COMMONWEALTH OF KENTUCKY, DEPARTMENT OF TRANSPORTATION v. LINDA THOMPSON; ROBERT WHITTAKER, DIRECTOR OF SPECIAL FUND; HON. SHEILA C. LOWTHER, CHIEF ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED:
DECEMBER 15, 2000; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2000-CA-000408-WC
COMMONWEALTH OF KENTUCKY,
DEPARTMENT OF TRANSPORTATION
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-93-03937
v.
LINDA THOMPSON;
ROBERT WHITTAKER,
DIRECTOR OF SPECIAL FUND;
HON. SHEILA C. LOWTHER,
CHIEF ADMINISTRATIVE LAW JUDGE;
AND WORKERS’ COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
DYCHE, KNOPF, AND McANULTY, JUDGES.
KNOPF, JUDGE:
This is an appeal from an opinion and order by the
Workers’ Compensation Board (Board), affirming a decision by the
Chief Administrative Law Judge (CALJ) which overruled the
employer’s motion to reopen.
The employer sought to recover an
overpayment of income benefits out of future payments owed to the
claimant by the Special Fund.
The CALJ and the Board determined
that the employer was not entitled to recover a voluntary
overpayment of income benefits where that recovery would
adversely affect payment of future income benefits to the
claimant.
We agree with the Board, and hence, we affirm.
The underlying facts of this action are not in dispute.
Linda Thompson sustained a work-related injury on January 26,
1993, while in the employ of the appellant, Commonwealth of
Kentucky, Department of Transportation (DOT).
On May 14, 1995,
Thompson entered into a settlement agreement with DOT and the
Special Fund based upon a twenty-five percent occupational
disability.
Pursuant to this agreement, Thompson was to have
received periodic payments spanning 425 weeks, beginning May 3,
1993.
DOT was liable for payments for the first 212.5 weeks from
and after May 3, 1993.
Thereafter, the Special Fund was to make
payments for the remaining 212.5 weeks.
DOT’s 212.5 week period should have ended on May 29,
1997.
However, due to a mistake on DOT’s part, DOT continued to
pay benefits through December 31, 1997, resulting in an
overpayment of $1,404.13.
After realizing its error, DOT filed a
motion to reopen on March 9, 1999.
DOT requested that the
Special Fund’s payment of benefits to Thompson should be directed
to DOT for a period of thirty weeks until the overpayment was
recovered.
By order rendered April 14, 1999, the arbitrator
overruled DOT’s motion.
DOT subsequently requested a de novo
review, which was assigned to the CALJ.
The CALJ, relying on
Triangle Insulation & Sheet Metal Co. v. Stratemeyer, Ky., 782
S.W.2d 628 (1990), held that DOT’s overpayments to Thompson must
be characterized as voluntary, because the overpayment cannot be
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credited against future benefits.
The Board agreed with the
CALJ’s reasoning, and this appeal followed.
We agree that this case involves an issue of first
impression.
However, as noted by both the CALJ and the Board,
the policies set out by the Supreme Court of Kentucky in Triangle
Insulation v. Stratemeyer are relevant to a consideration of the
issues presented.
DOT argues that Stratemeyer is limited to the
situation in which prior to an award the employer makes payments
of temporary total disability (TTD) benefits, and those payments
are determined to be in excess of the amounts ultimately awarded.
In contrast, DOT’s overpayments were made following the award.
DOT also notes that the Board’s denial of a credit for the
overpayment and unfairly penalizing it for an innocent mistake,
gives Thompson a windfall.
Thompson responds that the CALJ and
the Board analyzed the issue correctly.
Thompson also disputes
DOT’s “assumption” that she received a double payment during the
period in which DOT paid benefits by mistake.1
In Triangle Insulation v. Stratemeyer, the employer
paid voluntary benefits to the employee at the rate of $240.12
per week from December 21, 1983 through November 26, 1984.
Thereafter, the "old" Board determined that the employee was
temporarily totally disabled from December 21, 1983 through
September 25, 1984, and awarded benefits at the same rate for
that period.
The employee was found to be thirty-eight percent
1
In its brief, DOT states that “we assume that the Special
Fund began making its payments pursuant to law”. However, there
was no evidence offered concerning when the Special Fund’s
payments to Thompson commenced.
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permanently partially disabled, with the employer found liable
for twenty-eight percent and the Special Fund liable for the
remaining ten percent.
The employee was awarded $79.14 per week
for 425 weeks beginning September 25, 1984.
Since the employer
made voluntary payments of $240.12 for an additional 8.86 weeks,
the "old" Board included a provision allowing the employer credit
for payments of compensation previously made.
In considering the circumstances under which a dollarfor-dollar credit is appropriate, the Supreme Court analyzed the
case law as follows:
[General Electric Co. v. Morris, Ky.,
670 S.W.2d 854 (1984)] is factually
distinguishable from this case. The rationale
supporting the conclusion and holding in
Morris was concerned with the effects on the
employee's future benefits. The primary
concern of the majority in Morris was the
effect on the employee of the loss of future
payments. If the employer were to receive
credit on a dollar for dollar basis, the sum
of the future weekly benefits to be paid to
the employee could be diminished, with the
employee being deprived of many future
periodic payments. This Court recognized that
not allowing a full credit could inhibit
prompt issuance of voluntary compensation
benefits in other cases, but in Morris
allowed the employer to take credit for
overpayment of voluntary benefits on a week
by week basis.
The rationale in Western Casualty and
Surety v. Adkins, Ky.App., 619 S.W.2d 502
(1981) recognized that it would be counterproductive to penalize an employer who
voluntarily paid weekly benefits to an
injured employee in excess of the ultimate
liability and could result in discouraging
such voluntary payments which would be
detrimental to the injured employee in the
long run. In Adkins, the employer was
entitled to credit against the final award
for the entire amount of the voluntary
payments. The fact that in Adkins, supra, the
award was an open ended total disability does
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not contradict this situation which involves
future periodic benefits.
W.T. Sistrunk & Company v. Kells,
Ky.App., 706 S.W.2d 417 (1986) struck down a
dollar for dollar credit where the overpayment by the employer consumed all of the
future benefits to which the employee was
entitled.
The two methods of computing credit are
not mutually exclusive. It is important to
encourage employers to make voluntary
payments to injured employees. Employers are
not obligated to pay benefits until a claim
has been litigated and an award entered. Such
payments are voluntary. The circumstances
involved in each specific case must be
carefully evaluated so that the employee is
not unduly harmed and the employer is
encouraged to make voluntary payments. Cf.
Adkins.
A rigid limitation on the method of
credit by an employer works an ultimate
disservice to an employee. There is a
considerable social and economic benefit to
an employee who obtains voluntary income
benefits in the initial stages of an injury.
When a dispute arises and an application is
filed, the rights of both parties can be
adjudicated. An employee who has received an
overpayment of income benefits should not be
deprived of future income as a result of any
such overpayment. However, an over-payment
which can be credited fully against a past
due amount without affecting future benefits
is within the purview of the statutes.
Id. at 629-30.
Since benefits accrue from the date of disability, a
portion of these benefits will be past due when the award is
made.
Stratemeyer allows the employer to take a dollar-for-
dollar credit for voluntary disability payments against the past
due portion of an award.
Eastern Coal Corp. v. Blankenship, Ky.,
813 S.W.2d 808, 810 (1991).
However, a credit which results in a
reduction in future benefit payments to the employee runs counter
to the purposes of the Workers' Compensation Act.
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General
Electric Co. v. Morris, 670 S.W.2d at 856.
Under such
circumstances, a dollar-for-dollar credit will not be allowed.
Nevertheless, Stratemeyer also cautions against rigid limitation
on the [method of credit] due to an employer.
The circumstances
involved in each case must be carefully evaluated so that the
employee is not unduly harmed and the employer is encouraged to
make voluntary payments.
In the present case, DOT erroneously continued to make
payments of income benefits to Thompson after the period for its
liability had expired.
The overpayment was not made prior to the
final award of income benefits, and there is no past-due amount
against which the overpayment could be credited.
Thus, as noted
by the Board, Stratemeyer is not directly on point with this
case.
However, the Board also noted that Stratemeyer’s
holding is not limited to situations involving an overpayment of
TTD benefits.
Rather, the Court in Stratemeyer speaks generally
in terms of overpayment of “income benefits.”
Furthermore, the
Court’s primary concern in Stratemeyer was that the claimant’s
future benefits should not be affected by any credit for
overpayment.
The credit which DOT seeks would directly affect
the amount of future benefits payable to Thompson.2
2
In its response to the Petition for Review to this Court,
the Special Fund states that it agrees with the decision of the
Board and, by implication, with Thompson’s position. The Special
Fund also adds that its period of liability for payment of income
benefits to Thompson will expire on or about June 20, 2001. Any
re-direction of those payments to DOT would eliminate most, if
not all of the weeks remaining in Thompson’s award.
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In addition, we agree with the CALJ and the Board that
DOT’s overpayment of income benefits must be deemed as voluntary.
In Stratemeyer, the employer inadvertently overpaid TTD benefits
because it incorrectly concluded that the claimant reached
maximum medical improvement at a much later date than was found
by the ALJ.
Similarly, DOT inadvertently continued periodic
payments beyond the end of its period of liability.
The employer
in Stratemeyer had the legitimate excuse that its liability for
income benefits had not yet been fixed at the time it made the
overpayment.
Nevertheless, the Supreme Court deemed those
payments to be voluntary.
We find no reason to treat the
overpayment in this case differently.
We recognize the long-standing policy against double
recovery by injured workers under the Act.
Ky., 849 S.W.2d 526 (1992).
Matney v. Newberg,
Likewise, we agree with the CALJ and
the Board that denial of the credit to DOT would result in a
windfall to Thompson, assuming that Thompson actually received
income benefits from both DOT and the Special Fund during the
period in question.
However, as noted by the Board:
We remind the parties that workers’
compensation is founded upon equity rather
than hard and fast law. Arbitrators, ALJs,
this Board, and our Courts of Justice
regularly are called upon to balance the
interest of the employer against the interest
of the injured worker in reaching judgment.
In situations such as the instant claim, we
believe the Supreme Court has determined the
interest of the injured worker not to suffer
any disturbance in payment of future income
benefits outweighs the interest of the
employer to recover overpayment of benefits
accidentally made.
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Accordingly, the opinion and order by the Workers’
Compensation Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE
LINDA THOMPSON:
James S. Fogle
Ferreri & Fogle
Louisville, Kentucky
John M. Milliken
Milliken & Laramore
Bowling Green, Kentucky
BRIEF FOR APPELLEE
SPECIAL FUND OF KENTUCKY:
David R. Allen
Labor Cabinet
Frankfort, Kentucky
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