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Ross Stillwell v. Knapheide Truck Equipment Company

Decision date: March 23, 201014 pages

Summary

The Commission modified the administrative law judge's award, holding that medical expenses constitute 'compensation' under Missouri Workers' Compensation Law and are therefore subject to reduction under § 287.120(5) when an employee is injured due to violation of safety rules or failure to use safety devices. The decision clarifies statutory interpretation through plain language analysis and legislative intent, distinguishing the holding from prior case law.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Modifying Award and Decision of Administrative Law Judge)
Employee:Ross Stillwell
Employer:Knapheide Truck Equipment Company
Insurer:Travelers Commercial Casualty
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
The above-captioned workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. We have heard the oral arguments of the parties. We have reviewed the evidence and considered the whole record. We find 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, except as modified herein. Pursuant to § 286.090 RSMo, we issue this final award and decision modifying the July 23, 2009, award and decision of the administrative law judge. We adopt the findings, conclusions, decision, and award of the administrative law judge to the extent that they are not inconsistent with the findings, conclusions, decision, and modifications set forth below.We disagree with the administrative law judge's conclusion that medical expenses are not "compensation" under the Workers' Compensation Law (Law). We conclude medical expenses are "compensation" under the Law and, as such, are subject to reduction by operation of § 287.120(5) RSMo where an employee is injured due to his violation of employer's safety rules or due to his failure to use safety devices provided by an employer. We reach our conclusion through a plain reading of the Law. Put simply, the Law says medical expenses are compensation.The language of § 287.140.1 RSMo, implies that medical treatment and expenses constitute "compensation." Section 287.140.1 RSMo, provides, in part:In addition to all other compensation paid to the employee under this section, the employee shall receive and the employer shall provide such medical, surgical, chiropractic, and hospital treatment, including nursing, custodial, ambulance and medicines, as may reasonably be required after the injury or disability, to cure and relieve from the effects of the injury. (Emphasis added).If medical expenses are not an element of compensation under the Law, then the word "other" is superfluous. "It is presumed that the legislature intended that every word, clause, sentence, and provision of a statute have effect. Conversely, it will be presumed that the legislature did not insert verbiage or superfluous language in a statute." State ex rel. Unnerstall v. Berkemeyer, 298 S.W.3d 513 (Mo. 2009) (citation omitted).

If there were any doubt about whether medical expenses are compensation, the legislature eliminated it in 1986 when it enacted § 287.260.2 RSMo. ${ }^{1}$ Section 287.260.2 specifically states that the Workers' Compensation Law provides "compensation for medical expenses."

Notwithstanding subsection 1 of this section, the compensation payable under this chapter other than compensation for medical expenses and therapy under section 287.141, shall be assignable for the purpose of satisfying child support obligations, shall be subject to attachment, garnishment and execution for the purpose of collecting and satisfying unpaid and delinquent child support obligations, and shall be subject to the lien provided for in section 454.517, RSMo. (Emphasis added).

We think the administrative law judge discounts the value of Martin v. Star Cooler Corp., 484 S.W.2d 32 (Mo. App. 1972) in her analysis. The legislature added § 287.260.2 well after the decision in Martin was issued. "The legislature is presumed to know the existing case law when it enacts a statute." Hudson v. Dir. of Revenue, 216 S.W.3d 216, 222-223 (Mo. App. 2007) (citation omitted). We must presume the legislature was aware of the Martin holding when it enacted language in § 287.260.2 consistent with the holding.

We reverse the administrative law judge's conclusion that the penalty of $\S 287.120(5)$ does not operate to reduce employee's medical expenses.

Employee argues that we must reconsider the penalty percentage to apply because we expanded the compensation to which the penalty is being applied beyond the compensation used by the administrative law judge. We disagree. The administrative law judge determined the appropriate penalty percentage before she considered whether or not the penalty applied to medical expenses. We find that the 30 % penalty used by the administrative law judge is appropriate and we find no reason to disturb the administrative law judge's finding regarding the penalty percentage.

For the foregoing reason, in addition to the 30 % reduction in temporary total disability benefits, permanent partial disability benefits, and disfigurement benefits ordered by the administrative law judge, employee's medical benefit award is also reduced by 30 % due to employee's violation of employer's safety rules and his failure to use safety devices provided by employer. In all other respects, we affirm the award of the administrative law judge.

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.

[^0]

[^0]: ${ }^{1}$ A.L. 1986 H.B. 1479.

The award and decision of Administrative Law Judge Lisa Meiners, issued July 23, 2009, is attached and incorporated by this reference except to the extent modified herein.

Given at Jefferson City, State of Missouri, this $23^{\text {rd }}$ day of March 2010.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

DISSENTING OPINION FILED

John J. Hickey, Member

Attest:

Secretary

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 affirmed. I respectfully dissent from the decision of the majority of the Commission to modify the award of the administrative law judge in this case.

John J. Hickey, Member

AWARD

Employee: Ross Stillwell

Injury No. 06-002402

Employer: Knapheide Truck Equipment Company

Insurer: Travelers Commercial Casualty

Hearing Date: June 22, 2009

Checked by: $\mathrm{LM} / \mathrm{cg}$

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: January 5, 2006
  5. State location where accident occurred or occupational disease was contracted: Clay 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: While in the course and scope of Employee's work, a truck body fell on Claimant's upper extremities causing severe crush injuries.
  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: Upper extremities.
  14. Nature and extent of any permanent disability: Permanent total disability.
  15. Compensation paid to-date for temporary disability: $\ 51,345.58
  16. Value necessary medical aid paid to date by employer/insurer? $\ 168,967.89
  17. Value necessary medical aid not furnished by employer/insurer? $\ 0
  1. Employee's average weekly wages: $\ 829.36
  2. Weekly compensation rate: $\$ 552.92 / \ 365.08
  3. Method wages computation: By stipulation
  4. Amount of compensation payable: Unknown

The Employer is liable to Employee for permanent total benefits in the amount of $\ 552.92 per week, as well as 21 weeks of disfigurement. The Employer is entitled to a 30 % reduction of compensation pursuant to $\S 287.120(5)$.

  1. Second Injury Fund Liability: No
  2. Employer is to provide Employee with additional medical care as required to cure and relieve the symptoms related to the injury of January $5^{\text {th }}, 2006$.

The compensation awarded to the Claimant shall be subjected to a lien in the amount of 24 % by Employee's attorney, Steffanie Stracke, for services rendered.

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Ross Stillwell

Injury No. 06-002402

Employer: Knapheide Truck Equipment Company

Insurer: Travelers Commercial Casualty

Hearing Date: June 22, 2009

Checked by: $\mathrm{LM} / \mathrm{cg}$

The parties appeared for hearing on June 22, 2009. Ross Stillwell, the Employee, appeared in person and with counsel Steffanie Stracke. The employer, Knapheide Truck Equipment Company, through its insurer, Travelers Commercial Casualty, was represented by Shelly Naughtin. The Second Injury Fund was also present and represented by Benita Seliga.

STIPULATIONS

The parties stipulated to the following:

1) that Claimant was an employee working subject to Missouri Workers' Compensation Law;

2) that the employer was operating subject to the Workers' Compensation Act;

3) that Claimant sustained an injury by accident that arose out of and in the course of his employment on January $5^{\text {th }}, 2006$;

4) that notice was given and a claim filed within the time allowed by law;

5) that the average weekly wage was $\ 829.36, which makes the compensation rate $\$ 552.92 / \ 365.08

6) that the injury by accident occurred in Clay County, Missouri;

7) that the employer has paid $\ 168,967.89 in medical expenses and $\ 51,345.58 in temporary total disability benefits that were paid until October $18^{\text {th }}, 2007$.

ISSUES

The parties requested the Division to determine the following issues:

1) whether the Claimant sustained any disability and, if so, the nature and extent of that disability as a result of the January $5^{\text {th }}, 2006$ accident;

2) the liability of the Second Injury Fund;

3) whether the Claimant sustained any disfigurement under $\S 287.190$ (4);

4) whether the employer is liable to the employee for future medical care as a result of the January 2006 accident;

5) whether the employer is liable to the employee for past temporary total disability benefits between October $19^{\text {th }}, 2007 through December 31^{\text {st }}, 2007 in the amount of \ 4,933.30 and;

6) whether a safety penalty should be assessed against the employee pursuant to 287.120 (5).

EVIDENCE

Claimant, a 58-year-old high school graduate, has worked as a heavy mechanic for 25 years, with the last 13 years at Knapheide Trucking. On January $5^{\text {th }}$, 2006, Claimant lifted a heavy truck body using a chain hooked to the tailgate of a truck. Claimant lifted the truck body 18 inches off the ground in order to work under it. Additionally, Claimant did not place supports under the dump body even though there is a safety rule to use them when a truck body is elevated.

At some point, the tailgate opened and the truck body, without a support device, hit the floor. As a result, Claimant's forearms were crushed under the truck body. (See Employer's Exhibits 7 through 9.) Claimant was rushed to the hospital where he remained until midJanuary. Ultimately, Claimant underwent approximately three to four surgeries of the left hand and forearm as a result of the traumatic accident of January of 2006. Claimant also underwent approximately four to five surgeries of the right hand and forearm due to the January 2006 accident. Claimant was found to be at maximum medical improvement on October 19 ${ }^{\t

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