Martin v. N.M. Mut. Cas.

CourtNew Mexico Court of Appeals
DecidedDecember 21, 2023
StatusUnpublished

This text of Martin v. N.M. Mut. Cas. (Martin v. N.M. Mut. Cas.) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martin v. N.M. Mut. Cas., (N.M. Ct. App. 2023).

Opinion

The slip opinion is the first version of an opinion released by the Clerk of the Court of Appeals. Once an opinion is selected for publication by the Court, it is assigned a vendor-neutral citation by the Clerk of the Court for compliance with Rule 23-112 NMRA, authenticated and formally published. The slip opinion may contain deviations from the formal authenticated opinion.

1 IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

2 Opinion Number: _____________

3 Filing Date: December 21, 2023

4 No. A-1-CA-39609

5 GABRIELA MARTIN,

6 Worker-Appellant,

7 v.

8 NEW MEXICO MUTUAL CASUALTY 9 COMPANY, Self-Insured c/o INTEGRION 10 GROUP,

11 Employer/Insurer-Appellee.

12 APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION 13 Anthony Couture, Workers’ Compensation Judge

14 Pizzonia Law, LLC 15 Lydia Pizzonia 16 Albuquerque, NM

17 for Appellant

18 Barry J. Berenberg, Senior Counsel 19 Albuquerque, NM

20 for Appellee 1 OPINION

2 ATTREP, Chief Judge.

3 {1} Gabriela Martin (Worker) appeals from a compensation order entered

4 pursuant to the Workers’ Compensation Act (the Act), NMSA 1978, §§ 52-1-1 to -70

5 (1929, as amended through 2017). The Workers’ Compensation Judge (WCJ)

6 determined that Worker was not entitled to temporary total disability (TTD) benefits

7 or permanent partial disability (PPD) modifier benefits because Worker was

8 terminated from her employment for misconduct unrelated to her workplace injury.

9 The core dispute in this case concerns the meaning of “misconduct,” as that term is

10 used in Section 52-1-25.1(D)(3) (TTD benefits) and Section 52-1-26(D)(4) (PPD

11 modifier benefits). Specifically, we are called on to address whether the term

12 “misconduct” in those sections is to be given its plain, ordinary meaning, or whether,

13 as Worker requests, it should be construed in favor of workers to mean “willful

14 misconduct,” as is required in the unemployment compensation context. We hold

15 that, for purposes of Sections 52-1-25.1(D)(3) and 52-1-26(D)(4), “misconduct” is

16 to be given its plain, ordinary meaning: “improper behavior.” Because we reject

17 Worker’s request to adopt a definition of misconduct more favorable to her, and

18 because Worker’s remaining arguments are predicated on us adopting such a

19 definition, we affirm. 1 BACKGROUND

2 {2} Before setting out the relevant factual and procedural background, we first

3 provide an overview of the relevant statutory background for context.

4 I. Statutory Background

5 {3} Under Section 52-1-25.1, a worker who has experienced an accidental

6 workplace injury may be eligible for TTD benefits if, because of that injury, they are

7 unable to “perform the duties of that employment” before reaching maximum

8 medical improvement (MMI). Section 52-1-25.1(A). Following MMI, the injured

9 worker may be eligible for PPD benefits under Section 52-1-26 “if the worker has

10 suffered a ‘permanent impairment.’” Hawkins v. McDonald’s, 2014-NMCA-048,

11 ¶ 20, 323 P.3d 932 (quoting Section 52-1-26(B) (1990, amended 2017)). PPD

12 benefits are “determined by calculating the worker’s impairment,” which may be

13 increased through statutory modifiers based on the worker’s age, education, and

14 physical capacity. Section 52-1-26(C).

15 {4} Prior to 2017, an injured worker otherwise entitled to TTD benefits could be

16 denied those benefits under Section 52-1-25.1 if: “(1) the employer offer[ed] work

17 at the worker’s preinjury wage; or (2) the worker accept[ed] employment with

18 another employer at the worker’s preinjury wage.” Section 52-1-25.1(B) (2005,

19 amended 2017); see also Ruiz v. Los Lunas Pub. Schs., 2013-NMCA-085, ¶¶ 22-23,

20 308 P.3d 983 (concluding that a worker was still eligible for TTD benefits despite

2 1 rejecting her employer’s job offers because “medical testing later established that”

2 her release to return to work “was premature and that [the w]orker was in fact unable

3 to return to work at the time [the e]mployer made its job offers”). Similarly, prior to

4 2017, an employer was relieved of paying PPD modifier benefits under Section 52-

5 1-26 if “on or after the date of [MMI, the] worker return[ed] to work at a wage equal

6 to or greater than the worker’s pre-injury wage.” Section 52-1-26(D) (1990,

7 amended 2017); see also Cordova v. KSL-Union, 2012-NMCA-083, ¶ 13, 285 P.3d

8 686 (providing that Section 52-1-26 (1990, amended 2017) has been construed as

9 relieving an employer of having to pay PPD modifier benefits if the worker accepts

10 employment at or above the pre-injury wage or “unreasonably refuses offered

11 employment at or above [their] pre-injury wage”). Based on these statutory

12 limitations, this Court in Hawkins held that “termination of post-injury employment,

13 whether or not for misconduct, does not affect [a worker’s] right to recover TTD

14 benefits.” 2014-NMCA-048, ¶ 1. Hawkins also disavowed “that the level of

15 employee misconduct plays any role in the calculation of” PPD modifier benefits,

16 id. ¶ 23, holding that such benefits may be denied only “if a worker, through

17 voluntary conduct unconnected with [their] injury, takes [themselves] out of the

18 labor market,” id. ¶ 24 (internal quotation marks and citation omitted).

19 {5} In an apparent response to Hawkins, the Legislature amended both Section

20 52-1-25.1 and Section 52-1-26 in 2017. See Hawkins, 2014-NMCA-048, ¶ 14 (“It is

3 1 not our place to insert language into the [Act] that does not exist. That task falls to

2 the Legislature alone.”); see also 3C Shambie Singer, Sutherland Statutory

3 Construction § 75:3 (8th ed. 2023) (“[W]hen a legislature amends a statute following

4 a judicial decision construing the statute, courts presume the legislature amended the

5 statute with that decision in mind.”). Following the 2017 amendments, an injured

6 worker is not entitled to TTD or PPD modifier benefits if “the worker is terminated

7 for misconduct connected with the employment that is unrelated to the workplace

8 injury [or accident].” 1 See §§ 52-1-25.1(D)(3), -26(D)(4). The terminated worker,

9 however, continues to be eligible for other workers’ compensation benefits,

10 including medical benefits and PPD benefits without modifiers. See § 52-1-25.1(F)

11 (providing that an “employer shall continue to provide reasonable and necessary

12 medical care pursuant to Section 52-1-49” even if a worker is terminated for

13 misconduct); § 52-1-26(D) (providing that a worker will receive a PPD rating “equal

14 to the worker’s impairment” even if they are ineligible for PPD modifier benefits

15 due to their termination for misconduct); § 52-1-42(A)(1), (2) (providing that a

16 worker may receive up to 700 weeks of PPD benefits, depending on their percentage

17 of disability). Further, a terminated worker’s misconduct will not result in the

1 The quoted language in Section 52-1-25.1(D)(3) and Section 52-1-26(D)(4) is identical with the exception that the word “injury” in Section 52-1-25.1(D)(3) is replaced with “accident” in Section 52-1-26(D)(4). The parties do not ask us to draw any significance or meaning from this difference. We therefore assume, for purposes of this opinion, that there is none.

4 1 forfeiture of TTD and PPD modifier benefits if the WCJ finds that an employer

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