25-ica-22
W. Va. Ct. App.Aug 29, 2025Background
- Harold G. Elswick II suffered injuries to his neck, left shoulder, and right knee during a work-related fall on January 16, 2023, while employed by Blackhawk Mining, LLC.
- His claim was initially deemed compensable for sprain/strain injuries to the specified body parts.
- Two medical evaluations produced different impairment ratings: Dr. Mukkamala assessed 9% whole person impairment (WPI) for the compensable injuries, while Dr. Guberman assessed a total of 13% WPI, with different apportionment for preexisting conditions.
- The Workers’ Compensation Board of Review adopted Dr. Guberman’s findings, reversing the claim administrator and awarding Mr. Elswick a 13% permanent partial disability (PPD) award.
- Blackhawk appealed, challenging the Board's reliance on Dr. Guberman's methodology and apportionment as arbitrary and unsupported.
- The Intermediate Court of Appeals affirmed the Board’s decision, finding its reliance on Dr. Guberman’s report reasonable and in line with legal standards for apportionment and credibility decisions.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the Board erred in awarding an additional 4% PPD based on Dr. Guberman's report | Blackhawk: The Board relied on an arbitrary and unreasoned opinion for the higher WPI rating | Elswick: Dr. Guberman's apportionment was rational and consistent with medical and legal standards | The Board's adoption of Dr. Guberman’s 13% WPI was reasonable and supported by the record |
| Whether the Board properly discounted Dr. Mukkamala's higher apportionment to preexisting conditions | Blackhawk: Dr. Mukkamala’s analysis was more appropriate and should control | Elswick: Dr. Mukkamala’s approach was arbitrary and not supported by specific findings | The Board reasonably found Dr. Guberman’s apportionment more persuasive |
| Whether rounding impairment percentages upward was permissible | Blackhawk: Rounding up was unsupported and arbitrary | Elswick: The AMA Guides permit such rounding with rationale | The court found such rounding permissible under the Guides and precedent |
| Whether the employer met its burden to prove apportionment for preexisting conditions | Blackhawk: Sufficient proof existed justifying apportionment | Elswick: Employer did not sufficiently prove the degree attributable to prior conditions | The employer did not meet its burden under case law for greater apportionment |
Key Cases Cited
- Duff v. Kanawha Cnty. Comm’n, 250 W. Va. 510, 905 S.E.2d 528 (W. Va. 2024) (sets the burden on employer to prove degree of apportionment for preexisting conditions)
- In re Queen, 196 W. Va. 442, 473 S.E.2d 483 (W. Va. 1996) (explains the deferential standard for review of agency decisions)
- Martin v. Randolph Cnty. Bd. of Educ., 195 W. Va. 297, 465 S.E.2d 399 (W. Va. 1995) (affirms deference to fact-finder’s credibility determinations)
