State v. Dillon, Unpublished Decision (6-29-2006)

2006 Ohio 3312
CourtOhio Court of Appeals
DecidedJune 29, 2006
DocketNo. 05AP-679.
StatusUnpublished
Cited by8 cases

This text of 2006 Ohio 3312 (State v. Dillon, Unpublished Decision (6-29-2006)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Dillon, Unpublished Decision (6-29-2006), 2006 Ohio 3312 (Ohio Ct. App. 2006).

Opinion

OPINION
{¶ 1} Defendant-appellant, Ronald L. Dillon, appeals from his conviction for one count of workers' compensation fraud, a violation of R.C. 2913.48(A). For the following reasons, we affirm.

{¶ 2} On April 16, 2001, Dillon injured his right shoulder while performing his duties as a truck driver for Martinbird Enterprises, Inc. ("Martinbird"). That same day, Dillon completed a "First Report of an Injury, Occupational Disease or Death" ("FROI") form to initialize a claim for workers' compensation benefits. At the top of the FROI form, the following warning appeared:

WARNING:

Any person who obtains compensation from BWC or self-insuring employers by knowingly misrepresenting or concealing facts, making false statements, or accepting compensation to which he/she is not entitled, is subject to felony criminal prosecution for fraud.

(Emphasis sic.)

{¶ 3} Upon receipt of the FROI form, the Bureau of Workers' Compensation ("BWC") tasked Colleen Carman, a claims service specialist, with determining which benefits, if any, to award Dillon. On April 25, 2001, Carman telephoned Dillon to review the information contained in his FROI form and to discuss his medical treatment. At trial, Carman testified that, during this conversation, she asked Dillon if he was employed anywhere other than Martinbird, and Dillon replied "no."

{¶ 4} In addition to speaking to Dillon, Carman also reviewed a form completed by Dillon's physician in which the physician indicated that Dillon was unable to return to his position at Martinbird. Based the information Carman obtained from Dillon and his physician, Carman determined that Dillon was entitled to temporary total disability ("TTD") benefits. On April 27, 2001, the BWC issued its first payment to Dillon — a warrant for $231.43 to compensate him for the wages he lost from April 17, 2001 to April 21, 2001 because of his injury.

{¶ 5} An injured worker cannot receive TTD benefits if he is working. Carman informed Dillon of this prohibition in an April 27, 2001 letter,1 which read in part:

[A]ccording to workers' compensation law, you are not entitled to temporary total benefits if:

(1) You return to any type of work including full-time, part-time, self-employment, and commission work with any employer. This includes employers other than the one you worked for when you were injured[.]

Additionally, the 23 warrants the BWC issued to Dillon between April 27, 2001 and October 11, 2001 also warned Dillon of the prohibition against working. On the back of each warrant, immediately above the line on which Dillon signed, the warrant stated the following:

NOTICE — READ BEFORE SIGNING WARNING — * * * If this check is to compensate you for total disability, you are not entitled to it if you are working. Therefore, you should return it to the BWC immediately. * * *

{¶ 6} Contrary to what he told Carman during their April 25, 2001 telephone conversation, Dillon was working. Although Dillon's injury prevented him from driving a truck for Martinbird, he continued to work his second job as a real estate agent for Woeste Realty ("Woeste"). Dillon had obtained his real estate salesperson license in December 2000, and he had begun working for Woeste on January 2, 2001. Even as Dillon received TTD benefits, he listed and marketed his first property.

{¶ 7} By October 2001, Dillon's shoulder injury had healed, and his physician released him to return to work at Martinbird with some restrictions. Dillon's TTD benefits ceased the day he returned to Martinbird. According to Dillon, he reinjured his shoulder on that first day back on the job, but he continued to work until his November 27, 2001 appointment with his physician. After examining Dillon's shoulder, Dillon's physician again found him to be unable to work. Within a week, the BWC resumed issuing Dillon TTD benefits.

{¶ 8} Beginning with the warrant the BWC issued to Dillon on December 3, 2001, the warning language on the back of the warrant changed. Instead of the text quoted above, the warrant read:

NOTICE — READ BEFORE SIGNING WARNING — If this warrant is to compensate you for permanenttotal disability, temporary total disability, living maintenanceor wage loss not working benefits, you are not entitled to it if you are working. Therefore, you should return this warrant to the BWC immediately or risk criminal felony prosecution.

(Emphasis sic.) Dillon received, signed, and cashed 21 warrants containing this warning.

{¶ 9} In December 2001, Dillon began physical rehabilitation to recondition his shoulder. Because Dillon was participating in a rehabilitation program, the BWC stopped issuing Dillon TTD benefits and instead issued him living maintenance ("LM") benefits. Like the eligibility requirements for TTD benefits, the eligibility requirements for LM benefits prohibit the recipient from working.

{¶ 10} In addition to switching Dillon to LM benefits, the BWC referred Dillon to Integrated Benefits Management ("IBM"), a company that assisted injured workers in re-integrating into the work force. IBM assigned Dillon's case to Cathleen Adams, a vocational rehabilitation case manager. Adams met with Dillon in January 2002 to assess his employment and medical history. During this meeting, Adams asked Dillon to recount his employment experience. According to Adams, in answering, Dillon failed to disclose his real estate salesperson license or his job with Woeste.

{¶ 11} Over the next four months, Adams developed multiple vocational rehabilitation plans for Dillon. Despite Adams' help with job placement, Dillon reported a lack of success in finding a new job. On June 16, 2002, Adams closed Dillon's file.

{¶ 12} Meanwhile, Martinbird reported to the BWC that Dillon was working as a real estate agent while he was receiving workers' compensation benefits. James Snyder, a special agent with the BWC Special Investigations Unit, investigated Martinbird's allegation. Snyder conducted surveillance of Dillon twice, and both times he observed Dillon attending meetings at Woeste's office.

{¶ 13} Snyder's second surveillance of Dillon occurred on the morning of May 7, 2002. That same morning, Carman received a telephone call from Dillon. As they talked, Carman heard a loudspeaker in the background making work-related announcements, such as "pick up line two." Carmen asked Dillon where he was calling from, and Dillon told her he was visiting a friend at Woeste. Carmen then asked Dillon if he could obtain a job at Woeste. In response, Dillon did not tell Carman of his ongoing employment with Woeste, but rather, said that he might try to apply for a job there in the future.

{¶ 14} As part of Synder's investigation, he also spoke with Mark Evans, the then sales manager for Woeste. Evans told Snyder about a conversation he had with Dillon; a conversation Evans also recounted at trial. Evans testified that Dillon asked him if he could receive workers' compensation benefits and simultaneously sell real estate. Evans said that he did not believe so and directed Dillon to contact the BWC with his question. According to Carman, Dillon never raised this question.

{¶ 15}

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Bluebook (online)
2006 Ohio 3312, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-dillon-unpublished-decision-6-29-2006-ohioctapp-2006.