1 

IN THE 

AT JACKSON 

ARLENE ERNSTES, ) Docket No. 2020-07-0617 

Employee, )

v. )

PRINTPACK, INC., ) State File No. 66407-2020 

Employer, 

and 

STARR INDEMNITY & LIABILITY CO., 

Carrier. 

)

)

)

)

Judge Amber E. Luttrell 

COMPENSATION ORDER 

below, the Court rejects the defense and holds that Ms. Ernstes proved by a preponderance 

of the evidence that she sustained a compensable hearing loss injury. As a result, she is 

entitled to ten-percent permanent partial disability benefits and future medical benefits. 

History of Claim 

Ms. Ernstes is eighty-three years old and worked for Printpack for thirty-three years, 

retiring in March of 2016. She alleged that exposure to loud machinery during her 

employment caused her hearing loss.1 

Ms. Ernstes first started working for Printpack at its Indiana facility for seventeen 

years and then moved to the Tennessee plant. She stated she did everything in the plant 

during her years at Printpack, which included working as a shop-floor helper, trainer, and 

truck loader. She also worked on computers, in the lab, and in maintenance. She spent most 

,

1 Before working at Printpack, Ms. Ernstes worked for a sewing factory and at a grocery store deli, but 

she was not exposed to loud noises at either job.

FILED

Aug 30, 2022

03:21 PM(CT)

TENNESSEE COURT OF

WORKERS' COMPENSATION

CLAIMS
2 

her entire employment but stated she could still hear loud noises and people talking. 

Ms. Ernstes first noticed gradual hearing problems when she had to turn up her 

television volume, and her granddaughters suggested she might need hearing aids. She 

estimated she first noticed these problems three to four years before her 2021 deposition. 

She believed her hearing loss was age-related. She obtained hearing aids but did not recall 

the date. 

Printpack performed yearly hearing screens. However, Ms. Ernstes testified that 

Printpack never discussed any results with her or recommended she see a physician. She 

also never received a copy of the hearing screen results. Instead, she stated she received 

notes in her mailbox at work that said whether she passed her screen. Neither Ms. Ernstes 

nor Printpack offered any evidence that Ms. Ernstes ever failed a screen. Ms. Ernstes 

testified that she did not take the results seriously because she once fell asleep during a 

screen performed after her shift, and she still passed. 

For its part, Printpack relied on Ms

March 13, 1998, through September 11, 2013. 

The screens had an employee signature line at the bottom to certify the employee received 

a copy of the report, but none was signed by Ms. Ernstes. Later in her employment, several 

screens 

ere can be many reasons for a change in hearing, including 

medication, test problems, exposure to noise while not wearing hearing protection, or ear 

Most screens did not include this statement. 

Printpack also introduced a medical record from December 23, 2019, when Ms. 

Ernstes saw otolaryngologist Dr. Karl Studtmann and his at West TN 

ENT Clinic. The record noted that Ms. Ernstes reported decreased hearing in both ears for 

many years that had progressively worsened and a sinus infection a few weeks before, 

which resulted in fluid in her ears and dizziness. The PA diagnosed bilateral sensorineural 

hearing loss, referred her for a hearing aid consultation, and instructed her to return to the 

clinic if her dizziness returned. Ms. Ernstes testified she went to the ENT Clinic that day 

due to her dizziness and ear pain and believed her hearing loss was age-related. The record 

does not mention either Ms. Ernstes or the provider relating her hearing loss to her work. 

Ms. Ernstes testified she first believed she might have work-related hearing loss 

when she met with her attorney, who promptly sent letters to Printpack and its carrier on 

September 28, 2020, providing notice of her alleged gradually-occurring injury. (Exhibit 

2.)2 She filed a Petition for Benefit Determination on November 17, 2020. 

2

 Ms. Ernstes, through counsel, asserted the meeting occurred in September 2020, shortly before counsel 

provided notice to Printpack. 
3 

In June 2021, Ms. Ernstes obtained an evaluation from Dr. Studtmann. She 

introduced his deposition at the hearing. Dr. Studtmann tested Ms. Ernstes and found she 

-

Dr. Studtmann also reviewed Ms

1998 and 2013. He testified the 1998 screen showed three abnormal frequencies in the left 

ear and normal hearing in the right ear. Between 1998 and 2013, Dr. Studtmann stated the 

screens showed a gradual decrease, more in her left ear than her right ear, which he 

described as significant. 

Dr. Studtmann concluded that Ms. Ernstes -

induced hearing loss. He causally related it to her noise exposure at Printpack based on the 

progression of noise-induced hearing loss during the period he reviewed and assigned a 

ten-percent impairment. 

On cross-examination, Dr. Studtmann testified regarding Ms

to his clinic. He testified she presented complaining of dizziness and hearing loss, but her 

biggest complaint was dizziness. He stated her dizziness had improved and the type she 

described was consistent with a blood-pressure problem. He performed an audiogram at 

that visit and found down-sloping high frequency sensorineural hearing loss and mild low 

Dr. Studtmann discussed her hearing loss with her in 2019 and his referral 

for hearing aids but testified they did not discuss the cause at that point. Dr. Studtmann 

denied that Ms. Ernstes should have known in 2019 that her hearing loss was work-related 

Findings of Fact and Conclusions of Law 

Ms. Ernstes must prove all elements of her claim by a preponderance of the 

evidence. Tenn. Code Ann. § 50-6-239(c)(6) (2021). 

 

Notice and Statute of Limitations 

 Printpack contended Ms

because her claim is time-barred. Tennessee Code Annotated section 50-6-203(b)(1) 

provides the limitations on claims and states the following: 

to or on behalf of the employee, the right to compensation . . .shall be forever 

barred, unless the notice required by § 50-6-201 is given to the employer and

a petition for benefit determination is filed with the bureau . . within one (1) 

year after the accident resulting in injury. 
4 

(Emphasis added.) 

The Court first considers whether Ms. Ernstes gave notice to Printpack as required 

by Tennessee Code Annotated section 50-6-201(b)(1). Because Ms. Ernstes alleges a 

cumulative-trauma condition, she must satisfy the following notice requirement: 

In those cases where the injuries occur as the result of gradual or cumulative 

representative shall provide notice of the injury to the employer within thirtydays (30) after the employee: 

(1) Knows or reasonably should know that the employee has suffered a workrelated injury that has resulted in permanent physical impairment;3

Here, the question is whether Ms. Ernstes notified Printpack of her injury within 

thirty days of when she knew or reasonably should have known that she suffered a workrelated injury that resulted in permanent physical impairment. The Court finds she did. 

Printpack argued Ms. Ernstes knew or should have known she had a work-related 

hearing loss years before her notice date or, at the latest, when she was diagnosed with 

hearing loss in 2019. It argued that given the noisy environment Ms. Ernstes worked in at 

Printpack, reasonable person exercising due diligenc

discovered that her perceived hearing loss was work-related

s she had hearing loss 

with knowledge that it was work-related. Ms. Ernstes admitted she noticed difficulty 

hearing and raised her television volume three to four years before giving her deposition. 

She was in her late seventies at that time, and she attributed her hearing loss to her age. She 

did not causally relate it to work until she met with her attorney, and they notified Printpack 

in September 2020. Dr. Studtmann later confirmed it in June 2021, when he told her she 

had work-related hearing loss and assigned permanent impairment. 

Ms. Ernstes was credible. By direct observation, the Court finds Ms. Ernstes was 

honest and forthcoming when describing her hearing loss and its cause. See Kelly v. Kelly, 

445 S.W.3d 685, 694-695 (Tenn. 2014) (discussing indicia of witness credibility). The 

Court finds any inconsistencies in her testimony are attributable to a poor memory given 

the length of time that has passed rather than a lack of credibility. 

 

 The Court further finds that Ms

support her testimony. Nowhere in the 2019 medical record did Ms. Ernstes or her 

3 The thirty-day notice period effective prior to July 1, 2016, is applicable to injuries between July 1, 2014 

thirty- date notice period applies. 
5 

providers causally relate her hearing loss to her work, and Dr. Studtmann confirmed they 

did not discuss the cause of her hearing loss at that time. 

As for the hearing screens, she 

never received them, and Printpack never explained the results to her. She only received 

notes stating whether she passed in her mailbox, and Printpack offered no testimony that 

she ever failed a screen. Her testimony is bolstered by the fact that none of the screens 

introduced into evidence was signed by Ms. Ernstes to certify her receipt. Further, 

Printpack failed to explain how these screens were its notice to her that she had suffered a 

work-related hearing loss. 

Printpack also cited Jenkins v. Goodyear Tire & Rubber Co., No. W2014-02303-

SC-R3- in 

support of its position. In Jenkins, the employee died before filing suit, and his estate filed 

the action. The Panel held that because the employee could not testify, the only proof of 

what he knew was in his medical records. That evidence showed that the employee had a 

hearing loss before he was hired, that subsequent tests showed his condition worsened, and 

he signed a yearly report certifying that the results were discussed with him. He waited two 

years after his employment ended to bring a claim. The panel held: 

We think a reasonably prudent person, knowing that he had significant 

hearing loss, which got worse through twenty-one years of employment, 

would not wait until two years after his last day of work to take any action, 

and would have sought medical advice before the various periods of 

limitation ran. 

Jenkins, at *10. 

The Court finds Jenkins is distinguishable. Here, Ms. Ernstes was able to testify as to when 

she first knew her hearing loss was work-related, and she provided notice and filed her 

claim shortly afterward. Also, unlike Jenkins, Printpack did not offer any proof that Ms. 

Ernstes received her yearly screens or an explanation for her hearing loss that might have 

triggered the statute of limitations. 

For these reasons, the Court holds that Ms. Ernstes gave timely notice of her hearing 

loss injury. The Court now turns to whether she filed her petition for benefit determination 

-6-203(b)(1) requires. 

The Appeals Board has 

be problematic in gradually occurring or cumulative trauma cases. Maples v. Fed.-Mogul 

Corp., 2016 TN Wrk. Comp. App. Bd. LEXIS 8, at *25-26 (Feb. 17, 2016) (internal 

citations omitted). The Board 

determining the date of injury in gradual injury and cumulative trauma cases. Id. at *27. 
6 

 In this case, Ms. Ernstes testified that her last day worked was March 19, 2016, 

which was also the last day she was exposed to the work activity that caused the injury. 

Ms. Ernstes filed her Petition for Benefit Determination on November 17, 2020, and argued 

that although she did not file her Petition within one year of her last day worked, it was 

neve The Court agrees. 

The Appeals Board has explained the discovery rule stating, The discovery rule 

provides that the statute of limitations 

Linsey v. 

Acadia Healthcare Co., d/b/a Delta Medical Center-Memphis, 2019 TN Wrk. Comp. App. 

Bd. LEXIS 17, at *13 (May 13, 2019). (internal citations omitted). 

Again, Ms. Ernstes did not suspect her hearing loss was work-related until meeting 

with her attorney and providing notice in September 2020; she believed her declining 

hearing was age-related. Printpack offered no evidence she was told or provided anything 

at work to suggest otherwise. She did not know it was work-related until she saw Dr. 

Studtmann in 2021. Although she saw Dr. Studtmann in 2019, the Court credits her 

for dizziness and ear pain. While he diagnosed hearing loss, they did not discuss the cause 

of the hearing loss until her 2021 visit. Under t

Petition, filed within two months of her meeting with her attorney, is timely and not barred 

by the statute of limitations. 

 

Permanent Disability and Future Medical Expenses 

Dr. Studtmann noise exposure at 

Printpack; Printpack offered no conflicting medical opinion or causation argument. Thus, 

the Court holds Ms. Ernstes proved her hearing loss arose primarily out of and in the course 

and scope of her employment at Printpack. 

ten-percent rating, Ms. Ernstes is entitled to an original 

award of forty-five weeks at the stipulated compensation rate of $451.79, or $20,330.55. 

The parties agreed that she is not entitled to increased benefits under Tennessee Code 

Annotated section 50-6-207(3)(B) because of her voluntary retirement. The total award of 

permanent partial disability is accrued and payable in a lump sum based on the maximum 

medical improvement date of June 17, 2021, when Dr. Studtmann evaluated and rated her. 

Ms. Ernstes is further entitled to lifetime future medical benefits made reasonably 

necessary by her injury. Tenn. Code Ann. § 50-6-204. Printpack shall offer a panel of 

physicians from which Ms. Ernstes may select an authorized physician. 

IT IS, THEREFORE, ORDERED as follows: 
7

1. Printpack shall pay Ms. Ernests $20,330.55 in permanent partial disability benefits.

2. Ms -percent fee of the award under Tennessee 

Code Annotated section 50-6-226(a)(1). Mr. Boyd may move the Court for an award 

of discretionary costs unless the parties reach an agreement on the issue.

3. Printpack shall pay future medical benefits under Tennessee Code Annotated section 

50-6-204(a)(1)(A) and will designate a panel of physicians from which Ms. Ernstes 

may choose an authorized physician.

4. The Court taxes the $150.00 filing fee to Printpack, to be paid to the Court Clerk under 

Tennessee Compilation Rules and Regulations 0800-02-21-.06 (February, 2022) within 

five business days of this order becoming final, and for which execution might issue if 

necessary.

5. Printpack shall prepare and submit to the Court Clerk a Statistical Data Form (SD2) 

within ten business days of this order becoming final.

6. Unless appealed, this order shall become final thirty days after issuance.

ENTERED August 30, 2022.

_____________________________________

JUDGE AMBER E. LUTTRELL

Court of Compensation Claims

APPENDIX

Exhibits:

1.

2.

3. Danielle Gallimore, PA-C medical record- December 2019

4.

Technical record:

1. Petition for Benefit Determination- November 17, 2020

2. Dispute Certification Notice

3. Request for Scheduling Hearing

4. Scheduling Order

5. Joint Motion for Continuance

6. Order Granting Joint Motion for Continuance

7.

8.
8

9. Post-Discovery Dispute Certification Notice

10. Amended Scheduling Order

11. -Trial Brief

12. -Trial Brief

13.

14. -Compensation Hearing Statement

15. -Compensation Hearing Statement

CERTIFICATE OF SERVICE

I certify that a copy of this Order was sent as indicated on August 30, 2022.

Name Email Service sent to:

Jeffrey Boyd, X jboyd@borenandboyd.com

scallison@borenandboyd.com

Adam Brock-Dagnan, X acbrock-dagnan@mijs.com

ldpipkin@mijs.com

ssshell@mijs.com

_________________________________

Penny Shrum, Court Clerk

wc.courtclerk@tn.gov
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.

Compensation Order Right to Appeal: 

If you disagree with this Compensation Order, you may appeal to the Workers’ 

Compensation Appeals Board. To do so, you must:

1. Complete the enclosed form entitled “Notice of Appeal” and file it with the Clerk of the 

Court of Workers’ Compensation Claims within thirty calendar days of the date the 

Compensation Order was filed. When filing the Notice of Appeal, you must serve a copy 

upon the opposing party (or attorney, if represented). 

2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten calendar 

days after filing the Notice of Appeal. Payments can be made in-person at any Bureau office 

or by U.S. mail, hand-delivery, or other delivery service. In the alternative, you may file an 

Affidavit of Indigency (form available on the Bureau’s website or any Bureau office) 

seeking a waiver of the filing fee. You must file the fully-completed Affidavit of Indigency 

within ten calendar days of filing the Notice of Appeal. Failure to timely pay the filing 

fee or file the Affidavit of Indigency will result in dismissal of your appeal. 

3. You are responsible for ensuring a complete record is presented on appeal. The Court Clerk 

will prepare the technical record and exhibits for submission to the Appeals Board, and you 

will receive notice once it has been submitted. If no court reporter was present at the hearing, 

you may request from the Court Clerk the audio recording of the hearing for a $25.00 fee. 

A licensed court reporter must prepare a transcript, and you must file it with the Court Clerk 

within fifteen calendar days of filing the Notice of Appeal. Alternatively, you may file a 

statement of the evidence prepared jointly by both parties within fifteen calendar days of 

filing the Notice of Appeal. The statement of the evidence must convey a complete and 

accurate account of the testimony presented at the hearing. The Workers’ Compensation 

Judge must approve the statement of the evidence before the record is submitted to the 

Appeals Board. If the Appeals Board must review testimony or other proof concerning 

factual matters, the absence of a transcript or statement of the evidence can be a significant 

obstacle to meaningful appellate review. 

4. After the Workers’ Compensation Judge approves the record and the Court Clerk transmits 

it to the Appeals Board, a docketing notice will be sent to the parties. You have fifteen 

calendar days after the date of that notice to file a brief to the Appeals Board. See the Rules 

governing the Workers’ Compensation Appeals Board on the Bureau’s website

If neither party timely files an appeal with the Appeals Board, the trial court’s Order will 

become final by operation of law thirty calendar days after entry. Tenn. Code Ann. § 50-6-

239(c)(7).
LB-1099 rev. 01/20 Page 1 of 2 RDA 11082 

NOTICE OF APPEAL 

www.tn.gov/workforce/injuries-at-work/ 

wc.courtclerk@tn.gov | 1-800-332-2667 

Docket No.: ________________________

State File No.: ______________________ 

Date of Injury: _____________________ 

___________________________________________________________________________ 

Employee

v. 

___________________________________________________________________________ 

Employer

Notice is given that ____________________________________________________________________ 

[List name(s) of all appealing party(ies). Use separate sheet if necessary.]

Compensation Appeals Board

Expedited Hearing Order filed on _______________ Motion Order filed on ___________________

Compensation Order filed on__________________ Other Order filed on_____________________

issued by Judge _________________________________________________________________________. 

Statement of the Issues on Appeal 

Provide a short and plain statement of the issues on appeal or basis for relief on appeal: 

________________________________________________________________________________________ 

________________________________________________________________________________________ 

________________________________________________________________________________________ 

________________________________________________________________________________________ 

Parties 

Appellant(s) (Requesting Party): _________________________________________ Employer Employee 

Address: ________________________________________________________ Phone: ___________________ 

Email: __________________________________________________________ 

 ______________________________________________ BPR#: _______________________ 

Phone: _______________________ 

 _________________________________________________________________________ 

* Attach an additional sheet for each additional Appellant *
LB-1099 rev. 01/20 Page 2 of 2 RDA 11082 

Employee Name: _______________________________________ Docket No.: _____________________ Date of Inj.: _______________ 

Appellee(s) (Opposing Party): ___________________________________________ Employer Employee 

 ______________________________________________ Phone: ____________________ 

Email: _________________________________________________________ 

 _____________________________________________ BPR#: ________________________ 

 _____________________________________________ Phone: _______________________ 

 _________________________________________________________________________ 

* Attach an additional sheet for each additional Appellee *

CERTIFICATE OF SERVICE 

I, _____________________________________________________________, certify that I have forwarded a 

true and exact copy of this Notice of Appeal by First Class mail, postage prepaid, or in any manner as described 

in Tennessee Compilation Rules & Regulations, Chapter 0800-02-21, to all parties and/or their attorneys in this 

case on this the __________ day of ___________________________________, 20 ____. 

 ______________________________________________ 

[Signature of appellant or attorney for appellant]