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RANDY B. FREEMAN,
Employee,
Plaintiff,
v. N.C. Industrial Commission
I.C. No. 231116
J.L. ROTHROCK,
Employer,
and
NORTH AMERICAN SPECIALTY,
Carrier,
AEQUICAP CLAIMS SERVICES, INC.
(Formerly CLAIMS CONTROL, INC.)
Administrator,
Defendants-Appellants,
Jay Gervasi, P.A., by Jay A. Gervasi, Jr., for plaintiff-
appellee.
Brooks, Stevens & Pope, P.A., by Joy H. Brewer, for
defendants-appellants.
JACKSON, Judge.
J.L. Rothrock (defendant-employer), its insurance carrier,
North American Specialty, and its insurance administrator,
Aequicap Claims Services, Inc. (collectively, defendants) appealfrom an order of the Full Commission of the North Carolina
Industrial Commission (Full Commission) awarding workers'
compensation benefits to Randy B. Freeman (plaintiff). For the
reasons stated below, we reverse.
Plaintiff has a history of lower back problems, having
experienced back injuries in 1992 and 1996 and having filed
workers' compensation claims with respect to both injuries. As a
result of the lower back injury in 1996, plaintiff was assigned a
ten percent permanent partial impairment rating to his back and was
restricted to performing light- to medium-duty work, including: (1)
lifting no more than thirty-five pounds occasionally; (2) lifting
no more than fifteen pounds frequently; (3) lifting no more than
seven pounds continuously; and (4) limited sitting, bending,
driving, and climbing. Plaintiff's work restriction was based upon
a general estimate of a truck driver job as opposed to a specific
job description. Plaintiff acknowledged in his testimony that, as
a result of these restrictions, he was (1) incapable of continuing
to drive a truck for B.B. Walker, his employer at the time, and (2)
advised to seek another line of employment.
In early 2000, plaintiff applied for employment with
defendant-employer, performing substantially the same work
[b]ecause it _ quite a time had passed there and it was _ it was
good. . . . I could do basically pretty much what I wanted to do,
up to a certain extent. At the time he applied for the position,
plaintiff was aware that he remained restricted to light- to
medium-duty work, notwithstanding the fact that the job descriptionform prepared by defendant-employer expressly stated: This is a
strenuous position which requires the ability to sit, stand, bend,
stoop, reach, climb, push, pull, and live under adverse conditions
. . . .
On 9 February 2000, plaintiff completed, as part of defendant-
employer's application process , a medical history questionnaire.
On the questionnaire, plaintiff denied (1) suffering from any prior
health conditions, including backache or a herniated
intervertebral disk (slipped disk); (2) the existence of any
health-related reason that may prevent plaintiff from performing
the job for which he was applying; (3) having any physical
defects or work limitations that would have prevented him from
performing certain kinds of work; (4) having any disabilities or
impairments that may have affected his performance in the position
for which he was applying; and (5) having ever filed a workers'
compensation claim. Plaintiff later testified that he made these
false representations on the questionnaire because he was concerned
that he would not be hired if he told the truth. Specifically,
plaintiff stated, The point was I'd go fill out an application.
At that time, they'd ask if you've ever been injured, or you'd ever
been hurt on a job, or if you've ever drawn workers' comp and I'd
put 'yes,' and nobody ever hired me.
Also on 9 February 2000, plaintiff presented to Dr. Robert
Williford (Dr. Williford) for a Department of Transportation
physical examination _ a prerequisite for hiring. Dr. Williford
testified that as part of such an examination, he interviews thepatient and asks for a medical history, in part because there are
conditions that cannot be discovered based purely on a physical
exam. At the top of his examination forms is a section entitled
Health History, in which various injuries and illnesses are
listed. Next to each injury or illness are two boxes, one for
Yes and one for No. Dr. Williford testified that none of the
boxes were checked on the examination form for plaintiff's 9
February 2000 examination that Dr. Williford retained in his
files.
(See footnote 1)
Dr. Williford stated that he always asks if the patient
has had any serious injuries and explained that if plaintiff had
informed him of a prior injury, he probably would have checked the
appropriate box on the examination form.
In June 2000, after plaintiff executed the job description
form describing the position as strenuous, defendant-employer
hired plaintiff. Less than two years later, on 11 March 2002,
plaintiff sustained an injury by accident to his back while
cranking a dolly in the course and scope of his employment with
defendant-employer . Plaintiff experienced significant pain in his
lower back, and over time, he also developed problems with his
legs. Plaintiff reported the incident to defendant-employer within
fifteen to twenty minutes after its occurrence. Defendants
admitted compensability of the accident, and as of 12 March 2002,
plaintiff began receiving ongoing total disability payments of
$431.32 per week. On 23 December 2002, defendants filed a Form 24 Application to
Terminate or Suspend Payment of Compensation, contending that
plaintiff had refused an offer of suitable employment. Defendants'
Form 24 was disapproved by order entered 3 February 2003 by Special
Deputy Commissioner Chrystina S. Franklin (Special Deputy
Commissioner Franklin). Defendants filed another Form 24 on 5
March 2003 , and by order entered 22 April 2003, Special Deputy
Commissioner Franklin indicated that she was unable to reach a
decision, noting that [d]ue to the particular disputed issue,
evidence will need to be taken, and the matter should proceed to
hearing.
Following a hearing on 25 July 2003, Deputy Commissioner
Bradley W. Houser (Deputy Commissioner Houser) entered an Opinion
and Award in favor of plaintiff. Defendants appealed to the Full
Commission , and on 9 November 2006, the Full Commission entered an
Opinion and Award affirming Deputy Commissioner Houser's Opinion
and Award. Chairman Buck Lattimore, dissenting in part from the
Full Commission's Opinion and Award, stated that [t]he majority
has erred in finding that plaintiff has established entitlement to
ongoing disability payments . . . [because] [t]he competent
evidence of record fails to show that plaintiff is completely
incapable of performing any work. Defendants filed timely notice
of appeal to this Court.
As a preliminary matter, we note that plaintiff has included
in his brief a motion to dismiss defendants' appeal. It is well-
established, however, that [s]uch motions may not be raised in abrief, but rather must be made in accordance with [Rule 37 of the
North Carolina Rules of Appellate Procedure]. Warren v. Warren,
175 N.C. App. 509, 512, 623 S.E.2d 800, 802 (2006). Plaintiff's
motion is not properly before this Court, and therefore, we decline
to address it.
Our standard of review from a decision of the Full Commission
is limited to determining whether there is any
competent evidence to support the findings of
fact, and whether the findings of fact justify
the conclusions of law. The findings of the
Commission are conclusive on appeal when such
competent evidence exists, even if there is
plenary evidence for contrary findings. This
Court reviews the Commission's conclusions of
law de novo.
Ramsey v. S. Indus. Constructors, Inc., 178 N.C. App. 25, 29.30,
630 S.E.2d 681, 685 (internal quotation marks and citations
omitted), disc. rev. denied, 361 N.C. 168, 639 S.E.2d 652 (2006).
Additionally, in the instant case, defendants have failed to assign
error to the Full Commission's findings of fact numbers 1 through
9, and therefore, these findings of fact are deemed binding on
appeal. See McGhee v. Bank of Am. Corp., 173 N.C. App. 422, 427,
618 S.E.2d 833, 837 (2005).
Defendants first argue that the Full Commission erred in
concluding that plaintiff's misrepresentations did not bar his
right to recover compensation. We agree.
In its Opinion and Award, the Full Commission found that
plaintiff had applied for a job with defendant-employer on June 1,
2000, had been hired conditionally, and had been given a medical
questionnaire to complete to ensure he had the physical ability toperform its truck driving job. The Full Commission further found
that
[i]n completing the medical questionnaire,
plaintiff made no reference to prior back
injuries he had or to workers' compensation
claims associated with those injuries. While
his responses to most of the questions were
either accurate or ambiguous, the negative
answers to the direct questions as to whether
he had ever had a backache or made a workers'
compensation claim were clearly incorrect.
Defendants, therefore, argue that plaintiff should be barred from
recovering based upon a three-part test from Professor Larson's
treatise on workers' compensation (the Larson test).
Pursuant to the Larson test, an employee may be barred from
recovering workers' compensation benefits as a result of a false
statement at the time of hiring when the employer proves:
(1) The employee must have knowingly and
wilfully made a false representation as to his
or her physical condition. (2) The employer
must have relied upon the false representation
and this reliance must have been a substantial
factor in the hiring. (3) There must have
been a causal connection between the false
representation and the injury.
3 Larson's Workers' Compensation Law § 66.04 (2006) (footnotes
omitted).
This Court previously has expressed disapproval for the Larson
test, explaining that neither the Industrial Commission nor this
Court has the authority to adopt such a defense, if it is not found
in the Workers' Compensation Act. Hooker v. Stokes-Reynolds Hosp.,
161 N.C. App. 111, 115, 587 S.E.2d 440, 443 (2003), disc. rev.
denied, 358 N.C. 234, 594 S.E.2d 192 (2004). The Court in Hooker,
however, expressly did not reach the merits of such an argument,and therefore, we are not bound by its discussion of the Larson
test. See Debnam v. N.C. Dep't of Corr., 334 N.C. 380, 386, 432
S.E.2d 324, 329 (1993) ([S]tatements in the nature of obiter
dictum are not binding authority.). Accordingly, neither this
Court nor our Supreme Court has ruled conclusively on the Larson
test.
(See footnote 2)
The Workers' Compensation Act is a compromise arrived at
through the concessions of employees and employers alike. Bare v.
Wayne Poultry Co., 70 N.C. App. 88, 92, 318 S.E.2d 534, 538 (1984),
disc. rev. denied, 312 N.C. 796, 325 S.E.2d 484 (1985). The [A]ct
should be construed liberally, to the end that rights of parties
may be fully protected. On the other hand, it should not be so
interpreted or the procedure thereunder be of such a nature as to
jeopardize the substantial rights of either party. Singleton v.
Durham Laundry Co., 213 N.C. 32, 35, 195 S.E. 34, 36 (1938)
.
It is well-established that our [Workers' Compensation] Act
applies only where the employer-employee relationship exists.
Hicks v. Guilford County, 267 N.C. 364, 365, 148 S.E.2d 240, 242
(1966). Pursuant to North Carolina General Statutes, section 97-2,
[t]he term employee means every person
engaged in an employment under any appointment
or contract of hire or apprenticeship, expressor implied, oral or written, including aliens,
and also minors, whether lawfully or
unlawfully employed, but excluding persons
whose employment is both casual and not in the
course of the trade, business, profession, or
occupation of his employer . . . .
N.C. Gen. Stat. . 97-2(2) (2005) (emphasis added).
Although [o]ur Supreme Court 'has warned against any
inclination toward judicial legislation' in the construction of the
Workers' Compensation Act, Hooker, 161 N.C. App. at 115, 587
S.E.2d at 443 (quoting Johnson v. S. Indus. Constructors, 347 N.C.
530, 536, 495 S.E.2d 356, 359 (1998)), it is well-settled that in
construing the provisions of this State's Workers' Compensation
Act, common law rules . . . remain in full force and continue to
apply in North Carolina, unless specifically abrogated or repealed
by our General Assembly or Supreme Court. Tise v. Yates Constr.
Co., Inc., 122 N.C. App. 582, 587, 471 S.E.2d 102, 106 (1996),
aff'd as modified, 345 N.C. 456, 480 S.E.2d 677 (1997). Therefore,
[w]hether an employer-employee relationship existed at the time of
the injury is to be determined by the application of ordinary
common law tests. McCown v. Hines, 353 N.C. 683, 686, 549 S.E.2d
175, 177 (2001). The first step in determining whether an
employer-employee relationship exists [is] . . . '[w]hat are the
terms of the agreement _ that is, what was the contract between the
parties[?]' Huntley v. Howard Lisk Co., Inc., 154 N.C. App. 698,
702, 573 S.E.2d 233, 235 (2002) (emphasis in original) (alterations
added) (quoting Askew v. Leonard Tire Co., 264 N.C. 168, 172, 141
S.E.2d 280, 283 (1965)). Although there appears to be no specific statutory basis for
the Larson test, we find authority for the test in the common law
doctrine of fraud in the inducement, the elements of which closely
parallel those suggested by Professor Larson.
The essential elements of fraud in the
inducement are: (i) that defendant made a
false representation or concealed a material
fact he had a duty to disclose; (ii) that the
false representation related to a past or
existing fact; (iii) that defendant made the
representation knowing it was false or made it
recklessly without knowledge of its truth;
(iv) that defendant made the representation
intending to deceive plaintiff; (v) that
plaintiff reasonably relied on the
representation and acted upon it; and (vi)
plaintiff suffered injury.
Harton v. Harton, 81 N.C. App. 295, 298.99, 344 S.E.2d 117, 119.20,
disc. rev. denied, 317 N.C. 703, 347 S.E.2d 41 (1986). Fraud in
the inducement renders a contract void, see Clifford v. River Bend
Plantation, Inc., 312 N.C. 460, 464, 323 S.E.2d 23, 25 (1984), and
it is axiomatic that the employer-employee relationship is one
based in principles of contract. See Edwards v. Seaboard & Roanoke
R.R. Co., 121 N.C. 490, 28 S.E. 137 (1897) (recognizing the
contractual nature of the employment relationship). Therefore,
fraud in the inducement of employment would render the employment
contract void. In the absence of a valid employment contract, a
claimant would fail to meet the statutory definition of an
employee and therefore would lack standing under the Workers'
Compensation Act. As explained by the Supreme Court of Alabama,
[i]t is not a usurpation of the legislative
function for this Court to conclude that
misrepresentation on an employment application
as to prior physical injuries is a bar torecovery of worker's compensation benefits. .
. . [I]t has long been a part of the common
law that fraud in the inducement is a good
defense to an action on a contract by one of
the contracting parties. That worker's
compensation bears a contractual relationship
is no longer arguable. Thus, we hold that if
the evidence supports a finding that an
employee, in entering into the employment
relationship, intentionally misrepresented the
existence of a prior injury, then that
material misrepresentation, if relied upon by
the employer, will bar a claim for worker's
compensation benefits if the employer can
establish a causal relationship between the
misrepresentation and the injury.
Ex Parte S. Energy Homes, Inc., 603 So. 2d 1036, 1039 (Ala. 1992)
(per curiam) (internal citations omitted). But see Hilt Truck
Lines, Inc. v. Jones, 281 N.W.2d 399, 403 (Neb. 1979) (finding that
such misrepresentations render an employment contract voidable, not
void).
We also find support for adoption of the Larson test in the
common law doctrine of equitable estoppel. See, e.g., Lamay v.
Roswell Indep. Sch. Dist., 882 P.2d 559, 564 (N.M. Ct. App. 1994)
(We believe that the Larson rule derives its essential ingredients
from the principle of equitable estoppel rather than contract
law.). But see Stovall v. Sally Salmon Seafood, 757 P.2d 410, 416
(Or. 1988) (noting that most of the cases adopting the Larson test
do not mention estoppel but discuss whether the claimant must be
barred from recovery by reason of fraud or misrepresentation). In
fact, some courts have looked to both fraud and estoppel in
adopting the Larson test. See Divita v. Hopple Plastics, 858 S.W.2d
214, 215 (Ky. Ct. App. 1993) (What seems to be emerging, in place
of a conceptual approach relying on purely contractual tests, is acommon-sense rule made up of a melange of contract, causation, and
estoppel ingredients. (internal quotation marks and citation
omitted)).
(See footnote 3)
In North Carolina, '[t]he law of estoppel applies in
[workers'] compensation proceedings as in all other cases.'
Watkins v. Cent. Motor Lines, Inc., 279 N.C. 132, 139, 181 S.E.2d
588, 593 (1971) (alterations added) (quoting Biddix v. Rex Mills,
Inc., 237 N.C. 660, 665, 75 S.E.2d 777, 781 (1953)); see also Gore
v. Myrtle/Mueller, 362 N.C. 29, 37, 653 S.E.2d 400, 408 (2007)
(noting the general permissibility of estoppel under our workers'
compensation law). As our Supreme Court has explained,
[t]he doctrine of equitable estoppel is based
on an application of the golden rule to the
everyday affairs of men. It requires that one
should do unto others as, in equity and good
conscience, he would have them do unto him, if
their positions were reversed. . . . Its
compulsion is one of fair play.
Watkins, 279 N.C. at 139, 181 S.E.2d at 593 (omission in original)
(quoting McNeely v. Walters, 211 N.C. 112, 113, 189 S.E. 114, 115
(1937)); see also Fed. Copper & Aluminum Co. v. Dickey, 493 S.W.2d
463, 464 (Tenn. 1973) (A wrongdoer is precluded from profiteering
from his fraud or wilful misrepresentation in an ordinary civil
suit.).
Furthermore, we note that the Larson test has been adopted by
numerous state courts,
(See footnote 4)
and as the Virginia Court of Appealsexplained over twenty years ago, the Larson test constitutes the
majority view in this country. McDaniel v. Colonial Mech. Corp.,
350 S.E.2d 225, 227 (Va. Ct. App. 1986).
(See footnote 5)
Additionally,
notwithstanding plaintiff's arguments with respect to judicial
legislation, [a] majority of the states that have considered this
issue have judicially recognized intentional misrepresentation to
gain employment as an affirmative defense even in the absence of aspecific statute. Oesterreich v. Canton-Inwood Hosp., 511 N.W.2d
824, 828 (S.D. 1994) (emphasis added).
(See footnote 6)
For over the last eighteen years, North Carolina has been
surrounded by states that have adopted the defense. See Ga. Elec.
Co., 378 S.E.2d at 114; Cooper, 196 S.E.2d at 835; Fed. Copper &
Aluminum Co., 493 S.W.2d at 465; McDaniel, 350 S.E.2d at 227.
(See footnote 7)
However, we refuse to continue to countenance fraud perpetrated
upon employers in our state, and as aptly noted by the South Dakota
Supreme Court, intentional misrepresentations during the hiring
process as to a prior medical condition is the type of conduct
which cannot be rewarded through any liberal interpretation of theworker's compensation laws. Oesterreich, 511 N.W.2d at 828.29; see
also Dressler, 262 N.W.2d at 684 (Coleman, J., dissenting) (The
intriguing effect of my colleague's opinion is that it now legally
pays to lie _ and it is the consumer who bears the cost.).
Accordingly, we are persuaded that the three-pronged Larson test
for misrepresentations made by a prospective employee at the time
of hiring with respect to his or her medical condition, with the
burden of proving each of the prongs resting with the employer, is
suitable for application in the instant case.
Applying the Larson test to the case sub judice, defendants
had the burden first to demonstrate that plaintiff knowingly and
wilfully made a false representation as to his physical condition
at the time he was hired. In finding of fact number 10, the Full
Commission found as fact that plaintiff misrepresented his physical
condition at the time of hiring:
In completing the medical questionnaire,
plaintiff made no reference to prior back
injuries he had had or to workers'
compensation claims associated with those
injuries. While his responses to most of the
questions were either accurate or ambiguous,
the negative answers to the direct questions
as to whether he had ever had a backache or
made a workers' compensation claim were
clearly incorrect.
(Emphasis added). Although this finding arguably is insufficient
for a determination that plaintiff's false representation was
knowingly and wilfully made, plaintiff nevertheless concedes in his
brief that the first criterion on [sic] Larson's test was
satisfied. With respect to the second prong of the Larson test,
defendants had the burden of demonstrating that defendant-employer
relied upon plaintiff's false representation and that its reliance
was a substantial factor in the hiring. Here, the Full Commission
found that Gerald Robertson (Robertson), defendant-employer's
safety and recruiting director, testified that plaintiff would
have been hired and given the job, even if he had answered all the
questions accurately. Robertson further testified that the
question about prior worker's [sic] compensation claims was
superfluous.
First, we agree with the Full Commission's characterization of
the question concerning prior workers' compensation claims.
Robertson testified that as of 25 July 2003, defendant-employer had
approximately seventeen employees with prior workers' compensation
claims. Robertson further testified: As far as previously being
hired, as long as it doesn't affect their ability to perform
positions that we have available, we don't really take that into
consideration. Additionally, the following colloquy transpired
between plaintiff's attorney and Robertson:
[PLAINTIFF'S ATTORNEY]: I believe, Mr.
Robertson, you said that _ that if somebody
had answered yes to the workers' comp claim
question, then you'd go back to some other
part of the _ of the form and look at the
physical condition he's talking about with
respect to the workers' comp claim. And the
question I have is what does the fact that
that injury was the result of a workers' comp
claim do to change _ change his physical
condition when you're trying to assess his
ability to do the job?
[ROBERTSON]: Probably nothing.
[PLAINTIFF'S ATTORNEY]: So that's sort of a
surplus question?
[ROBERTSON]: Well, it could be, I suppose, but
we would certainly want to know what he had
hurt on his self to make sure that we were not
going to place him into some type of a job
position that he would get hurt again.
[PLAINTIFF'S ATTORNEY]: But you'd get that
information from all the other questions
except for [the question on prior workers'
compensation claims], is that accurate?
. . . .
[ROBERTSON]: In most cases, yes.
Accordingly, the Full Commission's finding that the question about
prior worker's [sic] compensation claims was superfluous was
supported by competent evidence.
However, we disagree with the Full Commission's finding that
defendant-employer did not rely upon the false representations made
by plaintiff in hiring plaintiff. Robertson was asked point-blank
whether defendant-employer would have hired plaintiff had plaintiff
disclosed his work restrictions:
[DEFENDANTS' ATTORNEY]: Mr. Robertson,
assuming that the medical evidence that's
admitted in this case shows that [plaintiff]
was limited to a light to medium demand level
indicating he could lift thirty-five pounds
occasionally, fifteen pounds frequently, seven
pounds continuously, was limited to occasional
sitting . . . which indicates only a third of
the day should be spent sitting, if you had
known of these prior restrictions, would you
have hired [plaintiff] to perform a job as a
truck driver?
[ROBERTSON]: No.
Robertson further noted that [i]t would have been very difficult
. . . to make reasonable accommodations for [plaintiff] . . .because of the driving restrictions for one, and secondly, not
knowing when _ specifically when and where or if a driver is going
to be required to load and/or unload and/or what type of product
that that would even involve.
The Full Commission appears to have based its finding on one
line of Robertson's testimony, during which he equivocated on the
issue:
[PLAINTIFF'S ATTORNEY]: So is it your
testimony that you don't know what you would
have done, or is it your testimony that you
would not have hired him to drive for
Rothrock, or is it your testimony that you
would have allowed him to drive for Rothrock?
[ROBERTSON]: It's very _ I feel this is very a
[sic] hypothetical. I suppose I would have
hired him. I don't know.
[PLAINTIFF'S ATTORNEY]: Okay, thank you.
However, Robertson immediately thereafter clarified his answer:
[ROBERTSON]: I did hire him. Based upon no
information, I hired him.
[PLAINTIFF'S ATTORNEY]: But I asked you the
question concerning if you had had the
information that you think is full information
and I believe your answer was that you
probably would have hired him anyway, is that
correct?
[ROBERTSON]: Again, it's a hypothetical
question. I don't know what I would have
done.
[PLAINTIFF'S ATTORNEY]: Well, it's not
hypothetical because you now have the
information. If you had the information then
that you have now concerning his prior back
problems as you perceive them, would he have
been hired or not?
[ROBERTSON]: Probably not.
[PLAINTIFF'S ATTORNEY]: Probably not?
[ROBERTSON]: Probably not.
(Emphases added). Later in his testimony, Robertson elaborated on
defendant-employer's reliance on plaintiff's honesty with respect
to plaintiff's physical condition, stating, We hired him based on
_ from what he told us in his application and on these forms that
he filled out about his limitations . . . . That's what we hired
him on. Finally, Robertson stated unequivocally at the end of his
testimony that defendant-employer would not have hired plaintiff
but for plaintiff's false representations as to his prior medical
condition:
[DEFENDANT'S ATTORNEY]: [I]f [plaintiff] had
indicated to you he was physically able to
perform the job but those medical restrictions
were in place, what would your decision have
been regarding [plaintiff]'s employment?
[ROBERTSON]: I would not have hired him.
The evidence presented to the Full Commission demonstrates
that defendant-employer relied upon plaintiff's false
representation and that defendant-employer's reliance was a
substantial factor in the hiring. The Full Commission, therefore,
erred in finding that defendant-employer did not rely upon
plaintiff's misrepresentations.
Finally, defendants had the burden under the third prong of
the Larson test to demonstrate the existence of a causal connection
between the false representation and the injury. The Full
Commission stated in finding of fact number 12 that Doctors Ramos,
Aluiso, and Rogers all testified, and the Full Commission finds asfact, that plaintiff's prior back problems did not increase his
risk of sustaining the type of injury he sustained on March 11,
2002. This finding, however, is not supported by competent
evidence.
First, Dr. Richard D. Ramos (Dr. Ramos) testified that he
could not state with any certainty whether plaintiff's 11 March
2002 injury was an aggravation of a prior injury or a new injury .
Regardless, Dr. Ramos testified that plaintiff was definitely at
risk for reinjury in his lower back as a result of his prior
injuries . Dr. Ramos explained that plaintiff probably should have
stayed away from a truck driving job, noting that such a job would
be a more strenuous job than the light-medium level work
restrictions to which plaintiff was assigned and that working
outside assigned restrictions may place an employee at an
increased risk for additional injury or aggravation. Dr. Ramos
further explained that somebody with [plaintiff]'s condition who
performs a heavy-duty job such as this for a 19-month period . . .
can [absolutely] make them [sic] more susceptible to another
injury. Finally, Dr. Ramos testified that the type of activity in
which plaintiff was engaging for defendant-employer certainly
could aggravate plaintiff's condition.
Next, Dr. Frank V. Aluiso (Dr. Aluiso) was asked during his
deposition why work restrictions are assigned to persons with a
back condition, such as that experienced by plaintiff. Dr. Aluiso
explained that
[p]art of it is that there's, with a
degenerative disk or bulging disk, there wouldbe a higher risk for recurrent back injuries
if they're on a job that has no restrictions
with respect to the amount they lift or how
frequently they're lifting. They're just more
prone to getting a recurrent back injury.
Dr. Aluiso then noted that by returning to a truck-driving job,
plaintiff was working outside his work restrictions. He further
explained that by returning to a heavy-duty truck-driving job
after the 1996 incident, plaintiff placed himself at high risk for
reinjuring himself. Dr. Aluiso noted that the fact that plaintiff
worked for nearly two years without incident was not dispositive
with respect to the likelihood of injury. Specifically, he
explained that plaintiff had documented evidence of degenerative
disk as well as bulging disk, so he could reinjure himself at any
time. It doesn't matter if it's a year or five years. It could be
anytime. Dr. Aluiso opined that any number of activities,
including pushing, pulling, lifting, cranking, and driving, could
aggravate plaintiff's back condition.
(See footnote 8)
Ultimately, contrary to the
Full Commission's finding, Dr. Aluiso testified that plaintiff was
at increased risk of having problems in his back and that it waslikely with [plaintiff's] condition that an exacerbation would
have occurred at some point.
Testimony by Dr. Tate Rogers (Dr. Rogers) also demonstrates
that plaintiff's prior back injury increased his risk of sustaining
the 11 March 2002 injury or aggravation, thereby contradicting the
Full Commission's finding of fact. Although plaintiff quotes Dr.
Rogers as explaining that it would be speculative to say that the
heaviness of plaintiff's other work activities increased the risk
of injury while cranking the dolly, the issue is not whether other
aspects of the job increased his risk of injury, but whether his
undisclosed medical condition increased his risk of injury. See 3
Larson's Workers' Compensation Law § 66.04 (2006) (There must have
been a causal connection between the false representation and the
injury. (emphasis added)). Dr. Rogers clearly provided his
opinion on this issue:
[DR. ROGERS]: . . . But I would tend to agree
that, given his back condition, truck driving
would not be the best type of work for him to
be doing.
[DEFENSE COUNSEL]: And so assuming that an
orthopedist in 1996 made that recommendation,
you would be inclined to concur with that?
[DR. ROGERS]: I would, yes.
[DEFENSE COUNSEL]: And would, in your opinion,
a recommendation such as that back in 1996,
does that reflect the fact that if he were to
return to a truck-driving position, he was at
a higher risk of reinjury?
[DR. ROGERS]: In my opinion, yes.
[DEFENSE COUNSEL]: And if after the _
[plaintiff] has actually had two prior work
injuries in '92 and '96. And if after the1996 incident, [plaintiff] was to return to a
heavy duty or strenuous truck-driving position
and suffered an injury, would that be
something you would see as foreseeable based
upon his condition?
[DR. ROGERS]: I don't know if you can say it's
foreseeable. You can certainly say he was
at increased risk for it. He would definitely
be at increased risk, and then I wouldn't be
surprised if he did suffer a back injury; but
I couldn't predict a back injury.
(Emphasis added). Dr. Rogers also agreed with Dr. Aluiso's
assessment that plaintiff's injury or aggravation could have
happened at any time and that the nearly two years of injury-free
work did not alter the fact that plaintiff was at an increased risk
for injury. Specifically, Dr. Rogers stated that [a] person can
have a ruptured lumbar disk for 30 years and work for 30 years and
never have any trouble out of it, but that doesn't change the fact
that they're still _ they're in a high-risk group. They just
happen to luck out.
Although the Full Commission found that plaintiff's prior back
problems did not increase his risk of the 11 March 2002 injury,
this finding was not supported by competent evidence. Dr. Ramos,
Dr. Aluiso, and Dr. Rogers all testified to the effect that
plaintiff's undisclosed medical condition increased his risk of the
back injury at issue. Additionally, we note, as did the Tennessee
Supreme Court, that [c]ommon sense dictates that a prior injury of
the nature suffered by defendant would create a predisposition to
further injury considering the nature of the work involved. U.S.
Fid. & Guar. Co. v. Edwards, 764 S.W.2d 533, 536 (Tenn. 1989). Defendants, therefore, satisfied the third and final prong of the
Larson test.
Because defendants satisfied their burden of proof under the
Larson test, plaintiff is barred from workers' compensation
benefits for his injury sustained on 11 March 2002. Accordingly,
the Full Commission erred in awarding workers' compensation
benefits to plaintiff. Additionally, because we reverse the
Opinion and Award of the Full Commission, we need not reach
defendants' remaining assignments of error. See Demery v. Perdue
Farms, Inc., 143 N.C. App. 259, 267, 545 S.E.2d 485, 491, aff'd,
354 N.C. 355, 554 S.E.2d 337 (2001) (per curiam).
Reversed and Remanded.
Judge Hunter concurs.
Judge Wynn dissents in a separate opinion.
RANDY B. FREEMAN
Employee,
Plaintiff,
v
.
N.C. Industrial Commission
I.C. No. 231116
J.L. ROTHROCK
Employer,
and
NORTH AMERICAN SPECIALTY,
Carrier,
AEQUICAP CLAIMS SERVICES, INC.
(Formerly CLAIMS CONTROL, INC.)
Administrator,
Defendants-Appellants.
WYNN, Judge, dissenting.
In this case, the majority adopted the Larson test and in
applying the test, concluded that Mr. Freeman is barred from
receiving workers' compensation benefits for his injury because of
his misrepresentations at the time of his hiring. Because I
disagree with the adoption of the Larson test, I respectfully
dissent.
In published and unpublished opinions, this Court has rejected
the Larson test. In Hooker, the defendants argued that this Court
should adopt a misrepresentation defense in workers' compensation
cases. Hooker v. Stokes-Reynolds Hosp., 161 N.C. App. 111, 115,
587 S.E.2d 440, 443 (2003), disc. review denied, 358 N.C. 234, 594
S.E.2d 192 (2004). In response, this Court stated that neither
the Industrial Commission nor this Court has the authority to adoptsuch a defense, if it is not found in the Worker's Compensation
Act. Our Supreme Court 'has warned against any inclination toward
judicial legislation' in the construction of the Worker's
Compensation Act. Id. (citation omitted).
Additionally, as the majority concedes, this Court has
rejected the Larson test in an unpublished opinion. In McCollum v.
Atlas Van Lines, the defendants urged this Court to adopt the
three-part Larson test to bar workers' compensation recovery where
an employee made misrepresentations about his physical condition.
McCollum v. Atlas Van Lines, 166 N.C. App. 280, 603 S.E.2d 167
(unpublished, Sept. 7, 2004), disc. review denied, 359 N.C. 190,
607 S.E.2d 276 (2004). This court cited Hooker as the basis for
the rejection of the Larson test, and concluded that defendants'
. . . argument is without merit. Id.
Not only have we previously rejected the Larson test, there is
no legislative authority for this Court to adopt such a test. Our
Supreme Court has stated:
With respect to interpreting the Workers'
Compensation Act, this Court has warned
against any inclination toward judicial
legislation . . . . This Court has long
distinguished between liberal construction of
statutes and impermissible judicial
legislation or the act of a court in
ingrafting upon a law something that has been
omitted, which [it] believes ought to have
been embraced.
Johnson v. Southern Indus. Constructors, Inc., 347 N.C. 530, 536,
495 S.E.2d 356, 359-60 (1998) (citations omitted). Because the
Larson test is not included in our Workers' Compensation Act, theadoption of the test by this Court is impermissible judicial
legislation. Accordingly, I must dissent.
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