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Bobby Daniels v. Noranda Aluminum, Inc.

Decision date: March 21, 2012Injury #92-04700518 pages

Summary

The Commission modified the ALJ's award, finding the Second Injury Fund liable for 10.775 weeks of permanent partial disability benefits instead of 6.4 weeks. The Commission corrected the application of statutory thresholds by considering all of the employee's preexisting disabling conditions in aggregate rather than in isolation, including preexisting ankle and wrist conditions totaling 74.75 weeks.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Modifying Award and Decision of Administrative Law Judge)
Injury No.: 92-047005
Employee:Bobby Daniels
Employer:Noranda Aluminum, Inc.
Insurer:Self-Insured
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
This workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. We have reviewed the evidence, read the briefs, and considered the whole record. Pursuant to § 286.090 RSMo, we issue this final award and decision modifying the April 7, 2011, 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.
Discussion
The administrative law judge found the Second Injury Fund liable for 6.4 weeks of permanent partial disability benefits under § 287.220.1 RSMo. Employee filed an Application for Review arguing that the award is insufficient and that the administrative law judge should have considered his preexisting right knee and bilateral carpal tunnel syndrome conditions.We agree that the administrative law judge erred both in her application of the thresholds and in failing to include all of employee’s preexisting disabling conditions in determining the extent of Second Injury Fund liability. The administrative law judge looked at each of employee’s preexisting conditions and asked whether, considered in isolation, they met the thresholds for triggering Second Injury Fund liability under § 287.220.1. We believe this is an incorrect application of the thresholds.Section 287.220.1 makes clear that the 15% threshold applies where the employee suffers from preexisting permanent partial disability referable to “a major extremity injury only.” Here, employee did not suffer preexisting permanent partial disability referable to a major extremity injury only, but rather suffered multiple preexisting conditions of ill, so the 15% threshold is not applicable. Rather, we look at all of employee’s preexisting disabling conditions, determine the total amount of weeks of preexisting permanent partial disability, and ask whether this amount meets the 50-week “body as a whole” threshold.We find appropriate and affirm the administrative law judge’s findings as to the nature and extent of each of employee’s preexisting conditions of ill, including her finding that employee’s right knee condition did not amount to a preexisting permanent partial disability. We note employee did not discuss the right knee condition in his brief, or ask that we include it in his suggested calculations of Second Injury Fund liability; combined with the lack of medical records or an expert rating, we are convinced the right knee condition was not serious enough to constitute a preexisting permanent partial disability.

Converting employee's preexisting disabilities into weeks of compensation yields the following results: 31 weeks for the right ankle, 21.875 weeks for the left wrist, and 21.875 for the right wrist. The sum of employee's preexisting disabilities is 74.75 weeks. Employee has met the 50-week threshold.

We agree that a 10\% load factor is appropriate to represent the synergistic combination of employee's preexisting and primary disabilities. Employee's primary injury resulted in 30\% permanent partial disability of the left foot at the 110-week level, or 33 weeks of permanent partial disability. The sum of preexisting and primary permanent partial disability is 107.75 weeks. When we multiply the sum by the 10 % load factor, the result is 10.775 weeks.

We conclude that the Second Injury Fund is liable for 10.775 weeks of permanent partial disability benefits.

Award

We modify the award of the administrative law judge as to the extent of Second Injury Fund liability.

The stipulated rate of compensation is $\ 213.57. The Second Injury Fund is liable to employee for $\ 2,301.22 in permanent partial disability benefits.

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.

The award and decision of Administrative Law Judge Maureen Tilley, issued April 7, 2011, is attached hereto and incorporated herein to the extent not inconsistent with this decision and award.

Given at Jefferson City, State of Missouri, this $21^{\text {st }}$ day of March 2012.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

James Avery, Member

Curtis E. Chick, Jr., Member

Attest:

FINAL AWARD

Employee: Bobby D. Daniels

Injury No. 92-047005 \&

98-176977

Dependents: N/A

Employer: Noranda Aluminum, Inc.

Additional Party: Second Injury Fund

Insurer: Self

Hearing Date: January 31, 2011

Checked by: MT/rf

SUMMARY OF FINDINGS

  1. Are any benefits awarded herein?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Was the injury or occupational disease compensable under Chapter 287?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Was there an accident or incident of occupational disease under the law?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Date of accident or onset of occupational disease?

Injury No. 92-047005 - April 23, 1992

Injury No. 98-176977 - February 26, 1998

  1. State location where accident occurred or occupational disease contracted:

Injury No. 92-047005 - New Madrid County, Missouri

Injury No. 98-176977 - New Madrid County, Missouri

  1. Was above employee in employ of above employer at time of alleged accident or occupational disease?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Did Employer receive proper notice?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Did the accident or occupational disease arise out of and in the course of the employment?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Was claim for compensation filed within the time required by law?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Was the employer insured by the above insurer?

Injury No. 92-047005 - Yes.

Injury No. 98-176977 - Yes.

  1. Describe work employee was doing and how the accident happened or occupational disease contracted:

Injury No. 92-047005 - Employee was attempting to move a large electric motor from its base and drove a fiberglass rod through his left foot.

Injury No. 98-176977 - The employee developed bilateral carpal tunnel syndrome as a result of repetitive work as an electrician.

  1. Did the accident or occupational disease cause death?

Injury No. 92-047005 - No.

Injury No. 98-176977 - No.

  1. Parts of body injured by accident or occupational disease:

Injury No. 92-047005 - Left foot.

Injury No. 98-176977 - Right and Left upper extremities.

  1. Nature and extent of any permanent disability:

Injury No. 92-047005 - See findings.

Injury No. 98-176977 - See findings.

  1. Compensation paid to date for temporary total disability:

Injury No. 92-047005 - None.

Injury No. 98-176977 - None.

  1. Value necessary medical aid paid to date by employer-insurer:

Injury No. 92-047005 - $\ 823.90

Injury No. 98-176977 - \$2,041.27

  1. Value necessary medical aid not furnished by employer-insurer: N/A

18: Employee's Average Weekly Wage:

Injury No. 92-047005 - $\ 320.36

Injury No. 98-176977 - $\ 688.80

19: Weekly compensation rate:

Injury No. 92-047005 - $\ 213.57 for permanent partial disability.

Injury No. 98-176977 - $\ 459.20 for permanent total disability and $\ 278.42 for permanent partial disability.

20: Method wages computation: By agreement.

  1. Amount of compensation payable: See findings.
  2. Second Injury Fund liability: See findings.
  3. Future requirements awarded: None.

Said payments shall be payable as provided in the findings of fact and rulings of law, and shall be subject to modification and review as provided 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: Robert Butler.

FINDINGS OF FACT AND RULINGS OF LAW

On January 31, 2011, the employee, Bobby Daniels, appeared in person and by his attorney, Robert Butler, for a hearing for a final award on the two above listed claims. The Second Injury Fund was represented at the hearing by their attorney, Assistant Attorney General Jon Lintner. 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, for both cases are set forth below as follows.

UNDISPUTED FACTS: Injury No. 92-047005

  1. On or about April 23, 1992, Noranda Aluminum, Inc. was operating under and subject to the provisions of the Missouri Workers' Compensation Act and was a self-insured employer with a third party administrator of Sedgwick Claims Management Services.
  2. On or about April 23, 1992, the employee was an employee of Noranda Aluminum Inc. and was working under and subject to the provisions of the Missouri Workers' Compensation Act.
  3. On or about April 23, 1992, the employee sustained an accident arising out of and in the 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 in excess of that required to reach the maximum PPD rate of $\ 213.57.
  7. The employee's injury is medically causally related to the work injury on or about April 23, 1992.
  8. The employer has furnished $\ 823.90 in medical aid to employee.
  9. The employer paid no temporary total disability benefits.

ISSUES:

  1. Liability of the Second Injury Fund for permanent partial disability.

UNDISPUTED FACTS: Injury No. 98-176977

  1. On or about February 26, 1998, Noranda Aluminum, Inc. was operating under and subject to the provisions of the Missouri Workers' Compensation Act and was a self-insured employer with a third party administrator of Sedgwick Claims Management Services.
  2. On or about February 26, 1998, the employee was an employee of Noranda Aluminum Inc. and was working under and subject to the provisions of the Missouri Workers' Compensation Act.
  3. On or about February 26, 1998, the employee sustained an accident arising out of and in the 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.
  1. The employee's average weekly wage was $\ 688.80, and his rate of compensation is $\ 459.20 for temporary total disability/permanent total disability and $\ 278.42 for permanent partial disability.
  2. The employee's injury is medically causally related to the work injury on or about February 26, 1998.
  3. No medical was furnished by the employer.
  4. The employer paid no temporary total disability benefits.

ISSUES:

  1. Liability of the Second Injury Fund for Permanent total disability or in the alternative, permanent partial disability

EXHIBITS:

The following Employee Exhibits were offered and admitted into evidence for both cases:

A. Certified copy of Division of Workers' Compensation Records, including final award regarding primary injury;

B. Exhibits from primary trial for claim No. 92-047005;

a) Emergency Room Records Missouri Delta Medical Center

b) Office Notes Ferguson Medical Center

c) Dr. Raymond F. Cohen Rating report

C. Certified medical records of Veterans Affairs Medical Center.

D. Certified copy of Division of Workers' Compensation records, including Final Award.

E. Exhibits from primary trial for claim No. 98-176977;

a) 8/25/05 Deposition of Dr. Bruce Schlafly.

b) Dr. Rickey L. Lents Operative report

c) Orthopedic Associates medical Records

d) Medical Bills

ER1 Job Description

ER2 Are

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