RENDERED: AUGUST 2, 2024; 10:00 A.M. NOT TO BE PUBLISHED
Commonwealth of Kentucky Court of Appeals NO. 2023-CA-0713-WC
RONALD LIVERS APPELLANT
PETITION FOR REVIEW OF A DECISION v. OF THE WORKERS’ COMPENSATION BOARD ACTION NO. WC-19-74005
WESTROCK; HONORABLE AMANDA M. PERKINS, ADMINISTRATIVE LAW JUDGE; AND WORKERS’ COMPENSATION BOARD APPELLEES
OPINION AFFIRMING
** ** ** ** **
BEFORE: THOMPSON, CHIEF JUDGE; ACREE AND A. JONES, JUDGES.
ACREE, JUDGE: Appellant, Ronald Livers, appeals the Workers’ Compensation
Board’s (Board) May 18, 2023 Order vacating an Administrative Law Judge’s
(ALJ) award of temporary total disability (TTD) benefits to Appellant. Finding no
error, we affirm. Appellant worked for Appellee, Westrock, as a truck driver for twelve
years until Appellant suffered a lower back injury. On June 26, 2019, Appellant
drove an overloaded truck, which broke in two – jolting Appellant upward into the
air and then slammed him back as the truck frame hit the ground. It is undisputed
he sustained injuries to his back and buttocks because of this accident. For some
time, Appellant was unable to perform any work, but once able to perform light
duty work, he worked as a scale clerk. He worked this light duty job until
Westrock terminated his employment on March 5, 2021.
On June 28, 2021, Appellant had a dorsal column neurostimulator
implanted in his back. He underwent this spinal surgery to improve the injury he
suffered in the accident. Thereafter, Dr. Jonathan Hodes evaluated Appellant and
determined he had reached maximum medical improvement (MMI) on November
2, 2021. Appellant then brought a claim before an ALJ requesting TTD benefits
from March 6, 2021 (when his employment was terminated) to November 2, 2021
(when he reached MMI). The ALJ awarded these benefits to Appellant, but
Westrock appealed this award to the Board.
Before the Board, Westrock argued Appellant did not meet the
requirements for TTD benefits until after his surgery on June 28, 2021. Westrock
asked the Board to vacate the TTD benefits award from March 6, 2021, until the
day before his spinal surgery – June 27, 2021. Westrock did not challenge the
-2- award of TTD benefits from June 28, 2021 to November 2, 2021, when Appellant
reach MMI.
In its opinion, the Board agreed with Westrock and vacated the ALJ’s
awarded TTD benefits from March 6, 2021 to June 27, 2021. The Board also
remanded this case to the ALJ for additional fact finding concerning the type of
employment Appellant was capable of performing on March 6, 2021. This appeal
follows.
Pursuant to KRS1 342.0011, “‘Temporary total disability’ means the
condition of an employee who has not reached maximum medical improvement
from an injury and has not reached a level of improvement that would permit a
return to employment[.]” KRS 342.0011(11)(a). “[T]o put it positively, an
employee is entitled to receive TTD benefits until such time as she reaches
maximum medical improvement (MMI) or has improved to the point that she can
return to employment.” Trane Com. Sys. v. Tipton, 481 S.W.3d 800, 803 (Ky.
2016). The Kentucky Supreme Court went on to explain in Trane:
Initially, we reiterate that “[t]he purpose for awarding income benefits such as TTD is to compensate workers for income that is lost due to an injury, thereby enabling them to provide the necessities of life for themselves and their dependents.” Double L Const., Inc. [v. Mitchell, 182 S.W.3d 509, 514 (Ky. 2005)]. Next, we note that, once an injured employee reaches MMI that employee is no longer entitled to TTD benefits. Therefore, the following only
1 Kentucky Revised Statutes.
-3- applies to those employees who have not reached MMI but who have reached a level of improvement sufficient to permit a return to employment.
As we have previously held, “[i]t would not be reasonable to terminate the benefits of an employee when he is released to perform minimal work but not the type [of work] that is customary or that he was performing at the time of his injury.” Central Kentucky Steel v. Wise, 19 S.W.3d at 659. However, it is also not reasonable, and it does not further the purpose for paying income benefits, to pay TTD benefits to an injured employee who has returned to employment simply because the work differs from what she performed at the time of injury. Therefore, absent extraordinary circumstances, an award of TTD benefits is inappropriate if an injured employee has been released to return to customary employment, i.e. work within her physical restrictions and for which she has the experience, training, and education; and the employee has actually returned to employment. We do not attempt to foresee what extraordinary circumstances might justify an award of TTD benefits to an employee who has returned to employment under those circumstances; however, in making any such award, an ALJ must take into consideration the purpose for paying income benefits and set forth specific evidence-based reasons why an award of TTD benefits in addition to the employee’s wages would forward that purpose.
Trane Com. Sys., 481 S.W.3d at 807 (alterations in original). Thus, whether
Appellant is entitled to TTD benefits from March 6, 2021 to June 27, 2021 hinges
on whether Appellant could return to his customary work.
The Board notes in its opinion that the ALJ determined, in her original
order, that Appellant had returned to “work for which he had the experience,
training, and education to perform.” This mimics the above quoted language in
-4- Trane. 481 S.W.3d at 807. However, the ALJ made this finding in relation to the
period in which Appellant returned to work at Westrock as a scale clerk. The
Board noted the ALJ failed to make this finding as to Appellant’s condition on
March 6, 2021, and believed the ALJ did not do a complete analysis concerning
Appellant’s rights to TTD benefits. The ALJ did not make an explicit finding that
Appellant could return to his customary employment on March 6, 2021.
Despite this, the record does not reveal any changes in Appellant’s
circumstances to rebut the ALJ’s finding that he could return to customary work
when he began working as a scale clerk. Per the ALJ’s findings, and the Board’s
interpretation of them, on March 5, 2021, Appellant worked in his customary
employment and was not entitled to TTD benefits. On March 6, 2021, the only
change in Appellant’s circumstances was his employment status; Westrock fired
him. The record reveals no change in Appellant’s ability to perform his work as a
scale clerk.
Westrock claims it fired Appellant from his scale clerk position
because he brought COVID-19 into the workplace. Appellant alleges this was a
pretextual reason for firing him and the actual reason was that he was not a good
scale clerk, a circumstance he attributed to dyslexia. Either reason, if taken as true,
has no bearing on whether Appellant was capable of performing his customary
work after being terminated because neither related to his work-related injury.
-5- Because of this, it is unclear why the ALJ needs to reiterate her finding that
Appellant was still capable of returning to his customary work after being fired for
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RENDERED: AUGUST 2, 2024; 10:00 A.M. NOT TO BE PUBLISHED
Commonwealth of Kentucky Court of Appeals NO. 2023-CA-0713-WC
RONALD LIVERS APPELLANT
PETITION FOR REVIEW OF A DECISION v. OF THE WORKERS’ COMPENSATION BOARD ACTION NO. WC-19-74005
WESTROCK; HONORABLE AMANDA M. PERKINS, ADMINISTRATIVE LAW JUDGE; AND WORKERS’ COMPENSATION BOARD APPELLEES
OPINION AFFIRMING
** ** ** ** **
BEFORE: THOMPSON, CHIEF JUDGE; ACREE AND A. JONES, JUDGES.
ACREE, JUDGE: Appellant, Ronald Livers, appeals the Workers’ Compensation
Board’s (Board) May 18, 2023 Order vacating an Administrative Law Judge’s
(ALJ) award of temporary total disability (TTD) benefits to Appellant. Finding no
error, we affirm. Appellant worked for Appellee, Westrock, as a truck driver for twelve
years until Appellant suffered a lower back injury. On June 26, 2019, Appellant
drove an overloaded truck, which broke in two – jolting Appellant upward into the
air and then slammed him back as the truck frame hit the ground. It is undisputed
he sustained injuries to his back and buttocks because of this accident. For some
time, Appellant was unable to perform any work, but once able to perform light
duty work, he worked as a scale clerk. He worked this light duty job until
Westrock terminated his employment on March 5, 2021.
On June 28, 2021, Appellant had a dorsal column neurostimulator
implanted in his back. He underwent this spinal surgery to improve the injury he
suffered in the accident. Thereafter, Dr. Jonathan Hodes evaluated Appellant and
determined he had reached maximum medical improvement (MMI) on November
2, 2021. Appellant then brought a claim before an ALJ requesting TTD benefits
from March 6, 2021 (when his employment was terminated) to November 2, 2021
(when he reached MMI). The ALJ awarded these benefits to Appellant, but
Westrock appealed this award to the Board.
Before the Board, Westrock argued Appellant did not meet the
requirements for TTD benefits until after his surgery on June 28, 2021. Westrock
asked the Board to vacate the TTD benefits award from March 6, 2021, until the
day before his spinal surgery – June 27, 2021. Westrock did not challenge the
-2- award of TTD benefits from June 28, 2021 to November 2, 2021, when Appellant
reach MMI.
In its opinion, the Board agreed with Westrock and vacated the ALJ’s
awarded TTD benefits from March 6, 2021 to June 27, 2021. The Board also
remanded this case to the ALJ for additional fact finding concerning the type of
employment Appellant was capable of performing on March 6, 2021. This appeal
follows.
Pursuant to KRS1 342.0011, “‘Temporary total disability’ means the
condition of an employee who has not reached maximum medical improvement
from an injury and has not reached a level of improvement that would permit a
return to employment[.]” KRS 342.0011(11)(a). “[T]o put it positively, an
employee is entitled to receive TTD benefits until such time as she reaches
maximum medical improvement (MMI) or has improved to the point that she can
return to employment.” Trane Com. Sys. v. Tipton, 481 S.W.3d 800, 803 (Ky.
2016). The Kentucky Supreme Court went on to explain in Trane:
Initially, we reiterate that “[t]he purpose for awarding income benefits such as TTD is to compensate workers for income that is lost due to an injury, thereby enabling them to provide the necessities of life for themselves and their dependents.” Double L Const., Inc. [v. Mitchell, 182 S.W.3d 509, 514 (Ky. 2005)]. Next, we note that, once an injured employee reaches MMI that employee is no longer entitled to TTD benefits. Therefore, the following only
1 Kentucky Revised Statutes.
-3- applies to those employees who have not reached MMI but who have reached a level of improvement sufficient to permit a return to employment.
As we have previously held, “[i]t would not be reasonable to terminate the benefits of an employee when he is released to perform minimal work but not the type [of work] that is customary or that he was performing at the time of his injury.” Central Kentucky Steel v. Wise, 19 S.W.3d at 659. However, it is also not reasonable, and it does not further the purpose for paying income benefits, to pay TTD benefits to an injured employee who has returned to employment simply because the work differs from what she performed at the time of injury. Therefore, absent extraordinary circumstances, an award of TTD benefits is inappropriate if an injured employee has been released to return to customary employment, i.e. work within her physical restrictions and for which she has the experience, training, and education; and the employee has actually returned to employment. We do not attempt to foresee what extraordinary circumstances might justify an award of TTD benefits to an employee who has returned to employment under those circumstances; however, in making any such award, an ALJ must take into consideration the purpose for paying income benefits and set forth specific evidence-based reasons why an award of TTD benefits in addition to the employee’s wages would forward that purpose.
Trane Com. Sys., 481 S.W.3d at 807 (alterations in original). Thus, whether
Appellant is entitled to TTD benefits from March 6, 2021 to June 27, 2021 hinges
on whether Appellant could return to his customary work.
The Board notes in its opinion that the ALJ determined, in her original
order, that Appellant had returned to “work for which he had the experience,
training, and education to perform.” This mimics the above quoted language in
-4- Trane. 481 S.W.3d at 807. However, the ALJ made this finding in relation to the
period in which Appellant returned to work at Westrock as a scale clerk. The
Board noted the ALJ failed to make this finding as to Appellant’s condition on
March 6, 2021, and believed the ALJ did not do a complete analysis concerning
Appellant’s rights to TTD benefits. The ALJ did not make an explicit finding that
Appellant could return to his customary employment on March 6, 2021.
Despite this, the record does not reveal any changes in Appellant’s
circumstances to rebut the ALJ’s finding that he could return to customary work
when he began working as a scale clerk. Per the ALJ’s findings, and the Board’s
interpretation of them, on March 5, 2021, Appellant worked in his customary
employment and was not entitled to TTD benefits. On March 6, 2021, the only
change in Appellant’s circumstances was his employment status; Westrock fired
him. The record reveals no change in Appellant’s ability to perform his work as a
scale clerk.
Westrock claims it fired Appellant from his scale clerk position
because he brought COVID-19 into the workplace. Appellant alleges this was a
pretextual reason for firing him and the actual reason was that he was not a good
scale clerk, a circumstance he attributed to dyslexia. Either reason, if taken as true,
has no bearing on whether Appellant was capable of performing his customary
work after being terminated because neither related to his work-related injury.
-5- Because of this, it is unclear why the ALJ needs to reiterate her finding that
Appellant was still capable of returning to his customary work after being fired for
reasons unrelated to his injury. To the contrary, there is no reason to conclude
Appellant was incapable of performing his customary work; that is, he could
perform the work of a scale clerk on March 6, 2021.
Thus, on March 6, 2021, Appellant could return to his customary
work, per the ALJ’s finding that he had already returned to “work for which he had
the experience, training, and education to perform.” As such, TTD benefits would
be inappropriate as “[t]he purpose for awarding income benefits such as TTD is to
compensate workers for income that is lost due to an injury, thereby enabling them
to provide the necessities of life for themselves and their dependents.” Trane Com.
Sys., 481 S.W.3d at 807 (quoting Double L Const., Inc., 182 S.W.3d at 514). On
March 6, 2021, Appellant was not unemployed due to his work-related injury.
Instead, Appellant was unemployed because Westrock fired him for reasons
unrelated to his work-related injury.
Of course, as the Board notes, this analysis completely changed once
Appellant underwent spinal surgery on June 28, 2021. It is highly doubtful
Appellant could have returned to any work after surgeons implanted the dorsal
column neurostimulator in him and before again reaching MMI. Nevertheless,
-6- Appellant cannot satisfy the requirements for obtaining TTD benefits prior to this
surgery, from March 6, 2021 to June 27, 2021.
Accordingly, the Board did not err when it reversed the award of TTD
benefits from this time period. Appellant is not entitled to TTD benefits from
March 6, 2021 to June 27, 2021.
We affirm.
ALL CONCUR.
BRIEF FOR APPELLANT: BRIEF FOR APPELLEE:
John Edward Ballerstedt, Jr. Jo Alice Van Nagell Louisville, Kentucky C. Daniel Scott Lexington, Kentucky
-7-