Employee: Donald Davis
Injury No. 07-050555
Dependents: N/A
Employer: Ozarks Coca-Cola / Dr. Pepper Bottling Company
Insurer: Self-insured / Corporate Claims Management, Inc. (TPA)
Additional Party: Treasurer of Missouri, as the Custodian of the Second Injury Fund
The above-referenced workers' compensation claim was heard before the undersigned Administrative Law Judge on June 22, 2016. The parties were afforded an opportunity to submit briefs or proposed awards, resulting in the record being completed and submitted to the undersigned on or about August 1, 2016.
The employee appeared personally and through his attorney Paul Reichert, Esq. The employer and insurer appeared through their attorney, Jerry Harmison, Esq. The Second Injury Fund appeared through its attorney, Catherine Goodnight, Assistant Attorney General.
The parties entered into a stipulation of facts. The stipulation is as follows:
(1) On or about June 6, 2007, Ozarks Coca-Cola / Dr. Pepper Bottling Company was an employer operating under and subject to The Missouri Workers' Compensation Law, and during this time was fully self-insured as required by Chapter 287, RSMo. (At all times relevant to this case the employer utilized Corporate Claims Management as a third-party administrator.)
(2) On the alleged injury date of June 6, 2007, Donald ("Brad") Davis was an employee of the employer, and was working under and subject to The Missouri Workers' Compensation Law.
(3) On or about June 6, 2007, the employee sustained an accident, which arose out of and in the course of his employment with the employer.
(4) The above-referenced employment and accident occurred in Taney County, Missouri. The parties agree to venue lying in Greene County, Missouri. Venue is proper.
(5) The employee notified the employer of his injury as required by Section 287.420, RSMo.
(6) The Claim for Compensation was filed within the time prescribed by Section 287.430, RSMo.
(7) At the time of the alleged accident of June 6, 2007, the employee's average weekly wage was $\ 559.80, which is sufficient to allow a compensation rate of $\ 373.20 for temporary total disability compensation, permanent total disability compensation, and permanent partial disability compensation.
(8) Temporary total disability compensation has not been provided to the employee.
(9) The employer and insurer have provided medical treatment to the employee, having paid $\ 5,002.32 in medical expenses.
(10) In regard to the accident and injury of June 6, 2007, the employee reached maximum medical improvement on May 26, 2009.
The issues to be resolved by hearing include:
(1) Whether the employer and insurer are obligated to pay for certain past medical care and expenses?
(2) Whether the employee has sustained injuries that will require additional or future medical care in order to cure and relieve the employee from the effects of the injuries?
(3) Whether the employee sustained any permanent disability as a consequence of the claimed accident of June 6, 2007; and, if so, what is the nature and extent of the disability?
(4) Whether the Treasurer of Missouri, as the Custodian of the Second Injury Fund, is liable for payment of additional permanent partial disability compensation or permanent total disability compensation?