Gandy, Michael v. January Environmental Services 2015-05-0103

2015 TN WC 81
CourtTennessee Court of Workers' Compensation Claims
DecidedJuly 10, 2015
Docket2015-05-0103
StatusPublished

This text of 2015 TN WC 81 (Gandy, Michael v. January Environmental Services 2015-05-0103) is published on Counsel Stack Legal Research, covering Tennessee Court of Workers' Compensation Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gandy, Michael v. January Environmental Services 2015-05-0103, 2015 TN WC 81 (Tenn. Super. Ct. 2015).

Opinion

COURT OF WORKERS' COMPENSATION CLAIMS AT KNOXVILLE BUREAU OF WORKERS' COMPENSATION

MICHAEL ROBERT GANDY, Docket No.: 2015-05-0103 Employee, v. State File No.: 30030-2015

JANUARY ENVIRONMENTAL Date of Injury: April 2, 2015 SERVICES, Employer, And Judge: Lisa A. Knott

FRANKCRUM, Insurance Carrier.

EXPEDITED HEARING ORDER (RECORD REVIEW ONLY)

THIS CAUSE came before the undersigned Workers' Compensation Judge upon the Request for Expedited Hearing (REH) filed on May 11, 2015, by the Employee, Michael Robert Gandy (Mr. Gandy), pursuant to Tennessee Code Annotated section 50- 6-239, against the Employer, January Environmental Services (January Services). The REH requested review of the file without an evidentiary hearing. Upon review of the information/documentation provided and in consideration of the applicable law, the Court enters the following order holding that January Services is responsible for providing Mr. Gandy with medical benefits and mileage reimbursement.

Issues

The Mediator identified the following issues on the Dispute Certification Notice (DCN):

• Whether Employer is exempt by law from the obligation to provide workers' compensation benefits to Employee. • Whether Employee sustained an injury that arose primarily out of and in the course and scope of employment with Employer.

1 • Whether the alleged Employee would be deemed an independent contractor, casual employee, or volunteer at the time of the alleged injury, and therefore, is not entitled to workers' compensation benefits. • Which Employer/Carrier was obligated to provide benefits to Employee at the time of the work-related injury. • Whether Employee is obligated to provide a panel of physicians upon notice from Employee of an alleged injury. • Whether Employer is obligated to pay for any past medical expenses and/or mileage expense. • Whether Employee is entitled to additional medical care as recommended by a physician. • Whether Employee is entitled to any past or future temporary total disability benefits, and if so, in what amount. • Whether Employee is entitled to any past or future temporary partial disability benefits, and if so, in what amount.

Documentation/Evidence Submitted

The Court received and considered the following documents from the parties. The Court designated the submitted documents as exhibits for ease of reference:

• Exhibit !-Affidavit ofMichael Gandy, May 7, 2015 • Exhibit 2-Request for Mileage Reimbursement • Exhibit 3-Mr. Gandy's Driver's Logs (5 pages) • Exhibit 4-Statement of Michael Gandy, April 21, 20 15 • Exhibit 5-52 Week Wage Statement • Exhibit 6-Request for Taxpayer Identification Number and Certification, Form W-9 • Exhibit 7-January Services Transport Check Payment in the amount of $841.50 to Michael Gandy • Exhibit 8-Frank Crum Correspondence, May 5, 2015 • Exhibit 9-Frank Crum Correspondence, May 6, 2015 • Exhibit 10-Medical Record Certification and Medical Records from Con centra Medical Centers ( 11 pages) • Exhibit 11-Medical Record Certification and Medical Records from Elite Sports Medicine, ( 10 pages) • Exhibit 12-Broadspire Incident Report, April24, 2015 • Exhibit 13-Affidavit of Attorney Heather H. Douglas • Exhibit 14-April 3, 2015 email from Destiny Schwalk with January Services to Hannah Hatton with Frank Crum • Exhibit 15-Frank Crum Client Service Agreement

2 • Exhibit 16-Benefit Election and Compensation Reduction Agreement • Exhibit 17-W-4 Form • Exhibit 18-Employee Direct Deposit Authorization Form • Exhibit-19-Employment Eligibility Verification

The Court designated the following as the Technical Record:

• Petition for Benefit Determination (PBD), filed April21, 2015, • DCN, filed May 11, 2015, • REH, filed May 11, 2015, and • Motion to Consider Submission of Affidavit in Expedited Hearing.

The Court did not consider attachments to the above filings unless marked as an exhibit and listed above. The Court considered factual statements in the above filings and any attachments to them as allegations unless established by the evidence.

History of Claim

On or about April 2, 2015, Mr. Gandy sustained injury to his left knee when he accidentally stepped back into an open manhole while working. See PBD. Mr. Gandy notified January Services of his knee injury. He sought authorized medical treatment on April 3, 2015, with Terri T. Wheeler, PA, Concentra Medical Center (Concentra). PA Wheeler ordered diagnostic testing, which did not identify any fractures. See Exhibit 10, April 3, 2015 office note. PA Wheeler opined that Mr. Gandy sustained a knee contusion, knee pain, and chest wall contusion, and ordered an MRI of the left knee to evaluate for internal derangement. !d. Further, PA Wheeler released Mr. Gandy to return to work with restrictions of "no squatting and/or kneeling, no climbing stairs or ladders, and should be sitting seventy five percent (75%) of the time." !d.

Mr. Gandy followed up with PA Wheeler after obtaining the MRI, and advised that he had not worked since light duty was not available. PA Wheeler referred Mr. Gandy for an orthopedic evaluation and placed restrictions of no squatting and/or kneeling; occasional standing and walking up to three (3) hours a day; and no driving the company vehicle due to functional limitations. See Exhibit 10, April 10, 2015 office note.

On April 13, 2015, Concentra informed Mr. Gandy that January Services denied the workers' compensation claim for his injury and instructed him to seek medical treatment under his private insurance. See Exhibit 1.

By self-referral, Mr. Gandy began treatment with Dr. Chad T. Price, Elite Sports Medicine and Orthopaedic Center (Elite Sports), on April 15, 2015. Mr. Gandy related

3 his injury to stepping in a manhole at work on April 2, 2015. Dr. Price diagnosed Mr. Gandy with "lateral meniscus tear and MCL tear or sprain" and recommended medication and physical therapy. Dr. Price continued restrictions of "no squatting, no lifting greater than fifteen (15) pounds, and no stairs or climbing." See Exhibit 11, April 15, 2015 office note.

January Services contracted with Frank Crum to provide an "Employee Leasing Arrangement." See Exhibit 15. As part of the agreement, Frank Crum provided payroll and workers' compensation benefits for all leased employees. Frank Crum did not consider Mr. Gandy to be a leased employee at the time of alleged injury and did not have workers' compensation coverage for his injury. January Services classified Mr. Gandy as an independent contractor, not an employee.

On April21, 2015, Mr. Gandy submitted a PBD, seeking temporary total disability and medical benefits. The mediator filed the DCN on May 11, 2015. Mr. Gandy filed a REH on May 11, 20 15 and requested a ruling based on the record.

Mr. Gandy's Contentions

Mr. Gandy filed an affidavit in support of his position. The Court compiled Mr. Gandy's contentions from his affidavit and submitted documentation. See Exhibits 1 and 4. January Services hired Mr. Gandy on March 30, 2015, and issued him a hard hat, safety glasses, and company phone. His assigned employee identification number was 10415, his rate of pay was $16.50 per hour, and he received time and a half pay for any time worked over forty (40) hours per week. He filled out employment paperwork and underwent a physical with drug test. He also filled out dental and health insurance paperwork and completed a W-4 form, not a W-9 form.

While working at a Wal-Mart store in Ohio on April 2, 2015, he accidently stepped back into an open manhole. He notified "Nicole" at the main Oklahoma City office about the injury. When he woke up the next morning, he needed to see a doctor and called Nicole again.

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2015 TN WC 81, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gandy-michael-v-january-environmental-services-2015-05-0103-tennworkcompcl-2015.