Steve L. Michaud v. Caribou Ford-Mercury, Inc.

2024 ME 74
CourtSupreme Judicial Court of Maine
DecidedOctober 1, 2024
DocketWCB-23-313
StatusPublished
Cited by2 cases

This text of 2024 ME 74 (Steve L. Michaud v. Caribou Ford-Mercury, Inc.) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Steve L. Michaud v. Caribou Ford-Mercury, Inc., 2024 ME 74 (Me. 2024).

Opinion

MAINE SUPREME JUDICIAL COURT Reporter of Decisions Decision: 2024 ME 74 Docket: WCB-23-313 Argued: April 11, 2024 Decided: October 1, 2024 Revised: November 5, 2024

Panel: STANFILL, C.J., and MEAD, HORTON, CONNORS, LAWRENCE, and DOUGLAS, JJ.

STEVE L. MICHAUD

v.

CARIBOU FORD-MERCURY, INC., et al.

LAWRENCE, J.

[¶1] Steve L. Michaud appeals from a decision of the Workers’

Compensation Board (WCB) Appellate Division affirming the decision of an

Administrative Law Judge (Pelletier, ALJ) holding that interest on Michaud’s

specific-loss benefits for a work-related eye injury sustained in 2014 did not

begin to accrue until 2021, when Michaud’s recovery of vision from the injury

reached maximum medical improvement and the benefit became due. The

record conclusively establishes, however, that there was no material

improvement in Michaud’s vision after the date of injury, and therefore the

benefit became due when the injury occurred. We therefore vacate the

Appellate Division’s decision and remand the matter for entry of a decree 2

ordering Michaud’s employer, Caribou Ford-Mercury, Inc.,1 to pay interest on

Michaud’s specific-loss benefits accruing from the date of his injury.

I. BACKGROUND

[¶2] The following facts, which are drawn from the procedural record,

the ALJ’s findings, and the parties’ agreed-to statement of facts, are supported

by the record. See 39-A M.R.S. § 318 (2024); Huff v. Reg’l Transp. Program, 2017

ME 229, ¶ 2, 175 A.3d 98.

[¶3] On December 26, 2014, Michaud sustained a traumatic injury to his

left eye while working as an auto mechanic. The injury immediately resulted in

a loss of more than eighty percent of vision in that eye. Between the date of the

injury and September 8, 2019, Caribou intermittently paid incapacity benefits

to Michaud. During that same period, Michaud received regular treatment,

including multiple surgeries, for his injury with the goal of improving his vision.

The surgeries included removal of a vitreous hemorrhage on February 18,

2015, an intra-ocular lens implant and a corneal transplant on August 24, 2015,

and a second corneal transplant on August 12, 2019, after the first proved

ineffective.

Caribou Ford-Mercury, Inc., also does business as Griffeth Ford. The other named party is the 1

Maine Auto Dealers’ Association Workers’ Compensation Trust. 3

[¶4] In September 2021, Michaud filed petitions for an award of

compensation and for specific-loss benefits.2 Shortly thereafter, on October 14,

2021, a doctor issued a report stating that the doctor had reviewed Michaud’s

medical records and Michaud “seem[ed] to be at a point of maximum medical

improvement.”3 The doctor’s report summarized Michaud’s treatment history,

including various reported improvements in his sight in his left eye over the

course of treatment, and concluded that Michaud had suffered, as of the date of

the report, a ninety-four percent loss of vision in his left eye.

[¶5] On March 10, 2022, the parties participated in mediation on

Michaud’s petitions, resulting in a partial agreement that Michaud is entitled to

162 weeks of specific-loss benefits for the loss of more than eighty percent of

vision in his left eye. See 39-A M.R.S. § 212(3)(M) (2024). The parties further

agreed that Caribou would receive a credit for the intermittent payments that

it had voluntarily made to Michaud between the date of his injury and

2 Pursuant to 39 M.R.S. § 213, “specific loss benefits" arise from work-related injuries that cause the actual loss of certain body parts or bodily functions, for which the injured employee is deemed to be incapacitated for the period listed in the schedule contained in section 213(3) and due compensation based on a calculation from the date of injury, subject to the maximum benefit set in section 211.

3 “Maximum medical improvement (MMI)” is “the date after which further recovery and further restoration of function can no longer be reasonably anticipated, based upon reasonable medical probability.” 39-A M.R.S. § 102(15) (2024). An injured employee must reach MMI before he can receive partial incapacity benefits, id. § 102(16); 39-A M.R.S. § 213 (2024), which are not at issue in this case. 4

September 8, 2019. The agreed-upon benefit amount was $59,905.33, which

Caribou paid to Michaud on March 22, 2022.

[¶6] Mediation did not resolve, however, the issue of when Michaud

became entitled to specific-loss benefits or, by extension, the amount of interest

owed on Michaud’s specific-loss benefits. See 39-A M.R.S. § 205(6) (2024). The

parties therefore referred Michaud’s petition for specific-loss benefits to an ALJ

to determine the interest due on the award. See 39-A M.R.S. § 315 (2024). In

lieu of a hearing, the parties stipulated facts to the ALJ, see id. § 318,

establishing, inter alia, that Michaud “sustained more than [eighty percent]

vision loss at the time of his initial injury” and that the doctor’s October 14,

2021, report determining that Michaud’s final vision loss was ninety-four

percent was “the first time there was an assessment of a numerical percentage

of vision loss with respect to the injury.”

[¶7] On December 1, 2022, the ALJ entered a decree stating that “[u]ntil

surgical intervention aimed at restoring vision had occurred and progress

could be assessed, the degree of permanent loss could not be determined.”

Because the doctor reported on October 14, 2021, that Michaud had reached

MMI, the ALJ concluded that Michaud’s specific-loss benefits became due on

that date. Interest was therefore owed on the award from that date to the date 5

that the benefits were paid, March 22, 2022. See id. § 205(6). Michaud moved

for further findings of fact and conclusions of law, id. § 318, arguing that his

actual loss of eighty percent of the vision in his left eye occurred on the date of

his injury and interest was therefore owed as of that date. The ALJ denied the

motion.

[¶8] Michaud then appealed the ALJ’s decree to the Appellate Division,

see 39-A M.R.S. § 321-B (2024), arguing that the ALJ erred by concluding that,

although Michaud’s injury immediately resulted in more than eighty percent

vision loss in his left eye and medical intervention had been unsuccessful,

Michaud’s specific-loss benefits became due only after his doctor reported that

he had reached MMI. Relying on our decision in Tracy v. Hershey Creamery

Co.,1998 ME 247, 720 A.2d 579, the only case in which we have dealt with a

claim for specific-loss benefits arising from a work-related eye injury, the

Appellate Division (Chabot, ALJ) affirmed the ALJ’s decree. Michaud petitioned

for review, and on December 8, 2023, we granted his petition. See 39-A M.R.S.

§ 322(1), (3) (2024); M.R. App. P. 23.

II. DISCUSSION

[¶9] Michaud makes two arguments as to why the Appellate Division

erred by affirming the ALJ’s decree. First, he contends that his specific-loss 6

benefits became due not on the date that his doctor reported that he had

reached MMI and had sustained a post-treatment vision loss of ninety-four

percent, but on the date of his injury. He argues that although, pursuant to our

decision in Tracy, the determination of whether an employee qualifies for

specific-loss benefits for loss of an eye4 cannot be made until the injury has

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2024 ME 74, Counsel Stack Legal Research, https://law.counselstack.com/opinion/steve-l-michaud-v-caribou-ford-mercury-inc-me-2024.