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Holmes v. Carolina Services of Fayetteville
I.C. NO. 371997.
| N.C. Indus. Comm. | Nov 21, 2011
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Background

  • Full Commission reviewed Deputy Commissioner’s Opinion and Award; no new evidence or rehearing grounds found.
  • Stipulations: employer-employee relationship, carrier on risk, Act applicability.
  • Prior compensable left heel/ankle injury (2003 forklift) acknowledged; later medical developments.
  • 2008 Form 26A agreement approved for 12% PPD of left lower extremity.
  • 2009 motorcycle accident caused substantial new injuries; doctor opinions split on causal relation to 2003 injury.
  • Full Commission concluded current condition not causally related to 2003 injury and denied further indemnity/medical relief.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Is there a compensable change of condition? Plaintiff asserts ongoing effects linked to 2003 injury. Defendants contend new 2009 injuries are not caused by 2003 injury. No substantial change attributable to 2003 injury.
Is the claimant entitled to further medical or indemnity compensation? Medical needs tied to prior work injury. Medical needs are related to non-compensable events. Denied; not causally related to the 2003 injury.
Should the Form 26A award be set aside? Alleged mutual mistake/misrepresentation to invalidate award. No fraud or mistake proven; award remains valid. Form 26A award not set aside.

Key Cases Cited

  • Young v. Hickory Bus. Furn., 137 N.C. App. 51, 527 S.E.2d 344 (2000) (change in condition standard for modification)
  • Perez v. Am. Airline/AMR Corp., 174 N.C. App. 128, 620 S.E.2d 288 (2005) (presumption rebutted by competent medical evidence)
  • Parsons v. Pantry, Inc., 126 N.C. App. 540, 485 S.E.2d 867 (1997) (presumption applicability in medical causation)
  • Lettley v. TrashRemoval Serv., 91 N.C. App. 625, 372 S.E.2d 747 (1988) (burden to prove disability causation)
  • Blair v. American Television Comm. Corp., 124 N.C. App. 420, 477 S.E.2d 190 (1996) (substantial change of condition standard; burden on claimant)
  • Murray v. Nebel Knitting Co., 214 N.C. 437, 199 S.E. 609 (1938) (change in compensation award jurisprudence)
  • Hogan v. Cone Mills Corp., 315 N.C. 127, 337 S.E.2d 477 (1985) (inherent power to set aside judgments for fraud/misrepresentation)
Read the full case

Case Details

Case Name: Holmes v. Carolina Services of Fayetteville
Court Name: North Carolina Industrial Commission
Date Published: Nov 21, 2011
Docket Number: I.C. NO. 371997.
Court Abbreviation: N.C. Indus. Comm.