Whittaker v. Allen

966 S.W.2d 956, 1998 Ky. LEXIS 53, 1998 WL 178673
CourtKentucky Supreme Court
DecidedApril 16, 1998
DocketNos. 97-SC-838-WC to 97-SC-840-WC
StatusPublished

This text of 966 S.W.2d 956 (Whittaker v. Allen) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whittaker v. Allen, 966 S.W.2d 956, 1998 Ky. LEXIS 53, 1998 WL 178673 (Ky. 1998).

Opinion

OPINION OF THE COURT

Claimant sustained a work-related back injury on April 15, 1982, for which he was awarded a permanent, total disability by the “old” Workers’ Compensation Board. Liability was apportioned 43% to the employer and 57% to the Special Fund. On December 19, 1994, the employer moved to reopen the award in order to contest certain medical expenses. In obtaining evidence relative to the motion, the employer learned that claimant was repeatedly bending, kneeling, and performing other strenuous activity while working on automobiles. Therefore, on August 14, 1995, the employer moved to reduce the award of income benefits, alleging that claimant no longer was totally occupationally disabled.

The Administrative Law Judge* (ALJ) concluded that the contested medical expenses were not compensable. In determining that claimant’s occupational disability had decreased to 80% since the original award, the ALJ relied upon testimony from Ms. Spis-singer, who had conducted surveillance of the claimant, and upon medical evidence from Drs. Rosenbaum and Weiss. The ALJ explicitly chose to disregard as unreliable the videotapes which purported to demonstrate claimant’s ability to perform certain activities since the subject’s face was not clearly visible. Benefits for an 80% permanent, partial disability were ordered payable for 425 weeks from August 14, 1995, the date of the employer’s motion to reduce benefits. The award was apportioned equally to the employer and the Special Fund.

Pursuant to petitions for reconsideration by the employer and the Special Fund, the ALJ corrected the apportionment of the reopened award so that it was consistent with the original apportionment. The ALJ rejected the Special Fund’s argument that, pursuant to the version of KRS 342.120(4) which was in effect at the time of the injury, the employer should make all payments to the claimant and be reimbursed quarterly by the Special Fund. The Special Fund’s assertion that the reduced award at reopening should be limited to 425 weeks from the date of injury also was rejected. Claimant and the Special Fund appealed, and the employer cross-appealed.

After reviewing the evidence as recited by the ALJ and discussing the scope of the ALJ’s authority as the finder of fact, the Workers’ Compensation Board (Board) concluded that the ALJ’s conclusions were supported by substantial evidence of record and that contrary results were not compelled. In the face of testimony by Ms. Spissinger and Drs. Rosenbaum and Weiss to the effect that claimant’s physical capabilities were greater than he admitted, the Board was not persuaded that the ALJ’s conclusion concerning claimant’s credibility was unreasonable, indicated improper bias, or constituted a reversible error. The Board also concluded that claimant had a meaningful opportunity to be heard and that his due process rights were not violated by the fact that one ALJ presided over the hearing on the claim but a different ALJ rendered the decision. Kentucky Alcoholic Beverage Control Board v. Jacobs, Ky., 269 S.W.2d 189 (1954); Utility Reg. Comm. v. Kentucky Water Service Co., Inc., Ky., 642 S.W.2d 591 (1982); Bullock v. Peabody Coal Co., Ky., 882 S.W.2d 676 (1994); Bentley v. Aero Energy, Inc., Ky.App., 903 S.W.2d 912 (1995). The defendants’ argument that the reopened award should run from the date of injury rather than from the date of the motion to reopen was rejected. However, recognizing the principle that the law in effect on the date of injury controls the rights and obligations of the parties, the Board reversed the ALJ to the extent that the payment method contained in the version of KRS 342.120(4) which was in effect on the date of injury was not applied to the award at reopening.

The Court of Appeals noted that the Board had failed to correct an ALJ misstatement concerning claimant’s knowledge of auto mechanics. Finding no reversible error in view [958]*958of the totality of the evidence, the Court of Appeals affirmed the decision of the Board in all respects. All parties appeal.

Claimant argues that the evidence compelled a finding that he remained totally occupationally disabled at reopening. However, having reviewed the arguments which he raises and the opinions below, we are persuaded that the view of the evidence which was taken by the Board and the Court of Appeals in affirming the decision of the ALJ was neither patently unreasonable nor flagrantly implausible. Furthermore, we are not persuaded that they misapplied the law with regard to their assessment of the evidence or that a gross injustice will result. Western Baptist Hospital v. Kelly, Ky., 827 S.W.2d 685 (1992).

In arguing that the award of an additional 425 weeks of benefits was erroneous, the employer and the Special Fund note that the version of KRS 342.730(l)(b) which was in effect on the date of injury provided that benefits for permanent, partial occupational disability were payable:

for a maximum period, from the date the disability arises, of four hundred and twenty-five (425) weeks, _Any temporary total disability period within the maximum period for permanent, partial disability benefits shall not extend the maximum period. ...

Acts 1980, ch. 104, § 15. They also note that it was not until July 15, 1982, that the word “not” was deleted from the last sentence. Acts 1982, ch. 278, § 23. The argument emphasizes that claimant’s total disability proved to be only temporary, that his permanent disability proved to be only partial, and that claimant had already received more than 425 weeks of benefits at reopening. Since the applicable version of KRS 342.730(l)(b) authorized the payment of partial disability benefits for 425 weeks from the date of injury, including any period of temporary total disability, they assert that claimant was not entitled to any additional benefits at reopening. We disagree.

Claimant was found to be permanently and totally disabled as a result of his injury. Therefore, pursuant to the principles of res judicata he continued to be permanently and totally disabled for the purposes of Chapter 342 until that finding was superseded. Beale v. Faultless Hardware, Ky., 837 S.W.2d 893 (1992). Regardless of whether claimant’s total disability proved to be only temporary rather than permanent, both on the date of injury and at reopening, KRS 342.125

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Related

Kentucky Alcoholic Beverage Control Board v. Jacobs
269 S.W.2d 189 (Court of Appeals of Kentucky (pre-1976), 1954)
Beale v. Faultless Hardware
837 S.W.2d 893 (Kentucky Supreme Court, 1992)
Western Baptist Hospital v. Kelly
827 S.W.2d 685 (Kentucky Supreme Court, 1992)
Hayden v. Elkhorn Coal Corp.
238 S.W.2d 138 (Court of Appeals of Kentucky, 1951)
Utility Regulatory Commission v. Kentucky Water Service Co.
642 S.W.2d 591 (Court of Appeals of Kentucky, 1982)
Bullock v. Peabody Coal Co.
882 S.W.2d 676 (Kentucky Supreme Court, 1994)
Bentley v. Aero Energy, Inc.
903 S.W.2d 912 (Court of Appeals of Kentucky, 1995)

Cite This Page — Counsel Stack

Bluebook (online)
966 S.W.2d 956, 1998 Ky. LEXIS 53, 1998 WL 178673, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whittaker-v-allen-ky-1998.