Karen Eichelberger v. Gateway Preventive Dental Group, LLC.
Decision date: July 22, 200514 pages
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Caption
| Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION | |
| FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge) | |
| Injury No.: 98-123431 | |
| Employee: | Karen Eichelberger |
| Employer: | Gateway Preventive Dental Group, LLC. |
| Insurer: | Uninsured |
| Additional Party: | Treasurer of Missouri as Custodian of Second Injury Fund (previously dismissed) |
| Date of Accident: | October 14, 1998 |
| Place and County of Accident: | St. Louis City, Missouri |
| The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided bysection 287.480 RSMo. Having reviewed the evidence and considered the whole record, the Commissionfinds that the award of the administrative law judge (ALJ) is supported by competent and substantial evidence and was made in accordance with the Missouri Workers’ Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms the award anddecision of the administrative law judge dated July 28, 2004. The award and decision of Administrative Law Judge John Howard Percy, issued July 28, 2004, is attached and incorporated by this reference.The Commission finds that the ALJ correctly weighed and evaluated the lay and medical testimony in reaching his conclusions as to the existence of an employer-employee relationship, that the injury arose out of and was in the course of employee’s employment,employee’s entitlement to reimbursement for medical expenses, the lack of need for additional treatment and the nature and extent of permanent partial disability.Reese v. Gary & Roger Link, Inc., 5 S.W.3d 522 (Mo. App. E.D. 2002), Sullivan v. Masters Jackson Paving Co., 35 S.W.879 (Mo. App. S.D. 2001), Landman v. Ice Cream, Specialties, Inc., 107 S.W. 3d 240 (Mo. banc 2003).The Commission further approves and affirms the administrative law judge’s allowance of attorney’s fee herein as being fair and reasonable.Any past due compensation shall bear interest as provided by law.Given at Jefferson City, State of Missouri, this 22nd day of July 2005.LABOR AND INDUSTRIAL RELATIONS COMMISSION William F. Ringer, Chairman Alice A. Bartlett, MemberJohn J. Hickey, Member |
| Employee: | Karen Eichelberger | Injury No.: 98-123431 |
| Dependents: | N/A | Before the |
| Division of Workers’ | ||
| Employer: | Gateway Preventive Dental Group, LLC | Compensation |
| Department of Labor and Industrial | ||
| Additional Party: | Second Injury Fund (previously dismissed) | Relations of Missouri |
| Jefferson City, Missouri | ||
| Insurer: | Uninsured | |
| Hearing Date: | April 26, 27 and May 19, 2004 | Checked by: JHP:tr |
FINDINGS OF FACT AND RULINGS OF LAW
- Are any benefits awarded herein? Yes
- Was the injury or occupational disease compensable under Chapter 287? Yes
- Was there an accident or incident of occupational disease under the Law? Yes
- Date of accident or onset of occupational disease: October 14, 1998
- State location where accident occurred or occupational disease was contracted: St. Louis City, Mo.
- Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
- Did employer receive proper notice? Yes
- Did accident or occupational disease arise out of and in the course of the employment? Yes
- Was claim for compensation filed within time required by Law? Yes
- Was employer insured by above insurer? No - Uninsured
- Describe work employee was doing and how accident occurred or occupational disease contracted:
Tripped and fell over loose deck board. 12. Did accident or occupational disease cause death? No Date of death? N/A 13. Part(s) of body injured by accident or occupational disease: Left ankle 14. Nature and extent of any permanent disability: 40 % permanent partial disability of left leg above the ankle 15. Compensation paid to-date for temporary disability: None 16. Value necessary medical aid paid to date by employer/insurer? None
Employee: Karen Eichelberger Injury No.: 98-123431 17. Value necessary medical aid not furnished by employer/insurer? \18,225.48 18. Employee's average weekly wages: \ 241.20 19. Weekly compensation rate: $\ 160.64 TTD/PPD 20. Method wages computation: Stipulation
COMPENSATION PAYABLE
- Amount of compensation payable:
Unpaid medical expenses: $\ 18,225.48
| 62 weeks of permanent partial disability from Employer | $9,959.68 |
| 22. Second Injury Fund liability: No | |
| TOTAL: | $28,185.16 |
| 23. Future requirements awarded: None | |
| Said payments to begin immediately and to be payable and be subject to modification and review as provided by law. | |
| The compensation awarded to the claimant shall be subject to a lien in the amount of 25% of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: | |
| Norman Selner |
FINDINGS OF FACT and RULINGS OF LAW:
| Employee: | Karen Eichelberger |
| Dependents: | N/A |
| Employer: | Gateway Preventive Dental Group, LLC |
| Additional Party: | Second Injury Fund (previously settled) |
| Insurer: | Uninsured |
| Injury No.: | 98-123431 |
| Before the | |
| Division of Workers' | |
| Compensation | |
| Department of Labor and Industrial | |
| Relations of Missouri | |
| Jefferson City, Missouri | |
| Checked by: | JHP |
A hearing in this proceeding was held on April 26 and 27, 2004. The record was left open for the taking of additional deposition testimony. The deposition was filed on May 19, 2004. Both parties submitted proposed awards, the latter of which was received on June 20, 2004.
STIPULATIONS
The parties stipulated that on or about October 14, 1998:
- Gateway Preventive Dental Group, LLC, alleged employer, was operating under and subject to the provisions of the Missouri Workers' Compensation Law;
- the liability of Gateway Preventive Dental Group, LLC was uninsured;
- the alleged employee's average weekly wage was 241.20;
- the rate of compensation for temporary total disability was 160.64 and the rate of compensation for
permanent partial disability was $\ 160.64; and
- the employee sustained an injury by accident occurring in St. Louis City, Missouri.
The parties further stipulated that:
- the alleged employer had notice of the injury and a claim for compensation was filed within the time prescribed by law;
- no compensation has been paid; and
- no medical expenses have been paid.
ISSUES
The issues to be resolved in this proceeding are: ${ }^{[1]}$
- whether Karen Eichelberger, claimant herein, was an employee of Gateway Preventive Dental Group, LLC on October 14, 1998;
- if claimant was an employee of Gateway Preventive Dental Group, LLC on October 14, 1998, whether the accident on that date arose out of and was in the course of that employment;
- if employee sustained a compensable injury, whether she is entitled pursuant to Section 287.140 Mo. Rev. Stat. (1994) to be reimbursed for any medical expenses, which she may have incurred in obtaining treatment for his/her injuries;
- if the employee sustained a compensable injury, whether he/she should be provided with any additional medical treatment for the injury; and
- if employee sustained a compensable injury, whether and to what extent employee sustained any permanent partial disability which would entitle her to an award of compensation.
EMPLOYMENT
Claimant alleges that she was an employee of Gateway Preventive Dental Group, LLC (hereinafter referred to as "Gateway") on the date of the accident. Gateway contends that claimant was an independent contractor on the date of the accident.
Section 287.060 Mo. Rev. Stat. (1994) provides that "every employer and every employee" are subject to the provisions of Chapter 287 except as otherwise provided therein. Claimant must prove that he or she is within the provisions of the Workers' Compensation Act. Claimant must show that he or she is an employee of an employer both of whom are within the provisions of the Workers' Compensation Act. Huff v. Belford Trucking Co., 809 S.W.2d 71 (Mo. App. 1991); Hinton v. Bohling Van \& Storage Co., 796 S.W.2d 87 (Mo. App. 1990); Johnson v. Medlock, 420 S.W.2d 57 (Mo. App. 1967); Shireman v. Rainen Home Furnishers, Inc., 402 S.W.2d 64, 67 (Mo. App. 1966). The quantum of proof is reasonable probability. Fischer v. Archdiocese of St. Louis, 793 S.W.2d 195, 199 (Mo. App. 1990); Banner Iron Works v. Mordis, 664 S.W.2d 770, 773 (Mo. App. 1983). "Probable means founded on reason and experience which inclines the mind to believe but leaves room to doubt." Tate v. Southwestern Bell Telephone Co., 715 S.W.2d 326, 329 (Mo. App. 1986); Fischer at 198.
Section287.020.1 Mo. Rev. Stat. (1994) defines employee as "every person in the service of any employer, as defined in this chapter, under any contract of hire expressed or implied, oral or written, or under any appointment or election, including executive officers of corporations." Employer is defined by Section 287.030.1(1) as "every person ... using the service of another for pay...." These definitions are to be construed broadly in order to effectuate the intent of the legislature to afford compensation to an employee. Howard v. Winebrenner, 499 S.W.2d 389, 394 (Mo. 1973); Specie v. Howerton Electric Company, 344 S.W.2d 314, 315 (Mo. App. 1961).
The Supreme Court has defined an "independent contractor" as "one who, exercising an independent employment, contracts to do a piece of work according to his own methods, without being subject to the control of his employer, except as to the result of his work. However, if the employer has the right to direct the details of how the job is to be performed or the manner in which the work is to be done, then the status of the one doing the work is that of an employe[e]. and this is true though the employer does not exercise that right." Vaseleou v. St. Louis Realty \& Securities Co., 130 S.W.2d 538, 539-40 (Mo. 1939); Wilmot v. Bulman, 908 S.W.2d 139, 142 (Mo. App. 1995).
"[T]he law of master and servant and the relationship, duties, rights, and limitations arising out of the same" is applicable in construing and applying the statutory definition. Maltz v. Jackoway-Katz Cap. Co., 82 S.W.2d 909, 912 (Mo. 1934); Smith v. Thirty-Seventh Judicial Circuit 847 S.W.2d 755 (Mo. 1993); Howard, supra. The focus of the statutory definition is on service, which the courts have judicially construed to mean "controllable service". Maltz at 912; Hinton v. Bohling Van \& Storage Co., 796 S.W.2d 87, 89 (Mo. App. 1990). The most frequently applied test in determining the
existence of an employee-employer relationship is the "right of control" of the services of the alleged employee by the alleged employer. Lawson v. Lawson, 415 S.W.2d 313, 319 (Mo. App. 1967). Services has been defined as the "performance of labor for the benefit of another." Langley v. Imperial Coal Co., 138 S.W.2d 696, 698 (Mo. App. 1940). If the alleged employer has the right to control the means and manner of the performance of the services as distinguished from the results of the services, then an employee-employer relationship exists. Gass v. White Superior Bus Company, 395 S.W.2d 501, 504 (Mo. App. 1965); Hutchison v. St. Louis Altenheim, 858 S.W.2d 304, 305 (Mo. App. 1993). The central question is "whether the alleged employer had the right to control the employee's conduct of the work at the time of the accident." Huff v. Belford Trucking Co., 809 S.W.2d 71, 72 (Mo. App. 1991). In determining whether an employee-employer relationship exists, the courts have focused on the following factors: "the extent of control, actual exercise of control, duration of employment, right to discharge, method of payment for services, furnishing of equipment, whether the work is part of the regular business of the employer, and the contract of
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