J & v. COAL CO. v. Hall

62 S.W.3d 392, 2001 Ky. LEXIS 214, 2001 WL 1636824
CourtKentucky Supreme Court
DecidedDecember 20, 2001
Docket2001-SC-0349-WC
StatusPublished
Cited by8 cases

This text of 62 S.W.3d 392 (J & v. COAL CO. v. Hall) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
J & v. COAL CO. v. Hall, 62 S.W.3d 392, 2001 Ky. LEXIS 214, 2001 WL 1636824 (Ky. 2001).

Opinion

OPINION OF THE COURT

The claimant alleged that he injured his neck and back while working for the defendant-employer, that he notified his shift supervisor shortly thereafter, and that together they repaired his hard hat before continuing to work. He worked in pain for approximately a month before seeking medical treatment and admitted that he missed no more than five consecutive days of work due to the accident until sometime after the claim was filed. The claim was filed more than two years after the accident. No First Report of Injury (Form SF-1) was on record with the Department of Workers’ Claims, and the employer not only denied knowledge of the injury but asserted that the claim was barred by the statute of limitations; thus, the claim was bifurcated for a decision on the questions of notice and limitations. Although the Administrative Law Judge (ALJ) determined that the claimant did sustain the alleged injury and did give timely notice, the claim was dismissed as being untimely, and the decision was affirmed by the Workers’ Compensation Board (Board). The Court of Appeals determined, however, that just as KRS 342.038(1) and KRS 342.040(1) operate together to preclude an employer from manufacturing a limitations defense, they also preclude an employer from asserting a limitations defense if it has failed to file a required Form SF-1. This appeal by the employer followed.

The claimant’s testimony concerning his April 19, 1997, accident was unrebutted. Also unrebutted was his testimony that he continued to work in pain for about three weeks before advising his employer that he would require medical treatment and seeking such treatment locally on May 19, 1997. He introduced a copy of a letter, signed by the employer’s secretary and dated July 7, 1997, indicating that medical bills for the injury should be sent to the employer. On that date, he began treatment with Dr. Mirará at the University of Kentucky Department of Physical Medicine and Rehabilitation for persistent neck pain and headaches. A subsequent MRI revealed abnormalities at C5-6 and C6-7, after which Dr. Mirará recommended physical therapy. Medical records indicated that the claimant received such therapy *394 from August 6-22, 1997. The claimant testified that in November, 1997, he missed five days of work due to the injury and introduced hospital records that indicated he sought emergency room treatment of head and neck pain on October 10 and 12, 1997, and that he underwent a CT scan on November 15, 1997. After being laid off in December, 1997, he obtained other employment. He filed this workers’ compensation claim against the defendant-employer on May 27, 1999, more than two years after the accident.

When deposed on February 8, 2000, he testified that approximately six months earlier he had been forced to quit the subsequent employment due to pain from his injury and that he was receiving social security disability benefits. Although recognizing that his claim was filed more than two years after the accident, he asserted that he had received no notice of the applicable period of limitations and that the employer’s failure to file a Form SF-1 after he missed work due to the injury should preclude it from asserting a limitations defense.

In dismissing the claim, the ALJ noted that although the employer had failed to file a required Form SF-1, the filing of that form did not trigger the claimant’s right to notice of his right to prosecute a claim as set forth in KRS 342.040. Furthermore, the ALJ noted, because the claimant did not miss more than two weeks of work before the claim was filed, he never became entitled to such notice. For that reason, the ALJ was not persuaded that the employer’s failure to file a Form SF-1 estopped it from asserting a limitations defense on these facts.

KRS 342.038(1) and (3) require employers to keep a record of all injuries that occur in the course of the employment and also to notify their insurance carrier or other party that is responsible for the payment of workers’ compensation benefits of any work-related injury within three working days of being notified of the underlying incident. KRS 342.038(1) also requires the employer to notify the Department of Workers’ Claims within one week of an injury that causes a worker to be absent from work for more than one day. The form that is used to provide such notice is the SF-1.

KRS 342.040(1) provides, in pertinent part, as follows:

... no income benefits shall be payable for the first seven (7) days of disability unless disability continues for a period of more than two (2) weeks, in which case income benefits shall be allowed from the first day of disability. All income benefits shall be payable on the regular payday of the employer, commencing with the first regular payday after seven (7) days after the injury or disability resulting from an occupational disease, with interest at the rate of twelve percent (12%) per annum on each installment from the time it is due until paid.... In no event shall income benefits be instituted later than the fifteenth day after the employer has knowledge of the disability or death. Income benefits shall be due and payable not less often than semimonthly. If the employer’s insurance carrier or other party responsible for the payment of workers’ compensation benefits should terminate or fail to make payments when due, that party shall notify the commissioner of the termination or failure to make payments and the commissioner shall, in writing, advise the employee or known dependent of right to prosecute a claim under this chapter.

KRS 342.185 provides that a claim must be filed within two years of the date of accident or within two years of the last payment of voluntary income benefits, *395 whichever is later. It has long been recognized that KRS 342.185 operates together with KRS 342.040(1) and tolls the period of limitations until after the payment of voluntary income benefits ceases in order to protect injured workers from being lulled into a false sense of security by receiving such payments and, therefore, failing to actively pursue a claim. See City of Frankfort v. Rogers, Ky.App., 765 S.W.2d 579, 580 (1988). Likewise, KRS 342.040(1) clearly requires an employer who fails to pay income benefits that are due to notify the commissioner of such failure.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Glenn Davis v. Blendex Company
Kentucky Supreme Court, 2021
Barbara Smith v. Bledsoe Coal Co.
Kentucky Supreme Court, 2020
Rhonda Fox v. Sam's Club
Kentucky Supreme Court, 2016
Sullivan v. Wolf Creek Collieries
294 S.W.3d 474 (Court of Appeals of Kentucky, 2009)
Kentucky Container Service, Inc. v. Ashbrook
265 S.W.3d 793 (Kentucky Supreme Court, 2008)
Spears v. Carhartt, Inc.
215 S.W.3d 1 (Kentucky Supreme Court, 2006)
Billy Baker Painting v. Barry
179 S.W.3d 860 (Kentucky Supreme Court, 2005)
Patrick v. Christopher East Health Care
142 S.W.3d 149 (Kentucky Supreme Court, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
62 S.W.3d 392, 2001 Ky. LEXIS 214, 2001 WL 1636824, Counsel Stack Legal Research, https://law.counselstack.com/opinion/j-v-coal-co-v-hall-ky-2001.