Wednesday, July 15, 2020

Commission reverses award of Fund total based on prior nonqualifying disabilities

Everett Ptomey v Affiliated Foods Midwest 

Release date:  July 9, 2020  (Accident date:  July 7, 2016)

Venue:  Buchanan County

Plot Summary:   The Commission in a 2-1 decision reversed a PTD decision against the Fund based on 12.5% primary injury from a rear-end accident and priors of a 20% neck, 20% BAW (legs) and 5% back.

16-0530817
https://labor.mo.gov/sites/labor/files/decisions_wc/PtomeyEverett160530817-9-20.pdf


Cast
Asbridge, ALJ
Yarwood
Cole
Stuckmeyer
Cordray

Comments:    The Commission noted:

"The question presently before us, then, is whether employee is entitled to permanent total disability benefits where his claimed permanent total disability does not result from a combination of the primary injury and a preexisting disability that satisfies the enumerated criteria under§ 287.220.3 (a)a., but rather from the combination of his primary injury and various claimed preexisting disabling conditions, including at least one preexisting permanent partial disability that does not equal a minimum of 50 weeks of compensation according to medical standards used in determining such  compensation." 

The Commission reversed and construes 287.220 to require proof of a combo of a primary and a "single" prior qualifying condition, and in this case the proof was that there was a combo of a primary and "two" prior qualifying conditions and one condition that did not qualify.  A dissent found the interpretation antithetical to the legislative purpose of the Fund.