Jones v. Commonwealth Ex Rel. Von Moll

814 S.E.2d 192, 295 Va. 497
CourtSupreme Court of Virginia
DecidedJune 7, 2018
DocketRecord 170639
StatusPublished
Cited by12 cases

This text of 814 S.E.2d 192 (Jones v. Commonwealth Ex Rel. Von Moll) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jones v. Commonwealth Ex Rel. Von Moll, 814 S.E.2d 192, 295 Va. 497 (Va. 2018).

Opinion

OPINION BY JUSTICE S. BERNARD GOODWYN

*193 In this appeal, we consider whether the circuit court erred when it ruled that a retired firefighter was not a disabled person entitled to receive health insurance benefits under the Virginia Line of Duty Death and Disability Act.

BACKGROUND

On May 21, 2015, Eddie R. Jones, Sr. (Jones) filed a complaint in the Circuit Court of the City of Hampton, appealing "an adverse decision of the Commonwealth of Virginia/Office of the Comptroller" (Comptroller) that denied him health insurance coverage, owed to disabled persons, under the Virginia Line of Duty Death and Disability Act, Code § 9.1-400 et seq. (the Act). 1 After a bench trial, the circuit court concluded that the Comptroller had properly applied the provisions of the Act, and dismissed Jones's complaint.

FACTS

Before testimony was taken at trial, counsel for Jones read a list of agreed stipulations into the record:

1. The parties agree that [Jones] was employed with the City of Hampton as a firefighter from October 5, 1977 to August 1, 2010.
2. The parties agree that [Jones] took a service-connected retirement-that is, a retirement based on years of service, and was effectively retired from the fire department as of August 1, 2010.
3. The parties agree that [Jones] was diagnosed with throat cancer on March 11, 2011.
4. The parties agree that one of his treating physicians, Dr. John Mattern, ... opined that [Jones] was incapacitated from further performance of duty as of November 6, 2013.

Jones testified that he did not experience any health problems while he worked as a firefighter and that he "never had any issues with the physicals" that were administered each year. He explained that his retirement was not health-related but occurred because the City "offered a 20 percent buyout."

Around October 2010, Jones began experiencing a problem with his ear. He visited an ear, nose, and throat specialist who discovered that he had a cyst in his "nasal area." A biopsy was performed and Jones was diagnosed with throat cancer on March 11, 2011. Thereafter, Jones underwent "35 radiation treatments and 12 rounds of chemo."

Jones submitted into evidence a November 6, 2013 Report (Report) completed by Dr. Mattern, the oncologist who performed the chemotherapy treatments. The Report stated that Jones became unable to work as of the date of his diagnosis, March 11, 2011, and that although the cancer was in remission, "[t]here is no way that [Jones] can safely work in any polluted atmosphere (fumes or smoke) as this would trigger significant respiratory distress and airway compromise." Dr. Mattern explained that Jones "should be considered disabled on the basis of a very bad cancer," which could "recur at any time," and "the toxicities of treatment have been such that [Jones] ... is at risk for developing significant respiratory distress if exposed to any kinds of fumes or smoke."

*194 Jones also submitted a "stipulated award order" entered by the Virginia Workers' Compensation Commission that awarded him "temporary total disability benefits" and "all reasonable and necessary medical expenses" incurred as a result of his throat cancer.

Finally, Jones submitted the letter from the Comptroller, dated May 20, 2014, that denied him benefits under the Act. The letter stated that because Jones "began service retirement on August 1, 2010, thereby ending [his] performance of duty as a firefighter," his physician's determination "on November 6, 2013 that [he] was no longer fit for duty" did not qualify him to receive health insurance benefits as a "disabled person" under the Act. In the letter, the Comptroller explained that Jones was not "an individual who 'has become mentally or physically incapacitated so as to prevent the further performance of duty.' "

The line of duty coordinator for the Comptroller was called as a witness and testified that she is responsible for "review[ing] the claims as they [come] in and put[ting] together a package for the Comptroller with a recommendation of whether it meets the Code as it's currently written." She testified that it was significant that Jones retired three years prior to the Report, which stated that he could no longer perform the duties of a firefighter, because "[a]s a retiree [Jones] is not performing those duties any longer." She stated that it was the opinion of the Comptroller's office that "Mr. Jones had retired and was no longer an active employee that could be disabled from his profession." She stated that the opinion was based upon the definition of a disabled person as expressed in the Act.

After closing arguments, the court ruled that under the plain reading of the Act, Jones's duties as a firefighter had ceased as of retirement and, because he became disabled after he retired, his claim for insurance coverage under the Act was not viable. The court entered an order dismissing Jones's complaint.

Jones appeals. His assignment of error states:

The trial court erred as a matter of law in its statutory interpretation of § 9.1-401.B, Code of Virginia (1950), as amended, that Jones was not entitled to the line of duty disability benefit.

ANALYSIS

Jones argues that the circuit court erred when it denied him benefits under the Act because, under Code § 9.1-401(B), he qualifies for continued health insurance coverage as someone whose disability "is a condition subject to [Code] § 65.2-402 and ... arose out of and in the course of his employment." He contends that in adopting the Act, the General Assembly intended "to include as many qualifying disabled firefighters as possible based on disabling events, including those arising under [Code] § 65.2-402(C), the throat cancer involved in this case." The Commonwealth argues that the circuit court did not err because Jones is not a "disabled person" as defined within the Act.

An issue of statutory interpretation "is subject to de novo review by this Court." Commonwealth v. Barker , 275 Va. 529 , 536, 659 S.E.2d 502 , 504 (2008).

When interpreting statutes, courts ascertain and give effect to the intention of the legislature. That intent is usually self-evident from the words used in the statute. Consequently, courts apply the plain language of a statute unless the terms are ambiguous, or applying the plain language would lead to an absurd result.

Id. (citation and internal quotation marks omitted).

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814 S.E.2d 192, 295 Va. 497, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-commonwealth-ex-rel-von-moll-va-2018.