Kroger Co. v. Jones

125 S.W.3d 241, 2004 Ky. LEXIS 5, 2004 WL 102435
CourtKentucky Supreme Court
DecidedJanuary 22, 2004
Docket2003-SC-0033-WC
StatusPublished
Cited by6 cases

This text of 125 S.W.3d 241 (Kroger Co. v. Jones) 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
Kroger Co. v. Jones, 125 S.W.3d 241, 2004 Ky. LEXIS 5, 2004 WL 102435 (Ky. 2004).

Opinion

OPINION OF THE COURT

KRS 342.185 provides that no proceeding under Chapter 342 may be maintained unless an application for adjustment of claim is filed within two years of the accident, and KRS 342.270 requires the join-der of all known claims against the employer. The Workers’ Compensation Board (Board) determined that because an application for the claimant’s right shoulder injury was pending and there was no prejudice to the employer, the Administrative Law Judge (ALJ) was authorized to amend the claim, sua sponte, to include the left shoulder injury. See CR 15.02. Although concluding that the ALJ’s action was unauthorized, the Court of Appeals remanded the claim to permit the claimant to amend it. Appealing, the employer maintains that KRS 342.270 precludes joinder of the left injury claim at this *243 point. We affirm to the extent that the left shoulder claim remains viable under KRS 342.270, but we reverse with respect to the necessity of a remand on these facts.

The claimant worked as a grocery store cashier. She testified that on April 25, 2001, she injured her right shoulder while scanning a case of soft drinks. She felt a burning pain in her right arm, reported the injury, and sought treatment at Urgent Care. On April 30, 2001, she sought follow-up treatment from Dr. Larson at Corpcare, complaining that her condition had not improved. He diagnosed a shoulder strain. On May 14, 2001, she sought treatment from Dr. Fee, who initially diagnosed a shoulder strain. After returning to one-handed duty, using her left arm to scrub the dairy case and lavatories, she injured her left shoulder on May 19 or 26, 2001. She testified that she notified her employer of the left shoulder injury shortly before seeking treatment at Urgent Care on May 26, 2001. She also maintained that the employer paid at least some of the expenses for treatment of the left arm.

On August 17, 2001, the claimant filed an application for benefits in which she alleged a “shoulder injury.” The attached medical report, from the April 30, 2001, visit to Corpcare, referred only to the right shoulder. Also attached to the application was a medical history, which listed the treatment by Dr. Fee that began in May, 2001. The form indicated that treatment with Dr. Fee was ongoing and stated “Sent back to work one handed duty. Now having problems with my left arm.” The parties then proceeded to introduce medical evidence that referred to both injuries.

The claimant introduced Dr. Fee’s medical records into evidence on October 30, 2001. They indicated that on May 14, 2001, he diagnosed a work-related right shoulder strain. On June 4, 2001, he noted the claimant’s continuing symptoms as well as her complaint that working one-handed was “killing her other shoulder.” He ordered an MRI and other testing, after which he diagnosed a full thickness right rotator cuff tear. On June 29, 2001, he performed surgery to repair the condition. When the claimant’s left shoulder complaints continued as of August 9, 2001, Dr. Fee recommended an MRI. It revealed a probable rotator cuff tear on that side.

Dr. Patrick examined the claimant on October 13, 2001, and obtained a history of both injuries. After reviewing the diagnostic testing, his impression was that she had sustained bilateral rotator cuff tears as a result of her work. In his opinion, each injury accounted for a 6% impairment, for a combined impairment of 12%. His report was introduced on October 30, 2001.

On November 8, 2001, Dr. Schiller examined the claimant on the employer’s behalf. His report indicated that he had reviewed records from Drs. Fee and Patrick, as well as MRI and x-ray reports. Although he thought the claimant’s complaints of pain were excessive, he stated that he agreed with Dr. Patrick’s assessment of a 6% right shoulder impairment. In his opinion, the left shoulder problems would not improve with surgery and were not work-related.

At the benefit review conference, the parties stipulated to notice of an alleged April 25, 2001, right shoulder injury. The contested issues included, inter alia, notice of the left shoulder injury. It was not until the hearing that the employer raised the claimant’s failure to amend her claim to include a left shoulder injury and objected to any testimony about the condition. The ALJ overruled the objection, permitted the claimant to testify, and per *244 mitted the employer to include the improper pleading concerning the left shoulder injury as a contested issue. The subsequent opinion and award noted that the employer knew of the claimant’s allegation concerning her left shoulder no later than Dr. Schiller’s examination and was served with the conflicting medical evidence long before the benefit review conference. Nonetheless, it failed to raise the procedural defect until the hearing. Although recognizing that it would have been better practice for the claimant to have filed a formal motion to amend the claim, the ALJ determined that the left shoulder claim was not barred by the claimant’s failure to properly plead it because the employer suffered no prejudice from the pleading defect. After determining that the employer received due and timely notice of the injuries and their relationship to the claimant’s work, the ALJ awarded an income benefit based upon the combined impairment rating of 12%.

The Workers’ Compensation Board (Board) affirmed, relying upon CR 15.02, which provides, in part:

When issues not raised by the pleadings are tried by express or implied consent of the parties, they shall be treated in all respects as if they had been raised in the pleadings. Such amendment of the pleadingfe] as may be necessary to cause them to conform to the evidence and to raise these issues may be made upon motion of any party at any time, even after judgment; but failure so to amend does not affect the result of the trial of these issues. If evidence is objected to at the trial on the ground that it is not within the issues made by the pleadings, the court may allow the pleadings to be amended and shall do so freely when the presentation of the merits of the action will be subserved thereby and the objecting party fails to satisfy the court that admission of such evidence would prejudice him in maintaining his action or defense upon the merits. The court may grant a continuance to enable the objecting party to meet such evidence.

With one member concurring in result only and another dissenting, a panel of the Court of Appeals vacated and remanded. The opinion explained that workers’ compensation is a creature of statute and that the Board had improperly applied CR 15.02 to circumvent KRS 342.185, which required the filing of a claim, and KRS 342.270(1), which required the joinder of all known causes of action against the employer.

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Cite This Page — Counsel Stack

Bluebook (online)
125 S.W.3d 241, 2004 Ky. LEXIS 5, 2004 WL 102435, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kroger-co-v-jones-ky-2004.