Matlock v. Arkansas Blue Cross Blue Shield

49 S.W.3d 126, 74 Ark. App. 322, 2001 Ark. App. LEXIS 519
CourtCourt of Appeals of Arkansas
DecidedJune 27, 2001
DocketCA 00-1153
StatusPublished
Cited by30 cases

This text of 49 S.W.3d 126 (Matlock v. Arkansas Blue Cross Blue Shield) 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
Matlock v. Arkansas Blue Cross Blue Shield, 49 S.W.3d 126, 74 Ark. App. 322, 2001 Ark. App. LEXIS 519 (Ark. Ct. App. 2001).

Opinions

Wendell L. Griffen, Judge.

Erika Matlock appeals a Compensation Commission that denied benefits for injuries suffered when she fell while returning to her work station at Arkansas Blue Cross Blue Shield after a trip to the restroom. Appellant argues that the Commission erroneously interpreted Act 796 of 1993 when it determined that she was not performing employment services when she was injured and, therefore, that her injury was not compensable. She also contends that the Commission’s decision is not supported by substantial evidence. We hold that the Commission’s finding that appellant was not performing employment services when she sustained injuries from the fall is not supported by substantial evidence, nor does the Commission’s opinion display a substantial basis for denial of the relief sought. We specifically hold that the Commission erred in construing Arkansas Code Annotated section 11-9 — 102(4) (B) (iii) (Supp. 1999) to require a denial of benefits under the facts of this case. Thus, we reverse the Commission’s decision and remand for a determination of appellant’s benefits. In reaching this decision, we serve notice that our statement in Beaver v. Benton County, 66 Ark. App. 153, 156, 991 S.W.2d 618, 620 (1999), that “the personal-comfort doctrine is no longer the law,” was obiter dictum. Finally, we take this opportunity to list some factors that should be instructive to the Commission, employers, workers, and their legal counsel in determining whether an employee’s activity falls within the course of employment.

Background Facts

The parties strongly disagree on whether the Commission correctly found that appellant was not performing employment services when she fell on stairs while returning from the tenth-floor restroom to her ninth-floor workstation. However, appellant’s account regarding the underlying facts is not controverted. Appellant testified that she began working for Blue Cross Blue Shield in January 1999 as an overpayment clerk. At around 9 o’clock a.m. on January 29, 1999, appellant left her desk on the ninth floor to use the restroom. The ninth-floor restroom was occupied, so she went to the restroom on the tenth floor. While returning to resume work on the ninth floor, appellant fell on the stairs and sustained a contusion to her left knee, strained her right ankle, and injured her back. The back injury was eventually diagnosed by Dr. David L. Reding, a Litde Rock neurosurgeon, as a small disc rupture at IA-SI on the right, for which Dr. Reding recommended conservative treatment. Appellant testified that she was off work for almost three months (from April 5 until July 6, 1999) for her back problem.

Appellant filed a workers’ compensation claim. Her employer controverted the claim, contending that appellant was not performing employment services when the accident occurred. The record of the hearing before the Commission’s Administrative Law Judge (ALJ) consists of appellant’s testimony and medical exhibits. The ALJ denied the claim, and appellant appealed to the Commission. The Commission affirmed, relying on our statement in Beaver v. Benton County, supra, that “the personal-comfort doctrine is no longer the law.” The Commission also found that “an alleged injury sustained while an employee is going to or from the bathroom, while no employment duties are being carried out, is not compen-sable under Act 796 of 1993.” This appeal followed.

I. Standard of Review and Relevant Legal Authority

When a workers’ compensation claim is denied, the substantial-evidence standard of review requires us to affirm the Commission if its opinion displays a substantial basis for denial of the relief sought by the worker. See McMillian v. United States Motors, 59 Ark. App. 85, 953 S.W.2d 907 (1997); see also Shaw v. Commercial Refrigeration, 36 Ark. App. 76, 818 S.W.2d 589 (1991). In determining the sufficiency of the evidence to sustain the findings of the Commission, we review the evidence in the light most favorable to the Commission’s findings and affirm if they are supported by substantial evidence. See Weldon v. Pierce Bros. Constr., 54 Ark. App. 344, 925 S.W.2d 179 (1996). The question is not whether the evidence would have supported findings contrary to the ones made by the Commission; there may be substantial evidence to support the Commission’s decision even though we might have reached a different conclusion if we sat as the trier of fact or heard the case de novo. See Tyson Foods, Inc. v. Disheroon, 26 Ark. App. 145, 761 S.W.2d 617 (1988).

II. “Employment Services”and the “Personal Comfort” Doctrine

Our analysis begins with Arkansas Code Annotated section 11-9-102(4)(A)(i) which defines a “compensable injury” as follows:

[a]n accidental injury causing internal or external physical harm to the body . . . arising out of and in the course of employment and which requires medical services or results in disability or death. An injury is “accidental” only if it is caused by a specific incident and is identifiable by time and place of occurrence; ....

The parties apparently agree that appellant suffered an accident involving harm to her body. Their dispute centers on whether appellant’s injury was one “arising out of and in the course of employment” in view of Arkansas Code Annotated section 11-9-102(4)(B), which prescribes what is not a “compensable injury.” Specifically, the statute reads:

(B) “Compensable injury” does not include:
(iii) Injury which was inflicted upon the employee at a time when employment services were not being performed ....

Thus, the critical inquiry is whether appellant was performing “employment services” within the meaning of the statute when she fell while returning to her work station after using the restroom.

The “employment services” requirement was added to the Arkansas Workers’ Compensation Law by Act 796 of 1993. The general rule precluding worker’s compensation benefits for acts performed by employees solely for their own benefit does not apply to acts of personal convenience or comfort; in this regard, the “personal comfort” doctrine — also sometimes referred to as the “personal convenience” exception — was developed to provide coverage when an employee is injured while talcing a brief pause from labors to minister to the various life necessities such as satisfying thirst, eating, discharging bodily wastes, protecting oneself from excessive heat or cold, or cleansing oneself. Although technically the employee’s actions do not contribute directly to the employer’s profits, compensation is justified under the “personal comfort” exception on the rationale that the employer indirectly benefits in the form of better work from a happy and rested worker, and on the theory that such a minor deviation does not take the employee out of the employment.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Razorback Concrete v. Perkins
2015 Ark. App. 368 (Court of Appeals of Arkansas, 2015)
LVL, Inc. v. Ragsdale
426 S.W.3d 473 (Court of Appeals of Arkansas, 2013)
Hill v. LDA Leasing, Inc.
374 S.W.3d 268 (Court of Appeals of Arkansas, 2010)
Jonesboro Care & Rehab Center v. Woods
374 S.W.3d 193 (Court of Appeals of Arkansas, 2010)
Dearman v. Deltic Timber Corp.
377 S.W.3d 301 (Court of Appeals of Arkansas, 2010)
Toia v. HTI LOGISTICS
268 S.W.3d 334 (Court of Appeals of Arkansas, 2007)
Economy Inn & Suites v. Jivan
253 S.W.3d 4 (Court of Appeals of Arkansas, 2007)
Engle v. Thompson Murray, Inc.
239 S.W.3d 561 (Court of Appeals of Arkansas, 2006)
Southwest Arkansas Development Council, Inc. v. Tidwell
233 S.W.3d 190 (Court of Appeals of Arkansas, 2006)
Wallace v. West Fraser South, Inc.
225 S.W.3d 361 (Supreme Court of Arkansas, 2006)
Moncus v. Billingsley Logging
219 S.W.3d 680 (Court of Appeals of Arkansas, 2005)
Arkansas Methodist Hospital v. Hampton
205 S.W.3d 848 (Court of Appeals of Arkansas, 2005)
Wal-Mart Stores, Inc. v. Sands
91 S.W.3d 93 (Court of Appeals of Arkansas, 2002)
Smith-Blair, Inc. v. Jones
72 S.W.3d 560 (Court of Appeals of Arkansas, 2002)
Collins v. Excel Specialty Products
69 S.W.3d 14 (Supreme Court of Arkansas, 2002)
Pifer v. Single Source Transportation
69 S.W.3d 1 (Supreme Court of Arkansas, 2002)
Bryant v. Staffmark, Inc.
61 S.W.3d 856 (Court of Appeals of Arkansas, 2001)
Bell v. Tri-Lakes Services
61 S.W.3d 867 (Court of Appeals of Arkansas, 2001)
Clardy v. Medi-Homes LTC Services., LLC
55 S.W.3d 791 (Court of Appeals of Arkansas, 2001)
Collins v. Excel Specialty Products
49 S.W.3d 161 (Court of Appeals of Arkansas, 2001)

Cite This Page — Counsel Stack

Bluebook (online)
49 S.W.3d 126, 74 Ark. App. 322, 2001 Ark. App. LEXIS 519, Counsel Stack Legal Research, https://law.counselstack.com/opinion/matlock-v-arkansas-blue-cross-blue-shield-arkctapp-2001.