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Mickey Snider v. Cooperative Workshop, Inc.

Decision date: September 29, 200915 pages

Summary

The LIRC affirmed the Administrative Law Judge's award finding that employee Mickey Snider suffered a work-related back injury in March 1999 resulting in permanent total disability, with employer liable for benefits and future medical treatment. The Commission corrected the ALJ's analysis regarding Second Injury Fund liability, finding no such liability exists because the employee's permanent total disability resulted solely from the work-related injury.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge by Supplemental Opinion)
Injury No.: 99-065506
Employee:Mickey Snider
Employer:Cooperative Workshop, Inc.
Insurer:Sheltered Workshop Insurance (Self-Insured)
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
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, read the briefs, heard oral arguments, 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 Law. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the Administrative Law Judge Henry T. Herschel, dated November 4, 2008, as supplemented herein.The findings of fact and stipulations of the parties were accurately recounted in the award of the administrative law judge and are adopted by the Commission.The administrative law judge concluded that employee suffered a work-related back injury in March 1999, which resulted in employee’s permanent total disability and the need for future medical treatment. The administrative law judge found employer to be liable for employee’s permanent total disability benefits, reimbursement for past medical expenses, and future medical treatment. The administrative law judge determined there to be no Second Injury Fund liability.The Commission agrees with the administrative law judge in finding that there is no Second Injury Fund liability for employee’s permanent total disability. However, the Commission does not agree with the administrative law judge’s analysis in arriving at that conclusion.The administrative law judge essentially found that there is no Second Injury Fund liability because employee’s preexisting ailment does not reach the threshold of 12.5% permanent partial disability of the body as a whole.First of all, the administrative law judge erred in evaluating Second Injury Fund liability before first assessing employee’s permanent disability attributable to the last injury alone, as required in Section 287.220.1 RSMo.Section 287.220 RSMo creates the Second Injury Fund and provides when and what compensation shall be paid from the fund in “all cases of permanent disability where there has been previous disability.” The employer’s liability must first be considered in
Injury No.: 99-065506
Employee: Mickey Snider
- 2 -
isolation before determining Second Injury Fund liability. *Kizior v. Trans World Airlines,*
5 S.W.3d 195 (Mo. App. W.D. 1999), overruled on other grounds, Hampton v. Big Boy
Steel Erection, 121 S.W.3d 220 (Mo. banc 2003).
Had the administrative law judge first considered employer’s liability in isolation, he
would have determined that any discussion regarding Second Injury Fund liability is
superfluous in light of the fact that he found employee to be permanently and totally
disabled solely as a result of the March 8, 1999, work-related injury.
Also, even if it was determined that employee was permanently and totally disabled as a
result of a combination of employee’s preexisting disabilities and employee’s disabilities
resulting from the last injury, the administrative law judge’s mention of the percentage
thresholds for preexisting permanent disabilities provided in section 287.220 RSMo is
misplaced. It is misplaced because the thresholds do not apply when an employee is
determined to be permanently totally disabled. The thresholds only apply when the
previous disability or disabilities and the last injury combine to result in only permanent
partial disability, not permanent total disability. Section 287.220.1 RSMo.
The November 4, 2008, award and decision is attached and incorporated to the extent it
is not inconsistent with this supplemental opinion.
The Commission further approves and affirms the administrative law judge’s allowance
of attorney’s fees 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 29th day of September 2009.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
NOT SITTING
William F. Ringer, Chairman
Alice A. Bartlett, Member
John J. Hickey, Member
Attest:
Secretary

AWARD

Employee:Mickey SniderInjury No. 99-065506
Dependents:N/ABefore the <br> DIVISION OF WORKERS' <br> COMPENSATION <br> Department of Labor and Industrial <br> Relations of Missouri <br> Jefferson City, Missouri
Employer:Cooperative Workshop, Inc.
Additional Party:Treasurer of the State of Missouri as Custodian of the Second Injury Fund
Insurer:Sheltered Workshop Insurance (Self Insured)
Hearing Date:July 31, 2008Checked by: HTH/scb

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: March 8, 1999.
  5. State location where accident occurred or occupational disease was contracted: Sedalia, Pettis 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 occurred or occupational disease contracted: Slipped on ice on stairs and hurt her right shoulder and her lower back.
  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 shoulder and lower back.
  14. Nature and extent of any permanent disability: N/A.
  15. Compensation paid to-date for temporary disability: $\ 525.16.
  16. Value necessary medical aid paid to date by employer/insurer? $\ 7,851.73.

Employee: Mickey Snider

  1. Value necessary medical aid not furnished by employer/insurer? $\ 83,480.37.
  2. Employee's average weekly wages: $\ 319.23.
  3. Weekly compensation rate: $\ 212.89.
  4. Method wages computation: By agreement.

COMPENSATION PAYABLE

  1. Amount of compensation payable: Prior medical bill and future benefits.
  2. Future requirements awarded: Medical care.

FINDINGS OF FACT and RULINGS OF LAW:

Employee:Mickey SniderInjury No. 99-065506
Dependents:N/ABefore the
DIVISION OF WORKERS'
Employer:Cooperative Workshop, Inc.COMPENSATION
Additional Party:Treasurer of the State of MissouriDepartment of Labor and Industrial
as Custodian of the Second Injury FundRelations of Missouri
Jefferson City, Missouri
Insurer:Sheltered Workshop Insurance (Self Insured)Checked by: HTH/scb

PRELIMINARIES

The parties appeared before the undersigned Administrative Law Judge on July 31, 2008. The Division has jurisdiction to hear this case pursuant to $\S 287.110$ RSMo 2000. The parties provided briefs on the relevant issues on approximately August 18, 2008.

STIPULATIONS

  1. The employee and the employer were operating under the provisions of the Workers' Compensation Law on or about March 8, 1999;
  2. The employer's liability was insured by Sheltered Workshop Insurance;
  3. The employer had notice of the alleged accident and a claim for compensation was timely filed;
  4. The Employee's average weekly wage was $\ 319.33;
  5. The rate of compensation for temporary total disability was $\ 212.89 and $\ 212.89 for permanent partial disability; and
  6. The employer has paid $\ 525.16 in TTD and $\ 7,851.73 in medical benefits to date.

DISPUTED ISSUES

  1. Is the employer/insurer liable for claimant's medical care for her back;
  2. Did the claimant injure her back when she fell on the stairs in March of 1999;
  3. Is the Second Injury Fund liable for a portion of her disability;
  4. Is the claimant permanently and totally disabled;
  1. Is the employer/insurer responsible for future medical care?

EMPLOYEE'S EXHIBITS:

A Incident Report

B Medication List

C Award from Injury No. 02-147690

D Medical Evaluation by Dr. J. Hanson

E Medical Report of Dr. J. Stuckmeyer

F Medical Report of Rehabilitation Expertise L.L.C.

G Medical Records of Dr. S. Butts, PhD.

H Deposition of T. Cordray, M.S. and Exhibits

I Deposition of Dr. J. Hanson and Exhibits

J Deposition of Dr. J. Stuckmeyer and Exhibits

K Medical Records, Volume I

L Medical Records, Volume II

M Medical Records, Volume III

N Medical Bill Summary

O Report of Injury, Dated April 26, 1999

EMPLOYER/INSURER'S EXHIBITS:

1 Medical Report of Dr. R. Clemens

2 Medical Report of Dr. T. Strouse

3 Medical Records of Dr. R. Hyatt

4 Medical Records of Dr. O. Gronstedt

5 Medical Records of Lab Corp. and Dr. D. Wilson

6 Medical Records of Dr. R. Edwards

7 Patient Intake Form from Headache and Pain Center

8 Medical Report from MidAmerican Neurospine

9 Medical Report from Kansas University Physicians, Inc.

10 Physical Therapy Evaluation from Bothwell Regional Health Center

11 Medical Records

12 Medical Records from Dr. K. Gunter

13 Medical Reports from Dr. R. Edwards.

SECOND INJURY FUND EXIBITS:

I Medical Records of Capital City Medical Associates

FINDINGS OF FACTS

Mickey Snider (Claimant) is a 52-year-old woman with a General Ed Degree (G.E.D.). She received an associate's degree in business at State Fair Community College in 1995. In 1996, she started work for the Center for Human Services (The Center). It was her job to supervise a crew of clients of The Center. The Center allows its clients, all of which have some mental or physical handicaps, to be employed by local businesses to enhance their life skills and self esteem. Claimant was a supervisor of such a crew at Hayes-Wheels. In that capacity, the crews worked in their plant separating and stacking pallets. Claimant drove a forklift, but spent most of her time supervising the clients. She noted that her charges were hard workers but needed to be supervised so that they would not be injured. On March 8, 1999, she was leaving her place of employment when she slipped on an icy patch on the outdoor stairs and fell. As she was falling, she grabbed the handrail and pulled her shoulder, neck, and back. At first her shoulder seemed to be the most severely injured and the most painful. Later, her neck and back exhibited symptoms of injury.

Claimant's supervisor was notified that Claimant had suffered an injury. On the accident report, Claimant's back and shoulder were indicated. (Cl. Exh. A). Further, Claimant testified that the Report of Injury filed with the Division of Workers' Compensation also indicated injury to back and shoulder. (Cl. Exh. O).

Claimant has a history of assorted health conditions. In 1991, she was diagnosed with fibromyalgia. The fibromyalgia caused her to have upper and lower back pain. (Emp./Ins. Exh. 1, pp1-2). Claimant had a history of lower back pain and headaches dating back to 1997. (Id. at pp3-6; Emp./Ins. Exh. 2, pp1-2).

Prior to the March 1999 injury, Claimant had various treatments for pain in her back and her pre-existing condition of fibromyalgia. Subsequent to the March 1999 injury, she also suffered falls and strains that would not qualify for coverage under workers' compensation. The pain and disabilities of Claimant prior to the March 1999 injury were not significant enough to force her to abandon her emplo

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

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