Skip to content
Ott Law Firm

Roy Franklin v. Mitchell Mill Systems USA, Inc.

Decision date: October 22, 2020Injury #14-02567827 pages

Summary

The Commission modified the Administrative Law Judge's award in a workers' compensation case involving Roy Dale Franklin's occupational disease injury to his lumbar spine with onset in April 2014. The employee was found to be permanently and totally disabled with Second Injury Fund liability, though the Commission clarified the application of § 287.220.3 RSMo regarding which preexisting disabilities qualify for consideration.

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

Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION

FINAL AWARD ALLOWING COMPENSATION

(Modifying Award and Decision of Administrative Law Judge)

**Injury No.:** 14-025678

**Employee:** Roy Dale Franklin

**Employer:** Mitchell Mill Systems USA, Inc.

**Insurer:** Accident Fund Insurance Company of America

**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, 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.

Preliminaries

Employee claimed occupational disease based on progressive injury to his lumbar spine with onset of April 12, 2014. Employee had preexisting conditions that included disability to his right knee, right and left shoulders, low back, and bilateral carpal tunnel syndrome. He alleged permanent total disability against employer/insurer or the Second Injury Fund.

The parties asked the administrative law judge to determine the following issues:

  1. Nature and extent of permanent disability, if any, attributable to employee's April 12, 2014, occupational disease injury;
  2. Liability of the Second Injury Fund or employer/insurer if permanent partial disability or permanent total disability is found; and
  3. Future medical.

Administrative Law Judge Karen Wells Fisher found:

- Employee was very credible; his testimony was "genuine, honest, reliable, and trustworthy."

- Employee was not permanently and totally disabled based solely on disability from the primary occupational disease injury in isolation.

- Employee's primary occupational disease injury was the prevailing factor that caused him to suffer 17.5% PPD to the body as a whole.

- Employee is permanently and totally disabled with Second Injury Fund liability.

- The evidence and testimony at hearing established employee's entitlement to future medical.

*Award, p. 17.*

MNKOI 0000811616

Injury No. 14-025678

Employee: Roy Dale Franklin

- 2 -

The administrative law judge's award did not specifically cite or apply 287.220.3(2) RSMo to employee's April 12, 2014, claim.

The Second Injury Fund filed a timely application for review to the Commission alleging the administrative law judge erred in awarding permanent total disability against the Second Injury Fund for the following reasons:

  1. The Administrative Law Judge failed to apply the correct law, § 287.220.3 RSMo, to employee's post-January 1, 2014, injury.
  2. Application of the correct law, § 287.220.3 RSMo disqualifies several of employee's preexisting disabilities considered by the administrative law judge from being taken into consideration in determining Second Injury Fund liability.
  3. Employee failed to prove that he is permanently and totally disabled as a result of his occupational disease in combination with preexisting disabilities that qualify for Second Injury Fund liability under § 287.220.3 RSMo.

On August 23, 2019, employee filed "Employee's Answer to the Second Injury Fund's Application for Review and, Alternatively, Employee's Application for Review (Answer)". Employee's Answer urged the Commission to affirm the administrative law judge's award or, in the alternative, to remand the Award to the Administrative Law Judge "for further clarification of the basis of [her] decision under the proper analytical framework for § 287.220.3, RSMo. [and] to amend the Award to clarify the basis of the decision under the correct analytical framework in light of the Cosby decisions."

Employer/insurer also requested the Commission to affirm the award of the ALJ or, alternatively, to remand to the Division of Workers' Compensation for further proceedings and clarification of the ALJ's determination.²

No party disputed the administrative law judge's finding that employee is permanently and totally disabled and that employer is obligated to provide future medical treatment pursuant to § 287.140 RSMo.

On July 28, 2020, the Commission issued an order that construed employee's alternative proposed application for review requesting a remand to the administrative law judge as inconsistent with the Commission's duty, pursuant to the Second Injury Fund's application for review and §§ 287.480 and 286.090 RSMo, to review the administrative law judge's award and issue its own findings of fact and conclusions of law. The order denied the remand motion and invited the parties to file supplemental briefs addressing the issues raised in the Second Injury Fund's application for review.

For the reasons stated below, we modify the award and decision of the administrative law judge referable to the issue of Second Injury Fund liability.

² Brief of Respondent Employer and Insurer, filed December 2, 2019, p. 21.

Injury No. 14-025678

Employee: Roy Dale Franklin

- 3 -

Applicable law

Employee claimed permanent total disability benefits against the employer/insurer or the Second Injury Fund. Because employee's primary injury occurred after January 1, 2014, we must apply the new criteria set forth under § 287.220.3(2) RSMo for establishing a compensable claim against the Second Injury Fund. See *Cosby v. Treasurer*, 579 S.W.3d 202 (Mo. banc 2019).

In relevant part, the statute provides as follows:

> Claims for permanent total disability under section 287.200 against the second injury fund shall be compensable only when the following conditions are met:

>

> (a) a. An employee has a medically documented preexisting disability equaling a minimum of fifty weeks of permanent partial disability compensation according to the medical standards that are used in determining such compensation which is:

>

> (i) A direct result of active military duty in any branch of the United States Armed Forces; or

>

> (ii) A direct result of a compensable injury as defined in section 287.020 [emphasis added]; or

>

> (iii) Not a compensable injury, but such preexisting disability directly and significantly aggravates or accelerates the subsequent work-related injury and shall not include unrelated preexisting injuries or conditions that do not aggravate or accelerate the subsequent work-related injury; or

>

> (iv) A preexisting permanent partial disability of an extremity, loss of eyesight in one eye, or loss of hearing in one ear, when there is a subsequent compensable work-related injury as set forth in subparagraph b of the opposite extremity, loss of eyesight in the other eye, or loss of hearing in the other ear; and

>

> b. Such employee thereafter sustains a subsequent compensable work-related injury that, when combined with the preexisting disability, as set forth in items (i), (ii), (iii), or (iv) of subparagraph a. of this paragraph, results in a permanent total disability as defined under this chapter[.]

§ 287.220.3(2) RSMo.

Pursuant to § 287.800.1 RSMo, we must strictly construe the language of Chapter 287. As our courts have instructed:

> A strict construction of a statute presumes nothing that is not expressed. ... [I]t means that everything shall be excluded from its operation which

Injury No. 14-025678

Employee: Roy Dale Franklin

- 4 -

does not clearly come within the scope of the language used. Moreover, a strict construction confines the operation of the statute to matters affirmatively pointed out by its terms, and to cases which fall fairly within its letter. The clear, plain, obvious, or natural import of the language should be used, and the statutes should not be applied to situations or parties not fairly or clearly within its provisions.

Allcorn v. Tap Enters., 277 S.W.3d 823, 828 (Mo. App. 2009) (citations omitted).

We wish to make clear our understanding that the Cosby, supra, works the effect that § 287.220.3 RSMo applies to employee's claim against the Second Injury Fund herein. That said, irrespective of whether an employee's Second Injury Fund claim is subject to § 287.220.2 or § 287.220.3 RSMo, we must first address the issue of the nature and extent of disability attributable to employee's primary occupational disease injury.

Disability attributable to employee's primary injury

Employee is sixty-six years of age. He had no training or education since graduating from high school. Employee's fifty-eight hour a week job as a welder for employer from 2006 to 2014 included frequently lifting fifty or more pounds, carrying, squatting, and kneeling. Employee had a number of preexisting conditions. He returned to heavy labor and worked fifty-eight hours per week after multiple injuries and surgeries relating to his right knee, right and left shoulders, low back, and bilateral carpal tunnel syndrome.

Employee asked employer to excuse him from certain types of work due to his back condition. Employer refused this request. While working on welding derricks from 2013-2014, employee's sciatica returned and his back condition worsened. On Sunday, April 13, 2014, he could not get out of bed.

Initially, employer told employee to stay home until he felt better. After employee consulted attorney Andrew Wood, employer referred employee to OccuMed. Employer's physician Dr. Estep documented employee's report of back pain and released him to return to work with restrictions that included no lifting, pushing, pulling or carrying more than ten pounds. Employer assigned employee to office work. Employee's condition did not improve after therapy, epidural steroid injections and traction. He never returned to his prior job on the floor.

Employee's expert Dr. Brent Koprivica conceded employee had industrially disabling limitations prior to 2014 but opined that if employee was permanently and totally disabled, it was due to the primary injury in isolation. Dr. Koprivica deferred to a vocational expert as to whether employee was permanently and totally disabled. Dr. Koprivica alternatively opined that if a fact finder found that employee's permanent total disability was not due to the primary injury, that he would assign 25% PPD to the primary injury. Dr. Koprivica further stated that when he took into account employee's total preexisting disabilities in combination with his April 2014 occupational disease claim he considered employee permanently and totally disabled. Finally, Dr. Koprivica testified that even assuming employee's prior lumbar condition and right knee disability were disregarded he would be permanently and totally disabled based on the combination of his primary injury and bilateral hand and shoulder condition.

Injury No. 14-025678

Employee: Roy Dale Franklin

- 5 -

Vocational rehabilitation expert Phillip Eldred noted that employee, a high school graduate, tested at the 7th grade level in word reading, the 5th grade level in spelling, and the 10th grade level in math. Mr. Eldred opined that employee could not return to less than sedentary work and identified no transferable skills for sedentary work. Based on his review of employee's medical restrictions, Mr. Eldred considered employee permanently and totally disabled as a result of his April 12, 2014, injury in isolation.

After testing of employee's reading, sentence comprehension, spelling and math ability, vocational rehabilitation expert Kristine Skahan identified a list of his transferable skills. She opined that employee was place-able in the competitive open labor market in entry-level work that would allow for a change of position. She suggested possible positions as telemarketer, photocopy machine operator, document scanner/imaging specialist, hospital clerk, surveillance monitor, scale house operator, shipping receiving weigher, or gas station cashier. Ms. Skahan acknowledged that employee had no experience in any of these jobs and t

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

Related Decisions

affirmed

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award allowing workers' compensation benefits for Jason L. Collins' occupational disease claim involving cumulative trauma to his back and right lower extremity sustained while employed as a truck driver/laborer. The Commission rejected the employer's argument that an untimely answer resulted in admission of all facts including legal conclusions about whether the injury arose out of employment.

occupational disease9,505 words
affirmed

The Labor and Industrial Relations Commission affirmed the administrative law judge's award of death benefits to the widow of Russell Hayes, a volunteer firefighter killed in the line of duty. The majority awarded death benefits at the statutory minimum wage rate of $40.00 per week, though a dissenting opinion argued for a higher wage determination based on the statutory provisions for calculating average weekly earnings.

occupational disease5,849 words
affirmed

The Labor and Industrial Relations Commission affirmed the administrative law judge's award denying compensation to Carl Hanes for an alleged occupational disease from radiation exposure at the Department of Corrections. The Commission found the employee failed to provide proper notice and that the injury did not arise out of and in the course of employment, resulting in no benefits awarded.

occupational disease6,305 words
affirmed

The Labor and Industrial Relations Commission affirmed the administrative law judge's award of workers' compensation benefits to Elizabeth A. Steele for injuries sustained when a patient slammed his leg down on her head, neck, and shoulders while she was working as a critical care unit nurse. The Commission found the award was supported by competent and substantial evidence and determined the employee is entitled to permanent and total disability benefits.

occupational disease10,794 words

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's Temporary or Partial Award in a workers' compensation case for employee Cynthia Porter, finding the award supported by competent and substantial evidence. The Commission upheld the ALJ's determination that the claimant's diabetes was well-controlled, rejecting the employer/insurer's challenge to this medical finding.

occupational disease7,008 words