Wilson v. Toby Wells Pontiac Buick Gmc

CourtNorth Carolina Industrial Commission
DecidedApril 4, 2011
DocketI.C. NOS. 452949 579531.
StatusPublished

This text of Wilson v. Toby Wells Pontiac Buick Gmc (Wilson v. Toby Wells Pontiac Buick Gmc) is published on Counsel Stack Legal Research, covering North Carolina Industrial Commission primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wilson v. Toby Wells Pontiac Buick Gmc, (N.C. Super. Ct. 2011).

Opinion

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The undersigned have reviewed the prior Opinion and Award based upon the record of the proceedings before Deputy Commissioner Ledford and the briefs and arguments of the parties. The appealing party has not shown good grounds to reconsider the evidence, receive further evidence, or rehear the parties. The Full Commission affirms the Opinion and Award of Deputy Commissioner Ledford and enters the following Opinion and Award:

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As set forth in the Pre-Trial Agreement and Deputy Commissioner Ledford's September 15, 2010 Opinion and Award, the Full Commission addresses the following:

ISSUES
1. Whether the Form 24 filed by defendant Federated should be granted?

2. Whether the Form 24 was filed without a reasonable basis, so as to justify attorneys fees pursuant to N.C. Gen. Stat. § 97-88.1?

3. Whether plaintiff is entitled to ongoing compensation for total disability and if so, which carrier is responsible for payment of the same?

4. Whether the second accident of November 29, 2005, significantly aggravated plaintiff's lower back injury and if so, is the carrier on the risk at the time, Federated, therefore liable for the consequences?

5. Whether plaintiff is entitled to a second opinion on treatment options for his neck with Dr. Tim Adamson or some other physician at Carolina Neurosurgery Spine?

6. Is plaintiff in need of additional medical treatment for his injuries?

7. Whether defendants (one or both of the carriers) should pay for plaintiff's education as reasonable vocational rehabilitation?

8. Whether plaintiff's average weekly wage should be adjusted upward to $688.00 in the second accident, I.C. No. 579531, since plaintiff's average weekly wage in the first accident, I.C. No. 452949, was adjusted upward to the maximum compensation rate of $688.00?

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The Full Commission finds as a fact and concludes as a matter of law the following, which were entered into by the parties as:

STIPULATIONS *Page 3
1. All parties are properly before the Industrial Commission, and the Industrial Commission has jurisdiction of the parties and of the subject matter.

2. All parties are subject to and bound by the North Carolina Workers Compensation Act.

3. All parties have been properly designated and there is no question as to misjoinder or nonjoinder of parties.

4. The carrier on the risk for defendant in I.C. No. 452949 was Brentwood Services Administrators, Inc.

5. The carrier on the risk for defendant in I.C. No. 579531 was Federated Mutual Insurance Company.

6. Plaintiff sustained an admittedly compensable injury on August 4, 2004, arising out of and in the course and scope of his employment (with defendant-employer). [I.C. No. 452949].

7. Plaintiff sustained an admittedly compensable injury on November 29, 2005, arising out of and in the course and scope of his employment (with defendant-employer) and the same was admitted on a Form 60 dated December 12, 2005 [I.C. No. 579531], but liability for treatment of low back pain was denied by Form 61 dated September 6, 2006.

8. An employment relationship existed between plaintiff-employee and defendant-employer on August 4, 2004, and November 29, 2005.

9. The employee's average weekly wage and compensation rate in I.C. No. 452949 was the issue of an earlier hearing and was adjusted from $492.57 to the maximum compensation rate of $688.00. *Page 4

10. The employee's average weekly wage in I.C. No. 579531 is $964.24, yielding a compensation rate of $642.86, but was determined before the compensation rate was adjusted for the first injury in I.C. No. 452949.

11. Plaintiff filed a Form 33 Request for Hearing in I.C. No. 452949 on January 11, 2008, citing that "defendants have failed to upwardly adjust plaintiff's temporary total disability benefits."

12. Defendant Brentwood Services Administrators filed a Form 33R in I.C. No. 452949 on March 24, 2008, citing that "plaintiff is being paid the accurate weekly compensation amount."

13. Defendant Brentwood Services Administrators, after adjusting to the maximum compensation rate, has paid temporary total disability benefits at a weekly compensation rate of $688.00 from August 28, 2007, to January 5, 2009.

14. Defendant Federated Mutual Insurance Company paid temporary total disability benefits at a weekly compensation rate of $642.86 from November 29, 2005, to August 28, 2007, when defendant Brentwood Services Administrators began paying temporary total disability benefits due to low back surgery. Defendant Federated Mutual Insurance Company resumed payment of temporary total disability benefits in the amount of $642.86 on December 31, 2008, and those benefits continue to be paid.

15. Defendant Brentwood Services Administrators filed an amended Form 33R in I.C. No. 452949 on June 30, 2008, citing that "plaintiff is being paid the accurate weekly compensation amount. Defendants Toby Wells Pontiac Buick and Brentwood Services Administrators also contend that plaintiff's current disability is not due to his August 4, 2004 injury. Instead, plaintiff's current disability was caused by accidents occurring on June 3, 2005, *Page 5 and/or November 29, 2005. Alternatively, in the event that the Industrial Commission finds that plaintiff's disability was not materially aggravated by accidents occurring on June 3, 2005, and/or November 29, 2005, defendants Toby Wells Pontiac Buick and Brentwood Services contend that plaintiff's current disability should be shared equally or apportioned by Brentwood Services and Federated Mutual Insurance Company. (Federated Mutual Insurance Company was providing workers' compensation insurance coverage to Toby Wells Pontiac Buick on or around January 1, 2005.)"

16. Defendant Brentwood Services Administrators filed a Motion to Add Party-Defendant Federated Mutual Insurance Company to I.C. No. 452949 on June 30, 2008.

17. Counsel for plaintiff filed a Motion to Consolidate on July 11, 2008, requesting that I.C. No. 452949 be consolidated with I.C. No. 579531.

18. On July 13, 2008, defendant Federated Mutual Insurance Company in I.C. No. 579531 filed its response to both the Motion to Add Federated Mutual Insurance Company and plaintiff's Motion to Consolidate the claims.

19. Executive Secretary Tracey H. Weaver filed an Order on August 18, 2008, denying defendant Brentwood Services Administrators' Motion and granting plaintiff's Motion to Consolidate.

20. Mediation was held and impassed on September 29, 2008.

21. Defendant Federated Mutual Insurance Company in I.C. No. 579531 filed a Form 24 Application on June 2, 2009, to which plaintiff responded on June 29, 2009, and defendant Brentwood Services Administrators responded on July 6, 2009. *Page 6

22. On June 29, 2009, counsel for plaintiff submitted a request to Docket Director Linda Langdon that I.C. Nos. 452949 and 579531 be re-calendared for hearing before the Industrial Commission.

23. On June 30, 2009, counsel for plaintiff submitted a follow-up correspondence to Ms. Langdon confirming that the issues presented in plaintiff's Form 33 Request for Hearing dated January 14, 2008, had not materially changed and renewing his request that I.C. Nos. 452949 and 579531 be re-calendared for hearing before the Industrial Commission.

24.

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Wilson v. Toby Wells Pontiac Buick Gmc, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilson-v-toby-wells-pontiac-buick-gmc-ncworkcompcom-2011.