 |
Not Reported in S.W.3d
Not Reported in S.W.3d, 2005 WL 2300387 (Tenn.Workers Comp.Panel)
(Cite as: Not Reported in S.W.3d)
Hopper v. Oshkosh B'GoshTenn.Workers Comp.Panel,2005.Only the Westlaw citation is currently available.
NOTICE: THIS OPINION IS DESIGNATED AS NOT FOR PUBLICATION AND MAY NOT BE CITED EXCEPT AS PROVIDED BY TENN. S.CT. RULE 4.
Supreme Court of Tennessee,Special Workers' Compensation Appeals Panel,at Nashville.
Larry HOPPER
v.
OSHKOSH B'GOSH and State of Tennessee Department of Labor, Division of
Workers' Compensation, Second Injury Fund.
No. M2004-01683-WC-R3-CV.
June 10, 2005 Session.
Sept. 22, 2005.
Background: Workers' compensation claimant petitioned for reconsideration of his claim settlement against the Second Injury Fund. The Circuit Court, Clay
County, John D. Maddux, J., granted petition and awarded claimant an additional award of 30% vocational disability. Fund appealed.
Holdings: The Supreme Court, Special Workers' Compensation Appeals Panel, held that:
- petition for reconsideration was timely, and
- Second Injury Fund was not liable for claimant's first injury.
Reversed.
[1] Workers' Compensation 413 k2016
413 Workers' Compensation
413XVII Increase, Diminution, Termination, Reinstatement, or Additional Award of Disability Compensation
413XVII(A) Awards Generally
413XVII(A)1 Adjustment or Termination of Compensation
413k2015 Time for Application and Limitations
413k2016 k. In General. Most Cited Cases
Workers' compensation claimant's petition for reconsideration of his award after he was laid off was a separate and distinct cause of action that was not barred by the one-year statute of limitations in the workers' compensation statute; the reconsideration claim was timely brought within one year of the loss of employment and within 400 weeks of the day that claimant returned to work. West's T.C.A. §§ 50-6-203, 50-6-241(a)(2).
[2] Workers' Compensation 413 k1030.1(1)
413 Workers' Compensation
413X Payment of Compensation and Compliance with Award
413X(C) Enforcement of Payment or Compliance
413k1030 Payment or Reimbursement from Special or Surplus Fund
413k1030.1 In General; Second or Subsequent Injury or Disability
413k1030.1(1) k. In General. Most Cited Cases
Workers' compensation claimant failed to meet the prerequisites for asserting a claim against the Second Injury Fund when he sought to reopen for reconsideration his vocational disabilities for his first workers' compensation claim; the reconsideration provisions seeking to expand prior industrial disability awards against the Second Injury Fund were limited to second or subsequent claims of the claimant and were not available for the first workers' compensation claim. West's T.C.A. § 50-6-208.
Direct Appeal from the Circuit Court of Clay County, No. 1410WC; John D. Maddux, Circuit Judge.
Dianne Stamey Dycus, Assistant Attorney General, Nashville, TN, for the appellant, Second Injury Fund.
William J. Butler, Farrar, Holliman, & Butler, Lafayette, TN, for the appellee, Larry Hopper.
J.S. (STEVE) DANIEL, Sr.J., delivered the opinion of the court, in which FRANK DROWOTA, C.J., and JOHN A. TURNBULL, Sp.J., joined.
JUDGMENT
PER CURIAM.
*1 This case is before the Court upon the entire record, including the order of referral to the Special Workers' Compensation Appeals Panel, and the Panel's Memorandum Opinion setting forth its findings of fact and conclusions of law, which are incorporated herein by reference.
*1 Whereupon, it appeals to the Court that the Memorandum Opinion of the Panel should be accepted and approved; and
*1 It is, therefore, ordered that the Panel's findings of fact and conclusions of law are adopted and affirmed, and the decision of the Panel is made the judgment of the Court.
*1 Costs will be paid by the Appellee, Larry Hopper, for which execution may issue if necessary.
*1 IT IS SO ORDERED.
J.S. (STEVE) DANIEL, Sr.J.
OPINION
*1 This case is before the Court upon the entire record, including the order
of referral to the Special Workers' Compensation Appeals Panel, in compliance
with Tennessee Code Annotated § 50-6-225(e)(3) for hearing and
reporting of findings of fact and conclusions of law. Mr. Hopper injured his
back February 19, 1996 while working in the warehouse of his employer. On
November 17, 1997 Mr. Hopper settled this claim for 20% vocational disability.
All told, Mr. Hopper initiated four workers' compensation claims during his
employment with OshKosh resulting in 100% vocational disability. Several years
later, after he lost his job with OshKosh, Mr. Hopper filed a motion to
reconsider his earlier settlement of the February 19, 1996 claim against the
Second Injury Fund only. The trial court granted this relief, increased Mr.
Hopper's vocational disability by 30%, and assigned liability to the Second
Injury Fund. The Second Injury Fund appeals on the grounds that the employee's
motion was untimely, that the trial court did not have subject matter
jurisdiction because the employee had suffered subsequent injuries, and that
the evidence preponderated against increasing the employee's vocational
disability. After carefully reviewing the record, we reverse the trial court's
judgment.
I. Facts and Procedural History
*1 Mr. Larry Hopper, is a high school graduate whose primary means of
employment has been in the field of warehousing as a laborer. He has no
management experience. At the time of trial, Mr. Hopper was unemployed and was
having difficulty obtaining work. Mr. Hopper worked for OshKosh B'Gosh for
almost a decade. He was injured at least four times on the job, including the
current case which was his first work-related injury.^FN1 After these various
injuries Mr. Hopper returned to work, but subsequently lost his job due to a
plant-wide shutdown unrelated to his injury.
FN1. All told, Hopper initiated four workers' compensation complaints
against OshKosh. In February 1996 he injured his back at the L5-S1 disc
level when the forklift he drove fell through the floor of a trailer. In
October 1996 he re-injured his back while lifting a 40 lb. box. In
1998-1999 he complained of a neck injury. Concurrently, he also
complained of pain in his hands, wrists, and arms which was later
diagnosed as Carpel Tunnel Syndrome.
*1 The injury involved in this appeal occurred February 19, 1996. Mr. Hopper
was operating a forklift when it fell through the floor of a trailer. Mr.
Hopper ruptured his L5-S1 disk, an injury for which he later required surgery.
After returning to work, Mr. Hopper again injured his back in October 1996.
This injury also required surgery. Mr. Hopper separately filed two workers'
compensation complaints for the two back injuries. The trial court
consolidated the two actions. Mr. Hopper amended his second complaint to add
the Second Injury Fund as a defendant, but the Second Injury Fund was later
dismissed by a voluntary non-suit. The current action only seeks to reopen the
first complaint relating to the first injury of February 19, 1996 as to
vocational disability.
*2 Mr. Hopper settled the issues related to his first injury by an order dated
November 17, 1997, for 20% permanent partial disability. A second order dated
December 9, 1997, reflects a settlement agreement for the second injury and
assigns Mr. Hopper a further 54% vocational disability. After taking into
account two subsequent injuries that he suffered while working at OshKosh, the
amount of Mr. Hopper's vocational disability rating totaled more than 100%.
*2 After OshKosh laid off Mr. Hopper, he filed for a reconsideration of the
settlement related to the first injury, pursuant to Tenn.Code Ann. §
50-6-241(a)(2). Mr. Hopper claims that since OshKosh has already paid him for
100% industrial disability to the body as a whole, the Second Injury Fund is
liable for any future increases in his award. The trial court agreed that Mr.
Hopper was entitled to a reconsideration of his first award. It found that the
November 17, 1997, settlement for 20% vocational disability was within 2 1/2
times the medical disability rating limit on awards open for reconsideration
under Tenn.Code Ann. § 50-6-242(a)(1). The trial court granted Mr.
Hopper an additional award of 30% vocational disability and assigned liability
for paying the award to the Second Injury Fund.
II. Standard of Review
*2 Review of the findings of fact made by the trial court is de novo upon the
record of the trial court, accompanied by a presumption of the correctness of
the findings, unless the preponderance of the evidence is otherwise.
Tenn.Code Ann. § 50-6-225(e)(2). The reviewing court is required to
conduct an independent examination of the record to determine where the
preponderance of the evidence lies. The standard governing appellate review of
the findings of fact of a trial judge requires this panel to examine in depth
the trial court's factual findings and conclusions. GAF Building Materials v.
George, 47 S.W.3d 430, 432 (Tenn.2001). Conclusions of law are subject to a de
novo review on appeal without any presumptions of correctness. Niziol v.
Lockheed Martin Energy Systems, Inc., 8 S.W.3d 622, 624 (Tenn.1999). When
medical testimony is presented by deposition, this court is able to make its
own independent assessment of the medical proof to determine where the
preponderance of the evidence lies. Cleek v. Wal-Mart Stores, Inc., 19 S.W.3d
770, 774 (Tenn.2000).
III. Analysis
Workers' Compensation Statute of Limitations and Time Limitations for Petitions for Reconsideration
*2 [1] Tenn.Code Ann. § 50-6-241(a)(1) limits an employee's recovery
to 2 1/2 times the medical impairment rating where an employer returns the
employee to employment at a wage equal to or greater than the wage of the
employee was receiving at the time of his or injury.^FN2 The cap limitations
changed dramatically where an employer does not return the employee to
employment at a wage equal to or greater than the wage that the employee was
receiving at the time of the injury under the provisions of Tenn.Code Ann.
§ 50-6-241(b). Here, the employer's responsibility is capped at six
(6) times the medical impairment.^FN3 In order to promote fairness and
unanimity in workers' compensation laws between these two groups of employees.
Tenn.Code Ann. § 50-6-241(a)(2) provides a mechanism for employees who
are subject to the 2 1/2 times medical impairment cap and who ultimately
loose their jobs with their pre-injury employer to have a reconsideration of
their industrial disability. ^FN4 This section is an effort to put those
employees who return to work but later lose their jobs in exactly the same
position or posture as they would have been had they not been returned to work
by their pre-injury employer. Tenn.Code Ann. § 50-6-241(a)(2) sets
forth the procedure and time limitation for such employees to have this
reconsideration. This statute requires an employee seeking such
reconsideration to initiate such an action within "one year of the employee's
loss of employment." However such reconsideration petition must be within "
four hundred (400) weeks of the day the employee returned to work." In this
case it appears that Mr. Hopper's petition for reconsideration met the two
requirements envisioned by Tenn.Code Ann. § 50-6-241(a)(2). However,
the Second Injury Fund asserts that the claim of Mr. Hopper is barred by the
workers' compensation statute of limitations provided in Tenn.Code Ann.
§ 50-6-203.^FN5 Tenn.Code Ann. § 50-6-203 bars a claim unless
it is filed within one (1) year after the accident resulting in injury or
death. The Second Injury Fund was not served or put on notice of these claims
in the original law suit. Therefore, they assert the provisions of Tenn.Code
Ann. § 50-6-203 bar Mr. Hopper's statutory reconsideration claim.
FN2. Tenn.Code Ann. § 50-6-241(a)(1) "For injuries arising on or
after August 1, 1992, in cases where an injured employee is eligible to
receive any permanent partial disability benefits, pursuant to §
50-6-207(3)(A)(i) and (F), and the pre-injury employer returns the
employee to employment at a wage equal to or greater than the wage the
employee was receiving at the time of injury, the maximum permanent p
partial disability award that the employee may receive is two and
one-half (2 1/2 ) times the medical impairment rating determined
pursuant to the provisions of the American Medical Association Guides to
the Evaluation of Permanent Impairment (American Medical Association),
the Manual for Orthopedic Surgeons in Evaluating Permanent Physical
Impairment (American Academy of Orthopedic Surgeons), or in cases not
covered by either of these, an impairment rating by an appropriate
method used and accepted by the medical community. In making
determinations, the court shall consider all pertinent factors,
including lay and expert testimony, employee's age, education, skills
and training, local job opportunities, and capacity to work at types of
employment available in claimant's disabled condition."
FN3. Tenn.Code Ann. § 50-6-241(b) "Subject to factors provided
in subsection (a) of this section, in cases for injuries on or after
August 1, 1992, where an injured employee is eligible to receive
permanent partial disability benefits, pursuant to §
50-6-207(3)(A)(i) and (F), and the pre-injury employer does not return
the employee to employment at a wage equal to or greater than the wage
the employee was receiving at the time of injury, the maximum permanent
partial disability award that the employee may receive is six (6) times
the medical impairment rating determined pursuant to the provisions of
the American Medical Association Guides to the Evaluation of Permanent
Impairment (American Medical Association), the Manual for Orthopedic
Surgeons in Evaluating Permanent Physical Impairment (American Academy
of Orthopedic Surgeons), or in cases not covered by either of these, an
impairment rating by any appropriate method used and accepted by the
medical community. In making such determinations, the court shall
consider all pertinent factors, including lay and expert testimony,
employee's age, education, skills and training, local job opportunities,
and capacity to work at types of employment available in claimant's
disabled condition."
FN4. Tenn.Code Ann. § 50-6-241(a)(2) "In accordance with this
section, the courts may reconsider, upon the filing of a new cause of
action, the issue of industrial disability. Such reconsideration shall
examine all pertinent factors, including lay and expert testimony,
employee's age, education, skills and training, local job opportunities,
and capacity to work at types of employment available in claimant's
disabled condition. Such reconsideration may be made in appropriate
cases where the employee is no longer employed by the pre-injury
employer and makes application to the appropriate court within one (1)
year of the employee's loss of employment, if such loss of employment is
within four hundred (400) weeks of the day the employee returned to
work. In enlarging a previous award, the court must give the employee
credit for prior benefits paid to the employee in permanent partial
disability benefits, and any new award remains subject to the maximum
established in subsection (b)."
FN5. Tenn.Code Ann. § 50-6-203(a) "The right to compensation
under the Workers' Compensation Law shall be forever barred, unless,
within one (1) year after the accident resulting in injury or death
occurred, the notice required by § 50-6-202 is given the
employer and a claim for compensation under the provisions of this
chapter is filed with the tribunal having jurisdiction to hear and
determine the matter; provided, that if within the one-year period
voluntary payments of compensation are paid to the injured person or the
injured person's dependents, an action to recover any unpaid portion of
the compensation, payable under this chapter, may be instituted within
one (1) year from the latter of the date of the last authorized
treatment or the time the employer shall cease making such payments,
except in those cases provided for by § 50-6-230. Where a
workers' compensation suit is brought by the employer or the employer's
agent and the employer or agent files notice of non-suit of the action
at any time on or after the date of expiration of the statute of
limitations, either party shall have ninety (90) days from the date of
the order of dismissal to institute an action for recovery of benefits
under this chapter."
*3 Therefore, we are asked to consider the relationship of these two statutory
provisions. We must determine if Mr. Hopper's reconsideration claim is barred
by the provisions of Tenn.Code Ann. § 50-6-203 or whether the
provisions of § 50-6-241(a)(2) set forth a special time limitation for
asserting reconsideration claims separate and apart from the general statute
of limitations.
*3 Statutory construction which places one statute in conflict with another
must be avoided; therefore, we must resolve any possible conflict between
statutes in favor of each other. Cronin v. Howe, 906 S.W.2d 910, 912
(Tenn.1995). Courts must seek the most "reasonable construction which avoids
statutory conflict and provides for harmonious operation of the laws."
LensCrafters, Inc. v. Sundquist, 33 S.W.3d 772, 777 (Tenn.2000). We must
presume that the legislature did not intend an absurdity. Kite v. Kite, 22
S.W.3d 803, 805 (Tenn.1997). Statutes relating to the same subject or sharing
a common purpose must be construed together (in pari materia) in order to
advance their common purpose. Carver v. Citizen Utils. Co., 954 S.W.2d 34, 35
(Tenn.1997).
*3 The court in Nay v. Resource Consultants, Inc., 2000 WL 4255 at 4
(Tenn.Wkrs.Comp.Panel, January 5, 2000), concluded that reconsideration
actions under the provisions of Tenn.Code Ann. § 241(a)(2) are
separate and distinct causes of action. We also conclude that the statutory
provisions for reconsideration under this subsection create a separate and
distinct action whose time limitation for initiation of reconsideration of
prior claims do not offend or conflict with the general statute of limitations
imposed by Tenn.Code Ann. § 50-6-203. This statutory provision erects
its own embedded time limitation for reconsideration causes of action.
Therefore, we conclude that Mr. Hopper's claim is timely.
IV. Analysis
Second Injury Fund Liability for Reconsideration of Vocational Disability for the First Injury
*3 [2] This case presents the novel issue of whether the Second Injury Fund
can be liable for a worker's first injury in the context of a reconsideration
action. The question requires us to examine the statutes and the legislative
purposes behind the Second Injury Fund and the right to a reconsideration of
an earlier workers' compensation award.
*3 The clear purpose of the Second Injury Fund is to promote the hiring and
retention of employees who have been previously injured. Tenn.Code Ann.
§ 50-6-208; Henson v. City of Lawrenceburg, 851 S.W.2d 809, 818
(Tenn.1993). This court explained the underlying principles that underpin the
Second Injury Fund in E.I. du Pont de Nemours & Company v. Friar, 218 Tenn.
554, 404 S.W.2d 518, 521, 522 (Tenn.1966) when we stated:
*3 In the development of the law of Workers' Compensation the rule has come to
be that an employer takes an employee the way he finds him and is liable for
the disability resulting from an accident which aggravates a pre-existing
physical impairment. This rule, of course, meant that employers were assuming
additional liability when a person was hired who had a physical impairment,
and naturally resistance to employment of such persons became evident in
hiring policies. The Legislature, recognizing that employment of handicapped
persons is in the interest of society, enacted the Second Injury Fund law to
overcome some of the resistance to employment of disabled persons. The clear
purpose of this legislation is to encourage employers to hire workers with an
existing handicap which would impair their competitive position as a job
seeker....
*4 Stated another way, this guide line is; did the employer know of a physical
condition of the employee, at the time of the hiring of the employee, which
detracted from such employee's competitiveness in the job market? If the
employer did have knowledge of such pre-existing condition and the employee
was hires in spite of such condition, then we think that the Second Injury
Fund would be liable if a second injury rendered the employee totally
disabled.....
*4 There are two types of cases that the Second Injury Fund covers. Tenn.Code
Ann. § 50-6-208(a) limits the liability of an employer that hires a
disabled employee whose disabilities are attributable to any prior cause.
Tenn.Code Ann. § 50-6-208(b) limits the employer's liability who
employs individuals who have received or will receive workers' compensation
awards for permanent disability to their body from work-related injuries and
those disabilities exceed 100%. The current controversy is a section 208(b)
claim. The statutory language that created the Second Injury Fund limits the
liability of the Second Injury Fund to "subsequent, compensable injuries to
the body as a whole." Tenn.Code Ann. § 50-6-208(b)(1)(C). Therefore,
the statute by its express provision limits the liability of the Second Injury
Fund in either (a) or (b) to second or subsequent injuries in which the total
disability exceeds 100%. This court in Davis v. Alexander, 213 Tenn. 131, 372
S.W.2d 769, 770, took the position that liability for the Second Injury Fund
was limited to total incapacity resulting from a second injury.^FN6
Therefore, in order for a complainant such as Mr. Hopper to make a claim
against the Second Injury Fund he must suffer from a prior permanent
disability either work or none work-related as envisioned by Tenn.Code Ann.
§ 50-6-208(a) or (b). E.I. du Pont de Nemours & Company v. Friar, 218
Tenn. 554, 404 S.W.2d 518, 521. Mr. Hopper fails to meet this prerequisite for
a claim against the Second Injury Fund.
FN6. Davis v. Alexander, 213 Tenn. 131, 372 S.W.2d 769, (Tenn.1963), "
Tenn.Code Ann. § 50-1027 provides for payment from the Second
Injury Fund when and only when an employee becomes permanently and
totally incapacitated resulting from a second injury. If the employee is
not permanently and totally disabled, then he has no claim against the
Second Injury Fund. In order to sustain such a claim he has to prove
first that he sustained a pervious permanent disability and that as a
result of a second injury he has become permanently and totally
disabled."
*4 We conclude that based on the nature of Mr. Hopper's claim, he fails to
meet the prerequisites of asserting a claim against the Second Injury Fund
when he seeks to reopen for reconsideration his vocational disabilities, his
first workers' compensation claim. The reconsideration provisions seeking to
expand prior industrial disability awards against the Second Injury Fund are
limited to second or subsequent claims of the employee and are not available
for the first workers' compensation claim. Having concluded that the trial
court's error requires us to reverse its decision in holding the Second Injury
Fund liable for any sum in relationship to a reconsideration of a first
injury, we find it unnecessary to address other issues raised by the Second
Injury Fund concerning the preponderance of the evidence necessary to increase
the employee's vocational disability and whether the employee's suffering of
subsequent injuries that resulted in awards would bar reconsideration in
appropriate cases under the provisions of Tenn.Code Ann. § 50-6-241(a)
or (b).
*5 For the reasons set forth above, we find that the provisions of Tenn.Code
Ann. § 50-6-208 do not contemplate that the Second Injury Fund would
ever be liable for any type of recovery in a claim for reconsideration for a
first injury. There must be a subsequent injury and the claim for
reconsideration must be associated with the subsequent injury before the
Second Injury Fund could be liable for a reconsideration award under the
provisions of Tenn.Code Ann. § 50-6-241(a)(1) or (b). Having found
that Larry Hopper had no standing to sue the Second Injury Fund for a
reconsideration of a first injury settlement, we reverse the trial court's
finding of Second Injury Fund liability and dismiss this action. Costs of this
appeal are assessed against Mr. Hopper.
Tenn.Workers Comp.Panel,2005.
Hopper v. Oshkosh B'Gosh
Not Reported in S.W.3d, 2005 WL 2300387 (Tenn.Workers Comp.Panel)
|
|
 |