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Mitchell Miller v. Missouri Highway and Transportation Commission

Decision date: July 25, 200814 pages

Summary

The Commission affirmed the Administrative Law Judge's denial of workers' compensation benefits for an employee who allegedly injured his knee while walking briskly to move a truck on the job site on September 29, 2005. The decision found no compensable injury arising out of and in the course of employment, with a dissenting opinion arguing the decision should be reversed based on competent and substantial evidence.

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This archive contains published Missouri Labor and Industrial Relations Commission workers' compensation decisions reproduced for research convenience. Official source links remain authoritative where provided. Joseph Ott, Attorney 67889, Ott Law Firm - Constant Victory - Personal Injury and Litigation maintains these public legal archives to support Missouri case research and to help prospective clients connect that research to the firm's courtroom practice.

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Third-Party Injury Check

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

  • A driver, contractor, property owner, or equipment company may share fault.
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  • A serious injury or death may need both benefits review and civil-claim analysis.

Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 05-098741

Employee: Mitchell Miller

Employer: Missouri Highway and Transportation Commission

Insurer: Self-Insured

Date of Accident: Alleged September 29, 2005

Place and County of Accident: Alleged Route N, Pike County, Missouri

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, and awards no compensation in the above-captioned case.

The award and decision of Administrative Law Judge Ronald F. Harris, issued August 22, 2007, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this 25th day of July 2008.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

DISSENTING OPINION FILED

John J. Hickey, Member

Attest:

I have reviewed and considered all of the competent and substantial evidence on the whole record. Based on my review of the evidence as well as my consideration of the relevant provisions of the Missouri Workers' Compensation Law, I believe the decision of the administrative law judge should be reversed.

Introduction

Employee testified that as he walked briskly to move employer's truck to the next necessary location on the job site, he felt a popping sensation in his knee accompanied by immediate pain and stiffness. Dr. Haupt testified that employee's activity of walking briskly was the prevailing factor in causing employee's knee condition (including a suspected torn meniscus) and current need for treatment. The administrative law judge denied compensation.

Issues for Determination

The issue for determination as framed by the administrative law judge is "[w]hether Employee sustained a compensable injury by way of an accident arising out of and in the course of his employment on September 29, 2005." Of course, this issue is really many issues.

- Was employee the victim of an accident?

- Did the accident result in a personal injury?

- Did the accident result in a disability?

- Did the injury arise out of employment?

- Was the accident the prevailing factor in causing the injury?

- Did the injury come from a hazard or risk unrelated to the employment to which workers would have been equally exposed outside of and unrelated to the employment in normal nonemployment life?

- Was employee in the course of his employment when he suffered the injury?

- If the answers to the preceding questions are in the affirmative, do any provisions of Chapter 287 remove the claim from the realm of compensability?

- Was the accident the prevailing factor in causing both the injury and the disability?

- Did the injury result either directly or indirectly from an idiopathic cause?

Administrative Law Judge Award

Because the claimed injury occurred on September 29, 2005, the 2005 amendments to the Workers' Compensation Law (Law) apply.

The administrative law judge denied compensation for this claim on indistinct grounds. At some points, he seems to be addressing matters historically considered when determining whether an employee suffered an "accident." At other times, he discusses matters historically related to the "arising out of" determination.

The administrative law judge describes his analysis of the compensability of the claim.

Rather than focusing solely on the activity itself, one must carefully and thoughtfully examine the facts of each individual case in the context of how that activity interacts with the employment. Since prior case law has been abrogated, a logical common sense approach would be to examine if the incident or activity occurred while the individual was engaged in performing the necessary and required duties of the job in furtherance of the employer's business. While the employee certainly would have to get to his truck, whether

by walking or some other means, before being able to move the truck, under the facts of this case the activity of "walking" appears to be "incidental" to the employment.

Award p. 8.

The administrative law judge's analysis is not derived from the statutory language he is bound to strictly apply. Rather, he based his ultimate conclusion on a word not defined by the Law - "incidental."

"Incidental", means "subordinate, nonessential or attendant in position or significance." It has alternately been defined to mean "[s]ubordinate to something of greater importance; having a minor role." To the extent the administrative law judge holds that injuries sustained by employees while engaged in necessary work activities are not compensable simply because other work activities are more important to the work by comparison, I vehemently disagree. This result is not mandated or even suggested by the plain language of the Law.

Effect of $\S 287.020 .10 RSMo.

The meaning of \S 287.020 .10$ RSMo has been the subject of much debate. That subsection provides:

In applying the provisions of this chapter, it is the intent of the legislature to reject and abrogate earlier case law interpretations on the meaning of or definition of "accident", "occupational disease", "arising out of", and "in the course of the employment" to include, but not be limited to, holdings in: Bennett v. Columbia Health Care and Rehabilitation, 80 S.W.3d 524 (Mo.App. W.D. 2002); Kasl v. Bristol Care, Inc., 984 S.W.2d 852 (Mo.banc 1999); and Drewes v. TWA, 984 S.W.2d 512 (Mo.banc 1999) and all cases citing, interpreting, applying, or following those cases.

In the majority of decisions applying the Law, as amended in 2005, the administrative law judge has offered a theory on the legislature's intention in enacting the subsection. In the instant case, the administrative law judge theorized as follows:

During the 2005 legislative session, the legislature expressed its displeasure with what it perceived to be the expansion of the Act to such an extent that the focus on determining whether a case was compensable seemed to be whether the act was "incidental" to the employment, a doctrine that some refer to as "positional risk", rather than whether the employee was actually engaged in performing the duties of employment.

By abrogating Bennett, Kasl, and Drewes, the legislature indicated in order for a case to be compensable under the Act it would require something more than simply being at the work place at the time of the incident. Award p. 7.

The legislature did not state that it was abrogating the holdings in Bennett, Kasl, and Drewes for any specific purpose, such as to reject the positional risk doctrine. I will assume that the legislature was capable of saying the doctrine was rejected if that was the legislature's intent.

Each of the named abrogated cases addressed more than one legal issue. The legislature did not identify any particular holding or doctrine it intended to reject Bennett, Kasl, and Drewes. Many practitioners and administrative law judges attempting to discern the meaning of the abrogation of Bennett, Kasl, and Drewes, including the administrative law judge and employer's counsel in the instant case, seemingly have concluded that the abrogation was designed to specifically reinstate the unusual occurrence (slip, trip or abnormal strain) requirement for accidents which was disapproved by the Supreme Court in Wolfgeher v. Wagner Cartage Service, Inc., 646 S.W.2d 781 (Mo. 1983). This conclusion is flawed.

First, it is illogical to conclude that the legislature specifically named Bennett, Kasl, and Drewes, to eliminate

a holding from Wolfgeher. It simply would have named Wolfgeher. Second, the legislature eliminated all cases interpreting "accident." Among the abrogated cases is the line of cases establishing the unusual occurrence requirement in the first place, culminating in State ex rel. Hussmann-Ligonier Co. v. Hughes, 153 S.W.2d 40 (Mo. 1941). There is no more reason to assume the legislature intended to reinstate the pre-Wolfgeher requirement of an unusual occurrence to prove accident than there is to assume the legislature intended to reinstate the pre-Hussman position that no unusual occurrence is required to prove accident. We simply do not know what the legislature intended by specifically naming Bennett, Kasl, and Drewes and the administrative law judge erred when he concluded he knows.

In reality, the specific abrogation of Bennett, Kasl, and Drewes is much ado about nothing. Each of the phrases mentioned in $\S 287.020 .10$ was significantly changed by the 2005 amendments to the Law. The legislature's act of amending the definitions automatically rendered the old definitions inapplicable prospectively. Even in the absence of abrogation, the abrogated cases interpreting the old definitions would be of little value in applying the new definitions.

Legislative Elimination of the Employment Nexus

For example, the holdings in the Bennett, Kasl, and Drewes would be of no use in deciding the instant case because in each of the cases, the court had to determine whether claimant's employment was a substantial factor in causing the injury. For reasons unknown, the legislature changed the threshold causation inquiry from whether the employment caused the injury ("the employment is a substantial factor in causing the injury") to whether the accident caused the injury ("the accident is the prevailing factor in causing the injury").

The legislature did not stop there. The legislature stripped the Law of many other provisions demanding proof of a causal nexus between the employment and the injury. Section 287.020 RSMo (2000) provided, among other things, that: an injury is compensable if it is clearly work related; the injury must be incidental to and not independent of the relation of employer and employee; it is reasonably apparent...that the employment is a substantial factor in causing the injury; the injury can be seen to have followed as a natural incident of the work; the injury can be fairly traced to the employment as a proximate cause.

It is little wonder that commissioners, administrative law judges, and practitioners alike are struggling to make sense of the Law. Before the changes to the Law, the meaning of the phrase "arising out of employment" was intuitive. We became conditioned to denying compensation for accidental injuries absent a showing that the employment somehow caused the injury.

Under this curious new Law, so long as a worker was injured in the course of employment, we need only find that the accident caused the injury to award compensation. The primary work connection that must be shown is that which appears in the definition of "accident." "The word 'accident' as used in this chapter shall mean an unexpected traumatic event or unusual strain identifiable by time and place of occurrence and producing at the time objective symptoms of an injury caused by a specific event during a single work shift. An injury is not compensable because work was a triggering or precipitating factor." Section 287.020.2 RSMo. (Emphasis mine).

Compensability

Section 287.120.1 RSMo provides the basic right to compensation:

Every employer subject to the provisions of this chapter shall be liable, irrespective of negligence, to furnish compensation under the provisions of this chapter for personal injury or death of the employee by accident arising out of and in the course of the employee's employment, and shall be released from all other liability therefor whatsoever, whether to the employee or any other person.

"Accident" and "injury" are defined in $\S 287.020$ RSMo. The definition of each was modified by the 2005 changes to the Law.

Accident

See the statutory definition, supra. On September 29, 2005, while walki

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

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