LABOR CODE
CHAPTER 417. THIRD-PARTY LIABILITY
§ 417.001. THIRD-PARTY LIABILITY. (a) An employee or
legal beneficiary may seek damages from a third party who is or
becomes liable to pay damages for an injury or death that is
compensable under this subtitle and may also pursue a claim for
workers' compensation benefits under this subtitle.
(b) If a benefit is claimed by an injured employee or a legal
beneficiary of the employee, the insurance carrier is subrogated to
the rights of the injured employee and may enforce the liability of
the third party in the name of the injured employee or the legal
beneficiary. The insurance carrier's subrogation interest is
limited to the amount of the total benefits paid or assumed by the
carrier to the employee or the legal beneficiary, less the amount by
which the court reduces the judgment based on the percentage of
responsibility determined by the trier of fact under Section
33.003, Civil Practice and Remedies Code, attributable to the
employer. If the recovery is for an amount greater than the amount
of the insurance carrier's subrogation interest, the insurance
carrier shall:
(1) reimburse itself and pay the costs from the amount
recovered; and
(2) pay the remainder of the amount recovered to the
injured employee or the legal beneficiary.
(c) If a claimant receives benefits from the subsequent
injury fund, the commission is:
(1) considered to be the insurance carrier under this
section for purposes of those benefits;
(2) subrogated to the rights of the claimant; and
(3) entitled to reimbursement in the same manner as
the insurance carrier.
(d) The commission shall remit money recovered under this
section to the comptroller for deposit to the credit of the
subsequent injury fund.
Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993. Amended
by Acts 1997, 75th Leg., ch. 1423, § 12.13, eff. Sept. 1, 1997;
Acts 2003, 78th Leg., ch. 204, § 4.09, eff. Sept. 1, 2003.
§ 417.002. RECOVERY IN THIRD-PARTY ACTION. (a) The
net amount recovered by a claimant in a third-party action shall be
used to reimburse the insurance carrier for benefits, including
medical benefits, that have been paid for the compensable injury.
(b) Any amount recovered that exceeds the amount of the
reimbursement required under Subsection (a) shall be treated as an
advance against future benefits, including medical benefits, that
the claimant is entitled to receive under this subtitle.
(c) If the advance under Subsection (b) is adequate to cover
all future benefits, the insurance carrier is not required to
resume the payment of benefits. If the advance is insufficient, the
insurance carrier shall resume the payment of benefits when the
advance is exhausted.
Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993.
§ 417.003. ATTORNEY'S FEE FOR REPRESENTATION OF
INSURANCE CARRIER'S INTEREST. (a) An insurance carrier whose
interest is not actively represented by an attorney in a
third-party action shall pay a fee to an attorney representing the
claimant in the amount agreed on between the attorney and the
insurance carrier. In the absence of an agreement, the court shall
award to the attorney payable out of the insurance carrier's
recovery:
(1) a reasonable fee for recovery of the insurance
carrier's interest that may not exceed one-third of the insurance
carrier's recovery; and
(2) a proportionate share of expenses.
(b) An attorney who represents the claimant and is also to
represent the subrogated insurance carrier shall make a full
written disclosure to the claimant before employment as an attorney
by the insurance carrier. The claimant must acknowledge the
disclosure and consent to the representation. A signed copy of the
disclosure shall be furnished to all concerned parties and made a
part of the commission file. A copy of the disclosure with the
claimant's consent shall be filed with the claimant's pleading
before a judgment is entered and approved by the court. The
claimant's attorney may not receive a fee under this section to
which the attorney is otherwise entitled under an agreement with
the insurance carrier unless the attorney complies with the
requirements of this subsection.
(c) If an attorney actively representing the insurance
carrier's interest actively participates in obtaining a recovery,
the court shall award and apportion between the claimant's and the
insurance carrier's attorneys a fee payable out of the insurance
carrier's subrogation recovery. In apportioning the award, the
court shall consider the benefit accruing to the insurance carrier
as a result of each attorney's service. The total attorney's fees
may not exceed one-third of the insurance carrier's recovery.
(d) For purposes of determining the amount of an attorney's
fee under this section, only the amount recovered for benefits,
including medical benefits, that have been paid by the insurance
carrier may be considered.
Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993.
§ 417.004. EMPLOYER LIABILITY TO THIRD PARTY. In an
action for damages brought by an injured employee, a legal
beneficiary, or an insurance carrier against a third party liable
to pay damages for the injury or death under this chapter that
results in a judgment against the third party or a settlement by the
third party, the employer is not liable to the third party for
reimbursement or damages based on the judgment or settlement unless
the employer executed, before the injury or death occurred, a
written agreement with the third party to assume the liability.
Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993.