Samuel v. Progressive Cas. Ins. Co.

2017 Ohio 388
Ohio Court of Appeals·Decided February 2, 2017·No. 104472·Published

Opinion

Court of Appeals of Ohio

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

JOURNAL ENTRY AND OPINION No. 104472

ANGELA SAMUEL

PLAINTIFF-APPELLANT

vs.

PROGRESSIVE CASUALTY

INSURANCE CO., ET AL.

DEFENDANTS-APPELLEES

JUDGMENT:

AFFIRMED

Civil Appeal from the

Cuyahoga County Court of Common Pleas Case No. CV-15-847070

BEFORE: Laster Mays, J., E.T. Gallagher, P.J., and Blackmon, J.

RELEASED AND JOURNALIZED: February 2, 2017

-i-

FOR APPELLANT

Angela Samuel, pro se 12841 Walnut Hill Drive North Royalton, Ohio 44133

ATTORNEYS FOR APPELLEE

Timothy L. Zix Christopher B. Ermisch Taft Stettinius & Hollister, L.L.P. 200 Public Square, Suite 3500 Cleveland, Ohio 44114

ANITA LASTER MAYS, J.:

{¶1} Plaintiff-appellant Angela Samuel (“Samuel”) appeals, pro se, the trial court’s grant of summary judgment in favor of Progressive Casualty Insurance Co. (“Progressive”), and the Ohio Bureau of Workers’ Compensation (“BWC”), finding that Samuel did not suffer a compensable, work-related injury. We affirm the trial court’s findings.

I. Facts and Background

{¶2} Samuel was employed by Progressive as a retention specialist, a job requiring speaking with clients by telephone, computer access, giving presentations and occasionally attending meetings. Samuel worked primarily from her residence in North Royalton. In the event of technical problems, Samuel worked on-site at the 300 North Commons Boulevard location of Progressive’s campus in Mayfield, Ohio. Samuel’s regular work schedule was Monday, Tuesday, Wednesday, and Saturday from 8:00 a.m. to 1:00 p.m., and from 7:00 p.m. to midnight.

{¶3} From February 10, 2014 to March 8, 2014, Samuel was on a leave of absence and, from March 8, 2014 to March 25, 2014, subject to work restrictions. Both periods were covered under the Family Medical Leave Act (“FMLA”). Samuel’s FMLA entitlement was due to issues unrelated to her employment. Progressive’s Leave of Absence Department (“LOA”) notified Samuel upon initiation of her FMLA request that LOA policy required that all documentation be emailed, mailed, or faxed to LOA. Samuel denies receiving notification of the policy.

{¶4} Documents submitted to LOA by Samuel and her doctors during the FMLA period were sometimes misplaced by LOA and, at other times, LOA denied receipt. Samuel asserts that she was contacted by LOA just a few days prior to March 25, 2014, and advised that she would be terminated if she failed to submit FMLA paperwork justifying her work restrictions by that date.

{¶5} Concerned that she would miss the deadline, and in light of the prior issues with LOA regarding receipt or misplacement of documents, the evening of Sunday, March 23, 2014, Samuel decided to hand-deliver the paperwork to the Human Resource Department (“HR”), located in the West Building of the Progressive campus. The West Building was accessible to employees for 24 hours per day, seven days per week. Samuel was not aware that LOA, located in the North Building of the campus, was not part of HR. LOA’s operating hours were Monday through Friday from 7:00 a.m. to 6:30 p.m.

{¶6} Samuel placed the documents on the unattended reception desk outside of the HR department. As Samuel descended the stairway to leave, she slipped on a substance that she later described as coffee, injuring her right side. An employee who witnessed the fall contacted security. Samuel informed the guard that she was feeling dizzy after the fall, but the guard refused to call an ambulance until he talked with his supervisor. An ambulance transported Samuel to Hillcrest Hospital approximately one hour after the incident.

{¶7} On January 29, 2015, the Ohio Industrial Commission (“OIC”) denied Samuel’s workers’ compensation claim (“Claim”). Progressive argued that the injury did not occur within the scope of Samuel’s employment, the injury was idiopathic based on Samuel’s historical issues of dizziness, and that there was no credible evidence that the incident occurred as described. Samuel, represented by counsel, argued that any prior claims of dizziness or headaches were unrelated, infrequent, and had been treated prior to the injury.

{¶8} The hearing officer disallowed the claim, finding that Samuel failed to establish, by a preponderance of the evidence, that she sustained a compensable injury, or to refute idiopathic causation. Samuel had been seeing a physician due to dizziness for the prior six months, a symptom that the evidence showed occurred more frequently during the two weeks prior to the injury. Though Samuel asserted that she slipped on coffee, the security guard testified there was no coffee or other substance on the steps.

{¶9} On March 27, 2015, Samuel’s appeal to the OIC was denied. The OIC also determined that the cause of injury was idiopathic. On June 17, 2015, Samuel appealed to the Cuyahoga County Court of Common Pleas pursuant to R.C. 4123.512.

{¶10} On April 12, 2016, the trial court granted summary judgment for Progressive, finding that Samuel did not suffer a work-related injury. Samuel filed this pro se appeal. II. Standard of Review

{¶11} We first address the broad scope of the trial court’s review under R.C.

4123.512, as compared to typical administrative appeals. A claimant effectively begins anew, without regard to the proceedings before the OIC:

An R.C. 4123.512 appeal “necessitates a new trial, without reference to the administrative claim file or consideration of the results of the administrative hearings” and “is not a record review or an error proceeding.” Rather, pursuant to the key final sentence of R.C. 4123.512(D), “[t]he court, or the jury under the instructions of the court, if a jury is demanded, shall determine the right of the claimant to participate or to continue to participate in the fund upon the evidence adduced at the hearing of the action.”

Bennett v. Admr., Ohio Bureau of Workers’ Comp., 134 Ohio St.3d 329, 2012-Ohio-5639, 982 N.E.2d 666, ¶ 19, quoting Robinson v. B.O.C. Group, Gen. Motors Corp., 81 Ohio St 3d 361, 368, 691 N.E.2d 667 (1998).

{¶12} The claimant bears the burden of proving entitlement to coverage. “The proceedings are de novo both in the sense of receipt of evidence and determination.” Bennett at ¶ 2, quoting Robinson at 368.

{¶13} Our review of summary judgment on appeal is also de novo:

Appellate review of summary judgment is de novo, governed by the standard set forth in Civ.R. 56. Comer v. Risko, 106 Ohio St.3d 185, 2005-Ohio-4559, 833 N.E.2d 712, ¶ 8. “Summary judgment may be granted only when (1) there is no genuine issue of material fact, (2) the moving party is entitled to judgment as a matter of law, and (3) viewing the evidence most strongly in favor of the nonmoving party, reasonable minds can come to but one conclusion and that conclusion is adverse to the nonmoving party.” Marusa v. Erie Ins. Co., 136 Ohio St.3d 118, 2013-Ohio-1957, 991 N.E.2d 232, ¶ 7.

Rolsen v. Walgreen Co., 8th Dist. Cuyahoga No. 104431, 2016-Ohio-8304, ¶ 5.

{¶14} The initial burden is on the party moving for summary judgment:

The party moving for summary judgment bears the initial burden of apprising the trial court of the basis of its motion and identifying those portions of the record which demonstrate the absence of a genuine issue of fact on an essential element of the nonmoving party’s claim. Dresher v.

Burt, 75 Ohio St.3d 280, 293, 662 N.E.2d 264 (1996). Once the moving party meets its burden, the burden shifts to the nonmoving party to set forth specific facts demonstrating a genuine issue of material fact exists. Id. To satisfy this burden, the nonmoving party must submit evidentiary materials showing a genuine dispute over material facts. PNC Bank, N.A. v.

Bhandari, 6th Dist. Lucas No. L-12-1335, ¶ 9.

Lillie & Holderman v. Dimora, 8th Dist. Cuyahoga No. 100989, 2015-Ohio-301, ¶ 9. III. Assignments of Error

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