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Fourth
Quarter Commission Decisions
by
Eric Lanham
McAnany, Van Cleave & Phillips, P.A.
The Labor
and Industrial Relations Commission decided fifty-two cases in the fourth
quarter of 2005. The trends noted in the third quarter decisions continue, as
the Commission affirmed the administrative law judge in all but one case, and
the modifications to the award were in the employer’s favor. There were ten
dissents, including eight from Commissioner Hickey. Commissioner Bartlett
dissented from the majority in two cases pertaining to seatbelt and alcohol
defenses.
Perhaps
the most interesting case decided by the Commission this quarter was a
repetitive trauma claim involving multiple employers. Although the entire
Commission affirmed Administrative Law Judge Zerrer’s decision in
Harold Copeland v. Associated Wholesale Grocers,
Inj. No.: 00-173226, the Commission wrote a lengthy opinion supplementing Judge
Zerrer’s award. This was a unique case because both the judge and the
Commission awarded benefits against the first employer rather than the last.
The facts of the case are almost certainly what drove this decision.
In
Copeland, the claimant reported complaints,
was diagnosed, was treated surgically and missed work all while employed with
the first employer. After he had reached maximum medical improvement, his
employer changed hands. He continued to perform the same work he had done prior
to his complaints. He filed the first claim for compensation after beginning
work for the second employer.
Both the
judge and the Commission pointed out all the factual reasons why this claim
should go against the first employer. Although both cited
Endicott v. Display Technologies, 77 S.W.3d 612 (Mo. banc 2002),
neither really seemed to apply the Supreme Court decision.
Endicott confirmed that the starting place
for determining the last exposure rule is the date the claim is filed, which, in
this case, would have been the last employer. The work was the same, so it
clearly would have been the type of work that is capable of causing repetitive
trauma. Although basically admitting this, the Commission took the position
that “if in fact there were an injurious exposure with [the last employer], it
would be the subject of an additional, separate and distinct injury.” This
certainly seems to dull the “bright line rule” so critical to this line of
cases. As this case is based on the law prior to the 2005 legislative changes,
it may not have a great deal of precedential value, but it is still a must-read
for lawyers practicing in workers’ compensation.
Commission reversals of
decisions below
There were
no outright reversals of any decisions from the administrative law judges
below. In fact, only one case resulted in a substantive modification of the
administrative law judge’s decision. In Gary Lezama v.
American Airlines, Inj. No.:02-116428, the majority reversed that
portion of Administrative Law Judge Vacca’s decision awarding certain past and
future medical expenses because there was no evidence supporting those claims.
The majority also found there was no reason not to give the employer credit for
an overpayment of temporary total disability benefits for a period of time after
the claimant was released to full duties without restrictions. Commissioner
Hickey dissented, believing that the claimant’s testimony on the medical bills
was sufficient evidence to support the award. He also felt the claimant was
unable to work despite the full-duty release.
Dissents
by Commissioner Bartlett
Commissioner Bartlett dissented in two cases. In Garry
W. Buescher v. Missouri Highway and Transportation Commission, Inj.
No.: 00-158691, the majority affirmed the finding of Administrative Law Judge
Dierkes that an employee’s failure to wear a seatbelt was not the cause of the
injury as required by Section 287.120.5. Judge Dierkes did not believe the
employer’s medical expert’s testimony satisfied its burden of proof on the
issue. Commissioner Bartlett disagreed, noting the doctor’s expertise in
treating hundreds of brain injury patients.
In
William R. Davis v. J. T. Pitts, Inj. No.:
01-126441, Administrative Law Judge Lane found the employer’s failure to post
its alcohol policy precluded it from raising the defense found in Section
287.120.6. Judge Lane also found there was no chain of custody for the urine
sample upon which the alcohol defense was based. Commissioner Hickey disagreed
with both of these findings. Because there was actual knowledge of the alcohol
policy, she did not believe the technical violation of the statute should
prevent the employer from raising the defense. Further, she noted the urine
sample was “inherently reliable because the testing was performed with the
knowledge that it would be relied upon by the employee’s treating physicians in
determining his care.”
Dissents
by Commissioner Hickey
As was the
case in the previous quarter, most of the dissents were raised by Commissioner
Hickey. Three cases dealt with medical causation. In
Gary C. Shroder v. Clarkson Construction Company, Inj. No.:
02-148095, the commissioner would have reversed Administrative Law Judge
Mueller’s finding that claimant’s pre-existing back problems were not aggravated
by his work activities. Commissioner Hickey simply disagreed with Judge
Mueller’s findings. Medical causation of a repetitive trauma claim was at issue
in a second dissent by the commissioner. In Casey
Hudson v. Bi-State Development Agency, the issue can be succinctly
described in this paragraph from Commissioner Hickey’s dissent:
The Commission majority
charactered Dr. Lipede’s testimony as “woefully deficient. . . when compared and
contrasted with the facts of the case and the medical testimony and medical
opinions rendered by Dr. Randolph.” I have compared and contrasted the
competing medical evidence and I come to the opposite conclusion. It is
employer’s medical evidence that is woefully deficient.
A final
dissent from Commissioner Hickey on the issue of medical causation was found in
William “Billy” Davis v. Associated Electric
Cooperative, Inj. No.: 02-109968. Although Administrative Law Judge
Knowlan found an accident occurred, he did not believe it caused claimant’s
medical complaints. The commissioner disagreed, finding that the medical
records and physician impressions confirmed that the accident caused a change in
the employee’s physical condition. He would have awarded full benefits to the
claimant.
Two
dissents by Commissioner Hickey arose from decisions below regarding permanent
disability benefits. In Joseph Zimmerman v. City of
Richmond Heights, Inj. No.: 01-152270, Administrative Law Judge
Landolt found the claimant suffered a seizure, but awarded no permanent
disability. The majority affirmed, and noted that an expert’s finding that the
claimant did have permanent disability as a result of the seizure was not
attributable to the injury. Commissioner Hickey disagreed, noting that sleep
deprivation from work activities caused the seizure. Permanent total disability
benefits against the Fund were at issue in John Connors
v. Arnold Muffler, Inc., Inj. No.: 00-046333. Administrative Law
Judge Brown found the claimant’s work at a church café was competitive, and the
claimant was thus able to compete in the open labor market. The commissioner
felt that because the church accommodated the claimant, this was not a
competitive job.
Jurisdiction was the issue in Clarence Krusen v.
Maverick Transportation, Inj. No. 02-141643. In this case, the
majority wrote a supplemental opinion affirming Administrative Law Judge
Holden’s decision that the last act necessary to complete an employment contract
was made in Arkansas, not Missouri. Both the majority and the dissent noted
numerous facts supporting their decisions. Ultimately, the majority concluded
the claimant did not provide enough evidence to support his position that the
employer hired him over the phone. Commissioner Hickey relied on circumstantial
evidence – including the fact that the claimant quit his prior job after that
phone call – in agreeing with the claimant.
Commissioner Hickey dissented in an interesting case involving the
interpretation of Section 287.230.2, which deals with payments for compensation
upon the death of the claimant for reasons unrelated to the injury. In
Fred Schoemehl, deceased, v. Cruiser County, Inc.,
Administrative Law Judge Dierkes awarded benefits against the Fund only through
the date of death. Commissioner Hickey would have awarded benefits to the widow
beyond the date of death. He reasoned that case law held that permanent partial
disability benefits could continue beyond the date of death, so permanent total
disability benefits should as well. |