Gulf Insurance Co. v. Hennings

283 S.W.3d 381, 2008 Tex. App. LEXIS 696, 2008 WL 256828
CourtCourt of Appeals of Texas
DecidedJanuary 30, 2008
Docket10-06-00192-CV
StatusPublished
Cited by2 cases

This text of 283 S.W.3d 381 (Gulf Insurance Co. v. Hennings) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gulf Insurance Co. v. Hennings, 283 S.W.3d 381, 2008 Tex. App. LEXIS 696, 2008 WL 256828 (Tex. Ct. App. 2008).

Opinion

*383 OPINION

BILL VANCE, Justice.

This is a workers’ compensation case of first impression involving a professional athlete as defined in the Texas Labor Code. 1 Finding no error, we will affirm the trial court’s judgment awarding workers’ compensation benefits.

I. Background

The facts are largely undisputed. Chad Hennings was a defensive lineman for the Dallas Cowboys Football Club, Ltd. (Cowboys), a National Football League (NFL) franchise, from 1992 through March of 2001. In October 2000, he suffered a neck injury during a game. Dr. Andrew Dos-sett and Dr. Dan Cooper, the team physicians, evaluated the injury and, following several MRI exams, concluded that Hen-nings had sustained an injury to his spinal cord at the C3-4 level. Hennings’s cervical disc at that level had degenerated and was pressing on his spinal cord. In November 2000, he underwent surgery for cervical fusion at the C3M level. Hen-nings had to wear a neck brace for six weeks and was unable to play for the remainder of the season. After Hen-nings’s injury, the Cowboys continued to pay his bi-weekly salary of $52,352.94.

The Cowboys notified the NFL that Hennings was on the injured-reserve list as of November 8, 2000, and estimated that it would take six months for him to regain “game condition.” That estimate was certified by Dr. Cooper. In January of 2001, Hennings began rehabilitation and working out in the team’s weight room. *384 On March 7, 2001, the Cowboys terminated Hennings’s contract and issued a “Notice of Termination” form letter to the NFL, checking off that the termination reason was that Hennings’s “skill or performance [had] been unsatisfactory as compared to that of other players competing for positions on the Club’s roster.”

After termination, but because he was severely injured and was terminated while injured or rehabilitating from an injury, Hennings received a $225,000 payment as provided by the “injury-protection clause” of the NFL’s Collective Bargaining Agreement. 2 He also received $87,500 in severance pay that was unrelated to his injury and was based on his years in the league. Although the Cowboys had paid his medical expenses for the neck injury in the total amount of $38,921.98, all medical benefits under the contract ceased when the contract terminated.

After consultation with his doctor and family, Hennings decided to retire in June 2001. He testified that he was not prohibited from playing in the NFL but chose not to return to play because of the injury risk. He continued working with a physical therapist for eight weeks after he was released from Dr. Dossett’s care upon his retirement. At the time of trial, Hennings had not seen a doctor in two years.

A. Workers’ Compensation Proceedings

Believing that he was entitled to benefits under the Act, Hennings filed an application for workers’ compensation benefits with Gulf Insurance Company, the Cowboys’ workers’ compensation insurance carrier. In a contested case hearing before an administrative judge, it was stipulated that Hennings sustained an injury in the course and scope of his employment and that the Cowboys continued to pay Hennings his contractual salary.

The administrative judge determined that Hennings was not barred from pursuing workers’ compensation benefits because his employment medical benefits were not equal to or greater than the benefits under the Act, his medical benefits having expired when the Cowboys terminated his contract. 3 Thus, Hennings would be entitled to reasonable medical benefits under the Act “as and when needed.” The administrative judge also determined that Hennings’s disability period was from March 7, 2001 through April 17, 2001. Gulf was ordered to pay income and medical benefits to Hennings.

Gulf appealed the administrative judge’s decision to a Texas Workers’ Compensation Commission appeals panel, which affirmed the administrative judge’s decision with the same rationale. Hennings appealed the disability period finding, but the panel affirmed that decision as well.

B. District Court Review

Gulf filed suit in district court, seeking judicial review of the panel’s decision. Hennings testified that his primary motive in seeking workers’ compensation benefits was to obtain future medical benefits. A jury found that the benefits available under his employment contract were not equal to or greater than the benefits available under the Act and that Hennings was disabled as the result of a compensable injury. Judgment was entered on the verdict, including an award of temporary weekly income benefits of $533 for fifteen weeks and attorney’s fees.

*385 Gulf now appeals that judgment, and Hennings appeals the portion of the judgment limiting his temporary income benefits to fifteen weeks.

II. Professional Athletes and Workers’ Compensation

Texas workers’ compensation law treats professional athletes 4 as a distinct class of employees. Section 406.095 of the Act provides:

(a) A professional athlete employed under a contract for hire or a collective bargaining agreement who is entitled to benefits for medical care and weekly benefits that are equal to or greater than the benefits provided under this subtitle may not receive benefits under this subtitle and the equivalent benefits under the contract or collective bargaining agreement. An athlete covered by such a contract or agreement who sustains an injury in the course and scope of the athlete’s employment shall elect to receive either the benefits available under this subtitle or the benefits under the contract or agreement.
(b) The commissioner by rule shall establish the procedures and requirements for an election under this section.

Tex. Lab.Code Ann. § 406.095 (Vernon 2006) (emphases added).

The Texas Department of Insurance, Division of Workers’ Compensation, adopted Rules 112.401 and 112.402 to implement section 406.095. Rule 112.401(a) provides:

(a) A professional athlete employed by a franchise with workers’ compensation insurance coverage and subject to the Texas Labor Code, § 406.095, shall elect to receive either the benefits available under the Act or the equivalent benefits available under the athlete’s contract or collective bargaining agreement. The election shall be made not later than the 15th day after the athlete sustains an injury in the course and scope of employment. If the athlete fails to make an election, the athlete will be presumed to have elected the option which provides the highest benefits.

28 Tex. Admin. Code § 112.401(a) (emphasis added).

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Bluebook (online)
283 S.W.3d 381, 2008 Tex. App. LEXIS 696, 2008 WL 256828, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gulf-insurance-co-v-hennings-texapp-2008.