670 N.E.2d 1051 | Ohio Ct. App. | 1995
Lead Opinion
[EDITORS' NOTE: THIS PAGE CONTAINS HEADNOTES. HEADNOTES ARE NOT AN OFFICIAL PRODUCT OF THE COURT, THEREFORE THEY ARE NOT DISPLAYED.] *390
[EDITORS' NOTE: THIS PAGE CONTAINS HEADNOTES. HEADNOTES ARE NOT AN OFFICIAL PRODUCT OF THE COURT, THEREFORE THEY ARE NOT DISPLAYED.] *391
This is a workers' compensation case involving entitlement to death benefits. Raymond Jones was employed by defendant-appellee Multi-Color Corporation. During an employer-sponsored fitness day, Jones collapsed and died of a heart attack after running a foot race. Caron and Laura Jones, his wife and daughter and plaintiffs-appellants herein, filed a workers' compensation claim seeking death benefits as the result of Jones's death. The claim was denied at all levels administratively. The Joneses properly filed a de novo appeal pursuant to R.C.
All parties agree that the facts in this case are undisputed. Jones was an employee of Multi-Color. Caron and Laura Jones were his dependents. Jones elected to participate in his employer's fitness-day program. Before doing so, he signed a waiver form entitled "Waiver of Workers' Compensation Benefits for a Voluntary Participant in an Employer-Sponsored Recreation or Fitness Program/Activity" ("the waiver"). The waiver, which was on a form obtained from the Industrial Commission for this purpose, reads as follows:
"The undersigned declares that he or she is a voluntary participant in the employer's sponsored recreation fitness activity(s) listed above and hereby waives and relinquishes all rights to Workers' Compensation benefits under *392 Chapter 4123 of the Revised Code for any injury or disability incurred while participating on an annual basis in the listed activity(s)."
Normally, an injury, occupational disease, or death of an employee occurring in the course of and arising out of employment is compensable exclusively under the workers' compensation system. Waller v. Mayfield (1988),
An injury for workers' compensation purposes is defined in R.C.
"any injury, whether caused by external accidental means or accidental in character and result, received in the course of, and arising out of the injured employee's employment."
Further, as a general rule, an agreement by an employee to waive his or her rights to workers' compensation benefits is invalid. R.C.
Over the years, the subject of injuries received during employer-sponsored recreational activities was often litigated. Courts struggled in determining whether such injuries were "received in the course of, and arising out of the injured employee's employment."1 Apparently in response to the large number of employer challenges to compensation for recreational injuries and the employers' desire to continue such activities, in 1986, the legislature enacted two statutes to address the problem. Both statutes are exceptions to the general rules allowing for workers' compensation. R.C.
"Injury or disability incurred in voluntary participation in an employer-sponsored recreation or fitness activity if the employee signs a waiver of his rights to *393 compensation or benefits under this chapter prior to engaging in the recreation or fitness activity."
R.C.
"An employee may waive his rights to compensation or benefits as authorized pursuant to division (C)(3) of section
The first statute, R.C.
The sole basis of the administrative rulings denying benefits, and the argument now urged upon us by appellees, was that Jones signed a waiver contemplated by the statute, and that because of the express provisions of R.C.
In their first assignment of error, appellants argue that the trial court erred in granting summary judgment to all appellees herein. They advance several arguments in support of their position, all challenging the effect of the waiver on their entitlement to death benefits.3
The resolution of this case depends on the interpretation of the two code sections authorizing the waiver, R.C.
We do not agree with appellees that by virtue of R.C.
"For the purposes of providing compensation to workmen and to their dependents, for death, injuries or occupational disease, occasioned in the course of such workmen's employment, laws may be passed establishing a state fund to be created by compulsory contribution thereto by employers, and administered by the state, determining the terms and conditions upon which payment shall be made therefrom. Such compensation shall be in lieu ofall other rights to compensation, or damages, for such death,injuries, or occupational diseases, and any employer who paysthe premium or compensation provided by law, passed inaccordance herewith, shall not be liable to respond in damagesat common law or by statute for such deaths, injuries oroccupational disease. * * *" (Emphasis added.) Cf. Brady v.Safety-Kleen Corp. (1991),
Thus, we first hold that the waiver which Jones signed does not remove his injury from the course of his employment and thus from the workers' compensation system. We are dealing only with an injury for which workers' compensation arguably can be waived, not with an injury which can be removed from the course of employment.4 It does not remove the injury from the workers' compensation system. *395
The next question we must answer is whether the release Jones signed effectively waived the rights of his dependents to death benefits.
Looking first at the release itself, even if a worker could waive benefits other than his own, we hold that the release in this case is wholly insufficient in law to accomplish such a waiver. It simply does not inform Jones that he is or might be waiving the right of his dependents to any death benefits. The form does not even mention death benefits. Any limitation on workers' compensation benefits must be strictly construed to effect the purposes of the act as set forth in R.C.
Many years ago, in discussing the nature of workers' (then workmen's) compensation, the Ohio Supreme Court wrote that "we particularly agree that the law is founded on the principle of insurance, and that it is in no sense a pension, or bounty, or gratuity." State ex rel. Crawford v. Indus. Comm. (1924),
In order to be effective, a waiver "must be voluntary, that is intentional, with knowledge of the facts and of the party's rights * * *." List Son Co. v. Chase (1909),
"[F]urthermore, an exclusion must be conspicuous and in terminology easily understood by a customer. A customer must be aware of the provision, understand the meaning and voluntarily agree to any restrictions on the full coverage statutorily mandated." See, also, Erie Ins. Group v. Nationwide Mut. Ins.Co. (1989),
The release in this case absolutely fails to inform Jones about the effect of his waiver on his dependents' benefits, and on this basis alone it would not operate as *396 a waiver even if such a waiver were permissible. However, we also hold that even if the form Jones signed adequately advised him of what he was waiving, Jones could not, in law, waive his dependents' death benefits.
"It is a fundamental rule of statutory construction that statutes relating to the same subject matter should be construed together. In construing such statutes in pari materia, they should be harmonized so as to give full application to the statutes." (Citations omitted.) State ex rel. Thurn v. CuyahogaCty. Bd. of Elections (1995),
In arguing that Jones could not waive his dependents' death benefits, appellants analogize the situation to wrongful death claims; appellees find this argument "disingenuous." In 1953, the Ohio Supreme Court wrote:
"Although it is true that the liability of an employer to dependents of an employee in case of his death must have its origin in a compensable injury to the employee which caused his death, it is a mere contingent liability until the death occurs. [Citation to prior code section omitted.] Dependency under the statute here involved can never arise unless and until the employee dies. Until then, the liability of the employer necessarily remains contingent. Whether there be any dependents and their identity can not be determined until the death of the employee. Consequently, although the right of a dependent to such award has its origin in the injury which causes death, it can not possibly arise or accrue until the death of the employee.
"An analogous situation prevails in wrongful death actions where the deaths result from injuries caused by the wrongful acts of others." State ex rel. Jones Laughlin Steel Corp. v.Dickerson (1953),
Just as a person cannot waive the wrongful death benefits of his next of kin, a worker cannot waive his dependents' death benefits. See Thompson v. Wing *397
(1994),
While there must be a compensable injury in order for dependents to receive death benefits, the two sets of entitlements are separate and distinct. R.C.
Thus, we hold that the recreational waiver signed by Jones in this case did not and could not operate as a bar to the death benefit claims of the appellants. We believe this conclusion is solidly supported by the public policy of this state, as articulated in R.C.
In their second assignment of error, appellants argue that the trial court erred in overruling their motion for summary judgment.
In order for dependents to get death benefits, they must first prove that there was a compensable injury. Johnson v.Indus. Comm. (1955),
We have held supra that the recreational waiver in this case was ineffective in law to remove the underlying injury from the workers' compensation *398
system. This does not, however, mean that appellants are automatically entitled to death benefits. It only allows appellants the right to proceed to prove the necessary compensable injury as if there were no waiver at all, just as the employer is free to contest the compensability of the underlying injury. See Mentzer v. Westinghouse Corp. (1983),
Appellants filed for summary judgment, arguing that they were legally entitled to death benefits. In support of their position they presented competent medical evidence that Jones died from a preexisting cause which was accelerated by an injury that he experienced in the workplace. In response to appellants' motion, appellees did not present any material demonstrating the existence of a factual dispute. They never attempted to argue in this de novo proceeding that even without the waiver the heart attack would not have been a compensable injury.6 They relied solely on the waiver to prove there was no compensable injury in this case. Thus, appellees failed to meet their burden under Wing v. Anchor Media, Ltd. of Texas (1991),
The only competent evidence before the trial court was that which was presented by appellants.7 Reviewing this evidencede novo, we hold it established as a matter of law that Jones had a compensable injury. Swanton v. Stringer (1975),
The judgment of the trial court is reversed, and final judgment is entered for appellants granting them the right to participate in the workers' compensation system for death benefits.
Judgment reversed.
PAINTER, J., concurs.
GORMAN, P.J., dissents.
"[I]n all such cases where the employer encourages the employee to engage in athletics, either during work hours or outside of working hours, and supervises and directs, either directly or indirectly, such activities, meritorious claims for injuries to any such employee while so engaged will be recognized, the employer's risk and experience to be charged with such cases. * * * This order shall not apply to employers who do not supervise and direct either directly or indirectly, athletic activities of their employees or do not pay for the time devoted." Rule No. 4, Athletics, Important Resolutions, Rules, Orders and Instructions Issued by the Bureau of Workmen's Compensation (revised August 1986), quoted in Workmen's Compensation Manual (1975), at A21-A22, quoted in Wambaugh, Comment, Recreational Injuries: Ohio Employers' Dilemma Resolved? (1989), 16 N.Ky.L.Rev. 593, 596.
This "control test" was used by the Industrial Commission and Ohio courts to determine whether an employer-sponsored recreational injury was compensable under the workers' compensation system until the Ohio Supreme Court in Kohlmayer v.Keller (1970),
Dissenting Opinion
I commend the majority for its attempt to craft a result which provides for the deceased's widow and family, but I cannot accept its analysis. Therefore, I must respectfully dissent.
R.C.
The majority, however, concludes that it cannot "allow this interpretation" because the common law of torts would then apply to any injury suffered by the employee. According to the majority, such a result would be "completely at odds with the entire workers' compensation scheme." The only reason offered by the majority to support this statement is the general principle of exclusivity which holds that workers' compensation is in lieu of all other rights to damages or benefits for a coveredinjury. It is a complete non sequitur, however, to suggest that the exclusivity principle prohibits an employer from being sued under the common law for a noncovered injury. This is particularly true where the employer, pursuant to legislative authority, has voluntarily removed the injury from the workers' compensation scheme by having the employee sign a waiver.
Phillip J. Fulton, in his treatise on Ohio's workers' compensation law, acknowledges that one possible effect of a recreational-release waiver is to "expose the employer to potential liability in a civil action for negligence since the injury no longer falls within the exclusivity protection of workers' compensation legislation." Fulton, Ohio Workers' Compensation Law (1991) 155, Section
I grant that the workers' compensation statutes "shall be liberally construed in favor of employees and the dependents of deceased employees." R.C.
I also consider misplaced the majority's heavy reliance on analogies to insurance waivers and releases in private contracts of insurance to judge the sufficiency of the waiver in this case. Such analogies are inappropriate since the workers' compensation system is a statutory compensation scheme and is "neither charity, nor pension, nor indemnity, nor insurance, nor wages" although containing certain elements common to all. (Emphasis added.) Austin Co. v. Brown (1929),
As a practical matter, the majority's holding that Jones "cannot, in law, waive his dependents' death benefits" by signing a recreational waiver will most likely effectively eliminate its use. The Act makes no express provision for a recreational waiver signed by dependents. Absent such a provision, employers will presumably stop employing recreational waivers, and sponsoring the activities they involve, since they offer no protection from dependents' benefits. Even if it is assumed that such a provision could be found for dependents to sign on to such a waiver, this would require the employee to, in effect, get permission from all of his or her dependents,including minor children, before participating in a company picnic for which the employer requires an waiver. In fact, under the majority's holding, the dissenting minor children, or children too young to make an intelligent decision, would arguably be entitled to the appointment of a guardian or next friend. The result is Orwellian.
The canons of construction enlisted by the majority to ignore the plain meaning of R.C.
As noted by Wambaugh in his article, recreational waivers are the legislature's attempt to restore "equilibrium to the compensable status of injuries sustained by employees during employer-sponsored recreation in Ohio." Wambaugh, supra, at 602. The majority's holding, I believe, disrupts that equilibrium and sends the whole process reeling. I would, therefore, overrule both assignments of error in this case and affirm the judgment of the trial court. *401