1. Workers' Compensation--jurisdiction of Industrial
Commission--fraud in handling claim
The trial court did not err by granting dismissals under
N.C.G.S. § 1A-1, Rules 12(b)(1) and 12(b)(6) of actions alleging
fraud, bad faith, unfair and deceptive practices, intentional
infliction of emotional distress, and civil conspiracy arising
from the handling of plaintiff's workers' compensation claim.
The opinion (after a rehearing) in Johnson v. First Union Corp.,
131 N.C. App. 142, governs; the North Carolina Workers'
Compensation Act gives the Industrial Commission exclusive
jurisdiction over workers' compensation claims and all related
matters, including issues such as those raised in the case at
bar.
2. Workers' Compensation--Woodson claim-- no evidence of
substantially certain harm
Plaintiff's claims for fraud, bad faith, unfair and
deceptive practices, intentional infliction of emotional
distress, and civil conspiracy arising from the handling of his
workers' compensation claim did not rise to the level of a
Woodson claim because there was no evidence to support a finding
that defendants' actions were substantially certain to cause
serious injury or death to plaintiff. Plaintiff's sole remedy
was to petition the Industrial Commission to set aside his
agreement with the employer.
Donaldson & Black, P.A., by Rachel Scott Decker, for
plaintiff-appellant.
Stiles Byrum & Horne, L.L.P., by Ned A. Stiles and Stacy C.
Willard, for defendant-appellees Treadaway & Sons Painting &
Wallcovering, Inc., Michael Treadaway, Individually and d/b/a
Treadaway & Sons Painting, and Montgomery Mutual Insurance
Company.
Lovejoy & Bolster, P.A., by Jeffrey S. Bolster, for defendant-
appellees R.E. Pratt & Co. and James C. Goad.
Golding Holden Cosper Pope & Baker, L.L.P., by Tricia Morvan
Derr and C. Byron Holden, for defendant-appellees Concentra
Managed Care Services, Inc., f/k/a Comprehensive
Rehabilitation Associates, Inc., Helen Smith, Becky Werts and
Jean Seltzer.
HUNTER, Judge.
Robert Deem (plaintiff) appeals the trial court's grant of
defendant-appellees Treadaway & Sons Wallcovering, Inc., Michael
Treadaway, individually and d/b/a Treadaway & Sons Painting,
Montgomery Mutual Insurance Company, R.E. Pratt & Co., James C.
Goad, Concentra Managed Care f/k/a Comprehensive Rehabilitation
Associates, Inc., Helen Smith, Becky Werts and Jean Seltzer's
motions to dismiss pursuant to N.C. Gen. Stat. § 1A-1, Rules
12(b)(1) and 12(b)(6). We agree with the trial court that the
North Carolina Industrial Commission (Industrial Commission) has
exclusive jurisdiction over plaintiff's claims. Thus, we affirm.
The facts pertinent to this case are as follows: On 26 July
1993, plaintiff was an employee of defendant Treadaway & Sons
Painting (Treadaway Painting) when he fell off a ladder and
suffered a compensable injury. With the assistance of an attorney,
plaintiff filed a workers' compensation claim with the Industrial
Commission against his employer, Treadaway Painting and its
workers' compensation carrier, defendant Montgomery Mutual
Insurance Company (Montgomery Mutual). Montgomery Mutual hired
an independent adjusting company, defendant R.E. Pratt & Co.
(Pratt), to handle plaintiff's workers' compensation claim.
Defendant Goad was Pratt's adjuster assigned to plaintiff's claim. Plaintiff returned to work in November 1994 as a
paint
foreman. Later, his condition worsened and he was taken out of
work on 3 January 1996. About the same time, Montgomery Mutual and
Pratt hired defendant Concentra Managed Care (Concentra) to
provide vocational rehabilitation counseling for the Plaintiff.
Defendants Smith, Wertz and Seltzer were employees of Concentra.
On 20 February 1996, plaintiff was released to work by his
attending physician, however the release was based upon a number of
restrictions. When Concentra notified Treadaway Painting that
plaintiff could return to work with restrictions, Concentra was
informed that plaintiff's job was no longer vacant. However,
Treadaway Painting offered the job of laborer to plaintiff, which
plaintiff accepted.
On 11 July 1997 plaintiff, through counsel, entered into an
Agreement of Final Settlement and Release with Treadaway
Painting, Montgomery Mutual and Pratt.
Pursuant to this agreement, the plaintiff and
his attorney Seth N. Bernanke agreed to
release and discharge all claims available
under the North Carolina Worker's Compensation
Act relating to this injury in exchange for
payment of $100,000. On July 23, 1997 the
Industrial Commission entered an order
approving the compromise settlement agreement
reached by the plaintiff and Treadaway,
Montgomery Mutual and R.E. Pratt & Co. in the
amount of $100,000. . . .
Notwithstanding the former release and settlement agreement, on 31
December 1998, plaintiff filed this suit against Treadaway
Painting, Montgomery Mutual, Pratt, Goad, Concentra and Concentra's
three employees, alleging that defendants committed fraud, bad
faith, unfair and deceptive trade practices, intentional inflictionof emotional distress and civil conspiracy arising out of the
handling of his workers' compensation claim.
In response to plaintiff's complaint, each defendant filed a
motion to dismiss pursuant to N.C. Gen. Stat. § 1A-1, Rule
12(b)(1), specifically stating that North Carolina's general courts
of justice are without subject matter jurisdiction due to the
Industrial Commission having exclusive jurisdiction, and; pursuant
to Rule 12(b)(6), specifically stating that the plaintiff had
failed to state a claim for which relief may be granted. The trial
court agreed with defendants and granted each of their motions to
dismiss based upon both Rules 12(b)(1) and (6). On appeal,
plaintiff brings forward three assignments of error, all dealing
with the trial court's grant of each defendant's motion to dismiss.
Finding the record before us clear and case law plain, we affirm
the trial court's rulings.
[1]In his brief to this Court, plaintiff admits that the
issues in his complaint are addressed by this Court's ruling in
Johnson v. First Union Corp., 128 N.C. App. 450, 496 S.E.2d 1,
reversed, 131 N.C. App. 142, 504 S.E.2d 808 (1998). Yet, it is
plaintiff's contention that the original decision of the [C]ourt
of [A]ppeals is the law of North Carolina, and not the last and
standing decision. Thus, plaintiff attempts to apply the first
decision of the Court, and ignore the standing precedent -- with no
attempt to distinguish his case from the law which governs.
However the Court's latter opinion, which it rendered after
granting a petition for rehearing, overturned the former Johnsonopinion. We are bound by the precedent set by that latter opinion.
Thus, we find no merit in plaintiff's argument and agree with
defendants that Johnson, 131 N.C. App. 142, 504 S.E.2d 808, does
control.
In that case, plaintiffs Johnson and Smith each filed claims
with the North Carolina Industrial Commission seeking workers'
compensation benefits for repetitive motion disorders they
allegedly suffered in the course of their employment . . . .
[However,] . . . both subsequently had their claims rejected
. . . . Johnson, 131 N.C. App. at 143, 504 S.E.2d at 809. Like
the plaintiff in the case sub judice, plaintiffs Johnson and Smith
later filed suit in superior court against their employer, its
workers' compensation carrier, the adjusting company and the
rehabilitation provider along with one of its employees, alleging:
fraud, bad faith, refusal to pay or settle a valid claim, unfair
and deceptive trade practices, intentional infliction of emotional
distress and civil conspiracy. Id. Although the trial court
dismissed plaintiffs' case stating that plaintiffs had failed to
state a claim upon which relief may be granted pursuant to Rule
12(b)(6), on appeal defendants argued -- and this Court agreed --
that the claims should have been dismissed pursuant to Rule
12(b)(1) because the Industrial Commission had exclusive
jurisdiction. Id.
In enacting the North Carolina Workers' Compensation Act (the
Act), our General Assembly set clear boundaries for how an
employee injured on the job must seek remedy. Additionally,although the Legislature has amended parts of the Act over time,
the main thrust of the Act and its purpose have remained the same:
. . . to provide compensation for an employee
in this State who has suffered an injury by
accident which arose out of and in the course
of his employment, the compensation to be paid
by the employer, in accordance with the
provisions of the act, without regard to
whether the accident and resulting injury was
caused by the negligence of the employer, as
theretofore defined by the law of this
State. . . .
Johnson, 131 N.C. App. at 144, 504 S.E.2d at 810 (quoting Lee v.
American Enka Corp., 212 N.C. 455, 461-62, 193 S.E. 809, 812
(1937)). We note here that, North Carolina is a contributory
negligence state. Thus, to gain any remedy before the Act was
enacted, an employee injured on the job would be subject to proving
not only that the employer was negligent but that she herself was
not negligent at all. See Woodson v. Rowland, 329 N.C. 330, 338,
407 S.E.2d 222, 227 (1991); Blue v. Canela, 139 N.C. App. 191, 532
S.E.2d 830 (2000). Instead, under the Act:
. . . The right of the employee to
compensation, and the liability of the
employer therefor[e], are founded upon mutual
concessions, as provided in the [A]ct, by
which each surrenders rights and waives
remedies which he theretofore had under the
law of this State. . . .
Johnson, 131 N.C. App. at 144, 504 S.E.2d at 810 (emphasis in
original) (quoting American Enka Corp., 212 N.C. at 462, 193 S.E.
at 812). Thus, although there is a trade-off of rights, our
Supreme Court has held that [t]he act establishes a sound public
policy, and is just to both employer and employee. American EnkaCorp., 212 N.C. at 462, 193 S.E. at 812. See also Woodson
, 329
N.C. App. at 338, 407 S.E.2d at 227.
Nevertheless, plaintiff at bar argues that it matters not that
his claims originally arose out of his compensable injury.
Instead, he argues that the intentional conduct of defendants
fails to come under the exclusivity provisions of the Act because
that conduct did not arise out of and in the course of plaintiff's
employment relationship. Again, finding Johnson on point, we
disagree.
From both his complaint and his brief to this Court, we can
clearly glean that plaintiff's cause of action arises out of his
belief that defendants engaged in fraudulent, illegal, and
improper conduct designed at forcing plaintiff back into the job
market at a made up job so that the defendants could artificially
cut off plaintiff's right to benefits under the Workers'
Compensation Act. (Emphasis added.) Therefore, plaintiff's
complaint is nothing more than an allegation that defendants did
not appropriately handle his workers' compensation claim, and thus
he was injured because he did not receive his entitled benefit.
This is the exact argument of the Johnson plaintiffs and, in that
case, this Court held that [t]he North Carolina Workers'
Compensation Act (N.C. Gen. Stat. § 97-1 through 97-200) gives the
North Carolina Industrial Commission exclusive jurisdiction over
workers' compensation claims and all related matters, including
issues such as those raised in the case at bar. Johnson, 131 N.C.
App. at 143-44, 504 S.E.2d at 809 (emphasis added). Noting thatthe Johnson plaintiffs also alleged the defendant committed
intentional torts against them (including unfair and deceptive
trade practices), we hold in the case at bar that plaintiff's
claims are ancillary to his original compensable injury and thus,
are absolutely covered under the Act and this collateral attack is
improper. Id. at 144-45, 504 S.E.2d at 809. See also Spivey v.
General Contractors, 32 N.C. App. 488, 232 S.E.2d 454 (1977).
[2]However, plaintiff further argues that his current claims
should be allowed in the general court of justice because they are
claims of intentional conduct. Thus, plaintiff contends that as
such, the actions fall within the North Carolina Supreme Court's
exception of intentional conduct from the exclusivity rule as set
out in Woodson v. Rowland, 329 N.C. 330, 407 S.E.2d 222. Again, we
disagree.
It is well established that the substantially certain
standard set out in Woodson creates an exception to the exclusivity
provision of the Act. Id. at 337, 407 S.E.2d at 228. However, it
is also well established that the exception is extremely narrow in
that plaintiff's forecast of evidence must show the employer
intentionally engage[d] in [the] misconduct [complained of] knowing
it [wa]s substantially certain to cause serious injury or death to
[the] employee[] and [the] employee [wa]s injured or killed by that
misconduct . . . . Id. at 340, 407 S.E.2d at 228. Since
plaintiff does not contend, neither is there evidence of record to
support a finding that defendants' actions sub judice were
substantially certain to cause serious injury or death toplaintiff, plaintiff's claims do not rise to the level o
f a Woodson
claim. Id. (emphasis added). Thus, the trial court's dismissal of
plaintiff's claims for lack of subject matter jurisdiction,
pursuant to N.C. Gen. Stat. § (12)(b)(1), is affirmed, as the
Industrial Commission has sole jurisdiction over all the issues
raised. We specifically note that pursuant to N.C. Gen. Stat. §
97-17 (1999), the Industrial Commission has the exclusive
jurisdiction over workers' compensation agreements and employee
claims of fraud, misrepresentation, undue influence, mutual
mistake, intentional infliction of emotional distress, and unfair
and deceptive trade practices with respect to those agreements.
Our Supreme Court has long held that:
If [a] plaintiff desires to attack [a
workers' compensation] agreement for fraud,
misrepresentation, undue influence, or mutual
mistake, and has evidence to support such [an]
attack, he may make application in due time
for a further hearing for that purpose. In
such event, the Industrial Commission shall
hear the evidence offered by the parties, find
the facts with respect thereto, and upon such
findings determine whether the agreement was
erroneously executed due to fraud,
misrepresentation, undue influence or mutual
mistake. If such error is found, the
Commission may set aside the agreement, G.S.
97-17, and determine whether a further award
is justified and, if so, the amount thereof.
Johnson, 131 N.C. App. at 144-45, 504 S.E.2d at 810 (quoting Pruitt
v. Publishing Co., 289 N.C. 254, 260, 221 S.E.2d 355, 359 (1976)).
Thus, plaintiff's sole remedy in this case was to petition the
Industrial Commission to set aside his agreement with Treadaway
Painting. We recognize plaintiff is contending that this remedy is
insufficient. However, we believe our General Assembly is thecorrect body to consider changes to our current workers'
compensation remedies.
Having held that the trial court properly dismissed
plaintiff's claims for lack of subject matter jurisdiction, we need
not address the issue of whether plaintiff's claims were properly
dismissed pursuant to N.C. Gen. Stat. § 1-1A, Rule 12(b)(6). The
trial court's orders granting defendants' motions to dismiss are,
Affirmed.
Judges WALKER and CAMPBELL concur.
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