Gant v. The Lynne Experience, LTD

District of Columbia Court of Appeals·Decided October 31, 2024·No. 23-CV-0640·Published

Opinion

Notice: This opinion is subject to formal revision before publication in the Atlantic and Maryland Reporters. Users are requested to notify the Clerk of the Court of any formal errors so that corrections may be made before the bound volumes go to press.

DISTRICT OF COLUMBIA COURT OF APPEALS No. 23-CV-0640

YVONNE GANT, APPELLANT,

V.

THE LYNNE EXPERIENCE LTD, et al., APPELLEES.

Appeal from the Superior Court of the District of Columbia (2022-CA-002791-B)

(Hon. Todd E. Edelman, Motion Judge)

(Hon. Carl E. Ross, Motion Judge)

(Submitted September 18, 2024 Decided October 31, 2024)

Craig A. Butler was on the brief for appellant.

D. Stephenson Schwinn and Baabak Zarrabian were on the brief for appellee Giant Foods LLC.

Aron Zavaro was on the brief for appellee The Lynne Experience LTD.

Before HOWARD and SHANKER, Associate Judges, and THOMPSON, Senior Judge.

THOMPSON, Senior Judge: Appellant Yvonne Gant sued appellee The Lynne

Experience LTD (“TLE”) and Giant Foods, LLC (“Giant”) for negligence after allegedly having been struck and injured by a golf cart. The Superior Court determined that the District of Columbia’s Workers’ Compensation Act (“WCA”)

provides appellant’s exclusive remedy and vests primary jurisdiction over her claims in the District of Columbia Department of Employee Services (“DOES”). Concluding that appellant had not pled facts that established the court’s jurisdiction and that the complaint failed to state a claim, the court (the Honorable Todd Edelman) dismissed appellant’s claims against TLE, with prejudice. The court (the Honorable Carl Ross) subsequently granted summary judgment in favor of Giant, finding that the undisputed facts showed that there was not an employer-employee or master-servant relationship that could support appellant’s negligence claim.

In this appeal from the dismissal with prejudice against TLE, appellant argues that she should be permitted to maintain her civil action in the Superior Court because TLE failed to “secure payment of compensation” as required by the WCA. In the alternative, she asks us to stay the proceedings so that she may present her claim to DOES. We agree with the Superior Court that on the facts pled, the WCA appears to provide appellant’s exclusive remedy, such that dismissal was appropriate. However, we hold that the court should have dismissed appellant’s claim without prejudice. We therefore affirm in part and reverse in part as to the judgment in favor of TLE.

Regarding the grant of summary judgment for Giant, we affirm.

I. Background

A. The Workers’ Compensation Act The WCA “is a comprehensive legislative scheme requiring employers to provide compensation for employees who are disabled or killed in the course of employment.” Harrington v. Moss, 407 A.2d 658, 660 (D.C. 1979). Specifically, the WCA covers injury to an employee “that occurs in the District of Columbia if the employee performed work for the employer, at the time of the injury.” D.C. Code § 32-1503(a)(1). The statute defines “injury” as “accidental injury or death arising out of and in the course of employment.” D.C. Code § 32-1501(12). Subject to a number of exceptions specified in the statute, an employee who wishes to file a claim for compensation under the WCA must do so “within 1 year [of] the injury.” D.C. Code § 32-1514(a).

“To be entitled to compensation under the [WCA], a claimant must be an ‘employee,’ a term of art under the Act.” Lopez v. D.C. Dep’t of Emp. Servs., 319 A.3d 985, 989 (D.C. 2024) (citation omitted). Importantly, independent contractors are considered distinct from employees and fall outside the WCA’s reach. Id. at 991-92.

The WCA requires employers to “secure [] payment of compensation.”

D.C. Code § 32-1534(a). Employers may do this by either maintaining workers’

compensation insurance or by offering satisfactory proof of their financial ability to pay workers’ compensation directly. Id. In return for securing payment of compensation, “the employer receives tort immunity; in return for giving up the right to sue the employer, the employee receives swift and sure benefits.” USA Waste of Md., Inc. v. Love, 954 A.2d 1027, 1032 (D.C. 2008) (quoting Meiggs v. Associated Builders, Inc., 545 A.2d 631, 637 (D.C. 1988) (internal quotation marks omitted)). Thus, compensation provided to employees under the WCA is their “exclusive remedy against the employer.” D.C. Code § 32-1504(b); id. at § 32-1504(a) (providing that the employer’s liability for injuries covered by the code “shall be exclusive and in place of all liability of such employer to the employee.”).

The exclusive remedy provision thus wrests from courts’ hands initial jurisdiction over covered claims and gives it to DOES, the agency charged with administering the WCA. 1 See Joyner v. Sibley Mem. Hosp., 826 A.2d 362, 374 (D.C. 2003). But in a case such as this one, where the issue of WCA coverage is contested between the parties, the question of which tribunal has jurisdiction to determine WCA coverage in the first instance must be answered.

1 See Mayor’s Order No. 82-126, 29 D.C. Reg. 2843 (1982) (delegating authority to administer the WCA to DOES).

To do so, we utilize the “substantial question” approach:

[W]hen there is a substantial question as to whether an employee’s injuries are covered by [the WCA], the employee must first pursue a remedy under the statute, thereby permitting [DOES] to make the initial decision concerning coverage. . . . [A] substantial question will exist unless the injuries were clearly not compensable under the statute.

Harrington, 407 A.2d at 661 (emphasis in original); see also Joyner, 826 A.2d at 374 (“[W]hen an injury occurs during the performance of an employee’s duties, a substantial question will exist, and thus the agency will have primary jurisdiction, unless the injuries were clearly not compensable under the statute.” (internal quotation marks omitted) (emphasis in original) (citing Estate of Underwood v. Nat’l Credit Union Admin., 665 A.2d 621, 631 (D.C. 1995))). Thus, if there is no substantial question—that is, if a claim is clearly not compensable under the WCA—then courts may exercise jurisdiction and hear the case. 2 Underwood, 665

2 Some scholars and jurists have argued that substantiality ought to be determined by the agency in all instances. See Note, Employee Injury Cases: Should Courts or Boards Decide Whether Workers’ Compensation Laws Apply? 53 U. Chi. L. Rev. 258, 266-67 (1986) (noting that “courts have neglected to define what constitutes a ‘substantial question.’”); Bailey v. United States, 451 F.2d 963, 968 (5th Cir. 1971) (Clark, J., dissenting) (“I perceive the crucial issue not to be whether a substantial question of coverage exists under the [Federal Employees’ Compensation Act], but who, the court or the [agency], should make the determination of substantiality. They opt for court determination. I would reach a different result . . . .”). We, however, are bound by our precedent on this issue. An employee who was injured on the job and seeks to maintain a claim against an

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