Whittaker v. Pollard

25 S.W.3d 466, 2000 Ky. LEXIS 97, 2000 WL 1210915
CourtKentucky Supreme Court
DecidedAugust 24, 2000
DocketNo. 1999-SC-0896-WC
StatusPublished
Cited by7 cases

This text of 25 S.W.3d 466 (Whittaker v. Pollard) 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. Pollard, 25 S.W.3d 466, 2000 Ky. LEXIS 97, 2000 WL 1210915 (Ky. 2000).

Opinion

OPINION OF THE COURT

This workers’ compensation appeal results from a motion to reopen a claim for coal workers’ pneumoconiosis which had been settled with the employer and litigated against the Special Fund. It concerns whether the claimant was required to seek benefits at reopening from the employer as well as from the Special Fund.

Claimant sought workers’ compensation benefits upon allegations of coal workers’ pneumoconiosis and a work-related hearing loss. The claims were consolidated. With regard to the pneumoconiosis claim which is presently at issue, the parties stipulated that claimant had sustained 26 years of exposure in multiple employments. His date of last exposure was October 23, 1994. Drs. Myers, Anderson, and Chaney testified that claimant suffered from various degrees of category 2 disease; whereas, Drs. Powell, Wright, and Lane diagnosed category 1 disease. Spirometry performed at the time yielded FVC results which ranged from 83% to 86% of the predicted normal and FEV1 [468]*468results which ranged from 81% to 87% of the predicted normal.

After the prehearing conference but pri- or to the filing of briefs, claimant and the employer reached an agreement concerning the employer’s potential liability. The agreement indicated that claimant’s average weekly wage was $700.70. It provided for a lump sum payment in the amount of $50,000.00 “in settlement of potential total disability with multiple exposure.” Furthermore, it reserved claimant’s right to proceed separately against the Special Fund. The agreement was approved by an Administrative Law Judge (ALJ).

The claim against the Special Fund proceeded to a decision wherein the ALJ determined that claimant suffered from category 1 disease without a respiratory impairment. Noting that this would entitle claimant to a retraining incentive benefit (RIB) and that the Special Fund bore no liability for a RIB, the claim was dismissed. After concluding that claimant had not sustained an appreciable hearing loss, the ALJ also dismissed that portion of the claim.

On October 23, 1997, claimant filed a motion to reopen the pneumoconiosis claim, naming both the employer and the Special Fund as parties-defendant and serving both with a copy of the pleading. The body of the motion indicated that because claimant and the employer had reached a settlement for a potential total disability, reopening was sought only against the Special Fund. Attached to the motion was claimant’s affidavit which indicated that the disease had progressed and that he had developed a respiratory impairment. KRS 342.125(2)(a). Also attached to the motion was a report by Dr. Westerfield which interpreted a chest x-ray as revealing the presence of category 2/1 disease. Dr. Westerfield reported spi-rometric values which were lower than those introduced in the initial claim but which were, nonetheless, within the normal range.

Claimant’s argument was that because he had demonstrated a progression to category 2 disease, he was required to demonstrate only a decline in spirometric test results rather than the development of a compensable respiratory impairment. An alternative argument was that if he were required to demonstrate both an increase in disease category and the development of a compensable respiratory impairment in order to reopen the award, the April 4, 1994, version of KRS 342.125(2)(a) was unconstitutional.

After both an arbitrator and an ALJ overruled the motion because claimant had failed to establish the development of a compensable respiratory impairment, claimant appealed. The Workers’ Compensation Board (Board) reversed the decision, relying upon Campbell v. Universal Mines, Ky., 963 S.W.2d 623 (1998), and noting that claimant had offered the required prima facie evidence in support of his motion to reopen. The Board rejected the notion that claimant was required to proceed at reopening against the employer as well as against the Special Fund, indicating that the agreement evinced an intent to settle a total occupational disability which could not be reopened. The Board also rejected the argument that the Special Fund’s payment period should not begin until 25% of claimant’s life expectancy had passed.1 The Court of Appeals affirmed the Board, and this appeal followed.

The Special Fund no longer disputes whether claimant has presented an adequate prima facie case to support granting the motion to reopen claimant’s RIB award. However, it continues to assert that the agreement refers only to a “potential total disability” and that there is nothing in the plain language of the agreement which bars a future reopening against the employer. It relies upon New-[469]*469berg v. Davis, Ky., 841 S.W.2d 164 (1992), for the proposition that the language contained in a settlement agreement is not binding at reopening. From that premise, it argues that because the ALJ determined that claimant was not totally disabled in the initial proceeding and because that finding was not appealed, the agreement does not preclude a reopening against the employer. The Special Fund concludes that the employer is a necessary party to the reopening proceeding, that the employer is responsible for the initial 25% of any benefits awarded at reopening, and that the settlement between claimant and the employer does not accelerate the period within which the Special Fund must begin to pay its share of any benefits awarded at reopening.

We begin by noting that there is a strong public policy favoring the settlement of workers’ compensation claims. See Newberg v. Weaver, Ky., 866 S.W.2d 435 (1993); Newberg v. Sarcione, Ky., 865 S.W.2d 317 (1993). In Palmore v. Helton, Ky., 779 S.W.2d 196 (1989), we determined that, since 1982, the employer and the Special Fund have been in the position of codefendants, each of whom is directly liable to the claimant. We concluded, therefore, that a worker may reach a pre-award settlement with either defendant and maintain an action against the other. We also determined that where a worker and an employer have reached a pre-award agreement to settle a claim and the employer’s liability has been extinguished by the payment of a lump sum, the Special Fund’s payment period is accelerated by operation of KRS 342.120. 779 S.W.2d at 197-98.

An agreement to settle a workers’ compensation claim constitutes a contract between the parties. Once approved, an agreement to settle a claim becomes ah award. Steams Coal & Lumber Co. v. Whalen, 266 Ky. 227, 98 S.W.2d 499 (1936). Unless precluded by the terms of the underlying agreement, a settled award may be reopened pursuant to KRS 342.125.

The Special Fund relies upon Newberg v. Davis, supra,

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Cite This Page — Counsel Stack

Bluebook (online)
25 S.W.3d 466, 2000 Ky. LEXIS 97, 2000 WL 1210915, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whittaker-v-pollard-ky-2000.