Alphin v. Tart L.P. Gas Co.

CourtNorth Carolina Industrial Commission
DecidedMarch 22, 2007
DocketI.C. NO. 021806.
StatusPublished

This text of Alphin v. Tart L.P. Gas Co. (Alphin v. Tart L.P. Gas Co.) is published on Counsel Stack Legal Research, covering North Carolina Industrial Commission primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alphin v. Tart L.P. Gas Co., (N.C. Super. Ct. 2007).

Opinion

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Upon review of the competent evidence of record with reference to the errors assigned, and finding no good grounds to reconsider the evidence, receive further evidence or to rehear the parties or their representatives, the Full Commission affirms the holding, but modifies entirely the Opinion and Award of the Deputy Commissioner.

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The Full Commission finds as fact and concludes as matters of law the following, which were entered into by the parties at the hearing as: *Page 2

STIPULATIONS
1. It is stipulated that all parties are properly before the North Carolina Industrial Commission, and that the Commission has jurisdiction over the parties and over the subject matter pursuant to the North Carolina Workers' Compensation Act (Act).

2. It is stipulated that all parties have been correctly designated and that there is no question as to misjoinder or nonjoinder of parties.

3. At the time of the injury by accident, the parties were subject to and bound by the provisions of the Act, and there was an employer/employee relationship between the parties with defendant-employer being insured by Aetna Life and Casualty Company.

4. All parties admit that on March 8, 1990, plaintiff sustained an injury by accident arising out of and in the course of his employment.

5. It is stipulated that the average weekly wage as reported on the Form 21 is $258.81, resulting in a compensation rate of $172.54.

6. The Pre-Trial Agreement dated February 18, 2002, which was submitted by the parties is incorporated by reference.

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Based on the foregoing Stipulations and the evidence presented, the Full Commission makes the following:

FINDING OF FACT
1. This case involves an admittedly compensable injury that occurred on March 8, 1990. Plaintiff's immediate complaints were of low back pain radiating into his right leg. A Form 21 agreement to pay compensation for "necessary weeks" was approved by the Commission on April 2, 1990 giving plaintiff a presumption of continuing disability due to the *Page 3 admitted low back injury. Plaintiff returned to work on at least two occasions. Temporary total disability compensation was reinstated on June 28, 1990, on a Form 26 agreement to pay compensation for "necessary weeks." On July 13, 1990, defendants filed a Form 24 application to stop payment of compensation that was approved by the Commission on the same date.

2. Defendants submitted a second Form 26 agreement to the Commission for approval in October 1990, stating that plaintiff had reached maximum medical improvement, and agreeing to pay plaintiff for a ten percent (10%) permanent partial impairment to his back. The Commission approved this Form 26 agreement on November 1, 1990. On December 11, 1990, a Form 28B was filed stating that the case was being closed by defendants-carrier.

3. Agreeing that plaintiff became totally disabled again on July 23, 1991, and agreeing to reinstate temporary total disability for "necessary weeks," the parties executed a third Form 26 agreement. Plaintiff again had a presumption of continuing temporary total disability based on this agreement.

4. On December 16, 1991, the parties executed a fourth Form 26 agreement stating that plaintiff reached maximum medical improvement, and had a fifteen percent (15%) permanent partial impairment rating, and further agreeing to pay plaintiff for the five percent (5%) increase in his permanent partial impairment rating to his back. The Commission approved this Form 26 agreement on January 7, 1992. Defendants-carrier again filed a Form 28B stating the case was closed.

5. The parties executed a fifth Form 26 agreement for payment of continuing temporary total disability compensation beginning March 4, 1993. The Commission approved this Form 26 agreement on May 11, 1993. Plaintiff again had a presumption of continuing temporary total disability compensation under this agreement. *Page 4

6. On November 11, 1993, plaintiff reached the end of his healing period. Specifically, plaintiff was capable of earning wages in sedentary work with no bending and twisting, with sitting and standing, and if sitting, being provided a couple of minutes every half hour to stand. Plaintiff was assigned a twenty-five percent (25%) permanent partial impairment rating to the back, an increase of ten percent (10%) over the prior ratings. Defendants paid plaintiff for his increase in permanent partial impairment rating.

7. On May 10, 1994, the Commission ordered plaintiff to cooperate with vocational rehabilitation efforts. On May 25, 1994, the Commission denied defendants' Form 24 application to stop payment of compensation.

8. Defendants filed another Form 24 application dated October 24, 1994, alleging that plaintiff "does not wish to comply with vocational rehabilitation." Plaintiff filed a response and on November 30, 1994, the Commission denied defendants' Form 24 application. By November 1994, the Form 24 application process was being handled by the Executive Secretary's Office, rather than the Industrial Commission's Claims Department. Defendants filed another Form 24 application on May 17, 1995, again alleging that plaintiff failed to comply with vocational rehabilitation offered by defendants. The Form 24 application was approved on July 5, 1995, retroactive to May 5, 1995.

9. Plaintiff filed a Form 33 request for hearing on April 17, 1996, alleging that defendants refused to pay permanent and total disability compensation to plaintiff.

10. On June 24, 1996, plaintiff filed a Motion for Reinstatement of Benefits stating, (a) he had fully complied with defendants' "alleged rehabilitation efforts;" (b) to the extent the Commission found he failed to comply, he now stood ready, willing and able to "fully and *Page 5 completely cooperate" with any and all rehabilitation efforts by defendants, its carrier, or any of its agents or employees; and (c) he was totally and permanently disabled.

11. A hearing was conducted before a Deputy Commissioner on December 19, 1996. The Deputy Commissioner framed the issue as follows: (a) has plaintiff participated in the program which he was requested to participate in by vocational rehabilitation and other programs by defendants; and (b) should plaintiff's compensation be reinstated. The Deputy Commissioner after hearing the evidence ruled from the bench and found plaintiff had participated in vocational rehabilitation in a reasonable fashion as appropriate under the provisions of the Act and temporary total disability payments should be reinstated.

12. The Deputy Commissioner further found that plaintiff's entitlement to temporary total disability ended when he reached maximum medical improvement on November 7, 1996 and thereafter plaintiff was only entitled to payment of his permanent partial impairment rating. No evidence was taken regarding plaintiff's disability after he reached maximum medical improvement.

13. Both plaintiff and defendants appealed to the Full Commission. By Opinion and Award filed March 17, 1999, the Full Commission reversed the Deputy Commissioner's Opinion and Award and concluded:

(a) Plaintiff failed to cooperate with vocational rehabilitation even after being ordered to cooperate by the Commission;

(b) Defendants were entitled to terminate plaintiff's compensation for failure to cooperate with vocational rehabilitation; and

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Bluebook (online)
Alphin v. Tart L.P. Gas Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/alphin-v-tart-lp-gas-co-ncworkcompcom-2007.