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Constance Lunn v. Montgomery County R-II School District

Decision date: September 1, 201012 pages

Summary

The Commission affirmed the administrative law judge's award of workers' compensation benefits to employee Constance Lunn for a right shoulder fracture (right proximal humerus) sustained on September 8, 2006, while working at a school football game ticket booth. The employee was awarded 17.5% permanent partial disability benefits totaling $15,404.47 in additional temporary total disability and permanent partial disability compensation.

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Caption

FINAL AWARD ALLOWING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 06-084921

Employee: Constance Lunn

Employer: Montgomery County R-II School District

Insurer: Self-Insured c/o Missouri United School Insurance Company

Additional Party: Treasurer of Missouri as Custodian of Second Injury Fund (Open)

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 Law. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated February 19, 2010. The award and decision of Administrative Law Judge Robert J. Dierkes, issued February 19, 2010, 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 $1^{\text {st }}$ day of September 2010.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

AWARD

Employee: Constance Lunn

Injury No. 06-084921

Dependents:

$\begin{array}{lr}\text { Before the } & \\ & \text { DIVISION OF WORKERS' } \\ & \text { COMPENSATION }\end{array}$

Employer: Montgomery County R-II School District

Additional Party: Second Injury Fund (Deferred)

Insurer: Self-insured through Missouri United School Insurance

Hearing Date: December 16, 2009

DIVISION OF WORKERS' COMPENSATION

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: RJD/cs

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: September 8, 2006.
  5. State location where accident occurred or occupational disease was contracted: Montgomery City, Montgomery 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:

Employee was working the ticket booth at a home football game. As she was exiting the ticket booth, she fell, fracturing her right proximal humerus.

  1. Did accident or occupational disease cause death? No. Date of death? N/A.
  2. Part(s) of body injured by accident or occupational disease: Right shoulder.
  3. Nature and extent of any permanent disability: 17.5 % permanent partial disability of the right shoulder.
  4. Compensation paid to-date for temporary disability: $\ 326.95.
  5. Value necessary medical aid paid to date by employer/insurer? $\ 17,476.29.
  1. Value necessary medical aid not furnished by employer/insurer? None.
  2. Employee's average weekly wages: $\ 931.33.
  3. Weekly compensation rate: $\$ 620.89 / \ 376.55.
  4. Method wages computation: Section 287.250.4.

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Additional temporary total disability benefits

40.6 weeks of permanent partial disability benefits -

TOTAL:

$\ 15,404.47

  1. Second Injury Fund liability: (Deferred)
  2. Future requirements awarded: None.

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:

Ronald D. Edelman

Employee: Constance Lunn

Injury No. 06-084921

Employee: Constance Lunn

Injury No: 06-084921

Dependents:

Employer: Montgomery County R-II School District

Additional Party: Second Injury Fund (Deferred)

Insurer: Missouri United School Insurance

Before the

DIVISION OF WORKERS' COMPENSATION

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: RJD/cs

ISSUES DECIDED

An evidentiary hearing was held in this case on December 16, 2009 in Warrenton. The parties requested leave to file post-hearing briefs, which leave was granted, and the case was submitted on January 29, 2010. The hearing was held to determine the following issues:

  1. Claimant's average weekly wage and resultant compensation rates;
  2. The nature and extent of Claimant's permanent partial disability, if any;
  3. Whether there has been an underpayment or an overpayment of Temporary total disability benefits;
  4. Whether additional sums shall be awarded for disfigurement; and
  5. Whether Claimant's employment was excluded from the provisions of Chapter 287, RSMo, pursuant to $\S 287.090 .1$ (5).

STIPULATIONS

The parties stipulated as follows:

  1. That the Missouri Division of Workers' Compensation has jurisdiction over this case;
  2. That venue is proper in Montgomery County and adjoining counties; Warren County is an adjoining county to Montgomery County, and is, therefore, a proper venue for the hearing;
  1. That the claim for compensation was filed within the time allowed by the statute of limitations, Section 287.430;
  2. That both Employer and Employee were covered under the Missouri Workers' Compensation Law at all relevant times;
  3. That Claimant sustained an accident arising out of and in the course of her employment with Montgomery County R-II School District on September 8, 2006;
  4. That the notice requirement of Section 287.420 is not a bar to Claimant's Claim for Compensation herein;
  5. That Employer paid medical benefits of $\ 17,476.29;
  6. That Employer paid TTD benefits totaling $\ 326.95; and
  7. That Montgomery County R-II School District was an authorized self-insured for Missouri Workers' Compensation purposes at all relevant times, through MUSIC, a self-insurance trust.

EVIDENCE

The evidence consisted of the testimony of Claimant, Constance Lunn; the testimony of Corey Felton; medical records; the narrative medical report of Dr. Robert Poetz; employment contract between Claimant and Employer; Employer's "money box worksheet" for 9/8/06 football game; and copies of the Division of Workers' Compensation's file in this case.

DISCUSSION

The facts of this case are not in dispute. Claimant, Constance Lunn, was born on September 2, 1944, and was 62 years old at the time of the accident in question. Claimant was employed by Employer as a high school Language Arts teacher for the 2006-2007 academic year. Exhibit C was a four-page document identified as Claimant's teaching contract. The first page of Exhibit C is entitled "TEACHER'S EMPLOYMENT CONTRACT (Probationary Teachers)", the second page is entitled "CERTIFIED EMPLOYEE'S EMPLOYMENT CONTRACT EXTENDED DUTIES", the third page is a salary schedule, and the fourth page is a cover letter.

Employee: Constance Lunn Injury No. 06-084921

Prior to the date of injury, Corey Felton, Vice-Principal and Athletic Director at the high school, sent an e-mail to the teachers stating that he was looking for people to work the ticket gate and scoreboard for the high school's home football games. The e-mail stated that there would be some monetary compensation paid for this work. Claimant notified Felton that she would be available to work the ticket gate for multiple games, including the September 8, 2006 game. Felton scheduled Claimant to work the ticket gate for September 8, 2006.

On September 8, 2006, Claimant worked the school day teaching three freshman Language Arts classes and three sophomore Language Arts classes and related duties. She left the school premises for a time to go out to dinner with some other teachers. She returned to the high school, where she and another teacher, Kim Albers, met with Felton and were instructed as to their duties and responsibilities for the evening. Claimant and Albers worked the ticket booth prior to the football game and during the first half of the game, as instructed by Felton. At halftime, Claimant was leaving the "ticket booth" as she wanted to watch the marching band perform. The booth was small and cramped, and the doorway was very narrow. As Claimant was walking out of the doorway in a sideways fashion, her foot caught on the lip of the doorway. Claimant fell and it was immediately obvious that she had seriously injured her right upper extremity.

Claimant was taken by ambulance to Hermann Area Hospital, then transported to Boone Hospital Center in Columbia. Claimant was diagnosed with a right proximal humerus fracture. On September 15, 2006, Dr. Todd Oliver of Columbia Orthopaedic Group performed an open reduction and internal fixation procedure. Dr. Oliver placed Claimant at maximum medical improvement on February 12, 2007. On June 15, 2007, Dr. Oliver opined that she had sustained a 5 % permanent partial impairment of the right upper extremity. Claimant was seen by Dr. Robert Poetz for an independent medical examination on November 19, 2007. Dr. Poetz opined that Claimant sustained a permanent partial disability of 35 % of the right shoulder.

At some time after Claimant returned to work after her injury, Corey Felton went to Claimant and handed her a twenty-dollar bill, telling Claimant that it was for "working the ticket booth." Felton testified that there had been "no prior discussion" with Claimant as to how much she would be compensated for working the ticket booth.

Average weekly wage and compensation rates. The first major issue in this case is the calculation of Claimant's average weekly wage and resultant compensation rates. Employer paid Claimant 5/7 weeks of temporary total disability benefits at the weekly rate of approximately $\ 457.69. This rate appears to have been calculated by taking Claimant's annual salary per page one of Exhibit C ( $\ 35,700.00 ), and dividing it by 52 weeks (yielding an average weekly wage of $\ 686.54 and a compensation rate of $\ 457.69 ). Employer now takes the position, however, that Claimant's compensation rate should be the $\ 40.00 minimum weekly rate. Employer argues that

Claimant had (at least) ${ }^{1}$ two separate and distinct "employments" with Employer, and that Claimant's 9/8/06 accident and injury fell under the "ticket gate worker" employment, for which she was paid $\ 20.00. Employer argues that Claimant clearly sustained a compensable accident under the Missouri Workers' Compensation Law, but that the disability benefits should be based solely upon her $\ 20.00 "salary" as a one-time "ticket gate worker".

The evidence was that most, but not all, of the people who performed duties at the football games were otherwise employed by the school district. Felton testified that there was a retired school superintendent who worked football games and that there was at least one "school parent" who worked football games, and that each of these individuals received $\ 20.00 as compensation for their services during football games.

Employer argues that the language of Section 287.800.1 ("Administrative law judges ... shall construe the provisions of this chapter strictly") compels a finding that Claimant's compensation rate should be the forty-dollar minimum. However, I find nothing in Section 287.020 ("definitions"), Section 287.030 ("Employer defined") or Section 287.250 (computation of average weekly wage) that states, or even suggests, that, for purposes of computing an average weekly wage, various aspects of an employee's employment with an employer be segregated (as Employer suggests). Employer does

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

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