Detailed Answer
Under Pennsylvania’s Workers’ Compensation Act, an employer or insurer that pays benefits to an injured worker gains a statutory lien (subrogation right) against any third-party recovery. (See 77 P.S. §671.) The lien covers all sums paid or payable, including medical and wage-loss benefits, interest, and statutory penalties.
- Verify the Lien Claimant and Amount
- Request a written statement from the workers’ compensation insurer or employer showing the total lien amount. This statement should itemize benefits paid, medical expenses, penalties, and interest.
- Confirm the claim number and period of benefits to ensure accuracy.
- Obtain Formal Lien Notice
- Under 77 P.S. §671, the insurer must timely assert its lien. Request a Notice of Intention to Claim Lien to confirm filing.
- Keep copies for the settlement file.
- Calculate Net Settlement Proceeds
- Subtract projected attorney fees and litigation costs. Pennsylvania courts often apply the “common fund” doctrine to allocate fees proportionally.
- Determine the portion of the recovery subject to lien reimbursement.
- Negotiate Lien Reduction (if possible)
- Engage the insurer in negotiation to reduce its claim. Highlight litigation risks, potential appeal, and administrative costs.
- Document all settlement offers and counteroffers in writing.
- Secure Court or Bureau Approval
- While not always mandatory, obtaining approval from the Workers’ Compensation Judge or Bureau can prevent later disputes.
- File a petition for approval of settlement under WC Form LIBC-843 (if required). See the Bureau of Workers’ Compensation forms page for details.
- Distribute Settlement Funds and Satisfy the Lien
- Allocate the agreed lien amount from the settlement proceeds.
- Issue payment to the workers’ compensation insurer or employer.
- Prepare and file a Satisfaction of Lien (WC Form LIBC-769) with the Bureau of Workers’ Compensation to formally close the claim. See the forms page.
- Obtain Lien Release and Close File
- Request a formal release or letter confirming full satisfaction of the lien.
- Retain all documentation in your client file for future reference.
Helpful Hints
- Start lien verification early to avoid settlement delays.
- Keep thorough records of all communications and payments.
- Consult the Bureau of Workers’ Compensation website for current forms.
- Consider pro-rata fee allocations when multiple liens or claims exist.
- Watch deadlines under the Pennsylvania Rules of Civil Procedure for lien notices.
Disclaimer: This article is for educational purposes only and does not constitute legal advice. Consult an attorney licensed in Pennsylvania to address your specific situation.