ILER v. Industrial Claim Appeals Office

207 P.3d 945, 48 A.L.R. 6th 681, 2009 Colo. App. LEXIS 387, 2009 WL 707269
CourtColorado Court of Appeals
DecidedMarch 19, 2009
Docket08CA1040
StatusPublished

This text of 207 P.3d 945 (ILER v. Industrial Claim Appeals Office) is published on Counsel Stack Legal Research, covering Colorado Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ILER v. Industrial Claim Appeals Office, 207 P.3d 945, 48 A.L.R. 6th 681, 2009 Colo. App. LEXIS 387, 2009 WL 707269 (Colo. Ct. App. 2009).

Opinion

Opinion by

Judge TAUBMAN.

In this workers' compensation proceeding, Bruce ler seeks review of the final order of the Industrial Claim Appeals Office (Panel) upholding the denial of his request for an increase in his average weekly wage (AWW) to include room and board. We set the order aside and remand for further proceedings.

I. Factual and Procedural Background

Iler sustained a compensable back injury while employed at a scientific research station in Antarctica. His permanent impairment was rated at three percent of the whole person. Raytheon Technical Services Company and its insurer, Liberty Mutual Insurance Company (collectively employer) admitted for an AWW based on Her's weekly salary and the cost of continuing his health insurance coverage. ller requested an increase in his AWW for the room and board provided by employer while he was working in Antarctica.

Following an evidentiary hearing, the administrative law judge (ALJ) concluded that there was no evidence to support the calculation of a reasonable value for er's room and board in Antarctica. The ALJ rejected the evidence Iler introduced regarding his current rent of $550 per month and food costs of $660 per month in Arvada, Colorado, finding that those expenses are based on the market forces of supply and demand and could not be compared to "the artificial society of Antarctica that is devoid of comparable market forces." The ALJ, therefore, denied Ier's *947 request for an increase to his AWW and the Panel affirmed on review.

IIL Claim for Room and Board

Tler contends that he is entitled by statute to an increase in his AWW for room and board and that the ALJ erred by determining that the absence of comparable market forees in Antarctica precluded him from proving a reasonable sum to support an increase. We agree and remand this matter for a determination of the value of the room and board provided by employer.

A. Applicable Law

Section 8-40-201(19)(b), C.R.S.2008, specifies that "wages" are to include the "reasonable value of board, rent, housing, and lodging received from the employer, the reasonable value of which shall be fixed and determined from the facts by the division in each particular case." The inclusion of non-cash benefits such as "room and board" in § 8-40-201(19)(b) encompasses the recognition that a worker's earnings may comprise, in significant part, compensation other than money wages. Young v. Indus. Claim Appeals Office, 969 P.2d 735, 737 (Colo.App.1998).

A claimant must prove both the right to an increase in the AWW for room and board and a factual basis to support the determination of a reasonable value for such benefits. Section 8-43-201, C.R.S.2008 (claimant has burden of proving entitlement to benefits by a preponderance of the evidence); Lutz v. Indus. Claim Appeals Office, 24 P.3d 29, 31 (Colo.App.2000) (it is claimant's burden to prove entitlement to benefits). The reasonable value of housing and food is a question of fact and will vary depending on the available evidence and a multitude of cireumstances which may affect the possible costs of the benefits. W. Cultural Res. Mgmt., Inc. v. Krull, 782 P.2d 870, 871 (Colo.App.1989).

This court reviews wage calculations under an abuse of discretion standard, and unless the calculation exceeds the bounds of reason, it must be upheld. Avalanche Indus., Inc. v. Indus. Claim Appeals Office, 166 P.3d 147, 153 (Colo.App.2007), aff'd, 198 P.3d 589 (Colo.2008).

B. Erroneous Findings

In finding that Her presented no evidence regarding the value of room and board and that he did not meet his burden of proof, the ALJ ignored the cireumstantial evidence introduced by way of his testimony. Not only did Ter testify that he received room and board from employer in Antarctica, but he also stated that his living conditions and food in Arvada were similar to the room and board provided to him in Antarctica and that his costs for room and board in Arvada were, therefore, similar to the value of room and board in Antarctica. We conclude that the ALJ's findings to the contrary were clearly erroneous and that the ALJ abused his discretion in denying Ier's claim for an increase in his AWW.

Therefore, we also hold that the Panel erred by affirming the determination that ler did not meet his burden of proof and concluding that the ALJ, instead of refusing to consider replacement cost, simply rejected that evidence as unpersuasive.

C. Adequacy of the Evidence

The mandate in section 8-40-201(19)(b) to include the cost of room and board does not require direct proof of actual cost or market value, and it does not exclude replacement cost as a viable measure. Indeed, a division of this court recognized that the replacement cost of medical insurance may be considered by an ALJ in determining a claimant's AWW. State Compensation Insurance Authority v. Smith, 768 P.2d 1256, 1258 (Colo.App.1988), superseded by statute, § 8-40-201(19)(b), as recognized in Humane Society v. Indus. Claim Appeals Office, 26 P.3d 546, 549 (Colo.App.2001).

In that regard, when Iler testified about the replacement value of room and board, based on his expenses in Arvada, employer's counsel did not cross-examine him to elicit any evidence that his lodging in Arvada was more spacious or luxurious than the "dormitory style quarters" in Antarctica, that the food he consumed in Arvada was superior to *948 and more expensive than his meals at the research station, or that his current living situation differed in any other significant respect. TIler also testified that he took the job in Antarctica because of the fringe benefits of free room and board offered by employer and that such benefits had a "huge impact" on his decision to accept the position because "normally people don't go to the other side of the world to work for $11 an hour."

The ALJ's finding that the cost of room and board in Arvada was legally insufficient to show the value of the room and board in Antarctica was tantamount to a pronouncement that the replacement value of room and board cannot be an acceptable measure of reasonable value for purposes of determining the AWW. As Ter argues, the only plausible meaning to be derived from the ALJ's order is that the cost of room and board may never be included in a claimant's AWW despite the statutory mandate when such benefits are provided in an "artificial" community because the benefits have no real economic value or a reasonable value cannot be established. We disagree.

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Related

Western Cultural Resource Management, Inc. v. Krull
782 P.2d 870 (Colorado Court of Appeals, 1989)
State Compensation Insurance Authority v. Smith
768 P.2d 1256 (Colorado Court of Appeals, 1988)
Young v. Industrial Claim Appeals Office
969 P.2d 735 (Colorado Court of Appeals, 1998)
Avalanche Industries, Inc. v. Clark
198 P.3d 589 (Supreme Court of Colorado, 2009)
Lutz v. Industrial Claim Appeals Office
24 P.3d 29 (Colorado Court of Appeals, 2000)
Monday v. Robert J. Anderson, P.C.
77 P.3d 855 (Colorado Court of Appeals, 2003)
Peterson v. Tadolini
97 P.3d 359 (Colorado Court of Appeals, 2004)
Avalanche Industries, Inc. v. Industrial Claim Appeals Office
166 P.3d 147 (Colorado Court of Appeals, 2007)
Olivas-Soto v. Industrial Claim Appeals Office
143 P.3d 1178 (Colorado Court of Appeals, 2006)

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207 P.3d 945, 48 A.L.R. 6th 681, 2009 Colo. App. LEXIS 387, 2009 WL 707269, Counsel Stack Legal Research, https://law.counselstack.com/opinion/iler-v-industrial-claim-appeals-office-coloctapp-2009.