BEULAH GARDNER v. DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES ET AL.
(AC 45594)
Moll, Cradle and Suarez, Js.
Arguеd September 11, 2023-officially released January 9, 2024
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Syllabus
The plaintiff, who had sustained a compensable work-related injury during her employment, appealed to this court from the decision of the Compensation Review Board, which upheld the decision of the Workers’ Compensation Commissioner granting the defendant employer‘s request to convert the plaintiff‘s benefits for temporary partial disability, pursuant to statute (
Procedural History
Appeal from the decision оf the Workers’ Compensation Commissioner for the Fifth District approving the conversion of the plaintiff‘s temporary partial disability benefits to permanent partial disability benefits and denying ongoing temporary partial disability benefits, brought to the Compensation Review Board, which affirmed the commissioner‘s decision, and the plaintiff appealed to this court. Affirmed.
Justin A. Raymond, for the appellant (plaintiff).
Lisa Guttenberg Weiss, assistant attorney general, with whom, on the brief, were William Tong, attorney general, and Matthew Larock, deputy associate attorney general, for the appellee (named defendant).
Robert F. Carter filed a brief for the Connecticut Trial Lawyers Association as amicus curiae.
Dana M. Hrelic and Meagan A. Cauda filed a brief for the Connecticut Business and Industry Association et al. as amici curiae.
Opinion
SUAREZ, J. In this workers’ compensation dispute, the plaintiff, Beulah Gardner, appeals from the decision of the Compensation Review Board (board) affirming the decision of the Workers’ Compensation Commissioner for the Fifth District (commissioner) of the Workers’ Compensation Commission1 approving a form 362 thаt was filed by the defendants, the Department of Mental Health and Addiction Services (department) and Gallagher-Bassett Services, Inc.,3 and denying the plaintiff‘s claim for ongoing temporary partial disability benefits pursuant to
The commissioner set forth the following findings of fact. “On April 19, 2016, [the plaintiff] suffered a compensable work-related injury to her left wrist while employed with the [department]. The injury occurred while [the plaintiff] was restraining a patient when her hand became caught, causing inflammation and pain. . . .
“At the time of the injury, [the plaintiff] was employed as a forensic treatment specialist
“On May 8, 2018, [a workers’ compensation commissioner] approved a voluntary agreement accepting compensability of the April 19, 2016 injury. Dr. Stanley Foster is listed as the authorized treating physician for the injury, listed as follows: Left nondominant wrist intersection syndrome and [carpal tunnel syndrome]. . . .
“The compensation rate for temporary total disability was established at $1256 [per week], based upon concurrent wages of $2440.30 per week. The compensation rate for temporary partial disability and permanent partial disability was agreed upon at $998 [per week]. . . .
“At the time of the compensable injury, [the plaintiff] was working concurrently for Sheriden Woods [Health Care Center] in Bristol . . . . These wages are factored in the voluntary agreement. . . .
“Following the incident, [the plaintiff] received conservative medical treatment and was paid indemnity benefits. On May 17, 2017, she underwent a left-hand trigger thumb release surgery by [Foster]. Following this procedure, the [plaintiff] continued to have persistent pain. She thereafter came under the care of Dr. Duffield Ashmead, who performed a second surgical procedure on March 8, 2019. Her symptoms improved thereafter. . . .
“On October 4, 2019, the [department] sent a separation letter to [the plaintiff] pursuant to
“On October 28, 2019, the [plaintiff] presented to Dr. Pavel Straznicky for an examination at the request of the [department]. As a result of the examination and review of records, [Straznicky] diagnosed post-traumatic chronic synovitis of the left wrist. [Straznicky] further opined that [the plaintiff] has attained maximum medical improvement relative to the compensable injury and resulting surgical procedures.5 He opined that the [plaintiff] had a light-duty work capacity with a twenty pound lifting restriction on her left hand and indicated she could not restrain patients. . . .
“On March 11, 2020, [Ashmead] also opined that the [plaintiff] had attained maximum medical improvement, as it was nearly one year postsurgical intervention. He provided an 8 percent permanent partial impairment rating to the [plaintiff‘s] left wrist.6 On work capacity, [Ashmead]
“On May 21, 2020, the [defendants] filed a form 36 Notice of Intention to Reduce or Discontinue Payments seeking to convert temporary partial disability benefits to permanent partial disability benefits due to [Ashmead‘s] opinion that the [plaintiff] had attained maximum medical improvement and had a light-duty work capacity. . . .
“In addition to the filing of the form 36, the [defendants] sent to the [plaintiff], through her attorney, voluntary agreements recognizing the 8 percent rating as provided by [Ashmead]. This agreement establishes March 11, 2020, as the date of maximum medical improvement.” (Footnotes added.)
The plaintiff and the defendants appeared before the commissioner at a formal hearing on December 14, 2020. The commissioner framed the issues before him as (1) whether the form 36, which was filed on May 21, 2020, seeking to convert the plaintiff‘s indemnity benefits frоm temporary partial disability pursuant to
“In support of her position, the [plaintiff] entered evidence of records of employment contracts as proof of her inability to obtain employment as a direct result of the compensable injury. These job search forms represent approximately fifty-one weeks of unsuccessful attempts to garner employment within her level of disability. . . .
“It is the [defendants‘] position that the [plaintiff] is not eligible for unlimited temporary partial disability benefits pursuant to
The commissioner, expressly relying on the reports and opinions of Ashmead and Straznicky, found that the plaintiff had attained maximum medical improvement following the April 19, 2016 injury. The commissioner found that the plaintiff “has suffered permanent work restrictions directly related to her compensable injury that have rendered her incapable of returning to her job as a forensic treatment specialist.” The commissioner rendered his decision on June 2, 2021, in which he approved the form 36, filed on May 21, 2020,7 seeking to convert indemnity benefits from temporary partial disability pursuant to
Thereafter, the plaintiff aрpealed from the commissioner‘s decision to the board. The plaintiff, in her appeal to the board, did not take issue with the commissioner‘s findings of fact but, rather, challenged the commissioner‘s interpretation of
“The principles that govern our standard of review in workers’ compensation appeals аre well established. The conclusions drawn by [the commissioner] from the facts found must stand unless they result from an incorrect application of the law to the subordinate facts or from an
The plaintiff‘s claim requires us to determine whether a commissioner has the authority pursuant to
The department urges us to afford deference to the board‘s statutory interpretation, arguing that the commissioner and the board “adopted a time-tested interpretation [of
“When construing a statute, [o]ur fundamental objective is to ascertain and give effect to the apparent intent of the legislature. . . . In other words, we seek to determine, in a reasoned manner, the meaning of the statutory language as applied to the facts of [the] case, including the question of whether the language actually does apply. . . . In seeking to determine that meaning, [
Before turning to the text of the statute, it is helpful to set forth the following relevant principles as explained by our Supreme Court: “[W]e are mindful of the distinction between incapacity benefits and disability benefits. Benefits available under the [Workers’ Compensation Act (act),
“Compensation for loss of earning power takes the form of partial or total incapacity benefits. . . . Incapacity, as that term is used under the [act], means incapacity to work, as distinguished from the loss or loss of use of a member of the body. . . .
“We have noted that
“Because the two types of benefits compensate an employee for distinct losses, entitlement to the two benefits is triggered by different factors. Entitlement to incapacity benefits depends on the employee‘s capacity to work.
“Partial incapacity benefits are available when the employee is able to perform some employment, but [is] unable fully to perform his or her customary work. . . . The duration of partial incapacity benefits is limited by statute. . . . Conversely . . . [t]otal incapacity benefits, unlike partial incapacity benefits, are unrestricted as to duration.” (Citations omitted; internal quotation marks omitted.) Starks v. University of Connecticut, 270 Conn. 1, 9, 850 A.2d 1013 (2004). “Partial incapacity benefits are available when the employee is able to perform some employment, but [is] unable fully to perform his or her customary work . . . . Although an employee who is partially incapacitated may, in fact, not be working, the employee must be available to work, if suitable employment is available. . . . Accordingly, partial incapacity benefits are available when an actual wage loss has resulted from the injury, providing a wage supplement for the difference between the wages the worker would have earned, but for the injury, and the wages the worker currently is able to earn. . . . The duration of partial incapacity benefits is limited by statute. . . .
“Conversely, total incapacity is defined as the inability of the employee, because of his injuries, to work at his customary calling or at any other occupation which he might reasonably follow. . . . Total incapacity benefits, unlike partial incapacity benefits, are unrestricted as to duration.” (Citations omitted; emphasis omitted; internal quotation marks omitted.) Rayhall v. Akim Co., 263 Conn. 328, 350–51, 819 A.2d 803 (2003).
A commissioner has the authority to award temporary partial disability payments pursuant to
A commissioner has the authority to award permanent partial disability payments pursuant to
“If the injury consists of the loss of a substantial part of a member resulting in a permanent partial loss of the use of a member, or if the injury results in a permanent partial loss of function, the [commissioner] may, in the [commissioner‘s] discretion, in lieu of other compensation, award to the injured employee the proportion of the sum provided in this subsection for the total loss of, or the loss of use of, the member or for incapacity or both that represents the proportion of total loss or loss of use found to exist, and any voluntary agreement submitted in which the basis of settlement is such that proportionate payment may, if otherwise conformable to the provisions of this chapter, be approved by the [commissioner] in the [commissioner‘s] discretion. . . .”10
Our interpretation of the act “is guided by the principles underlying Connecticut practice in [workers‘] compensation cases: that the legislation is remedial in nature . . . and that it should be broadly construed to accomplish its humanitarian purpose. . . . We, therefore, do not construe the [act] to impose limitations on benefits that the act itself does not specify clearly.” (Internal quotation marks omitted.) Rayhall v. Akim Co., supra, 263 Conn. 357–58.
As reflected in the statutory language previously set forth, the duration of partial disability benefits is limited by statute to the lesser duration of either the period of partial incapacity or 520 weeks. Moreover,
The legislative history of
In light of the fact that
As she did before the board, the plaintiff argues that Osterlund v. State, supra, 129 Conn. 591, compels the opposite conclusion.14 The plaintiff argues that,
In Osterlund, our Supreme Court stated that, “where there is a total or partial incapacity followed by a permanent partial loss of function the situation is governed by the portion of the statute we have quoted, which provides that, in such a case, the commissioner ‘may, in his discretion, in lieu of other compensаtion’ make an award of specific compensation. The thought back of this provision was evidently that there might be, in a case of partial loss of function, a great disproportion between the amount of specific compensation provided and the actual effect of the injury, either from the standpoint of the employee‘s earning capacity or the physical impairment he suffered. Thus, if a desk worker suffered such an injury, as did the plaintiff in this case, it might not at all affect his earning capacity and might constitute a very slight permanent injury from the standpoint of physical impairment. In other instances the reverse of this might be true. In the case of a partial loss of function of one of the members specified in the statute, the commissioner is called upon, when the stage of maximum improvement has been reached, to exercise his sound judgment in deciding whether to award specific compensation upon the basis fixed in the statute or to permit the weekly compensation for incapacity to continue.” Osterlund v. State, supra, 129 Conn. 600.
We are not persuaded by the plaintiff‘s reliance on Osterlund. To the extent that the plaintiff argues that Osterlund reasonably should be interpreted to apply to the commissioner‘s authority to award ongoing temporary partial disability benefits, it would be difficult to envision how any such authority could be deemed to exist after 1993, when, as we have already discussed in this opinion, our legislature revised
Last, we note that our interpretation of the statutes is bolstered by the analysis set forth in prior opinions. In Rayhall v. Akim Co., supra, 263 Conn. 328, our Supreme Court addressed the issue of “whether a claimant who has sustained injuries to two members of the body arising from the same incident must receive compensation for permanent partial disability as soon as the claimant has reached permanent status with resрect to one member, even if the claimant is temporarily partially incapacitated with respect to the other member.” Id., 353-54. In resolving this issue, our Supreme Court stated that it was “mindful . . . of two well settled principles: first,
Also, as we have stated previously in this opinion, in Testone, this court, in analyzing a claim that certain medical reports should not have been admitted in a workers’ compensation case, noted that “[t]emporary partial disability benefits under . . .
For the foregoing reasons, we agree with the board‘s interpretation of the authority afforded the commissioner pursuant to
The decision of the Compensation Review Board is affirmed.
In this opinion the other judges concurred.
