W. Sokalsky, Jr. v. WCAB (Bradley Graphics Solutions, Inc. and Erie Flagship Ins. Co.) Erie Ins. Co. v. WCAB (Sokalsky, Jr.)

CourtCommonwealth Court of Pennsylvania
DecidedFebruary 6, 2019
Docket824 and 1467 C.D. 2016
StatusUnpublished

This text of W. Sokalsky, Jr. v. WCAB (Bradley Graphics Solutions, Inc. and Erie Flagship Ins. Co.) Erie Ins. Co. v. WCAB (Sokalsky, Jr.) (W. Sokalsky, Jr. v. WCAB (Bradley Graphics Solutions, Inc. and Erie Flagship Ins. Co.) Erie Ins. Co. v. WCAB (Sokalsky, Jr.)) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
W. Sokalsky, Jr. v. WCAB (Bradley Graphics Solutions, Inc. and Erie Flagship Ins. Co.) Erie Ins. Co. v. WCAB (Sokalsky, Jr.), (Pa. Ct. App. 2019).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

William Sokalsky, Jr., : Petitioner : : v. : : Workers’ Compensation Appeal : Board (Bradley Graphics Solutions, Inc. : and Erie Flagship Insurance Company : a/k/a Erie Insurance Company), : No. 824 C.D. 2016 Respondents :

Erie Insurance Company a/k/a : Flagship City Insurance Company, : Petitioner : : v. : : Workers’ Compensation Appeal : Board (Sokalsky, Jr., and Bradley : Graphics Solutions, Inc., and : LMI Insurance Co. (In Bankruptcy) : and State Workers’ Insurance Fund), : No. 1467 C.D. 2016 Respondents : Submitted: March 9, 2018

BEFORE: HONORABLE P. KEVIN BROBSON, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE ELLEN CEISLER, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE COVEY FILED: October 29, 2018

William Sokalsky, Jr. (Claimant) petitions this Court for review of the portion of the Workers’ Compensation (WC) Appeal Board’s (Board) April 22, 2016 order reversing the Workers’ Compensation Judge’s (WCJ) ruling that Erie Insurance Company a/k/a Flagship City Insurance Company (Erie) was responsible for Claimant’s benefits after December 17, 2002, and affirming the WCJ’s May 9, 2014 decision dismissing Claimant’s Petition for Penalties (Penalty Petition).1 Essentially, Claimant presents three issues for this Court’s review: (1) whether the Board erred by reversing the WCJ’s December 16, 2013 determination that Claimant’s October 12, 2000 work injury recurred as of December 17, 2002;2 (2) whether the Board erred by affirming the WCJ’s May 9, 2014 denial of his Penalty Petition; and (3) whether the WCJ’s and the Board’s Penalty Petition determinations were reasoned decisions. In addition, Erie petitioned this Court for review of the Board’s August 22, 2016 order denying its Petition for Rehearing (Rehearing Petition) from the Board’s April 22, 2016 decision that Erie is responsible for Claimant’s WC benefits for work injuries sustained on December 28, 1994, February 9, 1995 and July 1, 1997.3 Erie’s sole issue on appeal was whether the Board erred by denying Erie’s Rehearing Petition. On December 28, 1994, while employed by Bradley Graphic Solutions, Inc. (Employer) as a collator operator, Claimant was involved in a work-related accident during which his hair became caught in the spinning machine drum. As a result, his neck was twisted, resulting in headaches and pain radiating into both upper extremities that was aggravated by shoulder movement. LMI Insurance Company

1 This appeal is docketed at No. 824 C.D. 2016. 2 Claimant’s Statement of Questions Involved listed as the first four issues: (1) whether the Board exceeded its appellate authority relative to Findings of Fact 13 and 14, and Conclusions of Law 2, 3 and 4; (2) whether the Board exceeded its authority by reversing the WCJ’s December 16, 2013 determination that Claimant’s original work injury recurred; (3) whether the Board erred by reversing the WCJ’s finding that Claimant suffered a recurrence as of December 17, 2002; and (4) whether the Board erred by exculpating Erie from liability after December 17, 2002. See Claimant Br. at 5. Because these issues are subsumed in the analysis of whether the Board erred by reversing the WCJ’s December 16, 2013 determination that Claimant’s October 12, 2000 work injury recurred as of December 17, 2002, the issues have been combined herein. 3 This appeal is docketed at No. 1467 C.D. 2016. 2 (LMI) was Employer’s WC insurance carrier at that time.4 Claimant nevertheless continued to work. See Reproduced Record (R.R.) at 177a. On February 9, 1995, Claimant was involved in a second work accident involving his neck, head and back. See R.R. at 177a. On July 1, 1997, Claimant had a third work accident involving his right leg, neck and back. See R.R. at 178a. Because these injuries did not preclude Claimant from doing his pre-injury job, he did not lose income and, therefore, was not disabled.5 See R.R. at 178a. On October 12, 2000, because Claimant’s headaches and neck and upper extremity pain became progressively worse and rendered him unable to perform his job, his treating physician ordered him to stop working. See R.R. at 180a-185a. Erie was Employer’s WC insurance carrier from 1998 through 2001. See R.R. at 262a- 264a. Claimant remained off work from October 12, 2000 through August 18, 2002. See R.R. at 185a. On August 19, 2002, Claimant returned to work in a modified position as an operations liaison, working less than 20 hours per week. See R.R. at 189a. Despite ongoing medical treatment and medications, his pain increased and he again ceased working on December 17, 2002. See R.R. at 192a-193a. The State Workers’ Insurance Fund (SWIF) was Employer’s WC insurance carrier beginning October 2, 2002. See R.R. at 263a, 2564a. On September 22, 2003, Claimant filed a claim petition (Claim Petition), wherein he averred that repetitive work activities rendered him disabled as of October 12, 2000. See R.R. at 21a. On October 1, 2003, the Department of Labor and Industry, Bureau of WC (WC Bureau) assigned the matter Claim No. 2550988. Erie

4 Because LMI is in bankruptcy, the Pennsylvania Workers’ Compensation Security Fund, through its third-party administrator AmeriHealth Casualty Services, Inc. is administering this claim on LMI’s behalf. See LMI Br. at 4 n.1. 5 “[A]n employee must demonstrate that he is disabled as a consequence of the work-related injury. The term ‘disability’ is synonymous with an employee’s loss of earning power.” Amandeo v. Workers’ Comp. Appeal Bd. (Conagra Foods), 37 A.3d 72, 75 n.4 (Pa. Cmwlth. 2012) (citation omitted). 3 filed an answer and petition to join LMI, alleging that Claimant’s 2000 injury was a recurrence of a 1994 work injury. LMI joined SWIF, alleging that Claimant sustained a new injury in December 2002, when SWIF was the liable carrier. On December 13, 2004, Claimant filed a claim petition against Erie, LMI and SWIF alleging he was entitled to disfigurement benefits due to scarring resulting from neck surgery necessitated by his 1994, 1995 and 2000 work injuries (Disfigurement Claim Petition). The insurance carriers denied the allegation. Protracted litigation ensued over the years. On May 17, 2006, the WCJ granted the September 22, 2003 Claim Petition, concluding that Claimant established that he sustained work-related injuries to his spine, shoulders and lower extremities on December 28, 1994, February 9, 1995 and July 1, 1997, and that “his work activities over time caused him to have pain to various parts of his body resulting in a worsening [of] his underlying symptoms[] on October 12, 2000[,] and causing him an inability to perform the collator duties as of October 12, 2000” and, consequently, a disability for which Erie was responsible. WCJ 5/17/06 Dec. Finding of Fact 29, R.R. at 2283a (as modified by WCJ 9/21/10 Dec. Finding of Fact 9, R.R. at 2283a); see also WCJ 5/17/06 Dec. Conclusions of Law 1-2. Claimant was awarded total disability benefits payable by Erie as of October 12, 2000, with a credit for short and long-term disability benefits Erie funded, and wages Claimant received between August and December 2002. The WCJ dismissed the joinder petitions and Claimant’s Disfigurement Claim Petition.6 On appeal, on October 19, 2009, the Board remanded the May 17, 2006 decision to

6 Claimant’s Disfigurement Claim Petition was dismissed without prejudice because the WCJ did not observe Claimant’s scarring. On May 24, 2006, the WCJ issued an amended/corrected decision after he observed Claimant’s scarring, which he attributed to Claimant’s October 12, 2000 injury, and for which he awarded Claimant 40 weeks of disfigurement benefits. However, on October 19, 2009, the Board vacated the May 24, 2006 amended/corrected decision as null and void.

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W. Sokalsky, Jr. v. WCAB (Bradley Graphics Solutions, Inc. and Erie Flagship Ins. Co.) Erie Ins. Co. v. WCAB (Sokalsky, Jr.), Counsel Stack Legal Research, https://law.counselstack.com/opinion/w-sokalsky-jr-v-wcab-bradley-graphics-solutions-inc-and-erie-pacommwct-2019.