Find Laws Find Lawyers Free Legal Forms USA State Laws
Laws-info.com » Cases » Kentucky » Court of Appeals » 2000 » VIOLA MOORE v. TRI-COUNTY ASSEMBLIES, TRI-COUNTY ASSEMBLIES, SPECIAL FUND; DENIS KLINE, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD TRI COUNTY ASSEMBLIES, AS INSURED BY OLD REPUBLIC INSU
VIOLA MOORE v. TRI-COUNTY ASSEMBLIES, TRI-COUNTY ASSEMBLIES, SPECIAL FUND; DENIS KLINE, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD TRI COUNTY ASSEMBLIES, AS INSURED BY OLD REPUBLIC INSU
State: Kentucky
Court: Court of Appeals
Docket No: 2000-CA-001439
Case Date: 12/22/2000
Plaintiff: VIOLA MOORE
Defendant: TRI-COUNTY ASSEMBLIES, TRI-COUNTY ASSEMBLIES, SPECIAL FUND; DENIS KLINE, ADMINISTRATIVE LAW JUDGE;
Preview:RENDERED:

DECEMBER 22, 2000; 10:00 a.m. NOT TO BE PUBLISHED

C ommonwealth O f K entucky C ourt O f A ppeals
NO. 2000-CA-001439-WC

VIOLA MOORE

APPELLANT

v.

PETITION FOR REVIEW OF A DECISION OF THE WORKERS' COMPENSATION BOARD ACTION NO. WC-98-01769

TRI-COUNTY ASSEMBLIES, AS INSURED BY KEMI; TRI-COUNTY ASSEMBLIES, AS INSURED BY OLD REPUBLIC; SPECIAL FUND; DENIS KLINE, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD

APPELLEES

CROSS-APPEAL NO. 2000-CA-001596-WC

TRI COUNTY ASSEMBLIES, AS INSURED BY OLD REPUBLIC INSURANCE COMPANY

CROSS-APPELLANT

v.

PETITION FOR REVIEW OF A DECISION OF THE WORKERS' COMPENSATION BOARD ACTION NO. WC-98-01769

VIOLA MOORE; TRI COUNTY ASSEMBLIES, AS INSURED BY KENTUCKY EMPLOYERS' MUTUAL INSURANCE COMPANY; HON. DENIS KLINE, ADMINISTRATIVE LAW JUDGE; SPECIAL FUND; AND WORKERS' COMPENSATION BOARD

CROSS-APPELLEES

CROSS-APPEAL NO. 2000-CA-001602-WC

TRI-COUNTY ASSEMBLIES, AS AN INSURED OF KENTUCKY EMPLOYERS' MUTUAL INSURANCE COMPANY

CROSS-APPELLANT

v.

PETITION FOR REVIEW OF A DECISION OF THE WORKERS' COMPENSATION BOARD ACTION NO. WC-98-26810

VIOLA MOORE; TRI-COUNTY ASSEMBLIES, AS INSURED BY OLD REPUBLIC INSURANCE COMPANY; ROBERT L. WHITTAKER, DIRECTOR OF SPECIAL FUND; HON. DENIS S. KLINE, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD OPINION AFFIRMING ** ** ** ** ** BEFORE: BUCKINGHAM, GUIDUGLI, AND MILLER, JUDGES.

CROSS-APPELLEES

MILLER, JUDGE:

These petitions spring from an opinion of the We affirm.

Workers' Compensation Board rendered May 12, 2000.

On November 12, 1998, Moore filed the instant claim for workers' compensation benefits. Therein, she alleged to have

developed carpel tunnel syndrome as a result of cumulative work injury which manifested itself on April 2, 1997. employer was Tri-County Assemblies (Tri-County). Moore's At the time,

Tri-County's compensation insurance carrier was Kentucky Employers Mutual Insurance (KEMI). KEMI immediately raised the

defense of statute of limitations and also moved to join Tri-

-2-

County's previous insurance carrier, Old Republic Insurance Company (ORIC) as a party defendant to the claim. KEMI asserted

that Moore sustained two injuries to her upper extremities in accidents on May 17, 1996, and May 20, 1996, while ORIC was TriCounty's insurance carrier. KEMI maintained that any alleged

disability was the direct result of the 1996 injuries and not the result of any cumulative injury that manifested in April of 1997. ORIC was joined as a party on February 16, 1999. On March 30, 1999, an arbitrator issued a "Benefit Review Determination" denying Moore benefits. The arbitrator Moore

found that Moore suffered no permanent disability.

appealed the decision and requested a formal hearing before an administrative law judge (ALJ). On November 27, 1999, the ALJ

likewise dismissed Moore's claims on the grounds that there was no cumulative injury which manifested itself on April 2, 1997, and furthermore, that Moore's claim was barred by the statute of limitations as found in Kentucky Revised Statutes (KRS) 342.185. The matter then came before the Workers' Compensation Board (the board) for its consideration. On May 12, 2000, the board The board held that the

affirmed the dismissal of Moore's claim.

ALJ correctly found that there was no evidence of cumulative injury which manifested itself in April of 1997. The board,

however, concluded that the statute of limitations (KRS 342.185) was tolled on Moore's May 1996 injuries. Moore files a petition

for review, and KEMI and ORIC file cross-petitions for review from the board's decision.

-3-

In her petition for review, Moore contends the ALJ committed reversible error by concluding that her claim was untimely filed and that she suffered no occupational disability as a result of a cumulative injury which manifested in April 1997. Moore, however, cites this Court to no legal precedent to Moore's argument for reversing the ALJ is

support her argument. as follows:

Based upon the evidence of a finding of permanent partial occupational disability due to cumulative trauma which manifested itself in April of 1997, the Court of Appeals should reverse and remand this claim back to the Administrative Law Judge for an entry of an Opinion and Award to mandate such findings. As Moore has failed to cite to this Court any legal precedent or substantial legal argument to support her claim, we are constrained to summarily affirm. In its cross-petitions for review, KEMI and ORIC both challenge the board's conclusion that the statute of limitations concerning the May 1996 injuries was tolled. Upon this issue, we

perceive the board's reasoning as sound and adopt same herein: We agree with Moore that the statute of limitations regarding the May 1996 injuries would be tolled in this case. As pointed out by Tri-County/KEMI, the statute of limitations is not tolled by failure to file an SF-1 but by failure to file an SF-3A. However, we believe that an obligation to file an SF-3A did arise when Moore missed work in April 1997. KRS 342.040(1) provides in pertinent part: If the employer's insurance carrier or other party responsible for the payment of workers' compensation benefits should terminate or fail to make payments when due, that party shall notify the commissioner of the -4-

termination or failure to make payments and the commissioner shall, in writing, advise the employee or known dependent of the right to prosecute a claim under this chapter. (Emphasis added.) It is well-settled that if the Department is not informed of the termination or failure to make payments, the statute of limitations is tolled. Colt Management Co. v. Carter, Ky. App., 907 S.W.2d 169 (1995); H. E. Neumann Co. v. Lee, . . . [Ky., 975 S.W.2d 917 (1988)]; and City of Frankfort v. Rogers, Ky. App., 765 S.W.2d 579 (1988). The cause of the employer's failure to notify the Department is immaterial. Ingersoll-Rand v. Whitaker, Ky. App., 883 S.W.2d 514 (1994). It is clear from the record that Tri-County was informed that Moore's absence from work in April 1997 was due to her carpal tunnel syndrome. Since Moore missed more than seven days of work in 1997, TTD benefits would have been payable. KRS 342.040(1). The statute does not require notice to the Department only upon termination of benefits that are paid, but also upon a failure to make paid benefits when due. TTD benefits would have been due to Moore when she missed more than seven days of work as a result of her workrelated condition. An SF-3A should, therefore, have been filed in April 1997 upon failure to pay Moore's TTD benefits. Since no SF-3A was filed, the statute of limitations regarding the May 1996 injuries would have been tolled. We are inclined to agree with the board that the statute of limitations found in KRS 342.185 is tolled as to the May 1996 injuries. As such, we reject both KEMI and ORIC's

contention to the contrary. For the foregoing reasons, the opinion of the Workers' Compensation Board is affirmed. GUIDUGLI, JUDGE, CONCURS. BUCKINGHAM, JUDGE, CONCURS IN PART, DISSENTS IN PART AND FILES SEPARATE OPINION. -5-

BUCKINGHAM, JUDGE, CONCURRING IN PART AND DISSENTING IN PART. I agree with the separate opinion of Board Member Lovan.

Because Moore had not made a claim for the 1996 injury, it was inappropriate to determine whether the statute of limitations was tolled or not. Furthermore, under the evidence as it appears to

be, there was no indication to Tri-County/Old Republic that Moore's cessation of work in April 1997 had anything to do with the May 1996 incidents. Therefore, the failure to file an SF-1

or an SF-3A should not toll the statute of limitations for any 1996 injury.

BRIEF FOR APPELLANT/CROSSAPPELLEE, VIOLA MOORE: John E. Anderson Barbourville, Kentucky

BRIEFS FOR APPELLEE/CROSSAPPELLANT, TRI-COUNTY ASSEMBLIES, AS INSURED BY OLD REPUBLIC INSURANCE COMPANY: J. Gregory Allen Prestonsburg, Kentucky BRIEFS FOR APPELLEE/CROSSAPPELLANT, TRI-COUNTY MANUFACTURING AND ASSEMBLY, INC., AS INSURED BY KENTUCKY EMPLOYERS' MUTUAL INSURANCE: W. Barry Lewis Hazard, Kentucky BRIEF FOR APPELLEE, SPECIAL FUND: John Burrell Frankfort, Kentucky

-6-

Download 2000-ca-001439.pdf

Kentucky Law

Kentucky State Laws
Kentucky Tax
    > Kentucky State Taxes
Kentucky Agencies

Comments

Tips