City of Philadelphia v. F. Zampogna
CITY OF PHILADELPHIA, Appellant v. Frank ZAMPOGNA
Attorneys
John. M. Wutz, Philadelphia, for appellant., Russell,Krause, Philadelphia, for appel-lee.
Full Opinion (html_with_citations)
OPINION BY
The City of Philadelphia (City) appeals an order of the Court of Common Pleas of Philadelphia County, First Judicial District (trial court) granting declaratory judgment in favor of a City employee, Frank Zam-pogna. The trial court held that Section 1720 of the Motor Vehicle Financial Responsibility Law, 75 Pa. C.S. § 1720, prohibited the City from subrogating its payment of Heart and Lung Act
Thfe facts of this case are not in dispute. On November 1, 2007, Zampogna, a City police officer, was a passenger iĂą a police cruiser participating in a roadblock at the intersection of 22nd Street and Lehigh Avenue in Philadelphia. A private vehicle went through the police roadblock and collided with the cruiser occupied by Zam-pogna. As a result, Zampogna suffered serious injuries and was unable to work as a police officer for several years. The City, which is self-insured for workersâ compensation, issued a Notice of Compensation Payable (NCP) accepting liability for the injury. The NCP also stated that the City was paying Zampogna..Heart and Lung Act benefits in lieu, of workersâ compensation benefits. Reproduced Record at 46a (R.R. --), From November 2, 2007, to September 27, 2011, the City paid Zam-pogna a total of $286,447.77 in Heart and Lung benefits.
On November 3, 2009, Zampogna filed a tort action against the driver of the vehicle involved in the accident. -The City petitioned to intervene in Zampognaâs tort action to protect the subrogation lien it intended to assert against any recovery. The third-party tort action settled in 2014 for $246,000, which was placed in escrow while the parties litigated the Cityâs entitlement to its asserted lien. On April 9, 2016,.the City initiated a declaratory judgment action to establish its right, to recover the Heart and Lung Act benefits it paid to Zampogna from his settlement.
A trial was conducted on August 1, 2016, after which the trial court' granted judgment in favor of Zampogna. It held that Section 1720 of the Motor Vehicle Financial Responsibility Law prohibited the Cityâs subrogation against Zampognaâs tort recovery. The City appealed the judgment.
We begin with a review of theâ three statutes governing" a public employerâs subrogation against an employeeâs third-party recovery for his work injury caused by a motor vehicle accident. The three statutes are: the Workersâ Compensation Act,
The Workersâ Compensation Act compensates employees who are injured at work for their medical bills and lost wages. Where a work injury prevents an employee from performing his pre-injury job, he is entitled to total disability benefits in the amount of two-thirds of his pre-injury wages.. Section 306(a) of the Workersâ Compensation Act, 77 P.S. § 511. Both public and private employers are subject to the requirements of the Workersâ Compensation Act.
The statute commonly referred to as the âHeart and Lung Actâ applies only to .public employers. It requires the payment of full salary .-.to police officers and other , public . safety employees who are temporarily unable to perform , their job because of a.work injury. Section 1 of the Heart .and Lung Act, 63 P.S. § 637. This more favorable wage loss benefit assures âthose undertaking dangerous employment in certain institutions that they will continue to: receive full- income when they are injured while performing their duties [and] by offering such assurance; the Commonwealth can attract employees to and keep them in the essential and dangerous jobs.â McWreath v. Department of Public Welfare, 26 A.3d 1261, 1255 (Pa. Cmwlth. 2011). Police officers and public safety employees are also entitled to benefits under the Workersâ Compensation Act. However, âany workmenâs compensation, received or collectedâ by a public employee collecting Heart and Lung benefits âshall be turned over to the [public employer] and paid into the treasury thereof[.]â Section 1(a) of the Heart and Lung Act, 53 P.S. § 637(a). Self-insured public employers that pay Heart and Lung benefits do not make workersâ compensation payments because they would simply be returned to the employer. Wisniewski v. Workmenâs Compensation Appeal Board. (City of Pittsburgh), 153 Pa.Cmwlth. 403, 621 A.2d 1111, 1113 (1993). Nevertheless, self-insured public employers issue a notice of compensation payable to employees receiving Heart and Lung benefits. Stermel v. Workersâ Compensation Appeal Board (City of Philadelphia), 103 A.3d 876, 878 (Pa. Cmwlth. 2014).
Where a work injury is caused by a third party, Section 319 of the Workersâ .Compensation Act
First, it prevents double recovery for the same injury by the claimant. Second, it prevents the employer from having to makĂŠ compensation payments which resulted from the negligence of a third party. Finally, it prevents a third party from escaping liability for his negligence.
Murphy v. Workersâ Compensation Appeal Board (City of Philadelphia), 871 A.2d 312, 317 (Pa. Cmwlth. 2005).
The 1984 enactment of the Motor Vehicle Financial Responsibility Law upended this paradigm on subrogation, at least with respect to work injuries arising from motor vehicle accidents. Section 1720 of the Law expressly abolished an employerâs ability to subrogate workersâ compensation payments. Section 1720, as enacted in 1984, stated as follows:
In actions arising out of the maintenance or use of a motor vehicle, there shall be no right of subrogation or reimbursement from a claimantâs tort recovery with respect to workersâ compensation benefits', benefits available under Section 1711 (relating to required benefits), 1712 (relating to availability of benefits) or 1715 (relating to availability of adequate limits) or benefits in lieu thereof paid or payaple under Section 1719 (relating to coordination of benefits).
Act of February 12, 1984, P.L. 53, No. 12, § 3 (emphasis added).
As noted, the goal of subrogation is to prevent double recovery for a single loss. The Motor Vehicle Financial Responsibility Law is also designed to prevent double recovery by those involved in work-related motor vehicle accidents. Section 1722 of the Motor Vehicle Financial Responsibility Law prohibits a plaintiff from including benefits, such as workersâ compensation, in his claim for damages from the third party tortfeasor. Section 1722 states:
In any action for damages against a tortfeasor, or in any uninsured or under-insured motorist proceeding, arising out of the maintenance or use of a motor vehicle, a person who is eligible to receive benefits under the' coverages set forth in this subchapter, or workersâ compensation, or any program, group contract or other arrangement for pĂĄyment of benefits as defined in section 1719 (relating to coordination of benefits) shall be precluded from recovering the amount of benefits paid or payable under this subchapter, or workersâ compensation, or any program, group contract or other arrangement for payment of benefits as defined in section 1719.
75 Pa. C.S. § 1722 (emphasis added). By precluding an employee injured in a work-related motor vehicle accident from pleading workersâ compensation or Heart and Lung benefits as an item of damages in his tort action, the employee must look solely to the employer to be made whole. Thus,' the tort victim cannot recover twice.
In short, Section 1720 and 1722 work in tandem to shift the cost of work-related motor vehicle accidents from the motor vehicle insurer to the workersâ compensation insurer. The object was to reduce the cost of motor vehicle insurance by making the workersâ compensation carrier the primary insurer for .injuries arising from work-related motor vehicle accidents.
However, in 1993, the legislature revisited this paradigm with the Act of July 2, 1993, P.L. 190, No. 44 (Act 44), which amended the Workersâ Compensation Act and the Motor Vehicle Financial Responsibility Law. Section 25(b) of Act 44 reinstated an employerâs right of subrogation for workersâ compensation benefits paid to a claimant whose work injury resulted from a motor vehicle accident. Section 25(b) states:
The provisions of 75 Pa. C.S. §§ 1720 and 1722 are repealed insofar as they relate to workersâ compensation payments or other benefits under the Workersâ Compensation Act.
Act of July 2, 1993, P.L. 190, No. 44, § 25(b). Accordingly, under Act 44, a plaintiff injured in a work-related motor vehicle accident may include workersâ compensation payments as an item of damages sought against the tortfeasor, and his employer may subrogate the amount of workersâ compensation from that tort recovery. This shifted the cost for work-related motor vehicle accidents from the workersâ compensation -carrier back to the motor vehicle insurer, as was the case prior to 1984.
Notably, Act 44 reinstated a public employerâs right to subrogate workersâ compensation benefits from third-party tort recoveries by repealing the contrary language in Sections 1720 and 1722 of the Motor Vehicle Financial Responsibility Law. However, Act 44 did not revise the language of Sections 1720 and 1722, which continue to read as though there is no right to subrogation of workersâ compensation benefits against a tort recovery arising from a work-related motor vehicle accident. .
Act 44 expressly addressed workersâ compensation benefits, not Heart and Lung benefits. Act 44 is silent on Heart and Lung payments and the public employerâs ability to subrogate. This silence led to litigation on whether a public em-. ployer may subrogate Heart and Lung Act benefits from third-party tort recoveries. We review the three leading cases ad seri-atim.
In Fulmer v. Pennsylvania State Police, 167 Pa.Cmwlth. 60, 647 A.2d 616 (1994), a Pennsylvania State Police trooper sustained serious injuries in a motor vehicle accident while on duty. During his temporary incapacitation, the trooper received $22,442.63 in Heart and Lung Act benefits from his employer. In 1989, prior to the enactment of Act 44, the trooper instituted a personal'injury action against the driver of the other vehicle in the accident and recovered a settlement. The State Police sought to subrogate the amount it paid the trooper in Heart and Lung benefits from the trooperâs tort settlement. In response, the trooper filed a declaratory judgment action requesting this Court to rule that Section 1720 of . the Motor Vehicle Financial Responsibility Law precluded the State Police from- seeking reimbursement of its payments made under the Heart and Lung Act.
Notably, in 1990, the legislature amended the 1984 version of Section 1720 to read as follows:
In actions arising out of the maintenance or use of a motor vehicle, there shall be no right of subrogation or reimbursement from a claimantâs tort recovery with respect to workersâ compensation benefits, benefits available under Section 1711 (relating to required benefits), 1712 (relating to availability-' of benefits) or 1715 (relating to availability of adequate1 limits) or benefits paid or payable by a program, group contract or other arrangement whether primary or excess under section 1719 (relating to coordina-' tion of benefits).
75 Pa. C.S. § 1720 (amended by the Act of February 7, 1990, P.L. 11, No. 6, § 9 (emphasis added). The amendment removed the language âor benefits in lieu thereof,â i. e., a tort recovery, and replaced it with âor benefits paid or payable by a program, group contract or other arrangement whether primary or excess .... â Id. Because the trooper initiated his tort action in 1989, we used the 1984 version of Section 1720 to decide whether, the employerâs Heart and- Lung Act payments were sub-rogable. We held that these benefits could, not be subrogated, reasoning as follows:
After reviewing the language of Section 1720 of the [Motor Vehicle-Financial Responsibility Law] and its related sections, and taking into .account the history and purpose of the [Motor Vehicle Financial Responsibility Law], we believe that Heart and Lung Act benefits fall within the âbenefits in lieu thereof paid or payableâ language of this section. Benefits received under the Heart and Lung Act effectively replace workmenâs compensation benefits for those employees covered by its provisions. These benefits provided petitioner with a full, rate of salary during his temporary incapacity and required him to turn over all workmenâs compensation, benefits he received to the [State Police], On its face, the contested language of Section X720 attempts to include all those potential benefits which may have been too numerous to mention.
Fulmer, 647 A.2d at 619 (emphasis added).
We further stated that this result was required under either the 1984 or the 1990 version of Section 1720. We explained as follows:
[W]e agree that the language of the pre-amendment version of Section 1720 should control in this case, [however] we do not view this factor as determinative of the outcome, believing this change of language to be more of a clarification than an alteration. Therefore, any result we may reach should apply to both versions of the statute.
Id. at 618 (emphasis added).
Our Supreme Court next addressed the effect of .Act 44 on the subrogation' of Heart and Lung Act benefits in Oliver v. City of Pittsburgh, 608 Pa. 386, 11 A.3d 960 (2011).
In response, the officer commenced a declaratory judgment action, asserting that Act â 44 had no effect on Heart and Lung Act benefits, and the trial court granted judgment in the officerâs favor. This Court reversed, holding that Act 44 reinstated the employerâs right to subro-gate its payment of Heart and- Lung benefits against the employeeâs third-party recovery. Oliver v. City of Pittsburgh, 977 A.2d 1232 (Pa. Cmwlth. 2009). We .reasoned that there was âno reasonable basisâ for treating the payment of Heart and Lung benefits differently from the payment of workersâ compensation. Id. at 1239.
Our Supreme Court reversed. It held that Section 25(b) of Act 44 restored an employerâs right of subrogation only âinsofar as [it] relate[d] to workersâ compensation payments or other benefits under the Workersâ Compensation Act.â Oliver, 11 A.3d at 966. Section 25(b) did not mention the Heart and Lung Act and, therefore, it did not âimpact any anti-subrogation mandates pertaining to [Heart and Lung Act] benefits.â Id. Because the statutory language was plain and unambiguous, it was error for this Court to resort to principles of statutory construction that are to be employed only where a statute is ambiguous. The "Supreme Court held that" Act 44 did not affect the anti-subrĂłgation mandate of Section 1720âwith respect to Heart and Lung Act "benefits; thus, they are beyond the reach of subrogation by a public employer. Id.
The most recent ruling on this issue was in Stermel, 103 A.3d 876. In that case, a police officerâs vehicle was rear ended by an intoxicated driver and the officer sustained, an injury that caused him to miss 21 weeks of work. The > employer, the City of Philadelphia, issued a-NCP acknowledging the work injury and stating that it.would pay Heart and Lung benefits in lieu of workersâ compensation. The officer pursued a third-party tort claim against the driver and the tavern that served him alcohol; the claim settled for $100,000. The City filed a petition to review compensation benefit offset, seeking subrogation against the officerâs third party recovery for the amount it paid in Heart and Lung benefits. The matter was assigned to a workersâ compensation judge, who concluded that the employer could subrogate the Heart and Lung benefits it paid the officer. On appeal, the Board reversed, relying on the Supreme Courtâs recent decision in Oliver, 11 A.3d 960. After a rehearing, the Board reversed itself. The Board distinguished Oliver and found it not dispositive.
In distinguishing Oliver, the Board reasoned that in Oliver there was no evidence that the claimant had received workersâ compensation benefits. Further, the case was initiated in a court of common pleas, not in a workersâ compensation proceeding. Finally, Oliver did not address the interplay between the Motor Vehicle Financial Responsibility Law, Heart and Lung Act, and Workersâ Compensation Act.
The Board decided that two-thirds of the Heart and Lung benefits paid by the City actually represented workersâ compensation benefits, which can be subrogat-ed under Act 44. The Board noted that had the City purchased a workersâ compensation policy, the carrier would have returned all workersâ compensation payments to the City. It made no sense to the Board that the City could not recover these payments simply because it was self-insured.
On appeal, we reversed the Board, explaining that:
the Motor Vehicle Financial Responsibility Law [] prohibits a plaintiff from including as an element of damages payments received in the form of workersâ compensation or other âbenefits paid or payable by a program ... or other arrangement.â 75 Pa.C.S. § 1720. This language âbenefits paid, or payable by a programâ has been construed to include the program by which Heart and Lung benefits are paid. Fulmer, 647 A.2d at 618-19.
Stermel, 103 A.3d at 885 (emphasis added). We rejected the Boardâs attempt to distinguish Oliver on the stated grounds that the public employer had not issued a NCP. We explained that an employerâs issuance of a NCP âdoes not transform Heart and Lung Benefits into workersâ compensation; they are separate.â Id. at 883. We further explained that â[f]or its own reasons, the General Assembly has decided to treat Heart and Lung benefits differently, at least with respect to subrogation from a claimantâs tort recovery arising from a motor vehicle accident.â Id. at 883-84.
With this summary of the relevant statutes and case law precedent, we turn to the instant appeal.
In Fulmer, this Court stated that the 1990 amendment to Section 1720 was âmore of a clarification than an alteration,â which continues to prohibit the subrogation of Heart and Lung benefits. Fulmer, 647 A.2d at 618. Because Fulmer was decided under the 1984 version, the City contends that this language is obiter dictum with respect to the 1990 version of Section 1720. See Valley Township v. City of Coatesville, 894 A.2d 886, 889 (Pa. Cmwlth. 2006) (court opinion not essential to the decision is dicta and has no prece-dential value). Moreover, the City notes that this Courtâs offhand comment in Ful-mer was not accompanied by any statutory analysis. Thus, Fulmer stands only for the proposition that the 1984 version of Section 1720 prohibited employer subrogation of Heart and Lung benefits.
With respect to Oliver, the City argues that it has no bearing on its statutory construction argument because the' Supreme Court considered only the effect of Act 44 on Section 1720. Oliver, 11 A.3d at 966. By contrast, here, the City focuses exclusively on the 1990 amendment to Section 1720 and whether it included Heart and Lung benefits within the anti-subrogation mandate. Notably, the court in Oliver declined to address this very argument because it had not been preserved. Id. at 964-65.
With respect to Stermel, the City asserts that as in Fulmer, the precise meaning of the 1990 amendment to Section 1720 was not addressed. Stermel simply observed that this âCourt has interpreted both versions of Section 1720 to designate Heart and Lung benefits as a type of benefit not eligible for subrogation where the injury arises from a motor vehicle accident.â Stermel, 103 A.3d at 879 (citing Fulmer, 647 A.2d at 618-19)). The City notes that this observation is based upon the dicta in Fulmer and argues that ârepetition does not elevate obiter dicta to the level of binding precedent.â Commonwealth v. Singley, 582 Pa. 5, 868 A.2d 403, 409 (2005).
Zampogna acknowledges that Fulmerâs discussion of the 1990 version of Section 1720 constitutes dicta. However, he contends that the dicta in Fulmer was confirmed in Stermel and, thus,' became binding precedent. Zampogna also directs our attention to Housing and Redevelopment Insurance Exchange v. Michaels, 2012 WL 1985926 (Lackawanna Co. C.P. No. 11 CV 6121, filed May 25, 2012), which held that the 1990 amendatory language âprogram, group'contract or other arrangementâ in Section 1720 was intended to expand, not constrict',' the applicability of the anti-subrogation mandate'as it existed in 1984.
Zampogna explains that in Oliver, the Supreme Court considered. whether Act 44âs restoration of the employerâs subrogation rights with respect to workersâ .compensation benefits extended to Heart and Lung Act payments. This consideration would make little sense if the Supreme Court believed that the 1990 amendment to Section 1720 of the Motor Vehicle Financial Responsibility Law had already restored the employerâs right of subrogation for Heart and Lung Act. benefits, while continuing the anti-subrogation mandate for workersâ compensation. Likewise, in Stermel, this Court stated that:
Section 25(b) of Act 44 changed the Section 1720 paradigm only for workersâ compensation benefits, not Heart and Lung benefits. This means Claimant continued to be âprecludedâfrom recovering the amount of benefits paid under the Heart and Lung Act from the responsible tortfeasors. There can be no subrogation out of an award that does not include these benefits.
Stermel, 103 A,3d at 885 (internal quotations omitted) (emphasis added). By using the word âcontinued,â Stermel affirmed that prior to Act 44, a claimant could not recover, and an employer could not subro-gate, benefits paid pursuant to the Heart and Lung Act.
Oliver limited its holding to Act 44. The City is correct that case law precedent has not squarely considered the meaning of the 1990 amendment of Section 1720. We do so now.
Section 1720 of the Motor Vehicle Financial Responsibility Law states as follows:
In actions arising out of the maintenance or use of a motor vehicle, there shall be no right of subrogation or reimbursement from a claimantâs. tort recovery with respect to workersâ compensation benefits, benefits available under Section 1711 (relating to required-benefits), 1712 (relating to availability of benefits) or 1715 (relating to availability of adequate limits) or benefits paid or payable by a program, group contract or other arrangement whether primary or excess under section 1719 (relating to coordination of benefits).
76 Pa. C.S. § 1720 (emphasis added). The final phrase âbenefits paid or payable by a program, group contract or other arrangement whether primary or excessâ replaced the 1984 language that read âbenefits in lieu thereof paid or payable.â The City offers several reasons to -support -its contention that the removal of the âin lieu thereofâ language from the 1984 version of Section 1720 restored its right to subro-gate Heart and Lung benefits from a tort-award arising from a work-related motor vehicle accident.
First, the City notes that Section 1720 refers to Sections 1711, 1712, 1715 - and 1719 of the Motor Vehicle Financial Responsibility Law. None of these provisions -of the Motor Vehicle Financial Responsibility Law mention the Heart and Lung Act or any other mandatory statutory compensation scheme. Therefore, the anti-sub-rogation mandate applies only to benefits paid-under private insurance policies.
Second, Fulmer, Oliver and Stemel focused on the words âbenefits paid or payable by a program, group contract or other arrangement,â which is incomplete, The City notes that the final sentence of Section 1720'states âbenefits paid or payable by a program, group contract or other arrangement - whether primary or excess under Section 1719 (relating to coordination of benefits).â Neither Fulmer nor Stermel considered the text of Section 1719, which states as follows:
(a) General rule. â Except for workersâ compensation, a policy - of insurance issued or delivered pursuant to this sub-chapter shall-be primary. Any.program, group contract or other arrangement for payment of benefits such as described in section 1711 (relating to required benefits) 1712(1) and (2) (relating to availability of benefits) or 1715 (relating to availability .of .adequate limits) shall be construed to contain a provision that all benefits provided therein shall be in excess of and not -in duplication of any valid and collectible first, party benefits provided in section 1711,1712 or 1715 or workersâ compensation.
(b) Definition. â As used in this section the term âprogram, group contract or other arrangementâ includes, but, is not limited to, benefits payable by a hospital plan corporation or a professional health service corporation subject to 40 Pa. C.S. Ch. 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations).
75 Pa. C.S. § 1719 (emphasis added).
The City argues that the Section 1719(b) definition of âprogram, group contract or other arrangementâ cannot be read to include Heart and Lung Act benefits, which bear no similarity to Blue Cross/Blue Shield coverage. Under the doctrine ejus-dem generis, the phrase âincludes, but is not limited toâ in Section 1720 requires that a âprogram, group contract or other arrangementâ must be similar to a health insurance policy issued by Blue Cross and Blue Shield. S.A. by H.O. v. Pittsburgh Public School District, 160 A.3d 940, 946 (Pa. Cmwlth. 2017). Accordingly, the City argues that Heart and Lung benefits fall outside the âincluded but not limitedâ list of âprograms.â The. City offers an interesting argument, but it has flaws.
First, the language âprogram, group contract or other arrangementâ in Section 1720 has been understood to encompass Heart and Lung Act benefits in all the above-discussed precedent.
Second, the definition of âprogram, group contract or other arrangementâ that appears in Section 1719(b) is limited to âthis section,â ie., Section 1719. 76 Pa. C.S. § 1719(b). Notably, Section 1722 uses the phrase âset forth in this subchapter.â 76 Pa. C.S. § 1722. Had the legislature intended the definition in Section 1719(b) to apply to Section 1720, it could have used the phrase âin this subehapterâ as opposed to âin this section.â Therefore, even if we accepted the Cityâs construction of Section 1719(b) to exclude a statutory benefit program such as Heart and Lung benefits, it is not dispositive. The definition is limited to use in the application of Section 1719.
Third, the Cityâs emphasis on Section 1719 misses the mark. ,Section 1720 prohibits subrogation for workersâ compensation payments and payments of first party coverages provided under Sections 1711, 1712 and 1716 of the Motor Vehicle Financial Responsibility Law. Section 1719 does not provide a type of first party coverage. It simply establishes the priority of payments where there exists more than, one source of payment for the type of first party coverages provided in a policy of motor vehicle insurance. The language âwhether primary or excess under Section 1719â makes the priority directive in Section. 1719 irrelevant.
Stated otherwise, Section 1719 has no effect on the scope or meaning of the catch-all phrase âbenefit's paid or payable by a program, group contract or other arrangement whether primary or excessâ set forth in Section 1720. 75 Pa. C.S. § 1720. We agree that the purpose of the new phraseology set forth in the 1990 amendment was intended to expand the scope of the anti-subrogation mandate as it existed in-1984. Housing and Redevelopment Insurance Exchange, 2012 WL 1986926 at *9.
Fulmer explained that the âcatchall phrase âor benefits paid or payable by a program, group contract or otlier arrangementâ extends the applicafeility of [Section 1720] to the Heart and Lung Act.â Fulmer, 647 A.2d at. 618. This was obiter dictum, but it correctly construes Section 1720. We so hold. The legislature excluded workersâ compensation from the anti-sub-rogation mandate in Section _ 1720, but it did not exclude Heart and Lung benefits from this mandate. Accordingly, we reject the Cityâs argument that the 1990 amendment to Section 1720 reinstated a public employerâs right to subrogate Heart and Lung Act benefits from an employeeâs tort award arising from a motor vehicle accident.
Alternatively, the City argues that Section 319 of the Workersâ Compensation Act authorizes it to subrogate tWo-thirds of the Heart and Lung Act benefits it paid to Zampogna. Section 319 of the Workersâ Compensation Act permits an employer to subrogate against a third party to the âextent of the compensation payable under this article.â 77 P.S. § 671. The City argues that the word âpayableâ allows it to subrogate two-thirds of the total amount of Heart and Lung Act benefits, which could be construed as Zampognaâs workersâ compensation benefits.
The City maintains that the NCP it issued to Zampogna on November 26, 2007, made workersâ compensation benefits âpayableâ to Zampogna. Because the City is self-insured, it did not go through the process of issuing a workersâ compensation payment and then have it returned. Wisniewski, 621 A2d at 1113. Instead, it issued Heart and Lung Act benefits in the amount of Zampognaâs full salary. However, two-thirds of the Heart and Lung benefits it paid, which is the amount Zampogna could have received under the Workersâ Compensation Act, were âpayableâ to him as workersâ compensation benefits.
The argument that the issuance of a NCP transforms Heart and Lung Act benefits into workersâ compensation benefits was addressed in Stermel. We rejected it, stating:
Employer paid Heart and Lung benefits during the entire time that Claimant was temporarily disabled by his work injury. Employerâs NCP states that âClaimant received salary continuation [under the Heart and Lung Act] in lieu of PA Workersâ compensation for period of lost time.â This does not, as Employer contends, make Claimantâs situation different from the claimant in Oliver, who âonly received Heart and Lung Benefits.â The NCP, which was issued unilaterally by Employer, does not transform Heart and Lung benefits into workersâ compensation; they are separate. For its own reasons, the General Assembly has decided to treat Heart and Lung benefits differently, at least with respect to subrogation from a claimantâs tort recovery arising from a motor vehicle accident.
Stermel, 103 A.3d at 883 (internal quotations omitted).
We again reject the Cityâs contention. The General Assembly, âfor its own reasons,â has chosen to treat Heart and Lung Act benefits differently than workersâ compensation benefits. Id. Here, the City paid Heart and Lung Act benefits to Zampogna for the entirety of his disability. We decline to consider those payments as anything other than what they are: Heart and Lung Act benefits, subrogation of which is prohibited by Section 1720 of the Motor Vehicle Financial Responsibility Law.
In sum, we find that both of the Cityâs arguments fail. The 1990 amendment to Section 1720 of the Motor Vehicle Financial Responsibility Law did not restore a public employerâs right to subro-gate Heart and Lung Act benefits. Those benefits remain subject to the anti-subro-gation mandate of Section 1720. It follows, then, that the City may not subrogate a portion of Heart and Lung Act benefits under the artifice that those benefits are payable as workersâ compensation benefits. Likewise, the plaintiff may not include the receipt of Heart and, Lung Act benefits as an item of damages in its tort against a
third party with liability for a work-related motor vehicle accident.
For these reasons, we affirm the trial courtâs order granting declaratory judgment in favor of Zampogna.
ORDER
AND NOW, this 27th day of December, 2017, the order of the Court of Common Pleas of Philadelphia County dated August 1, 2016 in the above-captioned matter is AFFIRMED.
. Act of June 28, 1935, P.'L. 477, as amended, 53 P.S, §§ 637-638.
. That total consisted of $236,050.43 in salary continuation and $50,397.34 in medical benefits. Joint Stipulation of Facts, Âś 7.
. Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1-1041.4, 2501-2708.
. 75 Pa. C.S. §§ 1701-1799.7.
.' Section 319 states, in relevant part, as follows:
Where the compensable injury is caused in whole or in part by the act- or omission of a third party, the employer shall be subrogat-ed to the right of the employe, his personal representative, his estate or his dependents, against such third party to the extent of the â compensation payable under this article by the employer, reasonable attorney's fees and other proper disbursements incurred in obtaining a recovery or in effecting a compromise settlement shall be prorated between the employer and employe, his personal representative, his estate or his dependents. The employer shall pay that proportion of the attorney's fees and other proper disbursements that the amount of compensation paid or payable at the time of recovery or settlement bears to the total recovery or settlement. Any recovery against such third person in excess of the compensation theretofore paid by the employer shall be paid forthwith to the employe, his personal representative, his estate or his dependents, and shall be treated as an advance payment by the employer on account of any future instalments of compensation.
77 P.S. § 671 (emphasis added).
. We further, noted as follows:
This Court is aware that in an act promulgating major revisions to The Pennsylvania Workmen's Compensation Act, Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 1--1031, the legislature, repealed 75' Pa.C.S. § 1720 insofar as it relates to workerâs compensation payments. Section 25(b) of the Act of July 2, 1993, P.L. 190, No. 44. (hereinafter referred to as Act 44). Legislation affecting substantive law will not be applied retroactively unless expressly declared in the "act. Universal Cyclops Steel Corp. v. Krawczynski, [] 9 Pa.Cmwlth. 176, 305 A.2d 757 ([Pa. Cmwlth.] 1973). The question of whether an employer is entitled to subrogation is not one of procedure but of substantive law. Bell v. Koppers Co., Inc., [] 481 Pa. 454, 392 A.2d 1380 ([Pa.] 1978). Thus, Act 44 has no impact on this case. In addition, we express no opinion on the effect of Section 25(b) of Act 44; on the Heart and Lung Act in a case arising after the effective date of Act 44.
Fulmer, 647 A.2d at 618 n.3.
. The Supreme Court granted review because of facially conflicting pronouncements of law in Brown v. Rosenberger, 723 A.2d 745, 747 (Pa. Cmwlth. 1999), and City of Pittsburgh v. Workers' Compensation Appeal Board (Williams), 810 A.2d 760, 762 n.5 (Pa. Cmwlth. 2002).
. - The City also argued that the 1990 amendment to the Motor Vehicle Financial Responsibility Law restored .an employer's right to subrogation concerning benefits under the â˘Heart and Lung Act. However, because the City raised this issue for the first time on appeal to the Supreme Court, the Court held that it was not properly preserved, and declined to address.it. Oliver, 11 A.3d at 964-65. This is the argument the City presents.today.
. An appellate courtâs standard of review in a declaratory judgment action determines whether the trial court committed a clear abuse of discretion or an error of law. Pirillo v. Vanco, 74 A.3d 366, 368 n.5 (Pa. Cmwlth. 2013). In a case where the issues are questions of law, the standard of review is de novo. The scope of review is plenary. Id.
. Section 1719, like the rest of the Motor Vehicle Financial Responsibility Law; haS not been amended, to reflect Act 44's reinstatement of subrogation rights for workersâ compensation benefits. Section 1719 still reads as it did in 1984. Section 1719 establishes a priority scheme .that generally makes a policy of motor vehicle insurance primary to other sources of benefits. The introductory language of Section 1719, excludes workersâ compensation from this priority scheme, However, Act 44âs express repeal of Sections Ă720 and 1722 makes, this reference to workersâ compensation in Section 1719 meaningless.