R.D. Masonry, Inc. v. Industrial Comm'n

CourtIllinois Supreme Court
DecidedMay 19, 2005
Docket98990 Rel
StatusPublished

This text of R.D. Masonry, Inc. v. Industrial Comm'n (R.D. Masonry, Inc. v. Industrial Comm'n) is published on Counsel Stack Legal Research, covering Illinois Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
R.D. Masonry, Inc. v. Industrial Comm'n, (Ill. 2005).

Opinion

Docket No. 98990–Agenda 14–March 2005.

R.D. MASONRY, INC., Appellee, v. THE INDUSTRIAL

COMMISSION et al. (Scott Hunter, Appellant).

Opinion filed May 19, 2005.

JUSTICE THOMAS delivered the opinion of the court:

The main issue presented by this appeal is whether claimant was an “employee entitled to receive disability benefits” within the meaning of section 12 of the Workers’ Compensation Act (the Act) (820 ILCS 305/12 (West 1998)), so that he was required to submit to an employer-requested medical examination to avoid suspension of benefits. We answer in the affirmative.

BACKGROUND

Claimant, Scott Hunter, filed an application for adjustment of claim to recover benefits for a back injury he allegedly sustained while working for R.D. Masonry (Masonry) on August 21, 1998. Masonry disputed the claim and requested that claimant be examined by Dr. Avi Bernstein pursuant to section 12 of the Act. On December 14, 1998, claimant was examined by Dr. Bernstein, and the cause proceeded to a hearing before an arbitrator on March 15, 1999. The arbitrator awarded claimant temporary total disability (TTD) benefits from August 31, 1998, through March 15, 1999, finding Dr. Bernstein’s report unpersuasive.

Thereafter, Masonry filed for review of the arbitrator’s decision to the Industrial Commission (Commission). While review was pending before the Commission, Masonry’s insurance carrier sent a letter to claimant’s attorney on May 19, 1999, requesting that claimant be examined by Dr. Bernstein on May 27, 1999. The claimant did not attend the appointment. Claimant testified that his attorney never told him of the scheduled appointment so he was unaware of it. But claimant’s attorney testified that he instructed claimant not to attend the examination.

On May 28, 1999, Masonry’s insurance carrier sent another letter to claimant’s attorney offering to reschedule an appointment with Dr. Bernstein. Claimant’s attorney responded with a letter on June 3, 1999, informing the insurer that his client would not attend any examination until Masonry complied with the arbitrator’s decision.

On June 24, 1999, the Commission modified the arbitrator’s calculation of claimant’s average weekly wage, but otherwise affirmed the arbitrator’s decision. Masonry filed for judicial review of the Commission’s decision in the circuit court of Cook County. The circuit court recalculated claimant’s average weekly wage, but confirmed the remainder of the Commission’s decision. Masonry appealed, and on December 21, 2000, the appellate court affirmed the circuit court’s decision.

In January 2001, Masonry paid claimant $23,423.82, which covered the TTD award through March 15, 1999, plus interest. Masonry also paid claimant an additional $7,282.58 for TTD benefits for the period running from March 16, 1999, through May 27, 1999. Masonry, however, did not pay any benefits for the period after May 27, 1999, the date of the scheduled medical examination that claimant refused to attend.

Claimant then filed another petition before the arbitrator, this time requesting TTD benefits for the period after May 27, 1999. The arbitrator found, however, that claimant was not entitled to benefits after May 27, 1999, because he refused to attend the scheduled medical examination pursuant to section 12 of the Act, which requires “[a]n employee entitled to receive disability payments” to submit himself or herself to a medical examination if requested by the employer. See 820 ILCS 305/12 (West 1998). Accordingly, the arbitrator entered an order awarding claimant TTD for the period from March 16, 1999, through May 27, 1999.

The Commission, with one commissioner dissenting, ruled that because Masonry was not making TTD payments to claimant at the time of the medical examination scheduled for May 27, 1999, claimant was not “an employee entitled to receive benefits” within the meaning of section 12, and claimant was therefore not required to attend the examination. Consequently, claimant’s right to receive benefits was not subject to suspension under section 12. The Commission further found, however, that because claimant’s need for further treatment and his work status were unknown, Masonry’s demand for the second medical examination was for a proper purpose and not for harassment. Finally, the Commission denied claimant’s request for penalties, finding that Masonry’s conduct was objectively reasonable. The circuit court confirmed the decision of the Commission.

The appellate court, with one member of the five-justice panel dissenting, reversed the circuit court’s confirmation of the Commission’s ruling that claimant was not required to submit to a medical examination. 349 Ill. App. 3d 752, 758. The appellate court found that the Commission had misconstrued section 12 of the Act, noting as follows:

“According to the Commission, at the time that [Masonry] requested the examination, it had not agreed to pay benefits to the claimant, was appealing the arbitrator’s finding as to liability and was withholding the payment of TTD benefits pending the outcome of that appeal and, as a consequence, the claimant ‘did not know whether he was “entitled to receive benefits.” ’ The Commission seems to imply that, before a claimant is required to submit to a section 12 examination, he must know that he is entitled to receive benefits. However, we find no authority for such a conclusion either in the language of section 12 or any reported case.

Section 12 of the Act requires an employee ‘entitled to receive disability payments’ to submit, at his employer’s request, to a physical examination. As our supreme court held in Jackson Coal Co. v. Industrial Comm’n , 295 Ill. 18, 20-21, 128 N.E. 813 (1920):

‘It is not restricted to cases where the employer acknowledges his liability and makes compensation payments. It applies to all cases where the employee is entitled to receive disability payments, and whether he is entitled to them is not dependent on whether the employer acknowledges liability by making the payments.” See also Paradise Coal Co. v. Industrial Comm’n , 301 Ill. 504, 507, 134 N.E. 167 (1922).’ ” 349 Ill. App. 3d at 756.

The appellate court remanded the cause to the Commission to reinstate the arbitrator’s decision limiting claimant’s TTD benefits to the period ending May 27, 1999. 349 Ill. App. 3d at 758-59. Two justices of the panel certified that the case involved a substantial question that warrants consideration by this court. We subsequently allowed claimant’s petition for leave to appeal (177 Ill. 2d R. 315(a)).

ANALYSIS

Claimant initially argues that the Commission made a factual finding as to whether he was an “employee entitled to receive benefits,” and therefore its ruling is subject to the manifest weight of the evidence standard of review. We disagree. The essential facts are undisputed and the matter before us is solely a matter of statutory construction. Accordingly, the case presents a question of law that we review de novo . Sylvester v. Industrial Comm’n , 197 Ill. 2d 225, 232 (2001).

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