Oliver v. Illinois Workers' Compensation Comm'n

2015 IL App (1st) 143836WC
CourtAppellate Court of Illinois
DecidedFebruary 19, 2016
Docket1-14-3836WC
StatusPublished
Cited by3 cases

This text of 2015 IL App (1st) 143836WC (Oliver v. Illinois Workers' Compensation Comm'n) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oliver v. Illinois Workers' Compensation Comm'n, 2015 IL App (1st) 143836WC (Ill. Ct. App. 2016).

Opinion

Digitally signed by Illinois Official Reports Reporter of Decisions Reason: I attest to the accuracy and integrity of this document Appellate Court Date: 2016.02.19 10:25:14 -06'00'

Oliver v. Illinois Workers’ Compensation Comm’n, 2015 IL App (1st) 143836WC

Appellate Court TOMMY OLIVER, Appellee, v. THE ILLINOIS WORKERS’ Caption COMPENSATION COMMISSION et al. (Rausch Construction, Appellant).

District & No. First District, Workers’ Compensation Commission Division Docket No. 1-14-3836WC

Filed December 18, 2015 Rehearing denied February 1, 2016

Decision Under Appeal from the Circuit Court of Cook County, No. 14-L-50328; the Review Hon. James M. McGing, Judge, presiding.

Judgment Affirmed.

Counsel on George F. Klauke, Jr., of Klauke Law Group, LLC, of Schaumburg, Appeal for appellant.

Mitchell W. Horwitz and Tyler D. Berberich, both of Horwitz, Horwitz & Associates, Ltd., of Chicago, for appellee.

Panel JUSTICE STEWART delivered the judgment of the court, with opinion. Presiding Justice Holdridge and Justices Hoffman, Hudson, and Harris concurred in the judgment and opinion. OPINION

¶1 On July 28, 2011, the claimant, Tommy Oliver, filed an application for adjustment of claim pursuant to the Workers’ Compensation Act (Act) (820 ILCS 305/1 et seq. (West 2010)), seeking benefits for injuries he allegedly sustained on July 19, 2011, while working for the employer, Rausch Construction. ¶2 On October 3, 2011, the claimant filed a petition for penalties under sections 19(k) and 19(l) of the Act (820 ILCS 305/19(k), (l) (West 2010)) and attorney fees under section 16 of the Act (820 ILCS 305/16 (West 2010)), claiming that the employer had not paid temporary total disability (TTD) benefits or his medical bills. The employer filed a response, asserting that it had subpoenaed the claimant’s medical records and informed the claimant’s attorney of its need for additional records to determine compensability. ¶3 On February 21, 2013, the claim proceeded to an arbitration hearing. On March 9, 2012, the arbitrator filed a decision, awarding the claimant TTD benefits of $1,087.20 per week for 12.429 weeks, from August 1 through October 25, 2011; $20,510.37 in medical expenses; and permanent partial disability (PPD) benefits of $695.78 per week for 50.6 weeks, representing a 20% loss of use of the right arm. The arbitrator also awarded the claimant $4,230 in section 19(l) penalties, $17,011.50 in section 19(k) penalties, and $6,804.64 in section 16 attorney fees, finding that the employer’s refusal to pay him TTD benefits and medical expenses was unreasonable and vexatious. The arbitrator noted that the employer did not dispute liability based on the claimant’s medical records; instead, the employer denied benefits based on the fact that the claimant did not report the accident until six days after it occurred. ¶4 The employer sought review of the arbitrator’s decision before the Illinois Workers’ Compensation Commission (Commission). On November 26, 2012, the Commission filed its decision, finding that penalties and attorney fees should not be imposed against the employer because the employer’s conduct in the defense of this claim was neither unreasonable nor vexatious. The Commission reversed the arbitrator’s award of penalties and attorney fees, corrected the arbitrator’s decision to reflect an award of TTD benefits for 122/7 weeks, corrected several minor typographical errors, and otherwise affirmed and adopted the arbitrator’s decision. ¶5 The claimant filed a timely petition for judicial review in the circuit court of Cook County. The circuit court remanded the matter to the Commission for further findings of fact regarding the Commission’s decision as to penalties and attorney fees. The employer appealed the circuit court’s decision to the appellate court, but the appeal was dismissed for lack of jurisdiction because the circuit court’s remand order was not a final order. ¶6 On March 18, 2014, the Commission issued its decision on remand. In its decision on remand, the Commission restated its reasons for denying penalties and attorney fees in its original decision. ¶7 The claimant filed a timely petition for judicial review in the circuit court. On December 2, 2014, the circuit court entered its opinion, finding that the Commission’s decision as to penalties and attorney fees was against the manifest weight of the evidence. The circuit court, therefore, reversed the Commission’s decision and reinstated the arbitrator’s decision with respect to penalties and attorney fees.

-2- ¶8 The employer filed a timely appeal. On appeal, the employer argues that the Commission’s decision as to penalties and attorney fees was not against the manifest weight of the evidence. For the reasons that follow, we affirm the judgment of the circuit court, which reversed the Commission’s decision and reinstated the arbitrator’s decision with respect to penalties and attorney fees.

¶9 BACKGROUND ¶ 10 On July 28, 2011, the claimant filed an application for adjustment of claim pursuant to the Act, seeking benefits for injuries he allegedly sustained on July 19, 2011, while working for the employer. ¶ 11 On October 3, 2011, the claimant filed a petition for penalties under sections 19(k) and 19(l) of the Act and attorney fees under section 16 of the Act, claiming that the employer had not paid TTD benefits or his medical bills. The employer filed a response, asserting that it had subpoenaed the claimant’s medical records and informed his attorney of its need for additional records to determine compensability. ¶ 12 On February 21, 2012, the claim proceeded to an arbitration hearing. The pertinent evidence presented at the arbitration hearing can be summarized as follows. ¶ 13 The claimant testified that, on July 19, 2011, he was working as a pile driver for the employer on a project at Belmont Harbor, which is on the shore of Lake Michigan in Chicago. The only other days he had worked for the employer were July 15 and 18, 2011. He stated that, on the day of the accident, he was standing on a small barge using an acetylene and oxygen torch to cut steel when some sparks or fire flew out and struck him in the chest. He testified that, in response, he jerked his right arm back, striking his right elbow against a steel wall. He stated that, when he hit his elbow, he “hollered out.” He testified that a coworker, Tita Gosten, heard him holler out and asked if he was hurt. ¶ 14 The claimant testified that, after he hit his elbow, he worked the rest of the day and was laid off at the end of the day. At that time, he noticed bruising and a little blood. He testified that he did not report the accident that day because he thought it was just a regular injury that comes with construction work. He explained that he did not report every bump and bruise he received on the job. That evening, his elbow began swelling, and, over the next several days, the swelling and discomfort worsened. ¶ 15 On July 25, 2011, the claimant saw Dr. Bryan Waxman, an orthopedic surgeon at the Illinois Bone and Joint Institute, reporting that he had injured his right elbow at work approximately a week earlier when he hit his elbow on a metal beam and that he had noticed swelling and some discomfort that night. The doctor noted that, approximately 10 years earlier, the claimant had a triceps avulsion, which had been surgically repaired, and that his elbow had been fine since that time. Dr. Waxman suspected another triceps avulsion and ordered a magnetic resonance imaging (MRI) scan, which showed a full-thickness tear involving the triceps tendon. ¶ 16 After seeing Dr. Waxman on July 25, 2011, the claimant called the employer to report his accident.

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Oliver v. Illinois Workers' Compensation Comm'n
2015 IL App (1st) 143836WC (Appellate Court of Illinois, 2015)

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2015 IL App (1st) 143836WC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oliver-v-illinois-workers-compensation-commn-illappct-2016.