Volume XI June 2014 Changing Times. Unchanging Values. 40 Years Strong. Wisconsin Worker’s Compensation Update In This Issue Decisions of the Wisconsin Court of Appeals........................................................1 Decisions of the Wisconsin Labor and Industry Review Commission................ 3 Wisconsin Worker’s Compensation Practice Group ----Susan E. Larson, Shareholder Charles B. Harris, Sr. Attorney Molly N. Tyroler, Associate Krista L. Carpenter, Paralegal Angel M. Severson, Paralegal Pass It On Please share this update with others. Case Law Update Decisions of the Wisconsin Court of A ppeals Arising Out Of Westerhof v. State of Wisconsin Labor and Industry Review Commission, No. 2012AP 2332 (Wis. Ct. App. May 22, 2014) (unpublished). The applicant was an attorney and shareholder in a law firm. He testified his compensation was based on actual work performed and clients brought into the firm regardless of who performed the legal work. He testified that he joined a poker group compromised of small business owners, in an effort to market himself. The group at times referred clients to each other. The applicant did not record his time playing poker as marketing time for compensation purposes. He was reimbursed for snacks or drinks he brought to the poker events and for expenses related to trips he took with the poker group members. The applicant asked one of the poker group members if the applicant could join the continued on next page . . . Susan E. Larson SELarson@ArthurChapman.com Molly N. Tyroler MNTyroler@ArthurChapman.com Charles B. Harris CBHarris@ArthurChapman.com About Our Attorneys Our group of worker’s compensation law attorneys has extensive experience representing employers, insurers, third-party administrators, and self-insured employers in all phases of worker’s compensation litigation. Contact us today to discuss your worker’s compensation needs. 619 Second Street Suite 300 Hudson, WI 54016 Phone 715 386-9000 Fax 612 339-7655 500 Young Quinlan Building 81 South Ninth Street Minneapolis, MN 55402 Phone 612 339-3500 Fax 612 339-7655 www.ArthurChapman.com Good Litigators | Good People | Good Counsel Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 Worker’s Compensation Update 2 member and the member’s wife at a Harley-Davidson rally they planned to attend. The applicant had no part in planning the trip. During one leg of the trip, he was driving the poker group member’s motorcycle, lost control of the motorcycle and sustained injuries that led to him being a quadriplegic. The applicant testified he considered the excursion to be a business trip. He alleged he was rainmaking or networking on behalf of the firm when the injury occurred. Administrative Law Judge Ezalarab denied the applicant’s claim. The Labor and Industry Review Commission (“Commission”) affirmed, as did the circuit court and the Court of Appeals. The motorcycle trip was not incidental to any asserted business purpose. Unlike recreational trips in Continental Casualty v. Industrial Commission and Beechen v. American Guaranty & Liability Insurance Company (wherein the court awarded benefits for injuries sustained during hunting trips), the applicant here did not initiate the event to entertain a client. Instead, the applicant was a guest on a personal trip initiated and planned by his poker group member. The business generated by the applicant from the weekly poker games was minimal, and even so, not every trip or activity the applicant undertook with a member of the poker group was client entertainment or business related networking. Instead, this was a social outing among friends who occasionally did business together. Exclusive Remedy Taylor v. Cedar Falls Bldg. Systems, Inc., et al., 844 N.W.2d 666 (Wis. Ct. App. 2014)(unpublished). Cedar Falls Building Systems, Inc. subcontracted with Lewis Construction to build cement foundation walls on a construction project. One of these walls collapsed, seriously injuring and/ or killing the applicants, who were employees of Lewis Construction [cases from three plaintiffs/ co-workers were consolidated into this action]. The applicants recovered worker’s compensation benefits from Lewis Construction. Subsequently the applicants initiated the instant lawsuit against Cedar Falls Building Systems, Inc., alleging liability on two theories. First, the applicants alleged that the contract between Cedar Falls Building Systems, Inc. and Lewis Construction granted Cedar Falls Building Systems, Inc. the right to maintain control and supervision of the premises. The applicants alleged Cedar Falls Building Systems, Inc. had a nondelegable duty under the Safe Place statute to control the premises and to maintain them safely. In addition, the applicants alleged that, as the general contractor, Cedar Falls Building Systems, Inc. breached its common law duty to maintain the premises in a nonnegligent fashion. The Court of Appeals held there was no duty of Cedar Falls Building Systems, Inc. under the Safe Place statute. Generally a general contractor has no duty to supervise the activities of its subcontractor’s employees. A general contractor’s duty under the Safe Place statute arises essentially only if the general Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 contractor stands in the shoes of the subcontractor in regards to maintaining control of the premises. Here, the contractual language reserving the right to control was very limited. Other language in the contract specifically stated that Cedar Falls Building Systems, Inc.’s right to inspection and supervision did not relieve Lewis Construction of its obligations to meet safety statutes. Therefore, there was no breach of the Safe Place statute. In order for a general contractor to be found liable under common law for a condition of the premises that had been surrendered to a subcontractor, there needs to be a showing of an affirmative act by the general contractor, which amounts to negligence. In the instant case, there was no affirmative act by the general contractor. Therefore, the applicant’s sole remedy was against his direct employer, the subcontractor, Lewis Construction. 2014 Workers Compensation Seminar Thursday, June 19, 2014 Crowne Plaza, Wauwatosa, Wisconsin Contact Marie Kopetzki at 612 225-6768 or mkkopetzki@arthurchapman.com for more details or to register. June 2014, Volume XI Worker’s Compensation Update 3 Decisions of the Wisconsin Labor and Industry Review Commission Arising Out Of Paul v. Baxter International, Claim No. 2013-001969 (LIRC March 6, 2014). The applicant squatted down to hang a plasma bag on a blood collection machine. He started to stand, turned his torso to the left, and planted his left foot firmly on the floor. The sole of his clog stuck to the floor surface while he was in the process of walking to the left. He heard an audible “pop” and had severe pain. The applicant performed this every day maneuver as part of his normal work duties. The twisting motion made by the applicant stressed his left knee and caused a tear. A witness (co-worker) testified she was approximately five feet behind the applicant, heard a “pop” like noise, heard a blood donor immediately ask if the applicant was okay, and heard the applicant respond, “I went to turn and the top half of my body turned but the bottom half did not.” Administrative Law Judge Roberta Arnold held the injury arose out of and in the course of employment and awarded benefits. The Labor and Industry Review Commission affirmed. There need not have been any substance on the floor, or defect, in order for the applicant’s foot to have been securely planted. The claim is not unexplained. The credible evidence, as well as ordinary experience, demonstrates the applicant’s maneuver would have resulted in significant pressure being applied to the left knee as he attempted to turn to the left. Bernal v. Alpha Homes of Wis., Claim No. 2012-002146 (LIRC March 27, 2014). The applicant worked as a counselor at a group home. During a snowstorm, she went out into the driveway to drive her car into the garage. While walking to her car, she slipped and fell. The employer and insurer argued that one of the reasons the applicant was seeking to put her car in the garage was so that she would not have to scrape off the windows when leaving work later that evening. The employer and insurer argued that the applicant had deviated from the course of her employment. The applicant testified she went to put her car in the garage so the snow removal crew (contracted by the employer) would be able to fully clean the driveway. The employer alleged the deviation also occurred because the applicant left the residents alone without supervision, contrary to the employer’s written policies. Administrative Law Judge Leonard Martin held the applicant was in the course of her employment. The Commission affirmed. Even assuming the applicant had both motives in mind when she decided to move her car, because one of those motives was in furtherance of the employer’s interests, that required a finding that she had not deviated from her employment. Further, the testimony supports the applicant would regularly unload groceries from her vehicle without the residents constantly being in her line of site. She would enter and exit the building where the residents remained, for this purpose. Therefore, the applicant leaving the building to move her car was not a deviation on that basis. Simonz v. Wal-Mart Associates, Inc., Claim No. 2012-010488 (LIRC March 27, 2014). The applicant was walking with his supervisor and a co-worker. He testified that he slipped and fell on the floor. The Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 supervisor testified the floor was not slick. She testified the applicant was mimicking the walking pattern of a co-worker, while attempting to step on the back of the co-worker’s shoes. The supervisor testified that she told the applicant to stop and he did so. At the same time, the applicant’s feet went into the air and he fell to the floor. The applicant underwent surgery and sought a period of temporary total disability benefits, permanency benefits and medical expenses. Administrative Law Judge Cathy Lake held the injury arose out of and in the course of employment. The Labor and Industry Review Commission reversed. An idiopathic fall is one that is due to a personal condition that is not caused or aggravated by employment. A truly unexplained fall is one attributable to neither an idiopathic (personal) cause nor a cause related to employment. Idiopathic injuries and unexplained injuries are not compensable. In the instant case, the injury was explained. He was injured because he was engaging in horseplay while trying to step on the back of his co-workers shoes. An employee participating in horseplay may still be compensated for his injuries depending on (1) the extent and seriousness of the deviation; (2) the completeness of the deviation; (3) the extent to which the practice of horseplay had become an accepted part of employment; (4) the extent to which the nature of employment may be expected to include some horseplay. In this case, the Applicant’s deviation was significant and serious. The applicant was mimicking a June 2014, Volume XI Worker’s Compensation Update 4 coworker and attempted to step on the back of his shoe with the goal of having his co-worker’s shoe come off. This was a significant deviation and dangerous for both the applicant and his co-worker. The co-worker could have tripped and injured himself. The Employer did not tolerate horseplay. The applicant had been warned about horseplay and his supervisor told him not to step on the back of his co-worker’s shoe. Fletcher v. Specialty Automotive, Inc., Claim No. 2009-001519 (LIRC April 28, 2014). The applicant owned a business. He sold the business to another company. Certain items of personal property were exempted from the sale, including a bulldozer. The applicant and owner of the purchasing company entered into an agreement wherein the applicant agreed to help smooth the transition in ownership for a period of three weeks. He helped the new owner and its employees become familiar with regular customers, vendors, the computer system and yard procedures. He inventoried incoming automobiles in the yard. The applicant testified he was told to keep track of his time and that he would be taken care of at the end of the three weeks. The applicant performed work on the date of injury in the nature of inventorying cars. The normal business hours were 8:00 a.m. to 5:00 p.m. Around 5:00 p.m., the applicant began working on his bulldozer, changing the oil and antifreeze, and fixing the “stack,” in order to try and get it running. The applicant then decided to level some piles of dirt. The applicant testified the purpose of leveling the dirt was to make additional parking. The employer testified he did not request the additional parking, and that additional parking was not needed. The applicant testified he did not intend to record the time moving the dirt on his time card. These activities were clearly outside his normal duties. He sustained a crush injury while using the bulldozer to move the dirt. The employer testified that he had three to five acres, of the fifteen acres he had purchased, that were not in use. He testified that, at the time of the hearing, he had three acres that remained unused. The employer had more space than needed to store automobiles. The employer testified he never asked the applicant to perform the activity and was not aware the applicant would do this activity. The employer testified that activity was not reasonably necessary for its interests. Administrative Law Judge Janine Smiley held the applicant’s injury did not arise out of and in the course of his employment. The Commission affirmed. The inference of the facts is that the applicant did not consider his activities with the bulldozer to be an activity arising out of his employment. The activities of flattening piles of dirt was a personal deviation that did not arise from his employment. He was there to help with the transition in ownership. The applicant’s activities were not work in the advancement of the employer’s interests that were reasonably necessary at that time and place. Moen v. County of Douglas, Claim No. 2013-002797 (LIRC April 28, 2014). The applicant worked as a child support enforcement investigator. She began treating for carpal tunnel symptoms in November 2005. The applicant reported she had the symptoms for two to three months. She reported using her computer daily, for five hours at a time. The applicant reported experiencing the symptoms while driving and talking on a telephone. She reported increased symptoms while working on a remodeling project at home that Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 included sanding painting and installing tile. Her project ended at home, she took more breaks at work and her workstation was modified after an ergonomic evaluation. She reported no significant flare ups at work after approximately one month. The applicant reported no additional symptoms until May 2012. She reported bilateral hand numbness for a few days. She reported she had been shoveling dirt and rock at home, and that she performed keyboarding work most of the day. The applicant’s supervisor testified the applicant’s keying activities were intermittent, did not exceed four hours per day and were broken up with varied work activities. Administrative Law Judge Janine Smiley held the applicant did not sustain a workrelated occupational injury and denied her claim. The Commission affirmed. The treating physician, Dr. Davis, attached limited records to his WKC-16b. Dr. Davis opined the carpal tunnel syndrome was secondary to the diagnosis of flexor tenosynovitis. The records are not clear regarding whether Dr. Davis fully understood the applicant’s work activities. The independent medical examination, Dr. Foster, reviewed the applicant’s job description in addition to medical records. Dr. Foster opined the symptom increase coincided with home remodeling activities and that her keyboarding activities were not sufficiently forceful to be a cause of carpal tunnel syndrome. Bad Faith White v. Madison Metropolitan School District, Claim No. 2012011468 (LIRC April 28, 2014). The applicant alleged she sustained a work-related injury to her left knee as a result of her job duties for the employer. Dr. O’Brien performed an independent medical examination. He diagnosed the June 2014, Volume XI Worker’s Compensation Update 5 applicant with nonwork-related severe osteoarthritis of her left knee. He opined her symptoms were secondary to progressive degenerative condition that began when she sustained a severe trauma to her left knee at age 13. Dr. O’Brien opined her progressive symptoms were the known natural history of her condition. He noted that she was morbidly obese. Dr. O’Brien opined that this, coupled with severe traumatic injury to her knee and the natural aging progress, was the cause of her symptoms and osteoarthritis. At an initial Hearing on this case, the Administrative Law Judge held the applicant did sustain a workrelated injury. The applicant then brought a bad faith penalty claim. She acknowledged the initial denial of the claim was not in bad faith. However, she alleged that, after obtaining Dr. O’Brien’s report, the claim should have been conceded and paid. She alleges that, because Dr. O’Brien opined obesity was a causal factor contributing to the left knee condition, the employer and insurer was in bad faith for not paying the claim under Van Laanen v. Agrilink Foods (a Labor and Industry Commission decision from June 2006). [The Van Laanen case addressed physicians that applied to an overweight worker required to walk as part of his or her job duties. The defense expert opined the employee’s obesity contributed to the progression of her knee condition but only on a nonindustrial basis. The Commission held the applicant walked as part of her job duties and this caused the weight to hurt her knees. The defense expert was not credible because it did not reconcile how an employee’s nonindustrial ambulation and injury were causative but her industrial ambulation and injury was not causative.] Administrative Law Judge Nia Enemuoh-Trammell held that there was no bad faith. The Commission affirmed. Whether the independent medical examiner’s opinion is credible should be left to the trier of fact. The employer and insurer are entitled to rely upon the opinion of its medical expert and should not be held to a standard where it must judge the credibility of the opinion offered by its expert. The question of whether the applicant’s work was a material contributory causative factor in the onset or progression of her occupational disease involves a legal conclusion. This must be based upon specific medical and factual evidence within the record. The adjuster credibly testified that each case is evaluated on its own merits. The adjuster replied upon Dr. O’Brien’s opinions that her work duties played no causal role in the progression of her condition. The adjuster was under no obligation to analyze and second guess Dr. O’Brien’s medical reasoning. Dr. O’Brien did not concede a work injury. The adjuster testified that she recognized some similarities between the Van Laanen case and this case, but she believed each case was different. She also testified that she believed if there was further dispute, that the facts would be represented to the judge who would review the record and determine which medical See past newsletters online at: www.ArthurChapman.com click on the Resources section of the Worker’s Compensation Practice Area. Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 opinion was more credible. The employer and insurer acted in a reasonable manner by letting Administrative Law Judge Sass review the evidence and make a determination regarding whether the applicant sustained an injury arising out of and in the course of her employment. Judge Sass determined the treating physician was more credible than the independent medical examiner. He did not hold he was compelled to find for the applicant because of the Commission’s decision in Van Laanen. Compromise Agreement Piparo v. Piparo Amusement, Inc., Claim Nos. 2013-025421, 2013-008408 (LIRC March 27, 2014). The parties had reached a settlement, and submitted a Compromise Agreement to the Department for approval. Administrative Law Judge Mitchell issued an Order approving the Compromise. In the Order, Administrative Law Judge Mitchell stated “except for the second injury claims pursuant to §102.59, Wis. Stat. However, any language in the terms and limitations contained in the Agreement of the parties which attempts to limit the statutory and administrative authority of this Division, or confer privileges and rights not regularly provided to all participants subject to such authority, is void. The remaining terms and limitations, if any, contained in the Agreement are incorporated…” The employer wrote to the Administrative Law Judge to request an amendment to the Order, deleting the language quoted above. The Department treated this correspondence as a Petition for Review. The Commission set aside the Order. The case was remanded for reconsideration of the Compromise. An Administrative June 2014, Volume XI Worker’s Compensation Update 6 His Law Judge cannot modify or add exposure to loud noise. terms to a Compromise Agreement. exposure was reduced in 2004 or 2005 when the employer instituted a mandatory hearing protection Employment Relationship policy. The applicant was still Justice v. Wilcox Construction, regularly required to remove his Claim No. 2011-015600 (LIRC foam ear protectors to listen for March 6, 2014). The applicant and respond to radio calls, in moved from Georgia to Madison, addition to other reasons. Dr. Wisconsin to seek employment. He Horwitz performed only a record had contacted the alleged employer review prior to issuing his first about opportunities to work for report. He reviewed one audiogram the company doing roofing and and a summary of the applicant’s siding repairs. On at least three or work related noise exposure four separate days, the applicant prepared by his attorney’s went to three or four different office. A more complete report jobsites for the alleged employer. was prepared approximately six The applicant testified he was months later. Dr. Horwitz is retired paid in cash for the services he from a 40 year active practice. He performed on these job sites. The performs some volunteer work at a employer representative testified community clinic and is otherwise that, when the applicant contacted available for paid medical record Administrative Law the company about employment, reviews. the applicant was informed Judge Smiley awarded benefits. that he would need to perform The Labor and Industry Review The a period of unpaid trial work to Commission affirmed. see if he was qualified to perform imposition of a hearing protection the job duties. The employer policy indicates there were high representative testified the levels of noise in the facility. The company never paid the applicant, applicant is not required to submit and that, therefore, the applicant evidence identifying the precise was not an “employee” at the time decibel level of exposure to which the applicant fell off a roof at the he was regularly exposed because employer’s job site. Administrative of the nature of the production Law Judge Minix held the facility and the applicant’s applicant was an “employee” at the unrebutted testimony regarding time of the work related incident. the noise level. The fact that Dr. The Commission affirmed. The Horwitz is paid for his medical applicant’s testimony on the review work is a baseless reason to issue of pay was credible. An argue against the credibility of his employment relationship can medical opinion. The independent exist absent actual compensation medical examination was certainly as long as wages are “either paid paid for his medical report. or expected.” In addition, there is a presumption that a person, while Job Offer in the services of another, is an Olejniczak v. Sendiks Food Market, employee of that person. Claim No. 2011-032025 (LIRC March 31, 2014). The applicant Evidence alleged she sustained a shoulder Valentine v. Pure Power Navistar, injury. Light-duty restrictions were Claim No. 2012-018041 (LIRC imposed. The employer informed March 18, 2014). The applicant the applicant to report to work at testified that, on every workday 9:00 a.m. The applicant testified during his approximately 14 years that he did not accept the job offer of employment, he had substantial because his shift previously had Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 started at 6:00 a.m. He testified that his parents were able to take him to work for a 6:00 a.m. shift. The applicant testified he could not get a ride to work for a 9:00 a.m. shift conveniently enough. Administrative Law Judge Leonard Martin awarded a length period of claimed temporary total disability benefits. The Commission affirmed in part. The applicant’s basis for not accepting the job offer was not a valid excuse for not accepting the position. See Permanent Partial Disability category for additional facts and issues. Loss of Earning Capacity Zaldivar v. Hallmark Drywall, Inc., Claim No. 2010-010154 (LIRC March 6, 2014). The applicant came to the United States in 1998. He used a “made up” social security number to obtain employment with the employer. He had a separate ITIN that he used to file his income tax returns. He sustained a conceded lumbar injury and was paid temporary disability, physical permanent partial disability and medical expenses. The applicant sought 65% loss of earning capacity based upon the opinions of the applicant’s vocational expert, who, in part, based his opinions on the applicant’s earnings of a drywall, the completion of the equivalency of high school in Mexico, strong basic mathematical skills, limited fluency in English, unskilled or semi-skilled work history and a likelihood that he would have to accept entry-level work. The applicant’s vocational expert did not provide a loss of earning capacity assessment based upon employment in Mexico. The vocational expert for the employer and insurer argued a Mexican employment model should be used, and that only his loss of earning capacity based upon employment in Mexico should be used because he cannot obtain employment in the United States legally. The June 2014, Volume XI Worker’s Compensation Update 7 applicant testified that he had begun the residency application process. He had obtained assistance of an immigration attorney. Administrative Law Judge Roberta Arnold awarded the 65% loss of earning capacity benefits sought by the applicant. The Labor and Industry Review Commission affirmed with modification of the award to 20%. Federal law does not preempt the Commissions assessment of the loss of earning capacity. The award takes into account the applicant’s undocumented worker status. The applicant has begun the application status for residency. There is no way of knowing what the applicant’s long term residency and employment status will be. He has been in the country for 16 years and is not under current threat of deportation. Residency and employment status is one relevant factor to be considered in assessing loss of earning capacity for an undocumented worker, and it is a factor the Commission will weigh in accordance with the facts and circumstances. Here, the factor deserves substantial weight because he has not demonstrated he will be able to obtain legal residency status anytime soon. His loss of earning capacity assessment must therefore be substantially reduced because of his inability to legally obtain employment in the United States. The Order will be left interlocutory to address the contingency that in the future the applicant may secure the right to legally obtain employment. His loss of earning capacity claim can be re-assessed if the applicant obtains legal status. Meitzen v. McLane Foodservice, Inc., Claim No. 2012-024273 (LIRC March 31, 2014). The applicant was a high school graduate who had attended some technical college. He had worked for a number of years for the employer. The employer’s business was a food distributorship. The applicant did some repetitive and physically demanding work. Administrative Law Judge Schneiders held the applicant sustained a workrelated injury to his cervical spine, thoracic spine and lumbar spine. She awarded 5% permanent partial disability to the cervical spine, 5% permanently partial disability to the thoracic spine and 5% permanent partial disability to the lumbar spine. Administrative Law Judge Schneider held that a 20 pound lifting limitation was appropriate. She awarded 45% loss of earning capacity benefits. The Commission reversed the award of loss of earning capacity benefits. The Supreme Court has held that the Commission is warranted in postponing the determination of permanent disability for a reasonable period of time until the applicant completes a reasonable course of physical therapy or vocational rehabilitation. Here, the applicant had testified he was not interested in undergoing vocational rehabilitation. A number of cases have recently held that an administrative law judge may consider whether or not an applicant is interested in undergoing vocational rehabilitation in determining whether to award loss of earning capacity benefits. A large number of employees have no interest in undergoing vocational rehabilitation. However, here, the applicant was only 41 years old, had relatively strong grades in high school, and was successful in completing some vocational training. Therefore, the applicant was awarded only physical permanent partial disability. The applicant was instructed to seek services from the Division of Vocational Rehabilitation in good faith before an award for loss of earning capacity could be made. Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 Mental Injury Jost v. Lakeshore Cap, Inc. of Wisconsin, Claim No. 2012-016251 (LIRC April 28, 2014). The applicant began to work for the employer in October 2006. She worked on a variety of projects. The applicant was responsible for supervising three individuals. She performed direct case management, budgeting, scheduling and other administrative duties. In early 2009, the economic downturn resulted in an increase of her overall duties. Her assistant took a medical leave for three months during the summer of 2009. The applicant asked her supervisor for help with her increased workload. She did not receive assistance until two individuals were transferred to her department. The applicant had to train those individuals. The applicant’s relationship with her supervisor worsened after spring 2009. The applicant alleged her supervisor was demeaning toward her, picked on her and humiliated her in front of other workers. The applicant provided details of only two incidents. There was testimony that the supervisor yelled at the applicant, as well as at other personnel, when he was upset. Witnesses testified that the applicant was not singled out for this treatment, and that the supervisor was an equal opportunity jerk. The applicant resigned her employment right after a promotion because she believed it would lead to too much stress. The applicant had been diagnosed with depression and anxiety type conditions since early 1990’s. The applicant was diagnosed with PTSD, major depression and organic mood disorder. Her treating physician assigned permanent restrictions in the nature of not returning to work for the same supervisor and not being exposed to work in any type of stressful work environment. Dr. Langmade June 2014, Volume XI Worker’s Compensation Update 8 performed an independent medical examination. He diagnosed the applicant with somatization disorder, and an adjustment disorder with mixed anxiety and depressed mood. He opined her symptoms were manifestation of her pre-existing mental conditions. Dr. Langemade did not believe her work events, as described above, were extraordinary or unusual. Administrative Law Judge Thomas Landowski held the applicant sustained a compensable nontraumatic mental injury under the School District No. 1 extraordinary stress test. The Commission reversed. The applicant’s job duties were stressful to the applicant, and she had some unexpected challenges. Temporarily elevated workload and accompanying stress are common in the workplace. Government benefit programs (with which the applicant worked) involve frustrating rule changes and administrative uncertainties, especially when first enacted. The stresses increased in spring 2009 and decreased in fall 2009. Those stresses were temporary in nature. Her supervisor’s management style was abrasive and he yelled at the applicant on two occasions. Polite treatment cannot always be expected in the workplace. Being yelled at by a supervisor on isolated occasions does not constitute extra-ordinary stress. Occupational/Repetitive Injury Hajducki Sr. v. P&H Mining Equipment, Inc., Claim Nos. 1990040903, 2007-005461, 2011007011 (LIRC March 18, 2014). The applicant worked as a welder for the employer and its predecessor for a total of 34 years. The applicant sustained a nonwork-related injury in 1978. He sustained several knee injuries in the 1990’s. In 2006, the applicant sustained a specific injury when he fell and struck his knee. The applicant underwent surgery and then continued to work through September 2009. The insurer on the risk in 2006 was different than the insurer on the risk in 2009. Dr. Langenkamp, at the request of the 2006 employer/ insurer, opined that, by 2006, the cat was out of the bag regarding the need for a knee replacement. He opined the applicant’s history of doing manual heavy work as a welder was a material contributory causative factor in the progression of the osteoarthritis of the left knee. The employer and insurer for the 2009 injury argued that Dr. Langenkamp did not specifically opine job duties between 2007 and 2009 were causative of the applicant’s knee condition, and that the treating physician’s opinion supported the insurer for the 2006 injury being on the risk for the totality of the condition. Administrative Law Judge William Phillips, Jr. held benefits to the applicant should be paid by the employer and insurer for the 2006 injury. The Labor and Industry Commission affirmed. The treating physician’s opinions attributed the knee problems to the specific 2006 injury. Dr. Karr examined the applicant on behalf of the 2009 injury employer and insurer, and opined the knee condition was related to the 2006 traumatic injury. Dr. Langenkamp’s opinion was that the applicant sustained an occupational knee injury. The Administrative Law Judge’s decision found the applicant sustained an occupational injury, culminating on the same date of the specific injury in 2006. The evidence supports the injury sustained was occupational in nature. Typically the employer and insurer on the risk at the end of the period of exposure is liable for the entire amount of benefits. However, there must be some work exposure during the period of coverage that is attributable to the condition. The evidence reflects the work exposure during the period of Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 coverage for the 2009 date of injury is not causative of the applicant’s knee condition. Dr. Langenkamp’s opinion did not specifically state the period of work between 2007 and 2009 contributed to the need for a knee exposure. One could speculate that, if asked, he would have agreed the period of work during that time was contributory. However, he was not asked and there is no such opinion to that regard. Therefore, the employer and insurer on risk at the time the occupational injury culminated in 2006 is liable for the entire period of benefits awarded Permanent Partial Disability Olejniczak v. Sendiks Food Market, Claim No. 2011-032025 (LIRC March 31, 2014). The applicant alleged she sustained a shoulder injury. She had near full range of motion. She was not assigned any permanent restrictions. See Job Offer Category for additional facts and analysis. Administrative Law Judge Leonard Martin awarded the applicant 5% permanent partial disability to the shoulder, based upon the treating physician’s opinions. The Commission reversed. The applicant is not entitled to permanent partial disability for the shoulder. With near full range of motion and no permanent restrictions, there was no support for a 5% permanent partial disability rating. Permanent Total Disability Martin v. St. Josephs Community Hospital, Claim No. 2011-026339 (LIRC March 27, 2014). The applicant worked as an emergency room nurse. He was assaulted by a patient. He alleged mental injuries as a result of the assault. Dr. Langmade evaluated the applicant at the request of the employer and insurer. Dr. Langmade held the applicant sustained aggravation of underlying post-traumatic stress disorder. Dr. Langmade June 2014, Volume XI Worker’s Compensation Update 9 opined the applicant sustained 1% permanent partial disability if the applicant continued to work as an emergency room nurse. Dr. Langmade opined there would be no permanent partial disability if the applicant worked in other nursing areas of the hospital. He opined the applicant should not work as an emergency room nurse. A treating psychologist opined the applicant was not able to have patient contact while working as a nurse, could only work up to four hours per day, three days per week, and could only work on the day shift (among other similar restrictions). The applicant had put his house up for sale prior to the work-related injury, intending to return to live in California. The applicant testified he took care of the ranch he and his wife had bought in California. He had not applied for social security benefits. He testified that he was not seeking employment at a hospital or clinic because it would involve patient care. He testified he was occupied with his ranch. The employer had offered the applicant a nursing position in the radiology department, first shift. The applicant did not accept the position. Administrative Law Judge Martin held the evidence was not sufficient to address whether the applicant was vocationally permanent and totally disabled or had sustained loss of earning capacity benefits. The Commission affirmed in part and reversed in part. The applicant sustained 5% loss of earning capacity benefits because of his limitation on working in an emergency room department. The treating physician restrictions regarding employment were not credible. The applicant could function in public without any difficulty, which is similar to working in normal patient care situations apart from an emergency department. Love-Mueller v. Target Corp., Claim No. 2006-010802 (LIRC April 28, 2014). The applicant underwent three low back surgeries, including two fusion procedures, as a result of a conceded workrelated injury. The applicant had poor results from each procedure. A morphine pump was implanted subsequent to the third surgery. Dr. Cederberg performed an independent medical examination. He opined the applicant could permanently work as an administrative professional, and could perform an office type job up to eight hours per day. Dr. Karr performed an examination of the applicant at the request of her attorney. He assigned physical restrictions of up to 20 pounds lifting, repetitive lifting and carrying up to ten pounds, and some positional restrictions. Dr. Karr opined the applicant could work full time within these restrictions. The applicant testified she did not believe that she could physically tolerate a full time job or full time workdays. The applicant was receiving social security disability benefits. Administrative Law Judge Nia Enemuoh-Trammell held the applicant was permanently and totally disabled. The Commission reversed on this issue. The applicant did not submit a prima facie case for permanent total disability. Both physicians opined the applicant could work full time. Her physical capacity to work is a medical questions and her personal decision that she could not work eight hours per day is not sufficient. The applicant is an intelligent individual with marketable skills for sedentary office work. Her self-directed job search is questionable. Her vocational expert’s opinion that she was permanently and totally disabled relies in part upon her statements regarding her own view of her physical capacity for work. Her vocational expert’s Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 statements are contrary to credible medical evidence that the applicant can complete in the workplace by the virtue of working full time. Because the applicant’s vocational expert’s opinion lack credibility and because the applicant has not been medical restricted from full time work, there is no prima facie case for permanent total disability. Refusal to Rehire Budde v. Blain Supply, Inc., Claim No. 2013-003317 (LIRC March 18, 2014). The applicant worked for the employer for nearly 10 years. He sustained a foot injury a few minutes before the end of his shift, which was 7:00 a.m. on Friday morning. The applicant went home and his wife gave him a Tylenol 3 that she had been prescribed. He then went to urgent care. The applicant was given restrictions. He brought those restrictions to the employer that same morning. He was next scheduled to work Sunday night. When the applicant arrived at work with his restrictions, he was advised to punch in and was taken to the hospital for drug and alcohol testing. The applicant returned to work Sunday night and continued to work for one week. He was then released without restrictions. Ten days after the work-related injury was sustained, he was suspended from work for violation of the drug policy. Two days later, he was terminated. The drug policy was available for employees through the company’s computer system but was not provided to an employee as part of a handbook. The employer’s witness testified the actual practice of the company was to provide drug and alcohol testing for any employee involved in a work injury that required medical treatment. She testified the policy stated discipline for violation was up to and including termination. The witness further testified that her experience was each employee who failed the drug test was terminated. June 2014, Volume XI Worker’s Compensation Update 10 Administrative Law Judge Ryan O’Connor awarded the to-date loss of wages. [The Hearing was held before one year post termination had passed.] The Commission affirmed. The employer did not follow its written policy for drug testing post injury. There was no evidence that there was any drug in the applicant’s system when he was injured. There was no evidence the Tylenol 3 affected his performance when he returned to work on Sunday night. There was no investigation regarding the positive test or its medical significance. The applicant provided the employer with his work restrictions as soon as possible, on his own time, in order to allow the employer the best opportunity to accommodate those. The application of the employer’s drug testing policy may result in unjust and unreasonable consequences. An employer must demonstrate that the discharge was done with reasonable cause. This burden cannot be met without investigation and consideration of the factual circumstances surrounding the discharge. The employer did not consider the reason the applicant’s test came back positive or whether the drug was in the applicant’s system during work hours. The award is left interlocutory because the to-date loss of wages is less than the maximum of one year worth of wages. Stahl v. Light Haus of Madison, Claim Nos. 2012-015008, 2013006748 (LIRC March 27, 2014). The applicant worked as a glazier for 18 years. He was hired by the employer as a lead glazier in 2001. He performed residential and commercial glazing duties with an emphasis on high end residential homes. The applicant was laid off for short periods of time when work was slow. He collected unemployment benefits during these periods of time. The applicant sustained a right knee injury. He underwent surgery several months later. He was released without restrictions five months post injury. The applicant advised the employer of his release without restrictions. He was told that he would be placed on unemployment for one week while the employer figured out what to do with the applicant. One week later, the applicant was contacted and advised to report to work. He did so and was informed he was being terminated. He was asked to sign a severance agreement and release of claims, but refused to do so. The applicant’s former co-worker continued to work for the employer. The employer was significantly affected by economic downturn. There was a lot less work available, particularly with respect to the higher end jobs. One year after his discharge, the employer offered to rehire the applicant at a wage of approximately 70% of his date of injury hourly rate. The applicant refused. He was working at a lower paying job at the time of that job offer. Administrative Law Judge Joseph Schaeve awarded the applicant the equivalent of one year lost wages, minus the actual wages he earned during that period of time. The Commission affirmed. The employer did not have reasonable cause to discharge the applicant when he attempted to return to work. The employer could have just laid off the applicant, rather than discharging him. Previously when there were slow times, the applicant was laid off. The employer failed to provide any explanation for the basis for termination on this occasion. Further, there was no reasonable explanation provided for asking the applicant to sign a severance agreement. There is no evidence supporting an inference that the employer believed the applicant’s co-worker could handle all future glazing projects. Economic reasons can be a basis for a reasonable cause for discharge. The offer of employment one year after the discharge does not change the Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 outcome in this case. Discharged employees are not normally required to accept subsequent offers of employment from the employer, particularly after the applicant has filed a claim for, basically, wrongful termination under Wis. Stat. 102.35(3). Swenson v. Al’s Apples, Inc., Claim No. 2011-024358 (LIRC April 28, 2014). The applicant worked as a laborer in an apple orchard for several years. The applicant was directed by an immediate supervisor to help move a load of wood. The applicant refused. He alleged the wood was too heavy and he would not do it without more help. The supervisor had loaded the wood by himself. The applicant was directed to the owner’s office. The applicant was advised he was expected to obey his supervisor. Two hearings were held on the applicant’s alleged refusal to rehire claim. At the first hearing, the applicant testified that, after he refused to follow his supervisor’s order to help unload wood, the owner told him “to get the hell off the property and not to come back.” At the second hearing, the applicant testified that the supervisor said “well, then, you’re fired,” and that he then left. The owner testified the applicant told him to get someone else to do the job and that he had been thinking of quitting soon anyway. The owner said that, since he was quitting, he should punch out and leave immediately. The applicant offered to work two more weeks and the owner declined the offer. Administrative Law Judge Janine Smiley held the applicant voluntarily terminated his employment and that the employer therefore did not violate Wis. Stat. §102.35(3). The Commission affirmed. In order to demonstrate a violation of Wis. Stat. §102.35(3), and applicant must submit credible evidence showing that, after sustaining a work-related injury, June 2014, Volume XI Worker’s Compensation Update 11 he or she was refused rehire or discharged without reasonable cause. The applicant conceded he refused a supervisor’s reasonable work order and that he maintained the refusal when confronted by the owner. The owner’s detailed testimony was more credible, and demonstrates the applicant voluntarily terminated his employment with the employer. The owner accelerated the voluntary termination by two weeks. This acceleration was reasonable because the applicant was refusing a direct work order without good cause to do so. Further, there was no indication the employer even knew the employee was going to allege a work injury at the time of the firing. Check out the Wisconsin Worker’s Compensation Practice Area page on the Arthur Chapman website! www.ArthurChapman.com Click on Practice Areas and Workers Compensation. 619 Second Street Suite 300 Hudson, WI 54016 Phone 715 386-9000 Fax 612 339-7655 500 Young Quinlan Building 81 South Ninth Street Minneapolis, MN 55402 Phone 612 339-3500 Fax 612 339-7655 www.ArthurChapman.com Disclaimer This publication is intended as a report of legal developments in the worker’s compensation area. It is not intended as legal advice. Readers of this publication are encouraged to contact Arthur, Chapman, Kettering, Smetak & Pikala, P.A. with any questions or comments. Arthur, Chapman, Kettering, Smetak & Pikala, P.A. ©2014 June 2014, Volume XI