Joseph Kuegler v. Jim Martin, L.L.C.

(Affirming Award and Decision of Administrative Law Judge)

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by section 287.480 RSMo, which provides for review concerning the issue of liability only. Having reviewed the evidence and considered the whole record concerning the issue of liability, the Commission finds that the award of the administrative law judge in this regard 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 and adopts the award and decision of the administrative law judge dated May 24, 2005.

This award is only temporary or partial, is subject to further order and the proceedings are hereby continued and kept open until a final award can be made. All parties should be aware of the provisions of section 287.510 RSMo.

The award and decision of Administrative Law Judge Koren M. Mueller, issued May 24, 2005, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this $\underline{30^{\text {th }}}$ day of August 2005. LABOR AND INDUSTRIAL RELATIONS COMMISSION William F. Ringer, Chairman Alice A. Bartlett, Member John J. Hickey, Member Attest:

Secretary

Employee: Joseph Kuegler

Injury No. 04-075629

Before the

DIVISION OF WORKERS'

COMPENSATION

Department of Labor and Industrial Relations of Missouri

Jefferson City, Missouri

Employer: Jim Martin, L.L.C.

Add. Party: n/a

Insurer: American Family Mutual Insurance Company

Hearing Date: April 4, 2005

Checked by: KMM:df

1. Are any benefits awarded herein? Yes
2. Was the injury or occupational disease compensable under Chapter 287? Yes
3. Was there an accident or incident of occupational disease under the Law? Yes
4. Date of accident or onset of occupational disease: July 19, 2004
5. State location where accident occurred or occupational disease contracted: St. Charles County, MO
6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
7. Did employer receive proper notice? Yes
8. Did accident or occupational disease arise out of and in the course of the employment? Yes
9. Was claim for compensation filed within time required by Law? Yes
10. Was employer insured by above insurer? Yes
11. Describe work employee was doing and how accident happened or occupational disease contracted: Motor vehicle accident.
12. Did accident or occupational disease cause death? No Date of death? n/a
13. Parts of body injured by accident or occupational disease: Neck, back
14. Compensation paid to-date for temporary disability: None
15. Value necessary medical aid paid to date by employer/insurer? No
16. Value necessary medical aid not furnished by employer/insurer? Stipulated

1. Employee's average weekly wages: $\ 1,010.00
2. Weekly compensation rate: $\$ 673.33 / \ 354.05
3. Method wages computation: By Stipulation

1. Amount of compensation payable:

The parties stipulated that the only issue was whether accident arose out of and in the course of employment.

TOTAL: N/A

Each of said payments to begin as of date of Award and be subject to modification and review as provided by law. This award is only temporary or partial, is subject to further order, and the proceedings are hereby continued and the case kept open until a final award can be made.

IF THIS AWARD IS NOT COMPLIED WITH, THE AMOUNT AWARDED HEREIN MAY BE DOUBLED IN THE FINAL AWARD, IF SUCH FINAL AWARD IS IN ACCORDANCE WITH THIS TEMPORARY AWARD.

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:

Thomas J. Lech

Employee: Joseph Kuegler

Injury No: 04-075629

A temporary hearing was held April 4, 2005 at the St. Charles Division of Workers’ Compensation office. The parties submitted post-hearing briefs by April 25, 2005 and therefore the claim was finally submitted on that date. Joseph Kuegler (hereinafter "Claimant") was represented by Thomas J. Lech. The employer was Jim Martin, L.L.C., the insurer was American Family Mutual Ins. Co. and Stephen A. McManus represented the Employer/Insurer. The parties stipulated that the Second Injury Fund was not applicable. Mr. Lech requested a 25% attorneys fee on the benefits awarded.

The parties stipulated that on or about July 19, 2004, Claimant while in the employment of Jim Martin L.L.C. sustained an injury by accident in St. Charles County, Missouri. The parties further stipulated that the Employer had notice of the injury and a claim for compensation was filed within the time prescribed by law. The parties agreed that Claimant’s average weekly wage was $1010.00 and the rates for temporary total disability and permanent partial disability were 673.33 and 354.05 respectively. Employer has denied the claim and therefore Claimant has not been paid any benefits to date. Employer/Insurer provided no medical aid.

The parties agreed that the only issue for disposition in this case is whether the injury was arising out of and in the course of employment. The parties further stipulated that the medical bills and charges were reasonable in this geographic area and that the medical treatment Claimant received on account of this injury was reasonable and necessary.

Claimant appeared at the hearing and testified on his own behalf. Employer appeared at the hearing and testified on his own behalf. Waldo Schellenger also appeared at the hearing and testified on Claimant’s behalf.

Claimant offered the following exhibits which were admitted into evidence without objection:

- Claimant’s Exh. A: Claim for Compensation and Attorney Representation Agreement

- Claimant’s Exh. B: Anderson Hospital medical records

- Claimant’s Exh. C: Internal Hospital of Highland medical records

- Claimant’s Exh. D: St. Joseph’s Hospital medical records

- Claimant’s Exh. E: Neurosurgical Associates, Inc. medical records

- Claimant’s Exh. F: Assimilated medical bills

- Claimant’s Exh. G: Joseph Kuegler paycheck stub

- Claimant’s Exh. I: Verizon Wireless Bill

Claimant offered the following exhibit, which was NOT admitted after relevancy objection by Employer/Insurer attorney:

Claimant's Exh. H: Agreement to Reimburse the Carpenter's Health and Welfare Fund

Claimant and Employer/Insurer offered the following joint exhibit, which was admitted into evidence without objection:

Joint Exh. I: Parties' Stipulation

No other exhibits were offered into evidence by either party.

Claimant testified he was working as a carpenter for Employer since February 2004 on a remodel housing project in Wentzville, Missouri. Claimant met with Employer at the Wentzville site prior to beginning work in February 2004. His supervisor on the job was Waldo Schellenger and the job was to finish around July 19, 2004. Claimant inspected job sites for the presence of materials at the Wentzville job site. On the date of injury Claimant started working at 7:00 a.m. and ate lunch at the job site from 11:30 a.m. until 12:00 p.m. He testified he did not talk to Employer on that date, however Mr. Schellenger told Claimant that Employer may split the crew and start another job in O'Fallon, Missouri. Claimant and Mr. Schellenger left for the O'Fallon job site after lunch on July 19, 2004 to make sure needed materials were present, count the windows, measure the feet of soffit needed and check that the "over digs" were also present. Claimant testified they proceeded directly to the O'Fallon site, which took about 20-25 minutes to reach.

On cross-examination Claimant stated he had worked with Waldo Schellenger previously and that all information from Employer came from Mr. Schellenger. Claimant did not speak with Employer from the O'Fallon site and did not contact Employer after the motor vehicle accident that is the subject of this claim. Claimant admitted to a felony possession of drugs conviction.

Mr. Schellenger testified he worked as the General Foreman for Employer at the Wentzville job site. His duties included payroll and basic supervision. He and Claimant split crews at the job site. He talked to Employer, Jim Martin almost every morning regarding the materials needed at the Wentzville site. On July 19, 2004 Mr. Schellenger's cell phone bill (Claimant's Exh. I) reveals he made a call to Mr. Martin at 7:00 a.m. to touch base and provide a progress report since they were working the last building at the Wentzville site. There were one or two homes left at the Wentzville site and Mr. Schellenger did not know which crew would stay and complete the punch list. He talked to Mr. Martin the day before about the O'Fallon job. Mr. Schellenger testified that at 9:45 a.m. on July 19, 2004 Mr. Martin gave him driving instructions to the O'Fallon job site. Mr. Schellenger testified that originally Mr. Martin was going to check the O'Fallon site, but instead Mr. Martin told Mr. Schellenger to check the back fill, windows and material at the O'Fallon site. Mr. Schellenger had lunch at 11:30 a.m. and by that time he knew he was going to go check the O'Fallon site.

Mr. Schellenger testified that he and Mr. Martin talked about splitting crews. After lunch that day he and Claimant went to the O'Fallon site and found on inspection that some of the back fill was not done. They were at the site for approximately 15 minutes and upon returning directly to the Wentzville site they were involved in a motor vehicle accident on Highway A. The motor vehicle accident occurred between 1:00 p.m. and 1:20 p.m. on July 19, 2004. Employer paid Mr. Schellenger for the day of work until 1:00 or 1:30 p.m.

On cross-examination, Mr. Schellenger testified he was Claimant's supervisor at the Wentzville site. He and Claimant ran two crews at the site. He had worked as Claimant's supervisor in the past. Mr. Schellenger met Mr. Martin at the Wentzville site prior to beginning work. Mr. Schellenger maintained that Mr. Martin instructed him to inspect the O'Fallon job site. Mr. Schellenger placed two calls on July 19, 2004 to Mr. Martin. Mr. Schellenger testified he was anxious to find out where they

might work after the Wentzville project was completed. Mr. Schellenger testified that Mr. Martin had asked him who should work at the O'Fallon site in order to obtain the most profitable deal. The Wentzville project was remodeling work, but the O'Fallon job was new siding only. Mr. Schellenger testified that Mr. Martin and he discussed taking Claimant with him to the O'Fallon site because it was unclear who would complete the Wentzville punch list. Mr. Schellenger admitted he did not call Mr. Martin from the O'Fallon job site. Mr. Schellenger also admitted on cross that he has a claim pending regarding this motor vehicle accident and he has a record of a felony conviction for possession of stolen mail. Mr. Schellenger testified that no one else heard his conversations with Mr. Martin.

Jim Martin:

Mr. Martin testified he is a siding contractor and he owns James Martin L.L.C. He subcontracts vinyl siding on mainly new construction. He generally hires workers or crews and instructs them to complete jobs. Mr. Martin testified that Claimant and Mr. Schellenger worked together on the Wentzville job site. Mr. Martin testified that he had given driving instru