Teague v. Insurance Co. of State of Pa.

144 S.W.3d 607, 2004 Tex. App. LEXIS 4806, 2004 WL 1175478
CourtCourt of Appeals of Texas
DecidedMay 27, 2004
Docket07-02-0311-CV
StatusPublished
Cited by4 cases

This text of 144 S.W.3d 607 (Teague v. Insurance Co. of State of Pa.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Teague v. Insurance Co. of State of Pa., 144 S.W.3d 607, 2004 Tex. App. LEXIS 4806, 2004 WL 1175478 (Tex. Ct. App. 2004).

Opinion

OPINION

JAMES T. CAMPBELL, Justice.

Appellant Linda Teague appeals a summary judgment denying her workers’ compensation supplemental income benefits for one quarter of the year 2000. We affirm the trial court’s judgment.

Teague sustained an injury, compensa-ble under the Texas Workers’ Compensation Act, 1 in June of 1994. She reached maximum medical improvement as of May 1, 1996, and was assigned an impairment rating of eighteen percent. This entitled her to supplemental income benefits, 2 if she qualified by meeting criteria established by the Act and regulations of the *609 Texas Workers’ Compensation Commission (TWCC or Commission). Appellee Insurance Company of the State of Pennsylvania is the workers’ compensation insurance carrier for Teague’s employer.

Supplemental income benefits under the Act are calculated quarterly. 3 An injured worker’s eligibility for supplemental income benefits during a quarter is determined in part by events during a preceding 13 week “qualifying period.” 4

Following a contested case hearing, the TWCC benefit hearing officer concluded that Teague was not entitled to supplemental income benefits for the quarter in question because she did not comply with Section 130.102(e) 5 of the TWCC regulations by looking for employment every week of the qualifying period. A TWCC appeals panel affirmed the decision. Teague then sought judicial review by the district court of the appeals panel’s determination. Appellee filed a motion for summary judgment, which the trial court granted. This appeal followed.

The facts are not in dispute. The parties agree Teague did not look for work during two weeks of the qualifying period because she was in Idaho attending her daughter during illness. The parties disagree only on the issue of whether that failure to seek employment for two weeks during the qualifying period disqualified her for benefits for the subsequent quarter. As movant for summary judgment, appellee has the burden of showing that it is entitled to judgment as a matter of law. Nixon v. Mr. Property Management Co., Inc., 690 S.W.2d 546, 548 (Tex.1985).

As applicable to Teague, among other conditions, the Act requires a claimant for supplemental income benefits to attempt in good faith to obtain employment commensurate with the claimant’s ability. Tex. Lab.Code Ann. § 408.142(a)(4). Section 130.102 of the Commission’s regulations implements that requirement. 6 Sections 130.102(d) and (e) deal directly with what is there referred to as the “good faith effort” to obtain employment. 7

*610 The gist of Teague’s argument is that Section 130.102, properly read, does not disqualify her for supplemental income benefits merely because of her failure to seek employment every week of the qualifying period. She argues Section 130.102 anticipates that circumstances may well prevent an injured employee from seeking work every week, pointing to Section 130.102(e)(ll), by which the reviewing authority is to consider “any other relevant factor” when making the determination whether the claimant has made the requisite good faith effort. Teague argues the requirement that a claimant look for employment every week of the qualifying period should not be read as absolute but should be read in the context of the entirety of Section 130.102(e). Teague emphasizes that her effort to seek work during the qualifying period otherwise would be considered adequate to maintain her qualification for supplemental income benefits, 8 and contends her reason for not seeking work during the two weeks she was out of state helping her ill child should be considered as a relevant factor in determining whether she put forth a good faith effort to find employment during the qualifying period.

Teague quotes a dissenting TWCC appeals panel opinion which argues that the provision was not intended to disqualify a worker who makes a good faith search but misses a week or two. Appeals Panel No. 000914, 2000 TX Wrk. Comp. LEXIS 2207. Teague provides no other authority for an exception to the “every week” requirement in Section 130.102(e).

Appellee contends the clear mandate of Section 130.102(e) that a claimant seek employment every week of the qualifying period is separate and distinct from the provisions implementing the good faith effort requirement. Appellee reads the eleven factors listed in the latter part of 130.102(e) as dealing with the quality of a claimant’s effort, and not as modifying the requirement that the effort take place every week. Appellee thus argues the TWCC hearing officer and appeals panel were correct in finding that Section 103.102 does not permit an exception to the requirement that the claimant seek work each week.

We construe the TWCC’s administrative rules in the same manner as statutes, having as our primary objective to give effect to the intent of the TWCC. See *611 Rodriguez v. Service Lloyds Ins. Co., 997 S.W.2d 248, 254 (Tex.1999); see Lewis v. Jacksonville Bldg. & Loan Ass’n, 540 S.W.2d 307, 310 (Tex.1976). Unless the rule is ambiguous, we follow the rule’s clear language. Rodriguez, 997 S.W.2d at 254; see RepublicBank Dallas, N.A. v. Interkal, Inc., 691 S.W.2d 605, 607 (Tex.1985).

We do not find support for Teague’s contention in the language of the rule. Section 130.102(e) plainly states the requirement that a claimant’s good faith effort must involve a search for employment every week of the qualifying period, and nothing in the wording of 130.102(e) or elsewhere in Section 130.102 suggests that requirement may be excused or overridden by other factors. Teague’s reading of Section 130.102(e) would effectively reduce the “every week” requirement merely to one of the factors to be considered in the determination whether the claimant has engaged in a good faith effort to seek employment. The language of the rule does not permit such a reading.

Further, the Commission’s explanation of Section 130.102, given when the rule was published in the Texas Register, and the Commission’s responses to public comment it received about the rule, speak directly to the Commission’s intent concerning the “every week” requirement. Tex. Gov’t Code Ann. §§ 2001.023-.030 (Vernon 2000); see Rodriguez,

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Cite This Page — Counsel Stack

Bluebook (online)
144 S.W.3d 607, 2004 Tex. App. LEXIS 4806, 2004 WL 1175478, Counsel Stack Legal Research, https://law.counselstack.com/opinion/teague-v-insurance-co-of-state-of-pa-texapp-2004.