Bailey v. Oakwood Hospital & Medical Center

698 N.W.2d 374, 472 Mich. 685
CourtMichigan Supreme Court
DecidedJune 29, 2005
DocketDocket 125110
StatusPublished
Cited by6 cases

This text of 698 N.W.2d 374 (Bailey v. Oakwood Hospital & Medical Center) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bailey v. Oakwood Hospital & Medical Center, 698 N.W.2d 374, 472 Mich. 685 (Mich. 2005).

Opinions

[688]*688KELLY, J.

This case involves the allocation of liability for benefits under the vocationally disabled persons chapter of the Worker’s Disability Compensation Act. MCL 418.901 et seq. The act makes an employer initially liable to pay disability benefits to a certified vocationally disabled employee who is injured on the job. It imposes on the employer only fifty-two weeks of liability for compensation, medical care, and last illness and burial expenses. MCL 418.921. Thereafter, the Second Injury Fund becomes liable. In the event of an employment-related injury to a certified vocationally disabled employee, the employer’s worker’s disability insurance carrier has an obligation to give notice to the fund.

The issue here is whether a carrier that fails to notify the fund is solely liable for a vocationally disabled person’s disability benefits after fifty-two weeks. MCL 418.925(1). Related issues are whether the fund is liable after the fifty-second week if it receives late notice, and whether the employer can be liable after fifty-two weeks under any circumstances.

We hold that the employer has no liability for benefits after the fifty-second week, even if the fund receives late notice. Also, the carrier must continue to pay benefits after fifty-two weeks. Finally, the fund is not released from liability to reimburse the carrier for its payments made after fifty-two weeks even if it receives late notice. An exception exists if the employee loses eligibility before late notice is given. If the employee is found ineligible for payments made before late notice was given, the fund need not reimburse the carrier for the benefits paid. We overrule the Court of Appeals decisions in Valencic v TPM, Inc1 and Robinson v Gen [689]*689Motors Corp2 to the extent that they are inconsistent with today’s opinion. We reverse in part the Court of Appeals decision in this case and remand the case to the Worker’s Compensation Appellate Commission (WCAC).

THE PROVISIONS FOR VOCATIONALLY DISABLED EMPLOYEES

A vocationally disabled employee is an employee who suffers from one of several statutorily enumerated medical conditions and whose impairment is a substantial obstacle to employment. MCL 418.901(a). The liability to pay benefits for such an employee, when injured on the job, is allocated among the employer, the employer’s carrier, and the Second Injury Fund. The disability act restricts the employer’s liability to the first fifty-two weeks. MCL 418.921.

After that, the employer’s carrier must continue to pay benefits to the employee. But the fund must reimburse the carrier for the amount the carrier pays after the fifty-second week following the injury. MCL 418.925(2). By allocating liability in this fashion, the act reduces an employer’s normal worker’s compensation liability, encouraging employment of the vocationally disabled.

The act provides that a vocationally disabled employee will receive benefits in the same manner and to the same extent as other employees. MCL 418.921. To qualify under this chapter, the employee must apply to the Division of Vocational Rehabilitation of the Department of Education for certification as vocationally disabled. MCL 418.901(b), 418.905.

The employer and the disability insurance carrier must also fulfill certain obligations. When hiring a [690]*690disabled employee, the employer must submit required information to the Division of Vocational Rehabilitation. MCL 418.911. If a certified vocationally disabled employee is injured on the job, the carrier must notify the fund within a certain time after the injury. MCL 418.925(1).

In this case, defendant Oakwood Hospital was both the employer and the carrier.3 Plaintiff was its vocationally disabled employee. After plaintiff was injured at work, defendant Oakwood failed to timely notify the defendant fund under the act’s notice provision. In controversy is which defendant, if either, is liable for benefits to plaintiff after the fifty-second week.

FACTUAL BACKGROUND

The basic facts are not in dispute. Plaintiff, an employee of Oakwood, was certified as vocationally disabled from a previous injury. She became afflicted with debilitating bilateral cumulative trauma disorder in her hands, known as carpal tunnel syndrome, as a consequence of her work as a medical transcriptionist. Her condition rendered her unable to work after September 21, 1994. Over the next several months, she received noninvasive treatment then underwent carpal tunnel release surgery.

Oakwood voluntarily paid disability benefits to plaintiff until March 20, 1998. At that time, Oakwood asserted that plaintiff was able to return to work. Plaintiff applied for a hearing before a worker’s compensation magistrate pursuant to MCL 418.931, seeking the reinstatement of her benefits.

[691]*691PROCEEDINGS IN THE WCAC AND THE COURT OF APPEALS

Oakwood failed to notify the Second Injury Fund within the period established in MCL 418.925(1) that the fund might be liable to pay plaintiffs compensation and medical care benefits. On November 12, 1998, Oakwood filed a petition with the worker’s compensation bureau seeking reimbursement from the fund for its overpayment to plaintiff pursuant to MCL 418.931(1). Oakwood included a copy of plaintiffs vocationally handicapped certificate with its petition. It argued that it should be liable for payment of no more than fifty-two weeks of benefits under MCL 418.921 and that the fund owed the rest.

The fund sought to dismiss Oakwood’s petition on the basis that Oakwood had failed to give it timely notice under MCL 418.925(1). A magistrate granted the motion and dismissed the petition. On appeal to the WCAC, the commission granted Oakwood’s interlocutory appeal, reversed, and remanded the case to the magistrate. Bailey v Oakwood Hosp & Med Ctr, 2000 Mich ACO 292.

Soon after that action, the Court of Appeals decided Robinson, supra. It held that the failure of a carrier to timely notify the fund under MCL 418.925(1) resulted in dismissal of the fund’s liability and continued the liability of the carrier. Robinson, supra at 334-335.

On remand, the magistrate again dismissed Oak-wood’s claim against the fund. He relied on Robinson. In addition, he found that plaintiff was not avoiding work as Oakwood claimed and granted plaintiff an open award of benefits to be paid by Oakwood.

Again on appeal to the WCAC, the commission concluded that neither Oakwood nor the fund was liable for additional benefits. It found that the Robinson decision [692]*692shielded the fund from liability, and that the act protected Oakwood from payments beyond fifty-two weeks. MCL 418.921. It ruled that, under the act, a carrier’s liability must be limited to benefits accruing during the first fifty-two weeks after the injury. MCL 418.921. On the basis of the Robinson decision and the mandatory language of the statute, the WCAC terminated plaintiffs benefits. Bailey v Oakwood Hosp & Med Ctr, 2002 Mich ACO 185.

Plaintiff sought leave to appeal in the Court of Appeals. The director of the worker’s compensation bureau intervened on plaintiffs behalf as provided for in MCL 418.841(1). The Court of Appeals reversed the WCAC decision, citing both Robinson and Valencic.

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Bailey v. Oakwood Hospital & Medical Center
698 N.W.2d 374 (Michigan Supreme Court, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
698 N.W.2d 374, 472 Mich. 685, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bailey-v-oakwood-hospital-medical-center-mich-2005.