DOUBLE L. CONSTRUCTION, INC. V. EARL D. MITCHELL, ET AL
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RENDERED : NOVEMBER 23, 2005
TO BE PUBLISHED
,$UYrQmQ (burf of ~~e
2005-SC-0036-WC
DOUBLE L CONSTRUCTION, INC .
APPELLANT
APPEAL FROM COURT OF APPEALS
2004-CA-1316-WC
WORKERS' COMPENSATION BOARD NO. 03-99052
V.
EARL D. MITCHELL ; HON . ROGER D . RIGGS,
ADMINISTRATIVE LAW JUDGE ; AND WORKERS'
COMPENSATION BOARD
APPELLEES
OPINION OF THE COURT
AFFIRMING
An Administrative Law Judge (ALJ) determined that an injury to the claimant's
eye while performing carpentry resulted in a period of temporary total disability (TTD)
that ended when he was released to return to his usual job as a carpenter . The
Workers' Compensation Board (Board) reversed the award on the ground that the
claimant continued performing his concurrent, part-time janitorial job without
interruption . Robertson v. United Parcel Service, 64 S.W.3d 284 (Ky. 2001) .
Convinced that the Board misconstrued Robertson , the Court of Appeals determined
that Central Kentucky Steel v . Wise, 19 S .W.3d 657, 659 (Ky. 2000), controlled and
reinstated the award . Although we agree that the claimant was entitled to TTD based
on his temporary inability to perform carpentry and affirm in that regard, our reasoning is
different .
The claimant was born in 1951 and was a high school graduate . He had spent
his entire career as a carpenter in the construction business . In 2001, he began
working for the defendant-employer. His injury occurred on January 6, 2003, when a
nail struck by a co-worker flew up and hit the claimant in his left eye, lacerating the
cornea and causing various complications . The claimant underwent three surgeries, the
last of which was the implantation of a permanent acrylic intraocular lens. His physician
prescribed corrective lenses and released him to return to work on August 18, 2003 .
In addition to his full-time work as a carpenter, the claimant worked fifteen hours
per week as a janitor. He had done so for Sky-Brite Corp. and its predecessor since
1995. The job involved emptying trash cans throughout Kroger's corporate
headquarters. He explained that he took the second job to be certain that he could pay
child support because construction work is seasonal . He testified that child support was
deducted from his earnings with Sky-Brite; therefore, he did not take time off from the
job when he injured his eye .
Medical evidence indicated that Dr. Karp performed the two initial surgeries and
released the claimant to return to light-duty work on March 3, 2003 . Concerned about
the stitches that remained in his eye, the lifting required in the carpentry job, and effects
of exposure to dust, the claimant did not return to carpentry . Dr. Karp's records indicate
that the claimant telephoned on the following day to report that he had sought treatment
elsewhere.
On March 4, 2003, the claimant sought treatment with Dr. Meyer, who noted that
although the eye appeared to be healing well, some sutures were loose and some of
the knots were exposed . He removed the loose sutures and over several weeks
removed those that remained. On March 25, he took the claimant off work altogether.
He performed the lens implant on May 5. When deposed on June 18, he stated that he
thought the claimant had reached MMI, but he did not release him to return to work until
August 18, 2003 .
Dr. Meyer assigned a 8% AMA impairment, attributing a 1 % impairment to loss of
vision and a 7% impairment to difficulty with loss of contrast sensitivity, glare, and
difficulty with vision in certain lighting. Like Dr. Meyer, Dr. Eiferman assigned a 1 %
AMA impairment for loss of vision. He added an additional 3% impairment for other
factors such as those described by Dr. Meyer.
The parties stipulated that the claimant's average weekly wage from carpentry
was $536.00. Taking into account concurrent earnings of $107.31 per week for the
janitorial work, they stipulated that his combined average weekly wage was $643.31 .
They also stipulated that the employer paid voluntary TTD benefits at the rate of
$357.35 per week from January 8, 2003, through March 3, 2003, for a total of
$2,807.75 . Among the contested issues was whether the employer overpaid or
underpaid TTD .
When testifying at the hearing on September 25, 2003, the claimant stated that
he had not returned to carpentry. He explained that he had refrained from doing so "to
let my eye have plenty of time to heal" and that he continued to have increased
sensitivity to sunlight, cold temperatures, and dust . He stated that the employer paid
TTD benefits in the amount of $357.35 "every Friday afternoon" until March 3, 2003 . He
also stated that it made two subsequent benefit payments, on March 14 and 21, 2003,
but that the total payments were not more than $2,800 .00.
The employer asserted that it did not owe additional TTD . Furthermore, it relied
on Robertson v. United Parcel Service , supra , in asserting that the claimant was not
entitled to the TTD he received because he had worked continuously for Sky-Brite after
his injury. It argued that Robertson stands for the principle that Chapter
342
views
concurrent employments as though they are parts of one job . Thus, a worker whose
injury temporarily prevents him from working a full day has only a temporary partial
disability, which is not compensable . On that basis, the employer asserted that it was
entitled to credit its voluntary TTD payments against the claimant's permanent partial
disability award .
The ALJ acknowledged that the claimant continued to perform janitorial work
despite his injury but noted that Dr. Meyer did not release him to return to work until
August 18, 2003. Concluding that the injury prevented him from performing his usual
work as a construction carpenter until that time, the ALJ awarded TTD at the rate of
$428 .87
per week from the date of the injury until August
18, 2003,
followed by
permanent income benefits that were based on the 3% impairment Dr. Eiferman
assigned . In a petition for reconsideration, the claimant pointed out that Dr. Eiferman
had actually assigned a 4% impairment, consequently the ALJ granted the petition and
amended the award .
Until December 12, 1996, Chapter 342 did not define temporary total disability.
Addressing the absence of a statutory definition, the court explained in W. L. Harper
Construction Company v. Baker, 858 S.W.2d 202 (Ky. App.
1993),
that temporary
benefits are appropriate until the worker's condition has stabilized and is not expected
to improve with further treatment . At that point, any lingering disability may be viewed
as being permanent. Noting that Kentucky did not recognize the concept of temporary
partial disability, the court determined that TTD benefits are appropriate until further
medical treatment will not improve the worker's condition or until the worker is able to
return to some type of work .
The employer bases its arguments on two statutes . As enacted effective
December 12, 1996, KRS 342.0011(11)(a) governs the duration of a TTD award . It
provides as follows :
"Temporary total disability" means the condition of an employee who has
not reached maximum medical improvement from an injury and has not
reached a level of improvement that would permit a return to employment .
KRS 342.140(5) provides that a worker's earnings from a concurrent employment of
which the employer has knowledge "shall be considered as if earned from the employer
liable for compensation ." As such, they are included when determining the average
weekly wage for the purpose of awarding income benefits .
In Central Kentucky Steel v. Wise , supra, the court was called upon to interpret
KRS 342 .0011(11)(a) when determining whether the duration of a steelworker's TTD
award was proper under the evidence . The employer asserted that TTD benefits should
have terminated when Wise was released to return to work with a five-pound lifting
restriction . Rejecting the argument, the court determined that "[i]t would not be
reasonable to terminate the benefits of an employee when he was released to perform
minimal work but not the type that is customary or that he was performing at the time of
his injury ." Id . at 659 . Noting that the ALJ awarded TTD until Wise returned to work and
that he did not reach MMI until about a month later, the court determined that substantial
evidence supported the award. Id .
Robertson v. United Parcel Service , supra , involved TTD in the context of
concurrent employments . Robertson's injury occurred while working for UPS. It caused
him to miss only two days' work for UPS but to be unable to perform masonry work for
about three months. The ALJ awarded medical expenses for a temporary flare-up of
symptoms from Robertson's non-work-related back condition but no TTD or permanent
income benefits . Among other things, Robertson argued on appeal that he had not
reached MMI and that he was entitled to TTD benefits based on his average weekly
wage in the masonry job. Although the court noted that KRS 342 .730(1) authorized
benefits for temporary total disability but not for temporary partial disability, it
determined only that the evidence did not compel a TTD award . Id ., 64 S .W .3d at 287.
In the present case, the claimant was injured while working as a construction
carpenter. The ALJ acknowledged that the claimant continued to perform janitorial work
without interruption . Noting that Dr. Meyer thought he had reached MMI by June 18,
2003, but did not release him to return to work until August 18, 2003, the ALJ awarded
TTD from the date of injury until August 18, 2003, giving the employer credit for "for any
of such benefits heretofore paid ."'
As defined by KRS 342 .0011(11)(a), there are two requirements for TTD: 1 .) that
the worker must not have reached MMI ; and 2.) that the worker must not have reached
a level of improvement that would permit a return to employment . See Magellan
Behavioral Health v. Helms, 140 S .W .3d 579, 581 (Ky. App. 2004). In the present case,
the employer has made an "all or nothing" argument that is based entirely on the
second requirement. Yet, implicit in the Central Kentucky Steel v. Wise, supra , decision
is that, unlike the definition of permanent total disability, the definition of TTD does not
require a temporary inability to perform "any type of work." See KRS 342 .0011(11)(c).
When reciting the evidence, the ALJ failed to mention the claimant's testimony that the
employer made two additional payments after March 3, 2003, but that he received no
more than a total of $2,800.00 . In any event, the employer did not file a petition for
reconsideration or request any specific findings in that regard . Nor has it asserted that it
is entitled to credit for paying TTD that exceeded the parties' stipulation .
-6-
Two aspects of the philosophy underlying workers' compensation acts are: 1 .) that
injured workers are to be compensated for a loss of the ability to earn a living without
regard to fault; and 2.) that the cost of an industrial injury should be borne by the
employment in which the injury occurred, thereby encouraging the employer to promote
workplace safety . The Board was not convinced that factual differences between
Robertson v. UPS, supra , and the present case were significant under KRS 342.0011 (11) .
Although that view is not without logic, we are convinced that it is too restrictive when
viewed in light of Central Kentucky Steel v. Wise, supra . When reinstating the claimant's
award, the Court of Appeals reasoned that a worker should not be ineligible for TTD
simply because his restrictions enabled him to perform menial work if they prevented him
from returning to his "primary, pre-injury employment," later equating it to his "normal and
customary employment." We have concluded, however, that Wise speaks only to TTD
regarding the employment in which the injury occurred and makes no reference to menial
work. Furthermore, Robertson makes no distinction based on primary or secondary
employment.
Central Kentucky Steel v. Wise , supra , stands for the principle that if a worker
has not reached MMI, a release to perform minimal work rather than "the type that is
customary or that he was performing at the time of his injury" does not constitute "a
level of improvement that would permit a return to employment" for the purposes of KRS
342 .0011(11)(a). 19 S .W.3d at 659. The case did not involve concurrent employments
and referred only to Wise's job as a steelworker. We have concluded, therefore, that
when the decision is applied to a case in which a worker is injured in one concurrent
employment but is unable temporarily to perform another, both the customary type of
work and the work the individual was performing at the time of the injury refer to work
performed in the employment in which the injury occurred . We reach this conclusion, in
part, because we are convinced that a worker whose injury renders him temporarily
unable to perform the work in which the injury occurred should not be penalized for
performing what work he is able to do. Nor are we convinced that his employer should
be absolved from liability for TTD benefits. The claimant's injury occurred in his
employment as a construction carpenter; therefore, his customary work for the purposes
of KRS 342 .0011(11)(a) was construction carpentry, including the duties that he was
performing at the time he was injured. It is undisputed that the injury rendered him
unable temporarily to perform his customary work until August 18, 2003; therefore, he
did not reach a level of improvement that would permit a return to employment until
August 18, 2003.
The purpose for awarding income benefits such as TTD is to compensate
workers for income that is lost due to an injury, thereby enabling them to provide the
necessities of life for themselves and their dependents. Consistent with the purpose of
the benefit and workers' compensation philosophy, income benefits are paid by the
employer in whose employment the injury occurs. KRS 342.730 and KRS 342.140
base the benefit on the worker's earnings in the employment and- in any concurrent
employment of which the employer has knowledge .
Since December 12, 1996, permanent disability awards have been based on
findings of AMA impairment or of impairment together with a complete inability to
perform any type of work . KRS 342 .0011(11)(b) and (c); KRS 342.730(1)(a) and (b).
Therefore, an injury that causes a permanent disability regarding the job in which it
occurred necessarily causes a permanent disability regarding a concurrent job as well .
KRS 342.140(5) takes this into account by compensating a worker for a reduction in the
ability to perform both the job in which the injury occurred and a concurrent job.
As defined in KRS 342.0011(11)(a), temporary total disability is not based on a
finding of AMA impairment . Nor, as determined in Central Kentucky Steel v. Wise,
supra, is it based on an inability to perform any type of work . As the present case
illustrates, an injury causing only a temporary loss of the worker's ability to perform the
job in which it occurred does not necessarily affect the individual's ability to perform a
concurrent job . When it does not, KRS 342 .140(5) is inapplicable .
Having considered the relevant statutes, we conclude that a worker is entitled to
TTD benefits if a work-related injury results in a temporary inability to perform the job in
which it occurred . If the injury also causes an inability to perform a concurrent job of
which the employer has knowledge, income benefits are based on the wages from both
employments by operation
of KRS
342 .140(5).
If
the injury does not cause an inability
to perform a concurrent job, KRS 342 .140(5) is inapplicable and income benefits are
based solely on the wages from the job in which the injury occurred . In contrast, if a
work-related injury does not prevent the worker from performing the job in which it
occurred, the worker is not entitled to TTD despite an inability to perform a concurrent
job. Robertson v. UPS, supra .
2 In the present case, the employer paid TTD benefits of $357.35 per week based upon
the claimant's earnings in his carpentry job. Yet, when contesting his entitlement to
TTD, the employer made an "all or nothing argument" and failed to assert that if he were
entitled to TTD, his average weekly wage must be limited to his earnings from
carpentry . Although the TTD award of $428 .87 per week appears to have been based
upon his earnings from both of his jobs, the employer failed to petition for
reconsideration or to assert that there was a patent error in calculating the benefit.
Under the circumstances, it waived any assertion at this time that the ALJ erred by
including the janitorial earnings when calculating the benefit .
The decision to award TTD until the claimant was able to return to construction
carpentry was supported by both lay and medical evidence and was consistent with our
interpretation of the relevant statutes. Furthermore, the employer has failed to show
that the findings upon which it was based were unreasonable. Special Fund v . Francis ,
Ky., 708 S.W.2d 641, 643 (1986) . Although the ALJ appears to have awarded TTD on
the basis of the claimant's combined earnings, any error in that regard is not preserved
for our review.
The decision of the Court of Appeals is affirmed .
Lambert, C.J.; and Cooper, Graves, Johnstone, Scott, and Wintersheimer, JJ.,
concur. Roach, J ., dissents by separate opinion .
COUNSEL FOR APPELLANT:
Douglas A. U'Sellis
U'Sellis & Kitchen, PSC
600 East Main Street, Ste . 100
Louisville, KY 40202
COUNSEL FOR APPELLEE:
Robert L. Catlett, Jr.
2100 Waterfront Plaza
325 W . Main Street
Louisville, KY 40202
RENDERED : NOVEMBER 23, 2005
TO BE PUBLISHED
,*UyrrMr C~Vurf of ~irnfurhv
2005-SC-0036-WC
DOUBLE L CONSTRUCTION, INC.
V.
APPELLANT
APPEAL FROM COURT OF APPEALS
2004-CA-1316-WC
WORKERS' COMPENSATION BOARD NO. 03-99052
EARL D. MITCHELL ; HON. ROGER D. RIGGS,
ADMINISTRATIVE LAW JUDGE; AND WORKERS'
COMPENSATION BOARD
APPELLEES
DISSENTING OPINION BY JUSTICE ROACH
The Workers' Compensation Board was correct and properly construed
KRS 342 .0011(11)(a) and KRS 342 .140(5) in light of Central Kentucky Steel v.
Wise , 19 S.W.3d 657, 659 (Ky. 2000), and Robertson v. United Parcel Service ,
64 S .W .3d 284 (Ky. 2001) . Therefore, I would reverse .
Workers' compensation is statutory. KRS 342.0011(11)(a) provides that:
"Temporary total disability" means the condition of an employee
who has not reached maximum medical improvement from an
injury and has not reached a level of improvement that would
permit a return to employment .
KRS 342 .140(5) is mandatory and makes no exceptions. It provides :
When the employee is working under concurrent contracts with two
(2) or more employers and the defendant employer has knowledge
of the employment prior to the injury, his wages from all the
employers shall be considered as if earned from the employer liable
for compensation .
Nothing in either statute implies a legislative intent to authorize temporary total
disability (TTD) benefits based on a worker's inability to perform one of two
concurrent jobs. An individual who continues to perform one of two concurrent
jobs after an injury clearly is able to "return to employment ." The majority opinion
is simply awarding benefits for temporary partial disability, which are not
available under KRS Chapter 342 . Robertson, 64 S.W .3d at 287.
The majority relies upon Wise for the principle that if a worker has not
reached maximum medical improvement, TTD is not precluded by a release to
return to something less than the individual's customary work or the work
performed at the time of the injury . What the majority overlooks is that Wise did
not involve concurrent employments and that the injured worker did not work
during the disputed period . In the present case, as in Robertson, the claimant's
injury did not prevent him from continuing to perform one of his concurrent jobs.
Therefore, Appellee Mitchell was not entitled to TTD because his post-injury
condition permitted a return to employment. The majority has chosen to ignore
the clear language of KRS 342 .140(5) and, in doing so, has effectively amended
the statute without a vote of the General Assembly. I respectfully dissent .
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