Spera v. State ex rel. Wyoming Worker's Compensation Division

713 P.2d 1155, 54 A.L.R. 4th 231, 1986 Wyo. LEXIS 470
CourtWyoming Supreme Court
DecidedFebruary 5, 1986
DocketNo. 85-160
StatusPublished
Cited by9 cases

This text of 713 P.2d 1155 (Spera v. State ex rel. Wyoming Worker's Compensation Division) is published on Counsel Stack Legal Research, covering Wyoming Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spera v. State ex rel. Wyoming Worker's Compensation Division, 713 P.2d 1155, 54 A.L.R. 4th 231, 1986 Wyo. LEXIS 470 (Wyo. 1986).

Opinions

CARDINE, Justice.

This is a worker’s compensation case of first impression in Wyoming. We must decide whether an employee’s temporary total disability award should be suspended when he is imprisoned. We will reverse the district court’s suspension of payments and hold that a worker’s incarceration does not, in and of itself, require a suspension of temporary total disability payments.

Appellant, Robert A. Spera, was injured in an industrial accident on October 26, 1984, while employed by Apollo Drilling Company. His fractured right ankle was [1156]*1156expected to heal by February 1985, and he was expected to return to work at that time. Appellant’s claim for temporary total disability was approved by the court. Payments were made until January 21, 1985, when the district court learned that appellant had been incarcerated in the Campbell County jail continuously since December 20, 1984. While the court declined to order return of the benefits that were paid from December 20 to January 21, the court did, on its own motion, order the suspension of further payments while appellant remained in jail.1 Appellant was released by his physician to return to work on February 4, 1985. The record does not indicate whether he was also released from jail at that time.

On March 27, 1985, appellant moved for additional benefits consisting of the payments that were withheld during the two-week period from January 21 to February 4. The court held a short hearing on the matter, at which only the appellant and his attorney appeared. The district judge noted that there was a difference of opinion as to whether incarceration required the suspension of temporary total disability payments. He pointed out that he had consistently withheld these payments during periods of incarceration upon the grounds that incarceration was an intervening cause; that a worker was not entitled to payments which replace lost wages that would never have been earned if he were healthy; and that incarceration, rather than the work-related injury, was the legal cause of lost wages.2

The problem with the district court’s rationale, which has also been advanced by the State on appeal, is that it is based on tort law principles. We stated in Cottonwood Steel Corporation v. Hansen, Wyo., 655 P.2d 1226, 1236 (1982):

“The amendment to Art. 10, § 4 of the Wyoming Constitution and subsequent enabling legislation did not contemplate that tort law would hold any office in the Worker’s Compensation Act except that the employer could defend against claims of the injured employee on the grounds that he or she was culpably negligent. Soon after the amendment to Art. 10, § 4 of the Wyoming Constitution, this court said that the Wyoming worker’s compensation scheme was in the nature of an industrial-accident policy.
* * * # * *
“We have never changed our minds about that proposition. Sometimes we have had trouble keeping tort concepts out of the worker’s compensation law, Stephenson v. Mitchell, Wyo., 569 P.2d 95 (1977), and Meyer v. Kendig [Wyo., 641 P.2d 1235 (1982) ], but we have never deviated from our adherence to the proposition that the worker’s compensation law of this state is in the nature of industrial-accident insurance.” (Citation omitted.)

When we say that worker’s compensation law is based on a concept of industrial insurance, we mean that it is based on contract rather than tort principles. In Markle v. Williamson, Wyo., 518 P.2d 621, 624 (1974), we specifically noted:

“To say that workmen’s compensation in Wyoming is in the nature of insurance is to say it stems from contract. Indeed, [1157]*1157the clear implication in Zancanelli v. Central Coal & Coke Co., 25 Wyo. 511, 173 P. 981, 989, is that our Workmen’s Compensation Act is in contract and not in tort.”

Instead of suing his employer for negligence and having to prove duty, breach, proximate cause, and damages, the worker in our state must file for worker’s compensation benefits for which his employer is ultimately liable.' Baker v. Wendy’s of Montana, Inc., Wyo., 687 P.2d 885, 888 (1984). Essentially, the system provides disability insurance coverage for the worker. His right to benefits arises when certain conditions precedent occur, primarily, when he suffers a disabling work-related injury. Under contract principles, the worker should not be denied his benefits after the contingency arises, unless a provision in the statutory contract between the worker, on the one hand, and the State and employer, on the other, explicitly suspends the benefits.

Under the Worker’s Compensation Act, temporary total disability payments are to cease only under one circumstance: when “the recovery is so complete that the earning power of the employee at a gainful occupation for which he is reasonably suited by experience or training, is substantially restored * * *.” (Emphasis added.) Section 27-12-402(b), W.S.1977 (June 1983 Replacement). Benefits under the statute terminate only when the worker recovers because only then does he regain his earning power. Incarceration has no effect upon benefits which are in the nature of insurance which has become payable as a covered loss. Incarceration does not restore a disabled worker’s earning power.

Several state courts interpreting temporary total disability statutes similar to ours have concluded that benefits should be paid to the disabled worker, even if he would be unable to work absent the disability. For example, the Michigan Supreme Court stated in Sims v. R.D. Brooks, Inc., 389 Mich. 91, 204 N.W.2d 139, 140-141 (1973):

“Under the Workmen’s Compensation Act it is loss of wage earning capacity —not actual loss of wages — which is compensable. The award of compensation, based as it was on a finding of total disability, is not affected by plaintiff’s later imprisonment.”

Similarly, the court of appeals of Arizona has held that:

“Workmen’s compensation temporary benefits were not reduced or eliminated in the case of an injured worker who was subsequently imprisoned for a criminal offense and thereby removed from the labor market. * * * The rationale of such cases is that the purpose of workmen’s compensation is to reimburse injured workers for loss in earning capacity, not loss of earnings.” Franco v. Industrial Commission of Arizona, 130 Ariz. 37, 633 P.2d 446, 449 (1981), citing Bearden v. Industrial Commission, 14 Ariz.App. 336, 483 P.2d 568 (1971).

In its brief, the. State argues that a worker receives a double recovery if his temporary total disability payments are not suspended during his time in jail.

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Matter of Injury to Spera
713 P.2d 1155 (Wyoming Supreme Court, 1986)

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Bluebook (online)
713 P.2d 1155, 54 A.L.R. 4th 231, 1986 Wyo. LEXIS 470, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spera-v-state-ex-rel-wyoming-workers-compensation-division-wyo-1986.