Consolidated Freightways, Inc. v. Industrial Commission

483 N.E.2d 652, 136 Ill. App. 3d 630, 91 Ill. Dec. 306, 1985 Ill. App. LEXIS 2435
CourtAppellate Court of Illinois
DecidedSeptember 16, 1985
Docket3-84-0631WC
StatusPublished
Cited by7 cases

This text of 483 N.E.2d 652 (Consolidated Freightways, Inc. v. Industrial Commission) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Consolidated Freightways, Inc. v. Industrial Commission, 483 N.E.2d 652, 136 Ill. App. 3d 630, 91 Ill. Dec. 306, 1985 Ill. App. LEXIS 2435 (Ill. Ct. App. 1985).

Opinion

JUSTICE KASSERMAN

delivered the opinion of the court:

Petitioner, Randall Waldschmidt, filed an application for adjustment of his claim under the Workers’ Compensation Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.1 et seq.) for injuries he sustained to his lower back while he was employed by respondent Consolidated Freightways, Inc. Arbitrator Angelo Caliendo made a preliminary award of 223/y weeks of temporary total incapacity benefits under section 19(b) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.19(b)) and ordered Consolidated Freightways, Inc. to pay $2,528.35 for necessary medical services under section 8(a) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.8(a)). In addition, the arbitrator awarded petitioner additional compensation in the amount of $980 under section 19(J) of the Act (Ill. Rev. Stat. 1983, ch. 48, par. 138.19(1)) and assessed attorney fees in the amount of $1,678 against respondent under section 16a of the Act (Ill. Rev. Stat. 1983, ch. 48, part. 138.16) on account of respondent’s refusal to pay temporary total incapacity benefits. Consolidated Freightways, Inc., petitioned the Industrial Commission for review of the decision of the arbitrator, and the Industrial Commission affirmed and adopted the decision of the arbitrator. Consolidated Freightways, Inc., sought review of the decision of the Industrial Commission in the circuit court of La Salle County. The circuit court confirmed the Industrial Commission’s decision. Consolidated Freightways, Inc., has appealed to this court.

On April 2, 1983, while in the process of unloading one of his employer’s trucks, petitioner slipped, fell and injured his lower back. Petitioner was taken by his employer to Illinois Valley Community Hospital in Peru, for treatment. Upon admission to the hospital petitioner claims to have requested the services of the “company doctor.” Petitioner was then examined by Dr. Won Kim. Dr. Kim had conducted petitioner’s pre-employment physical and had examined petitioner in relation to a previous work-related shoulder injury. Petitioner remained hospitalized until April 7, 1983. Petitioner received medication and whirlpool treatment for pain and continued to see Dr. Kim on a biweekly follow-up basis until approximately the middle of May 1983. At that time Dr. Kim referred petitioner to a Dr. John McLean. Before seeing Dr. McLean, petitioner was examined at respondent’s request by a Dr. Robert Martin. In a report issued by Dr. Martin on May 31, 1983, the doctor informed the respondent that although petitioner complained of lower back pain and that the lower back was sensitive to touch, petitioner’s complaints of pain were inconsistent and the doctor found no evidence of scoliosis, radiculopathy, herniated discs or muscle spasms; however, at oral argument before this court, respondent conceded that further diagnostic procedures were necessary to completely exclude the possibility of all the foregoing. Dr. Martin did not recommend that any such procedures be undertaken. Based on his examination, the doctor concluded there was no evidence of permanent disability and that petitioner was capable of returning to work immediately.

Petitioner was not notified of the results of Dr. Martin’s examination until he received a letter from his employer dated June 14, 1983, in which respondent informed petitioner that as a result of Dr. Martin’s examination respondent was terminating as of May 31, 1983, the témporary total disability benefits respondent had begun paying on April 3, 1983. Respondent’s letter instructed petitioner to contact his supervisor to arrange for a return to work. However, by this time petitioner had been examined by Dr. McLean on June 9, 1983. Dr. McLean had instructed petitioner to remain off work for at least six weeks and to continue the treatment prescribed by Dr. Kim. Dr. McLean gave petitioner a “slip” to this effect, which petitioner gave to his employer. On July 20, 1983, Dr. McLean hospitalized petitioner at Methodist Medical Center, Peoria, and while petitioner was hospitalized performed a CAT scan and a lumbar myelogram. Those tests disclosed a narrowing of the lumbar spine canal which was diagnosed to be of congenital origin and some small bilateral defects in the lower lumbar region. While hospitalized petitioner was also examined by Dr. Frank Russo. Dr. Russo prescribed that petitioner undergo physical therapy. Petitioner was discharged from the hospital on July 26, 1983. He was instructed to continue treatments and remain off work for at least a month. As of September 6, 1983, the date of the hearing before the arbitrator, petitioner had not yet returned to work.

The arbitrator made a preliminary award under section 19(b) of the Act of temporary total disability benefits up to the date of the hearing. The arbitrator further found that respondent’s termination of temporary total disability benefits as of May 31, 1983, was without just cause and awarded petitioner additional compensation in the amount of $980 under section 19(£) of the Act and assessed attorney fees against respondent in the amount of $1,678 under section 16 of the Act.

Although Consolidated Freightways contested the issue of its liability for temporary total disability benefits before the Industrial Commission and the circuit court, on appeal the only issue raised is whether the award of additional compensation and the assessment of attorney fees were contrary to the manifest weight of the evidence.

The award of additional compensation under section 19(7) and the assessment of attorney fees under section 16 are not proper if the nonpayment is based on a reasonable and good-faith challenge to liability. (Avon Products, Inc. v. Industrial Com. (1980), 82 Ill. 2d 297, 304, 412 N.E.2d 468, 470.) If an employer acts in reliance upon qualified medical opinion and disputes whether the employment was related to the alleged disability, such penalties are not ordinarily imposed. (O’Neal Brothers Construction Co. v. Industrial Com. (1982), 93 Ill. 2d 30, 41, 442 N.E.2d 895, 900.) The test is whether the employer’s conduct in relying on the medical opinion to contest liability is reasonable under the circumstances presented. (Continental Distributing Co. v. Industrial Com. (1983), 98 Ill. 2d 407, 415-16, 456 N.E.2d 847, 851.) This represents a factual question left for the Industrial Commission to resolve, and the Commission’s determination on the issue will not be disturbed unless it is against the manifest weight of the evidence. (Board of Education v. Industrial Com. (1982), 93 Ill. 2d 20, 25, 442 N.E.2d 883, 885.) Further, the burden of proof of the reasonableness of its conduct is upon the employer. Board of Education v. Industrial Com. (1982), 93 Ill. 2d 1, 9, 442 N.E.2d 861, 865.

Respondent maintains that its challenge in the case at bar was in good faith, that it acted reasonably, and that it met its burden of justifying the termination of payment of compensation by relying on the report of Dr. Martin.

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Bluebook (online)
483 N.E.2d 652, 136 Ill. App. 3d 630, 91 Ill. Dec. 306, 1985 Ill. App. LEXIS 2435, Counsel Stack Legal Research, https://law.counselstack.com/opinion/consolidated-freightways-inc-v-industrial-commission-illappct-1985.