2018 WL 5255164 (Mo.Lab.Ind.Rel.Com.)
Code(s): C003 SIF Liability; C026 PTD
Factual
Background:
The ALJ was Judge Edwin Kohner and the
plaintiff’s attorney was David Plufka. Claimant
was a manufacturing manager at Commercial Electronics who suffered a low back
disc injury in 2008 while carrying heavy cable boxes. He had three prior back operations and had two
prior WC claims; the first settled for 45% PPD to the left foot, the second
settled for 25% PPD to the neck and 35% PPD to the low back. This claim settled for 25% PPD to the low
back, but the issue remains as to whether the Second Injury Fund has any
liability for permanent total disability.
The case turns on when the claimant became permanently totally disabled. This case involves a 2008 injury which
pre-dates the 2014 changes.
Commission Decision:
The Commission affirmed the denial of additional
permanent disability benefits from the Second Injury Fund because Section
287.220 does not authorize any Second Injury permanent disability benefits if
the claimant is unemployable in the open labor market prior to the work related
injury.
Analysis/Holding:
For SIF to be liable for permanent total
disability benefits, the claimant must establish that (1) he suffered from a
permanent partial disability as a result of the last compensable injury,
and (2) that disability has combined with a prior permanent partial
disability to result in total permanent disability. Therefore, the first assessment is whether
the last compensable injury, standing alone, resulted in the claimant’s
permanent total disability. If so, SIF
would have no liability. The ALJ and the
Commission looked at the extensive prior PPD (25% neck, 35% low back, 45% left
foot) and his current job duties which were heavily accommodated, in deciding
the claimant was already unemployable in the open labor market prior to the
latest work injury. The ALJ cited case
law stating: a claimant can be totally disabled even if able to perform light
duty work. – Molder v. Missouri State
Treasurer, (Mo. Ct. App. 2011), citing Cooper
v. Med. Ctr. of Indep.
The Takeaway:
(1) Section 287.220 does not authorize any Second Injury permanent disability benefits if the claimant is unemployable in the open labor market prior to the work related injury. (2) A claimant can be found permanently totally disabled even if able to perform light duty work.