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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

Maryland Casualty Co. v. Graham

The appellant, Maryland Casualty Company, challenged the award of lump-sum compensation to the appellee, A. Graham, arguing that the issue was improperly presented and evidence was insufficient. A. Graham, suffering total permanent incapacity, sought a lump sum due to debts for basic necessities and medical treatment, claiming 'manifest hardship and injustice.' The court found that while Graham faced pecuniary embarrassment, the evidence did not meet the statutory criteria for a lump sum, which requires more than just present financial difficulty. The court affirmed the jury's finding of total permanent incapacity. However, it reformed the district court's judgment, ruling that A. Graham would receive weekly payments of $4.80, and his attorney, W. Y. Brown, $2.40 weekly, for a period of 401 weeks, rather than a lump sum.

Workers' CompensationLump Sum PaymentWeekly CompensationManifest HardshipTotal Permanent IncapacityAppellate ReviewJudgment ReformationAttorney FeesStatutory InterpretationEvidence Sufficiency
References
9
Case No. MISSING
Regular Panel Decision

Claim of Kenney v. Walsh Construction Co.

This Per Curiam decision addresses appeals concerning whether employers and their carriers are entitled to credit for lump-sum settlements in reopened workers' compensation cases. The cases of Kenney v. Walsh Construction Co. and Yurivich v. Sans Souci Nursing Home both involve claimants who received lump-sum awards for partial disabilities but later experienced worsening conditions, leading to reopened cases and increased awards. The Workmen’s Compensation Board denied credit to the carriers for the original lump-sum settlements, a decision affirmed by the Appellate Division. The court held that lump-sum settlements under Workmen’s Compensation Law § 15(5-b) cannot be indefinitely extended by excluding weeks where the claimant earned pre-injury wages. It affirmed that carriers assume the risk of reopened cases due to changed conditions, with no statutory or decisional basis for adjusting for claimant earnings during the period the lump-sum award covered.

Lump-sum settlementWorkmen's Compensation Law § 15(5-b)Credit for settlementReopened caseIncreased disabilityPost-disability earningsPre-disability earningsNonschedule adjustmentCaisson diseaseHerniated disc
References
5
Case No. MISSING
Regular Panel Decision

Fowler v. Consolidated Aluminum Corp.

This worker's compensation case examines whether the trial court correctly commuted an employee's award for 85% permanent partial disability to a lump sum. The trial court justified its decision by citing the employee's financial responsibility and the favorable interest rate differential for a lump sum. However, the Supreme Court reversed this aspect of the ruling, emphasizing that judicial discretion for commutation is not absolute and requires substantial evidence demonstrating the employee's specific need, beyond mere financial acumen. The court reinforced the principle that worker's compensation laws are remedial and should be equitably construed for the employee's benefit, but also cautioned against perfunctory lump sum awards without careful inquiry into potential adverse consequences for both parties.

Worker's CompensationLump Sum CommutationPermanent Partial DisabilityJudicial DiscretionStatutory InterpretationRemedial StatuteEmployee BenefitsAppellate ReviewAbuse of DiscretionTennessee Law
References
7
Case No. MISSING
Regular Panel Decision

Cianciulli v. Perales

This case concerns a petitioner's challenge under CPLR article 78 against determinations by the New York State Commissioner of Social Services. The Commissioner affirmed a local agency's decision to discontinue the petitioner's Aid to Families with Dependent Children (AFDC) grant due to receiving a lump-sum income exceeding household needs. The Commissioner also affirmed that a $2,600 loan repayment was not a life-threatening circumstance, thus not deductible from the lump-sum income for AFDC reapplication. The court confirmed both determinations, finding the petitioner's arguments lacked merit. It rejected claims that regulation 18 NYCRR 352.29 [h] violates constitutional duties or statutory mandates, or creates an invalid conclusive presumption of income availability. The court upheld the Commissioner's interpretation that life-threatening situations occur after lump-sum receipt, not for prior debts, even if those debts were for life-threatening circumstances at the time they were incurred.

AFDCLump-sum incomePublic assistanceSocial Services LawLife-threatening circumstanceLoan repaymentAdministrative reviewConstitutional lawStatutory interpretationEligibility criteria
References
7
Case No. MISSING
Regular Panel Decision

Wooley v. Gould, Inc.

The Supreme Court of Tennessee affirmed the Chancellor's denial of an appellant's motion to set aside a lump-sum workers' compensation settlement. The appellant filed the motion exactly one year after the settlement's approval, alleging fraud or mistake regarding his disability. The Court found the motion untimely, stating that while within the one-year maximum, the appellant failed to act within a "reasonable time." Additionally, the appellant did not offer to return the benefits received, a long-standing requirement for rescinding workers' compensation settlements in the state. The Court rejected claims of insufficient advice regarding employment prospects or the disability rating, emphasizing the finality of lump-sum settlements.

Workers' Compensation SettlementRule 60.02 MotionTimeliness of MotionTender of BenefitsPermanent Partial DisabilityBack InjuryLaminectomyMedical ReportChancery CourtSupreme Court of Tennessee
References
6
Case No. No. 12
Regular Panel Decision
Apr 01, 2021

The Matter of the Claim of Estate of Norman Youngjohn v. Berry Plastics Corporation

Decedent Norman Youngjohn, employed by Berry Plastics Corporation, suffered work-related injuries to his right shoulder and left elbow in 2014, leading to a workers' compensation claim. Before his permanent partial disability benefits claim for a schedule loss of use (SLU) award was resolved, Youngjohn died in March 2017 from a heart attack unrelated to his work injuries. He left no surviving spouse, minor children, or qualifying dependents. His estate sought the full value of the posthumous SLU award, arguing that 2009 amendments to the Workers' Compensation Law, which permitted lump sum SLU payments, rendered WCL § 15 (4) (d) inapplicable. This section limits an estate's recovery for unaccrued SLU benefits to reasonable funeral expenses in cases of unrelated death without qualifying survivors. The Workers' Compensation Board limited the award to funeral expenses, while the Appellate Division held that the estate was entitled to the portion accrued up to the date of death plus reasonable funeral expenses. The New York Court of Appeals affirmed the Appellate Division's order, concluding that the 2009 amendments on lump sum payments did not implicitly alter WCL § 15 (4) (d)'s limitation on an estate's recovery of posthumous SLU awards. The Court emphasized that section 15 (4) (d) remains in effect and must be harmonized with the amendments, limiting recovery to benefits accrued before death and reasonable funeral expenses for the remainder.

Workers' Compensation LawPermanent Partial DisabilitySchedule Loss of Use (SLU)Lump Sum PaymentEstate RecoveryFuneral ExpensesStatutory InterpretationAccrual of BenefitsNew York Court of AppealsUnrelated Death
References
35
Case No. MISSING
Regular Panel Decision

Wallace v. Aetna Life & Casualty Co.

This case concerns an appeal regarding a petition to modify a worker’s compensation lump sum settlement agreement. The appellant sustained a back injury in 1978, settling in 1980 for a 20% permanent partial disability based on an initial diagnosis of lumbosacral strain. Years later, a ruptured disc was diagnosed, prompting the appellant to file a petition in 1982 to modify the settlement, alleging mutual mistake of fact. The appellee moved to dismiss, arguing the petition was time-barred under T.R.C.P. 60.02, as it was filed more than one year after the final judgment. The court affirmed the dismissal, holding that claims based on mistake under T.R.C.P. 60.02(1) must be brought within one year, and subsection (5) cannot be used to circumvent this time limit.

Worker's CompensationLump Sum SettlementPetition to ModifyMutual Mistake of FactTimelinessT.R.C.P. 60.02Permanent Partial DisabilityRuptured DiscBack InjuryAffirmed
References
2
Case No. MISSING
Regular Panel Decision

Walden v. Royal Globe Insurance Co.

This case is a workers' compensation appeal concerning the lump sum payment of death benefits to a widow and two minor children. The trial court sustained the carrier's exception against a lump sum payment, denying the claimants' request. The appellate court affirms this decision, interpreting the 1973 amendment to Art. 8306, Sec. 8, as generally prohibiting lump sum payments of death benefits. Exceptions are noted only for remarriage or settlement of disputed liability. The court emphasizes a strict interpretation of statutory language and clarifies how the new provisions interact with older statutes and the concept of discounting for lump sums, ultimately concluding that the claimants were not entitled to a jury decision on lump sum payments.

Workers' CompensationDeath BenefitsLump Sum PaymentStatutory InterpretationTexas Law1973 AmendmentAppellate ReviewTrial Court ExceptionManifest HardshipRemarriage Exception
References
15
Case No. MISSING
Regular Panel Decision

North American Royalties, Inc. v. Thrasher

Rufus Thrasher, Jr. sustained a 75 percent permanent partial disability and sought a lump-sum payment from his employer, North American Royalties, for a house down payment and attorney's fees. The trial court granted a partial lump-sum, including $11,340 for attorney's fees and $15,000 for Thrasher, with the remainder paid periodically. The Supreme Court reversed the lump-sum commutation for attorney's fees, stating no statutory authority exists. It also reversed and remanded the $15,000 lump-sum payment to Thrasher, finding insufficient evidence to support it as being in his 'best interest' or demonstrating his ability to manage it wisely, despite the 1990 amendment to T.C.A. § 50-6-229. The court emphasized that lump-sum awards are exceptional and must serve the purpose of worker rehabilitation.

Workers' CompensationLump-Sum PaymentCommutationAttorney's FeesBest InterestDisabilityPermanent Partial DisabilityStatutory InterpretationRehabilitationEvidentiary Hearing
References
15
Case No. MISSING
Regular Panel Decision

National Pizza Co. v. Young

In this workers' compensation death case, the central issue was the trial court's authority to order lump-sum attorney's fees when the dependents' death benefits were set for periodic payments. The employer, National Pizza Company, appealed the trial court's decision, arguing that the Workers' Compensation Reform Act of 1992 did not authorize such a payment and that future cessation of benefits should preclude a full lump-sum fee. The appellate court affirmed the trial court's judgment, concluding that Tenn.Code Ann. § 50-6-229(a) permits lump-sum payment of attorney's fees from any award, including court-approved settlements, regardless of whether the benefits themselves are commuted to lump sum or if they might cease in the future.

Workers' Compensation Death BenefitsLump Sum Attorney FeesPeriodic PaymentsStatutory InterpretationTrial Court AuthoritySettlement AgreementAppellate ReviewAttorney FeesDependents BenefitsWorkers' Compensation Reform Act of 1992
References
2
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