Taylor v. Waste Mgmt. of N.M.

2021 NMCA 026
New Mexico Court of Appeals·Decided April 6, 2021·Published·Cited by 5 cases

Opinion

Office of the Director New Mexico 10:17:29 2021.07.12 Compilation '00'06- Commission

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

Opinion Number: 2021-NMCA-026

Filing Date: April 6, 2021

No. A-1-CA-37503

BRYAN K. TAYLOR,

Worker-Appellant,

v.

WASTE MANAGEMENT OF NEW MEXICO, INC. and GALLAGHER BASSETT SERVICES, INC.,

Employer/Insurer-Appellees.

APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION Anthony “Tony” Couture, Workers’ Compensation Judge

Released for Publication July 20, 2021.

Gerald A. Hanrahan Albuquerque, NM

for Appellant

Evie M. Jilek Albuquerque, NM

for Appellees

OPINION

ATTREP, Judge.

{1} Bryan Taylor (Worker) appeals from a compensation order entered pursuant to the Workers’ Compensation Act (the Act), NMSA 1978, §§ 52-1-1 to -70 (1929, as amended through 2017), limiting Worker’s temporary total disability benefits (TTD benefits). After Waste Management of New Mexico, Inc. (Employer) terminated Worker, Worker earned wages from other employers below his preinjury wage. The Workers’ Compensation Judge (WCJ) determined, under these circumstances, that Worker was not entitled to full TTD benefits. Because the WCJ’s decision is contrary to the law that existed when Worker was injured,1 we reverse.

BACKGROUND

I. Statutory Background

{2} “Temporary total disability,” as used in the Act, “means the inability of a worker, by reason of accidental injury arising out of and in the course of the worker’s employment, to perform the duties of that employment prior to the date of the worker’s maximum medical improvement [(MMI)].” Section 52-1-25.1(A). Generally speaking, workers suffering from a temporary total disability are entitled to TTD benefits in the amount of two-thirds their average weekly wage (AWW).2 See § 52-1-41(A) (1999). Absent one of two exceptions, “the statute requires payment of full total disability benefits.” Ortiz v. BTU Block & Concrete Co., 1996-NMCA-097, ¶ 10, 122 N.M. 381, 925 P.2d 1 (construing the 1990 version of Section 52-1-25.1); see also Hawkins v. McDonald’s, 2014-NMCA-048, ¶ 9, 323 P.3d 932 (“Section 52-1-25.1 of the [Act] limits the payment of TTD benefits to an injured worker prior to the date of MMI in only two circumstances.”).

{3} The two exceptions to a worker’s entitlement to full TTD benefits are set out in Section 52-1-25.1. Subsection B defines the first exception:

If, prior to the date of [MMI], an injured worker’s health care provider releases the worker to return to work, the worker is not entitled to [TTD] benefits if:

(1) the employer offers work at the worker’s preinjury wage; or

(2) the worker accepts employment with another employer at the worker’s preinjury wage.

Section 52-1-25.1(B) (emphases added). Subsection C defines the second exception:

1The Legislature enacted Section 52-1-25.1, the statute governing TTD benefits, in 1990, amended it in 2005, and amended it again in 2017. We are called on in this opinion to construe the 2005 version of Section 52-1-25.1, the version in effect at the time of Worker’s injury. See § 52-1-48 (“The benefits that the worker shall receive during the entire period of disability and the benefits for death shall be based on and limited to the benefits in effect on the date of the accidental injury resulting in the disability or death.”); Jojola v. Aetna Life & Cas., 1989-NMCA-085, ¶ 6, 109 N.M. 142, 782 P.2d 395 (“[I]n workers’ compensation cases the uniform rule in this state has been that a claim for benefits is governed by the law in effect at the time the cause of action accrued.”). As a result, we express no opinion about the meaning of the 2017 version of Section 52-1-25.1, or whether Worker would be entitled to TTD benefits under that provision. All references to Section 52-1-25.1 in this opinion are to the 2005 version, unless otherwise indicated. 2We refer, throughout this opinion, to preinjury wage and AWW interchangeably.

If, prior to the date of [MMI], an injured worker’s health care provider releases the worker to return to work and the employer offers work at less than the worker’s pre-injury wage, the worker is disabled and shall receive [TTD] compensation benefits equal to two-thirds of the difference between the worker’s pre-injury wage and the worker’s post- injury wage.

Section 52-1-25.1(C) (emphasis added). At issue in this appeal is the offset provision in Section 52-1-25.1(C).

II. Factual and Procedural Background

{4} The following facts are uncontested. Worker suffered numerous injuries in January 2013 while being trained as a residential garbage collector for Employer. Not long after being hired, Worker was on duty when a garbage container fell through the gripper of the garbage truck and landed inside the truck’s hopper. Worker’s trainer directed him to climb up the gripper arm, reach into the hopper, and pull the container out. While doing so, Worker lost his balance and fell backward onto the side of the truck and then to the pavement about thirteen feet below. Worker’s injuries included a traumatic brain injury, spinal injuries, and a lacerated spleen and kidney. Worker’s AWW with Employer was $829.50 and, as a result, his compensation rate for TTD benefits is $553.00 (two-thirds of AWW). See § 52-1-41(A) (1999).

{5} Worker returned to work in April 2013 and remained employed with Employer until he was terminated in July 2013. After his termination, Worker obtained employment with other companies, although, for the most part, he earned less than AWW. Employer issued partial TTD benefits, taking credit for wages Worker earned from his subsequent employers and claiming that the offset provision in Section 52-1-25.1(C) applied to those earnings. Since December 2017 Employer has been paying full TTD benefits because Worker has been unable to work. At issue below and now on appeal is the appropriate amount of TTD benefits for the period between Worker’s termination and December 2017, in which Worker was earning less than AWW from other employers.

{6} Worker filed a complaint with the Workers’ Compensation Administration, asserting that Employer had no authority to reduce Worker’s benefits if his earnings from other employers did not exceed AWW. After a trial, the WCJ entered a compensation order making numerous findings, including that Worker had not reached MMI, Employer’s proffered reason for terminating Worker was not credible, Worker had endeavored to remain gainfully employed since being injured, and Worker had not otherwise abandoned his job with Employer. The WCJ, however, disagreed with Worker’s position that he was entitled to full TTD benefits during the period in question. Although the WCJ understood that the plain language of Section 52-1-25.1 supported Worker’s position, the WCJ thought an award of full TTD benefits would be unfair to Employer and “contrary to the spirit and purpose” of the Act. The WCJ thus capped Worker’s TTD benefits, determining that “the total amount . . . Worker receives from his employment and his [TTD benefits] shall not exceed . . . Worker’s [AWW] of $829.50.”

In reducing Worker’s TTD benefits, the WCJ did not rely on Section 52-1-25.1(C), but rather on two other provisions of the Act and a case interpreting one of those provisions. Worker appeals.

DISCUSSION

{7} This appeal raises the following question: After Employer terminated Worker, was Employer permitted to reduce the TTD benefits it paid to Worker based on Worker’s earnings from other employers that were less than AWW? Resolving this question requires us to interpret Section 52-1-25.1 and other provisions of the Act; our review, accordingly, is de novo. See Baca v. Los Lunas Cmty. Programs, 2011-NMCA- 008, ¶ 11, 149 N.M. 198, 246 P.3d 1070 (“We review the WCJ’s legal conclusions regarding statutory construction de novo.”).

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Taylor v. Waste Mgmt. of N.M., 2021 NMCA 026 (N.M. Ct. App. 2021).

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