Skaggs v. Eastern Associated Coal Corp.

569 S.E.2d 769, 212 W. Va. 248
CourtWest Virginia Supreme Court
DecidedJuly 17, 2002
Docket30190
StatusPublished
Cited by13 cases

This text of 569 S.E.2d 769 (Skaggs v. Eastern Associated Coal Corp.) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Skaggs v. Eastern Associated Coal Corp., 569 S.E.2d 769, 212 W. Va. 248 (W. Va. 2002).

Opinions

STARCHER, Justice:

In this appeal from the Circuit Court of Boone County, we are asked to examine an order granting summary judgment against a plaintiff-employee who alleges he was terminated from his job, and thereby discriminated against by his defendant-employer, for receiving workers’ compensation benefits. The defendant alleges that the plaintiff voluntarily accepted workers’ compensation rehabilitation services, and in doing so voluntarily indicated he was unable to' ever return to his job' — hence, his job was terminated. The plaintiff, however, alleges that the defendant is employing a complicated scheme to use the workers’ compensation rehabilitation system as a way of removing employees injured on the job from its payroll.

As set forth below, after carefully examining the record we find genuine issues of material fact remain for consideration by the finder of fact. We reverse the circuit court’s summary judgment order and remand the case for further -proceedings.

I.

Facts & Background

Plaintiff-appellant Shelby D. Skaggs was employed as a motor man for defendant-appellee Eastern Associated Coal Corporation and was injured during the course of and as a result of his employment on October 2, 1997. The plaintiff filed a claim for workers’ compensation benefits with the West Virginia Workers’ Compensation Division, and received temporary total disability benefits during his recovery.

The defendant apparently had a policy mandating that injured workers submit to a functional capacity evaluation before being allowed to return to work. In a letter written to the plaintiffs doctor on October 20, 1997, 18 days after the plaintiffs injury, a workers’ compensation claims administrator working on the defendant’s behalf stated:

Eastern Associated Coal Corporation is participating in a Rehabilitation Program approved by the Workers’ Compensation Division. As part of this program, Eastern Associated Coal Corporation employees are required to complete a Functional Capacity Evaluation ....
Please do not return claimant to work prior to the initial functional capacity evaluation as their employer cannot accept them without this evaluation being completed.

In accordance with this company policy, on April 6,1998, apparently before the plaintiffs injuries had fully healed, the plaintiff was required by the defendant to submit to a “functional capacity evaluation.” The report generated by the evaluator stated that the plaintiff could engage in light work, but that the plaintiff “is currently unable to return to his former position as a Motorman[.]”

Several months later, the plaintiff was evaluated by two different doctors-Dr. Paul Bachwdtt in August 1998 and Dr. John Kroening in December 1998. Both doctors concluded that the plaintiff had fully recovered and reached his maximum degree of [250]*250medical improvement. Based upon these evaluations, the Workers’ Compensation Division suspended the plaintiffs temporary total disability benefits on December 29, 1998, and the plaintiff was awarded a 4% permanent partial disability award.

Dr. Bachwitt’s report indicated that the plaintiff “could return any time” to his customary duties with the defendant and “should either be returned to work or put into a work hardening program.” Dr. Ba-chwitt also indicated that he felt the claimant was a candidate for vocational rehabilitation because “I feel all individuals are vocational rehabilitation candidates.” Dr. Kroening similarly reported that the plaintiff did not need “restrictions, accommodations or restrictive devices ... to carry out usual activities or meet ... appropriate occupational demands,” but did state that “[i]t would be reasonable to avoid hyperextension of the neck.”

The defendant’s workers’ compensation claims were managed by a third-party administrator called Acordia. On May 13, 1999, a “senior compensation specialist” at Acordia, acting on behalf of the defendant, wrote a letter to the plaintiff. The letter stated that, based upon the functional capacity evaluation and the two doctors’ reports, the plaintiff was being refeiTed to Genex Services, Inc., a company that “pi'ovides vocational rehabilitation services to employees who cannot return to their previous job in any capacity.” The letter noted that the l'ehabilitation program was voluntary, and that “[ujpon agreeing to participate in this program and while continuing to participate, [the plaintiff] will be eligible to l'eeeive ... workers’ compensation benefits at the temporarily totally disabled rate.”

The plaintiff met with a representative from Genex on June 1, 1999, and signed a document entitled “Notification Regarding Rehabilitation Services ... Hierarchy of Rehabilitation Services.” In accordance with regulations promulgated by the Workers’ Compensation Division,1 the document listed the seven steps in the “required hierarchy of l'ehabilitation services” as follows:

1. Return of the employee to the pre-injury job with the same employer.
2. Return of the employee to the pre-injury job with the same employer with modification of tasks, work structure and work hours.
3. Return to employment with the pre-injury employer in a different position.
[251]*2514. Return to employment with pre-injury employer with on-the-job training.
5. Employment with a new employer without training.
6. On-the-job training for employment with a new employer.
7. Retraining which shall consist of a goal-oriented period of formal retraining which is designed to lead to suitable gainful employment.

The document also states, at the top, that “[cjlear objective documentation must exist indicating that the lower numbered plan is not appropriate in the given claim before a higher number can be considered.”

At the bottom of the document is the statement that Genex had “explained those rehabilitation services that could be made available” to the plaintiff, and had “recommended number 5 of the hierarchy of rehabilitation services.” In other words, Genex recommended that the plaintiff be employed with a new employer without receiving any training. The plaintiff checked a box at the bottom stating he was “willing and agree[d] to participate in rehabilitation services at this time,” and signed the document.

Subsequently, on July 12, 1999, approximately six weeks after signing the Genex document, the plaintiff was sent a form letter by the defendant informing him his employment was terminated because “[i]t has been determined from your medical records that your physical condition is such that is [sic] prevents you from returning to your regular work at the mine.” No mention is made in the letter about the Genex document signed by the plaintiff.

The defendant, however, now characterizes the Genex document as, essentially, a contractual agreement by the plaintiff to accept rehabilitation services with the goal of obtaining employment with a new employer. In other words, the defendant interpreted the plaintiffs “voluntary” acceptance of rehabilitation services as his written concession that his physical condition was not going to improve, and that he was prevented by his physical condition from ever returning to employment with the defendant.

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Bluebook (online)
569 S.E.2d 769, 212 W. Va. 248, Counsel Stack Legal Research, https://law.counselstack.com/opinion/skaggs-v-eastern-associated-coal-corp-wva-2002.