Andrew Lukowski v. Macon Electric Cooperative
Decision date: February 1, 2013Injury #08-00194520 pages
Summary
The Commission affirmed the administrative law judge's award but modified the medical expense calculation by crediting employer-paid amounts of $3,141.88 and excluding $3,867.00 in non-work-related heel spur treatment expenses, reducing the medical award from $24,459.70 to $17,450.82. The award was affirmed in all other respects with attorney's fees approved as fair and reasonable.
Archive Notice
This archive contains published Missouri Labor and Industrial Relations Commission workers' compensation decisions reproduced for research convenience. Official source links remain authoritative where provided. Joseph Ott, Attorney 67889, Ott Law Firm - Constant Victory - Personal Injury and Litigation maintains these public legal archives to support Missouri case research and to help prospective clients connect that research to the firm's courtroom practice.
Related Legal Help
Practical guidance for this decision
Third-Party Injury Check
This workers' comp decision may point to a separate injury claim.
- A driver, contractor, property owner, or equipment company may share fault.
- The injury involved a vehicle, unsafe premises, defective equipment, or a non-employer vendor.
- A serious injury or death may need both benefits review and civil-claim analysis.
Caption
| FINAL AWARD ALLOWING COMPENSATION | |
| Injury No.: 08-001945 | |
| Employee: | Andrew Lukowski |
| Employer: | Macon Electric Cooperative |
| Insurer: | Missouri Electric Cooperative Insurance Plan |
| 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. ${ }^{1}$ 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 affirming the May 25, 2012, award and decision of the administrative law judge, as modified herein. 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.Employer asserts that the administrative law judge did not credit the past medical expense award with amounts employer paid for treatment of this injury. Employer's point is well-taken. The administrative law judge awarded the full amount of the medical expenses without credit for amounts paid directly to providers by employer.This case was tried with Injury No. 09-045934. The parties stipulated that employer paid $3,141.88 in medical expenses relative to the 2008 injury and that employer paid nothing on behalf of the 2009 injury. The billing records suggest that of that 3,141.88, employer paid 1,866.48 for treatment of the 2008 injury and $1,275.40 for treatment of the 2009 injury. However, we are bound to accept the parties' stipulation so we credit all of employer's payments to the injury in this case and none to the medical expenses incurred relative to the 2009 injury. ${ }^{2}$ | |
| Next, employer asserts that the administrative law judge awarded medical expenses in the amount of $3,867.00 for treatment of a heel spur that was not related to this work injury. Employee concedes this point.The administrative law judge awarded to employee medical expenses in the amount of 24,459.70. We must subtract from that amount employer's credit of 3,141.88 and the non-work-related heel spur expenses of 3,867.00. We reduce the award of medical expenses due from employer to 17,450.82. ${ }^{3}$ |
[^0] [^0]: ${ }^{1}$ Statutory references are to the Revised Statutes of Missouri 2007, unless otherwise indicated. ${ }^{2}$ The parties in each case are identical, so no party should be financially prejudiced by the misallocation. ${ }^{3} \ 24,459.70 - $\ 3,141.88 - $\$ 3,867.00=\ 17,450.82.
In all other respects we affirm the award of the administrative law judge.
We further approve and affirm 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 Vicky Ruth, issued May 25, 2012, is attached and incorporated by this reference, except to the extent modified herein.
Given at Jefferson City, State of Missouri, this $\qquad 1st \qquad$ day of February 2013.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
V A C A N T Chairman
James Avery, Member
Curtis E. Chick, Jr., Member
Attest:
Secretary
AWARD
Employee: Andrew Lukowski
Injury No. 08-001945
Dependents: N/A
Employer: Macon Electric Cooperative
Additional Party: Second Injury Fund
Insurer: Self-insured, Missouri Electric Cooperative Ins. Plan, c/o CCMSI as third-party administrator
Hearing Date: February 23, 2012
FINDINGS OF FACT AND RULINGS OF LAW
- Are any benefits awarded herein? Yes.
- Was the injury or occupational disease compensable under Chapter 287? Yes.
- Was there an accident or incident of occupational disease under the Law? Yes.
- Date of accident or onset of occupational disease: January 15, 2008.
- State location where accident occurred or occupational disease was contracted: Macon County, Missouri.
- Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes.
- Did employer receive proper notice? Yes.
- Did accident or occupational disease arise out of and in the course of the employment? Yes.
- Was claim for compensation filed within time required by Law? Yes.
- Was employer insured by above insurer? Yes.
- Describe work employee was doing and how accident occurred or occupational disease contracted: The employee slipped on a running board as he was exiting his truck.
- Did accident or occupational disease cause death? No. Date of death? N/A.
- Part(s) of body injured by accident or occupational disease: Right shoulder and right knee.
- Nature and extent of any permanent disability: 22 % of the right knee and 7 % of the right shoulder.
- Compensation paid to-date for temporary disability: $\ 3,514.41.
- Value necessary medical aid paid to date by employer/insurer? $\ 3,141.88.
- Value necessary medical aid not furnished by employer/insurer? See Award.
- Employee's average weekly wages: N/A.
- Weekly compensation rate: $\$ 664.89 / \ 389.04.
- Method of wages computation: By agreement.
COMPENSATION PAYABLE
- Amount of compensation payable from employer:
PPD (51.44 weeks x $\ 389.04 ): $\ 20,012.22.
TTD: $\ 10,452.07
Past Medical: $\quad \ 24,459.70
TOTAL: $\quad \ 54,923.99
- Second Injury Fund liability: $\ 10,367.92.
- Future medical awarded: Yes.
Said payments to begin immediately and to be payable and 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 (excluding future medical treatment) in favor of the following attorney for necessary legal services rendered to the claimant: Dean Christianson.
FINDINGS OF FACT and RULINGS OF LAW:
Employee: Andrew Lukowski
Injury No: 08-001945
Departments: N/A
Employer: Macon Electric Cooperative
Additional Party: Second Injury Fund
Insurer: Self-insured, Missouri Electric Cooperative Ins. Plan, c/o CCMSI as third-party administrator
Before the DIVISION OF WORKERS' COMPENSATION
Department of Labor and Industrial
Relations of Missouri
Jefferson City, Missouri
On February 23, 2012, Andrew Lukowski, Macon Electric Cooperative, Missouri Electric Cooperative Insurance Plan (MECIP), and the Second Injury Fund appeared for a final award hearing. This case was tried at the same time as Injury No. 08-001945. Andrew Lukowski, the claimant, was represented by attorney Dean Christianson. Attorney Joseph Page represented Macon Electric Cooperative/MECIP, the employer/insurer. The Second Injury Fund elected not to participate in the hearing. The claimant testified in person at the hearing. Dr. Mark Lichtenfeld, Dr. Bruce Schlafly, and Dr. Michael Nogalski testified by deposition. The Administrative Law Judge set a deadline of March 22, 2012, for the filing of briefs or proposed awards and the record closed at that time. Claimant and the employer/insurer submitted briefs/proposed awards; the Second Injury Fund did not.
STIPULATIONS
The parties stipulated to the following:
Injury No 08-001945
- On or about January 15, 2008, Andrew Lukowski (the claimant) was an employee of the Macon Electronic Cooperative (the employer).
- The parties were operating subject to the provisions of Missouri Workers' Compensation Law.
- The employer's liability for workers' compensation was self-insured through MECIP c/o CCMSI.
- The Missouri Division of Workers' Compensation has jurisdiction and venue in Macon County is proper.
- A Claim for Compensation was timely.
- Temporary disability benefits were paid in the amount of $\ 3,514.41, representing five and two-sevenths weeks of benefits for the period of January 16, 2008 through February 26, 2008.
- Medical treatment was provided in the amount of $\ 3,141.88.
- Notice is not an issue.
Injury No. 09-045934
- On or about June 24, 2009, claimant was an employee of the employer.
- The parties were operating subject to the provisions of Missouri Workers' Compensation Law.
- The employer's liability for workers' compensation was self-insured through MECIP c/o CCMSI.
- The Missouri Division of Workers' Compensation has jurisdiction and venue in Macon County is proper.
- A Claim for Compensation was timely filed.
- No temporary disability benefits were paid.
- No medical treatment was provided.
- Notice is not an issue.
ISSUES
The parties agreed that the following issues were to be resolved in this proceeding:
- Accident arising out of and in the course of employment.
- Medical causation.
- Nature and extent of permanent partial disability.
- Temporary total disability benefits.
- Unpaid medical.
- Future medical benefits.
- Second Injury Fund Liability.
EXHIBITS
On behalf of the claimant, the following exhibits were entered into evidence:
Exhibit A Deposition ${ }^{1}$ of Dr. Lichtenfeld.
Exhibit B Deposition of Dr. Schlafly.
Exhibit C Medical records from Moberly Medical Clinics.
Exhibit D Medical records from Samaritan Hospital.
Exhibit E Medical records from Kathleen Abernathy, physical therapist.
Exhibit F Medical records from Dr. Deline.
Exhibit G Medical records from Mid Missouri Physical Therapy.
Exhibit H Medical records from Columbia Orthopedic Group (4/19/08).
Exhibit I Medical records from Columbia Orthopedic Group (8/06/08).
Exhibit J Medical records from Columbia Orthopedic Group (1/11/09).
Exhibit K Medical records from Columbia Orthopedic Group (5/17/09).
Exhibit L Medical records from Columbia Orthopedic Group (6/12/10).
Exhibit M Medical bill exhibit.
[^0]
[^0]: ${ }^{1}$ All depositions were received subject to the objections contained therein.
Exhibit N Report of Injury form (1/15/08).
Exhibit O Demand for medical care letter.
The following exhibits were admitted on behalf of the employer/insurer:
Exhibit 1 Deposition of Dr. Nogalski.
Exhibit 2 Report of Dr. Nogalski - 11/30/11.
Exhibit 3 Medical bill summary with adjustments.
Note: All marks, handwritten notations, highlighting, or tabs on the exhibits were present at the time the documents were admitted into evidence.
FINDINGS OF FACT
Based on the above exhibits and the testimony presented at the hearing, I make the following findings:
- Claimant was born on January 3, 1961; at the time of the hearing he was 51 years old. He currently lives in Macon, Missouri. Claimant is a high school graduate. In addition, he completed some post-secondary education and training.
- Claimant has worked for the employer since May 19, 1989. His current position is as a ground man operator. It is his job to set up sites for the linemen, including shoveling, running a truck, setting poles, pulling wires, etc.
- While working on January 15, 2008, claimant stepped up into the cab of his truck (Injury No. 08-001945). The cab was rather high, and was reached by climbing up two steps. Claimant slipped as he stepped up. As he slipped, he grabbed for the steering wheel with his right hand and his left foot slipped off the step and nearly touched the ground. This left his right knee in an awkwardly bent position and some of his weight was hanging from his right arm. He felt pain and stiffness in his knee and shoulder, although the knee was worse.
- Claimant reported the injury and was sent to Dr. Joseph Quaranto for medical care. The doctor evaluated claimant and also had him evaluated in the emergency room. Dr. Quaranto asked him which of his two problems was worse, the knee or the shoulder. Claimant indicated that the knee was worse, so Dr. Quaranto focused on that injury.
- Claimant was then referred to Dr. Thornburg at the Columbia Orthopedic Group. Dr. Thornburg evaluated claimant, noting that he was authorized to treat the right knee but not the shoulder. Dr. Thornburg performed an MRI and a cortisone
Full decision text continues in the plain-text archive copy.