MICHAEL J VALENCIC V TPM INC
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STATE OF MICHIGAN
COURT OF APPEALS
MICHAEL J. VALENCIC,
FOR PUBLICATION
December 7, 2001
9:10 a.m.
Plaintiff,
v
TPM, INC., ACCIDENT FUND COMPANY, and
CONTINENTAL CASUALTY COMPANY,
No. 232051
WCAC
LC No. 00-000231
Defendants-Appellees,
and
SECOND INJURY FUND,
Updated Copy
February 15, 2002
Defendant-Appellant.
Before: Fitzgerald, P.J., and Hoekstra and Markey, JJ.
PER CURIAM.
Appellant, the Second Injury Fund (SIF), appeals by leave granted the reversal by the
Worker's Compensation Appellate Commission of a magistrate's dismissal of the SIF from the
proceedings below. We reverse and remand.
Plaintiff was a certified vocationally disabled employee hired by TPM, Inc., in 1991 as a
maintenance worker. TPM was the management company running a housing project known as
West Highland Limited Housing Association. In 1992, plaintiff was diagnosed with and
underwent surgery for carpal tunnel syndrome. While plaintiff was off work, TPM, through its
carrier, Continental Casualty Company, voluntarily paid worker's compensation benefits to
plaintiff.
Plaintiff returned to work in January 1993, but suffered recurrent carpal tunnel syndrome
complications. As a result, in June 1994, plaintiff was no longer able to work. TPM, through
Continental Casualty, continued to voluntarily pay benefits to plaintiff.
In 1998, plaintiff filed the instant petition seeking an upward adjustment in the amount of
benefits he was receiving. Plaintiff alleged two injury dates, June 1992 and June 1994. During
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the course of the proceedings below, it was determined that another insurance company,
Accident Fund Company, not Continental Casualty, was TPM's carrier after September 15, 1992.
As a result, Continental Casualty sought reimbursement from Accident Fund for benefits it paid
plaintiff after that date. Continental Casualty also sought to join the SIF in the matter. Pursuant
to MCL 418.921, an employer who employs a certified vocationally disabled employee is liable
for benefits accruing during the first fifty-two weeks after the injury, and, as long as specified
certification and notice requirements are met, the SIF is liable for benefits after the first fifty-two
weeks.
The magistrate found an injury date of June 7, 1994. Accident Fund was ordered to pay
wage-loss benefits to plaintiff and to reimburse Continental Casualty for the benefits it paid to
plaintiff after September 15, 1992. In addition, the magistrate dismissed the SIF from the action
because the certification sent to the SIF upon plaintiff 's hire listed West Highland, not TPM, as
plaintiff 's employer and because the SIF was not timely notified of plaintiff 's injury and the
SIF's potential liability.
The magistrate's decision was appealed to the WCAC. The WCAC affirmed the injury
date and award of benefits, but reversed the magistrate's decision regarding the SIF's liability.
According to the WCAC, the error on the certification form sent to the SIF upon plaintiff 's hire
was inadvertent and did not prejudice the SIF, and the failure to timely notify the SIF of its
potential liability was not fatal to a claim for reimbursement. As a result, the WCAC ordered the
SIF to reimburse Continental Casualty and Accident Fund for benefits paid after the first fiftytwo weeks. The SIF sought leave to appeal the WCAC's decision. We granted leave.
First, the SIF claims that the WCAC's decision is incorrect because TPM failed to comply
with the certification requirement of MCL 418.911. We disagree.
As mentioned, pursuant to MCL 418.921, an employer who employs a certified
vocationally disabled employee is liable for benefits accruing during the fifty-two weeks after
the date of a personal injury suffered by such an employee where that injury arises out of, and in
the course of, the employment. After the first fifty-two weeks, the SIF is liable. However, under
MCL 418.911, if the employer does not file certification forms with the SIF upon the
commencement of employment of a certified vocationally disabled employee or before an injury
occurs, the employer is precluded from the protection of MCL 418.921.
In the case at bar, there is no dispute that plaintiff is a certified vocationally disabled
employee. The issue is whether plaintiff 's employer complied with the requirement of filing the
certification forms.
Upon hiring plaintiff, a certification form was submitted. However, the employer on the
form was listed as West Highland, not TPM. The magistrate concluded that this fact precluded
the SIF from liability. However, the WCAC reversed this finding. According to the WCAC:
In this case the failure to list the correct employer was an inadvertent
error, with neither any intent to deceive or prejudice the fund nor with any
resulting actual prejudice. First, the employer representative Ms. Anzalone,
testified that the names were used interchangeably. Second, communication
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directed to Ms. Anzalone at West Highland was received and processed. Third,
there is no claim nor any evidence in support of the notion that plaintiff would not
have been certified had the proper employer been listed. Fourth, the fund became
a participant in the proceedings and was fully able to protect its interests on the
questions of work-related injury and disability.
Thus, we reverse the
determination of the magistrate that the fund was not liable for reimbursement of
benefits pursuant to section 921.
The WCAC's finding that the names West Highland and TPM were used interchangeably was
one of fact and is supported by the record. As a result, that finding is conclusive. See Mudel v
Great Atlantic & Pacific Tea Co, 462 Mich 691, 701; 614 NW2d 607 (2000).
The question then becomes whether, even assuming the names are used interchangeably,
the mistake renders the filing of the certification form ineffective as a matter of law and
precludes the SIF from becoming liable for the payment of plaintiff 's benefits. We answer that
question in the negative.
The SIF cites Robinson v General Motors Corp, 242 Mich App 331; 619 NW2d 411
(2000), in support of its claim. However, Robinson is of little value in this regard because it
deals with notice under MCL 418.925(1), not MCL 418.911.
The SIF cites the case, by analogy, for the proposition that the certification forms are
mandatory. We agree that the certification forms are mandatory. However, the precise issue
presented here is whether the certification form that was submitted in the instant case was
sufficient to satisfy that mandatory requirement. Robinson offers no assistance in the resolution
of this issue. In our opinion, in light of the fact that the names West Highland and TPM are used
interchangeably, and in the absence of any authority that renders the WCAC's decision an error
of law, we are simply not persuaded that the SIF is entitled to any relief on this issue.
Next, the SIF claims that TPM failed to comply with MCL 418.925(1), which states, in
part:
Not less than 90 nor more than 150 days before the expiration of 52 weeks
after the date of injury, the carrier shall notify the fund whether it is likely that
compensation may be payable beyond a period of 52 weeks after the date of
injury.
In the case at bar, the magistrate concluded that TPM failed to comply with the above
notice provision. The WCAC reversed the magistrate's decision, stating:
[D]efendants were not paying benefits nor did plaintiff even seek benefits
from them until more than four years after the new date of injury. As a result,
appellants [TPM and Accident Fund] were neither paying benefits nor were they
even aware of a claim against them. Section 925(1) presumes not only an
awareness of a claim but also actual payment of benefits.
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MCL 418.925(1) specifically places the burden of notifying the SIF on the "carrier." In
this case, the "carrier" for a June 1994 injury was Accident Fund, and Accident Fund was
unaware of the injury until 1998, well outside the notice period set forth in MCL 418.925(1).
The question then becomes whether the WCAC committed an error of law in concluding that, in
light of the fact that Accident Fund was unaware of plaintiff 's claim for benefits until after the
notice period set forth in MCL 418.925(1) expired, the failure to comply with the notice
provision did not preclude the SIF's liability. In support of its claim that the WCAC did err, the
SIF again cites Robinson, supra.
We do find Robinson instructive on this issue. In Robinson, supra at 334-335, this Court
held that MCL 418.925(1) imposes a "mandatory notice requirement" and that failure to comply
with that requirement precludes the SIF's liability. Therefore, compliance with the notice
provisions of 418.925(1) is "mandatory," and in the case at bar, it is undisputed that notice was
not given within the period set forth in that subsection. In light of Robinson and the WCAC's
failure to cite any authority for its conclusion that this "mandatory" notice requirement can be
waived, we conclude that the WCAC's decision amounted to an error of law.
The WCAC also appeared to support its decision by relying on MCL 418.931(1), which
states:
If an employee was employed under the provisions of this chapter and a
dispute or controversy arises as to payment of compensation or the liability
therefor, the employee shall give notice to, and make claim upon, the employer as
provided in chapters 3 and 4 and apply for a hearing. On motion made in writing
by the employer, the director, or the worker's compensation magistrate to whom
the case is assigned, [sic] shall join the fund as a party defendant.
According to the WCAC, MCL 418.931 specifically covers situations, such as the instant case,
where there is a dispute or controversy regarding the payment of compensation, whereas MCL
418.925(1) applies to voluntary payment cases. While it did not clearly say so, the WCAC
seemed to indicate that MCL 418.931, not MCL 418.925(1), applied to the instant case.
To the extent the WCAC did arrive at such a conclusion, we disagree. MCL 418.925(1)
states that when a vocationally disabled person receives an injury, "the procedure and practice
provided in this act applies to all proceedings under this chapter, except where specifically
otherwise provided herein." We find nothing in the rest of MCL 418.925(1) that specifically
limits the notice requirement therein to situations where the benefits are voluntarily paid, nor
anything in MCL 418.931 that specifically limits its application to situations where there is a
dispute concerning the payment of benefits. Therefore, to the extent the WCAC concluded that
MCL 418.925(1) was inapplicable to the instant case, it committed an error of law.
We reverse and remand to the WCAC for further proceedings consistent with this
opinion. We do not retain jurisdiction.
/s/ E. Thomas Fitzgerald
/s/ Joel P. Hoekstra
/s/ Jane E. Markey
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