BALL v. MULTIPLE INJURY TRUST FUND
2015 OK 64
| Okla. | 2015Background
- Jeanette Ball suffered a work-related injury on July 14, 2009; the Workers' Compensation Court awarded permanent partial disability and made Crumby findings of preexisting disabilities (6% back, 8% psychological) in the same order.
- Ball later settled with her employer and then filed a Form 3F (Aug. 15, 2012) seeking permanent total disability (PTD) benefits from the Multiple Injury Trust Fund ("the Fund"), alleging additional non-adjudicated impairments and relying on expert testimony that combined disabilities produced PTD.
- Fund-appointed and claimant experts examined Ball; physicians for the Fund found no combinable injuries producing PTD, while claimant experts said combination could produce PTD.
- The trial court awarded PTD benefits against the Fund, finding the Crumby findings combinable with the adjudicated injury. A three-judge panel vacated that award; the Court of Civil Appeals (COCA) reversed the panel.
- The Oklahoma Supreme Court granted certiorari and held that, under the 2005 statutes, a claimant must already be a "physically impaired person" as defined in 85 O.S. § 171 at the time of the subsequent injury; a Crumby finding made contemporaneously with adjudication of the later injury cannot satisfy that prerequisite.
Issues
| Issue | Ball's Argument | Fund's Argument | Held |
|---|---|---|---|
| Whether a Crumby finding made simultaneously with adjudication of a later on-the-job injury qualifies as a "previous adjudication" under 85 O.S. Supp. 2005 § 171, making the claimant a "physically impaired person" entitled to Fund recovery | Crumby findings are "previous adjudications" under § 171; combined disabilities (Crumby + later injury) produce PTD so Fund liability should attach | § 171 requires a prior adjudication that predates the subsequent injury adjudication; contemporaneous Crumby findings do not qualify, so Fund lacks jurisdiction | Held for Fund: Crumby findings made contemporaneously with adjudication of the later injury cannot be combined to meet § 171's "previous adjudications" requirement; claimant not entitled to Fund recovery on that basis |
| Whether the 2005 amendments to §§ 171–172 removed the jurisdictional requirement that a claimant be a "physically impaired person" to bring a Fund claim | Ball: 2005 amendments reinstated Fund liability for PTD and should be read to allow Fund claims without a preexisting physically impaired status | Fund: 2005 amendments restored limited PTD liability but did not eliminate the statutory prerequisite that claimant be a "physically impaired person" at the time of the subsequent injury | Held for Fund: 2005 amendments did not remove the jurisdictional requirement; claimant must meet § 171 definition before seeking Fund relief |
| Whether Crumby findings constitute "any disability resulting from separately adjudicated injuries and adjudicated occupational diseases even though arising at the same time" under § 171 | Ball: alternative statutory language in § 171 fits Crumby findings as previous adjudications | Fund: Crumby findings are simultaneous, not separately adjudicated injuries; thus they do not fall within that clause | Held for Fund: Crumby findings are not "separately adjudicated" injuries as contemplated by § 171 and therefore do not qualify |
| Whether COCA's contrary rulings (allowing contemporaneous Crumby findings to qualify) should control | Ball relied on COCA decision below and related COCA precedent | Fund urged fidelity to precedent (Carson) and statutory text; Supreme Court must harmonize statutory scheme | Held for Fund: Supreme Court vacated COCA's opinion and overruled related COCA decision (Perry), reaffirming Carson's rule under the 2005 statute |
Key Cases Cited
- Special Indem. Fund v. Carson, 852 P.2d 157 (Okla. 1993) (contemporaneous Crumby findings are not prior adjudications under §171)
- J.C. Penney Co. v. Crumby, 584 P.2d 1325 (Okla. 1978) (definition and purpose of Crumby findings to quantify preexisting impairment)
- Multiple Injury Trust Fund v. Wade, 180 P.3d 1205 (Okla. 2008) (describing Fund's role: employer liable for subsequent injury; Fund supplements for combinable excess)
- St. John Med. Ctr. v. Bilby, 160 P.3d 978 (Okla. 2007) (statutory construction: apply unambiguous language as written)
- Special Indem. Fund v. Figgins, 831 P.2d 1379 (Okla. 1992) (Fund liability principles; employer liability vs. Fund responsibility)
- Special Indem. Fund v. Archer, 847 P.2d 791 (Okla. 1993) (simultaneously occurring but separately adjudicated injuries and limits on Fund recovery)
