Baum v. Industrial Claim Appeals Office

2019 COA 94
CourtColorado Court of Appeals
DecidedJune 20, 2019
Docket18CA1990
StatusPublished
Cited by6 cases

This text of 2019 COA 94 (Baum v. Industrial Claim Appeals Office) is published on Counsel Stack Legal Research, covering Colorado Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baum v. Industrial Claim Appeals Office, 2019 COA 94 (Colo. Ct. App. 2019).

Opinion

The summaries of the Colorado Court of Appeals published opinions constitute no part of the opinion of the division but have been prepared by the division for the convenience of the reader. The summaries may not be cited or relied upon as they are not the official language of the division. Any discrepancy between the language in the summary and in the opinion should be resolved in favor of the language in the opinion.

SUMMARY June 20, 2019

2019COA94

No. 18CA1990, Baum v. Industrial Claim Appeals Office — Labor and Industry — Workers’ Compensation — Benefits — Wage Continuation Plans

In this workers compensation case, a division of the court of

appeals interprets the phrase “other similar benefits” used in

connection with “earned vacation leave” and “sick leave” in section

8-42-124(2)(a), C.R.S. 2018, of the of the Workers’ Compensation

Act (Act). The division concludes that earned benefits that an

employee can exercise only in the event that he or she suffers a

work-related injury and that cannot otherwise be converted to any

other use or cashed out at separation do not fall within the scope of

“other similar benefits” as used in section 8-42-124(2)(a). Based on this interpretation of the statute and the rejection of

the claimant’s constitutional challenges to the Act, the division

affirms the order of the Industrial Claim Appeals Office. COLORADO COURT OF APPEALS 2019COA94

Court of Appeals No. 18CA1990 Industrial Claim Appeals Office of the State of Colorado WC No. 4-961-870

Jason Baum,

Petitioner,

v.

Industrial Claim Appeals Office of the State of Colorado and United Airlines,

Respondents.

ORDER AFFIRMED

Division VI Opinion by JUDGE WELLING Freyre and Márquez*, JJ., concur

Announced June 20, 2019

Turner, Roepke & Mueller, LLC, Robert W. Turner, Greenwood Village, Colorado, for Petitioner

No Appearance for Respondent Industrial Claim Appeals Office

Ritsema & Lyon, P.C., Alana S. McKenna, M. Holly Colvin Herring, Denver, Colorado, for Respondent United Airlines

*Sitting by assignment of the Chief Judge under provisions of Colo. Const. art. VI, § 5(3), and § 24-51-1105, C.R.S. 2018. ¶1 Claimant, Jason Baum, appeals the final order of the

Industrial Claims Appeal Office affirming the summary judgment of

the director of the Division of Workers’ Compensation in favor of

self-insured employer, United Airlines (UAL).

¶2 This workers’ compensation action calls on us to clarify the

boundary between where an employer can and cannot take credit

for having an approved wage continuation plan under section 8-42-

124, C.R.S. 2018. Here, UAL paid Baum full pay under its wage

continuation plan after he sustained an admitted work-related

injury, but UAL also claimed a credit on its final admission of

liability (FAL) for the comparable temporary total disability (TTD)

benefits it would have otherwise been statutorily required to pay

Baum. This credit increased Baum’s reported TTD benefits,

pushing them over the statutory cap set by section 8-42-107.5,

C.R.S. 2018. Baum challenged UAL’s right to take the credit. But

both the director of the Division of Workers’ Compensation

(Division) and the Industrial Claim Appeals Office (Panel) held that

UAL acted within its rights in taking the credit. Because we, too,

conclude that UAL was entitled to take the credit, we affirm.

1 I. Background Facts

¶3 Baum sustained admitted, work-related injuries on September

7, 2014. His injuries caused him to be temporarily totally disabled

and off work until July 2016. He was placed at maximum medical

improvement (MMI) with a permanent impairment rating of 2% of

the whole person on September 25, 2016.

¶4 For the first nine months after his injury — until June 17,

2015 — UAL paid Baum his full salary under its wage continuation

plan. After Baum’s earned benefits under the wage continuation

plan ran out in June 2015, UAL paid him TTD benefits pursuant to

section 8-42-105, C.R.S. 2018, until July 29, 2016. Unlike the

benefits Baum received under UAL’s wage continuation plan, the

TTD benefits he received from June 2015 to July 2016 were paid at

the lower statutorily mandated rate of two-thirds of Baum’s average

weekly wage. See § 8-42-105.

¶5 In the FAL it filed after Baum reached MMI, UAL calculated

that it had overpaid Baum TTD benefits by $1459.83. 1 It also took

1The Director correctly determined that UAL miscalculated the overpayment by $1.16. The correct overpayment amount is $1458.67.

2 the position that Baum was not entitled to any compensation for his

2% whole person permanent impairment because the calculated

TTD payments exceeded the statutory cap set by section 8-42-107.5

for combined TTD and permanent partial disability (PPD) benefits.

UAL calculated this sum by adding the amount it had paid Baum in

TTD benefits from June 2015 to July 2016 ($48,944.85) and the

amount it would have paid Baum in TTD benefits from September

2014 to June 2015 ($33,949.49) had it not been paying him his full

salary during those nine months under its wage continuation plan.

In other words, UAL took credit on the FAL for TTD payments it

would have made but for its wage continuation plan. The

calculated TTD benefits totaled $82,894.34, which exceeds the

applicable statutory cap of $81,435.67 by $1458.67.

¶6 Baum objected to UAL’s claim of an overpayment, imposition

of the statutory cap, and claimed credit for TTD benefits he did not

receive. He filed an application for hearing, seeking TTD from the

date of his injury until June 17, 2015, the day he exhausted his

wage continuation benefits, as well as full payment of the PPD

benefits he would otherwise receive for his 2% whole person

impairment.

3 ¶7 UAL filed a motion for summary judgment, arguing that its

wage continuation plan was valid and had been approved by the

director and in constant operation since 1973. It also argued that

because Baum received his full pay under the plan and the plan

“did not impair . . . [his] earned sick or vacation benefits,” it was

expressly entitled to claim a TTD credit by section 8-42-124(2)(a).

¶8 The director of the Division agreed. He rejected Baum’s

contention that benefits paid under the wage continuation plan

were similar to vacation or sick leave. Instead, the director

concluded that because benefits under the wage continuation plan

could not be accessed at an employee’s discretion or for a purpose

other than compensation for a work-related injury — a UAL

employee can tap benefits earned under the wage continuation plan

“only when they have suffered an injury ‘covered by the applicable

state workers’ compensation law’” — the benefits were not similar to

vacation or sick leave. Therefore, their accrual and exercise did not

bar UAL from taking the claimed TTD credit. The director further

concluded that because UAL properly claimed the credit, Baum’s

benefits exceeded the statutory cap and he was not entitled to

4 receive any PPD benefits or TTD benefits for the period September

8, 2014, to June 17, 2015.

¶9 The Panel affirmed on review. It, too, rejected Baum’s

argument that wage continuation benefits accrued under UAL’s

plan are “similar” to vacation or sick leave.

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Bluebook (online)
2019 COA 94, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baum-v-industrial-claim-appeals-office-coloctapp-2019.