424 Mass. 126 | Mass. | 1997
The insurer, CNA Insurance Company (CNA), appeals from a decision of the reviewing board (board) of the Department of Industrial Accidents (department) which held
I
At the time of his injuries, James Sliski was enrolled in a cooperative education program through Chicopee Comprehensive High School. Pursuing a career as a carpenter, Sliski worked as an apprentice carpenter or cabinetmaker for Doane & Williams during the spring and summer of 1987. In October, 1987, Sliski entered into a cooperative education agreement with Hamilton Studios, insured by American Policyholders (American), to acquire skills in fine craftsmanship and woodworking. While at Hamilton Studios, on November 19, 1987, Sliski was involved in an accident in which his left hand was pulled into the blade of a saw. Receiving medical treatment, Sliski’s index finger was amputated and his thumb was fused, resulting in a 60% loss of function to Sliski’s left thumb and a 40% loss of function to Sliski’s minor hand. American commenced paying weekly temporary total incapacity benefits under G. L. c. 152, § 34, at the rate of $96.39, based on an average weekly wage of $144.58.
In May, 1988, Sliski entered a new agreement with Doane & Williams, insured by CNA, under which he was to be employed as a painter’s assistant. On June 9, 1988, Sliski fell through an elevator shaft at work and suffered spinal injuries that left him a paraplegic. He was eighteen years old at the time CNA began paying Sliski weekly temporary total incapacity benefits of $255.67 on an average weekly wage of $314.40.
Claims were filed and consolidated against both insurers to establish an average weekly wage under G. L. c. 152, § 51, which protects young employees who are injured early in their careers by including expected wage increases in the determination of such average weekly wage, the unit used to compute benefits under other sections of G. L. c. 152. On February 28, 1990, an administrative judge of the department ordered the first insurer, American, to pay Sliski temporary total incapacity benefits pursuant to § 34 in the amount of
Before the board issued its decision, § 51 was amended by the Legislature. St. 1991, c. 398, § 78. The amended, and current, § 51 reads as follows, with the amendment’s additions indicated by italics:
“Whenever an employee is injured under circumstances entitling him to compensation, if it be established that the injured employee was of such age and experience when injured that, under natural conditions, in the open labor market, his wage [ ] would be expected to increase, that fact may be considered in determining his weekly wage[ ]. A determination of an employee’s benefits under this section shall not be limited to the circumstances of the employee’s particular employer or industry at the time of injury.”
Addressing the implications of these additions, the board noted that “the administrative judge did not strictly adhere to the language of former § 51 in making wage projections.” The former § 51 had been strictly interpreted to limit such projections of wage increases to “that which might have been expected from the particular employer” or industry. Gagnon’s Case, 228 Mass. 334, 338 (1917). See Bursey’s Case, 325 Mass. 702, 706 (1950). Departing from the restrictive standard set forth in Gagnon and Bursey, the administrative judge had “based calculation of the employee’s average weekly wage at Hamilton Studios on the employee’s ‘own wages at a similar (not identical) employment in the same general industry. . . .’ The judge’s application of the statute, in fact, followed more closely the language and legislative intent of current § 51.”
On appeal, CNA reasserts its claim that § 51, as amended, should not apply retroactively in the instant case and its claim that Shski’s benefits should be apportioned between American and CNA. Additionally, CNA requests us to resolve the relationship between § 51 and § 34B, arguing that these benefits “are mutually exclusive” in the present case. Finally, CNA disputes the validity of the board’s decision on the ground that it was denied its entitlement to review by a panel of three when one of the members of the board which heard the case retired before the decision was filed and the decision was signed by the remaining two members.
II
A
We agree with the board’s holding that the amended § 51 applies retroactively to Shski’s case. Ordinarily, a statute is applied prospectively unless it provides otherwise. Procedural statutes, however, are applied retroactively. Commonwealth v. Fourteen Thousand Two Hundred Dollars, 421 Mass. 1, 5 (1995), quoting Hein-Werner Corp. v. Jackson Indus., 364 Mass. 523, 525 (1974). When the Legislature amended the Commonwealth’s workers’ compensation laws in 1991, the
While it is true that interests of efficiency and finality will not grant procedural statutes retroactive effect if the proceedings of the case have already progressed past the point at which the statutory change was applicable, see City Council of Waltham v. Vinciullo, 364 Mass. 624 (1974), these limitations do not operate here. As the board noted, where “the statutory change does not apply to any particular stage of the proceedings, the change is to be given full retroactive effect, unless fairness dictates [otherwise].” The “open labor market” addition to § 51 sets forth a new standard by which a “claimant’s compensation rate based on his lost opportunity to receive increased wages” is to be determined. The board’s decision anticipated that periodic reexaminations would be necessary to reassess Sliski’s wage projections over time, especially since the determination involves quantifying the anticipated wages a teenager would have expected to earn over the rest of his life, had he not been injured. With such reexaminations a virtual certainty, the board correctly held that the “amended § 51 providing special benefits in the form of wage projections does not apply to any particular stage in the proceedings.” Certainly, it would be anomalous to withhold retroactive application in the interests of finality when a determination of Sliski’s entitled benefits may never be final. In any event, the Legislature’s statement that this provision was to be deemed procedural in character evidences a clear intention that it be applied retroactively and we are not inclined to parse that intention so fine as to defeat retroactivity in this case.
B
The board dismissed CNA’s argument that Sliski’s weekly compensation benefits should be apportioned between CNA and American. CNA urges that it is unfair to require CNA to compensate Shski according to the level of earnings he would have attained with his carpentry skills, because at the time he accepted his last employment with Doane & Williams, CNA’s
The Massachusetts policy of nonapportionment is long and well established. Known as the “successive insurer rule,” this policy dictates that
“Where incapacity results from the combined effect of several distinct personal injuries, received during the successive periods of coverage of different insurers, the result is not an apportionment of responsibility .... Where [this occurs], the subsequent incapacity must be compensated by the one which was the insurer at the time of the most recent injury that bore causal relation to the incapacity.”
Evans’s Case, 299 Mass. 435, 436-437 (1938). Subsequent cases have not deviated from this position and it is now “settled that on a series of injuries contributing to an existing condition of disability the insurer covering the risk at the time of the last injury is responsible for all disability payments.” Carrier v. Shelby Mut. Ins. Co., 370 Mass. 674, 675 (1976).
There would be no reason to scrutinize CNA’s bid for apportionment, were it not for the fact that the circumstances of this case present an ambiguity in our workers’ compensation law that has not been clearly addressed before. See Louis’s Case, post 136 (1997). In his treatise on Massachusetts workers’ compensation law, Laurence Locke inquired what the appropriate measure of compensation would be if an employee who has been forced to take less remunerative work as a result of a previous work-related injury for which he is receiv
We believe such a result does not comport with the intent and purpose of our workers’ compensation act and read § 51 to measure lost wage increases by looking to “the total industrial capacity deficit, not simply the previously injured worker’s residual capacity.” Louis v. Anthony’s Pier Four, 8 Mass. Workers’ Comp. Rep. 311, 323 (1994) (Fischel, J., dissenting). Sliski is not to bear the burden of Locke’s conundrum. When a young employee has suffered two debilitating injuries, § 51 allows us to refer back to the employee’s prospects at the time of his initial injury when it instructs that “[a] determination of an employee’s benefits under this section shall not be limited to the circumstances of the employee’s particular employer or industry at the time of injury.” While it may complicate matters that Sliski was working for two different employers under two different insurers at the time of both injuries, our successive insurer rule does not allow this fact to justify the imposition of harsh economic consequences on an individual who has already suf
The additional burden of such an approach on second insurers asked to compensate injured employees for abilities they did not have during the term of their coverage is mitigated by application of G. L. c. 152, § 37 (1994 ed.), which provides reimbursement to second insurers through a trust fund administered by the State Treasurer to which all workers’ compensation insurers contribute and in which all participate. See G. L. c. 152, § 65C (1994 ed.). Realizing that the successive insurer rule creates disincentives for employers to hire disabled workers, a fund was created in 1919 to reimburse workers’ compensation insurers a portion of their payments made when an employee who was previously injured suffered a further work-related injury. Shelby Mut. Ins. Co. v. Commonwealth, 420 Mass. 251, 252 (1995). Today, second insurers can be reimbursed up to 75 % of the payments made to employees who have suffered disabilities subsequent to previous physical impairments.
We conclude that CNA is responsible for providing Sliski with benefits, including those required by § 51, determined on the basis of Sliski’s position and abilities at the time of his first injury and determine that CNA may properly seek reimbursement pursuant to § 37 as appropriate.
C
Both the administrative judge and the board declined to determine how the “expected wage increases” of § 51 and the cost of living adjustment benefits of § 34B should fit together. The board declined to do so on the ground that Sliski would not be entitled to COLA benefits unless and until he established entitlement to permanent and total incapacity benefits under § 34A.
The board’s judgment that COLA benefits and compensation benefits under § 51 for expected wage increases serve the
D
CNA takes the position that the board’s decision is invalid because G. L. c. 152, § 1 (8) (1994 ed.), defines a “[reviewing board” as a three-member panel. Although this case was heard by such a three-member panel, the decision was only rendered by two members due to the intervening retirement of the third. This case does not bear the infirmity which spoiled Berninger’s Case, 253 Mass. 52 (1925), a case in which the board’s holding was only signed by one member, as one member dissented and the other was deceased. In finding that no decision had been filed in that instance, we noted that “a decision could not be reached without the concurrence of at least two members.” Id. at 53. We have stated before that a board’s findings “on review apparently are sufficient if signed by a majority of a properly constituted board.” Wozniak’s Case, 299 Mass. 471, 474 (1938). The lack of the retiring board member’s signature on the board’s decision is not enough to render the decision invalid.
The case is remanded for further proceedings consistent with this opinion.
So ordered.
The board reversed this part of the administrative judge’s decision, holding that the application of § 51 to Hamilton Studios was inappropriate because Sliski was a full-time high school student at the time of his first injury and there was no reason to believe that his wages would have increased significantly during the school year, the term of his employment.
It has been suggested that this dilemma arising out of a less remunerative second employment does not exist here because Sliski was only earning $5 an hour at the time he was first injured at Hamilton Studios as opposed to the $6.50 he was earning at Doane & Williams when he sustained his subsequent devastating injury. This does not solve the difficulty in this case, since there is a requirement of projecting lost increases in wages under G. L. c. 152, § 51. At the time of both injuries, Sliski was employed as part of a high school vocational educational program. As a result, these wages are not necessarily accurate reflections of the wages he would have been able to earn had he continued on these career tracks after graduation. This is especially true if we assume Sliski’s skills in the field of carpentry were extinguished at the time of his first injury. Were Sliski reduced to the level of an unskilled laborer, it is quite probable that his projected wage increases under § 51 would be much less remunerative in his subsequent work as a painter’s assistant than in the field of carpentry he was pursuing in his earlier employment.
We acknowledge the fact that such reimbursement is not available for the first two-year period immediately following “onset of disability.” G. L. c. 152, § 37. During those two years, the second insurer will be solely responsible for paying benefits. This short period is unlikely to impose a significant burden on any one employer before the risk-spreading mechanisms of § 37 become available.
The pertinent language of § 37 reads:
“Whenever an employee who has a known physical impairment which is due to any previous accident, disease or any congenital condition and is, or is likely to be, a hindrance or obstacle to his employment, and who, in the course of and arising out of his employment, receives a personal injury for which compensation is required by this chapter and which results in a dis*134 ability that is substantially greater by reason of the combined effects of such impairment and subsequent personal injury than that disability which would have resulted from the subsequent personal injury alone, the insurer or self-insurer shall pay all compensation provided by this chapter. . . . Insurers making payments under this section shall be reimbursed by the state treasurer from the trust fund created by section sixty-five in an amount not to exceed seventy-five percent of all compensation due . . .” (emphasis added).
While this fact may have influenced the board, it is a conservative assumption that Sliski’s paraplegia will entitle him to permanent disability benefits, and, as the § 34 benefits Sliski was originally granted are only available for 260 weeks, this question is quickly becoming timely. G. L. c. 152, § 34, as appearing in St. 1985, c. 572, § 42. But see St. 1991, c. 398, §§ 59, 106.