State ex rel. Baker Material Handling Corp. v. Indus.Comm.

1994 Ohio 437, 69 Ohio St. 3d 202
CourtOhio Supreme Court
DecidedMay 4, 1994
Docket1993-0005
StatusPublished
Cited by26 cases

This text of 1994 Ohio 437 (State ex rel. Baker Material Handling Corp. v. Indus.Comm.) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State ex rel. Baker Material Handling Corp. v. Indus.Comm., 1994 Ohio 437, 69 Ohio St. 3d 202 (Ohio 1994).

Opinion

[This opinion has been published in Ohio Official Reports at 69 Ohio St.3d 202.]

THE STATE, EX REL. BAKER MATERIAL HANDLING CORPORATION, APPELLANT AND CROSS-APPELLEE, v. INDUSTRIAL COMMISSION OF OHIO; METZEL,

APPELLEE AND CROSS-APPELLANT. [Cite as State ex rel. Baker Material Handling Corp. v. Indus. Comm., 1994-Ohio-437.] Workers' compensation—Self-insured employer who, subsequent to the initial allowance of a claim, certifies a medical condition as allowed on a C-174 form has conclusively granted that additional condition as part of the claim—Employee who retires prior to becoming permanently and totally disabled is precluded from eligibility for permanent total disability compensation, when—Employee who retires subsequent to becoming permanently and totally disabled is not precluded from eligibility for permanent total disability compensation regardless of the nature or extent of the retirement. 1. A self-insured employer who, subsequent to the initial allowance of a workers' compensation claim, certifies a medical condition as allowed on a “Self Insured Semi-Annual Report of Claim Payments” (form C-174) has conclusively granted that additional condition as part of the claim. 2. An employee who retires prior to becoming permanently and totally disabled is precluded from eligibility for permanent total disability compensation only if the retirement is voluntary and constitutes an abandonment of the entire job market. (State ex rel. CPC Group, Gen. Motors Corp. v. Indus. Comm. [1990], 53 Ohio St.3d 209, 559 N.E.2d 1330, followed and applied; State ex rel. Chrysler Corp. v. Indus. Comm. [1991], 62 Ohio St.3d 193, 580 N.E.2d 1082, and State ex rel. Consolidation Coal Co. v. Yance [1992], 63 Ohio St.3d 460, 588 N.E.2d 845, modified.) SUPREME COURT OF OHIO

3. An employee who retires subsequent to becoming permanently and totally disabled is not precluded from eligibility for permanent total disability compensation regardless of the nature or extent of the retirement. (State ex rel. Brown v. Indus. Comm. [1993], 68 Ohio St.3d 45, 623 N.E.2d 55, followed; State ex rel. Chrysler Corp. v. Indus. Comm. [1991], 62 Ohio St.3d 193, 580 N.E.2d 1082, and State ex rel. Consolidation Coal Co. v. Yance [1992], 63 Ohio St.3d 460, 588 N.E.2d 845, distinguished.) (No. 93-5—Submitted January 5, 1994—Decided May 4, 1994.) APPEAL and CROSS-APPEAL from the Court of Appeals for Franklin County, No. 91AP-1164. ___________________ {¶ 1} On February 24, 1983, claimant-appellee and cross-appellant, Earl Metzel, Jr., sustained an injury in the course of and arising out of his employment with appellant and cross-appellee, Baker Material Handling Corporation (“Baker”). Claimant filed an application for payment of compensation and medical benefits with the Industrial Commission of Ohio (“commission”). By letter dated March 14, 1983, Baker, a self-insured employer, recognized the claim for “lumbo sacral sprain.” Thereafter, Baker began making temporary total dis- ability (“TTD”) compensation payments to claimant. On August 6, 1986, Baker filed a motion with the commission to determine the extent of claimant's disability. On April 20, 1987, a district hearing officer found that “this claim has been previously allowed for: Lumbosacral strain” and that “claimant's condition has become permanent *** [and, therefore,] that temporary total compensation payments are not authorized beyond the date of hearing, 4/20/87.” On May 29, 1987, claimant filed an application for permanent total disability (“PTD”) compensation. {¶ 2} Between February 24, 1983, when claimant was injured, and May 29, 1987, when claimant filed for PTD compensation, Baker had submitted eleven C- 174 forms, entitled “SELF INSURED SEMI-ANNUAL REPORT OF CLAIM

2 January Term, 1994

PAYMENTS,” to the Ohio Bureau of Workers' Compensation. Each form C-174 sought a certification from the self-insured employer as to the type and amount of compensation and medical expenses paid on the claim over the preceeding six- month period and what the claim was allowed for. On three of these reports, respectively for the six-month reporting periods ending December 1, 1985, October 11, 1986 and December 31, 1986, Baker certified that “claim allowed for: * * * herniated disc.” {¶ 3} On February 8, 1990, claimant took an early retirement under his group pension plan. {¶ 4} By letter dated August 8, 1990, Baker's representative, Industrial Advisors Bureau, Inc., advised claimant's attorney as follows: “This is to acknowledge receipt of your requests for authorization from Dr. Koussandianos, which I have denied since the diagnosis included conditions not allowed in this claim. Please be advised that this claim has never formally been allowed for herniated disc. I note that Chris, from your office, sent me a C-174 signed by Anne Grattner giving herniated disc as part of the allowed conditions, however, if you review the orders in your file, you will find that the claim was only formally allowed for lumbosacral sprain. If you wish to have herniated disc as an allowed condition in this claim, please file a motion asking for a formal hearing.” {¶ 5} Accordingly, on December 4, 1990, claimant filed a motion with the commission to amend the claim to include “lumbosacral sprain, herniated disc superimposed on early degenerative spondyloarthritis.” {¶ 6} Before claimant's December 4, 1990 motion for additional allowance was heard, however, a hearing was held on his application for PTD compensation. On March 19, 1991, the commission entered an order finding that “the claimant is permanently and totally disabled [and] that compensation for such disability be awarded from 05/21/87.” In granting claimant's application for PTD compensation,

3 SUPREME COURT OF OHIO

the commission stated “[t]hat the employer did recognized [sic] claim for herniated disc by completing the [C-174] claim forms.” {¶ 7} On June 21, 1991, Baker filed a “Request for Rehearing” with the commission on the basis that the claim had never been allowed for herniated disc and that claimant had voluntarily removed himself from the labor market. On July 31, 1991, the commission construed Baker's request as a “Request for Reconsideration” and denied it. {¶ 8} On October 11, 1991, Baker filed a complaint for writ of mandamus in the Court of Appeals for Franklin County. The court of appeals found that since Baker had “listed the additional condition of herniated disc on at least three C-174 forms * * * [it] has recognized the allowed condition of herniated disc. Therefore * * * the commission did not abuse its discretion in finding [claimant] to be permanently and totally disabled.” The court further found, however, that based on this court's decision in State ex rel. Chrysler Corp. v. Indus. Comm. (1991), 62 Ohio St.3d 193, 580 N.E.2d 1082, the commission must make a determination of whether claimant's retirement was voluntary. Accordingly, the court of appeals decided “that a writ of mandamus issue against respondent Industrial Commission of Ohio ordering it to conduct further proceedings to determine the issue of whether relator's retirement was voluntary.” {¶ 9} This cause is now before this court upon an appeal and cross-appeal as of right. __________________ David R. Cook, for appellant and cross-appellee, Baker Material Handling Corporation. Stewart Jaffy & Assoc. Co., L.P.A, Stewart R. Jaffy and Mark J. Jaffy; Frank L. Gallucci, Jr., Co., L.P.A., and Frank Gallucci, for appellee and cross-appellant, Earl Metzel, Jr. __________________

4 January Term, 1994

ALICE ROBIE RESNICK, J. {¶ 10} This case presents two important workers' compensation issues.

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