Higginbotham v. Workforce Safety & Insurance
2014 ND 147
| N.D. | 2014Background
- James Higginbotham, a 70‑year‑old former welder/pipefitter, injured his left rotator cuff while working for Industrial Contractors, Inc.; he can no longer perform his prior welding/pipefitting work.
- After surgery, WSI referred him to vocational rehabilitation; the vocational consultant’s report (VCR) identified option (f) — return to a statewide job pool — as the first appropriate option, listing jobs (cashier, telephone sales, gaming dealer, greeter) with expected weekly income exceeding 90% of his pre‑injury earnings.
- WSI approved the rehabilitation plan and notified Higginbotham it intended to discontinue disability benefits; Higginbotham sought reconsideration, an ALJ affirmed WSI, and the district court affirmed on appeal.
- Higginbotham challenged the VCR/WSI decision on several grounds: lack of expert earning‑capacity proof, no labor‑market evidence, impracticality/affordability of the plan (commute/relocation), failure to account for his preexisting conditions and narrow work history, and lack of consideration of his wife’s income.
- The ALJ relied on the VCR, a Functional Capacity Evaluation (FCE), and hearing testimony; the ALJ found WSI met its burden and that the VCR reasonably accounted for documented limitations.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether WSI identified the first appropriate rehabilitation option | Higginbotham: VCR not expert‑based, no labor‑market proof, plan not practical or affordable | WSI: VCR (with FCE) reasonably identified option (f) and demonstrates realistic opportunity for substantial gainful employment | Court: WSI met its burden; reasoning mind could find the VCR appropriate |
| Whether an expert must establish earning capacity for the plan | Higginbotham: earning capacity must be shown by expert under §65‑05‑10(3) | WSI: expert earnings proof statute applies to partial disability, not when a §65‑05.1‑01(4) option is chosen | Court: §65‑05‑10(3) inapplicable here; argument meritless |
| Whether commuting/relocation costs make the plan impractical | Higginbotham: commuting/relocation unaffordable; would force refusal of employment | WSI: no job has been offered yet; refusal doctrine (Lawrence) not ripe until offer/refusal exists | Court: claim not ripe; speculative without a job offer; Lawrence not controlling now |
| Whether VCR failed to consider preexisting conditions | Higginbotham: multiple preexisting conditions (should be considered) | WSI: FCE and VCR considered documented functional limits; no evidence of diagnosed PTSD in record | Court: documented preexisting conditions were considered; lack of evidence for PTSD; ALJ findings supported by record |
Key Cases Cited
- Bishop v. Workforce Safety & Ins., 823 N.W.2d 257 (N.D. 2012) (standard for reviewing WSI vocational‑rehabilitation decisions and the requirement that plans provide realistic opportunity for substantial gainful employment)
- Tverberg v. Workforce Safety & Ins., 723 N.W.2d 676 (N.D. 2006) (distinguishing rehabilitation options from partial disability framework)
- Lawrence v. N.D. Workers’ Comp. Bureau, 608 N.W.2d 254 (N.D. 2000) (refusal‑of‑work doctrine — a job may be refused if a reasonably prudent person would refuse under similar circumstances)
- Svedberg v. N.D. Workers Comp. Bureau, 599 N.W.2d 323 (N.D. 1999) (preexisting functional limitations are elements of the employee that must be considered in rehabilitation planning)
- Sposato v. Sposato, 570 N.W.2d 212 (N.D. 1997) (ripeness principles: issues dependent on future contingencies are premature)
- State v. Haibeck, 714 N.W.2d 52 (N.D. 2006) (appellate court will not consider issues inadequately briefed)
- State v. Holzer, 656 N.W.2d 686 (N.D. 2003) (support for the court’s practice of refusing to consider inadequately supported appellate issues)
