Employee: Cindy Spittler
Injury No. 07-035004
Dependents: N/A
Employer: Coin Acceptors, Inc.
Insurer: Self-Insured
c/o Corporate Claims Management
Additional Party: N/A
The above-referenced workers' compensation claim was heard before the undersigned Administrative Law Judge on December 3, 2009. The parties were afforded an opportunity to submit briefs or proposed awards, resulting in the record being completed and submitted to the undersigned on or about December 24, 2009.
The employee, Cindy Spittler, appeared personally and through her attorney, Ken Wagoner, Esq. The employer Coin Acceptors, Inc., d/b/a Mountain View Fabricators, appeared through its attorney, Mark Kornblum, Esq.
The parties entered into a stipulation of facts. The stipulation is as follows:
(1) On or about April 20, 2007, Coin Acceptors, Inc., was an employer operating under and subject to The Missouri Workers' Compensation Law, and during this time was fully self-insured, with its benefits being administered by Corporate Claims Management.
(2) On the alleged injury date of April 20, 2007, Cindy Spittler was an employee of the employer, and was working under and subject to The Missouri Workers' Compensation Law.
(3) The contract of employment between the above-referenced employee and employer was made in Missouri. Further, the alleged incident of occupational disease occurred in Howell County, Missouri. Venue is proper.
(4) The employee notified the employer of her injury as required by Section, 287.420, RSMo.
(5) The Claim for Compensation was filed within the time prescribed by Section 287.430, RSMo.
(6) At the time of the alleged incident of occupational disease, the employee's average weekly wage was $\ 386.00, which is sufficient to allow a
compensation rate of $\ 257.00 for both temporary total disability compensation and permanent disability compensation.
(7) Temporary disability benefits have not been provided to the employee under Chapter 287, RSMo.
(8) The employer has not provided medical treatment to the employee under Chapter 287, RSMo.
The sole issues to be resolved by hearing include:
(1) Whether the employee sustained an incident of occupational disease on or about April 20, 2007; and, if so, whether the incident or occupational disease arose out of and in the course of employment?
(2) Whether the alleged incident of occupational disease caused the injuries and disabilities for which benefits are now being claimed?
(3) Whether the employer is obligated to pay for certain past medical care and expenses in the amount of $\ 1,760.00 ?
(The parties stipulate that the employee has received medical care, which has been paid through the employer's group health insurance plan. The aforementioned medical expenses of $\ 1,760.00 represent payment of co-pays and deductibles by the employee. The employee is not seeking repayment of monies paid by the employer under the group health insurance plan and the employer agrees to hold the employee harmless for payment of said medical expenses in the event the claim is found compensable and medical expenses are determined to be owed under Chapter 287, RSMo.)
(4) Whether the employee has sustained injuries that will require additional or future medical care in order to cure and relieve the employee of the effects of the injuries?
(5) Whether the employee is entitled to temporary total disability compensation?
(The employee seeks past temporary total disability compensation, payable for the period of February 8, 2008 to September 11, 2008. In context of this issue, the parties stipulate that the employee was temporarily and totally disabled for the period of February 8, 2008 to September 11, 2008.)
(6) Whether the employee sustained any permanent disability as a consequence of the alleged incident of occupational disease; and, if so, what is the nature and extent of the disability?
(7) Whether the employer is entitled to a credit against any award for payment of temporary total disability compensation, based on payment of short term disability compensation by the employer for the period the employee was temporarily and totally disabled, as made under the employer's short term disability policy?