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HEATH v. STANDARD ACCIDENT INSURANCE COMPANY et al.
36296.
Workmen's compensation. Before Judge Eve, Emeritus. Tift Superior Court. April 12, 1956.
NICHOLS, J.
Where an agreement between a claimant, his employer, and the insurance carrier is approved by the State Board of Workmen's Compensation and no appeal is taken therefrom it cannot be set aside because of fraud, accident, or mistake where it is shown that the movant was either negligent or guilty of fraud in entering into such agreement on which the award was based.
On January 23, 1954, Howard W. Heath was injured when the truck he was driving overturned near Tifton, Georgia, while traveling from Columbus, Georgia, en route to Jacksonville, Florida. The claimant, Heath, while in the Tift County Hospital, was visited by J. T. Smith, assistant claims manager for the insurance carrier, Standard Accident & Insurance Company, and an agreement was entered into between the claimant, the employer, Foremost Builders Supply Co., and the insurer, for the payment of workmen's compensation, which agreement was approved by the State Board of Workmen's Compensation on March 2, 1954. On September 21, 1955, the insurer filed a request with the State Board of Workmen's Compensation requesting a hearing to set aside the award of the board dated March 2, 1954, based on the agreement between the parties, and in which request it was alleged that the agreement was entered into by mistake, misrepresentation, or because of fraud. A hearing was held in Tifton, Georgia, on November 22, 1955, and on January 30, 1956, the full board rendered an award in which the request to set aside the award based on the agreement was denied. The employer and insurer appealed this award to the Superior Court of Tift County, where Judge Emeritus R. Eve, presiding, on April 12, 1956, reversed the award of the full board. It is to this judgment that the claimant excepts.
Assuming but not deciding, as the employer and insurer contend, that a hearing may be requested under Code 114-706 as amended by the act of 1945 (Ga. L. 1945, p. 462) after the agreement entered into between the parties has been approved by the State Board of Workmen's Compensation, when there is a disagreement between the employee and the employer and insurance carrier, where it is not alleged that there has been any change in condition involved in the disagreement (see in this connection, Wilkins v. Travelers Ins. Co., 52 Ga. App. 142, 144, 182 S. E. 628), the appellate courts of this State have consistently held that an award of the board unappealed from is res adjudicata and is binding upon the parties in the absence of fraud, accident or mistake. See Liberty Mutual Ins. Co. v. Morgan, 199 Ga. 179, 181 (33 S. E. 2d 336), and cases cited. Inasmuch as an unreversed award of the board may be enforced as other judgments of the superior courts (Code 114-711), this fraud, accident, or mistake referred to is the same as is set forth in Code 37-219. Under the decisions of the Supreme Court in Marshall v. Livingston, 77 Ga. 21 (5a), and Nolan v. Southland Loan &c. Co., 177 Ga. 59, 63 (169 S. E. 370), this remedy is not available in cases where a consent judgment has been rendered (the award based on the agreement amounting to a consent judgment), "without some grave cause, such as fraud, mistake or conduct of the opposite party by which the plaintiff was misled, and not then, unless he showed satisfactorily that the action was taken without any mixture of fraud or negligence on his own part." Marshall v. Livingston, supra.
In the present case it affirmatively appears that the insurer made no investigation of the incident out of which the claim arose other than to receive a statement from the claimant after it was notified by its assured, the employer, Foremost Builders Supply Co., of the accident, and immediately entered into the agreement with the claimant that was later approved by the board. Certainly it cannot be said that the insurer could not have found out the type of contract that existed between its assured and the claimant (it being claimed that the claimant was contractor and not an employee of the Foremost Builders Supply Co.) before the agreement approved by the board was entered into simply by inquiring of its assured as to the type of contract between it and the claimant. Therefore, it cannot be said that there was no negligence on the part of the insurer in entering into the agreement on which the award of the board was based, and the Superior Court of Tift County erred in reversing the award of the full board denying the request of the insurer to set aside such award.
ON MOTION FOR REHEARING.
The defendants in error contend in their motion for rehearing that the evidence presented before the board demanded a finding that the claimant was a subcontractor and not an employee of the Foremost Builders Supply Co., that therefore the board was without jurisdiction when the original award was rendered, and that the only award that could be legally made was one setting aside the original award inasmuch as there is nothing the parties can do to confer jurisdiction upon the board when it does not possess jurisdiction under the act of the legislature which created it.
The movants cite cases in support of their contentions where the "claimant" as a matter of law was not an employee (where he was held to be a public officer) or where the evidence demanded, on the hearing to determine liability , a finding that he was not an employee, and one case where the appeal from the award of the board was made to a superior court that did not have jurisdiction. (The appeal must be made to superior court of the county where the injury occurred.) Code 114-710.
Harris, Russell, Weaver & Watkins, John D. Comer, contra.
John Henry Poole, for plaintiff in error.
DECIDED OCTOBER 1, 1956 -- REHEARING DENIED OCTOBER 23, 1956.
Saturday May 23 02:26 EDT


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