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Melvin Mitchell v. North American Van Lines a/k/a Muscle North America

Decision date: September 18, 200611 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award allowing workers' compensation benefits for an employee who sustained a low back injury while lifting a moving box on March 27, 1998. The employee was deemed permanently and totally disabled, entitled to ongoing weekly compensation of $402.67 commencing November 2, 2001, plus previously incurred medical expenses of $189,095.13.

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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.: 98-047791
Employee:Melvin Mitchell
Employer:North American Van Linesa/k/a Muscle North America
Insurer:Zurich North American Insurance Company(Third Party Administrator – Broadspire)
Date of Accident:March 27, 1998
Place and County of Accident:South Carolina (contract of employment and principle place of employmentoccurred in Butler County, 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 is supported by competent and substantial evidence and was made in accordance with the Missouri Workers’ Compensation Act. Pursuant to section 286.090 RSMo, theCommission affirms the award and decision of the administrative law judge dated March 14, 2006. The award and decision of Administrative Law JudgeJack H. Knowlan, Jr., issued March 14, 2006, is attached and incorporated by this reference.
The Commission further approves and affirms the administrative law judge’s allowance of attorney’s fee herein as being fair andreasonable.
Any past due compensation shall bear interest as provided by law.
Given at Jefferson City, State of Missouri, this 18th day of September 2006.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
NOT SITTING
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary
ISSUED BY DIVISION OF WORKERS’ COMPENSATION
FINAL AWARD

Employer: North American Van Lines a/k/a Muscle North America

Additional Party: N/A

Insurer: Zurich North American Ins. Co. (Third Party Administrator - Broadspire)

Hearing Date: February 16, 2006

Checked by: JK/kh

SUMMARY OF FINDINGS

  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? March 27, 1998
  5. State location where accident occurred or occupational disease contracted: South Carolina (contract of employment and principle place of employment occurred in Butler County Missouri)
  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: Employee injured his low back while lifting a moving box.
  12. Did accident or occupational disease cause death? No
  13. Parts of body injured by accident or occupational disease: Low back
  14. Nature and extent of any permanent disability: Permanent total disability
  15. Compensation paid to date for temporary total disability: $\ 36,182.78
  16. Value necessary medical aid paid to date by employer-insurer: $\ 61,137.17
  17. Value necessary medical aid not furnished by employer-insurer: $\ 189,095.13
  18. Employee's average weekly wage: $\ 604.00
  19. Weekly compensation rate:

$\ 402.67 for temporary total disability and permanent total disability $\ 278.42 for permanent partial disability

  1. Method wages computation: By agreement.
  2. Amount of compensation payable:

Previously incurred medical expenses: $\ 189,095.13

Permanent total disability: $\ 402.67 per week commencing on November 2, 2001, and continuing for the remainder of the employee's life or until suspended, if the employee is restored to his regular work or its equivalent as provided in Section 287.200 RSMo.

  1. Second Injury Fund liability: N/A
  2. Future requirements awarded: Future medical aid pursuant to Section 287.140 RSMo and permanent total disability benefits.

Said payments shall be payable as provided in the findings of fact and rulings of law, and shall 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: Joseph P. Rice

FINDINGS OF FACT AND RULINGS OF LAW

On February 16, 2006, the employee, Melvin Mitchell, appeared in person and by his attorney, Mr. Joseph P. Rice, for a hearing for a final award. The employer-insurer was represented at the hearing by its attorneys, Mr. Robert Haeckel and Ms. Sabrina Merritt. At the time of the hearing, the parties agreed on certain undisputed facts and identified the issues that were in dispute. These undisputed facts and issues, together with the findings of fact and rulings of law, are set forth below as follows:

UNDISPUTED FACTS:

  1. On or about March 27, 1998, North American Van Lines and Muscle North America were covered employers operating under and subject to the provisions of the Missouri Workers' Compensation Act, and their liability was fully insured by Zurich North American Insurance Company.
  2. On or about March 27, 1998, Melvin Mitchell was an employee of North American Van Lines and Muscle North America, and was working under the provisions of the Missouri Workers' Compensation Act.
  3. On or about March 27, 1998, the employee sustained an accident that arose out of and in the course of his employment.
  4. The employer had notice of the employee's accident.
  5. The employee's claim was filed within the time allowed by law.
  6. The employee's average weekly wage was $\ 604.00 and his rate of compensation is $\ 402.67 for temporary total disability and permanent total disability and $\ 278.42 for permanent partial disability.
  7. The employer-insurer paid medical expenses through November 1, 2001 totaling \61,137.17.
  8. The employer-insurer paid temporary total disability benefits for 896 / 7 weeks at the rate of \ 402.67 per week for a total of $\ 36,182.78. These temporary total disability benefits covered the time periods from March 28, 1998 through April 23, 1998; July 12, 1999 through July 18, 1999; and March 7, 2000 through November 1, 2001.

ISSUES:

  1. Medical causation
  2. Additional medical aid - past and future
  3. Nature and extent of disability

EXHIBITS:

The following exhibits were offered and admitted into evidence:

Employee's Exhibits

A. Medical records of Dr. Larry Horvath

B. Medical records of Dr. Donald S. Piland

C. Medical records of Dr. Joseph Miller

D. Not offered

E. Medical records of Dr. Garcia J. DeSousa

F. Letter from Dr. Joseph Miller dated August 18, 1999

G.Medical records of Dr. Jeffrey S. Walker
H.Medical records of Dr. Thomas Newman
I.August 27, 2001 report of Dr. Jeffrey S. Walker
J.Medical records of Dr. Maniscalco
K.Records of Rehab Solutions
L.August 30, 2001 report of Dr. Charles P. McGinty Sr.
M.October 15, 2001 report of Dr. Arthur E. Smith
N.December 6, 2001 letter from employee’s attorney to employer-insurer’s attorney
O.December 11, 2001 letter from employer-insurer’s attorney to employee’s attorney
P.January 16, 2002 report of Dr. Charles P. McGinty Sr.
Q.February 15, 2002 report of Dr. Charles P. McGinty Sr.
R.February 26, 2002 report of Dr. Charles P. McGinty Sr.
S.Records of Dr. Robert C. Nucci
T.Records of Dr. Stephen T. Hess
U.Hess Spinal Center Records
V.Not offered
W.Additional records of Dr. Robert Nucci
X.Records from Diagnostic Radiology Specialists
Y.Records of Dr. Edward J. Hammond
Z.Records of Northwood Anesthesia Records
AA.Records of the University Community Hospital
BB.Additional records of Dr. Robert Nucci
CC.Records from Hopkins Clinic
DD.Social Security decision – not admitted based on objection of employer-insurer
EE.Additional records of Dr. Robert Nucci
FF.Records from Dr. Robert Miles
GG.Medical bills (employer-insurer’s objection overruled)
HH.Curriculum Vitae of Dr. Robert Nucci
II.Not offered
JJ.Report of Injury
KK.Deposition of Dr. Charles P. McGinty Sr.
LL.Deposition of Dr. Arthur Smith
MM.Deposition of Dr. Robert Nucci
NN.Deposition of Karen Sherrets
OO.Not offered
PP.Not offered
QQ.Statement of employee to employer-insurer
Employer-Insurer’s Exhibits
1.Withdrawn
2.Withdrawn (same as employee’s exhibit B)
3.Medical records of Dr. Joseph H. Miller
4.Withdrawn (same as employee’s exhibit J)
5.Deposition of Dr. Jeffrey Walker
6.Withdrawn (same as employee’s exhibit NN)
7.Deposition of Melvin Mitchell
8.Deposition of Dr. Russell Cantrell
FINDINGS OF FACT:
Based on the testimony of Melvin Mitchell (“employee”), Kathy Mitchell, Rebecca Teten and the medical records and depositions admitted, I find as follows:

indication the employee was still experiencing low back pain. The employee's recollection was that the January 21, 1998 visit involved pain between his shoulder blades, and the symptoms had completely resolved prior to his March 27, 1998 accident. There is no evidence that the employee had any pain radiating down his leg in January of 1998, and there is no evidence of any other prior episodes of low back pain. The employee had a complete physical on March 27, 1997, and had no complaints of back pain (Employee's exhibit B).

- On March 27, 1998, the employee was lifting a 1.5 cubic foot book box, when he felt a sharp pain in his low back. The pain caused the employee to fall to his knees. The employee's initial statement to an investigator on March 29, 2001, and his history to Dr. Joseph Miller indicates that the box weighted 50 - 60 pounds (Employee's exhibits QQ and C). At the time of the hearing, the employee could not recall how heavy the box was, but admitted that he had previously testified in his deposition that the box weighted approximately 10 pounds.

- The employee first sought treatment on March 30, 1998 from Nurse Practitioner Piland. The employee reported persistent, sharp pain with pressure with standing, sitting or lying down. Nurse Practitioner Piland found the employee had a posi

Full decision text continues in the plain-text archive copy.

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