Miller v. Meister & Segrist

587 N.W.2d 399, 255 Neb. 805, 1998 Neb. LEXIS 246
CourtNebraska Supreme Court
DecidedDecember 18, 1998
DocketS-98-050
StatusPublished
Cited by33 cases

This text of 587 N.W.2d 399 (Miller v. Meister & Segrist) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. Meister & Segrist, 587 N.W.2d 399, 255 Neb. 805, 1998 Neb. LEXIS 246 (Neb. 1998).

Opinion

*807 Connolly, J.

Appellee Jim Miller originally brought this action against appellee Meister & Segrist, his employer, for workers’ compensation benefits. Appellant, GRE Insurance Group (GRE), Meister & Segrist’s insurer, then brought an action as a third-party plaintiff against appellee State of Nebraska, Second Injury Fund (Fund) as a third-party defendant. In its third-party petition against the Fund, GRE argued that the Fund was liable for part of Miller’s injuries even though Miller’s injuries were not classified as permanent. Thus, the instant case presents the question, Can the Fund be liable to an employee who has not received a permanent disability rating? We conclude that the Fund cannot be held liable unless a permanent disability rating has been awarded. Therefore, we affirm in part, and in part reverse.

BACKGROUND

1992 Injury

Miller, who had undergone surgeries due to a back injury suffered in 1985, incurred additional injuries to his neck and lower back while lifting a 5-gallon water jug in August 1992. The injuries arose out of and occurred in the scope of Miller’s employment with Meister & Segrist. The parties stipulated that United States Fidelity & Guaranty Company (USF&G) was acting as Meister & Segrist’s insurer at that time.

Douglas W. Beard, M.D., treated Miller for his 1992 injuries. Beard concluded that Miller should have surgery performed on his lower back, but Miller declined to have the surgery. However, Beard also stated that “delaying surgical intervention until such time as [Miller] feels it warranted poses him no substantial risk of great deterioration” and that he was “not in disagreement in [Miller’s] present attempt to postpone this [surgery] as long as possible.” Miller did not have surgery performed on his lower back as a result of the 1992 injuries.

However, Miller did have surgery performed on his neck. Miller underwent cervical fusion on September 1, 1993, via an anterior cervical decompression with grafting from levels C4 to Cl, and a titanium locking plate was inserted.

*808 As of March 18, 1994, Beard had “no specific further treatment recommendations concerning Mr. Miller.” Beard noted that Miller had not missed substantial amounts of work as a result of the 1992 injuries and that any further treatment “would be aimed primarily at controlling resurgence or flares of symptomatology.” Beard reexamined Miller on August 12 and concluded that Miller had reached maximum medical improvement.

Miller continued to see Beard on an intermittent basis, reporting that his condition was continuing to deteriorate. Miller was given an MRI, and on September 4, 1995, it was Beard’s conclusion that lower back surgery would be helpful but was not mandatory.

Miller was also examined by Scott J. Primack, D.O. On July 1, 1994, Primack stated that “[n]o further medical treatment with the exception of an individualized exercise program emphasizing both aerobic and isometric strengthening as well as a flexibility program is necessary.” He concluded that Miller had reached maximum medical improvement as of that date but that Miller would have further degenerative changes secondary to his previous injuries and surgeries.

Primack concluded that Miller’s pain was not entirely due to his 1992 injury, although that injury was a partial factor. In Primack’s opinion, Miller’s pain was due in part to his prior degenerative joint disease and a prior surgery performed in 1986. Beard had likewise concluded that Miller evidenced degenerative disk disease changes in both the cervical and lumbar regions and that they were “age related changes [that] likely preexisted his injury.” However, Beard noted that Miller was largely asymptomatic prior to his 1992 injuries and that his dis-cal pathology was “certainly potentially attributable to the August 13, 1992, incident.” He concluded that Miller’s injuries stemming from the 1992 incident were not a “substantial aggravation of any previous condition.”

Primack again examined Miller on September 1, 1995, and noted that Miller’s condition had recently worsened. Primack concluded that the symptoms Miller was suffering at that time were not specifically work-related, but, rather, were the result of a natural spine degradation process. It was Primack’s opinion that Miller should not wait long to have surgery.

*809 1996 Injury

Miller was injured yet again on February 27, 1996, when he slipped and fell, injuring his leg and back. The injury arose out of and occurred in the scope of Miller’s employment with Meister & Segrist. As a result of these injuries, Miller has been temporarily totally disabled.

Beard saw Miller on March 1, 1996. Beard stated that he “planned to continue to treat [Miller] conservatively.” During a follow-up appointment on March 18, Beard indicated that Miller might need to proceed with immediate surgical intervention. Miller agreed to schedule surgery once his “life affairs” were in order. Beard considered the delay appropriate.

At the time the 1996 injuries occurred, GRE was the workers’ compensation carrier for Meister & Segrist. Miller was earning an average weekly wage of $701.92, entitling him to benefits of $409 per week commencing on February 27, 1996, and continuing until such time as Miller was no longer temporarily totally disabled. However, GRE paid benefits to Miller only from February 27 until November 2, 1996, when it discontinued its payments.

USF&G has paid benefits to Miller for the 1992 incident from September 8, 1993, until at least the time of trial in the Workers’ Compensation Court.

The instant case was originally brought by Miller against Meister & Segrist for benefits allegedly due as the result of his 1996 injuries. After Meister & Segrist answered, GRE entered the case as an additional defendant and filed a cross-claim against USF&G as an additional defendant and a third-party petition against the Fund as a third-party defendant. The cross-claim was premised upon GRE’s assertion that any disability suffered by Miller due to his 1996 injuries was in part the result of the 1992 injuries and that benefits should be paid by USF&G. The third-party petition was premised upon GRE’s assertion that on the date the 1996 injuries were incurred, Miller had a preexisting permanent partial disability supporting a rating greater than 25 percent, making the Fund liable for benefits accruing from the 1996 injuries.

In a deposition taken on February 20, 1997, Beard acknowledged that Miller suffered from degenerative changes that pre *810 existed the 1985 injury and that they would have likely progressed over time. However, when asked whether Miller would be in his present condition had he not fallen, Beard responded by stating that Miller’s 1996 fall “may have been the final event that pushed him over the edge.” Beard opined that the 1996 fall was a new injury superimposed on an existing injury. It was Beard’s opinion that 20 percent of Miller’s current disability was attributable to the 1985 injuries, 50 percent to the 1992 injuries, and the remaining 30 percent to his fall in 1996.

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Cite This Page — Counsel Stack

Bluebook (online)
587 N.W.2d 399, 255 Neb. 805, 1998 Neb. LEXIS 246, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-meister-segrist-neb-1998.