Central Ohio Self-Insurers Association

Assisting central Ohio's self-insured employers in the administration of workers' compensation claims

Worker's Compensation

Case Law Update


PREPARED BY:
VORYS, SATER, SEYMOUR AND PEASE LLP
Bradley K. Sinnott, Esq.
Angela J. Rapp, Esq.
www.vorys.com

DECEMBER, 2011

IRS Circular 230 Disclosure:  In order to ensure compliance with requirements imposed by the U.S. Internal Revenue Service, we inform you that any federal tax advice contained in this communication (including any attachments) is not intended or written to be used, and it cannot be used, by any taxpayer for the purpose of (i) avoiding penalties that may be imposed under the U.S. Internal Revenue Code or (ii) promoting, marketing, or recommending to another person, any transaction or other matter addressed herein.

OCTOBER, 2011

Ohio Bureau of Workers' Compensation v. McKinley et al., 2011 Ohio 4432,2011 Ohio LEXIS 2179 (Sept. 7, 2011).
Issue: Statute of Limitations

McKinley was severely injured on July 13,2003, during the course of his employment. The bureau allowed his claim for workers' compensation benefits. He then brought a separate action against a third-party, who owned the premises where he was injured. After notifying the bureau in 2004 that he was in settlement negotiations with the third-party, McKinley and the third-party settled for an undisclosed amount. On November 4, 2008, the bureau filed suit in common pleas court against McKinley and the third-party, asserting that they were jointly and severally liable under R.C. 4123.93 and 4123.931 for failing to honor the bureau's subrogation lien in the settlement that had been reached. The third-party moved to dismiss the bureau's claim, arguing that the bureau's subrogation claim was a derivative of the defendant's right to recover against the third-party and that the two-year statute of limitations applicable to McKinley's personal-injury claim against the third-party also applied to the bureau's claim. In response, the bureau argued that R.C. 4123.931 creates an independent right of recovery for a statutory subrogee and that the six-year statute of limitations of R.C. 2305.07 for an action on "a liability created by statute" was the one that applies.
The Supreme Court of Ohio agreed with the bureau and relied upon R.C. 4123.93l (A), stating that the payment of workers' compensation benefits in and of itself "creates a right of recovery in favor of a statutory subrogee against a third party." Accordingly, it held that a claim brought by a statutory subrogee pursuant to R. C. 4123.931 (G) to recover its subrogation interest is a claim "upon a liability created by statute" and is therefore subject to the six-year statute of limitations of R.C. 2305.07.

Coleman v. City of Hamilton, 2011 Ohio 4717, 2011 Ohio App. LEXIS 3920 (12th App. Dist., Sept. 19,2011).
Issue: Allowance of a Condition -Uncontroverted Expert Opinion

The claimant filed suit in common pleas court seeking the allowance of additional conditions. During the bench trial, the claimant offered deposition testimony of his treating chiropractor as expert testimony to establish that the additional conditions were directly caused by two work-related incidents. The claimant also offered multiple exhibits at trial, consisting of medical records, diagnostic
test results, and first report of injury. After the claimant rested his case, the city of Hamilton offered no exhibits or witnesses. The common pleas court found that claimant was not entitled to participate in the fund for the additional conditions. The claimant appealed the common pleas court's decision, essentially arguing that the decision was against the manifest weight of the evidence because the expert testimony he presented went uncontroverted. The appellate court disagreed. It recognized that the common pleas court, as the trier of fact, had the right to accept or reject any and all evidence, even uncontroverted evidence. The court reasoned that there were "some reasons objectively present" supporting the trial court's decision to give little weight to the expert's opinion.

Weyerhaeuser Company v. The Industrial Commission of Ohio, 2011 Ohio 4206,2011 Ohio App. LEXIS 3516 (lOth App. Dist., Aug. 23, 2011)
Issue: Recovery for Facial Disfigurement

The claimant suffered facial disfigurement as a result of a workplace injury and filed for additional compensation under R.C. 4123.57(B). To recover under this section, the appellate court recognized that there are two requirements: (1) the claimant's injury must result in serious head or facial disfigurement, and (2) the disfigurement must be of such a nature that it either impairs or may in the future impair the claimant's opportunities to secure or retain employment. Because claimant testified that she removed herself from the workforce and began receiving social security disability benefits, the relator contended that she lacked any desire to work and thus, had no earning capacity.
The appellate court disagreed, holding that R.C. 4123.57(B) does not require proof of a current desire to work. As the statute allows compensation for disfigurement that "may in the future impair" the claimant's employment opportunities, the commission appropriately analyzed the issue of whether the disfigurement may potentially impair future employment opportunities, regardless ofher current desire to work.