Gary Lee Melton v. Atlantic Group, Inc. and Liberty Mutual Fire Insurance Company

Court of Appeals of Virginia·Decided December 7, 2004·No. 0784043·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Humphreys, Felton and McClanahan Argued at Salem Virginia

GARY LEE MELTON MEMORANDUM OPINION* BY

v. Record No. 0784-04-3 JUDGE WALTER S. FELTON, JR.

DECEMBER 7, 2004

ATLANTIC GROUP, INC. AND LIBERTY MUTUAL FIRE INSURANCE COMPANY

FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION

Wanda A. Dotson (George L. Townsend; Chandler, Franklin & O’Bryan, on briefs), for appellant.

E. Albion Armfield (Frith Anderson & Peake, on brief), for appellees.

Gary Lee Melton (claimant) appeals a decision of the Workers’ Compensation Commission terminating his award of temporary total disability benefits. Claimant contends that the commission erred in failing to dismiss the application filed by employer (Atlantic Group, Inc. and its insurance carrier Liberty Mutual Fire Insurance Company) for termination of temporary total disability benefits because the application failed to include grounds for the relief sought. Claimant also contends that the commission erred in finding that he failed to market his residual work capacity. For the reasons that follow, we affirm the commission’s decision.

BACKGROUND

On appeal, we view the evidence in the light most favorable to the party prevailing below, here the employer. Clinchfield Coal Co. v. Reed, 40 Va. App. 69, 72, 577 S.E.2d 538, 539 (2003).

*

Pursuant to Code § 17.1-413, this opinion is not designated for publication.

So viewed, the evidence established that on March 29, 2001, claimant suffered a compensable workplace injury when he seriously injured his left thumb while using a table saw. Employer accepted the claim, and the commission awarded lifetime medical benefits and temporary total disability benefits at a rate of $333.35 per week, based on claimant’s pre-injury weekly average earnings of $500 on May 25, 2001.

As a result of his injury, claimant underwent surgery on his thumb, requiring a nerve graft using his left leg sural nerve. He later complained of pain in his left ankle and leg, which his surgeon attributed to be secondary to the harvesting of the sural nerve. Claimant’s surgeon advised him that he could return to light duty work.

On August 17, 2001, claimant returned to work, earning the same hourly rate as before his injury. Employer paid claimant’s temporary total disability benefits award through August 16, 2001, the day before claimant resumed work.

On November 2, 2001, claimant moved to North Carolina to be near his father, who was terminally ill. He continued working for employer at its North Carolina facility, where he performed a different job but at an hourly wage rate in excess of his pre-injury rate. Later that month, claimant was treated in an emergency room after complaining of chest pains. On December 2, 2001, employer terminated claimant’s employment for excessive absenteeism resulting from his unrelated health problems and his father’s terminal illness. Employer did not resume paying disability compensation to claimant when it terminated his employment.

Claimant did not work again until June or July 2002, when he was employed as a support manager in the automotive department of a Wal-Mart store in North Carolina, earning $9 per hour and working about thirty hours per week. He quit the Wal-Mart job, complaining that he was required to be on his feet too much. After leaving Wal-Mart, he failed to seek additional employment.

On August 16, 2002, claimant requested that the commission order employer to pay temporary total disability compensation benefits from the date claimant resumed work for employer on August 17, 2001 on the grounds that his rate of pay was less than his pre-injury rate. He also requested that the commission award the statutory 20% penalty for failure to timely pay benefits. On August 30, 2002, employer filed a change of condition application to terminate the May 25, 2001 temporary total disability benefits award, asserting that claimant returned to work on August 17, 2001, earning an average weekly wage rate greater than his pre-injury rate.

On October 18, 2002, while claimant remained unemployed, he was examined by Dr. Paul in North Carolina for ankle pain. Dr. Paul released claimant to work on October 28, 2002, finding him able to perform sedentary employment. The parties subsequently stipulated that claimant was totally disabled between October 18 and October 28, 2002, and was entitled to disability compensation benefits for that period.

On April 4, 2003, more than a year after employer terminated his employment and while he remained unemployed, claimant sent a letter to his former employer asking it to provide vocational rehabilitation services for him. He sent a copy of his request to the commission, but did not ask the commission to direct employer to provide those services.

On June 17, 2003, a deputy commissioner heard employer’s application to terminate the outstanding temporary total disability benefits award based on claimant’s return to work on August 17, 2001. He found that claimant returned to work on August 17, 2001, earning a post-injury weekly average of $598.40 over a fifteen-week period, an amount equal to or greater than his pre-injury wage rate. He also found that claimant failed to market his residual work capacity either before or after he was cleared to perform sedentary work. The deputy commissioner ordered the May 25, 2001 award terminated as of August 16, 2001; awarded temporary total disability benefits for the period October 18, 2002 to October 28, 2002 in

accordance with the parties’ agreement; ordered the continuation of medical benefits; and ordered employer to provide vocational rehabilitative services to claimant.

The full commission affirmed the deputy commissioner’s findings. This appeal followed.

ANALYSIS

A. Employer’s Application For A Change in Condition Claimant contends that the employer’s change-in-condition application seeking termination of the May 25, 2001 award was facially void as it failed to state the grounds for relief required by Commission Rule 1.4. Specifically, he argues that the evidence did not support that he returned to work on August 17, 2001 at a weekly wage equal to or in excess of his pre-injury average weekly wage. We disagree.

“When a challenge is made to the commission’s construction of its rules, ‘our review is limited to a determination of whether the commission’s interpretation of its own rule was reasonable.’” Boyd v. People, Inc., 43 Va. App. 82, 86, 596 S.E.2d 100, 102 (2004) (quoting Classic Floors, Inc. v. Guy, 9 Va. App. 90, 93, 383 S.E.2d 761, 763 (1989)). “We will not set aside the commission’s interpretation of its rules unless that interpretation is arbitrary and capricious.” Id. at 87, 596 S.E.2d at 103 (citation omitted).

“Under Commission Rule 1.4(A) and (B), an employer’s application for hearing based upon a change in condition must be in writing and under oath and must state the grounds for relief and the date for which compensation was last paid.” Circuit City Stores, Inc. v. Scotece, 28 Va. App. 383, 386, 504 S.E.2d 881, 883 (1998).

An employer’s application for hearing will be deemed not “technically acceptable” and will be rejected unless the employer’s designated supporting documentation is sufficient to support a finding of probable cause to believe the employer’s grounds for relief are meritorious. The commission has defined the standard of “probable cause” as “[a] reasonable ground for belief in the existence of facts warranting the proceeding complained of.”

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Gary Lee Melton v. Atlantic Group, Inc. and Liberty Mutual Fire Insurance Company, (Va. Ct. App. 2004).

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