T.H. v. Sonic Drive In of High Ridge

388 S.W.3d 585, 2012 WL 6584613, 2012 Mo. App. LEXIS 1585
CourtMissouri Court of Appeals
DecidedDecember 18, 2012
DocketNo. ED 98507
StatusPublished
Cited by10 cases

This text of 388 S.W.3d 585 (T.H. v. Sonic Drive In of High Ridge) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
T.H. v. Sonic Drive In of High Ridge, 388 S.W.3d 585, 2012 WL 6584613, 2012 Mo. App. LEXIS 1585 (Mo. Ct. App. 2012).

Opinion

OPINION

GLENN A. NORTON, Judge.

Sonic Drive In of High Ridge (“Employer”) appeals the portion of the decision of the Labor and Industrial Relations Commission affirming and adopting the Administrative Law Judge’s (the “ALJ”) award of permanent partial disability benefits to T.H. (“Claimant”) for psychiatric injuries she suffered as a result of being sexually assaulted at work. Claimant cross-appeals the portion of the Commission’s decision modifying the ALJ’s award with respect to the applicable rate of compensation. The Commission found the applicable rate of compensation for the award was $40.00 per week. We affirm in part and reverse and remand in part.

I. BACKGROUND

Claimant began working for Employer in August 2006, when she was twenty-two years old. On November 17, 2008, Claimant filed a worker’s compensation claim against Employer, which the Division of Worker’s Compensation acknowledged on November 24, 2008. The claim alleged that Claimant suffered injuries to her body as a whole and psychiatric injury on November 15, 2006, during the course and scope of her employment “when she was assaulted and raped in the men’s restaurant bathroom by a co-worker.”1 In the section of the claim form titled “average weekly wage,” Claimant alleged, “max rate.” Employer filed its answer on March 31, 2009, which was received and date stamped by the Division on April 2, 2009. It is undisputed that Employer’s answer was untimely pursuant to 8 CSR 50-2.010(8) (effective Feb. 28, 1999)2 because it was not filed within thirty days from the date of the Division’s acknowl-edgement of Claimant’s claim for compensation.

A. Relevant Testimony and Evidence

At a hearing before the ALJ, Claimant testified to the following. On November 15, 2006, Claimant arrived at work at approximately 9:00 a.m. At about 9:30 a.m., Claimant was approached by her co-worker, Jeremy Schrum, who said he wanted to speak with her in the back of the store. Claimant agreed, and as she and Schrum were walking towards the back of the store, Schrum shoved Claimant into the men’s bathroom, locked the door, and forced her to have sex with him.3 Schrum then said to Claimant, “if you tell anyone you’re going to regret it.” Claimant felt threatened by Schrum’s statement, and she left work before the end of her shift because she was too upset to continue work.

The next day, on November 16, Claimant told her mother about the incident. [588]*588Claimant told her general manager about the incident on November 17 and requested medical care from Employer, but she was told by her general manager that “there was no doctor.” About two weeks later, Claimant reported the incident to the police and sought medical treatment on her own at St. John’s Mercy Hospital. She was then treated by Jones Counseling and Dr. Pilaipun Williams.

Claimant quit her job with Employer in December 2006 because of anxiety she experienced when she was at work, including having a fear of men and being sexually assaulted again. She subsequently worked at a few other places of employment but quit because she had to work with and around men. Since the incident, Claimant frequently cries and has headaches, and she has suffered from anxiety, stress, panic attacks, and depression. At the time of the hearing, Claimant could not remember what her earnings were at the time of the incident.

At the hearing, Claimant offered into evidence the deposition of Claimant’s alleged assailant, Jeremy Schrum. Claimant also offered into evidence Schrum’s certified criminal record which demonstrated he was previously convicted, following guilty pleas, of two counts of first-degree statutory sodomy, two counts of first-degree child molestation, and one count of first-degree statutory rape. Employer objected to the admission of both documents. The ALJ excluded Schrum’s deposition but admitted his criminal record.

Claimant also offered into evidence her medical records from St. John’s Mercy Hospital, Jones Counseling, and the office of Dr. Williams. Claimant’s medical expert, Dr. Paul Packman, testified that based upon his examination of Claimant and a review of her medical records, he opined within a reasonable degree of medical certainty that the November 15, 2006 incident caused Claimant chronic post-traumatic stress disorder with panic attacks and chronic major depressive disorder. Dr. Packman further opined that Claimant suffered a permanent psychiatric partial disability of 65% of the person as a whole as a result of the incident.

Employer’s medical expert, Dr. Melissa Harbit, testified that based upon her examination of Claimant and a review of Claimant’s medical records, she opined within a reasonable degree of medical certainty that Claimant’s psychiatric condition was caused by her pre-existing borderline personality disorder rather than the November 15, 2006 incident. Dr. Harbit also opined that Claimant did not have any type of permanent partial disability related to the incident.

B. The ALJ’s Award and the Commission’s Decision

Following the hearing, the ALJ issued a decision awarding Claimant permanent partial disability benefits, finding that “[Claimant] sustained a permanent partial disability of 45% of the body as a whole (180 weeks) for her post-traumatic stress disorder and depressive disorder caused by the rape that occurred at work on November 15, 2006.” In the award, the ALJ made credibility and factual findings: (1) “[Claimant] was a credible witness on the issue of accident. I further find that [Claimant] was raped at work”; and (2) “Dr. Packman’s opinions on the issue[ ] of medical causation ... are more credible than Dr. Harbit’s opinions.” Based upon those findings, the ALJ concluded that “the sexual assault that occurred on November 15, 2006 was the prevailing factor in causing [Claimant’s] post-traumatic stress disorder and major depression.”

The ALJ’s award provided that Claimant was entitled to a rate of compensation [589]*589of $876.55 per week, which was the maximum rate of compensation for permanent partial disability benefits Claimant could recover pursuant to section 287.190.5(5) RSMo Supp.2006.4 The ALJ found that Claimant was entitled to that rate because Employer filed an untimely answer to Claimant’s claim for compensation and therefore admitted all factual allegations set forth in the claim,5 including Claimant’s allegation that her average weekly wage was “max rate.”

Employer filed an application for review. The Commission affirmed and adopted the ALJ’s award of permanent partial disability benefits to Claimant. However, the Commission modified the ALJ’s award with respect to the applicable rate of compensation. The Commission found that Claimant’s allegation in her worker’s compensation claim that she had an average weekly wage of “max rate” was not a factual allegation but a legal conclusion which Employer did not admit to by filing an untimely answer. The Commission also found that because Claimant failed to meet her burden of proving her average weekly wage, the applicable rate of compensation for the award was the minimum rate of $40.00 per week.6 Employer appeals and Claimant cross-appeals.

II. DISCUSSION

A. General Standard of Review

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Bluebook (online)
388 S.W.3d 585, 2012 WL 6584613, 2012 Mo. App. LEXIS 1585, Counsel Stack Legal Research, https://law.counselstack.com/opinion/th-v-sonic-drive-in-of-high-ridge-moctapp-2012.