Bennett v. Adm'r, Bureau of Workers Comp.
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This appeal presented issues regarding the scope of a workers' compensation appeal in common pleas court pursuant to Ohio Rev. Code 4123.512. Specifically, the appeal concerned whether, in that proceeding to determine a claimant's right to participate in the workers' compensation fund, the court was limited to considering those issues that were specifically determined by the Industrial Commission below, or whether the de novo nature of the proceeding obligated the claimant to present and the court to consider all the evidence necessary for determining the claimant's right to participate. The court of appeals rejected the claimant's claim that the trial court erred in placing the burden on him to establish any injury-relatedness or causation in his section 4123.512 appeal because those issues were not considered in the administrative rulings. The Supreme Court affirmed the judgment of the court of appeals, holding that the de novo nature of a section 4123.512 appeal proceeding puts in issue all elements of a claimant's right to participate in the workers' compensation fund.
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[Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as Bennett v. Admr., Ohio Bur. of Workers Comp., Slip Opinion No. 2012-Ohio-5639.] NOTICE This slip opinion is subject to formal revision before it is published in an advance sheet of the Ohio Official Reports. Readers are requested to promptly notify the Reporter of Decisions, Supreme Court of Ohio, 65 South Front Street, Columbus, Ohio 43215, of any typographical or other formal errors in the opinion, in order that corrections may be made before the opinion is published. SLIP OPINION NO. 2012-OHIO-5639 BENNETT, APPELLANT, v. ADMR., OHIO BUREAU OF WORKERS COMPENSATION ET AL., APPELLEES. [Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as Bennett v. Admr., Ohio Bur. of Workers Comp., Slip Opinion No. 2012-Ohio-5639.] (No. 2011-0902 Submitted April 4, 2012 Decided December 5, 2012.) APPEAL from the Court of Appeals for Lucas County, No. L-10-1185, 2011-Ohio-1264. ________________ CUPP, J. {¶ 1} This appeal presents issues regarding the scope of a workers compensation appeal in common pleas court pursuant to R.C. 4123.512. Specifically, we must resolve whether, in that proceeding to determine a claimant s right to participate in the workers compensation fund, the court is limited to considering those issues that were specifically determined by the Industrial Commission below, or whether the de novo nature of the proceeding SUPREME COURT OF OHIO obligates the claimant to present and the court to consider all the evidence necessary for determining the claimant s right to participate. {¶ 2} For the reasons that follow, we hold that the de novo nature of an R.C. 4123.512 appeal proceeding puts in issue all elements of a claimant s right to participate in the workers compensation fund. We accordingly affirm the judgment of the court of appeals. I. Facts and Procedural History {¶ 3} On February 28, 2006, appellant, Mark A. Bennett, was involved in an automobile accident while en route to the central office of his employer, Goodremont s, Inc., in Toledo. About a month later, Bennett filed a claim with the Bureau of Workers Compensation ( BWC ) for injuries to his head, neck, and back that he claimed to have suffered in the accident, along with his statement that he had been treated for a concussion and multiple disk herniation.1 Bennett claimed that his main office was in his home and that therefore, he was on company business when he was injured en route to his employer s office. Goodremont s denied certification of the claim, asserting that the accident occurred while Bennett was commuting to work, and therefore, his workday had not yet begun. {¶ 4} The BWC issued an initial order disallowing the claim, stating, The employee did not sustain an injury in the course of and arising out of employment. The employee was going to or coming from work. Upon Bennett s administrative appeal of that order, a district hearing officer for the Industrial Commission held a hearing and affirmed the order of the BWC 1 Bennett has filed in this court a supplement to his merit brief that contains several documents pertaining to the proceedings before the BWC and the Industrial Commission, including filed forms and administrative decisions. Many of the items in the supplement are not contained in the trial court record and normally would not be considered by this court for that reason. See S.Ct.Prac.R. 7.1(A) (a supplement is to contain portions of the record ). However, the brief of the administrator of the BWC accepts the validity of these documents, and we therefore recognize their authenticity. 2 January Term, 2012 disallowing the claim. Bennett appealed that order also, but a staff hearing officer for the Industrial Commission upheld the disallowance of the claim. Under R.C. 4123.511(E), the Industrial Commission declined to hear Bennett s further appeal. Its order informed Bennett of the opportunity to appeal to common pleas court pursuant to R.C. 4123.512, adding that decisions as to the extent of disability are not appealable. {¶ 5} Bennett then filed an R.C. 4123.512 petition in the Lucas County Court of Common Pleas, seeking a determination of his right to participate in the workers compensation fund. Goodremont s and the administrator of the BWC filed separate motions for summary judgment, both asserting that Bennett s participation in the fund was foreclosed by the coming-and-going rule and that any injuries Bennett suffered while commuting to the office did not occur in the course of, and arising out of his employment pursuant to R.C. 4123.01(C). See Ruckman v. Cubby Drilling, Inc., 81 Ohio St.3d 117, 119, 689 N.E. 2d 917 (1998), paragraph one of the syllabus. The trial court accepted those arguments and granted the motions for summary judgment, determining that the coming-andgoing rule barred Bennett s participation in the workers compensation fund. {¶ 6} Bennett appealed that ruling to the Sixth District Court of Appeals. The appellate court concluded that summary judgment was inappropriate, because viewed in a light most favorable to Bennett, the facts could support Bennett s claim that he had no fixed place of work and therefore had not been commuting on the day of the accident. The court reversed and remanded to the trial court for further proceedings. Bennett v. Goodremont s, Inc., 6th Dist. No. L-08-1193, 2009-Ohio-2920, ¶ 20. {¶ 7} Upon remand, the trial court held a bench trial, at which the BWC administrator asserted in his opening statement that Bennett had to show both an injury proximately caused by the accident and that he had been on company business at the time of the injury. But Bennett presented his case only on his 3 SUPREME COURT OF OHIO contention that his worker s compensation claim was not barred by the comingand-going rule. The BWC administrator then immediately moved for a directed verdict, arguing that because Bennett had failed to provide any evidence of a compensable medical condition or injury and failed to establish through expert medical evidence a causal connection between the accident and the injury, Bennett had not sustained his burden to establish every element of his workers compensation claim. {¶ 8} Bennett opposed the motion by arguing that the nature of the injuries was not ripe for litigation and that the sole question before the court was whether the injury occurred in the course of Bennett s employment. The trial court took the directed-verdict motion under advisement. The administrator then presented evidence that Bennett had been commuting to work when the accident occurred and therefore could not participate in the workers compensation fund. At the close of trial, the court ordered briefing on the issue of the scope of its review in the R.C. 4123.512 appeal. {¶ 9} The trial court later granted the administrator s motion for a directed verdict. The trial court first concluded that Bennett had not been commuting at the time of the accident and therefore, he was not precluded from participating in the workers compensation fund. But the court then held, Bennett did not present medical evidence to establish a compensable injury nor a causal relationship between such an injury and his accident and so failed to establish he is entitled to participate in the workers compensation fund. {¶ 10} The Sixth District Court of Appeals affirmed. Bennett v. Goodremont s, Inc., 6th Dist. No. L-10-1185, 2011-Ohio-1264, ¶ 1. That court first reviewed precedent establishing that (1) a trial court in an R.C. 4123.512 appeal from the Industrial Commission s denial of a workers compensation claim has a duty to determine the claimant s right to participate in the workers compensation fund in a trial de novo, citing Ward v. Kroger Co., 106 Ohio St.3d 4 January Term, 2012 35, 2005-Ohio-3560, 830 N.E.2d 1155, ¶ 8-9; (2) a trial court has no discretion to remand the case to the Industrial Commission because de novo by definition precludes remand; (3) a trial court s decision pursuant to R.C. 4123.512 is based on the evidence presented to the court, not the evidence that was presented to the Industrial Commission; and (4) the claimant s right to participate in the fund is predicated on showing by a preponderance of the evidence both that the injury arose out of and in the course of employment and that a causal relationship existed between the injury and the harm or disability. Id. at ¶ 11-12. {¶ 11} The appellate court then applied that precedent to reject Bennett s claim that the trial court erred in placing the burden on him to establish any injury-relatedness or causation in his R.C. 4123.512 appeal because those issues were not considered in the administrative rulings. The court accordingly rejected Bennett s accompanying contention that the court should have remanded the cause to the Industrial Commission after ruling that the accident occurred in the course of his employment. The appellate court reiterated that a de novo proceeding precludes remand and held that Bennett s failure to establish a causal relationship between the accident and the claimed injury justified the trial court s grant of the administrator s directed-verdict motion. Id. at ¶ 13-14. {¶ 12} Bennett s alternative argument, that he did present and/or the court could infer, sufficient evidence of injury and its causation to create a question of fact on the issues, was also rejected by the appellate court. Id. at ¶ 20. It held that Bennett had failed to claim a specific injury for which he was seeking a right to participate in the fund, or provide any expert medical testimony showing a proximate causal relationship between any alleged injuries and his automobile accident. Id. at ¶ 21. {¶ 13} We accepted Bennett s appeal under our discretionary jurisdiction for review of a single proposition of law. Bennett v. Goodremont s, Inc., 129 Ohio St.3d 1487, 2011-Ohio-5129, 954 N.E.2d 661. That proposition asserts, 5 SUPREME COURT OF OHIO The only issue(s) to be considered in an R.C. 4123.512 appeal are those which were determined in the administrative order appealed. II. Analysis {¶ 14} Under Civ.R. 50(A)(4), a motion for a directed verdict should be granted if the trial court, after construing the evidence most strongly in favor of the party against whom the motion is directed, finds that upon any determinative issue reasonable minds could come to but one conclusion upon the evidence submitted and that conclusion is adverse to such party * * *. Because a motion for a directed verdict presents a question of law, appellate review of a trial court s decision on the motion is de novo. White v. Leimbach, 131 Ohio St.3d 21, 2011Ohio-6238, 959 N.E.2d 1033, ¶ 22; Goodyear Tire & Rubber Co. v. Aetna Cas. & Sur. Co., 95 Ohio St.3d 512, 2002-Ohio-2842, 769 N.E.2d 835, ¶ 4. {¶ 15} Bennett s essential argument is that the trial and appellate courts erred in their view of the scope of his R.C. 4123.512 appeal, and that once the trial court had determined that the accident occurred in the course of his employment, it should have remanded the case for further administrative proceedings. Bennett asserts that the trial court should not have placed an obligation on him to also establish any injury-related and causation aspects of his claim because the previous administrative consideration went solely to what he refers to as the basic validity of his claim, and therefore did not address the injury aspects in any way. {¶ 16} Bennett s arguments in this regard, however, fail to take into account the unique features of an R.C. 4123.512 appeal that differentiate it from other types of administrative appeals, and they ignore the extensive body of authoritative case law on the scope of an R.C. 4123.512 appeal that the lower courts here correctly applied. {¶ 17} The starting points for our analysis are the long-established principles that an R.C. 4123.512 appeal is de novo, in which a claimant bears the 6 January Term, 2012 burden of proving his or her right to participate in the workers compensation fund regardless of an Industrial Commission decision. R.C. 4123.512(D), the controlling law, provides: The court * * * shall determine the right of the claimant to participate in the fund upon the evidence adduced at the hearing of the action. See also Benton v. Hamilton Cty. Educational Serv. Ctr., 123 Ohio St.3d 347, 2009-Ohio-4969, 916 N.E.2d 778, ¶ 14 ( appeal under R.C. 4123.512(D) involves a de novo review in which the claimant has the burden of proof as to whether a claimant can participate in the fund); Fowee v. Wesley Hall, Inc., 108 Ohio St.3d 533, 2006-Ohio-1712, 844 N.E.2d 1193, ¶ 22 (in an R.C. 4123.512 appeal [o]ur opinions have consistently held that a claimant continues to carry the burden of initially filing the petition and proving her cause of action in what is essentially a trial de novo ); Afrates v. Lorain, 63 Ohio St.3d 22, 26, 584 N.E.2d 1175 (1992) (recognizing that appeals pursuant to former R.C. 4123.519 (now 4123.512)2 are subject to de novo review while holding that the only decisions reviewable pursuant to the statute are those decisions involving a claimant s right to participate or to continue to participate in the fund ); Youghiogheny & Ohio Coal Co. v. Mayfield, 11 Ohio St.3d. 70, 71, 464 N.E.2d 133 (1984) ( The appeal authorized by [former] R.C. 4123.519 [now 4123.512] is unique in that it is considered a trial de novo ). {¶ 18} Furthermore, to establish the right to participate in the fund, a claimant has always had to show by a preponderance of the evidence both that the injury arose out of and in the course of employment and that a proximate causal relationship existed between the injury and the harm or disability. White Motor Corp. v. Moore, 48 Ohio St.2d 156, 357 N.E.2d 1069 (1976), paragraph one of the syllabus; Oswald v. Connor, 16 Ohio St.3d 38, 41-42, 476 N.E.2d 658 (1985). 2 Former R.C. 4123.519 was amended and renumbered as R.C. 4123.512, effective October 20, 1993. Am.Sub.H.B. No. 107, 145 Ohio Laws, Part II, 2990, 3153-3156. For purposes here, the relevant statutory provisions are essentially the same. 7 SUPREME COURT OF OHIO See Fox v. Indus. Comm., 162 Ohio St. 569, 125 N.E.2d 1 (1955), paragraph one of the syllabus. {¶ 19} In Robinson v. B.O.C. Group, Gen. Motors Corp., 81 Ohio St.3d 361, 368, 691 N.E.2d 667 (1998),3 this court explained that an R.C. 4123.512 appeal necessitates a new trial, without reference to the administrative claim file or consideration of the results of the administrative hearings and is not a record review or an error proceeding. Rather, pursuant to the key final sentence of R.C. 4123.512(D), [t]he court, or the jury under the instructions of the court, if a jury is demanded, shall determine the right of the clamant to participate or to continue to participate in the fund upon the evidence adduced at the hearing of the action. {¶ 20} As especially significant to our inquiry, Robinson fully endorsed the following reasoning from Marcum v. Barry, 76 Ohio App.3d 536, 539-540, 602 N.E.2d 419 (10th Dist.1991), calling that analysis particularly poignant : Although labeled an appeal and commenced initially by the filing of a notice of appeal, the action in the common pleas court under R.C. 4123.519 [now 4123.512] seeking a redetermination of a decision of the Industrial Commission is not a traditional error proceeding[ ] * * *. R.C. 4123.519 [now 4123.512] contemplates not only a full and complete de novo 3 The syllabus of Robinson held, When an employer has appealed a decision of the Industrial Commission to a court of common pleas under R.C. 4123.512, the court of common pleas may subsequently grant a motion to voluntarily dismiss the employer s complaint without prejudice under Civ.R. 41(A)(2). This holding, along with the holding in Kaiser v. Ameritemps, Inc., 84 Ohio St.3d 411, 704 N.E.2d 1212 (1999), regarding a claimant s ability to voluntarily dismiss an employer s R.C. 4123.512 appeal pursuant to Civ.R. 41(A)(1)(a), has since been superseded by statute. See Thorton v. Montville Plastics & Rubber, Inc., 121 Ohio St.3d 124, 2009-Ohio-360, 902 N.E.2d 482, ¶ 5 (R.C. 4123.512(D), as amended in 2006, now requires that in an employer appeal under R.C. 4123.512, the claimant may not dismiss the complaint without the employer s consent ). This provision does not apply to claims that arose before August 25, 2006, the effective date of the amendment. Id. at ¶ 20. Discussion in Robinson regarding the nature of an R.C. 4123.512 appeal is not affected by this statutory amendment. 8 January Term, 2012 determination of both facts and law but also contemplates that such determination shall be predicated not upon the evidence adduced before the Industrial Commission but, instead, upon evidence adduced before the common pleas court as in any civil action, which may involve a jury trial if demanded. The proceedings are de novo both in the sense of receipt of evidence and determination. The common pleas court, or the jury if it be the factual determiner, makes the determination de novo without consideration of, and without deference to, the decision of the Industrial Commission. R.C. 4123.519 [now 4123.512] contemplates a full de novo hearing and determination. * * * * * * With respect to an R.C. 4123.519 [now 4123.512] appeal, there are no words such as review, affirm, modify, or reverse as are contained in R.C. 2505.02, nor even the word affirm or the words reverse, vacate, or modify as set forth in R.C. 119.12 with respect to administrative appeals generally. Rather, the express language of R.C. 4123.519 is that contained in division (C) [now section (D) of R.C. 4123.512] that the court or jury shall determine the right of the claimant to participate or to continue to participate in the fund upon the evidence adduced at the hearing of the action. (Emphasis added.) (Citations omitted.) Robinson at 368. {¶ 21} The specific issue before the Tenth District in Marcum was whether the entire case in an R.C. 4123.519 (now 4123.512) proceeding is before the court of common pleas de novo so that all factual and legal issues are to be resolved by that court or whether the appeal is an error proceeding in which the 9 SUPREME COURT OF OHIO common pleas court, if it determines that a legal error is present, may remand the matter to the Industrial Commission. Id., 76 Ohio App.3d at 537, 602 N.E.2d 419. {¶ 22} After setting forth the analysis quoted above in Robinson, the court in Marcum further concluded that the full and complete de novo nature of the appeal precludes a remand to the Industrial Commission in this situation: [A] court of common pleas in an appeal from a decision of the Industrial Commission has no power to remand the cause to the Industrial Commission for further proceedings the equivalent of a new trial before the Industrial Commission. Nor is such power somehow conferred because the Industrial Commission applied the wrong rule of law in determining the matter upon its facts. There is a mandatory duty upon a court of common pleas to proceed to a final determination of the appealed issues, especially the right to participate in the Workers Compensation Fund upon the law and the evidence adduced before that court. Such duty cannot be avoided by remand to the Industrial Commission. Id. at 540-541. {¶ 23} Other appellate courts have consistently held that a remand to the Industrial Commission is not an option generally available to the trial court in an R.C. 4123.512 appeal concerning a claimant s right to participate in the fund. See, e.g., Green v. B.F. Goodrich Co., 85 Ohio App.3d 223, 226, 619 N.E.2d 497 (9th Dist.1993) ( the duty imposed upon the court by R.C. 4123.519(C) [now 4123.512(D)] is mandatory. By [the statute s] use of the word shall the court is given no discretion to remand the case to the Industrial Commission for further proceedings, but must determine the claimant s right to participate in the fund ); 10 January Term, 2012 Aldridge v. LTV Steel Co., 5th Dist. No. 95-CA-0158, 1996 WL 74697, (Jan. 29, 1996), *1 (R.C. 4123.512 does not authorize a court to remand an action back to the commission ); Wagner v. Fulton Industries, Inc., 116 Ohio App.3d 51, 54, 686 N.E.2d 559 (6th Dist.1997) (once an appeal from the Industrial Commission is taken pursuant to R.C. 4123.512, it is the trial court s mandatory responsibility to determine whether the claimant has a right to participate in the State Insurance Fund and the court has no discretion to remand the case to the commission ). See also Broyles v. Conrad, 2d Dist No. 20670, 2005-Ohio-2233, ¶ 15 (because R.C. 4123.512 prohibits remand to the Industrial Commission when the Industrial Commission made no determination on the merits of the claim, the trial court must determine the claim s merits, except as to the extent of disability, in the de novo trial required by R.C. 4123.512; if the court finds in favor of the claimant s right to participate, only then does the case return to the Industrial Commission for an administrative determination of the extent of the claimant s disability). {¶ 24} Several treatises on Ohio law have recognized the force of these precedents. See 1 Philip Fulton, Ohio Workers Compensation Law, Section 12.6 (Rev.Ed.2012) (extensively quoting the decision in Marcum and describing it as an informative and extensive discussion concerning the status of [a] de novo trial to explain Marcum s holding that the court of common pleas had no power to remand for a claim to produce the equivalent of a new trial before the Industrial Commission despite the Industrial Commission s application of the wrong rule of law in determining the matter upon its facts ); Jo Ann F. Wasil and Mark E. Mastrangelo, Baldwin s Ohio Workers Compensation Law, Section 14:118 (2009), (citing Marcum and other precedent in recognizing that as a general rule, a common pleas court in an R.C. 4123.512 appeal has no power to remand a cause to the Commission for further proceedings ). {¶ 25} Bennett bases much of his argument on Ward, 106 Ohio St.3d 35, 2005-Ohio-3560, 830 N.E.2d 1155. In Ward, we considered whether the scope 11 SUPREME COURT OF OHIO of an R.C. 4123.512 appeal is limited to the medical conditions addressed in the order from which the appeal is taken. Id. at ¶ 6. We resolved that issue by holding that a claimant in an R.C. 4123.512 appeal may seek to participate in the Workers Compensation Fund only for those conditions that were addressed in the administrative order from which the appeal is taken. Id. at syllabus. {¶ 26} Ward involved a discrete situation in which a specific medical condition was administratively considered and the claimant then attempted to add new conditions in his R.C. 4123.512 appeal. See id. at ¶ 1-3. The instant case does not involve that situation and is fundamentally distinguishable. {¶ 27} Ward, which specifically recognized that an R.C. 4123.512 appeal is a de novo determination of fact, and law, id. at ¶ 7, see also id. at ¶ 8, does not call into question the extensive authorities relied on by the trial court and the court of appeals here. As the appellate court in this case stated when it denied Bennett s motion for reconsideration and rejected his arguments based on Ward: Ward pertained to alleging new medical conditions. Such was not the scenario involved in the instant case. In addition, Ward reflects that a claimant must state a specific medical injury or condition as the basis of seeking compensation from the fund. The record clearly reflects that appellant failed to do so. {¶ 28} If Bennett had prevailed at some level in the administrative proceedings on the question of his accident s occurring in the course of his employment, in order to establish his right to participate in the fund, he would have been required to administratively prove the injury-related and causation aspects of his claim at whatever stage in the administrative proceedings he received a ruling in his favor on the course-of-employment question. See Starkey v. Builders FirstSource Ohio Valley, L.L.C., 130 Ohio St.3d 114, 2011-Ohio3278, 956 N.E.2d 267, ¶ 15 (claimants must submit a medical diagnosis of an injury at the administrative level to prevail and must establish a causal connection between the documented physical harm and the industrial injury for it 12 January Term, 2012 to be compensable ). R.C. 4123.512, with the requirement that a trial court conduct a de-novo consideration upon the evidence presented at the hearing before it in order to determine a claimant s right to participate in the fund, supports the conclusion that a claimant continues to bear the obligation to establish all aspects of the right to participate through the appeal to common pleas court. A trial court s consideration in an R.C. 4123.512 appeal does not involve weighing evidence regarding the extent of a claimant s disability. Instead, the right to participate is a separate matter that the claimant must establish in the de novo proceeding conducted under R.C. 4123.512. {¶ 29} Bennett s arguments are based to a considerable degree on the contention that an R.C. 4123.512 appeal is similar to administrative appeals in other contexts taken pursuant to different statutory authority. However, these arguments are conclusively rebutted by a comparison of the provisions of R.C. 4123.512 to the provisions of a typical administrative-appeal statute such as R.C. 119.12, as explained in Marcum in the analysis adopted by this court in Robinson. See Robinson, 81 Ohio St.3d at 368, 691 N.E.2d 667, quoting Marcum, 76 Ohio App.3d at 539, 602 N.E.2d 419 (words such as affirm, * * * reverse, vacate, or modify, which appear in R.C. 119.12, are absent from R.C. 4123.512). {¶ 30} An R.C. 4123.512 appeal is by no means a typical administrative appeal, but is a distinctive appeal with unique characteristics. The legal analysis employed by the court of appeals in this case was in accord with the provisions of R.C. 4123.512 and with the relevant precedent, which properly delineates the scope of an R.C. 4123.512 appeal. The lower courts correctly determined that a remand for additional administrative proceedings upon the trial court s conclusion that the coming-and-going rule did not bar participation in the fund was not an option under the controlling law. The fundamentals of the de novo appeal under R.C. 4123.512 required Bennett to establish his right to participate in the fund, 13 SUPREME COURT OF OHIO including the injury-related and causation aspects of his claim relevant to that question, in the common pleas court. III. Conclusion {¶ 31} For all the above reasons, we determine that the trial court and court of appeals were correct in their analysis of the specifics of a claimant s burden in an R.C. 4123.512 appeal proceeding. We affirm the judgment of the court of appeals. Judgment affirmed. O CONNOR, C.J., and O DONNELL, FISCHER, and MCGEE BROWN, JJ., concur. LANZINGER, J., not participating. PFEIFER and LUNDBERG STRATTON, JJ., dissent. PATRICK F. FISCHER, J., of the First Appellate District, sitting for LANZINGER, J. __________________ PFEIFER, J., dissenting. {¶ 32} This case had been fought for years through every level of the worker s compensation system, through the trial court on appeal, to the court of appeals, and back to the trial court over one issue: whether appellant, Mark Bennett, was in the course of his employment when his car was rear-ended and he was injured on his way to his employer s place of business. At every level, this case had been about the coming and going rule and its application to Bennett. It had been about that rule to such an extent that Bennett s employer and the Industrial Commission had never disputed that Bennett was, in fact, injured in the car accident. {¶ 33} Finally, more than four years after Bennett s accident, the factual issue of whether the accident occurred when Bennett was working or was merely on his way to work was to be settled by the trial judge. But then came a 14 January Term, 2012 Gotcha moment: after Bennett presented his evidence, counsel for appellee Administrator, Bureau of Workers Compensation ( BWC ) moved for a directed verdict. He argued that Bennett had not proven an injury or that the accident was a direct and proximate cause of his injury. What had never been an issue suddenly became the deciding issue in the case. The trial court did not rule on the motion immediately, but after posttrial briefing, ruled in the favor of the administrator. {¶ 34} I would hold that the issue of Bennett s injury was conceded by his employer and the administrator and that based upon the trial court s holding that Bennett was indeed injured in the course of his employment, would order this case back to the BWC for a determination of the extent of Bennett s injury. {¶ 35} From the beginning and throughout this entire case, Bennett s injury has been conceded. In its answer to Bennett s petition/complaint, Goodremont s admitted that Bennett had been injured in the accident at issue. Paragraph four of Bennett s complaint reads: As a result of the collision, Mr. Bennett suffered bodily injuries, required and requires medical treatment, has had a loss of income and has been disabled. {¶ 36} The answer of Goodremont s reads at paragraph four: Goodremont s states that Mr. Bennett was injured on February 28, 2006, but otherwise denies the allegations in paragraph 4 of the Complaint for want of knowledge sufficient to form a belief as to the truth thereof. (Emphasis added.) {¶ 37} In a motion for summary judgment filed on July 20, 2007, the appellees admitted that Bennett had been injured. Whether Bennett was injured played no part at all in their motion for summary judgment. And they made a statement that would be repeated over and over again throughout the life of the case, acknowledging Bennett s injury: {¶ 38} At approximately 7:42 a.m. on February 28, 2006, Bennett was injured when his vehicle was rear-ended by another driver while Bennett was 15 SUPREME COURT OF OHIO stopped at an on-ramp yield sign off of Central Ave. waiting to enter the on-ramp to Northbound I-475. {¶ 39} On September 12, 2007, appellees made a further admission of Bennett s injury. In a motion in limine (attached as an appendix), the appellees requested the trial court to exclude the admission and presentation of any evidence, including witness testimony and any and all documents, at trial * * * concerning the extent of Plaintiff's injuries and the cost of related medical services resulting from the motor vehicle accident in which Plaintiff, Mark Bennett * * * was involved on February 28, 2006 on the grounds that such evidence is irrelevant to the sole issue in this case whether Plaintiff is entitled to participate in the Ohio Workers' Compensation Fund, such evidence is barred by the Civil Rules, and such evidence would be needlessly time-consuming at trial. {¶ 40} The appellees framed the issue as solely about the coming and going rule. [T]he extent of Bennett s injuries is not at issue in this case * * *. Therefore, [those witnesses] cannot possibly have any relevant information concerning the purely legal issue in this case whether the motor vehicle accident at issue * * * occurred in the course of and arose from Bennett s employment at Goodremont s. {¶ 41} The respondents also made a familiar admission in that motion: On February 28, 2006, Bennett was involved in a motor vehicle accident while driving his personal vehicle on his way from his home to Goodremont's Toledo office for a customer demonstration scheduled to take place that morning. (Mark Bennett Deposition Transcript, filed in this case on July 18, 2007, pp. 20-21.) Bennett was injured at 7:42 a.m. on February 28, 2006, when his vehicle was rearended by another driver while Bennett was stopped at an on-ramp yield sign off of Central Ave. waiting to enter the on-ramp to Northbound I-475. (id. pp. 19-20). {¶ 42} The appellees wrote that Bennett had already provided evidence of his injuries: Bennett s responses to discovery requests served by undersigned 16 January Term, 2012 counsel for Goodremont s, Inc. and by undersigned counsel for the Administrator of the BWC included detailed information and medical records concerning the extent of Bennett s injuries and the cost of related medical services allegedly resulting from those injuries. {¶ 43} The appellees asked for other documents and witnesses to be excluded: Therefore, because medical records, medical expenses incurred, and the testimony of Bennett s relatives and former co-workers at a previous job are not relevant to the sole issue before this Court, all such testimony and documents should be excluded from trial under Ohio Rule of Evidence 402 [relevant evidence is generally admissible]. Does not requesting a ban on evidence of the extent of the injury constitute an admission that there is, in fact, an injury? {¶ 44} The trial court never ruled on the motion in limine, and it was never withdrawn. But the trial court did grant appellees motion for summary judgment, deciding the issue entirely on the coming and going rule. But the court did note that Bennett had suffered an injury, writing, At 7:42 a.m. on that day, February 28, 2006, Mr. Bennett sustained injuries while in his automobile on his way to the office when another driver rear-ended him. (Bennett depo. 19-20). {¶ 45} Bennett sought reversal of that summary judgment at the court of appeals and won. The court held: On the basis of these facts, a reasonable factfinder might well conclude that Bennett's employment situs was non-fixed, in which case the coming-and-going rule would not apply to preclude recovery for Bennett. Because there remains a genuine issue of fact with respect to this issue, the trial court's granting of summary judgment on the basis of the coming-and-going rule was clearly inappropriate. 17 SUPREME COURT OF OHIO Bennett v. Goodremont's, Inc., 6th Dist. No. L-08-1193, 2009-Ohio-2920, ¶ 20. The case was remanded to the trial court. {¶ 46} In interrogatories filed with the court on February 18, 2010, appellees asked Bennett: State with specificity the injury(ies) and/or medical conditions that are alleged as being compensable and are the subject of this appeal. Bennett responded, I received back and neck injuries resulting in surgery. I am presently totally disabled. {¶ 47} Finally, during the trial on April 16, 2010, the shocked counsel for the administrator realized that Bennett was never injured at all and moved for a directed verdict. Four good years of litigation wasted over a fellow who was never even hurt! {¶ 48} What followed was a second trip to the appellate court and a trip to this court to battle over an elemental fact that everyone involved in this case actually agrees on: Bennett was hurt. The appellees should be irretrievably bound to the admissions they consistently made throughout this case, and this case should be over. {¶ 49} In arriving at its conclusion that the judgment of the Sixth District Court of Appeals should be affirmed, the majority engages in a discussion of this court s decision in Robinson v. B.O.C. Group, Gen. Motors Corp., 81 Ohio St.3d 361, 368, 691 N.E.2d 667 (1998), and instruction it finds in the Tenth District Court of Appeals case of Marcum v. Barry, 76 Ohio App.3d 536, 539-540, 602 N.E.2d 419 (10th Dist.1991). Informative, but not useful in this matter. Neither party disputes that if Bennett had prevailed, this matter would necessarily be returned to the Industrial Commission and ultimately to the Bureau of Workers Compensation ( BWC ) for an administrative determination of the level of benefits and compensation appropriate for Bennett s injuries. See R.C. 4123.512(G). That would be the case no matter what evidence Bennett could 18 January Term, 2012 have presented at trial regarding his specific medical injuries. The real decision about the compensation due Bennett would come from the BWC. {¶ 50} The supposed de novo nature of the trial de novo does not appear in R.C. 4123.512 in this case is vastly overstated. The injuries a claimant can allege at trial are controlled by what he alleged at the BWC, and the verdict in the trial has no real meaning until it becomes the holding of the BWC and it makes its decision regarding compensation. The de novo trial is bookended and controlled by what happens at the BWC. Only the barest proof of injury is necessary at trial. {¶ 51} This matter has been twice to a trial court and twice to the Sixth District Court of Appeals and now to this court, without any BWC administrative determination on the injuries which still remains a prerequisite to any compensation award to Bennett. That was the exact argument advanced by the defendants to preclude injury and medical testimony on the R.C. 4123.512 appeal by Bennett. After losing their coming and going arguments in this case, the defendants ask this court to convert the sword they wielded in their motion in limine into a shield from liability when Bennett accepted their position and did not offer his medical evidence at trial. {¶ 52} The cases discussed in the majority opinion bear no relationship to the facts and procedural posture of Bennett's claim for compensation. It allows the defendants here to set a bear trap for Bennett by ignoring the admissions contained throughout the litigation and in their motion in limine. Perhaps one should not be surprised that there are employers and attorneys in this state that are comfortable with the legal subterfuge present in this case. It is quite a surprise that the attorney general and the BWC/Industrial Commission would not just go along for the ride, but actively participate. This is not just a case of justice delayed; it is most certainly a case of justice denied. I dissent. LUNDBERG STRATTON, J., concurs in the foregoing opinion. 19 SUPREME COURT OF OHIO _________________ Kennedy, Purdy, Hoeffel & Gernert, L.L.C., and Paul E. Hoeffel, for appellant. Michael DeWine, Attorney General, Alexandra T. Schimmer, Solicitor General, Elisabeth A. Long and Matthew P. Hampton, Deputy Solicitors, and Joshua W. Lanzinger, Assistant Attorney General, for appellee Administrator, Ohio Bureau of Workers Compensation. ________________________ THE APPENDIX TO JUSTICE PFEIFER S DISSENTING OPINION APPEARS ON THE FOLLOWING PAGES 20 January Term, 2012 21 SUPREME COURT OF OHIO 22 January Term, 2012 23 SUPREME COURT OF OHIO 24 January Term, 2012 25 SUPREME COURT OF OHIO 26
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