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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Injury Fund St. Tx. v. Conrad

This case involves Adelina Conrad, who was born without a right hand or wrist and later sustained a work-related injury to her left arm, resulting in total and permanent disability. She sought lifetime workers' compensation benefits from The Second Injury Fund of Texas, which was established to encourage the employment of handicapped workers by limiting employer liability for second injuries. The Fund appealed a jury verdict in Conrad's favor, contending that a congenital defect cannot be considered a 'previous loss' under the statute because one cannot lose what one never had. The court affirmed the trial court's judgment, interpreting 'loss or loss of use' to include congenital defects, thus allowing Conrad to receive benefits from the Fund. This decision aligns with the legislative intent to aid handicapped workers and provides a broader application of the Second Injury Fund provisions.

Workers' CompensationSecond Injury FundCongenital DefectPermanent Total DisabilityStatutory InterpretationTexas LawAppellate ReviewOccupational InjuryEmployer LiabilityLegislative Intent
References
31
Case No. 2016-07-0875
Regular Panel Decision
Jun 01, 2017

Carney, Rosa v. Southwest Human Resource Agency

This Expedited Hearing Order addresses Rosa Carney's request for medical benefits for alleged left wrist and shoulder injuries sustained while working for Southwest Human Resource Agency. The Court denied benefits for the left shoulder, finding Ms. Carney failed to provide sufficient notice of a work-related injury. However, the Court granted medical benefits for the left wrist, concluding that Ms. Carney provided adequate and timely notice for her gradually occurring carpal tunnel syndrome. The employer was consequently ordered to provide a panel of orthopedic physicians for the evaluation and treatment of Ms. Carney's left wrist injury, while her request for temporary disability benefits was also denied.

Workers' CompensationMedical BenefitsExpedited HearingCarpal Tunnel SyndromeShoulder ImpingementNotice RequirementGradual InjuryCausationPanel of PhysiciansTennessee Law
References
3
Case No. 2022-03-0580
Regular Panel Decision
Oct 04, 2023

Rash, Clayton v. Fine Line Transportation, LLC

Clayton Rash, a truck driver for Fine Line Transportation, suffered a broken left wrist at work. While undergoing physical therapy for his wrist, he sustained a left shoulder injury, which he attributed to exercises performed during therapy. Fine Line Transportation denied benefits for the shoulder injury, arguing against causation. The Court found Mr. Rash's testimony credible and, relying on the opinion of a panel-selected physician, Dr. Kenneth Grinspun, determined that the shoulder injury was a direct and natural consequence of his compensable wrist injury. Consequently, the Court granted Mr. Rash medical treatment for his left shoulder, including recommended surgery, and ordered Fine Line Transportation to pay temporary partial disability benefits.

Shoulder InjuryWrist FracturePhysical Therapy InjuryRotator Cuff TearCausationDirect and Natural Consequence RuleTemporary Disability BenefitsMedical Treatment AuthorizationExpedited HearingEmployer's Examination
References
2
Case No. MISSING
Regular Panel Decision

Johnson v. Second Injury Fund

Walter Johnson, who had previously lost vision in his right eye, suffered an injury at work resulting in the loss of vision in his left eye, leaving him totally and permanently disabled. He received benefits from Texas Employer’s Insurance Association and the Second Injury Fund. Johnson and his wife then sued Texas Industries, Inc. for negligence. Both TEIA and the Second Injury Fund intervened, seeking subrogation rights. The trial court denied the Second Injury Fund's claim to subrogation, but the court of appeals reversed. The Texas Supreme Court reviewed whether the Second Injury Fund is subrogated to Walter Johnson's rights in his personal injury suit. The Court concluded that subrogation is a legislative creation and the statute funding the Second Injury Fund explicitly enumerates funding methods without including subrogation. Therefore, the Supreme Court reversed the court of appeals' judgment and affirmed the trial court's decision, denying subrogation for the Second Injury Fund.

SubrogationSecond Injury FundWorkers' CompensationStatutory InterpretationExpressio Unius Est Exclusio AlteriusTotal DisabilityPersonal InjuryTexas Supreme CourtFunding MechanismsLegislative Intent
References
9
Case No. MISSING
Regular Panel Decision

Claim of Mickelson v. Value Construction

Claimant, a carpenter, sought workers' compensation benefits for a left wrist injury in April 2013. The Workers' Compensation Board initially ruled the claim time-barred but later rescinded that decision, establishing the claim with a disablement date of May 6, 2013, corresponding to the diagnosis of a work-related ligament injury and arthritis. The employer and carrier appealed this decision. The Appellate Division, Third Department, affirmed the Board's finding regarding the timely filing and date of disablement, noting it was supported by substantial evidence, despite the claimant's earlier symptoms. However, the Court found that the Board failed to address a previously raised issue concerning whether the left wrist injury was consequentially related to a 2003 right wrist injury. Consequently, the Court modified the Board's decision by remitting the matter for further proceedings to address this unadjudicated issue.

Workers' CompensationTimeliness of ClaimDate of DisablementOccupational DiseaseLeft Wrist InjuryCarpal Tunnel SyndromeLigament InjuryArthritisMedical DiagnosisRemittal
References
3
Case No. MISSING
Regular Panel Decision

Second Injury Fund v. Tomon

The State's Second Injury Fund appealed a judgment ordering it to pay John Wayne Tomon a lump sum of $128,435.52 for lifetime workers' compensation benefits. Tomon had prior leg injuries and sustained a subsequent injury to his left leg. The trial court held the Fund liable and a jury found total and permanent loss of use of both legs. The appellate court affirmed the trial court's finding that a prior injury does not need to result in a total loss of use to trigger Fund liability. However, the court reversed the award of lifetime benefits, ruling that the Fund is not an 'association' liable under Section 10(b). It also reversed the lump sum payment, concluding that the claimant waived the right to a lump sum by not requesting a jury finding on manifest hardship. The case was remanded for a determination of compensation duration, not to exceed 401 weeks, and judgment was rendered that Tomon could not receive a lump sum payment.

Workers' CompensationSecond Injury FundLifetime BenefitsLump Sum PaymentTotal Permanent IncapacityPrior InjurySubsequent InjurySpecific InjuryStatutory InterpretationAppellate Review
References
18
Case No. ADJ8208920
Regular
Aug 16, 2012

TROY HUGHES vs. SHIMMICK CONSTRUCTION COMPANY, ZURICH AMERICAN INSURANCE COMPANY

This case involves two distinct industrial injuries to applicant's left shoulder and right wrist. The defendant appealed an award of temporary disability, arguing the injuries and their periods of disability overlapped. The Board affirmed the award of temporary disability for the left shoulder, commencing August 20, 2010, for up to 104 weeks. Credit was granted for 2.5 weeks of previously paid temporary disability for the right wrist against the left shoulder award. The Board adopted the Arbitrator's reasoning regarding distinct injuries and periods of disability.

Workers' Compensation Appeals BoardIndustrial InjuryLeft ShoulderRight WristCollective Bargaining AgreementLabor Code Section 3201.5Findings and AwardTemporary Disability IndemnityPetition for ReconsiderationArbitrator
References
0
Case No. 534614
Regular Panel Decision
Feb 16, 2023

In the Matter of the Claim of Joseph Marcellino

The case involves an appeal from a Workers' Compensation Board decision concerning claimant Joseph Marcellino's eligibility for a schedule loss of use (SLU) award for permanent injuries to his left elbow and left thumb. Following an April 2015 accident, Marcellino had established claims for multiple injuries, undergoing surgery in 2016. Conflicting medical opinions arose between his treating orthopedic surgeon, Dimitro Christoforou, who assessed significant SLU percentages, and the carrier's orthopedic surgeon, Peter Spohn, who found minimal or no SLU for the left hand, wrist, and thumb. A Workers' Compensation Law Judge (WCLJ) credited Spohn's opinion, awarding 15% SLU for the left wrist but no permanency for the left elbow or left thumb. The Workers' Compensation Board affirmed this decision. On appeal, the Appellate Division, Third Judicial Department, affirmed the Board's decision, reiterating that the Board has the discretion to resolve conflicting medical opinions and reject medical evidence even without opposing proof, finding their determination supported by substantial evidence.

Workers' Compensation LawSchedule Loss of UsePermanent Partial DisabilityMedical EvidenceConflicting Medical OpinionsCredibility AssessmentAppellate DivisionWorkers' Compensation BoardOrthopedic InjuriesElbow Injury
References
7
Case No. MISSING
Regular Panel Decision
Dec 13, 2006

Claim of Aposporos v. NYNEX

Claimant applied for workers' compensation benefits in May 1996 for neck and wrist injuries. A compensable injury for her left wrist was established in February 1997, with other injury sites held in abeyance. In March 2006, claimant requested further action to establish an injury to her right wrist. The employer asserted that the Special Disability Fund was liable pursuant to Workers’ Compensation Law § 25-a due to the time elapsed. Both a Workers’ Compensation Law Judge and the Workers’ Compensation Board determined the Fund was not liable, finding the case was not truly closed because the right wrist injury issue was raised in 1996 and remained unresolved. The appellate court affirmed the Board's decision, stating that substantial evidence supported the finding that the case was not truly closed.

Workers' CompensationSpecial Disability FundCase ReopeningLiabilityUnresolved ClaimWorkers’ Compensation Law § 25-aInjury EstablishmentAppealBoard DecisionSubstantial Evidence
References
3
Case No. 2015-01-0134
Regular Panel Decision
Sep 23, 2015

Kleeberg, Monica v. Profit Line Services, Inc.

Monica Kleeberg, a 51-year-old housekeeper for Profit Line Services, Inc., suffered a left wrist fracture on May 9, 2015, after slipping on a wet floor at Embassy Suites in Chattanooga, Tennessee. Profit Line denied her workers' compensation claim, asserting she was an independent contractor. The Court of Workers' Compensation Claims, presided over by Judge Thomas Wyatt, determined that Ms. Kleeberg was an employee at the time of injury and that her injury arose primarily out of and in the course and scope of her employment. Consequently, the Court ordered Profit Line to provide past and future medical benefits for her left-wrist injury, including treatment by Dr. J. Woodfin Kennedy. However, her request for temporary disability benefits was denied due to insufficient evidence to establish her inability to work post-injury.

Workers' CompensationEmployee StatusIndependent ContractorMedical BenefitsTemporary DisabilityCompensable InjuryLeft Wrist FractureSlip and FallChattanoogaTennessee
References
16
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