Simendinger v. National Union Fire Insurance Co.

74 A.3d 609 (Del. 2013) · Supreme Court of Delaware · March 19, 2013

Summary

The Delaware Supreme Court held that a workers’ compensation insurer could not assert a lien against underinsured motorist benefits paid under an employer-purchased UIM policy. Interpreting 19 Del. C. § 2363(e), the court concluded that the 1993 statutory amendments eliminated the insurer’s ability to obtain reimbursement from the UIM payments and reversed the Superior Court’s judgment.

Holdings

  1. Under the post-1993 version of 19 Del. C. § 2363(e), a workers' compensation insurer may not assert a priority lien against UIM payments made pursuant to an employer's UIM policy.
  2. The UIM policy exclusion is enforceable, and the Superior Court erred as a matter of law by holding it unenforceable and enforcing the workers' compensation lien.

Questions Presented

  1. Whether 19 Del. C. § 2363(e) permits a workers' compensation insurer to assert a lien against UIM benefits paid under an employer's UIM policy.
  2. Whether the UIM policy exclusion barring the direct or indirect benefit of a workers' compensation insurer is unenforceable because it conflicts with 19 Del. C. § 2363(e).

Disposition

reversed_and_remanded

Cases Cited (8)

  • State Farm Mut. Auto. Ins. Co. v. Patterson, 7 A.3d 454, 456 (Del. 2010)(followed)
  • Brown v. United Water Delaware, Inc., 3 A.3d 272, 275 (Del. 2010)(followed)
  • Adams v. Delmarva Power & Light Co., 575 A.2d 1103, 1106-07 (Del. 1990)(followed in part)
  • Hurst v. Nationwide Mut. Ins. Co., 652 A.2d 10 (Del. 1995)(adopted)
  • Harris v. New Castle County, 513 A.2d 1307, 1308-09 (Del. 1986)(distinguished)
  • Guy J. Johnson Transportation Co. v. Dunkle, 541 A.2d 551, 552 (Del. 1988)(distinguished)
  • Travelers v. E.I. DuPont De Nemours & Co., 9 A.2d 88, 90-91 (Del. 1939)(distinguished)
  • State v. Donahue, 472 A.2d 824, 827-28 (Del. Super. Ct. 1983)(distinguished)

Cited In (0)

No citing cases on record yet.

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