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Michael Bennett v. Noranda Aluminum

Decision date: December 22, 200834 pages

Summary

The Labor and Industrial Relations Commission affirmed the administrative law judge's award of workers' compensation benefits to Michael Bennett for injuries sustained in a 15-20 foot fall onto a concrete floor on March 4, 2003. The employee was awarded 35% permanent partial disability of the body as a whole and permanent total disability benefits, along with temporary total disability compensation and medical aid reimbursement.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge)
Injury No.: 03-021251
Employee:Michael Bennett
Employer:Noranda Aluminum
Insurer:Self-Insured Noranda Aluminum c/o TPA Sedgwick Claims Management Services
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
Date of Accident:March 4, 2003
Place and County of Accident:New Madrid 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 July 3, 2008. The award and decision of Administrative Law Judge Lawrence C. Kasten, issued July 3, 2008, 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 22nd day of December 2008.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

FINAL AWARD

Employee: Michael Bennett

Injury No. 03-021251

Dependents: N/A

Employer: Noranda Aluminum

Additional Party: Second Injury Fund

Insurer: Self Insured Noranda Aluminum c/o TPA Sedgwick Claims Management Services

Hearing Date: Commenced November 28, 2008

Checked by: LK/kh

Completed April 4, 2008

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 4, 2003.
  5. State location where accident occurred or occupational disease contracted: New Madrid 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? Self-Insured.
  11. Describe work employee was doing and how accident happened or occupational disease contracted: The employee

fell 15-20 feet onto a concrete floor.

  1. Did accident or occupational disease cause death? No.
  2. Parts of body injured by accident or occupational disease: Right shoulder; left shoulder, right elbow, body as a
whole referable to head, neck, upper back, mid back, and low back.
14.Nature and extent of any permanent disability: 35% permanent partial disability of the body as a whole referable to the head, neck, upper back, mid back, and lowback; 20% of the right shoulder; 17.5 % of right elbow, and 20% of left shoulder against the employer. Permanent Total Disability against the Second Injury Fund.
15.Compensation paid to date for temporary total disability: $66,416.16.
16.Value necessary medical aid paid to date by employer-insurer: $140,257.45
17.Value necessary medical aid not furnished by employer-insurer: $14,289.69.
18.Employee's average weekly wage: Maximum Rate.
19.Weekly compensation rate: 649.32 per week for temporary total and permanent total disability. 340.12 per week for permanent partial disability.
20.Method wages computation: By agreement.
21.Amount of compensation payable:
5,472.84 for temporary total disability.14,289.67 in previously incurred medical bills.$91,679.35 for permanent partial disability
Total: $111,441.86.
22.Second Injury Fund liability: Permanent Total Disability (See Rulings of Law)
23.Future requirements awarded: See Rulings of Law for future medical benefits and permanent total disability.
Said payments shall be payable as provided in the findings of fact and rulings of law, and shall be subject to modification and review asprovided 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: PhilBarkett.

FINDINGS OF FACT AND RULINGS OF LAW

On November 28, 2007, the employee, Michael Bennett, appeared in person and by his attorney, Phil Barkett, for a hearing for a final award. The employer Noranda Aluminum, Inc. was represented at the hearing by its attorney, Larry Rost. Also present for the employer was Angie Moore, the employer’s Director of Nursing. The Second Injury Fund was represented by Assistant Attorney General, Frank Rodman. Southeast Missouri Hospital had filed a direct medical fee dispute in the case. The notice of the hearing was sent both to Southeast Missouri Hospital and their attorney. No on appeared at the hearing on behalf of Southeast Missouri Hospital. 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.The employer, Noranda Aluminum, Inc. was operating under and subject to the provisions of the Missouri Workers’
Compensation Act and was dully qualified as a self-insured employer c/o TPA Sedgwick Claims Management
Services.
2.On March 4, 2003, Michael Bennett was an employee of Noranda Aluminum Inc. and was working under the Workers’ Compensation Act of Missouri.
3.On March 4, 2003, the employee sustained an accident arising out of and in 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 sufficient to make his rate of compensation the maximum rate. The rate of
compensation for temporary total and permanent total disability is $649.32 per week. The rate of compensation for
permanent partial disability is $340.12.
7.The employer has paid $140,257.45 in medical aid.
8.The employer paid $66,416.16 in temporary disability from March 5, 2003 through February 17, 2005.
9.The employee’s injuries to his right elbow, right shoulder and left shoulder are medically causally related to the
accident.
ISSUES
1.Medical causation
2.Claim for previously incurred medical
3.Direct medical fee dispute filed by Southeast Missouri Hospital in the amount of $4,289.18.
4.Claim for additional or future medical aid
5.Nature and extent of disability including temporary total disability, permanent total disability, and permanent partial disability.
6.Liability of the Second Injury Fund for permanent total or permanent partial disability
EXHIBITS
The following exhibits were offered and admitted into evidence:
Employee’s Exhibits
A.Curriculum vitae of Dr. Levy
B.Various medical records (The record was left open for the employee to submit certified copies of the medical records.
The exhibit was admitted on April 4, 2008. See April 4, 2009 letter concerning this Exhibit)
C.February 21, 2006 report from Dr. Levy
D.March 4, 2006 report from Dr. Levy
E.Withdrawn by the employee on April 4, 2008
F.Withdrawn by the employee on April 4, 2008
G.September 27, 2006 letter from Dr. Levy
H.October 24, 2006 deposition of Dr. Levy
I.Curriculum vitae of Timothy Lalk
J.June 2, 2006 report of Timothy Lalk
K.January 17, 2007 deposition of Timothy Lalk
L.Curriculum vitae of Dr. Stone
M.June 12, 2006 report of Dr. Stone (The admission of this exhibit was objected to in the ruling upon the
admissibilitythat this exhibit was taken under advisement. The objections to this exhibit are overruled and the exhibit is admitted into evidence.)
N.August 17, 2006 report of Dr. Stone (The admission of this exhibit was objected to in the ruling upon the admissibility that this exhibit was taken under advisement. The objections to this exhibit are overruled and the exhibit isadmitted into evidence.)
O.Deposition of Dr. Stone
P.Deposition of Shawnna Gerding
Q.Document with amount of temporary total disability in medical bills paid by the employer
R.Medical bills in the amount of $55,701.14
S.Prescription medication expenses in the amount of $14,964.43
T.Medical records of Ferguson Medical Group
U.Southeast Missouri Hospital records
V.Medical records of Southeast Missouri Hospital (The record was left open for the submission of a certified copy of these records. This exhibit was admitted into evidence on April 4, 2008.)
W.Medical records of Dr. Pfefferkorn
X.Medical records of Dr. Stone
Employer-Insurer’s Exhibits
1.Curriculum vitae of Dr. Marsh
2.January 18, 2005 report of Dr. Marsh
3.May 12, 2005 report of Dr. Marsh
3A.Deposition of Dr. Marsh taken on April 3, 2007
4.Curriculum vitae of Dr. Cantrell
5.September 14, 2004 report of Dr. Cantrell
6.October 6, 2004 report of Dr. Cantrell
6A.September 15, 2004 report of Scott Gallant (The record was left open for the submission of a certified copy of this record. This exhibit was admitted into evidence on April 4,2008.)
6B.May 24, 2007 deposition of Dr. Cantrell
7.Curriculum vitae of Victor Zuccarello
8.Functional capacity evaluation dated March 22, 2005
9.August 17, 2007 deposition of Victory Zuccarello
10.Medical records of Orthopaedic Associates (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted into evidence on April 4,2008.)
11.Medical records of Dr. Deisher (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted into evidence on April 4, 2008.)
12.Medical records of Dr. Vaught (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted into evidence on April 4, 2008.)
13.Compromise settlement in injury number 82-031668
14.Compromise settlement in injury number 87-073220
15.Medical record of Dr. Guidos – Southeast Missouri Hospital (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted intoevidence on April 4, 2008.)
16.Medical record of Dr. Delonais-Turner – Southeast Missouri Hospital (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted into evidence onApril 4, 2008.)
17.Medical records of Dr. Lake – Southeast Missouri Hospital (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted into evidence

on April 4, 2008.)

  1. Medical records of Silver Springs Pain Management Center (The record was left open for the employer to obtain a certified copy of these records. This exhibit was admitted into evidence on April 4, 20

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

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