2018 WL 4494963 (Mo.Lab.Ind.Rel.Com.)
Code(s): C019 Employment Issue; C030 Compensability; C012 Procedural
Factual
Background:
Claimant
was an employee of Russ Jackson Transportation.
He suffered an injury while working as a truck driver hauling
grain. Claimant pulled on a wet tarp
bar, but it snapped back, hit him in the face, and injured three upper front
teeth. Employer refused to pay for
medical treatment because he did not believe he was required to have workers’
compensation insurance because he had less than five employees. The uninsured
employer did not file any responsive pleadings or participate.
Division Decision:
The ALJ determined that the claimant did not meet his burden of demonstrating that he had reached MMI, thus, he was denied PPD benefits and future medical benefits. Additionally, the ALJ found the employer was not liable for past medical expenses as the claimant failed to identify a factual basis for award of medical bills.
Commission Decision:
The Commission
affirmed the award denying compensation. The majority dismissed the appeal for
lack of jurisdiction. The case had been
previously remanded by the Commission to develop additional evidence. The claimant failed to establish that the
employer had enough employees to be covered by the Missouri Workers’
Compensation Act. Relying on Section 287.030.1 RSMo which defines and “employer”
as having five or more employees, the Commission found that because the
employer did not have five or more employees on the date of the injury and that
the employer did not make election to become subject to the provisions of
Missouri Workers’ Compensation Law, the employer could not be deemed an “employer”
under its statutory definition.
Accordingly, the employer could not be held liable for compensation
under the Missouri Workers’ Compensation Law and the Commission dismissed for
lack of subject matter jurisdiction.
The Takeaway:
The
Division and the Commission do not have subject matter jurisdiction over cases
where an employment relationship is not in place as defined by the Missouri
Workers’ Compensation Law. If an
employer does not have more than five employees, he is not subject to the
provisions of Missouri Workers’ Compensation Law and the Commission and the
Division do not have subject matter jurisdiction over the claim.