Taylor v. Second Injury Fund

234 Mich. App. 1
CourtMichigan Court of Appeals
DecidedFebruary 9, 1999
DocketDocket No. 202725
StatusPublished
Cited by5 cases

This text of 234 Mich. App. 1 (Taylor v. Second Injury Fund) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Taylor v. Second Injury Fund, 234 Mich. App. 1 (Mich. Ct. App. 1999).

Opinion

Markman, J.

Plaintiff appeals by leave granted from a March 28, 1996, opinion and order of the Worker’s Compensation Appellate Commission (wcac) determining the amount of “differential” benefits plaintiff is entitled to receive from the Second Injury Fund (SIF). We reverse in part and affirm in part.

On May 4, 1988, plaintiff injured his back in the course of his employment with General Motors Corporation (gm). At that time, plaintiff’s average weekly wage, exclusive of fringe benefits, was $843.95. In addition to that cash wage amount, plaintiff also had fringe benefits valued at twenty-five percent of his average weekly wage earnings, i.e., $210.98, which benefits were discontinued after his injury and disability.

[4]*4Gm paid plaintiff weekly worker’s compensation benefits in the amount of $397, the maximum weekly benefit allowed under MCL 418.355; MSA 17.237(355), which limits weekly benefits to ninety percent of the annually adjusted state average weekly wage determined by the Michigan Employment Security Commission. Specifically, MCL 418.355; MSA 17.237(355) provides, in pertinent part:

(1) The maximum weekly rate shall be adjusted once each year in accordance with the increase or decrease in the average weekly wage in covered employment, as determined by the Michigan employment security commission.
(2) Effective January 1, 1982, and each January 1 thereafter, the maximum weekly rate of compensation for injuries occurring within that year shall be established as 90% of the state average weekly wage as of the prior June 30, adjusted to the next higher multiple of $1.00.

The $397 weekly benefit rate paid by gm is based on ninety percent of the $440.77 state average weekly wage in 1988, the year in which plaintiff was injured. Because this weekly benefit rate exceeds two-thirds of the $440.77 state average weekly wage for 1988, the value of plaintiff’s discontinued fringe benefits was not included in gm’s calculation of plaintiff’s average weekly wage, pursuant to the two-thirds limitation of MCL 418.371(2); MSA 17.237(371)(2). Specifically, MCL 418.371(2); MSA 17.237(371)(2) provides, in pertinent part:

As used in this act, “average weekly wage” means the weekly wage earned by the employee at the time of the employee’s injury in all employment, inclusive of overtime, premium pay, and cost of living adjustment, and exclusive of any fringe or other benefits which continue during the disability. Any fringe or other benefit which does not con[5]*5tinue during the disability shall be included for proposes of determining an employee’s average weekly wage to the extent that the inclusion of the fringe or other benefit will not result in a weekly benefit amount which is greater than% of the state average weekly wage at the time of injury

In February of 1992, plaintiff settled his injury-related claims against an alleged third-party tortfeasor for $195,000. At that time, GM’s lien against any third-party recoveiy for reimbursement of previously paid worker’s compensation benefits already exceeded the $195,000 settlement amount. However, GM executed a release and agreed to accept $65,000 for any lien or claim that it had on plaintiff’s third-party recovery. In this manner, GM compromised its statutory lien on the entire third-party settlement amount, minus the costs of recoveiy, for less than half of the net recovery amount, leaving plaintiff with the remaining recovery proceeds.

After compromising its lien for reimbursement of worker’s compensation benefits previously paid, GM continued paying plaintiff benefits at the $397 weekly rate. A few months later, on June 8, 1992, the SIF began paying plaintiff “differential” benefits for “total and permanent disability” as defined by MCL 418.361(3); MSA 17.237(361)(3). A totally and permanently disabled employee is entitled to “basic” weekly compensation from the employer pursuant to MCL 418.351(1); MSA 17.237(351)(1) and differential benefits from the sif pursuant to MCL 418.521(2); MSA 17.237(521)(2). Differential benefits operate as inflation ad[justments payable by the sif and are calculated by subtracting the basic weekly benefit owed by the employer, based on the law in effect on the date of [6]*6injury, from the increased weekly benefit currently provided for the employee’s total and permanent disability. See, e.g., Jenkins v Great Lakes Steel Corp, 200 Mich App 202, 207-208; 503 NW2d 668 (1993).

Only two issues were presented for resolution by the magistrate in this case: (1) whether the two-thirds limitation of MCL 418.371(2); MSA 17.237(371)(2) applies when using the value of plaintiff’s discontinued fringe benefits to compute his average weekly wage for purposes of determining the amount of differential benefits to be paid by the sif, and (2) whether the sif is entitled to a credit against future payment of differential benefits based on the third-party recovery proceeds that plaintiff received after GM relinquished its statutory lien for only $65,000 of the settlement amount.

With regard to the first issue, the sif’s position is that the two-thirds limitation not only applies to the calculation of average weekly wage for purposes of determining the rate of basic benefits to be paid by the employer, but also to the determination of the differential benefits rate to be paid by the SIF. Specifically, the SIF maintains that the two-thirds limitation is applied when determining what the employee would be entitled to receive in basic weekly benefits if injured in the current year, before subtracting the amount of basic benefits the employee is entitled to receive from the employer based on the actual year in which the injury occurred. Therefore, according to the sif, the value of discontinued fringe benefits may not be included in calculating plaintiff’s average weekly wage for purposes of determining the amount of differential benefits based on the basic weekly benefit amount that plaintiff would receive if injured in [7]*7the current year, to the extent that adding the fringe benefits would result in a current basic weekly benefit rate that exceeds two-thirds of the state average weekly wage for the current year.

In contrast, it is plaintiffs position that the two-thirds limitation on the use of discontinued fringe benefits has no application at all when determining the amount of differential benefits to be paid by the SIF, but applies only to determining the amount of basic benefits to be paid by the employer based on the law in effect on the date of injury. Therefore, according to plaintiff, the rate of his differential benefits is calculated by subtracting the actual basic weekly benefit rate paid by gm, i.e., $397, from the basic weekly benefit rate plaintiff would be entitled to receive if injured in the current year based on an average weekly wage comprised of all cash wages and discontinued fringe benefits, without limitation, i.e., an average weekly wage of $1,054.93.1

The magistrate agreed with the SIF that the two-thirds limitation applies to the calculation of differential benefits payable by the SIF as well as the determination of basic benefits payable by the employer:

[Under MCL 418.371(2); MSA 17.237(371)(2)] an individual’s fringe benefits are only included in computing the average weekly wage under two conditions. First, the fringe benefits must be discontinued during the time of disability.

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Cite This Page — Counsel Stack

Bluebook (online)
234 Mich. App. 1, Counsel Stack Legal Research, https://law.counselstack.com/opinion/taylor-v-second-injury-fund-michctapp-1999.