JEANETTE Y. BALL, Pеtitioner, v. MULTIPLE INJURY TRUST FUND and THE WORKERS’ COMPENSATION COURT, Respondents.
Case Number: 112122
THE SUPREME COURT OF THE STATE OF OKLAHOMA
Decided: 10/13/2015
2015 OK 64
GURICH, J.
CERTIORARI TO THE COURT OF CIVIL APPEALS, DIVISION IV, ON APPEAL FROM THE WORKERS’ COMPENSATION COURT
NOTICE: THIS OPINION HAS NOT BEEN RELEASED FOR PUBLICATION. UNTIL RELEASED, IT IS SUBJECT TO REVISION OR WITHDRAWAL.
¶0 Petitioner Jeanette Ball sought permanent total disability benefits from the Multiple Injury Trust Fund. The Workers’ Compensation Court held that a Crumby finding of preexisting disability made simultaneously with the adjudication of an on-the-job injury could be combined with the adjudicated injury to render the Claimant a physically impaired person under
COURT OF CIVIL APPEALS OPINION IS VACATED; CAUSE REMANDED FOR FURTHER PROCEEDINGS CONSISTENT WITH TODAY‘S PRONOUNCEMENT
Brandy L. Inman, Latham, Wagner, Steele & Lehman, P.C., Tulsa, Oklahoma, for the Respondents.
GURICH, J.
Facts & Procedural History
¶1 Claimant sustained a work-related injury on July 14, 2009, while employed at Goodyear Tire & Rubber Company.1 On Deсember 13, 2010, the trial court determined Claimant had sustained 24% permanent partial disability to her back and 5% permanent partial disability for psychological overlay and awarded her $49,590.00. In that same
¶2 Although Claimant had only one previously adjudicated injury, on August 15, 2012, she filed a Form 3F seeking permanent total disability benefits from the Fund. The Form 3F lists her one injury of July 14, 2009, notes the Crumby findings, and alleges as other preexisting disabilities “Obvious & Apparent-Hearing Loss, Both Knees, R. Elbow, R. Wrist.”5 Claimant relied on expert testimony from Dr. Wilson who examined Claimant on September 4, 2012. Upon review of her medical history, Dr. Wilson concluded Claimant had prior non-adjudicated injuries to her knees, right arm, and right wrist, and hearing loss and cоncluded: “[I]t is my opinion that due to the synergistic effect of Ms. Ball‘s work related injuries and resultant impairments, in combination with her age, educational background, economic status, and employment history, she is permanently totally disabled from performing any gainful employment for which she is qualified now or in the future.”6
¶3 The trial court appointed Dr. Munneke to conduct a medical exam. Dr. Munneke reviewed Claimant‘s medical history and concluded: “It is my opinion at this time the patient exhibits a residual disability of 29% impairment to the body as a whole due to her last work related injury. Her other injuries are not combinable, and it is my opinion the patient is not permanently totally disabled as a result of the combination of her non-work related injuries along with her work related injury, nor is she permanently totally disabled as a result of her work related injury alone.”7 On October 30, 2012, Dr. Young examined Claimant on behalf of the Fund. After reviewing Claimant‘s medical history, Dr. Young found Claimant had 29% permanent
¶4 In the proceedings below, Claimant conceded she had to be a physically impaired person to seek benefits from the Fund.9 The only contested issue was whether the Crumby findings of preexisting disability made simultaneously with the adjudication of the July 2009 injury could be combined to render the Claimant a physically impaired person under
¶5 Claimant appealed, and the Court of Civil Appeals reversed the three-judge panel‘s decision. The court held that because of amendments made in 2005, the Claimant was not required to show she was a physically impaired person before seeking compensation from the Fund. COCA concluded that Claimant‘s July 14, 2009 injury combined with the court‘s Crumby findings of preexisting disability rendered Claimant permanently and totally disabled and entitled her to compensation from the Fund. The Fund petitioned for certiorari review, and we granted review on March 2, 2015.10
Standard of Review
¶6 “When statutory language is unambiguous, no further construction is needed, and the unambiguous language will be applied as written.” St. John Med. Ctr. v. Bilby, 2007 OK 37, ¶ 6, 160 P.3d 978, 979. If a strict, literal interpretation of the statute leads to an inconsistent or incongruent result between provisions, this Court will utilize rules of statutory construction to reconcile the discord. State ex rel. Okla. State Dep‘t of Health v. Robertson, 2006 OK 99, ¶ 6, 152 P.3d 875, 878. “In determining legislative intent, this Court will not limit consideration to one word оr phrase but will consider the context of the ambiguous provision.” Bilby, 2007 OK 37, ¶ 6, 160 P.3d at 979. “Statutory construction presents a question of law and lower court rulings in this regard are reviewed de novo.” Holley v. Ace Am. Ins. Co., 2013 OK 88, ¶ 5, 313 P.3d 917, 920.
Analysis
¶7 The Legislature established the Fund in 1943 “to encourage employment of previously impaired workers.”11 The Fund protects employers “against additional liability for that class of individuals identified as physically impaired persons” in
¶8 “Awards аgainst the Fund may be entered only for an obligation defined and authorized by statute,”13 and “[o]nly upon authority of the statute can additional compensation be awarded for increased disability resulting from subsequent injury.”14 The Workers’ Compensation Court lacks jurisdiction to enter an award against the Fund unless a Claimant proves that at the time of the subsequent injury he or she was a physically impaired person.15 A Claimant‘s status as a physically impaired person is in fact “precedent to” the Workers’ Compensation Court‘s jurisdiction over the Fund. Special Indem. Fund v. Estill, 1997 OK 99, ¶ 10, 943 P.2d 606, 610.16
¶9 In this case, Claimant concedes she must be a physically impaired рerson to seek benefits from the Fund. The 2005 version of
For purposes of Sections 171 through 176 of this title, the term ‘physically impaired person’ means a person who as a result of accident, disease, birth, military action, or any other cause, has suffered the loss of the sight of one eye, the loss by amputation of the whole or a part of a member of his body, or the loss of the use or partial loss of the use of a member such as is obvious and apparent from observation or examination by an ordinary layman, that is, a persоn who is not skilled in the medical profession, or any previous adjudications of disability adjudged and determined by the Workers’ Compensation Court or any disability resulting from separately adjudicated injuries and adjudicated occupational diseases even though arising at the same time.17
At the time of her July 14, 2009 injury, Claimant indisputably had no prior adjudicated on-the-job injuries. Nevertheless, she maintains the Crumby findings of 6% preexisting disability to the back and 8% preexisting disability for psychological overlay are “previous adjudications of disability” under
¶10 In Special Indemnity Fund v. Carson, 1993 OK 64, 852 P.2d 157, this Court
¶11 However, by 1994 the Fund was estimated to be over $16.2 Million behind in payments,18 and because of the Fund‘s “continuing problem with the timely payment of awards due to lack of funds,”19 a joint legislative committee was created to study the Fund including “‘[a] determination of the impact that dissolution of the [Fund] would have on businesses located in this State.” Autry v. Multiple Injury Trust Fund, 2001 OK 79, ¶ 8, 38 P.3d 213, 215.
¶12 In 1999, the Legislature began the dissolution of the Fund. Bilby, 2007 OK 37, ¶ 9, 160 P.3d at 980. “Under the 1999 amendments, for actions filed after October 31, 1999, an employee did not receive any compensation from either the Fund, the employer, or the employer‘s insurance for increased disability from combined injuries resulting in permanent partial disability.”20 These benefits have never been statutorily restored. In 2000, the dissolution of the Fund “was completed when the Legislature discontinued benefits from the Fund for a material increase in combined disability resulting in permanent total disability” if the last injury occurred on or after June 1, 2000.21 ”The 2000 amendments expressly provided that, for actions filed after June 1, 2000, an employer bears the responsibility for the increase in disability caused by a combination of current and past injuries if the combined injuries result in permanent total disability.” Bilby, 2007 OK 37, ¶ 10, 160 P.3d at 980 (internal citations omitted) (emphasis added). As such, between June 1, 2000, and November 1, 2005, the Fund had no liability to a claimant for any benefits.
¶13 In 2005, however, the Legislature reinstated the Fund‘s liability for permanent total disability benefits due to a combination of disabilities when the date of the last injury occurred on or after November 1, 2005.22 At the same time, the Legislature amended Section 171 and specifically removed the word “pre-existing,” excluding a Crumby
¶14 We again note that Claimant conceded she must be a physically impaired person under Section 171 to seek benefits from the Fund. Additionally, by its terms, Section 171 unambiguously applies to the entire Act, providing that “for the purposes of Sections 171 through 176 of this title, the term ‘physically impaired person’ means . . . .”25 COCA, however, in this case and in a series of recent cases, has held that under
¶15 Since 1943 when the Fund was created, Section 172 has included the introductory language ”an employee, who is a ‘physically impaired person,’ receives an accidental personal injury compensable under the Workmen‘s Compensation Law which results in additional permanent disability. . . .” See
¶16 In 1999, Section 172(A) was again divided into subparts, with Section 172(A)(1) retaining the above introductory language, and Section 172(A)(2) then specifically addressing permanent partial disability. Section 172(B) continued to address permanent total disability. The amendments in 2000 and 2005 continued this structure with Section 172(A)(1) retaining the above introductory language, Section 172(A)(2) addressing permanent partial disability, and Section 172(B) addressing permanent total disability. The 2005 version of Section 172 provides in relevant part:
A. 1. For actions filed before November 1, 1999, except as otherwise provided in this section, an employee, who is a “physically impaired person” and who receives an accidental personal injury compensable under the Workers’ Compensation Act which results in additional permanent disability so that the degree of disability caused by the combination оf both disabilities is materially greater than that which would have resulted from the subsequent injury alone, shall receive compensation on the basis of such combined disabilities from the Multiple Injury Trust Fund. Only disability due to an injury to the body as a whole shall be combinable with a prior body disability, except that disability to a major member may be combined with disability to the body as a whole.
A. 2. a. For actions filed before November 1, 1999, if such combined disabilities constitute partial permanent disability as defined in Section 3 of this title, then the employee shall receive full compensation as now provided by law for the disability resulting directly and specifically from thе subsequent injury . . . .
A. 2. b. For actions filed on or after November 1, 1999, but before June 1, 2000, if the combined disabilities constitute partial permanent disability as defined in Section 3 of this title, then the employee shall receive full compensation as now provided by law for the disability resulting directly and specifically from the subsequent injury. . . .
B. 1. For actions in which the subsequent injury occurred before June 1, 2000, if such combined disabilities constitute permanent total disability, as defined in Section 3 of this title, then the employee shall receive full compensation as provided by law for the disability resulting directly and specifically from the subsequent injury. . . .
2. For actions in which the subsequent injury occurred on or after June 1, 2000, but before November 1, 2005, if such combined disabilities constitute permanent total disability, as defined in Section 3 of this title, then the claimant shall receive full compensation as now provided by law for the disability resulting directly and specifically from the subsequent injury. . . .
3. For actions in which the subsequent injury occurred on or after November 1, 2005, if such combined disabilities constitute permanent total disability, as defined in Section 3 of this title, then the employee shall receive full compensation as provided by law for the disability resulting directly and specifically from the subsequent injury.28
The phrases “if such combined disabilities” and “subsequent” used throughout Sections 172(A)(2) and 172(B) undoubtedly refer back to the introductory parаgraph of Section 172(A)(1), and the demarcation of dates within the subdivisions of Section 172 was to address the Fund‘s insolvency and future liability. COCA‘s interpretation of Section 172 creates discord where none exists,29 and
Conclusion
¶17 Under the 2005 version of
COURT OF CIVIL APPEALS OPINION IS VACATED; CAUSE REMANDED FOR FURTHER PROCEEDINGS CONSISTENT WITH TODAY‘S PRONOUNCEMENT
¶18 Combs, V.C.J., Watt, Winchester, Edmondson, Taylor, Gurich, JJ., concur.
¶19 Kauger, J., concurs by reason of stare decisis.
¶20 Reif, C.J., (by separate writing) dissents.
¶21 Colbert, J., not participating.
REIF, C.J., dissenting:
¶1 The issue in this case is whether a Crumby finding of preexisting disability qualifies an injured employee as a “previously impaired person,” as defined by
¶2 The controversy over using a Crumby finding to determine the liability of the Fund stems from the language in § 171 that requires an employee with preexisting disability tо meet the statutory definition of a “previously impaired person.” The pertinent portion of the statutory definition applicable to the case at hand is “a person who has . . . any previous adjudications of disability adjudged and determined by the Workers’ Compensation Court.” The Fund contends that this language means the preexisting disability of the injured employee must have been adjudicated prior to the “subsequent injury” being adjudicated. The Fund argues that a Crumby finding cannot meet this requirement, because it is made in the same proceeding where the disability due to the “subsequent injury” is determined.
¶3 While this is a reasonable interpretation, it assumes that the “subsequent injury” is the event or point in time that a “previous adjudication” must precede. It is equally reasonable that the Legislature intended that the “previous adjudication” need only precede an action for the adjudication of the liability of the Fund.
¶4 As the Crumby case points out, “[The] Fund‘s liability does not attach unless and until the extent of the [employer‘s] primary obligation [for the job-related injury] stands judicially determined by an award against the emplоyer.” Crumby, ¶ 10, 558 P.2d at 395. An action or proceeding to determine the liability of the employer and to make an award for the job-related injury comes before, and is separate and distinct from, an action or proceeding to adjudicate the Fund‘s liability. Workers’ Compensation Court Rules 10 & 11,
¶5 In an action to determine the liability of the Fund under section 172(B)(3), the issue is whether “such combined disabilities constitute permanent total disability.” Use of “such” in this context refers back to a
¶6 This provision sets forth the elements that an employee must prove in order to “receive compensation on the basis of such combined disabilities from the Multiple Injury Trust Fund.” At the time of the action or proceeding against the Fund, a claimant must show he or she (1) is a “physically impaired person” (i.e. have a previous adjudication of preexisting disability, including a Crumby finding), (2) has received “an accidental personal injury compensable under the Workers’ Compensation Act” (i.e. the last injury), and (3) has “additional permanent disability so that the degree of disability caused by the combination of both disabilities is materially greater than that which would have resulted from the subsequent injury alone.” Again, in the case at hand, this third element is permanent total disability.
¶7 While it is true that Special Indemnity Fund v. Carson, 1993 OK 64, 852 P.2d 157, supports the Fund‘s interpretation of “previous adjudication,” the dissenting opinion in Carson correctly points out that this interpretation results in different treatment of employees with preexisting disabilities who sustain job-related injuries. A classification of injured employees that creates preference for some and unequal treаtment of others offends Article 5, Section 46 of the Oklahoma Constitution. Ponca Iron & Metal, Inc. v. Wilkinson, 2010 OK 75, ¶ 7, 242 P.3d 281.
¶8 Based on the foregoing considerations, I would hold that a Crumby finding does qualify an injured worker as a “previously impaired person” for purposes of seeking recovery from the Multiple Injury Trust Fund. Accordingly, the Workers’ Compensation Court did not err in using the Crumby finding in the case at hand to award permanent total disability. Therefore, I respectfully dissent.
