WCLA MCLE 8-10-2016 Case Law Update: Chlada: When Wage-diff & Perm Total Collide August 10, 2016 12:00 noon to 1 pm James R. Thompson Center Auditorium,

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Presentation transcript:

WCLA MCLE Case Law Update: Chlada: When Wage-diff & Perm Total Collide August 10, :00 noon to 1 pm James R. Thompson Center Auditorium, Chicago, IL 1 hour general MCLE credit

John Chlada v. Burke Beverage 02WC DA Beer truck driver Lumbar Stipulated AWW $ Wage Differential commencing June 2000 through , then ending because of PTD 02WC DA Wharehouseman Cervical Stipulated AWW $ Perm total as of Original PTD rate based on $ , then on remand corrected to rate based on $

John Chlada v. Burke Beverage 2016 IL App (1st) WC : Lower back injuries sustained in a work-related accident Arbitrator ordered the employer to pay the claimant temporary total disability (TTD) benefits, temporary partial disability (TPD) and maintenance benefits IWCC modified the Arbitrator's decision vacating the award of TPD/maintenance benefits and awarding Petitioner wage differential benefits pursuant to section 8(d)(1) at a rate of $430 per week for 135 weeks, from June 12, 2000, through January 12, 2003 Wage differential benefits ended on January 12, 2003, when Petitioner began losing time from work because of separate work injury to his cervical spine Cervical spine injury subject of a second workers' compensation claim which is not at issue in this appeal. In that proceeding, IWCC subsequently awarded Petitioner permanent total disability (PTD beginning ) (FINAL?)

John Chlada v. Burke Beverage 2016 IL App (1st) WC Petitioner sought judicial review of the Commission's decision in Cook County Circuit Court, arguing that his entitlement to wage differential benefits did not end on January 12, 2003, and that the Commission had miscalculated the rate for those benefits Circuit Court confirmed the IWCC’s determination that wage differential benefits should cease on January 12, However, the Circuit Court remanded the matter to IWCC with direction to recalculate the AWW and wage differential benefits On remand, IWCC corrected the wage differential benefit rate to $ per week and awarded the claimant an additional 66 2/7 weeks of wage differential benefits for the time period of January 12, 2003, to April 22, (Date of beginning of PTD award) ( $ was max PPD rate and therefore max wage-diff rate for DA 7/15/99).

John Chlada v. Burke Beverage 2016 IL App (1st) WC Respondent filed a "Motion to Correct Clerical Error" with IWCC, arguing that IWCC had misstated and misapplied the circuit court's remand order. IWCC denied Petitioner sought judicial review of IWCC remand order in Cook County Circuit Court, arguing that his wage differential benefits should continue indefinitely and should not cease on April 22, 2004, because his disability from the July 15, 1999, work injury had not ended Circuit court found that IWCC decision to extend the claimant's wage differential award through April 22, 2004, was against the manifest weight of the evidence because the claimant's entitlement to wage differential benefits terminated on January 13, 2003, "at which time PTD benefits began.“ Accordingly, the circuit court set aside the Commission's remand order. This appeal followed

John Chlada v. Burke Beverage 2016 IL App (1st) WC DA , beer truck driver, AWW stipulated $ Lumbar ESI’s, Lumbar SX by Dr. Zelby RTW light duty as wharehouseman to ($16.23/hr. X 40 hrs./wk. unrebutted at time of Arbitration hearing per CBA) DA , wharehouseman Dr. Zelby does cervical SX, permanent restrictions No work since , Resp. says no work, 1000 job searches Petitioner files two WC cases

John Chlada v. Burke Beverage 2016 IL App (1st) WC Arbitrator ordered the employer to pay Petitioner TTD benefits for a total of 27 weeks, with the final TTD period ending on June 11, Arbitrator awarded the claimant "TPD/maintenance" benefits for the period from June 12, 2000 through October 23, 2002 (the date the claimant sustained his cervical injury), at the rate of $ per week. IWCC modified vacating the arbitrator's award of TPD/maintenance benefits and by awarding the claimant wage differential through January 12, Wage-diff based on stipulated AWW, instead of what drivers earning at time IWCC finds that the claimant's disability as a result of this injury ended on January 12, 2003, when he began losing time from work on account of his injury on October 23, 2002 (case # 02 WC54676). Therefore, no further wage differential payments would be due thereafter

John Chlada v. Burke Beverage 2016 IL App (1st) WC Petitioner reviews to Circuit Court arguing that his entitlement to wage differential benefits did not end on January 12, 2003, and that the Commission has miscalculated the rate for those benefits Circuit Court found after January 12, 2003, Petitioner was unable to work at all due to his subsequent cervical injury and held Petitioner was not suffering an impairment to his earnings because he was unable to show the average amount he was earning or was able to earn in some suitable employment or business after the July 15, 1999, work accident Circuit Court found IWCC had erred in its calculation of Petitioner’s wage differential award by basing it on earnings prior to the accident rather than the earnings Petitioner would have earned in his job as a beer truck driver at the time of the hearing Reversed and remanded with instructions

John Chlada v. Burke Beverage 2016 IL App (1st) WC IWCC understanding of remand: 1) Circuit Court confirmed Petitioner was not entitled simultaneously to a lifetime wage differential and a lifetime permanent and total disability award; and 2) Circuit Court reversed January 12, 2003 wage-diff cut off and set it at $485.65/wk. (max PPD rate) On remand, IWCC extended Petitioner’s wage differential award through April 22, 2004, the date Petitioner was found to be permanently totally disabled from his subsequent cervical injury Respondent files motion to correct clerical error because IWCC misapplied remand; denied Petitioner files Circuit Court review, only on issue of cut off date because wage diff disability did not end Circuit Court sets aside and says January 13, 2003 cut off date was right THIS APPEAL FOLLOWED

John Chlada v. Burke Beverage 2016 IL App (1st) WC This case raises an issue of first impression regarding the interplay between wage differential benefits and PTD benefits Whether Petitioner may be entitled to collect both types of benefits simultaneously when his earning capacity is diminished by a work related accident and he subsequently suffers a second work related accident that renders him totally unable to work IWCC found that Petitioner’s entitlement to receive wage differential benefits following his July 15, 1999, work-related injury to his lower back terminated when the claimant began missing work due to a separate, work related injury to his neck for which he later received PTD benefits Petitioner argues that IWCC ruling was erroneous as a matter of law

John Chlada v. Burke Beverage 2016 IL App (1st) WC Sec. 8(d)1: “If, after the accidental injury has been sustained, the employee as a result thereof becomes partially incapacitated from pursuing his usual and customary line of employment, he shall, except in cases compensated under the specific schedule set forth in paragraph (e) of this Section, receive compensation for the duration of his disability, subject to the limitations as to maximum amounts fixed in paragraph (b) of this Section, equal to 66-⅔ % of the difference between the average amount which he would be able to earn in the full performance of his duties in the occupation in which he was engaged at the time of the accident and the average amount which he is earning or is able to earn in some suitable employment or business after the accident." Petitioner’s argument: Employee who demonstrates an entitlement to wage differential benefits shall receive such benefits "for the duration of his disability“; argues that the disability caused by his July 15, 1999, back injury has never ended or improved. Respondent argument: Employer counters that wage differential benefits may be awarded only if the claimant shows an "impairment of earnings;“ employer maintains that Petitioner cannot demonstrate an "impairment of earnings" in this case, because the October 23, 2002, cervical injury rendered him unable to work in any capacity.

John Chlada v. Burke Beverage 2016 IL App (1st) WC Undisputed that Petitioner suffered a partial incapacity during the July 15, 1999, work accident that prevented him from pursuing his usual and customary line of employment as a beer truck driver; undisputed that Petitioner earned less as a warehouseman than he would have earned if he had continued to work as a beer truck driver after the July 1999 accident. Accordingly, Petitioner proved both elements of a claim for wage differential benefits. The fact that Petitioner subsequently suffered an unrelated and even more disabling work injury to his neck did not alter the fact that his July 1999back injury reduced his earning capacity. Once the claimant established an entitlement to wage differential benefits as a result of his July 1999 back injury, he was entitled to collect such benefits “for the duration of his disability.” “Disability” = “(i.e., the reduced earning capacity)” Petitioner’s entitlement to wage differential benefits would end if and only if he later became able to earn the salary he formerly earned as a delivery truck driver. That never happened in this case.

John Chlada v. Burke Beverage 2016 IL App (1st) WC If Petitioner’s wage differential benefits were terminated as of the date he became entitled to collect PTD benefits as a result of his neck injury, Petitioner would not be made whole. Section 8(f) requires that the claimant's PTD benefits be calculated based on the salary he was earning at the time of the permanently disabling injury (i.e., his reduced salary as a warehouseman, not his higher salary as a beer truck driver) If Petitioner had been working as a beer truck driver when he suffered a permanently disabling work injury in2002, his PTD benefits would be much higher. Thus, paying the claimant only PTD benefits after his second injury (and calculating such benefits based upon his salary as a warehouseman) would not make the claimant whole. This would frustrate the fundamental remedial purpose of the Act.

John Chlada v. Burke Beverage 2016 IL App (1st) WC Respondent argues “double recovery,” but here there are two separate and distinct “economic disabilities” IWCC erroneous inflation of PTD benefits in the other proceeding does not make Petitioner whole. Even with the IWCC “error,” Petitioner is still receiving approximately $70 less per week than he would be receiving if he received both wage differential and PTD benefits at the proper rate indefinitely (corrected from AWW $ to AWW $ , PTD $ to PTD $ by 12 IWCC 0559?) The fact that the Petitioner was first awarded PTD benefits for his neck injury in this case should not change that result. The employer should not be allowed to take advantage of a fortuitous circumstance (i.e., the timing of the PTD award) that has nothing to do with the claimant’s entitlement to wage differential benefits. (Both Arbitration decisions ? IWCC decisions ? Wage diff 08 IWCC 0050; PTD 08 IWCC 0051 )

John Chlada v. Burke Beverage 2016 IL App (1st) WC Accordingly, we reverse IWCC decision to terminate wage differential benefits in January As noted above, IWCC decision fails to adequately compensate the claimant for his first economic injury, i.e., the diminishment of his earning capacity due to the July 1999 back injury. The subsequent award of PTD benefits based upon hisreduced salary as a warehouseman would not compensate him for that economic injury. Moreover, the Commission's erroneous inflation of PTD benefits in the other proceeding does not rectify the situation. There is nothing in the Act prohibiting us from awarding both PTD and wage differential benefits simultaneously and indefinitely under circumstances like those presented here.

John Chlada v. Burke Beverage 2016 IL App (1st) WC The Amount of the Claimant's Wage Differential Benefits Applying the circuit court's instructions on remand, awarded the claimant wage differential benefits at the rate of , the maximum rate of wage differential benefits at the time of the July 15, 1999, work accident CBA that would have covered Petitioner’s employment as beer truck driver at the time of the arbitration hearing established that Petitioner would have been earning $ /week in beer truck driver position at the time of the arbitration hearing, and he would have been earning $ per week as a warehouseman at the time of the hearing For the foregoing reasons, we reverse IWCC determination that entitlement to wage differential benefits terminated when Petitioner became disabled as a result of a separate work-related injury; (2) reverse the portion of the circuit court's judgment setting the wage differential benefit rate at $ per week; (3) reinstate IWCC determination on remand that the claimant is entitled to wage differential benefits at the rate of $ per week; and (4) remand for further proceedings consistent with this opinion.