Sweasy v. Wal-Mart Stores, Inc. 1269

295 S.W.3d 835, 2009 Ky. LEXIS 241, 2009 WL 3517659
CourtKentucky Supreme Court
DecidedOctober 29, 2009
Docket2009-SC-000219-WC
StatusPublished
Cited by9 cases

This text of 295 S.W.3d 835 (Sweasy v. Wal-Mart Stores, Inc. 1269) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sweasy v. Wal-Mart Stores, Inc. 1269, 295 S.W.3d 835, 2009 Ky. LEXIS 241, 2009 WL 3517659 (Ky. 2009).

Opinion

OPINION OF THE COURT

The Workers’ Compensation Board reversed an Administrative Law Judge’s (ALJ’s) decision to award permanent partial disability benefits from the date that the claimant reached maximum medical improvement (MMI), holding that her entitlement began on the date of her injury. The Court of Appeals reversed and reinstated the award, however, having construed KRS 342.730(l)(d) to mean that an award based on a disability rating of fifty percent or less “may or may not begin” when the impairment or disability from an injury arises. Appealing, the claimant argues that there is no justification for the court’s interpretation of KRS 342.730(l)(d) and that her permanent disability arose on the date of her injury. We agree; hence, we reverse.

KRS 342.730(l)(b)-(d) entitle a partially disabled worker to permanent income benefits from the date that the permanent impairment or disability that they compensate arises. The amount of impairment remaining at MMI forms the basis for assigning a permanent impairment rating, but the impairment deemed to be permanent at MMI “arises” when a harmful change in the human organism occurs. This claim must be remanded for the entry of an award that begins on the date of the claimant’s injury because the evidence compels a finding that her permanent impairment and disability of fifty percent or less arose on that date.

The claimant’s work history included jobs as a bank teller and poster, medical records clerk, pharmacy aide and cashier, and insurance claims decoder. She injured her back on November 28, 2005, in the course of her work as a Wal-Mart cashier. She received medical treatment and was taken off work for three days, after which she returned to work processing credit card applications and as a greeter. Both types of work complied with her light-duty restriction. On March 1, 2007, Wal-Mart refused to honor the restriction any longer and terminated her employment.

*837 The claimant sought benefits for permanent total disability. She testified that she considered herself unable to perform any of the jobs that she had performed at Wal-Mart. She also submitted medical evidence concerning the permanent impairment rating and restrictions that the injury caused.

The ALJ awarded TTD benefits from March 1, 2007, through August 24, 2007, during which time the claimant had not reached MMI or a level of improvement that would permit a return to employment. 1 Convinced that she lacked the physical capacity to return to the type of work performed at the time of injury but was only partially disabled, the ALJ awarded the claimant a triple permanent income benefit. The ALJ based the benefit on an 8% permanent impairment rating, which converted under KRS 342.730(l)(b) to a 6.8% disability rating, and enhanced the benefit by a factor of 0.6 due to the claimant’s age of 64 at the time of injury. The ALJ ran the benefit period of the award from August 25, 2007. Although the claimant’s disability rating entitled her to a 425-week award under KRS 342.730(l)(d), the ALJ terminated benefits on November 28, 2007, due to her eligibility for normal old-age social security retirement as of June 21, 2007. 2

The claimant’s petition for reconsideration argued that the ALJ should have begun her TTD award on the date of injury rather than the date that Wal-Mart terminated her employment. She also argued that nothing entitled the employer to credit for the wages that she received during the period before she was terminated. After the ALJ denied the petition, she appealed.

The Board determined that the evidence did not compel a TTD award during the period before the claimant’s termination on March 1, 2007, noting that her customary employment included light-duty work. The Board also determined, however, that the ALJ committed a palpable error by failing to award permanent partial disability benefits from the date of injury through March 1, 2007, because the claimant’s permanent disability began at the time of the injury. Although acknowledging that she appealed on a different ground, the Board noted that it had both the authority and the duty to determine whether the award conformed to Chapter 342. 3 Thus, it remanded the claim for the entry of a corrected award.

Wal-Mart appealed, questioning both the Board’s authority to raise a legal issue sua sponte and its decision concerning the date for commencing partial disability benefits. The Court of Appeals affirmed with respect to the first issue but reversed on the second. The sole issue raised in this appeal concerns the date for commencing permanent partial disability benefits.

The claimant argues that the Court of Appeals misconstrued KRS 342.730(l)(d), which states, in pertinent part, as follows:

For permanent partial disability, if an employee has a permanent disability rating of fifty percent (50%) or less as a result of a work-related injury, the com-pensable permanent partial disability period shall be four hundred twenty-five (425) weeks, and if the permanent dis *838 ability rating is greater than fifty percent (50%), the compensable permanent partial disability period shall be five hundred twenty (520) weeks from the date the impairment or disability exceeding fifty percent (50%) arises, (emphasis added).

Although KRS 342.730(l)(d) states specifically that the compensable period of a disability greater than 50% commences when “the impairment or disability exceeding [50%] arises,” it fails to specify when the period of a disability less than 50% commences. Viewing the discrepancy as an expression of legislative intent, the Court of Appeals determined that the period for a disability less than 50% “may or may not begin on the date that the impairment or disability due to an injury arises.” Thus, the court found no error in the ALJ’s decision to award permanent income benefits from the date that the claimant reached MMI.

Wal-Mart raises two arguments to defend the Court of Appeals’ decision. Adopting the court’s reasoning, Wal-Mart argues first that KRS 342.730(l)(d) evinces an explicit legislative intent to treat 520-week and 425-week awards differently. In other words, it requires 520-week awards to begin on the date that impairment or disability arises but permits an ALJ to choose to commence a 425-week award at MMI.

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Cite This Page — Counsel Stack

Bluebook (online)
295 S.W.3d 835, 2009 Ky. LEXIS 241, 2009 WL 3517659, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sweasy-v-wal-mart-stores-inc-1269-ky-2009.