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Case Law Database

Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Rapid Settlements Ltd. v. SSC Settlements, LLC

This case involves an appeal and mandamus proceeding filed by Rapid Settlements, Ltd. and Rapid Management Corporation (Rapid) against SSC Settlements, L.L.C. and Stone Street Capital, Inc. (SSC). Rapid challenged a final summary judgment related to the transfer of structured settlement payments from William Prante. Rapid sought to stay litigation pending arbitration, arguing the dispute with SSC fell under an arbitration clause in their agreement with Prante, which also included a right of first refusal and a security interest. The appellate court denied the mandamus petition, vacated the trial court's denial of Rapid's motion to stay, and reversed parts of the summary judgment concerning Rapid's security interest and right of first refusal. The court affirmed the trial court's award of attorney's fees to SSC and its injunction preventing Rapid from compelling SSC to arbitrate.

Arbitration AgreementMandamus ProceedingSummary JudgmentDeclaratory JudgmentStructured SettlementRight of First RefusalSecurity InterestEquitable EstoppelDirect Benefits EstoppelContract Law
References
42
Case No. MISSING
Regular Panel Decision

Symetra Life Insurance v. Rapid Settlements, Ltd.

This case involves the National Association of Settlement Purchasers (NASP) seeking a permanent injunction against Rapid Settlements, Ltd., a factoring company. NASP alleged that Rapid Settlements improperly uses arbitration and enforces rights of first refusal and security interests in structured settlement payment rights without state-court approval, thereby circumventing state Structured Settlement Protection Acts (SSPAs). The court found that Rapid Settlements' practices illegally circumvent the SSPAs, cloud title to annuitants' payment rights, raise transaction costs for NASP members, and place them at a competitive disadvantage. The court rejected Rapid Settlements' defenses, including preemption by the Federal Arbitration Act and an 'unclean hands' argument against NASP. The court granted NASP's application, permanently enjoining Rapid Settlements from using arbitration or enforcing unapproved rights of first refusal and security interests to effectuate transfers of structured settlement payment rights.

Structured SettlementsFactoring CompaniesAnnuity PaymentsArbitrationInjunctionState LawFederal LawStructured Settlement Protection ActsRights of First RefusalSecurity Interests
References
33
Case No. MISSING
Regular Panel Decision

In re Settlement Capital Corp.

Settlement Capital Corporation (SCC) sought court approval, under New York's Structured Settlement Protection Act (SSPA), to acquire $125,000 of a $225,000 annuity payment due to Richard C. Ballos on October 1, 2010. Ballos, a totally disabled father of two, agreed to transfer these rights for a net advance of $36,500, reflecting a 15.591% annual discount rate. The court, presided over by Justice Patricia E. Satterfield, denied the petition after a hearing on April 23, 2003. The decision hinged on a two-pronged test: whether the transfer was in Ballos's 'best interest' and if the transaction terms were 'fair and reasonable.' The court found that Ballos did not demonstrate 'true hardship' given his other income sources and previous transfer of structured settlement payments, concluding it was not in his or his dependents' best interest. Furthermore, the court deemed the 15.591% discount rate, resulting in Ballos receiving only 29% of the transferred amount, unconscionable and not 'fair and reasonable.'

Structured SettlementStructured Settlement Protection Act (SSPA)Annuity TransferDiscount RateBest Interest StandardFair and Reasonable StandardPayee ProtectionFinancial HardshipCourt ApprovalGeneral Obligations Law
References
12
Case No. 14-07-00880-CV
Regular Panel Decision
Apr 21, 2009

Symetra National Life Insurance Company and Symetra Life Insurance Company v. Rapid Settlements, LTD

Symetra National Life Insurance Co. and Symetra Life Insurance Co. appealed a trial court's confirmation of an arbitration award that directed them to make structured settlement payments to Rapid Settlements, Ltd., instead of the original payee, Paul Patterson. Symetra argued that the transfer lacked the required court approval under the Texas Structured Settlement Protection Act (SSPA) and violated public policy, while Rapid Settlements asserted it was not a 'transfer' under SSPA, federal law preempted SSPA, and Symetra lacked standing. The court rejected Rapid's arguments, emphasizing that the SSPA mandates court preapproval for structured settlement payment transfers to protect payees and their dependents. Consequently, the court held that the arbitration award violated Texas public policy by effectuating an unapproved transfer. The trial court's judgment was reversed, and the arbitration award was vacated.

Structured Settlement Protection Act (SSPA)Arbitration AwardPublic PolicyFederal Arbitration Act (FAA)PreemptionStandingGarnishmentTransfer of PaymentsAnnuity IssuerTexas Law
References
20
Case No. MISSING
Regular Panel Decision
Mar 31, 2011

Gaskin v. Harris

The plaintiff appealed an order from the Supreme Court, Kings County. The order denied her motion for summary judgment and granted the defendant’s cross-motion to dismiss her complaint, which sought damages for legal malpractice and breach of contract. The appellate court affirmed the denial of summary judgment due to procedural prematurity. However, it reversed the dismissal of the legal malpractice claim, finding the plaintiff adequately alleged negligence concerning workers' compensation advice and settlement guidance. The court upheld the dismissal of the breach of contract claim as duplicative and the claim for emotional distress damages, limiting recovery in malpractice actions to pecuniary loss.

Legal MalpracticeSummary Judgment MotionMotion to Dismiss ComplaintCPLR 3211CPLR 3212Breach of Contract ClaimWorkers' CompensationPecuniary Loss DamagesEmotional Distress DamagesAppellate Review
References
26
Case No. MISSING
Regular Panel Decision

Claim of Arena v. Crown Asphalt Co.

Thomas Arena (decedent) sustained a work-related foot injury in 1980, leading to workers' compensation benefits and subsequent renal failure. Decedent and his wife (claimant) filed a third-party medical malpractice action against treating physicians and the hospital, which was settled in 1988 through a structured settlement. A stipulation between the carrier and decedent outlined the carrier's offset credit against decedent's workers' compensation claim and reserved rights against future death benefits claims, but claimant was not a signatory. After decedent's death in 1993, claimant filed for death benefits, prompting the carrier to seek an offset credit from the third-party settlement proceeds. The Workers’ Compensation Board initially found the carrier entitled to a credit, but later reversed itself, ruling against any credit. The appeals court determined that the carrier sufficiently preserved its offset rights through a general release signed by both claimant and decedent. However, it found no clear agreement on the specific offset amount in the stipulation or settlement that applied to claimant's death benefits. Consequently, the Board's decision of zero credit was reversed, and the matter was remitted for a factual determination of the precise credit amount.

Offset CreditThird-Party SettlementDeath Benefits ClaimRenal FailureMedical MalpracticeStipulation AgreementGeneral ReleaseWaiver of RightsStructured SettlementApportionment of Damages
References
12
Case No. MISSING
Regular Panel Decision

Claim of McDowell v. La Voy

A claimant widow sought compensation benefits after her husband's death in 1971. She also sued her attorney for malpractice due to his failure to file a timely wrongful death action, securing a $75,000 settlement without the consent of her husband's alleged employers or their compensation carriers. A compensation Referee initially disallowed her claim, citing section 29 of the Workers' Compensation Law, which mandates carrier consent for third-party settlements. The board reversed, arguing the malpractice settlement was not a third-party action. However, the court overruled the board's decision, concluding that the malpractice settlement served as a substitute for a third-party recovery and thus required the carriers' consent. As consent was not obtained, the claimant is denied compensation benefits to prevent a double recovery.

Workers Compensation LawMalpractice SettlementThird-Party ActionConsent RequirementDouble RecoveryClaimant BenefitsEmployer LiabilityCarrier ConsentAppealStatutory Interpretation
References
6
Case No. 01-15-00147-CV
Regular Panel Decision
Apr 06, 2015

Metropolitan Insurance and Annuity Company and Metropolitan Life Insurance Company v. Peachtree Settlement Funding, LLC

This case involves an appeal by Metropolitan Life Insurance Company and Metropolitan Insurance & Annuity Company (Appellants) against Peachtree Settlement Funding, LLC and Sara Swain (Appellees) regarding a trial court's approval of a structured settlement payment rights transfer. Sara Swain, the payee, sought to transfer partial monthly payments to Peachtree, leading to a "Servicing Arrangement" approved by the trial court. This arrangement allowed Peachtree to receive the full monthly payments, retain its assigned portion, and remit the remainder to Swain, without requiring MetLife to directly divide payments. MetLife challenged this, asserting the arrangement improperly modified contracts, contravened the Texas Transfer Statute, and imposed an involuntary business relationship. The Appellee's brief argues for the affirmation of the trial court's decision, emphasizing the legality of the servicing arrangement under Texas's principles of contract assignability and principal-agency law, and affirming the transfer as being in Swain's best interest.

Structured SettlementPayment Rights TransferServicing ArrangementContract AssignabilityPrincipal-Agency LawBest Interest DeterminationAppellate ReviewTexas Transfer StatuteLegal PrecedentAnnuity Issuer Obligations
References
68
Case No. 2022 NY Slip Op 03866 [206 AD3d 466]
Regular Panel Decision
Jun 14, 2022

Continental Indem. Co. v. Redzematovic

The plaintiffs, Continental Indemnity Company et al., sought to enforce a Workers' Compensation lien against the proceeds of a legal malpractice settlement received by the defendant, Aisa Redzematovic. The malpractice action arose from her previous attorneys' failure to timely file a suit against tortfeasors involved in her workplace injury. The core legal question revolved around Workers' Compensation Law § 29 (1), which grants a lien against recoveries from third-party tortfeasors. The court referenced established precedent indicating that a legal malpractice settlement, in such circumstances, serves as a substitute for a direct third-party recovery. Consequently, the Appellate Division affirmed the Supreme Court's decision, confirming that the settlement proceeds are indeed subject to the Workers' Compensation lien.

Workers' Compensation LienLegal Malpractice SettlementThird-Party RecoveryStatutory InterpretationWorkers' Compensation Law § 29(1)Appellate ReviewSummary JudgmentInsurance LienPersonal Injury ClaimNew York Law
References
3
Case No. MISSING
Regular Panel Decision
Jan 29, 2010

In re Marsh Erisa Litigation

Named Plaintiffs Donald Hundley, Conrad Simon, and Leticia Hernandez brought a class action lawsuit against Marsh & McLennan Companies, Inc. (MMC) alleging breaches of fiduciary duties under ERISA related to imprudent investments in MMC stock within the company's 401(k) plan. The litigation, complex in scope and involving extensive discovery, ultimately led to a $35 million class action settlement after arm's-length negotiations facilitated by a mediator. The Court approved the settlement, certified the class for settlement purposes, and sanctioned the plan of allocation. Additionally, the decision granted substantial attorneys' fees and expenses to lead counsel, alongside case contribution awards for the named plaintiffs, while rejecting the two objections received. This ruling concludes a significant ERISA litigation, emphasizing the protection of retirement savings for American workers.

ERISAClass ActionSettlement ApprovalFiduciary Duty401(k) PlanStock InvestmentAttorneys FeesLitigation ExpensesClass CertificationPlan of Allocation
References
78
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