Mireles v. Labor & Industry Review Commission

2000 WI 96, 613 N.W.2d 875, 237 Wis. 2d 69, 2000 Wisc. LEXIS 435
CourtWisconsin Supreme Court
DecidedJuly 12, 2000
Docket98-1607
StatusPublished
Cited by14 cases

This text of 2000 WI 96 (Mireles v. Labor & Industry Review Commission) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mireles v. Labor & Industry Review Commission, 2000 WI 96, 613 N.W.2d 875, 237 Wis. 2d 69, 2000 Wisc. LEXIS 435 (Wis. 2000).

Opinion

DAVID T. PROSSER, J.

¶ 1. Colecta Mireles (Mireles) seeks review of a published decision of the court of appeals, Mireles v. LIRC, 226 Wis. 2d 53, 593 N.W.2d 859 (1999), reversing the judgment of the Circuit Court of Racine County, Wayne J. Marik, Judge. Mireles suffered an "unscheduled" back injury while working for Ametek-Lamb Electric (Ametek) of Racine. She eventually returned to work and subsequently suffered a "scheduled" wrist injury that precluded her from continuing employment at Ametek. Both an Administrative Law Judge (ALJ) and the Wisconsin Labor and Industry Review Commission (LIRC) denied Mireles's claim for additional Worker's Compensation benefits. The circuit court set aside LIRC's decision, *72 but the court of appeals reversed. We accepted Mireles's petition for review.

¶ 2. Two issues are presented: First, can an injured worker apply for a reopening of an unscheduled injury award under Wis. Stat. § I02.44(6)(b) 1 when a later scheduled injury causes the end of an employment relationship? Second, can an injured worker qualify for permanent total disability benefits pursuant to Wis. Stat. § 102.44(2) based upon a combination of scheduled and unscheduled injuries?

¶ 3. We conclude, first, that Wis. Stat. § 102.44(6)(b) allows the appropriate agency 2 to reopen a Worker's Compensation award to account for loss of earning capacity from an unscheduled injury, even if a scheduled injury causes the termination of an employment relationship.

¶ 4. We conclude, second, that Wis. Stat. § 102.44(2) permits the agency to find permanent total disability based upon a combination of a worker's scheduled and unscheduled injuries. Read together *73 with other statutes, Wis. Stat. §§ 102.44(2) and 102.44(4) specifically allow a scheduled injury to be considered as part of a permanent total disability. When a scheduled injury is part of a permanent total disability that includes an unscheduled injury, the disability is not covered by Wis. Stat. §§ 102.52,102.53, or 102.55. Rather, it is covered by § 102.44(2).

¶ 5. Accordingly, we reverse the decision of the court of appeals and remand this case to LIRC for additional factual determinations so that LIRC may process Mireles's application under the legal standards we outline today.

THE WORKER'S COMPENSATION ACT

¶ 6. Worker's Compensation benefits in Wisconsin are governed primarily by the Worker's Compensation Act (the Act), which is administered by the Department of Workforce Development (DWD). The Act appears in Chapter 102 of the Wisconsin Statutes. It establishes a complex formula for determining Worker's Compensation benefits. Before we address Mireles's claims, we review the general structure of the Act to aid in reviewing Mireles's situation.

¶ 7. The Act is designed to compensate workers injured in the course of their employment. State v. LIRC, 136 Wis. 2d 281, 288, 401 N.W.2d 585 (1987). Benefits payable under the Act fall under one of two categories, temporary disability benefits or permanent disability benefits.

¶ 8. Temporary disability benefits are payable during an injured worker's healing period. Wis. Stat. § 102.43; John D. Neal and Joseph Danas, Jr., Worker's Compensation Handbook § 5.3 (4th ed. 1997). By contrast, permanent disability benefits compensate an injured worker when a disability remains after the *74 healing period. Wis. Stat. § 102.44; Worker's Compensation Handbook § 5.15. The focus ofMireles's appeal is LIRC's refusal to award permanent disability benefits.

¶ 9. Permanent disability benefits are divided into two distinct categories: compensation for "scheduled" injuries and compensation for "unscheduled" injuries. Worker's Compensation Handbook § 5.18. Scheduled injuries are enumerated in Wis. Stat. § 102.52. Scheduled injuries require the payment of benefits for a specific number of weeks, as outlined in the statute. For example, § 102.52(1) mandates an award of 500 weeks of benefits for the loss of an arm at the shoulder. 3 Wisconsin Stat. § 102.53 mandates increases of awards for certain combinations of permanent disabilities.

¶ 10. The schedules contained in Wis. Stat. § 102.52 presume that a worker has lost a body part entirely. As noted, § 102.52(1) awards 500 weeks of benefits for the "loss of an arm at the shoulder." If a worker suffers a lesser injury, such as a major loss of motion of the arm at the shoulder, the worker is com *75 pensated based on how the injury compares to total loss of the arm. Wis. Stat. § 102.55(3). Thus, if a worker suffers a loss of motion of the arm deemed to be a 50 percent loss by DWD, the worker will receive 50 percent of the scheduled period of benefits, or 250 weeks.

¶ 11. Scheduled injury benefits are presumed to include compensation for an injured worker's loss of earning capacity. Mednicoff v. ILHR, 54 Wis. 2d 7, 14, 194 N.W.2d 670 (1972).

¶ 12. Mireles suffered scheduled injuries to her wrists. She received compensation for permanent partial disability for the damage to her right wrist. Mireles's right wrist injury was assessed to be a three percent permanent disability, and her scheduled award was limited by that determination pursuant to Wis. Stat. § 102.55(3).

¶ 13. Many injuries are not included in the statutory schedules. Worker's Compensation Handbook § 5.20. These "unscheduled" injuries, which are primarily injuries to the torso and head, as well as mental injuries, usually require more individualized evaluation than scheduled injuries. See Worker's Compensation Handbook § 5.15. Mireles suffered a back injury. Back injuries are unscheduled injuries.

¶ 14.

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Bluebook (online)
2000 WI 96, 613 N.W.2d 875, 237 Wis. 2d 69, 2000 Wisc. LEXIS 435, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mireles-v-labor-industry-review-commission-wis-2000.