different from those expressed in the written instrument. See
Abney v. Nationwide Mut. Ins. Co., 215 S.W.3d 699, 704 (Ky. 2006). In this
matter, while it is clear that both parties were mutually unaware of the ALJ's
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opinion and order while negotiating the settlement, it cannot be said at this
time that Cross is being held to terms different from those expressed in the
correspondence between the parties. The lump sum amount, weekly payment,
and duration of payments are all identical to what was negotiated for in the
settlement. We do note, however, that this matter is being remanded to the
ALO for further findings of fact regarding if the parties agreed how long medical
benefits were to remain open and if the settlement was in exchange for a full
waiver of Riddle's rights. If there is insufficient correspondence for the ALJ to
make findings regarding those elements of the settlement agreement and those
terms are material to the agreement, the Board has instructed the original
opinion and award of the ALJ to be reinstated and the motion to enforce the
settlement to be dismissed. We agree with the Board that remand for further
fact finding is appropriate. 1
III. THE FAILURE TO SET A DEFINITE DATE WHEN WEEKLY
PAYMENTS ARE TO BEGIN DOES NOT RENDER THE
SETTLEMENT AGREEMENT UNENFORCEABLE
Cross's final argument is that the parties' failure to negotiate a starting
date for the payment of the weekly benefits makes the settlement incomplete
and unenforceable. The Board and Court of Appeals both held that the failure
to select a date was inconsequential and not fatal to the settlement agreement.
1 This matter does not fall within the above mentioned "barren cow" scenario because
the parties in that case bargained for the cow based on an understanding that she
could not have calves. In this matter, the parties knew the actual value of Riddle's
workers' compensation claim could vary and their attempt to settle was a gamble of
sorts.
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Cross disagrees, arguing that if the starting date for the payments is set by the
ALJ as the date of the injury, then it would be liable to pay past due benefits in
addition to the lump sum amount already negotiated and thus would suffer
greater liability.
However, the date for commencement of Riddle's weekly payments was
not a term material or essential to the parties' agreement. In fact, without a
specific negotiated starting date between the parties it can be presumed the
payments will start once the settlement is approved by the ALJ. On remand,
we trust that the ALJ will review the record and determine if the parties came
to an agreement on what date payments should commence. If there is no such
correspondence we trust the ALJ will select a date without altering the
agreement terms or adversely affecting the rights of the parties.
IV. THE BOARD CORRECTLY REMANDED THE MATTER FOR
FACT FINDING ON WHETHER THE PARTIES ENTERED INTO THE
SETTLEMENT FOR A COMPLETE DISMISSAL OF THE CLAIM
Riddle has cross appealed arguing that the Board erred by vacating and
remanding this matter because by agreeing to enforce the settlement, the ALJ
made an implied finding that the parties agreed the settlement would be
entered into in exchange for a complete dismissal of the claim. Riddle argues
that his tendered Form 110 stated that there would be a complete dismissal of
the claim and that Cross never made a settlement offer that did not include
that term. However, while the record may ultimately show that Riddle is
correct, the fact remains that the ALJ did not make such a determination when
originally adjudicating this claim. The matter needs to be remanded to the ALJ
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for proper fact finding and a final determination of whether the parties
negotiated for a complete dismissal of the claim in exchange for the settlement.
For the above stated reasons, we affirm the decision of the Court of
Appeals.
All sitting. All concur.
COUNSEL FOR APPELLANT/CROSS-APPELLEE,
CROSS MAINTENANCE, LLC:
Douglas Anthony U'Sellis
COUNSEL FOR APPELLEE/CROSS-APPELLANT,
MARK R. RIDDLE:
Christopher P. Evensen
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