Greenville Country Club, (Guard Insurance) v. Greenville Country Club, (Technology Insurance)

150 A.3d 1194, 2016 Del. LEXIS 584
CourtSupreme Court of Delaware
DecidedNovember 2, 2016
Docket101, 2016
StatusPublished
Cited by3 cases

This text of 150 A.3d 1194 (Greenville Country Club, (Guard Insurance) v. Greenville Country Club, (Technology Insurance)) is published on Counsel Stack Legal Research, covering Supreme Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Greenville Country Club, (Guard Insurance) v. Greenville Country Club, (Technology Insurance), 150 A.3d 1194, 2016 Del. LEXIS 584 (Del. 2016).

Opinion

*1196 VAUGHN, Justice:

Appellant, Greenville Country Club, through its workers’ compensation carrier, Guard Insurance (“Guard”), appeals from a Superior Court Order affirming a decision of the Industrial Accident Board (the “Board”). While working for Greenville Country Club, Jordan Rash suffered injuries to his lumbar spine in two separate compensable work accidents. The first accident occurred in 2009 while the country club was insured by Guard Insurance Group. The second accident occurred in 2012 while the country club was insured by Technology Insurance (“Technology”).

In 2014, Rash filed two Petitions to Determine Additional Compensation, one against Guard and one against Technology. He sought payment of outstanding medical bills, including lumbar spine surgery, and compensation for a recurrence of ongoing temporary total disability benefits. After a hearing, the Board determined that the condition in issue was a recurrence of the 2009 work injury and not an aggravation of the 2012 work injury, and concluded that Guard was therefore wholly liable for the additional compensation to Rash. In reaching its conclusion, the Board relied upon the case of Standard Distributing Co. v. Natty, 1 which addresses successive carrier liability.

Guard asserts two claims on appeal. First it contends that the Board failed to properly apply the rule for determining successive carrier liability. Second, it contends that there is no substantial evidence to support the Board’s finding that Rash fully recovered from the 2012 accident or that his ongoing condition was solely caused by the 2009 work accident. We have concluded that the Board’s decision is free of legal error and supported by substantial evidence. The judgment of the Superior Court from which this appeal is taken will be affirmed.

I. FACTS AND PROCEDURAL HISTORY

On June 20, 2009, Rash injured his back when he fell onto the floor while at work at the Greenville Country Club (“2009 work injury”). At the time of this accident, Guard was the country club’s workers’ compensation insurance carrier, and the company accepted compensability for Rash’s claim. Guard last paid benefits stemming from the 2009 work injury on September 4, 2009.

On June 29, 2012, also while working at the Greenville Country Club, Rash fell on his back while mowing a wet lawn. Technology was the workers’ compensation carrier for the country club at that time and determined the claim was compensable. Technology last paid benefits to Rash on July 10, 2013.

Both of the work-related accidents resulted in injuries to Rash’s lumbar spine. On August 13, 2012, Dr. Peter Witherell commenced treating Rash’s lumbar spine. On June 16, 2014, Dr. Kennedy Yala-manchili commenced treating Rash’s lumbar spine and ultimately performed lumbar spine surgery on Rash on August 21, 2014.

On July 7, 2014, Rash filed his petitions against Guard and Technology seeking compensation for a recurrence of his condition which he alleged occurred in July 2013. The compensation sought was for medical expenses of Dr. Witherell and Dr. Yalamanchili and additional total disability benefits. Rash alleged that the proximate cause of his medical condition was either the 2009 work injury, or the 2012 work injury, or both.

*1197 Five medical experts and Mr. Rash testified at the Board hearing. After hearing the testimony of the six -witnesses, the Board concluded that the condition in issue was a reoccurrence of the 2009 work injury and not an aggravation of the 2012 work injury. In reaching its conclusion that Guard was wholly hable for Rash’s additional compensation, the Board relied, as mentioned, on the rule for determining successive carrier liability set forth in Standard Distributing Co. v. Natty. 2 Guard appealed to the Superior Court, which affirmed the Board’s decision. This appeal followed.

II. DISCUSSION

“The review of an Industrial Accident Board’s decision is limited to an examination of the record for errors of law and a determination of whether substantial evidence exists to support the Board’s finding of fact and conclusions of law.” 3 Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 4 “On appeal, this Court will not weigh the evidence, determine questions of credibility, or make its own factual findings.” 5 Absent errors of law, which are reviewed de novo, we review a Board’s decision for abuse of discretion. 6 An abuse of discretion occurs when the decision has “exceeded the bounds of reason in view of the circumstances, [or] so ignored recognized rules of law or practice so as to produce injustice.” 7

Guard claims that the Board erred as a matter of law by improperly applying

the rule for determining successive carrier liability. In support of this claim, Guard makes the following argument. When Technology accepted responsibility for the 2012 injury, the entire burden of liability for compensation arising from the lumbar spine shifted to it. The Board should not have applied Standard Distributing Co. v Natty because the analysis set forth in that case is used only when determining whether a second work accident causes a new, distinct work injury (or aggravation) as opposed to a continuation of.an original work injury (a recurrence). Once Technology acknowledged that the 2012 injury was a new injury (or aggravation of the first injury), Guard argues, causation was severed away from the first accident, no further analysis under Natty was warranted, and Technology became liable for all compensation after the 2012 accident.

This Court first addressed successive carrier liability where an employee has suffered two work accidents in DiSabatino & Sons, Inc. v. Facciolo, in which the Court stated as follows:

If an injured, workman suffers a recurrence, he may apply for further compensation under the quoted section and if there has in the meantime been, a change of insurers, the liability, therefor falls upon that insurer which was liable for the original benefits. On the other hand, if his condition is not a true recurrence, but is brought about or aggravated by a new work-connected accident, the liability falls upon that insurer
*1198 whose policy is in effect at the date of the new accident .... If the later condition is a true recurrence, as defined herein, the original insurer is liable; if it is caused by a new work-connected accident or episode, the liability is upon the insurer at that time. 8

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Cite This Page — Counsel Stack

Bluebook (online)
150 A.3d 1194, 2016 Del. LEXIS 584, Counsel Stack Legal Research, https://law.counselstack.com/opinion/greenville-country-club-guard-insurance-v-greenville-country-club-del-2016.