Sylva's Case

709 N.E.2d 439, 46 Mass. App. Ct. 679, 1999 Mass. App. LEXIS 506
CourtMassachusetts Appeals Court
DecidedApril 30, 1999
DocketNo. 97-P-1823
StatusPublished
Cited by4 cases

This text of 709 N.E.2d 439 (Sylva's Case) is published on Counsel Stack Legal Research, covering Massachusetts Appeals Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sylva's Case, 709 N.E.2d 439, 46 Mass. App. Ct. 679, 1999 Mass. App. LEXIS 506 (Mass. Ct. App. 1999).

Opinion

Greenberg, J.

The employee appeals from a decision of the reviewing board of the Department of Industrial Accidents on the insurer’s application for a discontinuance of benefits, in which the reviewing board summarily affirmed a decision of the administrative judge; finding the employee to be partially (rather than totally) incapacitated, with an earning capacity of $175 per [680]*680week. He also claims that the administrative judge erred iii not finding him “in the concurrent service of more than one insured employer” within the meaning of G. L. c. 152, § 1(1).

The undisputed facts are as follows. The employee was employed as a “groundskeeper-custodian/mechanic” with the Everett Housing Authority (housing authority). On November 2, 1989, he injured his back while in the course of his employment with the housing authority. Aetna Life & Casualty, the worker’s compensation carrier (insurer), accepted liability and began paying the employee $321.43 per week based on an average weekly wage of $482.14.

In January, 1990, the employee filed a claim for further benefits based on additional wages he had earned while concurrently employed as a union welder. In 1992, the insurer filed a complaint for discontinuance of the employee’s benefits. At a hearing in July, 1993, the two claims were consolidated, and the administrative judge heard evidence on both issues. In his decision, the administrative judge found that as of February 9, 1993, the employee was partially disabled and'had an earning capacity of $175 per week. He ordered the insurer to pay $204.76 per week from February 10, 1993, to date and continuing. The administrative judge denied the employee’s claim for benefits based on concurrent employment.

Upon appeal by the employee, the reviewing board summarily affirmed the decision of the administrative judge. The employee then filed an appeal with the single justice of this court, who reported the case to a panel of justices for consideration. .

1. The employee’s first contention is that the administrative judge erred in finding him to have a $175 per week earning capacity. That decision, the employee argues, rests on the administrative judge’s error in adopting, carte blanche, the opinion of Dr. Geuss, the impartial medical examiner. In essence, the employee claims that the administrative judge leaned too heavily on Dr. Geuss’s opinion, giving it more than the prima facie effect permitted by the third paragraph of G. L. c. 152, § 11A, on the issue of his earning capacity. See Scheffer’s Case, 419 Mass. 251, 258 (1994). We disagree. Pursuant to § 11A(2), an impartial physician’s report constitutes prima facie evidence only as to matters contained in the medical report. Earning capacity entails an assessment of other factors besides the employee’s physical condition. Once the extent of the medi[681]*681cal disability has been determined, an administrative judge may make an independent determination of the employee’s earning capacity. Scheffler’s Case, 419 Mass, at 257. That decision, in turn, must focus upon factors such as the employee’s work experience, education, training, and age. See Ballard’s Case, 13 Mass. App. Ct. 1068, 1068 (1982). “[I]n the absence of testimony as to the earning capacity of the employee, the [administrative judge is] entitled to use [his or her] own judgment and knowledge in determining that question.” Mulcahey’s Case, 26 Mass. App. Ct. 1, 3 (1988), quoting O’Reilly’s Case, 265 Mass. 456, 458 (1929).

The administrative judge stated in his decision that he accepted Dr. Geuss’s conclusion that as of February 9, 1993, the employee was only partially disabled from his work-related injury. Implicit in Dr. Geuss’s evaluation was the notion that the employee had the ability to engage in at least some sort of gainful employment. The administrative judge was not required to adopt the testimony of Dr. Conners, the employee’s vocational expert, who stated in his report that as of August 11, 1992, when interviewed by him, the employee was “unable to engage in substantial gainful activity.” Dr. Conners also testified that he had not made “any kind of assessment of whether [the employee] can do other types of work other than the work he did before [his back injury].” See Amon’s Case, 315 Mass. 210, 215 (1943) (a fact finder may reject some or all of the testimony of an expert). The administrative judge heard testimony from the employee, a vocational expert, and numerous doctors. His findings demonstrate that he took into account the employee’s relatively young age (43 at the time of the hearing), his transferable vocational skills, level of education, and lack of motivation to seek other jobs.1 Given these considerations, the administrative judge was warranted in concluding that the employee could perform some kind of “work other than his usual occupation.” See Locke, Workmen’s Compensation § 342 (2d ed. 1981).

That the administrative judge in his subsidiary findings failed to mention the employee’s vocational expert’s evaluation does not vitiate his ultimate conclusion. As to the economic element of the incapacity issue, the administrative judge may use his own judgment and knowledge in determining the question of an earning capacity. See O’Reilly’s Case, 265 Mass, at 458; Per-[682]*682rival’s Case, 268 Mass. 50, 54 (1929); Mulcahey’s Case, 26 Mass. App. Ct. at 3.

The employee makes a related argument that the administrative judge mistakenly relied upon the independent medical examiner’s report with respect to the degree of disability because the examiner failed to consider the employee’s heart condition and depression as “contributing factors.” There is nothing to this contention because the record shows that the administrative judge took these conditions, into consideration as they were independently established by other evidence. In fact, the administrative judge found that “the employee’s depression is causally related to the . . . workplace injury and his treatment with Dr. C. Oliver for pulmonary problems [is] also related.” However, there was other evidence implicitly credited by the administrative judge that, despite those conditions, the employee could operate his motor vehicle, do “a little cooking now and then,” do some yard work, and work around his swimming pool. This evidence indicates that the administrative judge had a sufficient basis to conclude that the employee could perform some work, albeit less arduous than his previous employment. In a case such as this, where there is more than one condition involved in the employee’s treatment, any lacunae in the independent medical examiner’s report may be supplemented by other evidence, including the employee’s testimony, depositions, medical reports of other physicians, and hospital records. The independent medical examiner’s report does not provide exhaustive criteria for assessing the nature and extent of the employee’s disability.

2. We now consider whether the administrative judge properly rejected the employee’s claim of concurrent employment within the meaning of G. L. c. 152, § 1(1), and thus correctly computed his average weekly earnings solely on the basis of his earnings from the housing authority.2

The undisputed facts relevant to the statutory conditions [683]

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Eady's Case
893 N.E.2d 1258 (Massachusetts Appeals Court, 2008)
Dalbec's Case
867 N.E.2d 792 (Massachusetts Appeals Court, 2007)
Triangle Building Center v. Workers' Compensation Appeal Board
746 A.2d 1108 (Supreme Court of Pennsylvania, 2000)
Lowry v. Industrial Com'n of Arizona
989 P.2d 152 (Arizona Supreme Court, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
709 N.E.2d 439, 46 Mass. App. Ct. 679, 1999 Mass. App. LEXIS 506, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sylvas-case-massappct-1999.