MELVIN TUTTLE,
Employee,
Plaintiff,
v
.
North Carolina
Industrial Commission
GREER, INC., I.C. File No. 176605
Employer,
NORTH AMERICAN SECURITY,
(CLAIMS CONTROL, INC., Administrator),
Carrier,
Defendants.
Douglas J. Meis for plaintiff appellee.
Brooks, Stevens, & Pope, P.A., by Joy H. Brewer and Kimberley
A. D'Arruda, for defendant appellants.
McCULLOUGH, Judge.
Defendants appeal from the opinion and award of the North
Carolina Industrial Commission. The Full Commission made the
following findings of fact:
1. Plaintiff was employed by Greer, Inc.
as a truck driver. On February 4, 2000,
plaintiff suffered an injury to his left
shoulder in the course of his employment with
Greer, Inc. This injury occurred when
Reliance Insurance Company was the carrier on
the risk. This injury was accepted as
compensable by way of a Form 60. Pursuant to
this form, plaintiff began receivingcompensation in the amount of $531.88 per week
based upon an average weekly wage of $797.83.
2. Plaintiff was treated by Dr. William
Gramig and eventually underwent a surgical
repair of a torn rotator cuff. With the
consent of his treating physician, plaintiff
returned to work for defendant on a trial
basis in June, 2001. Dr. Gramig placed
physical restrictions on the plaintiff during
the trial return to work. Due to these
restrictions and the lack of available work,
plaintiff worked fewer than full-time hours.
Based on his reduced hours and earnings, the
plaintiff received temporary partial
disability compensation from Reliance
Insurance Company/NCIGA. His part-time work
was at approximately the same hourly wage rate
as his former full-time work. Thus, while his
average weekly wage did not change, his
earnings changed because he worked fewer
hours.
3. Subsequently, on September 1, 2001
while working fewer than 40 hours a week,
plaintiff sustained a compensable injury to
his left knee. At this time, North American
Security was the carrier on the risk.
Plaintiff's claim was accepted as compensable
via a Form 63. Defendant North American
Security paid plaintiff 2/3rds of the part-
time wages he had been earning while on his
trial return to work rather than 2/3rds of his
average weekly wage of $797.83. From and
after the date of the second accident,
Reliance discontinued paying weekly disability
benefits. Plaintiff has not been able to earn
wages as a consequence of his September 1,
2001 injury and has not yet reached maximum
medical improvement.
4. On March 20, 2002, Dr. Gramig
rendered an opinion that plaintiff had reached
maximum medical improvement with respect to
his left shoulder and assigned a 20% permanent
partial impairment rating to his left arm.
Dr. Gramig also assigned permanent
restrictions of no overhead lifting with the
left shoulder, no lifting over 30 pounds on
the left, and recommended that plaintiff avoid
repetitive shoulder activity.
5. Subsequently, plaintiff reached a
settlement for his left shoulder claim with
the North Carolina Insurance Guaranty
Association, who had taken over Reliance
Insurance Company's claims following their
insolvency. On September 9, 2002, Special
Deputy Commissioner Matthew D. Harbin approved
the Compromise Settlement Agreement in the
amount of $45,000.00. In the Compromise
Settlement Agreement is the statement,
Employer-Defendant contends that plaintiff is
no longer entitled to partial disability
benefits due to his receipt of benefits for a
separate, unrelated injury pursuant to N.C.
Gen. Stat. § 97-34.
6. Plaintiff filed for hearing in this
matter prior to settling his claim with
Reliance. In this claim plaintiff was seeking
compensation based upon an average weekly wage
of $797.83. North American Security took the
position that plaintiff established a new
average weekly wage of $373.38 per week
because that was what he was earning for part
time employment during his trial return to
work, when he suffered an injury while North
American Security was on the risk.
****
8. North American Security contends that
to hold it liable for compensation based on an
average weekly wage of $797.83 per week would
not be a fair and just result as
contemplated by N.C. Gen. Stat. § 97-2(5).
Additionally, North American Security contends
that such a holding would violate the
legislative intent and public policy of the
Workers' Compensation Act by serving as a
deterrent to the employment of physically
impaired persons. Finally, North American
Security argues that such a holding would
allow plaintiff to recover twice for the same
loss of earning capacity. All of these
arguments are without merit.
9. Plaintiff had been released to return
to light duty from his initial injury and had
been placed on light duty by Greer. However,
due to a slow-down in the business of Greer,
and because plaintiff had not reached maximum
medical improvement, plaintiff was onlypermitted to work 20 hours per week as opposed
to the 40 hours per week he had been working
at the time of his initial injury.
10. Reliance in behalf of Greer was
required to pay plaintiff when he returned to
light duty at fewer hours the difference
between what he was actually able to earn and
what he was earning at the time of his initial
injury, but no longer than 300 weeks
subsequent to his injury date of February 4,
2000.
11. The N.C. Workers' Compensation Act
provides five methods for calculating a
worker's average weekly wage. The fifth
method, involving injuries to volunteer
firemen, is not applicable here. The first
method is to divide the worker's earnings over
the immediately preceding 52 weeks in the
employment in which he was working at the time
of the injury by 52. The second method is used
where the employment prior to the injury
extended over a period of fewer than 52 weeks.
Under the second method, earnings during that
period are divided by the number of weeks and
parts thereof during which the employee earned
wages; provided, results fair and just to both
parties will be thereby obtained. The third
method is to be used where, by reason of a
shortness of time during which the employee
has been in the employment of his employer or
the casual nature or terms of his employment,
it is impractical to compute the average
weekly wages as above defined. The third
method requires calculating the average weekly
amount which during the 52 weeks previous to
the injury was being earned by a person of the
same grade and character employed in the same
class of employment in the same locality or
community. Where none of the first three
methods work because they are unfair either to
the employer or to the employee, a fourth
method is used. Under the fourth method, such
other method of computing average weekly wages
may be resorted to as will most nearly
approximate the amount which the injured
employee would be earning were it not for the
injury. N.C. Gen. Stat. § 97-2(5).
12. The first statutory method of
calculating average weekly wage cannot be usedbecause the injured worker did not work the
entire 52 weeks preceding the September 1,
2001, injury due to his injuries from the
February 4, 2000, compensable accident. The
second method would not be fair to the
employee because his earnings during the weeks
he did work were less than his customary
earnings because of an economic downturn and
because he had not reached maximum medical
improvement from the February 4, 2000,
accident. The third method would be unfair to
both the employer and the employee because no
similar worker was identified and no evidence
was taken with regard to such a worker's
wages. A method that would be fair to both
the employer and to the employee would be to
multiply the hourly wage earned by the
employee just before the September 1, 2001,
accident by the average number of hours he
normally worked but for an economic downturn
and but for his not having reached maximum
medical improvement from his first injury.
That method would yield an average weekly wage
of $797.83 and a compensation rate of $531.88.
13. By accepting the $45,000.00 lump sum
benefit from the insurance guaranty fund,
plaintiff does not double dip when he receives
temporary total disability payments from North
American Security. The $45,000.00 was paid by
the insurance guaranty fund to avoid further
litigation and neither party to the settlement
ascribed any amount to any particular issue
that was at stake in the litigation.
Based on those findings of fact, the Full Commission made the
following conclusions of law:
1. Plaintiff sustained an injury by
accident while in the course and scope of his
employment with defendant-employer on
September 1, 2001. As a direct result of his
injury by accident plaintiff became unable to
earn wages. N.C. Gen. Stat. § 97-2(6). It is
appropriate to use the fourth method under
N.C. Gen. Stat. § 97-2(5) to compute
plaintiff's average weekly wage under the
facts of this case. The fourth method is:
But where for exceptional reasons
the foregoing would be unfair,either to the employer or employee,
such other method of computing
average weekly wages may be resorted
to as will most nearly approximate
the amount which the injured
employee would be earning were it
not for the injury.
Plaintiff's average weekly wage as of the
September 1, 2001 injury by accident was
$797.83, yielding a compensation rate of
$531.91 per week. N.C. Gen. Stat. § 97-2(5).
Early v. Basnight & Co., 214 N.C. 103, 198
S.E. 577 (1938).
2. Plaintiff is entitled to weekly
compensation of $531.91 from American Security
from September 1, 2001, until plaintiff
returns to work earning wages. So long as any
wages plaintiff earns is less than $797.83 per
week, American Security is responsible for
wage loss pursuant to N.C. Gen. Stat. § 97-30
for the times therein stated.
****
5. Plaintiff is entitled to have the
defendants pay for all medical treatment that
is related to his compensable injury so long
as such treatment may reasonably be required
to effect a cure, give relief and will tend to
lessen plaintiff's disability. N.C. Gen.
Stat. §§ 97-25, 97-25.1.
Based on these findings of fact and conclusions of law, the
Full Commission awarded plaintiff total disability benefits at the
rate of $531.91 per week continuing until plaintiff has returned to
work earning the same or greater wages as he was receiving at the
time of his disability. The Commission also required defendants to
pay 8% interest from 9 December 2002, medical expenses caused by
plaintiff's compensable injury, a reasonable attorney's fee, and
the costs of this action. Defendants appeal. On appeal, defendants argue that the Full Commission erred by
(1) making findings of fact that are not supported by competent
evidence and (2) concluding that North American Security was liable
for all of plaintiff's compensation rate. We disagree and affirm
the opinion and award of the Full Commission.
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