v. ICAO

2021 COA 83
Procedural entryThis page is a short order in v. ICAO. Read the opinion of the Court — 2020 COA 131
Colorado Court of Appeals·Decided June 18, 2021·No. 20CA1475, Browne·Published

Opinion

The summaries of the Colorado Court of Appeals published opinions constitute no part of the opinion of the division but have been prepared by the division for the convenience of the reader. The summaries may not be cited or relied upon as they are not the official language of the division. Any discrepancy between the language in the summary and in the opinion should be resolved in favor of the language in the opinion.

SUMMARY June 17, 2021

2021COA83

No. 20CA1475, Browne v. ICAO — Labor and Industry — Workers’ Compensation — Benefits — Limits on Temporary and Permanent Partial Disability Payments — Effect of Previous Injury or Compensation

A division of the court of appeals considers the relationship

between section 8-42-107.5, C.R.S. 2020 (capping disability

benefits based on an injured worker’s “impairment rating”), and

section 8-42-104(5)(a), C.R.S. 2020 (apportioning benefits for

successive injuries to the same body part), of the Workers’

Compensation Act. The division concludes that the applicable

statutory disability cap is determined not by combining, but by

separately calculating, the “impairment ratings” for each injury. COLORADO COURT OF APPEALS 2021COA83

Court of Appeals No. 20CA1475 Industrial Claim Appeals Office of the State of Colorado WC No. 5034884

Timothy Browne,

Petitioner,

v.

Industrial Claim Appeals Office of the State of Colorado and City of Colorado Springs, Colorado,

Respondents.

ORDER AFFIRMED

Division I Opinion by JUDGE DAILEY Freyre and Yun, JJ., concur

Announced June 17, 2021

Franklin D. Azar & Associates, P.C., Robert Turner, Colorado Springs, Colorado; The Elliott Law Offices, P.C., Mark D. Elliott, Alonit Katzman, Arvada, Colorado, for Petitioner

No Appearance for Respondent Industrial Claim Appeals Office

Dworkin, Chambers, Williams, York, Benson & Evans, P.C., Gregory K. Chambers, Denver, Colorado, for Respondent City of Colorado Springs

The McCarthy Law Firm, P.C., John D. McCarthy, Arvada, Colorado, for Amicus Curiae Colorado Workers’ Compensation Education Association ¶1 The Workers’ Compensation Act (Act) limits the amount of

temporary and permanent partial disability benefits awardable to

an injured worker, depending upon an injured worker’s

“impairment rating.” § 8-42-107.5, C.R.S. 2020. In 2016, when

this claimant’s benefits were calculated, for injuries sustained with

impairment ratings of 25% or less, temporary and permanent

disability benefits were capped at $86,697.04; for injuries sustained

with impairment ratings greater than 25%, temporary and

permanent disability benefits were capped at $173,391.90.1

¶2 What happens when a worker suffers multiple, compensable

work-related injuries that cumulatively — but not individually —

produce an impairment rating greater than 25% to the same body

part?

1 These figures ($86,697.04 and $173,391.90) are not found in section 8-42-107.5, C.R.S. 2020; other figures are. But that provision instructs the director of the Division of Workers’ Compensation (division) to adjust the disability caps annually “by the percentage of adjustment made by the director to the state average weekly wage pursuant to section 8-47-106[, C.R.S. 2020].” § 8-42-107.5. The date of a claimant’s injury determines which benefits caps will apply. The parties on appeal, as well as the Industrial Claim Appeals Office (Panel) and the administrative law judge (ALJ), agree that $86,697.04 and $173,391.90 accurately represent the lower and higher benefits cap numbers for injuries sustained in 2016.

1 ¶3 The Act mandates an apportionment between injuries: “In

cases of permanent medical impairment,” a claimant’s award or

settlement “shall be reduced” by “deduct[ing] from the permanent

medical impairment rating for [a] subsequent injury” the

“permanent medical impairment rating[s] applicable to the previous

injur[ies] to the same body part.” § 8-42-104(5)(a), C.R.S. 2020.

¶4 The Act does not explicitly articulate how and when the

reduced benefits via apportionment should be calculated. The

present case asks us to resolve this question: Should the final

apportioned impairment rating be calculated first, resulting in the

application of the lesser benefits cap, or should the benefit be

calculated based on the combined rating and then reduced by

subtracting earlier awards?

¶5 Because we conclude that an apportioned “impairment rating”

should be calculated first, we affirm the decision of the Panel

upholding the order of an ALJ limiting the claim to the lower

statutory benefits cap.

I. Background

¶6 Claimant, Timothy Browne, worked as a law enforcement

officer for the City of Colorado Springs (the City). In 2007, he

2 sustained an injury to his cervical spine “during defense tactic

training.” He reached maximum medical improvement (MMI) for

that injury in January 2010 with a permanent impairment rating of

6% of the whole person but with no restrictions. The City admitted

to the 6% injury and paid claimant permanent partial disability

(PPD) benefits having a present value of $31,577.95 for the 2007

injury.

¶7 In July 2016, claimant sustained a second work-related injury

to the same body part, his cervical spine. He reached MMI for this

injury in April 2019. The City filed a final admission of liability

(FAL) admitting to an impairment rating of 25% of the whole person

based upon the treating physician’s impairment rating calculation.

Claimant underwent a division-sponsored independent medical

examination (DIME). The DIME physician agreed with the treating

physician that claimant reached MMI in April 2019, but the DIME

physician calculated claimant’s impairment rating to be 26% of the

whole person.

¶8 The City did not file an FAL after the DIME physician issued

his report. Instead, a dispute arose between the parties over the

apportionment of claimant’s injuries and application of the

3 statutory benefits cap. The City took the position that claimant’s

permanent impairment rating should first be reduced by the 6%

impairment attributable to his 2007 injury, leaving him with a net

permanent impairment rating of 20% and a disability benefits cap

of $86,697.04 for the 2016 injury.

¶9 Claimant countered that the City’s approach improperly

reduced the disability benefits to which he was entitled; according

to him, the statutory benefits cap should be based on the DIME

physician’s total impairment rating of 26%, from which the amount

awarded to him for his 2007 injury should be deducted. Under

claimant’s analysis, the statutory benefits cap — based on an

impairment rating of 26% — would be $173,391.90.

¶ 10 The ingredients and sequence of calculation matter. If, as the

City argues, claimant’s impairment rating is deducted first and the

lower benefits cap applied, his resulting net PPD benefit is

$30,763.47. But if, as claimant argues, the impairment rating is

not deducted first and the award is based on the 26% impairment

rating, the higher benefits cap would apply and claimant’s net PPD

benefit would total $85,880.38. Thus, if claimant’s benefits are

calculated based on the 20% apportioned impairment rating, he will

4 receive $55,116.91 less than he would if benefits are calculated

based on the total 26% impairment rating.

¶ 11 An ALJ who heard the matter concluded that the statute’s

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