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Thomas L. Cooper v. Appalachian Power Co.
15-1095
W. Va.
Mar 10, 2017
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Background

  • Thomas L. Cooper, long‑time Appalachian Power employee, suffered multiple work injuries, most recently a 2008 traumatic amputation of multiple right‑hand fingers; he never returned to work.
  • Cooper previously received permanent partial disability awards totaling 63% (including 43% for the 2008 injury and separate awards for psychiatric, lumbar, cervical, and shoulder impairments).
  • He applied for permanent total disability (PTD) benefits in 2012; statutory prerequisites required prior partial awards totaling 50% and a current whole‑body medical impairment of at least 50%.
  • The PTD Review Board referred Cooper to Dr. Marsha Bailey for reevaluation; Dr. Bailey rated his whole‑body impairment at 43% after applying the §85‑20 “Rule 20” spinal tables which reduced lumbar and cervical ratings to fit the regulatory tables.
  • The claims administrator denied PTD on May 21, 2014 (below 50%); the Office of Judges reversed and remanded for a new impairment exam, finding Dr. Bailey’s application of Rule 20 flawed; the Board of Review reversed the Office of Judges and reinstated the denial.
  • Supreme Court affirmed the Board of Review: Rule 20 adjustments to lumbar and cervical range‑of‑motion ratings are required, and Cooper’s adjusted whole‑body impairment did not meet the 50% PTD threshold.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether prior partial awards bar reevaluation of whole‑body impairment Cooper: prior awards totaling >50% mean his whole‑body impairment should not be reduced by a secondary exam Appalachian Power: statute requires PTDRB reevaluation to determine current whole‑body impairment Held: Reevaluation is required by statute; prior awards do not preclude reassessment
Whether Dr. Bailey improperly applied Rule 20 (85 C.S.R. §85‑20) to lumbar/cervical ratings Cooper: Office of Judges—Dr. Bailey’s application of Rule 20 was flawed and her report not credible Appalachian Power / Board: Rule 20 adjustments are required and Dr. Bailey properly applied them Held: Dr. Bailey correctly applied Rule 20; lumbar and cervical impairments must be adjusted to table ranges
Whether Cooper met the 50% whole‑body impairment threshold for PTD after proper adjustments Cooper: alternatively asks court to find he meets 50% and remand for vocational retraining Appalachian Power: adjusted ratings produce <50% whole‑body impairment; no PTD eligibility Held: Adjusted whole‑body impairment was below 50%; PTD denied
Standard of review for Board of Review reversal of Office of Judges Cooper: Board reversal was erroneous Appalachian Power: Board’s reversal consistent with law and precedent Held: Under W.Va. Code §23‑5‑15(d), Board’s reversal not clearly wrong or legally erroneous; deference due

Key Cases Cited

  • Dunlap v. State Compensation Director, 149 W.Va. 266, 140 S.E.2d 448 (1965) (statutory nature of workers’ compensation rights; plain‑meaning statutory construction)
  • Simpson v. West Virginia Office of Insurance Commissioner, 223 W.Va. 495, 678 S.E.2d 1 (2009) (upholding validity of W.Va. C.S.R. Table §85‑20 and the rulemaking authority to standardize spinal impairment ratings)
Read the full case

Case Details

Case Name: Thomas L. Cooper v. Appalachian Power Co.
Court Name: West Virginia Supreme Court
Date Published: Mar 10, 2017
Docket Number: 15-1095
Court Abbreviation: W. Va.