Court Opinion

ID: 5139550
Source: CourtListenerOpinion
Date Created: 2021-12-22 14:35:09.648523+00
Date Added: 2024-06-11T08:24:18.461228
License: Public Domain

FILED
                                                                                       Dec 21, 2021
                                                                                      12:42 PM(CT)
                                                                                   TENNESSEE COURT OF
                                                                                  WORKERS' COMPENSATION
                                                                                         CLAIMS

            TENNESSEE BUREAU OF WORKERS’ COMPENSATION
           IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
                            AT MEMPHIS

FELICIA PHILLIPS,                                )   Docket No. 2020-08-0526
          Employee,                              )              2020-08-0260
v.                                               )
IPS CORPORATION,                                 )   State File Number: 68633-2018
          Employer,                              )                      2201-2020
And                                              )
BERKSHIRE HATHAWAY                               )   Judge Deana Seymour
HOMESTATE INSURANCE CO.                          )
And                                              )
LIBERTY MUTUAL INSURANCE,                        )
          Carriers.                              )

                            EXPEDITED HEARING ORDER

        The Court heard Ms. Phillips’s requests for additional temporary disability
benefits during expedited hearings on December 6, 2021. One request claimed a
September 5, 2018 injury; the second, a December 31, 2019 injury. Berkshire insured IPS
for the first claim, and Liberty Mutual insured it for the second. Neither insurer paid
temporary disability benefits from January 20, 2020, forward. For the reasons below, the
Court holds that Ms. Phillips is likely to prove at a hearing on the merits that she is
entitled to these benefits, and Liberty Mutual is responsible.

                                       History of Claim

       Ms. Phillips injured her right foot at work for IPS on September 5, 2018. Dr. John
Lochemes provided authorized orthopedic treatment until February 13, 2019, when he
referred her to pain management for neuropathic foot pain. Dr. Lochemes restricted Ms.
Phillips’s work activities to fifty percent standing/walking and fifty percent sitting. 1 IPS
provided Ms. Phillips a position with a stool to accommodate the restrictions.
1
 Dr. Lochemes provided a statement confirming he ended orthopedic care on February 13 and referred
Ms. Phillips for continued medical care for pain management.

                                                1
       On December 30, 2019, Ms. Phillips fell while getting up from the stool. She was
transported to the emergency room, prescribed medication, and restricted from work until
January 2, 2020.

        IPS notified Liberty Mutual of the fall, and it provided a panel from which she
chose Dr. Gregory Anderson. Dr. Anderson evaluated Ms. Phillips on January 3, and he
diagnosed a cervical sprain, concussion, and strains of the left shoulder and arm. He
restricted her work activities.

       Three days later, IPS removed Ms. Phillips’s workstation stool and rescinded light
duty. It put her on “a worker’s compensation related leave of absence due to the inability
to accommodate restrictions” for her foot injury. IPS also provided Ms. Phillips contact
information for Liberty Mutual.

        A week later, Liberty Mutual denied Ms. Phillips’s December 30 claim, stating,
“[t]his injury is a result of an old injury and there was no additional hazard of the job to
cause this.” It challenged Ms. Phillips’s account of the accident by referring to her injury
reports, stating that she fell because her foot gave out as she was getting up from her
stool.

       During cross-examination by the insurance companies, Ms. Phillips said the
specifics of her fall were difficult to describe. She testified that her stool shifted as she
was getting up, causing her to fall. Ms. Phillips explained that she did not fall because of
her right-foot problems. Rather she fell when the stool shifted, and her weak foot
prevented her from bracing herself.

        Dr. Anderson testified by deposition that he treated Ms. Phillips for injuries from
the fall. He acknowledged his notes recorded that she fell when her foot “gave out” as she
was getting up from her chair. Dr. Anderson clarified that Ms. Phillips told him the
problems with her workstation chair contributed to her fall, but he did not include that
discussion in his records.

       Dr. Anderson testified, “the problem with a chair leading to her fall is more of a
causative factor to her having the multiple complaints than the issue with her right foot . .
. The chair is more than 50% in causing her injuries related to the left shoulder, neck, low
back and hip.”

      Dr. Anderson said he continued to treat Ms. Phillips for her injuries from the fall
but never treated her right foot. He placed work restrictions on January 3, 2020, which
have continued in some form throughout treatment. He explained that the restrictions
would prevent Ms. Phillips from working if IPS could not accommodate them.

                                             2
       Berkshire denied Ms. Phillips’s request for temporary disability benefits, claiming
that the fall was a separate and distinct injury. Berkshire also relied on Tennessee Code
Annotated section 50-6-207(1)(E), contending that Ms. Phillips was conclusively
presumed at maximum medical improvement for her foot injury on February 13, 2019,
when Dr. Lochemes ended orthopedic treatment and referred her for pain management.
Therefore, it was not responsible for temporary disability benefits from the fall.

       Liberty Mutual countered that it did not insure IPS for the foot injury, which it
argued caused the fall and resulting temporary disability. It relied on the medical histories
that Ms. Phillips fell when her “foot gave way.” Liberty Mutual pointed out that Ms.
Phillips worked with restrictions for her foot injury before her fall. After the fall, IPS
rescinded its accommodations for her foot injury, which prevented her from working.
Thus, it was not responsible for temporary disability benefits.

                       Findings of Fact and Conclusions of Law

      Ms. Phillips must provide sufficient evidence from which the Court might
determine she is likely to prevail at a hearing on the merits. See Tenn. Code Ann. § 50-6-
239(d)(1) (2021); McCord v. Advantage Human Resourcing, 2015 TN Wrk. Comp. App.
Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).

       To receive temporary total disability benefits, Ms. Phillips must prove (1) she
became disabled from working due to a compensable injury; (2) a causal connection
between her injury and her inability to work; and (3) her period of disability. For
temporary partial disability benefits, she must show that her treating physician returned
her to work with restrictions that IPS either could not or would not accommodate. See
Jones v. Crencor Leasing and Sales, 2015 TN Wrk. Comp. App. Bd. LEXIS 48, at *7, 8
(Dec. 11, 2015).

       Beginning with the first criterion, Ms. Phillips offered no medical opinion that she
was totally disabled by her work injury. As a result, she is not likely to prove entitlement
to temporary total disability benefits.

       Regarding temporary partial disability, the Court found Ms. Phillips credible in
her account of the work injuries she sustained. She was forthcoming, self-assured and
consistent in her testimony, as she explained each injury and confidently detailed her fall
under rigorous cross-examination. The Court also watched a video of the fall, which
verified Ms. Phillips’s testimony.
        Ms. Phillips relied on medical records from Dr. Lochemes for her right-foot claim
and Dr. Anderson’s deposition testimony for her fall claim. Both physicians placed Ms.
Phillips on restricted duty, and IPS could not or would not accommodate those
restrictions after her fall.

                                             3
       Berkshire relied on Tennessee Code Annotated section 50-6-207(1)(E) to support
its denial of the requested benefits. The statute provides that an employee “shall be
conclusively presumed to be at maximum medical improvement when the treating
physician ends all active medical treatment and the only care provided is for the treatment
of pain[.]” Dr. Lochemes ended all active treatment of Ms. Phillips’s right foot on
February 13, 2019, and referred her to pain management. Therefore, the Court holds Ms.
Phillips reached maximum medical improvement for her foot injury on February 13,
2019, and is not entitled to temporary disability benefits for that injury.

       The Court next considers Liberty Mutual’s responsibility to Ms. Phillips for
benefits related to her fall. After the fall, IPS rescinded the light-duty work and removed
the stool. By that time, Ms. Phillips had begun treatment with Dr. Anderson for injuries
from the fall. Dr. Anderson testified the treatment and restrictions he assigned were
primarily due to injuries from her fall, and Ms. Phillips could not work unless IPS
accommodated those restrictions.

      IPS did not accommodate the restrictions. Therefore, the Court holds, IPS shall
pay Ms. Phillips, through its insurer, Liberty Mutual, temporary partial disability benefits
from January 20, 2020, until she returns to work or reaches maximum medical
improvement for her December 30, 2019 work injury. 2
IT IS, THEREFORE, ORDERED as follows:

    1. IPS, through its insurer, Liberty Mutual, shall pay Ms. Phillips accrued temporary
       partial disability benefits from January 20, 2020, to the present and shall pay
       continuing temporary partial disability benefits under Tennessee Code Annotated
       section 50-6-207(2).

    2. This case is set for a Status Hearing on February 28, 2022, at 8:30 a.m. The
       parties must call toll-free at 866-943-0014 to participate. Failure to call might
       result in a determination of the issues without your further participation. All
       conferences are set using Central Time.

    3. Unless an interlocutory appeal of the Expedited Hearing Order is filed, compliance
       with this Order must occur no later than seven business days from the date of entry
       of this Order as required by Tennessee Code Annotated section 50-6-239(d)(3).
       The Insurer or Self-Insured Employer must submit confirmation of compliance
       with this Order to the Bureau by email to WCCompliance.Program@tn.gov no
       later than the seventh business day after entry of this Order. Failure to submit the
       necessary confirmation within the period of compliance might result in a penalty

2
  The Court is unable to calculate the sum owed due to Liberty Mutual’s failure to introduce a wage
statement, the parties’ failure to stipulate a compensation rate at the hearing, and the lack of any
testimony from Ms. Phillips as to her wages.

                                                 4
      assessment for non-compliance. For questions regarding compliance, please
      contact the Workers’ Compensation Compliance Unit via email at
      WCCompliance.Program@tn.gov.

      ENTERED December 21, 2021.

                                       ____________________________________
                                       JUDGE DEANA C. SEYMOUR
                                       Court of Workers’ Compensation Claims

                                    APPENDIX

Technical Record
   1. Petition for Benefit Determination (for date of injury September 8, 2018)
   2. Petition for Benefit Determination (for date of injury December 30, 2019)
   3. Dispute Certification Notice (for date of injury September 8, 2018)
   4. Dispute Certification Notice (for date of injury December 30, 2019), including
       additional issues and defenses filed by the parties
   5. Hearing Request, along with Ms. Phillips’s Affidavit
   6. Order Setting Expedited Hearing
   7. Motion for Continuance of Expedited Hearing
   8. Liberty Mutual’s Response to Motion for Continuance
   9. Order on Motion for Continuance Expedited Hearing
   10. Notice of Filing Dr. John Lochemes’s Medical Records
   11. Notice of Filing Dr. James Varner’s Medical Records
   12. Status Hearing Order
   13. Berkshire’s Expedited Hearing Brief
   14. Employee’s Witness and Exhibit List
   15. Employee’s Medical Records
   16. Notice of Filing Transcript and Corrected Exhibits of Deposition of Dr. Gregory
       Anderson
   17. Liberty Mutual’s Expedited Hearing Brief
   18. Liberty Mutual’s Witness and Exhibit List

Exhibits
   1. Dr. John Lochemes’s medical records
   2. Mays & Schnapps’ medical records
   3. Dr. John Lochemes’s letter dated June 9, 2021
   4. Video of fall (Late filed)
   5. Dr. Gregory Anderson’s medical records, which were attached to his deposition
      transcript
                                          5
  6. Dr. Gregory Anderson’s post-deposition medical records dated October 25,
      November 9, and November 30, 2021 (Collective and Late filed)
  7. Dr. Gregory Anderson’s deposition transcript
  8. Dr. James Varner’s medical records
  9. First Report of Work Injury
  10. Choice of Physician form
  11. Accommodation recission letter
  12. Notice of Denial
  13. Affidavit of Kimberly Jenkins (Late filed)

                            CERTIFICATE OF SERVICE

     I certify that a copy of this order was sent as indicated on December 21, 2021.

Name                        Certified   Via     Via      Service sent to:
                            Mail        Fax     Email
Chris Taylor,                                     X      ctaylor@taylortoon.com
Employee’s Attorney
J. Brent Moore,                                    X     bmoore@ortalekelley.com
Berkshire Hathaway
Homestate’s Attorney
Effie Cozart,                                      X     effie.cozart@libertymutual.com
Liberty Mutual’s Attorney

                                        _____________________________________
                                        Penny Shrum, Court Clerk
                                        Court of Workers’ Compensation Claims
                                        WC.CourtClerk@tn.gov

                                          6
                           Expedited Hearing Order Right to Appeal:

     If you disagree with this Expedited Hearing Order, you may appeal to the Workers’
Compensation Appeals Board. To appeal an expedited hearing order, you must:

   1. Complete the enclosed form entitled: “Notice of Appeal,” and file the form with the
      Clerk of the Court of Workers’ Compensation Claims within seven business days of the
      date the expedited hearing order was filed. When filing the Notice of Appeal, you must
      serve a copy upon all parties.

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

   3. You bear the responsibility of ensuring a complete record on appeal. You may request
      from the court clerk the audio recording of the hearing for a $25.00 fee. If a transcript of
      the proceedings is to be filed, a licensed court reporter must prepare the transcript and file
      it with the court clerk within ten business days of the filing the Notice of
      Appeal. Alternatively, you may file a statement of the evidence prepared jointly by both
      parties within ten business days of the filing of the Notice of Appeal. The statement of
      the evidence must convey a complete and accurate account of the hearing. The Workers’
      Compensation Judge must approve the statement before the record is submitted to the
      Appeals Board. If the Appeals Board is called upon to 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. If you wish to file a position statement, you must file it with the court clerk within ten
      business days after the deadline to file a transcript or statement of the evidence. The
      party opposing the appeal may file a response with the court clerk within ten business
      days after you file your position statement. All position statements should include: (1) a
      statement summarizing the facts of the case from the evidence admitted during the
      expedited hearing; (2) a statement summarizing the disposition of the case as a result of
      the expedited hearing; (3) a statement of the issue(s) presented for review; and (4) an
      argument, citing appropriate statutes, case law, or other authority.

For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
                                              NOTICE OF APPEAL
                                      Tennessee Bureau of Workers’ Compensation
                                        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.]

appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the
Workers’ Compensation Appeals Board (check one or more applicable boxes and include the date file-
stamped on the first page of the order(s) being appealed):

□ 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: __________________________________________________________
Attorney’s Name: ______________________________________________ BPR#: _______________________
Attorney’s Email: ______________________________________________ Phone: _______________________
Attorney’s Address: _________________________________________________________________________
                           * Attach an additional sheet for each additional Appellant *

LB-1099 rev. 01/20                              Page 1 of 2                                              RDA 11082
Employee Name: _______________________________________ Docket No.: _____________________ Date of Inj.: _______________

Appellee(s) (Opposing Party): ___________________________________________ ☐Employer ☐Employee
Appellee’s Address: ______________________________________________ Phone: ____________________
Email: _________________________________________________________
Attorney’s Name: _____________________________________________ BPR#: ________________________
Attorney’s Email: _____________________________________________ Phone: _______________________
Attorney’s Address: _________________________________________________________________________
                              * 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]

LB-1099 rev. 01/20                                 Page 2 of 2                                        RDA 11082