Long v. Injured Workers' Insurance Fund

138 A.3d 1225, 448 Md. 253, 2016 Md. LEXIS 362
CourtCourt of Appeals of Maryland
DecidedJune 22, 2016
Docket90/15
StatusPublished
Cited by4 cases

This text of 138 A.3d 1225 (Long v. Injured Workers' Insurance Fund) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Long v. Injured Workers' Insurance Fund, 138 A.3d 1225, 448 Md. 253, 2016 Md. LEXIS 362 (Md. 2016).

Opinion

WATTS, J.

Under the Maryland Workers’ Compensation Act (“the Act”), Md. Code Ann., Lab. & Empl. (1991, 2008 Repl. Vol.) (“LE”) §§ 9-101 to 9-1201, a “covered employee” is entitled to compensation from his or her employer for an accidental personal injury. See LE § 9 — 501(a)(1) (“Except as otherwise provided, each employer of a covered employee shall provide compensation in accordance with this title to[] the covered employee for an accidental personal injury sustained by the covered employee[.]” (Paragraph break omitted)). Pursuant to LE § 9-227(b), for purposes of workers’ compensation, “[a] sole proprietor may elect to be a covered employee if the proprietor devotes full time to the business of the proprietorship.” In other words, under certain circumstances, a sole proprietor may elect to be a “covered employee” for purposes of workers’ compensation. Under the Act, the amount of *255 compensation that is due to a “covered employee” who “has a permanent total disability resulting from an accidental personal injury” is based on the covered employee’s “average weekly wage” (“AWW”). LE § 9-637(a)(l). Specifically, the amount of compensation that is due to the covered employee in such a circumstance is two-thirds of the covered employee’s AWW, provided that the AWW does not exceed the State’s AWW or equal less than $25. See LE § 9-637(a)(l).

This case involves a matter of first impression in Maryland — namely, how to calculate the AWW of a sole proprietor who has elected coverage under the Act. Specifically, we must decide whether the AWW of a sole proprietor who elects coverage under the Act should be calculated based on the sole proprietorship’s gross receipts or gross income (without deducting business expenses) 1 or net profit (the gross receipts less business expenses). We hold that the AWW of a sole proprietor who elects coverage under the Act is to be calculated based on the sole proprietorship’s net profit, not on the sole proprietorship’s gross receipts or gross income. The sole proprietorship’s net profit is the best approximation of the earnings that a sole proprietor actually takes home because net profit does not include the sole proprietorship’s business costs and expenses.

BACKGROUND

Patrick Long (“Long”), Petitioner, is the self-employed sole proprietor and owner of Long’s Floor Works (“the Employer”). Before 2011, Long elected to obtain workers’ compensation coverage as a covered employee. In 2011, Long was working as a subcontractor for Ryan Floors, Incorporated. Ryan Floors, Incorporated paid the Employer based on the number of hours that Long worked. In July 2011, Long injured his back while installing carpet during the course of his employment. Long’s injury required surgery, and, accord *256 ing to Long’s counsel, Long is likely “going to be disabled for life.”

Almost six months later, on January 23, 2012, Long filed with the Workers’ Compensation Commission (“the Commission”) a “Notice of Employee’s Claim,” seeking workers’ compensation benefits. On July 16, 2012, the Commission conducted a hearing on Long’s claim. On July 19, 2012, the Commission issued an “Award of Compensation,” finding that: (1) Long “sustained an accidental injury arising out of and in the course of his employment”; (2) Long’s disability was the result of the work-related accidental injury; (3) Long was temporarily totally disabled from August 20, 2011 to September 20, 2011, and from November 1, 2011 “to the present and continuing”; (4) Long was temporarily partially disabled from September 21, 2011 to October 31, 2011; (5) the authorization for medical treatment as recommended by Long’s doctor was allowed; (6) the insurer, the Injured Workers’ Insurance Fund (“IWIF”), Respondent, 2 and the Employer would pay causally-related medical expenses as stipulated by the Commission’s Medical Fee Guide; and (7) Long’s AWW was $1,500, “subject to verification.” Accordingly, based on its findings, the Commission ordered that IWIF and the Employer compensate Long for temporary total disability for his past and continuing temporary total disability at a rate of $940 per week, and that IWIF and the Employer pay the causally-related medical expenses. The Commission also ordered IWIF and the Employer to compensate Long for his temporary partial disability at a rate of 50% of the difference *257 between Long’s AWW “and his wage[-]earning capacity in the same employment or otherwise if less than before the accident, but not to exceed fifty per centum of the State [AWW] for the period” September 21, 2011 to October 31, 2011.

On July 28, 2012, Long filed with the Commission a “Request for Document Correction,” asking that two “errors” in the Commission’s Award of Compensation be corrected. Specifically, Long asked that the Commission amend the date of the accidental injury from July 24, 2011 to July 31, 2011, as he had “amended the date of the accident at the hearing[.]” Long also stated that the Commission’s calculation of his AWW was incorrect, and asked that the Commission amend the AWW from $1,500 to $1,737.11 in accordance with a “Wage Statement” that he attached to the Request for Document Correction. The attached Wage Statement demonstrated that Long had calculated his AWW to be $1,737.11 by adding his “gross wages” from the fourteen weeks preceding the injury, and dividing the total by fourteen. Long also attached a statement from Ryan Floors, Incorporated showing the Employer’s gross receipts throughout 2011.

On August 7, 2012, the Commission issued an amended Award of Compensation, amending in its findings the date of the accidental injury from July 24, 2011 to July 31, 2011, and changing Long’s AWW from $1,500 to $1,737.11. The Commission made no changes to any other aspects of the Award of Compensation. In other words, IWIF and the Employer were still required to compensate Long for temporary total disability at the rate of $940 per week and to compensate Long for temporary partial disability at a rate of 50% of the difference between Long’s AWW “and his wage[-]earning capacity in the same employment or otherwise if less than before the accident, but not to exceed fifty per centum of the State [AWW] for the period” September 21, 2011 to October 31, 2011.

On August 16, 2012, IWIF filed with the Commission a motion for rehearing on the AWW amount, stating that Long’s AWW should be $225.90, not $1,737.11. Almost one year later, on August 12, 2013, the Commission conducted a rehear *258 ing on the amount of Long’s AWW. During the rehearing, IWIF alleged that Long’s “gross wages” in 2011 were between $11,000 and $12,000. IWIF based its figures on Schedule C of Long’s 2010 federal income tax return, 3 which showed a net profit of $11,747, and IWIF’s premium audit report for the Employer from May 2010 through May 2011, which showed Long’s “gross wages” as $11,077. 4 IWIF argued that Long’s AWW should be based on the Employer’s net profit, which is the money that Long received after subtracting his business expenses from his gross receipts.

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Cite This Page — Counsel Stack

Bluebook (online)
138 A.3d 1225, 448 Md. 253, 2016 Md. LEXIS 362, Counsel Stack Legal Research, https://law.counselstack.com/opinion/long-v-injured-workers-insurance-fund-md-2016.