Mutters, Kenny v. Safety National Casualty Corp.

2024 TN WC 82
CourtTennessee Court of Workers' Compensation Claims
DecidedDecember 4, 2024
Docket2024-60-2307
StatusPublished

This text of 2024 TN WC 82 (Mutters, Kenny v. Safety National Casualty Corp.) is published on Counsel Stack Legal Research, covering Tennessee Court of Workers' Compensation Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutters, Kenny v. Safety National Casualty Corp., 2024 TN WC 82 (Tenn. Super. Ct. 2024).

Opinion

FILED Dec 04, 2024 08:17 AM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS

TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT NASHVILLE

Kenny Mutters, ) Docket No. 2024-60-2307 Employee, ) v. ) Ricoh USA, Inc., ) State File No. 29467-2023 Employer, ) And ) Safety National Casualty Corp., ) Judge Kenneth M. Switzer Carrier. )

EXPEDITED HEARING ORDER GRANTING BENEFITS

The Court held an expedited hearing on Kenny Mutters’s request for additional temporary disability benefits and attorney’s fees. The parties also disputed the correct compensation rate. For the reasons below, the Court awards temporary disability benefits from June 10 through September 9, 2024, but denies his request for attorney’s fees at this time. In addition, Mr. Mutters is likely to prevail at trial in showing the correct weekly compensation rate is $588.97.1

Claim History

On April 7, 2023, Mr. Mutters injured his left knee and right shoulder when he slipped and fell on cardboard while working for Ricoh USA. Ricoh accepted the claim.

Authorized physician Dr. Benjamin Debelak performed surgery on the knee and shoulder and either took Mr. Mutters completely off work or placed restrictions after each visit for the next several months. Dr. Debelak placed Mr. Mutters at maximum medical improvement on January 9, 2024. Mr. Mutters testified that the doctor placed no permanent

1 Ricoh also sought a ruling on whether it is entitled to credit for an alleged overpayment of temporary disability benefits. The Court declines to decide that issue at the interlocutory stage because section 50-6- 207(1)(E) allows for a credit for overpayment against permanent partial disability benefits. This issue is not ripe. 1 restrictions on that date, and the treatment notes and final medical report do not mention work restrictions.

Throughout his treatment, Ricoh paid temporary disability benefits. Mr. Mutters testified that while treating he asked his supervisor, Randy Henson, about returning to work with his restrictions but was told no work was available. Instead, Ricoh offered severance, which he accepted. He did not ask for the severance but explained that he took it because “the job was not there any longer.” Mr. Mutters’s temporary disability benefits ended on March 19, 2024, and he filed his petition for benefit determination in early April.

Later that month, Mr. Mutters received additional authorized treatment with Dr. Debelak. The doctor diagnosed disorder of the right rotator cuff, but the notes do not mention work restrictions. Mr. Mutters underwent a shoulder MRI in May, and at the next visit on June 10, Dr. Debelak wrote: “Patient is NOT at MMI as he has recurrent right shoulder rotator cuff tearing of the rotator cuff that was repaired following his work injury in April 2023.” (Emphasis in original). He recommended surgery. According to Mr. Mutters, Dr. Debelak told him he should not use his right upper extremity at the June visit; however, that restriction is not recorded in the treatment notes.

Rather, the first written documentation of that restriction is a July 16 response to a letter from Mr. Mutters’s attorney. The letter asked, “Please advise as of 6/10/2024, the work status/ restrictions for Mr. Mutters[.]” Dr. Debelak wrote: “Mr. Mutters is retired at this time. However if he [were] working the current restrictions would be no use of right upper extremity.”

At some point after the June 10 surgery recommendation, Ricoh requested utilization review. Neither party offered documentation or other proof on the utilization review process.2 On September 10, Mr. Mutters underwent the surgery. Ricoh initiated temporary disability benefits as of that date.

Mr. Mutters contended he is due benefits from June 10 to September 9. He testified that he asked again about returning to work after reaching maximum medical improvement in January 2024, and again Ricoh did not have a job for him. If they had offered him work, he would have taken it. Mr. Mutters, age 63 on the date of trial, said he is not retired now but began receiving Social Security benefits in June 2024. He explained, “I just [drew] my social security because at that point in time I had no job and no income.”

2 On November 22, Mr. Mutters’s attorney filed an affidavit describing procedural events and discussions between counsel after filing the petition. Ricoh objected on several grounds, including that Mr. Mutters did not file the affidavit within the deadline in the order setting the hearing and Tennessee Compilation Rules and Regulations 0800-02-21-.15(1) (2023). The Court sustains the objection solely on that basis. 2 Mr. Mutters acknowledged that he did not contact Ricoh to ask about modified duty in June 2024. He has not worked since his injury, nor has he applied for any jobs. He does not believe he will be hired by any employer with his current work restrictions.

Ricoh countered that it was unaware of Mr. Mutters’s work restrictions after January 10. It supported this with a declaration from the claims manager for the third-party administrator, Nicole Godfrey, who testified: “The Employee was not paid TTD prior to his surgery of 09/10/2024 because I received no communication from the treating physician, Benjamin Debelak, M.D., or his office, that the restrictions for Mr. Mutters had changed since he was last seen and released on 01/09/2024.”

Ricoh further argued that the July 16 response from Dr. Debelak is not a “work excuse” because it is not a “form”—but even if it were, it did not have notice of the restriction until after July 16. Ricoh additionally contended that Mr. Mutters’s retirement precluded his eligibility for temporary disability benefits, although it conceded that no single on-point case supports this position.

As for Mr. Mutters’s compensation rate, the parties agreed that he was paid two rates during the pendency of this claim, and they offered a corrected wage statement to make their arguments. The statement lists gross wages from April 10, 2022, through March 31, 2023, which total $19,436.10. Mr. Mutters testified that he underwent rotator cuff repair on May 26, 2022, and later a replacement of his left shoulder. He did not work from the date of the first procedure until January 2, 2023.

The parties disputed the circumstances of two payments Mr. Mutters received while he was recuperating from his left-shoulder surgery, as shown on the corrected wage statement.

First, Mr. Mutters said that payment of $556.97 on June 19, 2022, was paid time off that he accrued before the left-shoulder surgery; it was not wages earned for working during that time. Second, Mr. Mutters said a payment of $357.72 on September 11, 2022, was a quarterly “bonus” that all on his team received and did not depend on whether he worked. He asserted he worked for 22 weeks in the year before the date of injury and that the weeks noting these two payments should not be counted as weeks worked in the compensation rate calculation. He agreed that the $556.97 paid time off and $357.72 bonus should be included in his total gross wages.

In contrast, Ricoh maintained that Mr. Mutters earned wages for 26 weeks in the year before the work injury. It contended that the “raw wage data” attached to Ms. Godfrey’s declaration characterizes the payments of $556.97 and $357.22 as “regular pay.” The document also states that the bonus paid to Mr. Mutters was in a different amount and paid at a different time.

3 Findings of Fact and Conclusions of Law Mr. Mutters must show that he is likely to prevail at a hearing on the merits. Tenn. Code Ann. § 50-6-239(d)(1) (2024); McCord v. Advantage Human Resourcing, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar.

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Related

Cantrell v. Carrier Corp.
193 S.W.3d 467 (Tennessee Supreme Court, 2006)
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651 S.W.2d 206 (Tennessee Supreme Court, 1983)
Terri Ann Kelly v. Willard Reed Kelly
445 S.W.3d 685 (Tennessee Supreme Court, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
2024 TN WC 82, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutters-kenny-v-safety-national-casualty-corp-tennworkcompcl-2024.