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Ott Law Firm

Tony Gross v. Daimler-Chrysler

Decision date: January 10, 200813 pages

Summary

The Commission affirmed the Administrative Law Judge's award allowing workers' compensation benefits to Tony Gross for a right knee injury and psychological impairment sustained when struck by a suspended axle on the assembly line. The claimant was awarded 50% permanent disability to the right knee and 25% permanent disability to the body as a whole referable to psychological impairment, with compensation already paid totaling $55,684.98 for temporary disability and $93,614.26 for medical care.

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This workers' comp decision may point to a separate injury claim.

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Caption

FINAL AWARD ALLOWING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 01-070581

Employee: Tony Gross

Employer: Daimler-Chrysler (Settled)

Insurer: Self-Insured (Settled)

Additional Party: Treasurer of Missouri as Custodian of Second Injury Fund

Date of Accident: April 18, 2001

Place and County of Accident: St. Louis County

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. Having reviewed the evidence and considered the whole record, the Commission finds 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, the Commission affirms the award and decision of the administrative law judge dated August 22, 2007. The award and decision of Administrative Law Judge John K. Ottenad, issued August 22, 2007, 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 and reasonable.

Any past due compensation shall bear interest as provided by law.

Given at Jefferson City, State of Missouri, this $\underline{10^{\text {th }}}$ day of January 2008.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

NOT SITTING

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

Secretary

AWARD

Dependents:N/ABefore the Division of Workers’ Compensation Department of Labor and Industrial Relations of Missouri Jefferson City, Missouri
Employer:DaimlerChrysler Corp. (Settled)
Additional Party: Second Injury Fund
Insurer:Self-Insured (Settled)
Hearing Dates:April 9, 2007Checked by: JKO

FINDINGS OF FACT AND RULINGS OF LAW

  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: April 18, 2001
  5. State location where accident occurred or occupational disease was contracted: St. Louis County
  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 occurred or occupational disease contracted: Claimant worked on the assembly line for Employer and injured his right knee, as well as caused a worsening of his psychiatric condition, when he was struck on the right knee by an axle suspended on a hoist.
  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: Right Knee and Body as a Whole referable to psychological impairment
  14. Nature and extent of any permanent disability: 50% of the Right Knee and 25% of the Body as a Whole referable to the psychological impairment
  15. Compensation paid to-date for temporary disability: $55,684.98
  16. Value necessary medical aid paid to date by employer/insurer? $93,614.26

Employee: Tony Gross Injury No.: 01-070581

  1. Value necessary medical aid not furnished by employer/insurer? N/A
  2. Employee’s average weekly wages: 869.27
  3. Weekly compensation rate: 579.51 for TTD/ $314.26 for PPD
  4. Method wages computation: By agreement (stipulation) of the parties

COMPENSATION PAYABLE

  1. Amount of compensation payable:
Employer previously settled its risk of liability
22. Second Injury Fund liability:
$265.25 per week for 180 weeks from 04/19/03 until 09/30/06$47,745.00
$579.51 per week for Claimant’s lifetime starting 10/01/06, subject to review and modification by law
TOTAL: $47,745.00 THROUGH 09/30/06 PLUS CONTINUING WEEKLY BENEFITS AS DESCRIBED
23. Future requirements awarded: As awarded
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: Evan J. Beatty.
FINDINGS OF FACT and RULINGS OF LAW:
Employee:Tony Gross
Dependents:N/A
Employer:DaimlerChrysler Corp. (Settled)
Additional Party:Second Injury Fund
Insurer:Self-Insured (Settled)
Injury No.:01-070581
Before the
Division of Workers’
Compensation
Department of Labor and Industrial
Relations of Missouri
Jefferson City, Missouri
Checked by:JKO
On April 9, 2007, the employee, Tony Gross, appeared in person and by his attorney, Mr. Evan J. Beatty, for a hearing for a final award on his claim against the Second Injury Fund. The employer, DaimlerChrysler Corp., which is duly self-insured, was not present or represented at the hearing since it had previously settled its risk of liability in this case. The Second Injury Fund was represented at the hearing by Assistant Attorney General Jennifer R. Chestnut. At this hearing, Claimant also submitted evidence and sought an award on his companion case of Injury No. 99-182682. A separate award has been issued to bring resolution to that Claim. At the time of the hearing, the parties agreed on certain stipulated facts and identified the issues in dispute. These stipulations and the disputed issues, together with the findings of fact and rulings of law, are set forth below as follows:
STIPULATIONS:
1) On or about April 18, 2001, Tony Gross (Claimant), sustained an accidental injury arising out of and in the course of his employment that resulted in injury to Claimant.
2)Claimant was an employee of DaimlerChrysler Corp. (Employer).
3)Venue is proper in the City of St Louis.
4)Employer received proper notice.
5)The Claim was filed within the time prescribed by the law.
6)At the relevant time, Claimant earned an average weekly wage of 869.27, resulting in applicable rates of compensation of 579.51 for total disability benefits and $314.26 for permanentpartial disability (PPD) benefits.
7)Employer paid temporary total disability (TTD) benefits in the amount of $55,684.98, representing a period of time from April 18, 2001 to April 18, 2003, or 103 6/7 weeks.
8)Employer paid medical benefits totaling $93,614.26.
9)Claimant reached maximum medical improvement as of April 18, 2003.
ISSUES:
1)What is the nature and extent of Claimant’s permanent partial and/or permanent total disability attributable to this accident?
2)What is the liability of the Second Injury Fund?
EXHIBITS:
The following exhibits were admitted into evidence:
*Employee Exhibits:*
A.CLSS in Injury No. 99-182682 (between Claimant and Employer)
B.CLSS in Injury No. 01-070581 (between Claimant and Employer)
C.Certified medical records from Missouri Baptist Medical Center
D.Medical records of Michael Gutwein, M.D.
E.Certified medical records of Orthopedic Associates (Drs. Wagner & Hulsey)
F.Certified medical records of HealthSouth
G.Certified medical records of Aquatic Fitness, Inc.
H.Certified medical records of Mercy Medical Arts-Eureka (Dr. Ballard)
I.Certified medical records of Gregory Galakatos, M.D.
J.Certified medical records of HealthSouth Surgery Center
K.Certified medical records of St. John’s Mercy Medical Center
L.Certified medical records of Rashid Zia, M.D.
M.Certified medical records of DePaul Health Center
N.Certified medical records of St. Anthony’s Medical Center
O.Medical records of St. Louis Behavioral Medicine Institute
P.CLSS in Injury No. 98-028316 (between Claimant and Employer)
Q.CLSS in Injury No. 98-071031 (between Claimant and Employer)
R.Medical records of the DaimlerChrysler Plant Dispensary
S.Certified medical records of Missouri Baptist Medical Center
T.Certified medical records of Henry Ollinger, M.D.
U.CLSS in Injury No. 97-013155 (between Claimant and Employer)
V.Certified medical records of Orthopedic Associates (Dr. Wagner)
W.Certified medical records of West County Sports, Fitness & Rehabilitation Center
X.Certified medical records of HealthSouth Surgery Center of West County
Y.Certified medical records of St. John’s Mercy Medical Center
Z.Deposition of Dr. David T. Volarich dated September 21, 2006
AA.Deposition of Delores Gonzalez, with attachments, dated November 6, 2006
BB.Deposition of Dr. Richard Anderson, with attachments, dated October 2, 2006

Second Injury Fund Exhibits:

I. Vocational Rehabilitation Evaluation Report of James M. England, Jr.

Notes: 1) Exhibits AA and BB were admitted with objections contained in the record. Unless otherwise specifically noted below, the objections are overruled and the testimony fully admitted into evidence.

2) Although Exhibit Z purports to contain attachments, and although such attachments are referenced in the body of the exhibit, no such attachments were included with the exhibit at the time it was admitted into evidence.

3) Any stray marks or handwritten comments contained on any of the exhibits were present on those exhibits at the time they were admitted into evidence, and no other marks have been made since their admission into evidence on April 9, 2007.

FINDINGS OF FACT:

Based on a comprehensive review of the substantial and competent evidence, including Claimant's testimony, the expert medical and vocational opinions and depositions, the medical records, the Stipulations for Compromise Settlement for various pre-existing injuries, and the Stipulation for Compromise Settlement resolving Employer's portion of this case, as well as based on my personal observations of Claimant at hearing, I find:

1) Claimant is a 43-year-old, currently unemployed individual, who last worked for DaimlerChrysler Corp. as an assembly line worker. Claimant currently receives a monthly payment from Social Security Disability.

2) Claimant testified that he completed the $12^{\text {th }}$ grade, and then tried on two occasions to go to community college, but he flunked out both times.

3) Claimant testified extensively about emotional and psychological problems that started when he was a child. He described himself as a loner. He said that he was molested at around age 12. He had to hitch a ride to ball practice because his parents did not drive, and the person that picked him up, molested him. He said that after that incident, he felt "dirty" and had recurring intrusive thoughts. His parents divorced when he was 14 years old. He said he came home one day and everything was gone except for his father. Claimant said that he only saw his mother 3 times while he was in high school. He said that he often stayed with other families and rarely at home, because he always needed a ride to ball practice. He always felt like a "project" for them. He said that some nights he slept in the cold on the school steps if he could not find a family to stay with. He testified that he only saw his father once every couple of months. He described a family history of alcoholism in his aunts and uncles, as well as a family history of depression in his mother and younger sister. He described being "smacked around" by his family because he was the old

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

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