Schmidt v. South Central Bell

340 S.W.3d 591, 2011 Ky. App. LEXIS 88, 2011 WL 1843056
CourtCourt of Appeals of Kentucky
DecidedMay 13, 2011
Docket2010-CA-000986-WC
StatusPublished
Cited by5 cases

This text of 340 S.W.3d 591 (Schmidt v. South Central Bell) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schmidt v. South Central Bell, 340 S.W.3d 591, 2011 Ky. App. LEXIS 88, 2011 WL 1843056 (Ky. Ct. App. 2011).

Opinion

OPINION

LAMBERT, Judge:

Richard Schmidt has petitioned this Court for review of the decision of the Workers’ Compensation Board (Board), which affirmed the decision of the Administrative Law Judge (ALJ) finding that South Central Bell was no longer responsible for the payment of future medical payments based upon the $3,500.00 cap on the amount of medical expenses an employer must pay in the version of Kentucky Revised Statutes (KRS) 342.020 in effect at the time of Schmidt’s injury. Because we agree with Schmidt that the amendment to KRS 342.020 removing the cap was retroactive, and therefore applied to him, we reverse the Board’s decision.

On August 6, 1962, thirty-year-old Richard Schmidt was working as an installer/repairman for Southern Bell Telephone & Telegraph Co., now South Central Bell. 1 That day, Schmidt was involved in a work-related accident when his arm came into contact with an energized telephone wire caused by a downed 7200-volt power line. As a result, Schmidt suffered extensive burns to his right upper and lower left extremities, among other areas. Ultimately, his entire right arm and his left leg below the knee were amputated. He underwent several surgeries and uses a prosthetic leg. Schmidt collected temporary total disability benefits at a rate of $38.00 per week until he returned to work to a lighter but higher paying position on November 4, 1963. Schmidt and South Central Bell reached an agreement as to his compensation, which the old Workmen’s Compensation Board approved on April 7, 1964. In doing so, the old Board awarded Schmidt $38.00 per week for a total of $13,687.60 to be paid from the Subsequent Claims Fund. Schmidt retired from South Central Bell in the 1970s and has not worked since his retirement.

In 1994, thirty years after the settlement agreement was approved, South Central Bell filed a motion to reopen to contest medical expenses for what it alleged to be excessive prescriptions for Valium and Demerol. The parties eventually settled the matter, and the ALJ assigned to decide the medical fee dispute closed the file in 1997.

*593 On September 24, 2008, more than ten years later, South Central Bell filed another motion to reopen to contest medical expenses. This time, South Central Bell contended that the medications prescribed to Schmidt were unreasonable and unnecessary for his treatment. 2 Additionally, and for the first time, South Central Bell raised the existence of the cap on medical expenses in the version of KRS 342.020 in effect at the time of Schmidt’s injury. Based upon that version, South Central Bell argued that the medical expenses it had already paid exceeded the $3,500.00 cap.

The motion to reopen was granted to the extent that it was assigned to an ALJ for final adjudication, and the parties introduced proof into the record. Specifically related to the issue before this Court, South Central Bell introduced an affidavit from Sedgwick CMS claims representative Jeri Morris Long detailing the medical expenses that had been paid on Schmidt’s behalf. As of December 29, 2008, $178,667.95 had been paid in medical expenses.

The parties filed briefs addressing their respective arguments. In his brief, Schmidt contended that the earlier version of the statute was void as against public policy and that the ongoing amendments to the statute were procedural meaning that the lifting of the cap should be given retroactive application. In its brief, South Central Bell pointed out that the legislature did not direct that the amendment to KRS 342.020 would be applied retroactively, and it argued that equitable estoppel and public policy arguments must fail.

In the opinion and order, the ALJ reviewed the applicable version of the statute and subsequent amendments, and agreed with South Central Bell that the statutory cap of $3,500.00 required the termination of South Central Bell’s responsibility for future medical expenses. In so holding, the ALJ noted that the rights of the parties under the Workers’ Compensation Act are controlled by the law in existence at the time of the injury and then found that the amendment to the statute eliminating the cap was not procedural or subject to retroactive application. Accordingly, the ALJ determined that the version of the statute in effect at the time of the 1962 injury, which included the cap on future medical expenses, applied. Finally, the ALJ did not find any violation of public policy.

Schmidt perfected an appeal to the Board, raising the same issues as in his brief before the ALJ. After thoroughly reviewing the applicable statute, the amendments to that statute, and the law, the Board affirmed the ALJ’s decision. The Board specifically held that the legislature never provided that any of the amendments to the statute should have retroactive application and that the amendment removing the cap on future medical expenses was substantive in nature because it affected the amount of medical expenses an employer would owe. This petition for review follows.

Our review in this matter is premised on the Supreme Court of Kentucky’s statement describing the role of this Court in workers’ compensation actions as set forth in Western Baptist Hospital v. Kelly, 827 S.W.2d 685 (Ky.1992). This Court’s function is to correct a decision of the Board only where we perceive that “the *594 Board has overlooked or misconstrued controlling statutes or precedent, or committed an error in assessing the evidence so flagrant as to cause gross injustice.” Id. at 687-88. For purposes of this appeal, we must determine whether the Board misconstrued the controlling statutes and precedent related to the application of KRS 342.020.

It is well settled that “[wjorkers’ compensation is a creature of statute, and the remedies and procedures described therein are exclusive.” Williams v. Eastern Coal Corp., 952 S.W.2d 696, 698 (Ky.1997). It is also well settled that “[t]he rights of the parties in respect to compensation for injuries [become] fixed and vested on the date of the injury. Those rights [are] controlled by the law in existence at that time[.]” Thomas v. Crummies Creek Coal Co., 297 Ky. 210, 179 S.W.2d 882, 883 (1944).

We begin our analysis by setting forth the version of KRS 342.020 (effective June 16, 1960) that was in effect at the time of Schmidt’s injury in 1962:

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Cite This Page — Counsel Stack

Bluebook (online)
340 S.W.3d 591, 2011 Ky. App. LEXIS 88, 2011 WL 1843056, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schmidt-v-south-central-bell-kyctapp-2011.