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Richard Wooley v. Belo Corporation

Decision date: April 18, 201440 pages

Summary

The Missouri LIRC modified the administrative law judge's award in this workers' compensation case involving a deceased employee's claim, rejecting the retroactive application of 2005 strict construction amendments. The Commission adopted a 'loading factor' methodology to calculate Second Injury Fund liability for permanent partial disability benefits related to a right shoulder injury sustained in 2002.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Modifying Award and Decision of Administrative Law Judge)
Employee:Richard Wooley, deceased
Claimant:Pamela Michele Wooley, widow
Employer:Belo Corporation (Settled)
Insurer:Lumbermen’s Mutual Casualty Co. (Settled)
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 parties’briefs, heard the parties’ arguments, and considered the whole record. Pursuant to § 286.090 RSMo, we modify the 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 Strict construction is not retroactiveThe parties correctly note that the administrative law judge applied the 2005 amendments to the Missouri Workers’ Compensation Law to this claim involving a work injury sustained in 2002. Specifically, the administrative law judge relied upon the rule of strict construction contained in the post-2005 version of § 287.800 RSMo in reading the provisions of § 287.220.1 RSMo to authorize his method of calculating Second Injury Fund liability for permanent partial disability benefits. We must disclaim the administrative law judge’s application of the 2005 amendments, because the Missouri courts have made clear that the amendment requiring strict construction of Chapter 287 is not retroactive. See, e.g., Eason v. Treasurer of State, 371 S.W.3d 886, 889 (Mo. App. 2012)(holding that “because strict construction of the workers’ compensation statutes could change, redefine, or regulate rights in a manner differently than with a liberal construction, we cannot retrospectively apply strict construction to the workers’ compensation statutes”).We acknowledge the administrative law judge’s effort to give effect to the plain language of the statute in starting with a “body as a whole” rating for the employee and deducting weeks of disability attributable to preexisting conditions and the primary injury. With that said, we will continue the well-established practice among workers’ compensation practitioners, attorneys, administrative law judges, and the Commission of using a “loading factor” to account for the synergistic effect between preexisting and primary disabilities. The use of a loading factor removes the guesswork of attempting to start with a global “body as a whole” rating that includes preexisting and primary disabilities as well as the synergy between them. It also avoids the absurdity that results where the simple sum of an employee’s preexisting and primary disabilities exceeds 400 weeks, or where, as here, an employee has several claims for permanent partial disability benefits pending against the Second Injury Fund. As seen in the administrative law judge’s award in this case, the administrative law judge was required to disregard his own earlier findings regarding employee’s preexisting and primary disabilities in order to avoid the absurd result of employee “running out of weeks” based

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upon the apparent and (we believe) erroneous assumption that 400 weeks of disability necessarily means a totally disabled employee. In our view, the use of a loading factor avoids these difficulties and provides an efficient and transparent method of carrying out the statutory calculation, and we believe it is authorized both under the law as it existed before 2005 as well as under a strict construction of § 287.220.1.

We calculate Second Injury Fund liability as follows. We find that, as a result of the primary injury, employee suffered 15 % permanent partial disability of the right shoulder ( 34.8 weeks), as well as 12.5 % permanent partial disability of the body as a whole referable to the low back ( 50 weeks). We find that, at the time he sustained the primary injury, employee suffered from the following preexisting permanent partially disabling conditions: 30 % of the left knee ( 48 weeks), 15 % of the right knee ( 24 weeks), 15 % of the body as a whole referable to the low back ( 60 weeks), 10 % of the body as a whole referable to obesity ( 40 weeks), 20 % of each wrist ( 70 weeks), and 24.2 weeks referable to permanent partial disability enhancement as reflected in our award in Injury No. 02-136578. The sum of employee's preexisting and primary disabilities is 351 weeks. Applying a 10 % loading factor to account for the synergistic interaction between employee's preexisting and primary disabilities, we conclude that the Second Injury Fund is liable for 35.1 weeks of enhanced permanent partial disability.

Conclusion

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

The Second Injury Fund is liable for $\ 11,938.21 in permanent partial disability benefits.

The award and decision of Administrative Law Judge Joseph E. Denigan, issued May 3, 2013, is attached and incorporated by this reference to the extent not inconsistent with our award and decision herein.

The Commission approves and affirms the administrative law judge's allowance of an 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 $18^{\text {th }}$ day of April 2014.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

John J. Larsen, Jr., Chairman

James G. Avery, Jr., Member

Curtis E. Chick, Jr., Member

Attest:

FINAL AWARD

Employee: Richard Wooley (deceased) Injury No.: 02-122940

Dependent: Pamela Michelle Wooley (spouse) Before the

Employer: Belo Corp./KMOV (settled) Division of Workers'

Additional Party: The Treasurer of State of Missouri Relations of Missouri as Custodian for Second Injury Fund Jefferson City, Missouri

Insurer: Lumberman's Mutual Casualty Co. (settled)

Hearing Date: February 4, 2013 Checked by:

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: November 7, 2002
  5. State location where accident occurred or occupational disease was contracted: City of St. Louis, 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: Bilateral carpal tunnel syndrome
  12. Did accident or occupational disease cause death? No Date of death? 5/20/07
  13. Part(s) of body injured by accident or occupational disease: Right shoulder, right elbow and low back
  14. Nature and extent of any permanent disability: Permanent partial disability against Employer settled for 15 % of the right shoulder and 12.5 % of the body as a whole (low back)
  1. Compensation paid to-date for temporary disability: N/A
  2. Value necessary medical aid paid to date by employer/insurer? $\ 2,836.01
  3. Value necessary medical aid not furnished by employer/insurer? N/A
  4. Employee's average weekly wages: $\quad \ 1,050.00
  5. Weekly compensation rate: $\ 340.12
  6. Method wages computation: Stipulation

COMPENSATION PAYABLE

  1. Amount of compensation payable: Settled against Employer
  2. Second Injury Fund liability:

70.96 weeks @ \$340.12/week

TOTAL: $\quad \ 24,134.92

  1. Future requirements awarded: N/A

Said payments to begin immediately and be subject to modification and review as provided by law.

The compensation awarded to the Employee/Spouse shall be subject to an attorney's lien in the amount of 25 % of all payments hereunder in favor of the following attorney for necessary legal services rendered to the Employee/Spouse: Charles W. Bobinette

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Richard Wooley (deceased) Injury No.: 02-122940

Dependent: Pamela Michelle Wooley (spouse) Before the

Employer: Belo Corp./KMOV (settled) Division of Workers'

Additional Party: The Treasurer of State of Missouri Relations of Labor and Industrial as Custodian for Second Injury Fund Jefferson City, Missouri

Insurer: Lumberman's Mutual Casualty Co. (settled)

Hearing Date: February 4, 2013 Checked by:

PRELIMINARIES

The parties appeared before the undersigned Administrative Law Judge for a hearing to determine the liability of the Second Injury Fund ("Fund") in the above-referenced workers' compensation claim. The primary injury was settled with the Employer, Belo Corp./KMOV, and its insurer, Lumberman's Mutual Casualty Co. (collectively, "Employer"). Pamela Michelle Wooley ("Spouse") appeared in the stead of her deceased husband, Richard Wooley ("Claimant"). Attorney Charles W. Bobinette represented Claimant/Spouse. Assistant Attorney General, Kevin Nelson, represented the Treasurer of the State of Missouri as Custodian for the Fund. The claim was heard with companion Injury Nos. 02-136578 (D/I: 8/12/02) and 03-072601 (D/I: 7/10/03).

SUGGESTION OF CLAIMANT'S DEATH <br> AND MOTION TO SUBSTITUTE SPOUSE AS PARTY

On September 18, 2007, Spouse filed her suggestion of Claimant's death and motion to substitute her as a party. Spouse's motion was granted without objection.

STIPULATIONS

The parties stipulated:

  1. Claimant sustained an accidental injury arising out of and in the course of his employment on or about $11 / 7 / 02.
  2. The average weekly wage is \ 1,050.00. Applicable rates for compensation are $\ 659.32 for temporary total disability ("TTD") and $\ 340.12 for permanent partial disability ("PPD").
  3. Employer paid $\ 2,836.01 in medical expenses and $\ 0.00 in TTD benefits.

ISSUES

  1. The liability of the Fund (all statutory elements); and
  2. Spouse's entitlement to Claimant's accrued and unpaid PPD benefits under $\S 287.230 .1 RSMo. (2000) and PTD benefits under \S 287.230 .2$ RSMo. (2000) and Schoemehl v. Treasurer of State, 217 S.W.3d 900 (Mo.banc. 2007).

EXHIBITS

  1. Claimant/Spouse's Exhibits A-A - A-S were admitted into evidence without objection.
  2. The Fund's combined Exhibit 1 was admitted into evidence without objection.

FINDINGS OF FACT

  1. Claimant was born on April 7, 1952. He died on May 20, 2007 from causes unrelated to his diagnosed work-related occupational disease [Injury No. 02-136578 (D/I: 8/12/02)] and two accidental injuries: Injury No. 02-122940 (D/I: 11/7/02) and Injury No. 03-072601 (D/I: 7/10/03) [Ex. A-Q-2 (Certificate of Death)].
  2. Claimant and Spouse were lawfully married on January 9, 1975 [Ex. A-Q-1 (Marriage Certificate)]. Since then, they resided together as husband and wife and Spouse remained dependant on Claimant until his death.
  3. Three children were born of the marriage: Cody Megan Wooley (D/O/B: 7/17/78), Sara Michelle Wooley (D/O/B: 7/29/81) and Zachary Michael Wooley (D/O/B: 11/8/82). Claimant sired no other children. At the time of Claimant's death, the children were emancipated.
  4. Between 1975 and 1980, Claimant was self-employed, rehabbing and repairing houses. Claimant also drove a truck for a contractor who did work for Granite City Steel. The work was unstable and Claimant quit after Employer offered him a full-time staff position in December 1982.
  5. In 1982, Claimant graduated with a B.S. degree in Mass Communications from Southern Illinois University of Edwardsville.
  6. Claimant worked for Employer from September 1981 to July 2003 as a writer/producer reading, writing and editing news copy and editing videotapes [Ex. A-R].
  7. On November 7, 2002, Claimant stepped into the stairwell at work and tripped on a bolt sticking out of the floor causing him to fall three feet, striking his head, righ

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

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