Merritt v. United Parcel Service

956 A.2d 1196, 2008 Del. LEXIS 402, 2008 WL 4078163
CourtSupreme Court of Delaware
DecidedSeptember 4, 2008
Docket318, 2007
StatusPublished
Cited by21 cases

This text of 956 A.2d 1196 (Merritt v. United Parcel Service) is published on Counsel Stack Legal Research, covering Supreme Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Merritt v. United Parcel Service, 956 A.2d 1196, 2008 Del. LEXIS 402, 2008 WL 4078163 (Del. 2008).

Opinion

JACOBS, Justice.

Timothy Merritt appeals from a Superi- or Court judgment affirming a decision of the Industrial Accident Board (the “Board”) to terminate disability benefits paid to Merritt by his employer, United Parcel Service (“UPS” or “Employer”). On appeal, Merritt claims that the Superi- or Court erroneously upheld the Board’s decision, which in turn was erroneous because the Board: (1) failed to give conclusive effect to UPS’s admission of liability; and (2) prospectively determined an issue not before the Board, by finding that Merritt’s partial disability would end on a specific future date. Because we conclude that Merritt’s first claim of error is meritorious and reverse on that ground, we do not reach Merritt’s second claim.

FACTS 1

On May 16, 2005, Merritt, who worked as a laborer for UPS, herniated a disc in *1198 his lower back while lifting boxes off a conveyor belt. Merritt continued working at UPS with physical restrictions until September 13, 2005, when his persistent pain and numbness became severe. As a consequence, UPS agreed to pay Merritt total disability benefits at a rate of $285.33 per week.

On October 26, 2005, Dr. Ah Kalamchi performed surgery to repair Merritt’s disc herniation. After the surgery, Merritt reported a marked decrease in pain and numbness. Dr. Kalamchi ordered complete bed rest for one month, followed by physical therapy and rehabilitation. By December 2005, however, Merritt encountered more back problems when one of his discs “blew out” while he was grocery shopping. Merritt also lost bowel and bladder control.

On January 9, 2006, UPS filed a Petition to Terminate Benefits, claiming that Merritt was no longer totally disabled and could return to work. Two days later, on January 11, 2006, Dr. Kalamchi performed a second surgery on Merritt. According to Dr. Kalamchi’s January 26, 2006 note, Merritt “was to take it easy and avoid heavy lifting.” The note did not indicate Merritt’s disability status, however. 2 On March 2, 2006, Dr. Kalamchi reexamined Merritt and noted “additional improvement in back pain and left buttock pain, no limp, and no shooting pain or numbness down the leg.” He prescribed therapy and weight reduction, and asked Merritt to return for a follow-up visit on April 24, 2006.

On March 8, 2006, Dr. Lanny Edelsohn, who was retained by UPS for that purpose, examined Merritt independently. In his post-examination report, Dr. Edelsohn opined that Merritt was no longer totally disabled and could return to work in a sedentary position, with restrictions but not to his job at UPS. Dr. Edelsohn anticipated that Merritt would reach maximum medical improvement in about 90 days and “should return to work starting out at four hours per day and gradually increas[e] his hours ... over [a period of] four to six weeks.” 3 Dr. Edelsohn, both when he prepared his report and also on the date of his deposition, was unaware that Dr. Kalamchi had placed Merritt on total disability. The reason was that it was not until March 22, 2006 that Dr. Kalamchi issued a disability slip retroactively placing Merritt on total disability from January 11, 2006 until April 24, 2006.

On March 29, 2006, on his attorney’s advice, Merritt met with Dr. Steven D. Grossinger for a second opinion. Dr. Grossinger diagnosed Merritt with lumbar radiculopathy. He concluded that Merritt could not return to work for UPS, because of continuing pain and because of abnormalities in his neurological examination. Dr. Grossinger issued a disability slip placing Merritt on total disability for three months beginning March 29, 2006. 4

On April 4, 2006, 30 days before the scheduled Board hearing, UPS’s counsel sent a letter via facsimile to the Board (the “Letter”), which stated:

*1199 Please be advised that the Employer/Carrier:
1. Admits a transient period of recurrence from January 11, 2006 (the date of the second surgery) to March 8, 2006 (the date of the defense medical examination);
2. Admits temporary partial disability benefits from March 8, 2006 to the present and on-going at a rate of $75 per week; and
3. It should be noted that the Employer cannot accommodate sedentary or light duty restrictions and it is therefore appropriate that the claimant seek alternative work. 5

Following a May 4, 2006 hearing, the Board granted UPS’s Petition to Terminate Benefits. In its June 2, 2006 order, the Board held that: (a) Merritt’s total disability ended on April 24, 2006, and (b) Merritt was entitled to partial disability benefits, but only for a closed period of six weeks from and after the end of the total disability period, i.e., from April 24, 2006 to June 5, 2006.

In finding that Merritt’s total disability had ended, the Board considered Dr. Edel-sohn’s report (opining that, as of March 2006, Merritt could return to part-time work); Dr. Kalamchi’s disability slip (placing Merritt on total disability until April 24, 2006); and Dr. Grossinger’s disability slip (placing Merritt on total disability until June 28, 2006). Because Dr. Grossinger was not Merritt’s treating physician, the Board disregarded his opinion. 6 The Board found that Merritt was no longer totally disabled, because: (i) Dr. Kalamchi had noted improvement in Merritt’s condition and (ii) Dr. Edelsohn had opined that Merritt could return to part-time work in a sedentary position, albeit with restrictions. The Board found that the effective end date of Merritt’s total disability status was April 24, 2006 (as per Dr. Kalamchi’s disability slip), because Merritt “[was] permitted to rely on his treating doctor’s no-work orders ... regardless of actual physical ability or condition.” 7 Merritt does not dispute the Board’s findings regarding total disability on this appeal. Merritt disputes only the Board’s decision with respect to partial disability.

As earlier noted in his March 2006 report, Dr. Edelsohn opined that Merritt could return to full-time employment after a period of “four to six weeks” of part-time work. Based solely on Dr. Edelsohn’s opinion, the Board found that Merritt was “capable of returning to [full-time] work in a sedentary capacity, beginning with part[-]time hours and increasing to full[-]time hours after six weeks.” The Board concluded that Merritt was “entitled to partial disability compensation at a rate of $141.95 per week for a period of six weeks following the termination of total disability,” i.e. until June 5, 2006, but was “not eligible for partial disability compensation after the six week period has ended.” 8

*1200 Merritt appealed the Board’s decision to the Superior Court.

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Bluebook (online)
956 A.2d 1196, 2008 Del. LEXIS 402, 2008 WL 4078163, Counsel Stack Legal Research, https://law.counselstack.com/opinion/merritt-v-united-parcel-service-del-2008.