(Affirming Award and Decision of Administrative Law Judge)
Injury No. 10-019420
Employee: Robin Smith
Employers: 1) Premium Transportation Staffing, Inc./Premium of North Carolina
2) Wil Trans Trucking Company
Insurer: 1) Travelers Indemnity Company of America
2) Uninsured
Additional Party: Treasurer of Missouri as Custodian of Second Injury Fund (Dismissed)
The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 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 § 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated November 3, 2015. The award and decision of Administrative Law Judge Victorine R. Mahon, issued November 3, 2015, 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 April 2016.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
John J. Larsen, Jr., Chairman
James G. Avery, Jr., Member
Curtis E. Chick, Jr., Member
Attest:
| Issued by MISSOURI DIVISION OF WORKERS’ COMPENSATION |
| AWARD |
| Employee: | Robin Smith | Injury No. 10-019420 |
| Dependents: | N/A |
| Employer: | 1) Premium Transportation Staffing Inc./ Premium of North Carolina; 2) Wil Trans Trucking Company | Before the DIVISION OF WORKERS’ COMPENSATION Department of Labor and Industrial Relations of Missouri Jefferson City, Missouri |
| Additional Party: | Treasurer of State of Missouri as Custodian of Second Injury Fund (Dismissed) |
| Insurer: | Travelers Indemnity Company of America |
| Hearing Date: | September 3, 2015 | Checked by: VRM |
| 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: March 17, 2010. |
| 5. | State location where accident occurred or occupational disease was contracted: Denver, Colorado. |
| 6. | Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes – as to Premium Transportation Staffing, Inc. and Premium of North Carolina. |
| 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: Claimant injured her left arm when pulling a pin on a commercial vehicle. |
| 12. | Did accident or occupational disease cause death? No. | Date of death? N/A. |
| 13. | Part(s) of body injured by accident or occupational disease: Left arm. |
| Issued by MISSOURI DIVISION OF WORKERS’ COMPENSATION Employee: | Robin Smith | Injury No.: 10-019420 |
| 14. | Nature and extent of any permanent disability: Permanent and total disability. |
| 15. | Compensation paid-to-date for temporary disability: $44,793.01. |
| 16. | Value necessary medical aid paid to date by employer/insurer? $28,390.88. |
| 17. | Value necessary medical aid not furnished by employer/insurer? $1,325.48. |
| 18. | Employee’s average weekly wages: $1,166.19. |
| 19. | Weekly compensation rate: $777.50 (TTD & PTD) / $422.97 (PPD). |
| 20. | Method wages computation: By agreement. |
| COMPENSATION PAYABLE |
| 21. | Amount of compensation payable: |
| For accrued permanent total disability from April 17, 2013 to September 3, 2015 (124 1/7 weeks), at the weekly benefit amount of $777.50 = $96,521.07 |
| Less the $5,000 advance against permanent disability = | - 5,000.00 |
| Past medical benefits = | TOTAL: |
| 22. | Second Injury Fund liability: Not applicable. |
| 23. | Future requirements awarded: |
| Employer/Insurer shall pay permanent total disability benefits each week, beginning April 17, 2013, at the rate of $777.50 per week, and continuing for the remainder of Claimant’s lifetime. The amount of accrued benefits are set forth above, together with the credit due Employer/Insurer for its advance of benefits. |
| Employer/Insurer also shall pay Claimant future medical benefits to cure and relieve the effects of the work injury consistent with the opinion of Dr. Parmet. |
| This Award is subject to review and modification as provided by law. Interest shall be paid as provided by law. |
| The compensation awarded to Claimant shall be subject to a lien of 25 percent of all amounts (less the previous offer of $1,480.40) in favor of the following attorney for necessary legal services provided to Claimant: Stacey Page. |
| Issued by MISSOURI DIVISION OF WORKERS’ COMPENSATION |
| Employee: | Robin Smith |
| Implye: |
| Employee: | Robin Smith |
| Dependents: | N/A |
| Employer: | 1) Premium Transportation Staffing Inc./ |
| Premium North Carolina; |
| 2) Wil Trans Trucking Company |
| Additional Party: | Treasurer of State of Missouri as |
| Custodian of Second Injury Fund (Dismissed) |
| Insurer: | Travelers Indemnity Company of America |
| Hearing Date: | September 3, 2015 |