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Detailed Answer
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This lien arises automatically by operation of law when the insurer pays benefits. To preserve the lien, the insurer must timely notify the worker and any party handling the third-party claim. If the insurer fails to assert its lien, it may lose the right to reimbursement.
When you negotiate a personal injury settlement, you typically allocate the gross recovery into categories: compensation for medical expenses, lost wages, pain and suffering, and other damages.
After you reach a settlement, the net amount available to the injured worker equals the gross settlement minus attorney fees, litigation costs, and the workers’ compensation lien. N.D.C.C. § 65-05-18 limits reimbursement to the proportion of the recovery representing benefits paid, and apportions legal fees and costs on a pro rata basis. For example, if you settle for $100,000, and $30,000 of that amount covers benefits that duplicated workers’ compensation payments, the insurer’s lien would be $30,000, reduced proportionally by attorney fees and costs attributable to securing that portion of the recovery.
In some cases, you can negotiate a reduced lien amount with the insurer or petition the Workers’ Compensation Court to determine a fair lien allocation. Early communication with all parties—and detailed documentation of your damages—can help streamline this process and protect your net recovery.
Helpful Hints
- Document all out-of-pocket medical expenses to distinguish them from workers’ compensation payments.
- Review N.D.C.C. § 65-05-17 and § 65-05-18 for details on lien rights and reimbursement limits (65-05-17; 65-05-18).
- Notify your attorney early about any workers’ compensation benefits you received.
- Negotiate lien reductions before finalizing your personal injury settlement.
- Consider filing a motion in the Workers’ Compensation Court to resolve disputed lien amounts.