Opinion

Holeton v. Crouse Cartage Co.

  • 92 Ohio St. 3d 115
  • 2001 Ohio 109
Court
Ohio Supreme Court
Filed
Jun 27, 2001
Status
Published
On the bench
Alice Robie Resnick, J.
Cited by
19 cases
Authority
More cited than 82.9%

Distinguished

  • Distinguished by Oh Bur. of Workers' Comp. v. Plumb, Unpublished Decision (3-14-2005), 2005 Ohio 1097 (2005)

    Accordingly, the Supreme Court of Ohio's decision inHoleton, supra, on June 27, 2001, is inapplicable to the determination of whether a valid and enforceable contract was entered into between the parties herein.
    Ohio Court of AppealsMar 14, 20052 citing opinionsRead it

The opinion

[This decision has been published in Ohio Official Reports at 92 Ohio St.3d 115.]

HOLETON ET AL., PETITIONERS, v. CROUSE CARTAGE COMPANY ET AL.;

CONRAD, ADMR., RESPONDENT.

[Cite as Holeton v. Crouse Cartage Co., 2001-Ohio-109.]

Workers’ compensation—Subrogation right of statutory subrogee against third

party–R.C. 4123.931, in its present form, is unconstitutional.

(No. 00-428—Submitted October 10, 2000—Decided June 27, 2001.)

ON ORDER from the United States District Court for the Northern District of Ohio,

Western Division, Certifying a Question of State Law, No. 98CV-7578.

__________________

ALICE ROBIE RESNICK, J.

{¶ 1} This case comes to us as certified questions of state law from the

United States District Court for the Northern District of Ohio, Western Division.

The federal district court certified the following facts to us:

“Plaintiff, Rick Holeton, was injured on June 18, 1998. He and his plaintiff

spouse, Shari, have two minor children, also plaintiffs herein. At the time of his

accident, Rick was part of a construction crew employed by Harper Structures, Inc.,

building an overpass across the Ohio Turnpike. The telescoping ‘manlift’ bucket

in which Rick was standing was struck by an eastbound truck owned and/or

operated by defendants, James Parr and Crouse Cartage Company. The force of

the impact propelled Rick out of the bucket, slamming him into the underside of

the overpass and then dropping him on to the highway below.

“Because his injuries occurred in the course and scope of his employment

with Harper Structures, Rick Holeton has received, and may indefinitely continue

to receive, workers’ compensation benefits from defendant, Bureau of Workers’

Compensation (BWC), pursuant to Chapter 4123 of the Revised Code. Rick

Holeton’s wage and medical benefits to date exceed $190,000.

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“BWC is a ‘statutory subrogee’ within the meaning of R.C. § 4123.931,

referred to herein as Ohio’s subrogation statute. As a statutory subrogee with

respect to workers’ compensation benefits previously or hereafter paid to Rick

Holeton, BWC has asserted a subrogation claim against any settlement made or

judgment paid to Rick Holeton by or on behalf of the other defendants.1 Plaintiffs

dispute the validity of BWC’s subrogation claim and argue that the statute violates

relevant sections of Ohio’s Constitution. BWC denies that the statute is

unconstitutional and seeks to enforce its right of subrogation.

“Plaintiffs filed a motion for summary judgment asking the court to declare

the subrogation statute unconstitutional. In the alternative, plaintiffs requested an

order certifying the issue to the Ohio Supreme Court. The court has stayed

plaintiffs’ motion for summary judgment and granted plaintiffs’ motion to certify

the issue to the Ohio Supreme Court.”

{¶ 2} On May 3, 2000, this court reviewed the preliminary memoranda

pursuant to S.Ct.Prac.R. XVIII and determined that it will answer the following

certified questions:

“1. Does R.C. § 4123.931 violate Article II, Section 35 of the Ohio

Constitution?

“2. Does R.C. § 4123.931 violate Article I, Section 19 of the Ohio

Constitution?

“3. Does R.C. § 4123.931 violate Article I, Section 16 of the Ohio

Constitution?

“4. Does R.C. § 4123.931 violate Article II, Section 28 of the Ohio

Constitution?

1. Footnote one of the order states: “R.C. § 4123.931 provides, in part, that BWC’s right of subrogation

is automatic, that no settlement or other recovery is final without notice to BWC, and that the entire

amount of any settlement is subject to BWC’s subrogation right.”

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“5. Does R.C. § 4123.931 violate Article I, Section 2 of the Ohio

Constitution?

“6. Does R.C. § 4123.931 violate Article II, Section 15 of the Ohio

Constitution?

“7. Is R.C. § 4123.931 contrary to Ohio Civil Rule 49(C) and, therefore,

invalid and unenforceable?

“8. Does R.C. § 4123.931 constitute an invalid waiver of an injured

employee’s right to receive and retain workers’ compensation benefits in violation

of R.C. § 4123.80.” (2000), 88 Ohio St.3d 1500, 727 N.E.2d 923.

{¶ 3} R.C. 4123.931 provides:

“(A) The payment of compensation or benefits pursuant to this chapter or

Chapter 4121., 4127., or 4131., of the Revised Code creates a right of subrogation

in favor of a statutory subrogee against a third party. A statutory subrogee’s

subrogation interest includes past payments of compensation and medical benefits

and estimated future values of compensation and medical benefits arising out of an

injury to or disability or disease of a claimant.

“(B) A claimant shall notify a statutory subrogee of the identity of all third

parties against whom the claimant has or may have a right of recovery. No

settlement, compromise, judgment, award, or other recovery in any action or claim

by a claimant shall be final unless the claimant provides the statutory subrogee with

prior notice and a reasonable opportunity to assert its subrogation rights. If a

statutory subrogee is not given that notice, the third party and the claimant shall be

jointly and severally liable to pay the statutory subrogee the full amount of the

subrogation interest.

“(C) The right of subrogation under this chapter is automatic, regardless of

whether a statutory subrogee is joined as a party in an action by a claimant against

a third party. A statutory subrogee may assert its subrogation rights through

correspondence with the claimant and the third party or their legal representatives.

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A statutory subrogee may institute and pursue legal proceedings against a third

party either by itself or in conjunction with a claimant. If a claimant disputes the

validity or amount of an asserted subrogation interest, the claimant shall join the

statutory subrogee as a necessary party to the action against the third party.

“(D) The entire amount of any settlement or compromise of an action or

claim is subject to the subrogation right of a statutory subrogee, regardless of the

manner in which the settlement or compromise is characterized. Any settlement or

compromise that excludes the amount of compensation or medical benefits shall

not preclude a statutory subrogee from enforcing its rights under this section. The

entire amount of any award or judgment is presumed to represent compensation

and medical benefits and future estimated values of compensation and medical

benefits that are subject to a statutory subrogee’s subrogation rights unless the

claimant obtains a special verdict or jury interrogatories indicating that the award

or judgment represents different types of damages.

“(E) Subrogation does not apply to the portion of any judgment, award,

settlement, or compromise of a claim to the extent of a claimant’s attorney’s fees,

costs, or other expenses incurred by a claimant in securing the judgment, award,

settlement, or compromise, or the extent of medical, surgical, and hospital expenses

paid by a claimant from the claimant’s own resources for which reimbursement is

not sought. No additional attorney’s fees, costs, or other expenses in securing any

recovery may be assessed against any subrogated claims of a statutory subrogee.”

{¶ 4} R.C. 4123.93(B) defines “statutory subrogee” as “the administrator of

the bureau of workers’ compensation, a self-insuring employer, or an employer that

contracts for the direct payment of medical services pursuant to division (L) of

section 4121.44 of the Revised Code.”

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I

Section 35, Article II—The Great Compromise

{¶ 5} The first certified question is whether R.C. 4123.931 violates Section

35, Article II of the Ohio Constitution, which provides:

“For the purpose of providing compensation to workmen and their

dependents, for death, injuries or occupational disease, occasioned in the course of

such workmen’s employment, laws may be passed establishing a state fund to be

created by compulsory contribution thereto by employers, and administered by the

state, determining the terms and conditions upon which payment shall be made

therefrom. Such compensation shall be in lieu of all other rights to compensation,

or damages, for such death, injuries, or occupational disease, and any employer

who pays the premium or compensation provided by law, passed in accordance

herewith, shall not be liable to respond in damages at common law or by statute for

such death, injuries or occupational disease.”

{¶ 6} Resolution of this issue requires some historical knowledge of the

legal climate that invoked the unanimous adoption of Proposal Number 24, or

Section 35, Article II, at the Constitutional Convention of 1912 and the enactment

of Ohio’s first compulsory workers’ compensation law, 103 Ohio Laws 72, on

February 26, 1913.

{¶ 7} Prior to 1913, the employee’s ability to receive compensation for

work-related injuries was governed by the common law of torts. Although the

principle of vicarious liability had long been recognized at common law, it was far

more difficult for the injured worker to recover damages from his or her employer

than it was for the stranger to the employment relationship. The injured employee

was required to prove that the employer violated a duty of care owed specifically

to employees. Even upon overcoming this hurdle, until 1911 the employee was

faced with what became known as the “unholy trinity of common-law defenses”—

contributory negligence, the fellow servant rule, and assumption of risk. 102 Ohio

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Laws 529, Section 21-1. These defenses were truly draconian in their application.

The defense of contributory negligence applied to bar any recovery if the

employee’s negligence contributed even slightly to the injury. The fellow servant

rule was modified in most jurisdictions to exclude from the category of fellow

servants all employees charged with carrying out the employer’s common-law

duties, but Ohio courts limited the exclusion to employees serving in supervisory

capacities. Cleveland, Columbus & Cincinnati RR. Co. v. Keary (1854), 3 Ohio St.

201, 1854 WL 3. And the doctrine of assumption of risk applied to preclude

recovery on the basis that even the barely subsisting worker is free to decline any

service in which he or she apprehends danger. See, generally, Fulton, Ohio

Workers’ Compensation Law (2 Ed.1998) 13-16, Sections 2.1 to 2.5.

{¶ 8} The common-law system proved incapable of dealing with the often

devastating social and economic consequences of industrial accidents. It became

undeniable that the tort system had failed as a regulatory device for distributing

economic losses borne by injured Ohio workers and their families and that it should

be replaced by a workers’ compensation system in which those losses would be

charged, without regard to fault or wrongdoing, to the industry rather than to the

individual or society as a whole. See, e.g., Goodman v. Beall (1936), 130 Ohio St.

427, 5 O.O. 52, 200 N.E. 470; Indus. Comm. v. Weigandt (1921), 102 Ohio St. 1,

4, 130 N.E. 38, 38-39; State ex rel. Munding v. Indus. Comm. (1915), 92 Ohio St.

434, 111 N.E. 299; State ex rel. Yaple v. Creamer (1912), 85 Ohio St. 349, 97 N.E.

602.

{¶ 9} Accordingly, Section 35, Article II represents a social bargain in

which employers and employees exchange their respective common-law rights and

duties for a more certain and uniform set of statutory benefits and obligations.

Thus, in Blankenship v. Cincinnati Milacron Chem., Inc. (1982), 69 Ohio St.2d

608, 614, 23 O.O.3d 504, 508, 433 N.E.2d 572, 577, we explained that the Workers’

Compensation Act “operates as a balance of mutual compromise between the

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interests of the employer and the employee whereby employees relinquish their

common law remedy and accept lower benefit levels coupled with the greater

assurance of recovery and employers give up their common law defenses and are

protected from unlimited liability.” See, also, Bunger v. Lawson Co. (1998), 82

Ohio St.3d 463, 465, 696 N.E.2d 1029, 1031-1032. “This compromise is the basic

premise underlying the workers’ compensation system.” Fulton, supra, at 4,

Section 1.2.

{¶ 10} Petitioners contend that R.C. 4123.931 is unconstitutional “because

it effectively deprives employees of the ‘benefit of their bargain’ and destroys the

balance struck between employers and employees by Article II, Section 35 of the

Ohio Constitution.” In support, petitioners argue (1) that “[t]he subrogation statute

unjustifiably permits [the bureau] and self-insuring employers * * * to recover

100% of benefits paid to injured employees, while the subrogees continue to enjoy

immunity from suit,” (2) that the statute does not serve the “purpose of providing

compensation to workmen and their dependents” as required by Section 35, Article

II, but instead operates to take compensation away from them, and (3) that the

statute forces the claimant-plaintiff to choose between workers’ compensation or a

tort remedy, despite the fact that the Constitution guarantees him or her the right to

both.

{¶ 11} We find these arguments unpersuasive. First, at a core level

petitioners are suggesting that the very concept of a workers’ compensation

subrogation statute is repugnant to Section 35, Article II. Indeed, supporting

amicus Ohio Academy of Trial Lawyers observes that, “as argued by the Petitioner,

the Ohio Constitution itself may prevent the legislature from ever validly enacting

a subrogation statute in the workers’ compensation context unless the constitutional

provision enabling that legislation is itself amended.” However, Section 35, Article

II does not preclude the enactment of a subrogation statute any more than it

prohibits the injured claimant from suing the third-party tortfeasor. Section 35,

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Article II enables a displacement of the common law only to the extent necessary

to provide the injured worker with an automatic recovery. Once payment of

workers’ compensation benefits is ensured, the employer may, without any

disparagement to the bargained-for rights of the employee, seek to impose the loss

upon the ultimate wrongdoer.

{¶ 12} Moreover, as revealed by the compilation of statutes in the appendix

to petitioners’ merit brief, virtually every jurisdiction provides some statutory

mechanism enabling the employer or fund to recover its workers’ compensation

outlay from a third-party tortfeasor. Any decision that would hold the mere concept

of a subrogation or reimbursement statute per se invalid in the workers’

compensation context would constitute a legal anomaly.

{¶ 13} Second, petitioners confuse the effect that R.C. 4123.931 may have

on the claimant-plaintiff’s tort recovery with the effect that it has on the claimant’s

workers’ compensation recovery. R.C. 4123.931 does not operate to reduce the

claimant’s workers’ compensation benefits. The statute may indeed operate

beyond its legitimate purpose and unconstitutionally affect the employee’s right to

a full recovery against the third-party tortfeasor. It may be true, as petitioners and

supporting amici argue strenuously, that the statute can diminish or extinguish the

claimant’s tort recovery irrespective of whether a double recovery has actually

occurred. But these concerns are not relevant here. Regardless of whether and to

what extent R.C. 4123.931 impermissibly cuts into a claimant’s tort recovery, it

does nothing to the claimant’s workers’ compensation. After the statute completes

its task, however unjustly to the claimant’s tort recovery, the claimant is always left

with the full measure of compensation and benefits to which he or she is entitled

under the Workers’ Compensation Act.

{¶ 14} Thus, R.C. 4123.931 does not disrupt any of the rights or obligations

of the claimant and the employer with regard to the payment of statutory workers’

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compensation benefits, and the balance of compromise upon which the viability of

the workers’ compensation system depends remains intact.

{¶ 15} Accordingly, we answer the first certified issue in the negative and

hold that R.C. 4123.931 does not violate Section 35, Article II of the Ohio

Constitution.

II

Sections 16 and 19, Article I—The Take-Away

{¶ 16} The second certified issue is whether R.C. 4123.931 violates Section

19, Article I of the Ohio Constitution, which provides that “[p]rivate property shall

ever be held inviolate, but subservient to the public welfare * * * and * * *, where

private property shall be taken for public use, a compensation therefor shall first be

made.”

{¶ 17} As well stated by the court in Direct Plumbing Supply Co. v. Dayton

(1941), 138 Ohio St. 540, 546, 21 O.O. 422, 424-425, 38 N.E.2d 70, 73:

“No government could long continue to function if all property rights were

unqualifiedly inviolate. But, on the other hand, the constitutional guaranty of the

right of private property would be hollow if all legislation enacted in the name of

the public welfare were per se valid. To be truly in the public welfare within the

meaning of Section 19, and thus superior to private property rights, any legislation

must be reasonable, not arbitrary, and must confer upon the public a benefit

commensurate with its burdens upon private property. This general doctrine was

comprehensively stated by this court in Froelich v. City of Cleveland [1919], 99

Ohio St. 376, at 391, 124 N.E. 212 [216]: ‘It must be remembered that neither the

state in the passage of general laws, nor the municipality in the passage of local

laws, may make any regulations which are unreasonable. The means adopted must

be suitable to the ends in view, they must be impartial in operation, and not unduly

oppressive upon individuals, must have a real and substantial relation to their

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purpose, and must not interfere with private rights beyond the necessities of the

situation.’ ”

{¶ 18} The third certified question is whether R.C. 4123.931 violates

Section 16, Article I of the Ohio Constitution, which provides that every person,

for an injury done, “shall have remedy by due course of law.”

{¶ 19} In dealing with the constitutionality of various collateral-benefits-

offset statutes under Section 16, Article I, this court has recognized that the state

has a legitimate interest in preventing double recoveries. Thus, it is constitutionally

permissible for the state to prevent a tort victim from recovering twice for the same

item of loss or type of damage, once from the collateral source and again from the

tortfeasor. However, we have also recognized that these kinds of statutes are not

rationally related to their purpose where they operate to reduce a plaintiff’s tort

recovery irrespective of whether a double recovery has actually occurred. Thus,

we have consistently and repeatedly held that due process permits deductions for

collateral benefits only to the extent that the loss for which the collateral benefit

compensates is actually included in the award. McMullen v. Ohio State Univ. Hosp.

(2000), 88 Ohio St.3d 332, 341-344, 725 N.E.2d 1117, 1125-1127; State ex rel.

Ohio Academy of Trial Lawyers v. Sheward (1999), 86 Ohio St.3d 451, 479-482,

715 N.E.2d 1062, 1088-1090; Buchman v. Wayne Trace Local School Dist. Bd. of

Edn. (1995), 73 Ohio St.3d 260, 652 N.E.2d 952; Sorrell v. Thevenir (1994), 69

Ohio St.3d 415, 633 N.E.2d 504.

{¶ 20} There is no valid justification for dispensing with these principles in

determining the constitutionality of R.C. 4123.931. Like the collateral-benefits-

offset statutes, the subrogation statute is aimed at preventing the tort victim from

keeping a double recovery, the only conceptual difference being that the intended

beneficiary is the statutory subrogee (i.e., the collateral payor) rather than the

tortfeasor. Thus, R.C. 4123.931 must also satisfy the constitutional requirement

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that deductible or, in this case, subrogable or recoupable items be matched to those

losses or types of damages that the claimant actually recovered from the tortfeasor.

{¶ 21} We are now confronted with similar determinative issues under

Sections 16 and 19, Article I of the Ohio Constitution. Whether expressed in terms

of the right to private property, remedy, or due process, the claimant-plaintiff has a

constitutionally protected interest in his or her tort recovery to the extent that it does

not duplicate the employer’s or bureau’s compensation outlay. Thus, if R.C.

4123.931 operates to take more of the claimant’s tort recovery than is duplicative

of the statutory subrogee’s workers’ compensation expenditures, then it is at once

unreasonable, oppressive upon the claimant, partial, and unrelated to its own

purpose.

{¶ 22} The following two provisions of the statute are called into question

under Sections 16 and 19, Article I of the Ohio Constitution: (1) the portion of R.C.

4123.931(A) that gives the statutory subrogee a right of subrogation with respect to

“estimated future values of compensation and medical benefits,” and (2) the portion

of R.C. 4123.931(D) providing that “[t]he entire amount of any settlement or

compromise of an action or claim is subject to the subrogation right of a statutory

subrogee, regardless of the manner in which the settlement or compromise is

characterized. Any settlement or compromise that excludes the amount of

compensation or medical benefits shall not preclude a statutory subrogee from

enforcing its rights under this section.”

A

Estimated Future Values

{¶ 23} By giving the subrogee a current collectible interest in estimated

future expenditures, R.C. 4123.931(A) creates the conditions under which a

prohibited taking may occur. This would happen in those situations where the

amount of reimbursement for “estimated future values of compensation and

medical benefits” proves to be substantially greater than the subrogee’s eventual

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compensation outlay. In other words, R.C. 4123.931(A) requires the claimant to

reimburse the bureau or self-insuring employer for future benefits that the claimant

may never receive. In that event, the statute operates not to prevent the claimant

from keeping a double recovery but to provide the statutory subrogee with a

windfall at the expense of the claimant’s tort recovery.

{¶ 24} Contrary to the assertions of respondent, there are too many

situations that can eventuate in this kind of taking, and they occur far too often, for

the problem to be considered merely hypothetical. One such situation is described

by amicus curiae Ohio Academy of Trial Lawyers as follows:

“A prime example of this [kind of taking] occurs in a wrongful death

situation where the decedent leaves a surviving spouse—say, a woman in her

thirties or forties. In such circumstances, the BWC or self-insured employer will

calculate estimated future benefits based upon the amounts it expects to pay over

the woman’s life expectancy. However, if the woman remarries, she will cease to

be entitled to workers’ compensation benefits upon remarriage, with the exception

that she will receive a lump sum payment at that time representing two additional

years of benefits. R.C. 4123.59(B)(1). Thus, in those circumstances, if the

subrogee has recovered estimated future benefits based upon the woman’s life

expectancy, and she remarries shortly thereafter, the statute endows the subrogee

with an enormous windfall at the expense of the injured party.”

{¶ 25} In fact, even the court in Yoh v. Schlachter (Mar. 17, 2000), Williams

App. No. WM-99-008, unreported, 2000 WL 281748, upon which respondent relies

heavily, was compelled to note as follows:

“With respect to appellant’s taking issue, we note that there may exist a

potential problem with respect to the ‘estimated future values of compensation and

medical benefits’ aspect of R.C. 4123.931. For instance, OTC will receive in a

lump sum the entire estimated future amount it is supposed to pay to appellant and

her minor child. The statute, however, fails to specify what is to be done with any

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remainder of this sum once OTC is no longer required to pay workers’

compensation, such as, if appellant remarries or dies. The entire amount could be

paid in the form of workers’ compensation benefits, in which case there arguably

would be no taking issue because the beneficiaries would have received the full

amount of compensation and medical benefits to which they were entitled.

However, if OTC’s obligation to pay workers’ compensation benefits expired with

money still remaining in the pool of funds obtained through R.C. 4123.931, then

OTC arguably would have a windfall if it was not required to release the remainder

to appellant or her estate.” Id. at 14.

{¶ 26} Because a claimant may die before his or her life expectancy, the

amount collected by the subrogee for estimated future permanent total disability

payments may far exceed the amount of such compensation actually received by

the claimant. The same would hold true where any other type of ongoing statutory

compensation, for whatever reason, is terminated earlier than was estimated for

purposes of reimbursement. Indeed, any statutory benefit, anticipated for purposes

of reimbursement, may be denied or unrealized.

{¶ 27} In defending the estimated-future-values provision of R.C.

4123.931(A), respondent quotes various passages from Wilken v. Internatl.

Harvester Co. (Minn.1985), 363 N.W.2d 763, and Kempa v. E.W. Coons Co.

(Minn.1985), 370 N.W.2d 414, which, as appearing on the pages of respondent’s

brief, seem to suggest that estimating future workers’ compensation benefits in a

subrogation claim is tantamount to estimating future damages in a tort claim, and

that the disadvantage of imprecise estimates must yield to the advantages of a final

one-time resolution of the subrogation claim. Respondent argues that “[t]hese same

principles apply in Ohio,” and thus the estimated-future-values provision of R.C.

4123.931(A) is reasonable and constitutionally valid.

{¶ 28} Upon closer examination, however, it becomes apparent that Wilken

and Kempa do not support R.C. 4123.931(A)’s constitutionality. First, neither of

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these cases involves any constitutional issue whatsoever, let alone those addressed

in Direct Plumbing Supply Co., McMullen, Sheward, Buchman, and Sorrell.

{¶ 29} Second, the Minnesota cases have nothing to do with the subrogation

rights of employer and employee inter se. Instead, they involve issues of

contribution and subrogation between the tortfeasor and the employer that have no

effect on claimant’s tort recovery. In fact, the employee in Kempa actually settled

his claims against the tortfeasor exclusive and not duplicative of workers’

compensation benefits paid or to be paid by his employer, which is a third-party

procedural mechanism expressly forbidden under R.C. 4123.931(D).

{¶ 30} Third, the issue of estimating future workers’ compensation

obligations never arises between the Minnesota claimant and his or her employer,

or the fund. This is because Minn.Stat. 176.061(6) does not give the employer or

the fund any immediate right of subrogation or reimbursement with regard to future

payable compensation or medical benefits. Instead, the Minnesota statute provides

a formula under which the employer or fund can obtain reimbursement for

compensation paid and then provides that certain remaining tort proceeds shall be

paid to the employee and constitute a credit to the subrogee against future

compensation payments.

{¶ 31} The Minnesota cases aside, we cannot accept the hypothesis that the

constitutional infirmities inherent in R.C. 4123.931(A) can be justified by a

presumed state interest in providing for a “final resolution.” Contrary to

respondent’s assessment, R.C. 4123.931(A) does not provide for a final resolution

similar to the tort verdict. The application of the estimated-future-values provision

of R.C. 4123.931(A) does not, like the tort verdict, finally determine the rights and

obligations of the affected parties. Despite the application of R.C. 4123.931(A),

the subrogee remains under a continuing obligation to pay future compensation and

medical benefits to the claimant, the claimant continues to be entitled to receive

those payments as his or her rights accrue, and these rights and obligations still

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remain to be determined and administered. The only “final resolution” achieved

by R.C. 4123.931(A) is to provide immediate recovery to the subrogee by imposing

the risk of liability for overestimated future expenditures upon the claimant. But

the claimant is not a wrongdoer, and has not, in any legal or moral sense, caused

harm to the subrogee. Indeed, the subrogee’s loss is based entirely upon

compensation it owes to the injured claimant. Thus, unlike the tortfeasor, the

claimant is innocent; and it is irrational and arbitrary to impose this kind of risk

upon an innocent party, especially when a full (and more accurate) reimbursement

can be obtained by simply giving the subrogee the same kind of offset or credit

against future payments that has always been used to recoup overpayments of

compensation. See R.C. 4123.511(J); State ex rel. Weimer v. Indus. Comm. (1980),

62 Ohio St.2d 159, 16 O.O.3d 174, 404 N.E.2d 149.

B

Settlements

{¶ 32} R.C. 4123.931(D) establishes a procedural framework under which

an unconstitutional taking of the claimant’s property or a denial of remedy by due

course of law can occur. This framework distinguishes between third-party claims

that are tried and third-party claims that are settled. In the case where an award or

judgment is rendered in the third-party action, R.C. 4123.931(D) allows the

claimant to obtain jury interrogatories segregating damages that do not represent

workers’ compensation or medical benefits and, therefore, are not subject to the

reimbursement right of the statutory subrogee. In contrast, the entire amount of any

settlement or compromise is deemed subject to the reimbursement right of the

statutory subrogee, and the claimant is precluded, under any circumstances, from

showing that his or her settlement or portions thereof do not represent or duplicate

workers’ compensation or medical benefits.

{¶ 33} The problem with this procedure is that it assumes that settlements

are always reached with third-party defendants who possess sufficient wealth or

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insurance to satisfy the claimant’s actual total damages and thus that the retention

of the settlement proceeds and workers’ compensation would result in a double

recovery. However, this assumption proves false in those situations where the

claimant is forced to settle his or her tort claim for the limits of an insurance policy

and the combined amount of the insurance proceeds and workers’ compensation

benefits is insufficient to cover all of the claimant’s actual loss. It can hardly be

said that a double recovery results where a tort victim is allowed to retain two

recoveries that, when combined, still do not make him or her whole. Indeed, in

some situations the available insurance may not even be sufficient to cover the

subrogee’s interest, in which case the entire amount of the settlement will be taken

by the subrogee. R.C. 4123.931(D) operates unconstitutionally in these situations

because it allows for reimbursement from proceeds that do not constitute a double

recovery.

{¶ 34} Again, contrary to respondent’s assertions, this situation cannot be

considered merely hypothetical. Indeed, we need look no further than In re Estate

of Ross (1997), 116 Ohio App.3d 402, 688 N.E.2d 303, for an illustration. James

Ross was killed in a motor vehicle accident during the course of, and arising out of,

his employment with appellee Wendy’s. His surviving spouse, appellant RaShell

Ross, and two minor children, Joshua and James Ross, filed an application for death

benefits pursuant to R.C. 4123.59. Wendy’s, a self-insured employer, certified the

claim and began paying death benefits at a rate of $493 per week.

{¶ 35} Appellant then filed a wrongful death claim against the tortfeasor,

James Horn, who was insured by Trinity Universal Insurance Company. Appellant

settled with Horn and Trinity for Horn’s liability limits of $100,000. Wendy’s and

appellee Kemper Risk Management Services asserted Wendy’s subrogation rights

pursuant to R.C. 4123.931. The settlement proceeds were distributed as follows:

payment of attorney fees, expenses, and court costs first, and the remaining balance

of $64,906.85 to appellees. The decedent’s wife and two minor children received

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nothing out of the settlement, serving merely as collection agents for the statutory

subrogee.

{¶ 36} The Third District Court of Appeals upheld the constitutionality of

the statute under Section 19, Article I, ruling that R.C. 4123.931 does not constitute

a taking of any property right in this situation because “[t]he statute merely allows

the employer to be reimbursed for the benefits paid by the employer to an employee

as a result of the third-party tortfeasor’s tortious conduct. The employee is not

deprived of adequate compensation for any injury suffered, as the benefits received

by the employee under the workers’ compensation laws are not diminished by the

operation of R.C. 4123.931. Moreover, the statute allows the employee to retain

any portion of the settlement or award greater than the employer’s reimbursement

expenses.” Id., 116 Ohio App.3d at 406-407, 688 N.E.2d at 306.

{¶ 37} The theory that the subrogating employer takes only the tortfeasor’s

money is offensive in the situation where the third-party recovery is no greater than

the employer’s compensation outlay. Reimbursement must be preceded by a

double recovery for the statute to operate constitutionally. It is spurious to say that

these tort victims were not deprived of adequate compensation because they still

get to keep workers’ compensation benefits. Workers’ compensation laws are not

intended to provide a full recovery, and they are not designed to restore injured

workers or their families to what they lost. See Blankenship, supra, 69 Ohio St.2d

at 614, 23 O.O.3d at 508, 433 N.E.2d at 577; Indus. Comm. v. Drake (1921), 103

Ohio St. 628, 635, 134 N.E. 465, 467. And it is pure sophistry to argue that

claimants who are staring at an empty coffer get to keep the unreimbursed portion

of their settlement.

{¶ 38} Moreover, if the decedent in Ross had been survived not only by his

wife and two minor children, but also by his parents, an adult child, and siblings,

the statute would operate to extinguish their recovery as well. However, these

persons, who are beneficiaries for purposes of a wrongful death action, are not

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workers’ compensation claimants and do not qualify for workers’ compensation

benefits. Compare R.C. 2125.02(A)(1) with R.C. 4123.59 and 4123.60. In this

situation, the statute operates unconstitutionally to allow one person’s tort recovery

to be reduced or extinguished by another person’s workers’ compensation benefits.

See McMullen, supra, 88 Ohio St.3d at 343, 725 N.E.2d at 1126.

{¶ 39} While it may be accurate to say that R.C. 4123.931, in its effort to

reimburse the employer or bureau for its outlay of compensation, always leaves the

injured worker with the full measure of compensation and benefits to which he or

she is entitled under the Workers’ Compensation Act, this fact alone does not

automatically determine R.C. 4123.931’s constitutionality. What must be

considered, and what the court in Ross failed to consider, is that a person who

receives injuries in the course of employment as a proximate result of a third party’s

negligent act or omission possesses certain constitutionally protected rights of

recovery beyond those provided in the workers’ compensation statutes and that

those rights are not necessarily preserved by statutory workers’ compensation

benefits.

{¶ 40} Yet these are the very arguments raised by respondent and its

supporting amici in defense of R.C. 4123.931(D), with one addition. Respondent

argues that there is no “absolute right to settle regardless of the rights of other

interested parties.” When settling with a third-party tortfeasor, plaintiffs must be

aware that “the entire settlement award is subject to the right of the subrogee. *

* * Therefore, if the parties involved do not wish to lose certain rights due to

settlement, they can opt to proceed to trial and submit interrogatories to the jury [in

order to designate the types of damages awarded].”

{¶ 41} However, respondent adds nothing to the analysis by invoking the

platitude that there is no “absolute” right to settle. If a right had to be absolute

before it could be vindicated, virtually all rights would be worthless. Absolute or

not, this court has never tolerated an “illegal restriction upon the right to

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January Term, 2001

compromise.” Davy v. Fid. & Cas. Ins. Co. (1908), 78 Ohio St. 256, 270, 85 N.E.

504, 507. “ ‘[T]he law of Ohio will tolerate no lien in or out of the profession, as a

general rule, which will prevent litigants from compromising, or settling their

controversies, or which, in its tendencies, encourages, promotes or extends

litigation.’ “ Id., 78 Ohio St. at 268-269, 85 N.E. at 507, quoting Weakly v. Hall

(1844), 13 Ohio 167, 175, 1844 WL 22. Indeed, settlement is part of the essential

core of our judicial process. It finds expression in Civ.R. 16, which specifically

recognizes that one objective of pretrial procedure is to facilitate “[t]he possibility

of settlement of the action”; in R.C. 1343.03(C), which imposes prejudgment

interest upon a party who fails “to make a good faith effort to settle the case”; and

in Vahila v. Hall (1997), 77 Ohio St.3d 421, 426, 674 N.E.2d 1164, 1169, where

the court unanimously rejected a strict “but for” test in legal malpractice cases,

partially on the basis that it “ ‘ignores settlement opportunities lost’ “ and tends to

“ ‘exclude evidence about settlement, * * * the most common form of client

recovery,’ “ quoting Note, The Standard of Proof of Causation in Legal Malpractice

Cases (1978), 63 Cornell L.Rev. 666, 670.

{¶ 42} Nor is it very meaningful to argue that plaintiffs who are faced with

the prospect of settling for policy limits in these situations can opt for a trial of the

third-party action and obtain jury interrogatories to designate the types of damages

awarded. Trying the tort case in order to have damages designated does not obviate

the problem in these situations. Despite any allocation of damages, the claimant’s

tort recovery is still fixed by the insurance policy limits, the combined amount of

those limits and workers’ compensation is still insufficient to cover the claimant’s

actual total loss, and there is still no double recovery to justify a right of subrogation

to any of the insurance proceeds. The only result of trying the tort claim in these

situations would be to clutter the trial court’s docket with unnecessary litigation

that serves only to eat away at the finite amount of available recovery.

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{¶ 43} Thus, none of the theories advanced by respondent or supporting

amici changes the fact that under certain familiar conditions, R.C. 4123.931

operates to take away or reduce the claimant’s tort recovery irrespective of whether

a double recovery has actually occurred.

C

Propriety of Considering Additional Situations

{¶ 44} Respondent has urged us not to address the arguments raised by

petitioners and supporting amicus regarding R.C. 4123.931(A) and (D), as they are

based on “several hypothetical fact patterns, which have no bearing on the

resolution of the matter pending before the federal court.” We disagree, for several

reasons.

{¶ 45} First, respondent argued in its preliminary memorandum that this

court should address all eight certified questions in this case because “many cases

will be resolved and judicial economy will be promoted.” In so doing, the bureau

represented as follows:

“[T]he present case is only one of numerous recent cases challenging the

constitutionality of the subrogation provisions found in R.C. 4123.931. The

[bureau] is aware of approximately fifty such cases in twenty-two counties and two

federal district courts. Approximately seven of these cases were appealed to courts

of appeals in the second, third, sixth, eighth, and ninth Ohio appellate districts.

Several of the cases (in both common pleas courts and in the courts of appeals) have

now been settled, but most remain pending, including three cases before the eighth

and ninth district courts of appeals.”

{¶ 46} It would be more than a bit anomalous to now limit our consideration

of R.C. 4123.931’s constitutionality to the present certified facts.

{¶ 47} Second, after respondent’s merit brief was filed in this cause, this

court allowed discretionary appeals in Yoh, supra, and in In re Estate of Stewart

(June 28, 2000), Lorain App. No. 99CA007422, unreported, 2000 WL 840512.

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January Term, 2001

Collectively, these cases embody all of the issues and factual situations that

respondent urges us not to consider. Yet in both cases, the court has ordered that

briefing be stayed and the cause held for the decision in this case. See (2000), 89

Ohio St.3d 1490, 734 N.E.2d 377; (2000), 90 Ohio St.3d 1471, 738 N.E.2d 383.

That is, Yoh and Stewart are poised to be decided upon the authority of the decision

in this case. Thus, as it stands now, if we did as respondent suggests, this court

could uphold the constitutionality of the statute as applied in situations that we

declined to consider.

{¶ 48} It may be argued that the court can nevertheless decline to consider

additional factual situations in this case, then lift the stay on briefing in Yoh and

Stewart and hear those cases on the merits. But this approach would produce an

absurd result. Assuming that a refusal to consider additional factual situations in

this case would result in a decision in favor of constitutionality, that decision would

stand only so long as it took us to reverse it in Yoh and Stewart.

{¶ 49} Finally, the consideration of additional situations is particularly

warranted in judging the constitutionality of R.C. 4123.931 because it is the statute

itself that creates those situations by virtue of its classifications and presumptions.

Otherwise, there would be no way to determine whether the statute is reasonable or

rationally related to its presumed constitutional goal of preventing claimants from

collecting and keeping a double recovery. Moreover, the situations considered

above are not merely speculative factual scenarios that may or may not arise at

some future time but are instead familiar and repeated circumstances that

necessarily arise by virtue of the interplay between the common law and the

workers’ compensation statutes. In addition, the district court has certified this

cause to us without any knowledge as to what situations relevant to the application

of the statute will arise after trial. Thus, the federal court is actually asking us to

evaluate the constitutionality of R.C. 4123.931 under the various situations that

may arise in this case.

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{¶ 50} Thus, we find it absolutely essential to a determination of R.C.

4123.931’s constitutionality that the court consider how the statute operates in the

situations described above.

{¶ 51} Accordingly, for all of the foregoing reasons, we answer certified

questions two and three in the affirmative and hold that R.C. 4123.931 violates

Sections 16 and 19, Article I of the Ohio Constitution.

III

Section 28, Article II—The Compromise Revisited

{¶ 52} The fourth certified question is whether R.C. 4123.931 violates

Section 28, Article II of the Ohio Constitution, which provides that “[t]he general

assembly shall have no power to pass * * * laws impairing the obligation of

contracts.”

{¶ 53} This is essentially the same challenge that was made under Section

35, Article II, but dressed in contractual attire. The gist of the challenge is that the

workers’ compensation bargain as reflected in R.C. Chapter 4123 constitutes

contractual legislation that cannot be impaired. However, this challenge fails for

the same reasons already stated with regard to Section 35, Article II.

{¶ 54} Accordingly, we answer the fourth certified issue in the negative and

hold that R.C. 4123.931 does not violate Section 28, Article II of the Ohio

Constitution.

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January Term, 2001

IV

Section 2, Article I—Reclassifying the Arguments

{¶ 55} The fifth certified question is whether R.C. 4123.931 violates

Section 2, Article I of the Ohio Constitution, which provides that government is

instituted for the “equal protection and benefit” of the people and that “no special

privileges or immunities shall ever be granted.”

{¶ 56} Petitioners argue that R.C. 4123.931 violates the Privileges and

Immunities Clause because it allows employers to recover all of their workers’

compensation expenditures while continuing to enjoy immunity from suit. Thus,

“the statute grants employers the special privilege of immunity from suit without

having paid or provided consideration for it.”

{¶ 57} Contrary to petitioners’ assertion, however, the employer has

provided consideration for its immunity from suit by paying workers’

compensation benefits; and the theory that subrogation is intrinsically antithetical

to the workers’ compensation system lacks merit here as well.

{¶ 58} Petitioners also argue that R.C. 4123.931(D) creates arbitrary

classifications and, therefore, violates the Equal Protection Clause. Under an equal

protection analysis, the challenged statute will be upheld if the classification bears

a rational relationship to a legitimate governmental interest or if reasonable grounds

exist for drawing the distinction. See State ex rel. Patterson v. Indus. Comm.

(1996), 77 Ohio St.3d 201, 205, 672 N.E.2d 1008, 1011; Roseman v. Firemen &

Policemen’s Death Benefit Fund (1993), 66 Ohio St.3d 443, 447, 613 N.E.2d 574,

577.

{¶ 59} First, petitioners maintain that the statute creates “arbitrary

classifications of tort victims—employees injured on the job and employees injured

off the job. The subrogation statute creates a presumption against the former by

mandating that the ‘entire amount of any award or judgment is presumed to

represent compensation * * * subject to a statutory subrogee’s subrogation rights.’

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“ According to petitioners, “[t]he strict scrutiny test is appropriate here because the

fundamental rights of access to Ohio workers’ comp system and access to Ohio’s

civil justice system are clearly at stake.”

{¶ 60} The problem with this argument is that it assumes too much. Since

R.C. 4123.931 guarantees full workers’ compensation in all cases, the right of

access to the workers’ compensation system is not implicated. Nor does this

classification implicate the right of access to Ohio’s civil justice system. The

presumption created in the case of awards or judgments can be rebutted by “jury

interrogatories indicating that the award or judgment represents different types of

damages.” In providing the claimant with the means to segregate damages that do

not duplicate workers’ compensation benefits, R.C. 4123.931(D) avoids offending

the claimant’s rights to remedy, due process, and private property. Thus, in drawing

a distinction between workers’ compensation claimants and other tort victims, the

statute does not involve any fundamental right.

{¶ 61} In this context, it can hardly be said that tort victims who are injured

“on the job” or, more appropriately, in the course of and arising out of their

employment, are similarly situated to tort victims who are injured “off the job” or,

more precisely, who do not receive an injury in the course of and arising out of their

employment. The former tort victim recovers compensation and medical benefits

under the Workers’ Compensation Act; the latter does not. Contrary to the

assertions of Ohio Academy of Trial Lawyers, equal protection does not require the

General Assembly to pass a valid collateral-benefits-offset statute covering tort

claims in general before it can enact a workers’ compensation subrogation statute.

Accordingly, we reject petitioners’ first equal protection argument.

{¶ 62} Petitioners’ second equal protection argument is that R.C.

4123.931(D) arbitrarily distinguishes between claimants who proceed to trial on

their tort claims and claimants who settle their tort claims. Petitioners argue that

claimants who settle receive less favorable treatment because, unlike claimants who

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January Term, 2001

try their tort claims, they are precluded from showing that their tort recovery or

portions thereof do not duplicate workers’ compensation benefits and, therefore, do

not represent a double recovery. Thus, while claimants who go to trial “may have

some portion of their award excluded from the subrogee’s right of reimbursement,

the injured employees who settle their claims * * * have no comparable method or

opportunity to shield a portion of their damages from the subrogee.” We agree.

{¶ 63} R.C. 4123.931(D) essentially creates a presumption that a double

recovery occurs whenever a claimant is permitted to retain workers’ compensation

and tort recovery. Claimants who try their tort claims are permitted to rebut this

presumption, while claimants who settle their tort claims are not. Such disparate

treatment of claimants who settle their tort claims is irrational and arbitrary because,

as demonstrated in Part II above, there are situations where claimants’ tort recovery

is necessarily limited to amounts that if retained along with workers’ compensation

cannot possibly result in a double recovery.

{¶ 64} Contrary to respondent’s assertions, these claimants are not free to

make the decision to proceed to trial or to settle. Their only freedom is to choose

the mechanism by which to forfeit their rights to property and remedy. And in

those situations where claimants are forced to settle for amounts that are insufficient

to satisfy more than the subrogee’s claim, as happened in Ross, supra, their only

freedom is to have their tort recovery obliterated.

{¶ 65} Respondent further argues that “R.C. 4123.931 is a rational response

to a legitimate state concern to minimize the loss to the workers’ compensation

fund caused by the wrongful actions of a third-party tortfeasor.” However, this

concern justifies the statute only so far as the statute operates to assess the

subrogee’s loss against the tortfeasor. But when the statute operates irrespectively

of whether a double recovery has occurred, it can no longer be said that the fund is

being replenished at the tortfeasor’s expense. The state’s interest in conserving the

fund can no more justify the denial of a claimant’s nonduplicative tort recovery

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than it can serve as a viable basis for denying workers’ compensation benefits to

those entitled to it. See State ex rel. Nyitray v. Indus. Comm. (1983), 2 Ohio St.3d

173, 177, 2 OBR 715, 718-719, 443 N.E.2d 962, 966.

{¶ 66} Finally, several amici in support of respondent argue that

distinguishing between settlements and trial “is also rational because settling parties

will rarely, if ever, allocate a settlement to lost wages, medical expenses and pain

and suffering.” The corollary to this argument is that the distinction may be a

rational method to preclude collusive settlements. However, there is no purpose to

allocating damages in the absence of a double recovery and, in these situations, it

is difficult to conceive how collusion could occur, unless the tortfeasor’s financial

and insurance coverage decisions were somehow made in collaboration with the

claimant.

{¶ 67} Accordingly, we answer the fifth certified question in the affirmative

and hold that R.C. 4123.931 violates the Equal Protection Clause of Section 2,

Article I of the Ohio Constitution to the extent that it distinguishes between

claimants who try their tort claims and claimants who settle their tort claims.

V

Section 15, Article II—One Subject

{¶ 68} The sixth certified question is whether R.C. 4123.931 violates

Section 15, Article II of the Ohio Constitution. Specifically, petitioners claim that

R.C. 4123.931 violates Section 15(D), Article II, which provides that “[n]o bill shall

contain more than one subject.”

{¶ 69} 1995 Am.Sub.H.B. No. 278, which enacted R.C. 4123.93 and

4123.931, comes nowhere close to violating the one-subject rule. In addition to

enacting these new sections, Am.Sub.H.B. No. 278 amended four sections of R.C.

Chapters 4121 and 4123 and made appropriations for the bureau for the biennium

beginning July 1, 1995, and ending June 30, 1997. 146 Ohio Laws, Part II, 3581.

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January Term, 2001

The bill contains one subject, and only one subject—workers’ compensation. There

is no disunity of subject matter.

{¶ 70} Accordingly, we answer the sixth certified question in the negative

and hold that R.C. 4123.931, or more appropriately, Am.Sub.H.B. No. 278, does

not violate Section 15(D), Article II of the Ohio Constitution.

VI

Civ.R. 49(C)—Special Verdict

{¶ 71} The seventh certified question is whether R.C. 4123.931 is contrary

to Civ.R. 49(C) and, therefore, invalid and unenforceable.

{¶ 72} In an effort to provide the claimant with the means to rebut the

presumption that the entire amount of any third-party award or judgment represents

workers’ compensation, R.C. 4123.931(D) allows the use of “a special verdict or

jury interrogatories” to segregate different types of damages. However, Civ.R.

49(C) provides, to the contrary, that “[s]pecial verdicts shall not be used.” Thus, to

this extent R.C. 4123.931 is contrary to Civ.R. 49(C) and the latter must control.

See Rockey v. 84 Lumber Co. (1993), 66 Ohio St.3d 221, 611 N.E.2d 789,

paragraph two of the syllabus.

{¶ 73} However, this certainly does not render the entire statute invalid and

unenforceable, nor does it cause the provision of R.C. 4123.931(D) for classifying

damages to become inoperative. The provision can still operate without the use of

a special verdict, since it also provides for the use of special interrogatories.

{¶ 74} Accordingly, we answer the seventh certified issue in the negative

and hold that while R.C. 4123.931 is contrary to Civ.R. 49(C) to the extent that it

provides for the use of a special verdict, no part of the statute is thereby rendered

invalid or unenforceable.

VII

R.C. 4123.80—Waiver of Compensation

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{¶ 75} The eighth and final certified question is whether R.C. 4123.931

constitutes an invalid waiver of an injured employee’s right to receive and retain

workers’ compensation benefits in violation of R.C. 4123.80.

{¶ 76} R.C. 4123.80 provides that “[n]o agreement by an employee to

waive his rights to compensation under this chapter is valid.” Petitioners argue that

R.C. 4123.931 forces the employee who pursues a third-party claim to pay back his

or her workers’ compensation benefits and, therefore, constitutes an invalid waiver

under R.C. 4123.80.

{¶ 77} This is the same argument that was used in an attempt to invalidate

the very concept of a workers’ compensation subrogation statute under Sections 28

and 35, Article II of the Ohio Constitution, and it fails once again for the same

reasons. In no event does R.C. 4123.931 ever cause the claimant to end up with

less than the full amount of workers’ compensation benefits to which he or she is

entitled under R.C. Chapter 4123. The statute may be construed as imposing an

obligation upon an injured employee to waive his or her right to tort compensation,

but it never causes the injured employee to relinquish any right to workers’

compensation.

{¶ 78} Accordingly, we answer the eighth certified question in the negative

and hold that R.C. 4123.931 does not constitute an invalid waiver of an injured

employee’s right to receive and retain workers’ compensation benefits in violation

of R.C. 4123.80.

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January Term, 2001

VIII

Conclusion

{¶ 79} We hold that R.C. 4123.931 does not violate Sections 15, 28, or 35,

Article II of the Ohio Constitution, is not rendered invalid by Civ.R. 49(C), and

does not constitute an invalid waiver under R.C. 4123.80. We hold, however, that

R.C. 4123.931 does violate Sections 2, 16, and 19, Article I of the Ohio

Constitution. In so holding, we do not accept the proposition that a workers’

compensation subrogation statute is per se unconstitutional, and nothing in this

opinion shall be construed to prevent the General Assembly from ever enacting

such a statute. We hold only that R.C. 4123.931, in its present form, is

unconstitutional.

{¶ 80} Accordingly, we advise the federal court that R.C. 4123.931 is

unconstitutional under Ohio law.

Judgment accordingly.

DOUGLAS, F.E. SWEENEY and PFEIFER, JJ., concur.

MOYER, C.J., COOK and LUNDBERG STRATTON, JJ., dissent.

__________________

MOYER, C.J., dissenting.

{¶ 81} “The courts must declare the sense of the law; and if they should be

disposed to exercise will instead of judgment, the consequence would equally be

the substitution of their pleasure to that of the legislative body.” The Federalist No.

78 (Alexander Hamilton) (Clinton Rossiter Ed. 1961) 468-469.

{¶ 82} The principle that courts are not the creators of public policy and

should not decide cases based on disagreement with a legislature has guided courts

since the creation of the American judicial system.

{¶ 83} This court has adhered to the view. See State ex rel. Bowman v.

Allen Cty. Bd. of Commrs. (1931), 124 Ohio St. 174, 196, 177 N.E. 271, 278; State

ex rel. Bishop v. Mt. Orab Village School Dist. Bd. of Edn. (1942), 139 Ohio St.

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427, 438, 22 O.O. 494, 498, 40 N.E.2d 913, 919; State v. Warner (1990), 55 Ohio

St.3d 31, 43, 564 N.E.2d 18, 30-31; Cent. Motors Corp. v. Pepper Pike (1995), 73

Ohio St.3d 581, 584, 653 N.E.2d 639, 642-643; Desenco, Inc. v. Akron (1999), 84

Ohio St.3d 535, 538, 706 N.E.2d 323, 328.

{¶ 84} The majority’s determination that R.C. 4123.931 violates Sections

2, 16, and 19, Article I, appears to derive from its disagreement with the substance

of the legislation. The reasons stated for declaring the statute unconstitutional are

generally policy arguments, not principles of constitutional law. The majority

disregards the principle so cogently stated by Justice Harlan Stone in his dissent in

United States v. Butler. He cautioned that “the only check upon our own exercise

of power is our own sense of self-restraint. For the removal of unwise laws from

the statute books appeal lies, not to the courts, but to the ballot and to the processes

of democratic government.” United States v. Butler (1936), 297 U.S. 1, 79, 56 S.Ct.

312, 325, 80 L.Ed. 477, 495.

{¶ 85} As I wrote in DeRolph II, “constitutional history, precedent, and

logic warrant the conclusion that [these types of] qualitative judgments should be

committed to the will of the people as expressed in the election of representatives

to the General Assembly.” DeRolph v. State (2000), 89 Ohio St.3d 1, 48, 728

N.E.2d 993, 1029 (Moyer, C.J., dissenting).

{¶ 86} Our role here is to determine whether R.C. 4123.931 violates the

Ohio Constitution, not to determine whether R.C. 4123.931 represents the policy

decision that we would have chosen were we legislators.

I. Sections 16 and 19, Article I, Ohio Constitution

{¶ 87} The majority holds that because R.C. 4123.931 “operates to take

more of the claimant’s tort recovery than is duplicative of the statutory subrogee’s

workers’ compensation expenditures,” it is impermissibly “unreasonable,

oppressive upon the claimant, partial, and unrelated to its own purpose.”

Specifically, the majority holds that R.C. 4123.931 “creates the conditions under

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January Term, 2001

which a prohibited taking may occur” when R.C. 4123.931(A) gives the statutory

subrogee the right of subrogation with respect to “estimated future values of

compensation and medical benefits.” I disagree.

{¶ 88} The majority argues that the employee is unconstitutionally required

to reimburse the Bureau of Workers’ Compensation or the self-insured employer

for future benefits that the employee may never receive. For instance, an injured

employee may die before benefits equaling the subrogation amount have been

received. It is also suggested that the surviving spouse may remarry, at which point

he or she is entitled to a lump-sum payment representing two additional years of

benefits, but, under workers’ compensation law, is not entitled to further benefits.

R.C. 4123.59(B). Because of this potential inequity, the majority holds that because

the General Assembly did not include an offset or credit against future payments in

the subrogation scheme, R.C. 4123.931 unconstitutionally represents a taking and

denial of a remedy in violation of Sections 16 and 19, Article I.

{¶ 89} It is true that an employee may die before benefits equaling the

subrogation amount have been received. However, it is also true that an employee

may live far beyond his or her life expectancy as determined by the court in

estimating those future benefits. The estimated future values are the amount of

compensation and medical benefits reasonably projected to be paid in the claim by

the subrogee as a result of the actions of the tortfeasor. The court in determining

these values hears evidence from both the claimant and the subrogee, and may

reject the subrogee’s projections if it finds them not well supported.

{¶ 90} This method of calculation of estimated future values is similar to

the concept of future damages in a typical personal injury claim. Courts routinely

estimate the value of future payments in these cases, aided by expert testimony,

mortality tables, and formulas for reducing future payments to present value. Ohio

Jury Instructions currently provides for estimating future values regarding earnings,

1 Ohio Jury Instructions (1996), Section 23.20, present value of future damage, 1

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Ohio Jury Instructions (1996), Section 23.77, and damages relating to permit injury

and death, 1 Ohio Jury Instructions (1996), Sections 23.90 through 23.91. In

addition, jurors are provided with mortality tables to determine “the probable

normal length of life of the decedent.” 1 Ohio Jury Instructions (1996), Section

23.76. Jurors are empowered to make these types of determinations in numerous

situations.

{¶ 91} The future values of workers’ compensation benefits can be

calculated with more certainty than the typical personal injury claim, since an

injured employee’s rate of compensation is computed according to a statutorily set

scheme. R.C. 4123.61. Therefore, like the tort verdict, the subrogation amount for

future benefits is based on reasonable assumptions that, although inherently

uncertain, provide for a final resolution.

{¶ 92} The majority contends that this final resolution is neither final nor

enough to justify the constitutional infirmities of R.C. 4123.931. This argument

misses the point. The fact that the subrogee continues to administer benefits does

not, as the majority finds, make the goal of a final resolution invalid. While the

subrogee may eventually pay out greater or fewer benefits to the claimant than the

court determined was reasonable at the time of the lawsuit, the procedure of a one-

time payment to the subrogee is reasonable. The Constitution does not demand a

method of calculation that results in a perfect and exact determination, only a

reasonable one. The credit system is also a reasonable method. However, we are

not empowered to choose between reasonable methods. Our authority extends only

to determining whether the method chosen by the General Assembly is clearly

unconstitutional. Desenco, Inc. v. Akron, 84 Ohio St.3d at 538, 706 N.E.2d at 328.

This is a reasonable method of calculation and not clearly unconstitutional beyond

a reasonable doubt. Therefore, I would hold that R.C. 4123.931 does not violate

Sections 16 or 19, Article I of the Ohio Constitution.

II. Section 2, Article I, Ohio Constitution

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January Term, 2001

{¶ 93} The majority holds that R.C. 4213.931(D) violates Section 2, Article

I of the Ohio Constitution because although claimants who opt for trial can request

jury interrogatories, claimants who opt for settlement “ ‘have no comparable

method or opportunity to shield a portion of their damages from the subrogee,’ ”

quoting the petitioners’ brief. My disagreement with this holding is analogous to

my concerns raised regarding the court’s role in determining the constitutionality

of a statute and relates to the same fundamental difference between my view of that

role and the view of the majority. Again, I disagree.

{¶ 94} Injured employees are not a suspect class. State v. Williams (2000),

88 Ohio St.3d 513, 530, 728 N.E.2d 342, 359. Nor does R.C. 4123.931 implicate

a fundamental constitutional right. Id. Accordingly, we evaluate R.C. 4123.931

using a rational-basis analysis. Id.

{¶ 95} As stated previously, the workers’ compensation scheme relies on

compulsory contributions by employers to a statewide fund. Injured employees

and their beneficiaries are paid workers’ compensation benefits from this fund.

Prior to adoption of R.C. 4123.931, employees injured by the wrongful actions of

a third-party tortfeasor could recover damages from third-party tortfeasors and

receive compensation benefits from the Workers’ Compensation Fund. R.C.

4123.931 was enacted to preserve the Workers’ Compensation Fund. A rational-

basis analysis requires us to uphold this remedy “unless it constitutes a plain affront

to a specific provision of the Constitution.” Am. Assn. of Univ. Professors, Cent.

State Univ. Chapter v. Cent. State Univ. (1999), 87 Ohio St.3d 55, 61, 717 N.E.2d

286, 292. Accordingly, we must analyze the Holetons’ equal protection arguments

to determine whether R.C. 4123.931 constitutes such an affront to Section 2, Article

I.

{¶ 96} R.C. 4123.931 affects no fundamental right of an employee. If an

employee is dissatisfied with settlement policies, the employee may proceed with

a jury trial. R.C. 4123.931 does not force employees to litigate. Instead, like all

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claimants, injured employees are free to decide whether to proceed to trial or to

settle. Each process has its own advantages and disadvantages, and the employee

must decide whether to submit his or her claim to a trial that would determine the

portion of the award that should be shielded from subrogation, or to settle with the

tortfeasor, taking into consideration that the settlement amount will be subject to

subrogation.

{¶ 97} Without the restriction regarding settlement awards in R.C.

4123.931(D), employees could accept a lower settlement amount from the

tortfeasor, in exchange for an agreement stating that the entire amount was not

subject to subrogation. In according only those employees who choose a trial the

right to ask the jury to determine what portion of the award should be shielded, the

General Assembly could have rationally conceived that this was a method to

preclude collusive settlements. Although the majority argues that it is difficult to

anticipate how these would occur, the situation is no more hypothetical than the

many hypothetical situations the majority claims could result in subrogation

without double recovery.

{¶ 98} Even more important, legislation aimed at preventing collusive

settlements that would prevent a statutory subrogee from being reimbursed is a

reasonable use of legislative power, especially when the legislation is aimed at

preserving the integrity of the State Fund for the benefit of all workers’

compensation claimants. Accordingly, I would hold that R.C. 4123.931 does not

violate Section 2, Article I of the Ohio Constitution.

III. Conclusion

{¶ 99} For the forgoing reasons, I would answer the certified questions by

advising the United States District Court for the Northern District of Ohio that R.C.

4123.931 does not violate Sections 2, 16, or 19, Article I.

COOK and LUNDBERG STRATTON, JJ., concur in the foregoing dissenting

opinion.

34

January Term, 2001

__________________

COOK, J., dissenting.

{¶ 100} Like the Chief Justice, I would answer “no” to each certified

question. And I agree with much of what the Chief Justice expresses in his

dissenting opinion. I write separately to address the majority’s unfortunate decision

to declare R.C. 4123.931 unconstitutional on its face for violating the Takings and

Right to Remedy Clauses of the Ohio Constitution.

{¶ 101} A party may challenge a statute as unconstitutional either on its face

or as applied to a particular state of facts. Belden v. Union Cent. Life Ins. Co.

(1944), 143 Ohio St. 329, 28 O.O. 295, 55 N.E.2d 629, paragraph four of the

syllabus. The effect of a successful challenge will differ depending on whether the

court strikes the statute on its face or as applied. “If a statute is unconstitutional as

applied, the State may continue to enforce the statute in different circumstances

where it is not unconstitutional, but if a statute is unconstitutional on its face, the

State may not enforce the statute under any circumstances.” Women’s Med.

Professional Corp. v. Voinovich (C.A.6, 1997), 130 F.3d 187, 193. This case

necessarily presents a facial challenge to R.C. 4123.931. Because there has been

no verdict or settlement to which the statute has been applied, this case presents no

set of facts upon which we can base an as-applied constitutional analysis. See State

v. Beckley (1983), 5 Ohio St.3d 4, 6-7, 5 OBR 66, 68-69, 448 N.E.2d 1147, 1148-

1149 (constitutional challenge had to be a facial one when there was no “presently

existing state of facts to which to apply the challenged statutes”).

{¶ 102} The majority fails to appreciate the distinction between facial and

as-applied constitutional challenges. Because the majority deems R.C. 4123.931

unpalatable when applied to various factual scenarios not presented in this case, the

majority declares the statute unconstitutional on its face. As noted above, this

decision precludes future application of the statute under any circumstances. But

the majority’s approach fails to acknowledge important precepts that are supposed

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SUPREME COURT OF OHIO

to guide an analysis of facial challenges. “A facial challenge to a legislative Act is,

of course, the most difficult challenge to mount successfully, since the challenger

must establish that no set of circumstances exists under which the Act would be

valid. The fact that [a statute] might operate unconstitutionally under some

conceivable set of circumstances is insufficient to render it wholly invalid * * *.”

United States v. Salerno (1987), 481 U.S. 739, 745, 107 S.Ct. 2095, 2100, 95

L.Ed.2d 697, 707; see, also, Emerson Elec. Co. v. Tracy (2000), 90 Ohio St.3d 157,

162, 735 N.E.2d 445, 449-450 (Cook, J., dissenting). By ignoring this principle,

the majority loses sight of “the strong presumption in favor of the constitutionality

of legislation and the judicial obligation which exists to support the enactment of a

lawmaking body if this can be done.” Beckley, 5 Ohio St.3d at 7, 5 OBR at 69, 448

N.E.2d at 1149. Today’s decision thus stands for the bizarre (and unsupportable)

proposition that a court may declare a statute unconstitutional on its face simply

because it may be applied unconstitutionally in some situations, under a set of facts

not at bar.

{¶ 103} The majority goes to great lengths in defending its mode of

analyzing the constitutionality of R.C. 4123.931 under the Takings and Right to

Remedy Clauses. For example, the majority claims that it “would be more than a

bit anomalous to now limit our consideration of R.C. 4123.931’s constitutionality

to the present certified facts” in light of the respondent’s representations to this

court that numerous pending cases may be resolved by our decision in this one.

The majority also contends that the factual scenarios it considers in this case are

“familiar and repeated circumstances that necessarily arise” from R.C. 4123.931’s

“interplay” with the common law. But these arguments are unresponsive to the

mistake that the majority actually makes in its constitutional analysis.

{¶ 104} The majority’s error is not the consideration of additional

situations; indeed, when entertaining a facial challenge, the court necessarily

considers how the statute may apply to a variety of circumstances. Rather, the

36

January Term, 2001

majority’s mistake comes in considering too few additional situations before

declaring the statute facially unconstitutional. Before we may strike the statute as

facially unconstitutional, and therefore invalid in toto, we must do more than simply

find that the statute operates unconstitutionally in some situations. See Village of

Hoffman Estates v. Flipside, Hoffman Estates, Inc. (1982), 455 U.S. 489, 494-497,

102 S.Ct. 1186, 1191-1193, 71 L.Ed.2d 362, 369-370. Finding a law facially

unconstitutional requires us “to hold that under no reasonable set of circumstances”

could the statute operate constitutionally. (Emphasis added.) Beckley, 5 Ohio St.3d

at 7, 5 OBR at 69, 448 N.E.2d at 1149; see, also, Salerno, 481 U.S. at 745, 107

S.Ct. at 2100, 95 L.Ed.2d at 707. The majority’s analysis falls far short of this

exhaustive standard. Instead of striking R.C. 4123.931 because it violates the Right

to Remedy and Takings Clauses in virtually all of its applications, the majority has

instead voided the statute simply because it deems the law invalid under the limited

circumstances it has chosen to address.

{¶ 105} The majority also justifies its departure from the proper mode of

constitutional analysis by painting a misleading picture about how this court

manages its docket. The majority notes that this court has allowed discretionary

appeals in Yoh v. Schlachter (Mar. 17, 2000), Williams App. No. WM-99-008,

unreported, 2000 WL 281748, and In re Estate of Stewart (June 28, 2000), Lorain

App. No. 99CA007422, unreported, 2000 WL 840512. See (2000), 89 Ohio St.3d

1490, 734 N.E.2d 377, and (2000), 90 Ohio St.3d 1471, 738 N.E.2d 383. In both

of these cases, this court sua sponte ordered the briefing schedules stayed and the

causes “held” for the decision in this case. According to the majority, this means

that these cases “are poised to be decided” summarily “upon the authority” of this

case. Thus, the majority concludes that a decision upholding the facial

constitutionality of R.C. 4123.931 could result in this court “uphold[ing] the

constitutionality of the statute as applied in situations that we declined to consider.”

But this explanation is just plain wrong, for it is based on an inaccurate depiction

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SUPREME COURT OF OHIO

of how other cases currently pending before this court would be affected in the

event that we upheld the facial validity of R.C. 4123.931 in this case.

{¶ 106} This court does not summarily decide all held causes when we have

decided the case for which those causes are held. The disposition of a given case

may not warrant summary disposition of causes held for it, particularly if the held

causes present unique issues that are not addressed in the lead case. For example,

this court ordered briefing in at least two recent cases that were originally held for

dispositions in other cases. Compare State v. Eppinger (2000), 89 Ohio St.3d 1447,

731 N.E.2d 1136, and Paton v. Paton (2000), 89 Ohio St.3d 1436, 730 N.E.2d 990

(lifting stays on briefing), with State v. Eppinger (1999), 86 Ohio St.3d 1465, 715

N.E.2d 568, and Paton v. Paton (1999), 86 Ohio St.3d 1465, 715 N.E.2d 568

(holding causes for decisions in cases already pending before this court). In

Eppinger and Paton, this court examined each case and found it inappropriate to

decide them summarily, despite the fact that we had originally held them for other

cases pending here. Similarly, if Yoh and Stewart present issues not adequately

addressed by the decision in this case, this court would lift the stay on briefing and

hear the cases on the merits. Thus, if the majority had (correctly) upheld the facial

constitutionality of R.C. 4123.931, it would be inappropriate for this court to

summarily decide Yoh and Stewart if those cases challenge the constitutionality of

the statute as applied to the facts of those cases. We would instead order briefing

on the merits and the parties would have the opportunity to focus their arguments

on the as-applied challenges without having to address the facial challenges we

have already decided here.

{¶ 107} The majority discounts this orderly (and correct) procedure by

claiming that a supposedly “absurd result” would flow from it. The majority states,

“Assuming that a refusal to consider additional factual situations in this case would

result in a decision in favor of constitutionality, that decision would stand only so

long as it took us to reverse it in Yoh and Stewart.” But this assertion is woefully

38

January Term, 2001

wrong and further illuminates the majority’s failure to distinguish between facial

and as-applied constitutional challenges. If a majority of this court had (correctly)

decided here that the statute was not facially unconstitutional, only to decide later

that the statute was unconstitutional as applied to the situations presented in Yoh

and Stewart, we would not “reverse” our decision in this case. The statute would

merely be unenforceable as applied to the circumstances presented in those

previously held cases; the statute would remain facially valid, meaning that the law

could still be enforced in other circumstances where its operation would be

constitutional. Simply put, a decision upholding the facial constitutionality of R.C.

4123.931 in this case would not preclude this court (or any other court for that

matter) from finding the statute unconstitutional as applied to a particular set of

facts in a later case.

{¶ 108} Finally, the majority contends that the district court, by certifying

the constitutional questions, “is actually asking us to evaluate the constitutionality

of R.C. 4123.931 under the various situations that may arise in this case.” The

majority says this is so because the district court is “without any knowledge” of

what facts will arise after trial. But this explanation is curious, given that the

certified questions dealing with constitutionality ask only abstract questions of

whether R.C. 4123.931 is constitutional under various provisions of the Ohio

Constitution. How the majority gleans the district court’s desire to have us decide

the constitutionality of the statute “under the various situations that may arise in

this case” is anyone’s guess. It is more likely, given the general phrasing of the

certified constitutional questions, that the district court wanted to know whether

R.C. 4123.931 is unconstitutional on its face and therefore incapable of any

application to the Holetons’ lawsuit. With our answer to that question, the district

court would know whether it had to consider R.C. 4123.931 at all. See Women’s

Med. Professional Corp., 130 F.3d at 193 (statute unconstitutional on its face

cannot be enforced under any circumstances).

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SUPREME COURT OF OHIO

{¶ 109} For these reasons, in addition to those stated by the Chief Justice, I

dissent. I would uphold the facial validity of R.C. 4123.931 and advise the district

court accordingly.

LUNDBERG STRATTON, J., concurs in the foregoing dissenting opinion.

__________________

Shumaker, Loop & Kendrick, L.L.P., Jack G. Fynes and Stefanie E. Berk,

for petitioners.

Betty D. Montgomery, Attorney General, James A. Barnes, G. James Van

Heyde and James M. Evans, Assistant Attorneys General, for respondent C. James

Conrad, Administrator of Workers’ Compensation.

Nurenberg, Plevin, Heller & McCarthy Co., L.P.A., Kathleen J. St. John

and David M. Paris, in support of petitioners, for amicus curiae Ohio Academy of

Trial Lawyers.

Manley, Burke & Lipton, Andrew S. Lipton and Steven M. Ingram, in

support of petitioners, for amicus curiae Armco Employees Independent

Federation, Inc.

Stewart Jaffy & Associates Co., L.P.A., Stewart R. Jaffy and Marc J. Jaffy,

in support of petitioners, for amicus curiae Ohio AFL-CIO.

Scott, Scriven & Wahoff, L.L.P., Timothy E. Cowans, William J. Wahoff and

Richard Goldberg, in support of respondent, for amicus curiae Ohio Council of

Retail Merchants.

Brickler & Eckler, L.L.P., and Kurtis A. Tunnell, in support of respondent,

for amicus curiae Ohio Manufacturers’ Association.

Brickler & Eckler, L.L.P., Thomas R. Sant and Nan M. Still, in support of

respondent, for amici curiae Ohio Chapter of the National Federation of

Independent Business and Ohio Farm Bureau Federation, Inc.

40

January Term, 2001

Vorys, Sater, Seymour & Pease, L.L.P., Robert A. Minor and Robin R.

Obetz, in support of respondent, for amici curiae Kokosing Construction Company,

Inc., the Ohio Self-Insurers’ Association, and the American Insurance Association.

Garvin & Hickey and Preston J. Garvin, in support of respondent, for

amicus curiae Ohio Chamber of Commerce.

Vozar, Roberts & Matejczyk Co., L.P.A., Thomas J. Vozar, Glenna M.

Roberts and David M. Matejczyk, in support of respondent, for amicus curiae

National Association of Subrogation Professionals.

__________________

41

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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