Lewis v. Calfrac Well Services Corp.

2015 Ark. App. 141, 457 S.W.3d 313, 2015 Ark. App. LEXIS 191
CourtCourt of Appeals of Arkansas
DecidedMarch 4, 2015
DocketCV-14-803
StatusPublished
Cited by4 cases

This text of 2015 Ark. App. 141 (Lewis v. Calfrac Well Services Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lewis v. Calfrac Well Services Corp., 2015 Ark. App. 141, 457 S.W.3d 313, 2015 Ark. App. LEXIS 191 (Ark. Ct. App. 2015).

Opinion

M. MICHAEL KINARD, Judge

|,Anthony Lewis appeals from an order of the Arkansas Workers’ Compensation Commission allowing the appellee-employer a credit or setoff, against its obligation to pay compensation benefits, in an amount equal to that which had previously been paid to appellant under a separate group-disability policy paid for by appellee. He contends that the Commission erred in its interpretation of Arkansas Code Annotated section 11-9-411 (Repl. 2012), the statute governing such setoffs. We affirm.

Appellant suffered a compensable injury to his back on April 22, 2011, while employed by appellee. The claim was accepted by appellee, and appellant was paid temporary-total disability benefits, representing the time from May 17, 2011, through the end of his healing period, August 3, 2012. Thereafter, consistent with the ten-percent anatomical disability rating assigned by his surgeon, appellant was paid permanent-partial disability benefits for the forty-five weeks between the end of his healing period and June |⅞24, 2013. 1 Appellee controverted appellant’s claim to entitlement to wage-loss disability benefits in excess of the impairment rating.

On November 18, 2018, appellant first informed appellee that he had received disability benefits from Sun Life Financial under a group-disability policy paid for by appellee. Those benefits were separate from the workers’ compensation benefits and were paid between May 24, 2011, and August 22, 2013. The Sun Life payments totaled over $14,000. In light of the revelation about appellant’s receipt of the Sun Life benefits, appellee sought a credit or setoff pursuant to Arkansas Code Annotated section 11-9-411 against any remaining liability that it might have to appellant for workers’ compensation benefits. That statute provides in pertinent part as follows:

(a)(1) Any benefits payable to an injured worker under this chapter shall be reduced in an amount equal to, dollar-for-dollar, the amount of benefits the injured worker has previously received for the same medical services or period of disability, whether those benefits were paid under a group health care service plan of whatever form or nature, a group disability policy, a group loss of income policy, a group accident, health, or accident and health policy, a self-insured employee health or welfare benefit plan, or a group hospital or medical service contract.
(2) The reduction specified in subdivision (a)(1) of this section does not apply to any benefit received from a group policy for disability if the injured worker has paid for the policy.
(b) The claimant shall be required to disclose in a manner to be determined by the Workers’ Compensation Commission the identity, address, or phone number of any person or entity which has paid benefits described in this section in connection with any claim under this chapter.

|s(Emphasis added.)

At a hearing before an administrative law judge (ALJ) on January 30, 2014, the parties litigated appellant’s entitlement to wage-loss disability benefits and appellee’s entitlement to a setoff in an amount equal to the payments that appellant had received under the Sun Life disability policy. The ALJ determined that appellant qualified for a twenty-percent wage-loss award above the anatomical impairment rating; according to appellant, those wage-loss benefits would be paid at appellant’s total compensation rate for an additional ninety weeks, 2 representing the time between June 25, 2013, and mid-March 2015. The ALJ also held that appellee was not entitled to a setoff against its obligation to pay wage-loss benefits. The ALJ reasoned that the amount that appellee was obligated to pay in wage-loss benefits related to a different “period of disability” from that for which the Sun Life benefits had been paid and that section ll-9-lll(a) did not allow for a setoff under those circumstances.

Appellee appealed the setoff portion of the ALJ’s order, and the Commission reversed. The Commission pointed out that, under both the plain language of the statute itself and the judicial opinions that have addressed it, the overriding purpose of section 11-9-411 is clearly to prevent a double recovery by a claimant for the same period of disability. The Commission also noted that appellant had failed to disclose that he had received the Sun Life benefits until mid-November 2013, which was after those benefits had ceased. The Commission stated that it was undisputed that appellant had received disability benefits under a Sun Life policy, provided by ap-pellee, during the same period of time and for. the same |4disability that he received workers’ compensation disability payments from appellee. According to the interpretation of the statute by appellant and the ALJ, the Commission continued, “there is no plausible scenario by which a credit could ever be taken, especially in situations such as this one, where the respondent is unaware that group disability benefits are being paid concurrently with workers’ compensation benefits.” Holding that the ALJ’s ruling had the effect of allowing a double recovery by appellant, the Commission reversed that decision and allowed appellee to offset against its remaining obligation for workers’ compensation disability benefits an amount equal to that which appellant had received from Sun Life.

On appeal, appellant argues that section ll-íMll(a) does not allow for a credit or setoff under the circumstances of this case. As noted previously, that section provides, “Any [workers’ compensation] benefits payable to an injured worker ... shall be reduced in an amount equal to ... the amount of benefits the injured worker has previously received [from any of a variety of collateral sources] for the same ... period of disability.” (Emphasis' added.) Appellant seems to argue that the Sun Life benefits had been paid to him during the particular “period[s]” that he was receiving temporary-total disability benefits and permanent-partial disability benefits for his anatomical impairment, but that the amounts that remain payable by appellee cover a different period. In other words, appellant assumes that “period of disability” as used in the statute is defined by the type of disability benefit that one is then receiving; his argument is based upon the premise that he has undergone three distinct periods of disability in this case— temporary disability, permanent impairment, and wage-loss. [¡¡He argues that, because the Sun Life benefits were received while he was receiving temporary-total and permanent impairment benefits, appellee cannot obtain the statutory credit by reducing the wage-loss benefits because the latter relate to a different “period of disability.”

The question of the correct interpretation and application of a statute is a question of law, which we decide de novo. St. Edward Mercy Medical Center v. Howard, 2012 Ark. App. 673, 424 S.W.3d 881. Arkansas Code Annotated section 11-9-704(c)(3) (Repl. 2012) requires that we construe workers’ compensation statutes strictly. Strict construction requires that nothing be taken as intended that is not clearly expressed. Davis v. Action Mechanical, 2012 Ark. App. 515, 2012 WL 4194503.

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Cite This Page — Counsel Stack

Bluebook (online)
2015 Ark. App. 141, 457 S.W.3d 313, 2015 Ark. App. LEXIS 191, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewis-v-calfrac-well-services-corp-arkctapp-2015.