Lead Opinion
In this appeal, we consider whether the Court of Appeals erred in ruling that retirement precluded an injured worker from receiving an award of temporary total disability benefits under Code § 65.2-500.
I. Facts and Proceedings
The underlying facts in this case are undisputed. Preston L. McKellar ("McKellar"), worked for 42 years as a structural welder for Northrop Grumman Shipbuilding ("Northrop Grumman"). On or about April 1, 2010, McKellar notified Northrop Grumman that he would be retiring effective May 1, 2010. Shortly thereafter, on April 15, 2010, McKellar tripped and fell while working on the construction of a submarine. McKellar injured his back, hip, knees, hands, and wrists. Following the accident, McKellar received medical treatment from a shipyard clinic and was placed on restricted duty for the remainder of April 2010.
On May 1, 2010, McKellar retired as scheduled. When he continued to experience pain, an orthopedic surgeon examined McKellar, found him to be totally disabled, and placed him on "no-work status."
McKellar then filed a claim against Northrop Grumman with the Virginia Worker's Compensation Commission ("Commission"), seeking medical benefits and temporary total disability compensation.
A deputy commissioner reviewed McKellar's medical records and conducted a hearing on January 12, 2013. The deputy commissioner found McKellar's evidence and testimony sufficient to warrant an award of medical benefits as well as temporary total disability benefits. At the hearing, McKellar admitted that he had not pursued employment since his retirement from Northrop Grumman, explaining that "[m]y doctors put me on a no-work status, and I don't feel that I can work anywhere." The deputy commissioner found that, although McKellar was retired, his total incapacity entitled him to benefits under the Commission's decision in Browder v. Southside Regional Medical Center, 71 O.I.C. 289 (1992) (holding that a claimant's post-injury resignation did not preclude claimant from receiving total temporary disability benefits).
Northrop Grumman subsequently appealed the deputy commissioner's decision to the full Commission. On appeal, a majority of the Commission affirmed the deputy commissioner's award of medical benefits but denied the claim for temporary total disability benefits. McKellar v. Northrop Grumman Shipbuilding, Inc., No. VA00000254165, slip op. at 7 (Va. Workers' Comp. Comm'n Oct. 23, 2013). The Commission found that McKellar's "wage loss would have occurred regardless of his compensable injury." Therefore, "[a]warding temporary total disability benefits would, in effect, provide [McKellar] with an additional stream of retirement income denied to similarly situated coworkers who were not injured." Commissioner Marshall dissented, asserting that a claimant suffering from a total disability need not show that he sought or intended to seek alternative employment. The dissent further noted that McKellar's "total disability, not his retirement, removed him from the labor market."
McKellar appealed the Commission's decision to the Court of Appeals of Virginia. In a published opinion, the Court of Appeals affirmed the decision from the Commission and denied McKellar's award of temporary total disability benefits.
McKellar v. Northrop Grumman Shipbuilding Inc.,
McKellar appealed the judgment of the Court of Appeals to this Court, and we determined that this case involves a matter of significant precedential value. See Code §§ 17.1-410(B) and -411. We granted McKellar an appeal on the following assignment of error:
The Virginia Court of Appeals' ruling that Mr. McKellar's retirement from his employment with the Employer precludes an award of temporary total disability benefits-even where he was in a no work status and medically unable to work during the period of benefits claimed-is contrary to law and should be reversed.
II. Analysis
A. Standard of Review
"On appeal, the Commission's findings of fact are conclusive and binding, but when there is no conflict in the evidence, the question of the sufficiency thereof is one of law, and the same is true when there is no credible evidence to support the Commission's factual findings."
VEPCO v.
Kremposky,
In this case, both parties agree that McKellar suffered a compensable, work-related injury in the course of his employment with Northrop Grumman. Both parties also agree that the injury rendered McKellar totally disabled. The sole question on appeal is whether the Commission and the Court of Appeals erred in applying an "economic loss" standard rather than a "loss of earning capacity" standard to evaluate McKellar's claim for benefits.
We have long held that the fundamental purpose of the Virginia Worker's Compensation Act, Code § 65.2-100 et seq., is to compensate employees for accidental injuries arising in the workplace.
Feitig v. Chalkley,
B. Compensation for Total Incapacity
Code § 65.2-500(A) governs compensation in cases of total incapacity, and states in relevant part that:
when the incapacity for work resulting from the injury is total, the employer shall pay, or cause to be paid, as hereinafter provided, to the injured employee during such total incapacity, a weekly compensation equal to 662 / 3 percent of his average weekly wages, with a minimum not less than 25 percent and a maximum of not more than 100 percent of the average weekly wage of the Commonwealth as defined herein.
The plain language of this statute provides that employers "shall pay ... during such total incapacity" two-thirds of the injured worker's weekly earnings. Therefore, Code § 65.2-500 applies to totally disabled workers who have lost the capacity to earn wages.
Past decisions of our Court, the Court of Appeals, and the Commission indicate that loss of earning capacity is the proper test for awarding compensation in total disability cases. In
J.A. Foust Coal Co. v. Messer,
An injured worker bears the burden of proving that an industrial accident caused his injury and disability.
See
Marshall Erdman & Assocs. v. Loehr,
The Commission consistently awards temporary total disability benefits in cases where the injured worker retires or resigns.
See Browder,
71 O.I.C. at 292 (holding that the resignation of a 66-year-old cook "should not preclude an award of compensation for total disability.");
see also
Burlington Indus., Inc. v. Golda,
LEXIS 595 (Va.Ct.App. Aug. 15, 2000) (unpublished) (holding that "voluntary retirement from the employer does not remove or diminish [claimant's] ability to earn wages. However, being temporarily and totally disabled does prevent the claimant from earning wages."); Clay, VWC File No. 177-42, slip op. at 2 (upholding award of benefits after explaining that "claimant's total disability, not his retirement, removed him from the labor market.").
Injured workers who leave the workforce for reasons unrelated to their injuries are nonetheless entitled to temporary total disability compensation. In
Kelly v. Elkins Energy Corp.,
62 O.I.C. 270, 274 (1983), the Commission ordered that temporary total disability benefits resume for an injured coal miner who was laid off from selective employment. In another case, an injured worker received temporary total disability benefits despite being terminated from light duty due to her insubordination, tardiness, and rudeness to customers.
See
Potomac Edison Co. v. Cash,
These cases reflect the principle that an injured worker's status in the labor market is irrelevant where the worker's incapacity is total. They illustrate why the loss of earning capacity test is the proper standard for awarding compensation in cases of total incapacity under Code § 65.2-500. As such, a retired worker whose work-related injury causes total incapacity need not produce evidence of a pre-injury intent to reenter the workforce.
C. Compensation for Partial Incapacity
By contrast, Code § 65.2-502(A) governs cases of partial incapacity.
[W]hen the incapacity for work resulting from the injury is partial, the employer shall pay, or cause to be paid, as hereinafter provided, to the injured employee during such incapacity a weekly compensation equal to 662 / 3 percent of the difference between his average weekly wages before the injury and the average weekly wages which he is able to earn thereafter, but not more than 100 percent of the average weekly wage of the Commonwealth as defined in § 65.2-500.
As the statute indicates, employers are required in such cases to pay two-thirds of "the difference" between the partially disabled worker's pre- and post-injury wages. Consequently, Code § 65.2-502 presumes that where an injured worker is only partially disabled, that employee can continue working either on restricted duty or in an altogether new job. As a result, economic loss is the appropriate test for the compensation award in cases of partial incapacity whereas loss of earning capacity is the proper test for such awards in cases of total incapacity.
D. Application of Proper Standard
In denying McKellar's award of temporary total disability benefits, both the Commission and the Court of Appeals failed to apply the plain language of Code § 65.2-500. Instead of applying the test for total incapacity as delineated by Code § 65.2-500, the
court and Commission below improperly conflated the analyses for total incapacity and partial incapacity. The Court of Appeals cited extensively to cases decided under Code § 65.2-502, the partial incapacity statute, holding that it "provides for payments in much the same fashion as the statutory provision for total incapacity, Code § 65.2-500."
The Court of Appeals relied heavily on
Arlington County Fire Department v. Stebbins,
The Court of Appeals also relied on
Utility Trailer Manufacturing Co. v. Testerman,
Likewise, the Court of Appeals in this appeal quoted another case decided under Code § 65.2-502,
Lam v. Kawneer Co.,
McKellar's claim for temporary total disability benefits under Code § 65.2-500 cannot be decided in the same manner as a Code § 65.2-502 case. A partially disabled retiree could seek other employment. A totally incapacitated retiree cannot work. A partially disabled retiree can supplement his retirement income. McKellar cannot. The Court of Appeals wrongly concluded that an award of temporary total disability benefits to McKellar would constitute a "windfall" that another "similarly situated retired worker would not receive."
III. Conclusion
The Virginia Worker's Compensation Act provides distinct and independent tests for total incapacity versus partial incapacity. When an employee is totally disabled and medically precluded from working, the appropriate test under Code § 65.2-500 focuses on the loss of earning capacity, not the economic loss. The deputy commissioner correctly found that McKellar was totally disabled and that he lacked all earning capacity. Therefore, McKellar is entitled to temporary total disability compensation. Accordingly we will reverse the judgment of the Court of Appeals, and we will remand the case to the Court of Appeals with direction that it remand the case to the Worker's Compensation Commission with instructions to reinstate the award of compensation as determined by Deputy Commissioner Wilder's March 11, 2013 opinion.
Reversed and remanded.
The court held that "Stebbins
is entitled to no compensation
because he reported no earnings for the preceding fifty-two weeks."
Concurrence Opinion
I concur in the result of the Court's opinion in this case, but would reverse the judgment of the Court of Appeals based solely upon the language of Code § 65.2-500.
Code § 65.2-500 provides in the portion that is controlling on this appeal:
[W]hen the incapacity for work resulting from the injury is total, the employer shall pay ... to the injured employee during such total incapacity, a weekly compensation.
"The plain language of the statute governs [the] analysis."
Tauber v. Commonwealth,
The deputy commissioner who reviewed the present claim found that McKellar's incapacity for work resulting from the injury is total, a fact uncontested on appeal. It follows that the employer shall pay to McKellar during such incapacity a weekly compensation. The statute plainly provides for this result.
The Court of Appeals improperly required McKellar to prove causation between his work injury and his post-retirement loss. To
support the existence of this purported causation element, the Court of Appeals relied on its holding in
Utility Trailer Manufacturing Co. v. Testerman,
The Court of Appeals also asserted that its holding in
Arlington County Fire Dep't v. Stebbins,
McKellar proved a total incapacity for work resulting from a work injury. He has established all that Code § 65.2-500 requires of him to qualify for total disability benefits.
On this basis alone, I would reverse the judgment of the Court of Appeals in this case.
Code § 65.2-500 alone resolves this case. I query the foundation for the majority's reliance upon a rigid dichotomy that loss of earning capacity applies to total disability while economic loss applies to partial disability. Usage of these terms is hardly uniform; over many decades the Court of Appeals and this Court have used both these terms with regard to total disability,
Arlington Cty. Fire Dep't v. Stebbins,
The Court of Appeals also opined that awarding McKellar benefits would elevate him to a better position than a similarly situated worker who retired on the same date. As the majority precisely explains, this hypothetical worker is not similarly situated to McKellar, because McKellar is totally disabled due to a work injury and thus has lost the option to work again for the duration of his incapacity.
