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All opinions are subject to modification and technical correction prior to official publication in the North Carolina Reports and North Carolina Court of Appeals Reports. In the event of discrepancies between the electronic version of an opinion and the
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NO. COA01-856
NORTH CAROLINA COURT OF APPEALS
Filed: 7 May 2002
GARY SHOCKLEY,
Employee, Plaintiff,
v
.
CAIRN STUDIOS LTD.,
Employer,
MARYLAND INSURANCE GROUP/ZURICH INSURANCE COMPANY,
Carrier, Defendants
Appeal by plaintiff from Opinion and Award entered 4 May 2001
by the North Carolina Industrial Commission. Heard in the Court of
Appeals 28 March 2002.
DeVore, Acton & Stafford, P.A., by William D. Acton, Jr., for
plaintiff-appellant.
Moreau, Marks & Gavigan, PLLC, by Daniel C. Marks, for
defendants-appellees.
TYSON, Judge.
Gary Shockley (plaintiff) appeals the denial of his claim to
compensation for an occupational disease by the North Carolina
Industrial Commission (Commission). Defendants, Cairn Studios
Ltd. (defendant-employer) and Maryland Insurance Group/Zurich
Insurance Company (defendant-carrier), cross-assign as error the
denial of a credit for benefits paid to plaintiff. We affirm in
part and reverse in part.
I. Facts
Plaintiff began work as a production manager for defendant-
employer on 4 October 1993. Plaintiff's job duties included the
manufacture of plastic figurines. The production process generatedchemicals known as isocynates which were inhaled by plaintiff on a
daily basis.
On 1 August 1995, plaintiff began to experience tightness in
his chest and breathing problems. Plaintiff reported his health
problems to defendant-employer on 8 November 1995. Defendant-
employer completed a Form 19, Report of Injury to Employee, on 13
November 1995. Defendants initially denied plaintiff's claim for
workers' compensation by filing a Form 61, Denial of Compensation.
After receiving additional information, defendants accepted
plaintiff's claim by letter dated 29 April 1996 and paid medical
benefits. Defendants voluntarily paid temporary total disability
benefits to plaintiff beginning 7 August 1997. The parties have
stipulated that plaintiff contracted a compensable occupational
disease while employed with defendant-employer.
On 1 February 1996, plaintiff accepted other employment with
Futuristic, Inc. of Tennessee (Futuristic) as a sales manager.
The employment relationship between plaintiff and defendant-
employer terminated on 2 February 1996. During the course of his
employment with Futuristic, plaintiff was exposed to dye
isocynates, formaldehyde, hardwood dust, fibers and other
pollutants. Due to this exposure, plaintiff's condition worsened
and he began to experience coughing, wheezing, fatigue, shortness
of breath, and headaches. Plaintiff began medical treatment in
April 1997 and terminated his employment with Futuristic on 4
August 1997.
On 27 October 1998, defendants filed a Form 33, Request forHearing, seeking a credit for overpayment of temporary total
disability benefits.
Dr. Glenn Baker confirmed plaintiff's exposure to isocynates
while employed with Futuristic and concluded that the continued
exposure to isocynates significantly exacerbated plaintiff's
occupational disease. The Commission unanimously found that
plaintiff was last injuriously exposed to harmful chemicals which
significantly contributed to his disease while employed with
Futuristic. The Commission also found that plaintiff was aware
that his lung problems were exacerbated by his employment with
Futuristic as evidenced by his filing a workers' compensation claim
against Futuristic in the State of Tennessee.
The Commission concluded plaintiff's last injurious exposure
to the hazards of such occupational disease occurred while employed
with Futuristic and subsequent to his employment with defendant-
employer. The Commission further concluded that pursuant to
N.C.G.S. § 97-57 of the Workers' Compensation Act plaintiff was not
entitled to compensation from defendants for an occupational
disease. Plaintiff appeals.
The Commission concluded that defendants had overpaid
plaintiff compensation in the amount of $67,193.12, in addition to
medical expenses. While the Deputy Commissioner ordered a credit
to defendants, the Commission did not order a credit to defendants.
Defendants cross-assign as error the denial of a credit by the
Commission.
II. Issues
The issue presented by plaintiff is whether the defendants'
payment of disability constituted a final award and, if so, whether
the Commission erred in setting aside the award. Those other
assignments of error relating to the findings of facts and
conclusions of law that are not argued are deemed abandoned.
N.C.R. App. R. 28(b)(5) (1999).
The issue presented by defendants is whether the Commission
erred in not ordering a credit to defendants for compensation and
medical expenses paid to plaintiff.
III. Standard of Review
This Court's review is limited to a determination of (1)
whether the Commission's findings of fact are supported by
competent evidence, and (2) whether the Commissioner's conclusions
of law are supported by the findings of fact. Hendrix v. Linn-
Corriher Corp., 317 N.C. 179, 186, 345 S.E.2d 374, 379 (1986). The
Commission's findings of fact are conclusive on appeal if supported
by competent evidence, even where there is evidence to support
contrary findings. Id. The Commission's conclusions of law,
however, are reviewable de novo by this Court. Hilliard v. Apex
Cabinet Co., 305 N.C. 593, 595, 290 S.E.2d 682, 684 (1982). The
Commission is the sole judge of the credibility of the witnesses
and the weight accorded to their testimony. Anderson v.
Northwestern Motor Co., 233 N.C. 372, 376, 64 S.E.2d 265, 268
(1951).
IV. Plaintiff's Appeal
Plaintiff argues that defendants' voluntary payment of medicaland temporary total disability benefits constituted an acceptance
of the claim, and after defendants failed to contest the claim
within the period for payments without prejudice provided by
N.C.G.S. § 97-18(d), the payments constituted an award of the
Commission pursuant to N.C.G.S. § 97-82. We agree. Section 97-
18(d) states in pertinent part that:
[i]n any claim for compensation in which the
employer or insurer is uncertain on reasonable
grounds whether the claim is compensable or
whether it has liability for the claim . . .
the employer or insurer may initiate
compensation payments without prejudice and
without admitting liability. . . . Payments
made pursuant to this subsection may continue
until the employer or insurer contests or
accepts liability for the claim or 90 days
from the date the employer has written or
actual notice of the injury . . . .
N.C. Gen. Stat. § 97-18(d) (1999) (emphasis supplied). After the
90-day period, if the employer does not contest liability or
compensability, it waives the right to do so and the entitlement
to compensation becomes an award of the Commission pursuant to G.S.
§ 97-82(b). Higgins v. Michael Powell Bldrs., 132 N.C. App. 720,
724, 515 S.E.2d 17, 20 (1999); see also Sims v. Charmes/Arby's
Roast Beef, 142 N.C. App. 154, 159, 542 S.E.2d 277, 281 (2001);
Shah v. Howard Johnson, 140 N.C. App. 58, 63-64, 535 S.E.2d 577,
581 (2000); N.C. Gen. Stat. § 97-82(b) (1999) (Payment pursuant to
G.S. 97-18(d) when compensability and liability are not contested
prior to expiration of the period for payment without prejudice,
shall constitute an award of the Commission on the question of
compensability of and the insurer's liability for the injury . . .
.). According to the statute and prior case law, the employermust generally contest the issue of compensability or liability
within the 90-day period provided pursuant to N.C.G.S. § 97-18(d).
However, section 97-18(d) goes on to state:
the employer or insurer may contest the
compensability of or its liability for the
claim after the 90-day period or extension
thereof when it can show that material
evidence was discovered after that period that
could not have been reasonably discovered
earlier . . . .
N.C. Gen. Stat. § 97-18(d). Defendants began paying temporary
total disability benefits to plaintiff on 7 August 1997. The
initial 90-day period expired on or about 7 November 1997.
Defendants filed their Form 33 on 27 October 1998. According to
N.C.G.S. § 97-18(d) defendants may contest their liability after
the 90-day period based on newly discovered evidence. See Moore v.
City of Raleigh, 135 N.C. App. 332, 336, 520 S.E.2d 133, 137
(1999), cert. denied, 351 N.C. 358, 543 S.E.2d 131 (2000) (the
Commission has the power to set aside a judgment when there is
[m]istake, inadvertence, surprise, or excusable neglect[,] or on
the basis of newly discovered evidence, or on the grounds of
mutual mistake, misrepresentation, or fraud.) Plaintiff's
subsequent exposure to isocynates while employed at Futuristic
would constitute material evidence bearing on defendants'
liability.
The Commission did not enter any findings of fact with respect
to when defendants learned of plaintiff's subsequent exposure to
isocynates while employed at Futuristic. The Commission is the
fact-finding body under the Workmen's Compensation Act. Watkinsv. City of Wilmington, 290 N.C. 276, 280, 225 S.E.2d 577, 580
(1976). This matter is remanded to the Commission for further
findings of fact as to whether plaintiff's subsequent exposure
constitutes newly discovered evidence that warrants the Commission
to set aside the award which resulted pursuant to N.C.G.S. § 97-82.
V. Defendants' Cross-assignment
Defendants contend that they are entitled to a credit for the
benefits paid to plaintiff from 7 August 1997 to 21 October 1998.
N.C.G.S. § 97-42 provides:
Payments made by the employer to the injured
employee during the period of his disability .
. . which by the terms of this Article were
not due and payable when made, may, subject to
the approval of the Commission be deducted
from the amount to be paid as compensation.
N.C. Gen. Stat. § 97-42 (1999). The rationale behind the statute
is to encourage voluntary payments by the employer during the time
of the worker's disability. See Gray v. Carolina Freight Carriers,
Inc., 105 N.C. App. 480, 484, 414 S.E.2d 102, 104 (1992). The
decision of whether to grant a credit is within the sound
discretion of the Commission. Moretz v. Richards & Associates,
Inc., 74 N.C. App. 72, 75, 327 S.E.2d 290, 293 (1985), aff'd as
modified, 316 N.C. 539, 342 S.E.2d 844 (1986). Such decision to
grant or deny a credit will not be disturbed on appeal in the
absence of an abuse of discretion. Id.
N.C.G.S. § 97-86.1(d) provides that:
[i]n any claim under the provisions of this
Chapter wherein one employer or carrier has
made payments to the employee or his
dependents pending a final disposition of the
claim and it is determined that different oradditional employers or carriers are liable,
the Commission may order any employers or
carriers determined liable to make repayment
in full or in part to any employer or carrier
which has made payments to the employee or his
dependents.
N.C. Gen. Stat. § 97-86.1(d) (1999). The Commission concluded that
defendants had overpaid plaintiff compensation in the amount of
$67,193.12. This conclusion is supported by the Commission's
findings of fact. The Commission did not conclude nor order that
defendants are entitled to a credit for the benefits paid to
plaintiff after 7 August 1997. In light of N.C.G.S. §§ 97-42 and
97-86.1(d), we conclude that there is no basis for denying
defendants a credit.
Plaintiff does not argue that the Commission erred in finding
and concluding that he was last injuriously exposed while
employed with Futuristic, and that he is not entitled to
compensation from defendants for an occupational disease after 7
August 1997 pursuant to N.C.G.S. § 97-57 (1999). There was
competent evidence to support the finding that plaintiff was last
injuriously exposed on 4 August 1997 while employed with
Futuristic and this finding of fact justifies the conclusion that
defendants are not liable pursuant to N.C.G.S. § 97-57. See Fetner
v. Rocky Mount Marble & Granite Works, 251 N.C. 296, 111 S.E.2d 324
(1959) (G.S. 97-57 creates an irrebuttable legal presumption that
the last thirty days of work is the period of last injurious
exposure); see also Caulder v. Waverly Mills, 314 N.C. 70, 73, 331
S.E.2d 646, 648 (1985) (an exposure which proximately augmented the
disease to any extent, however slight, is deemed the last injuriousexposure) (citing Rutledge v. Tultex Corp., 308 N.C. 85, 89, 301
S.E.2d 359, 362 (1983) and Haynes v. Feldspar Producing Co., 222
N.C. 163, 166, 22 S.E.2d 275, 277-78 (1942)).
Plaintiff has a pending workers compensation claim filed
against Futuristic in the State of Tennessee. The last injurious
injury rule was first adopted and recognized in Tennessee in Baxter
v. Smith, 364 S.W.2d 936 (Tenn. 1962). The rule announced in
Baxter is that an employer takes an employee as he finds him and
that the employer is liable for disability resulting from injuries
sustained by an employee arising out of and in the course of his
employment, even though it aggravates a previous condition with
resulting disability far greater than otherwise would have been the
case. Id.
An argument can be made that it is unfair to allow the
recoupment of overpayments which the employee used to replace
income while he was unable to work and that this may cause an
injured employee to be hesitant in spending the benefits received.
However, denying the employer the right to recoup the overpayment
for which it later discovered it was not liable, could frustrate a
primary purpose of the Workers' Compensation Act, to provide prompt
payment to the employee.
Here, plaintiff knew that he had been exposed to the same
chemicals at Futuristic which augmented his lung condition. To
prevent a double recovery by plaintiff, we hold that defendants are
entitled to repayment of those benefits which it overpaid if the
Commission concludes that defendants may contest the award based onnewly discovered evidence.
IV. Conclusion
We affirm that portion of the Commission's opinion and award
which concluded that plaintiff was last injuriously exposed while
employed at Futuristic and that defendants overpaid plaintiff
compensation in the amount of $67,193.12. We reverse the remaining
portions of the Commission's opinion and award and remand to the
Commission for further findings of fact, conclusions of law, and
the entry of an order consistent with this opinion.
Affirmed in part, reversed in part and remanded.
Judges MARTIN and THOMAS concur.
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