ListofCases Saundersv.ADPTotalSourceFIXI,Inc.,___N.C.App.___,___S.E.2d___(2016) SaunderslookedatseveralproceduralaspectsoftheSuperiorCourt’sreviewoffeeson compensationforattendantcareservicesunderN.C.Gen.Stat.§97-90(c). Breathv.OrthoCarolina,___N.C.App.___,781S.E.2d532(2016) Breathconsideredashoulderconditionasan“occupationaldisease”andavoidedthe doctrineofresjudicata,eventhoughtheIndustrialCommissionhadearlierheldthatthe shoulderconditionwasnotan“injury”whentheemployeewasnotrepresentedbylegal counsel. Edwardsv.ReddyIce,___N.C.App.___,___S.E.2d___,2016N.C.App.LEXIS397(2016) EdwardsreversedtheIndustrialCommission’sfindingsoffactandconclusionsoflawon continuingdisability,whentheemployeehadmultiplemedicalconditionsthataroseafteran injuryatwork. Raineyv.CityofCharlotte,___N.C.App.___,785S.E.2d766(2015) Raineyconsideredthelimitationsperiodforfiling“occupationaldiseases”underN.C.Gen. Stat.§97-58. Heglarv.CommissionersoftheNorthCarolinaIndustrialCommission,P14-329(orderby theNorthCarolinaCourtofAppealsfiledJune11,2014) HeglarwasamandamusactionagainsttheNorthCarolinaIndustrialCommission,whose rulesatthetimedidnotallowforafullevidentiaryhearingonappealfromamedicalmotion. AfterHeglar,04NCAC10A.0609Awaschangedtoallowpartiestoappealordersfrom medicalmotionstotheDeputyCommissionersectionforahearing. Wellsv.CharlotteMecklenburgHospitalAuthority,___N.C.App.___,768S.E.2d201,2014 N.C.App.LEXIS1371(2014) Wellsaddressedtheissuesofa“compensable”injuryandthe“disability”resultingfromthat injury. Haileabv.JohnQ.HammonsHotels,Inc.,___N.C.App.___,772S.E.2d265,2015N.C.App. LEXIS286(2015) HaileabaffirmedtheIndustrialCommission’sdeterminationthatseveralpartsofthe employee’sbody,whichheremployerhadnotaccepted,werealsocoveredthroughher workers’compensationclaim.Theopinionalsoaddressedashortperiodoftimeinwhich theemployeewasnotentitledtoperiodicpayments. Gregoryv.Pearson,367N.C.315,754S.E.2d416(2014)(3-3split),affirmingpercuriam withoutprecedentialvalue,224N.C.App.580,736S.E.2d577(2012)(asamicuscuriaefor theNorthCarolinaAdvocatesforJustice) Gregorylookedattheresponsibilityforworkers’compensationinjointemploymentunder N.C.Gen.Stat.§97-51. Ademovicv.TaxiUSA,LLC,237N.C.App.402,767S.E.2d571(2014) Ademovicconsideredifataxidriverwhowasshotbyapassengerwasan“employee”oran “independentcontractor.” Burleyv.U.S.Foods,Inc.,233N.C.App.286,756S.E2.d84(2014),reversed,368N.C.315, 776S.E.2d832(2015) Burleyaskedifanamendmenttoanemploymentcontractwasenoughtobringaworkers’ compensationcasewithinNorthCarolina’sjurisdictionunderN.C.Gen.Stat.§97-36. Skoffv.U.S.Airways,Inc.,234N.C.App.329,762S.E.2d2,2014N.C.App.LEXIS588(2014) SkoffheldthatinjuriestoairlineemployeesontheemployeebusesattheCharlotteDouglas InternationalAirportoccur“inthecourse”ofemploymentandarecoveredthroughworkers’ compensation. Millerv.NortheastMedicalCenter,233N.C.App.342,756S.E.2d54(2014) MillerlookedatthereopeningofaclaimunderN.C.Gen.Stat.§97-25.1andN.C.Gen.Stat.§ 97-47withintwoyearsafterthelastpaymentof“medicalcompensation.” Medlinv.WeaverCookeConstruction,LLC,367N.C.414,760S.E.2d732(2014)(asamicus curiaefortheNorthCarolinaAdvocatesforJustice) Medlinconsideredhow“disability”hadtobelinkedtoaninjurybeforeanemployee becomeseligibleforworkers’compensation. Betheav.U.S.Airways,Inc.,231N.C.App.713,754S.E.2d258,2014N.C.App.LEXIS48 (2014) Betheasaidthatevenshortperiodsofdisabilityafteraperiodofpermanentpartialdisability qualifyasa“changeofcondition,”allowingemployeestoreopentheirworkers’ compensationclaimsunderN.C.Gen.Stat.§97-47. Tinsleyv.CityofCharlotte,___N.C.App.___,___S.E.2d___,2013N.C.App.LEXIS820,at*1 (2013). Tinsleylookedatthedistributionofathird-partysettlementunderN.C.Gen.Stat.§9710.2(f)(1)whenthepartiesagreedtotheamountoftheworkers’compensationlienwithout applyingN.C.Gen.Stat.§97-10.2(f)(2). Gonzalezv.Worrell,___N.C.App.___,739S.E.2d552(2013)(amicuscuriaefortheNorth CarolinaAdvocatesforJustice). Gonzalezlookedatthecancellationofaworkers’compensationinsurancepolicyunderN.C. Gen.Stat.§58-36-105(b).TheSupremeCourtfileda3-3opinionaffirmingtheopinionbythe CourtofAppeals,consistentwiththeamicusbriefsubmittedbytheNorthCarolinaAdvocates forJustice.In2013,theNorthCarolinaGeneralAssemblyreactedtotheresultreachedin GonzalezbyfilingHouseBill639. Anglinv.DunbarArmored,___N.C.App.___,742S.E.2d205(2013). Anglinheldthatthereisstillaworkers’compensationlienunderN.C.Gen.Stat.§97-10.2 againstunderinsuredmotoristproceedsunderaSouthCarolinainsurancepolicy,eventhough SouthCarolinalawprovidesthatthoseproceedsarenotassignableorsubjecttosubrogation. Helfrichv.Coca-ColaBottlingCo.,___N.C.App.___,741S.E.2d408(2013). InHelfrich,theCourtofAppealsheldthatunderN.C.Gen.Stat.§97-34,anemployeewhohas morethanoneinjuryisentitledtothecompensationratebasedontheinjurythatprovidesthe greatestamount. Cawthornv.MissionHosp.,Inc.,365N.C.336,718S.E.2d369(2011),denyingpetitionfor discretionaryreviewof211N.C.App.42,712S.E.2d306(2011). Cawthorndealtwiththecompensabilityofaninjuryforahospitalemployee. Mehaffeyv.BurgerKing,367N.C.120,749S.E.2d252(2012),reversing217N.C.App.720, 718S.E.2d720(2011) Mehaffeyupheldtheavailabilityofretroactivepaymentstofamilymemberswhoprovidehome nursingandattendantcareservicestotheirinjuredrelatives. Yousv.Greif,Inc.,210N.C.App.492,711S.E.2d207,2011N.C.App.LEXIS485(2011) Youslookedatwhetheraworkerhad"bursitis,"whichisanoccupationaldiseasespecifically identifiedbytheWorkers'CompensationAct.Also,Yousheldthatbecausebursitisisnot controversial,considerationofaworker'ssymptomsispermissibleontheissueofcausation becausetheposthoc,ergopropterhocfallacy,asdiscussedinYoungv.HickoryBusiness Furniture,353N.C.227,538S.E.2d912(2000),onlydiscouragedconsiderationofthose symptomsinthecontextofcontroversialmedicalconditions. Cardwellv.JenkinsCleaners,Inc.,365N.C.1,704S.E.2d898(2011)(asamicuscuriae involvementfortheNorthCarolinaAdvocatesforJustice) InCardwell,theSupremeCourtofNorthCarolinareversedthedecisionoftheCourtofAppeals involvingthe"comingandgoing"ruleandremandedthecaseformorefindingsbythe IndustrialCommission.AsamicuscuriaeoftheCourt,theNorthCarolinaAdvocatesforJustice encouragedtheCourttorecognizeanewexceptiontothe"comingandgoing"rulecalledthe "anymeansofingressoregress"exception,whichisrecognizedbyotherjurisdictionsbutnot yetarticulatedinNorthCarolina. Keev.CaromontHealth,Inc.,209N.C.App.193,706S.E.2d781(2011) Keeheldthat"sideagreements"mightnotbeappropriateinsomeworkers'compensation settlementsundertheIndustrialCommission'srules,anditupheldtheCommission'sdecision tovoidamediatedsettlementagreementduetotheexistenceofa"sideagreement."In reactiontoKee,theNorthCarolinalegislatureenactedN.C.Gen.Stat.§97-17(e)in2011. Thomasv.ContractCoreDrilling&Sawing,209N.C.App.198,703S.E.2d862(2011) ThomaslookedatwhetheradecisionbytheIndustrialCommissionthatdidnotresolveallof theissuesindisputewasa"final"ordersubjecttoappellaterevieworan"interlocutory"order notyetripeforappellateadjudication. Thompsonv.Aramark,Inc.,2010N.C.App.LEXIS1976(filedOct.19,2010) ThompsonalsolookedattheissueofwhetheranIndustrialCommissionorderthatdidnot resolveallissueswas"final"or"interlocutory." Hatleyv.ContinentalGeneralTireNA,2010N.C.App.LEXIS583(filedApr.6,2010) HatleyconsideredtheissueofdisabilityunderN.C.Gen.Stat.§97-2(9)andN.C.Gen.Stat.§9730and,morespecifically,whethertemporarypartialdisabilitywasamorefavorableremedyto theinjuredworkerthanpermanentpartialdisability. Nalev.EthanAllen,199N.C.App.511,682S.E.2d231(2009) Naledealtwiththestandardofreviewandcausation. Geselv.MillerOrthopaedicClinic,2009N.C.App.LEXIS1122(filedJuly7,2009) Geselconcernedanemployeewho,afterreturningtoworkatseveraljobsthatshefoundon herown,eachofwhichpaidlessandlessinearnings,wasfoundtobedisabled.TheCourt upheldtheCommission’sdeterminationthatfurtherjobsearchwouldbefutileandthatthe employeewasnotobligatedtoreturntoapart-timejobpayingonly17.1%ofherpre-injury earnings. Mearesv.DanaCorp.,172N.C.App.291,615S.E.2d921(2008) Mearesaffirmedapenaltyagainstanemployerwhotriedtoeliminatefuturebenefitsforan employee’sdependentsonaprematurebasis. Starrv.GastonCountyBoardofEduc.,191N.C.App.301,663S.E.2d322(2008) StarrdealtwiththeindemnificationprovisionsofN.C.Gen.Stat.§97-86.1,whichapplieswhen twoormoreinsurancecarriersmaybeliableforacompensableinjury.Inaddition,Starralso clarifiedthatequitabledefensesarenotavailableinworkers’compensationcaseswhenthere isanadequateremedyatlaw,evenifthatremedyisunfavorable. Robertsv.DixieNews,Inc.,189N.C.App.495,658S.E.2d684(2008) Robertsdealtwiththemedicalconsequencesofanoriginal,compensableinjury,holdingthata flare-upofsymptomsafterareturntounsuitableemploymentwasnotan“independent, interveningevent”thatbreaksthechainofproximatecausation. Onanotherissueoffirstimpression,Robertsheldthatadeputycommissioner’sOpinionand AwardisenforceableduringanappealtotheFullCommission.AlthoughtheresultinRoberts allowedaninsurancecarriertostoppaymentofweeklybenefitsduringappealfromanOpinion andAwardthatdidnotfavortheinjuredemployee,theholdingextendstotheconverse situation,too—benefitspayableunderadeputycommissionerOpinionandAward,whichis favorabletotheinjuredemployee,aredueandpayablenotwithstandinganemployer’sorits insurancecarrier’sappealtotheFullCommission. Davisv.Harrah’sCherokeeCasino,362N.C.133,655S.E.2d392(2008)(amicuscuriae involvementfortheNorthCarolinaAcademyofTrialLawyers) Usingthe“anycompetentevidence”standardofappellatereviewandinaccordancewiththe resultadvocatedbytheamicuscuriaebrief,DavisupheldtheCommission’sfactual determinationofacompensableinjuryaswellasDefendants’failuretoshowabreakin proximatecausationfroman“independent,interveningeventattributabletotheemployee’s ownintentionalconduct.” McCarverv.HunterMotors,Inc.,COA07-346(N.C.Ct.App.filedJan.15,2008) McCarverupheldtheCommission’sdeterminationthatajobexceedingtheemployee’s restrictionswasnot“suitable”tohiscapacity. Polstonv.SixStarEconomicDevel./GoldenCorral,2007N.C.App.LEXIS1901(filedSept.4, 2007) PolstonreaffirmedtheCommission’sexclusivedutytofindfactsandweighevidenceonthe issueofmedicalcausation. Shawv.U.S.Airways,Inc.,362N.C.457,665S.E.2d449(2008),rev’g,186N.C.App.474,652 S.E.2d22(2007) AsacaseoffirstimpressioninNorthCarolina,Shawlookedattheissueofwhethervested401k contributionsbyanemployerareapartoftheemployee’s“earnings”forpurposesof calculating“averageweeklywage.” D’Aquistov.MissionSt.Joseph’sHealthSys.,360N.C.567,633S.E.2d89(2006),affirmingin part,reversinginpart,171N.C.App.216,614,583(2005),appealafterremand,198N.C.App. 674,680S.E.2d249(2009) The2005and2006decisionsinD’Aquistoconsideredthe“arisingoutof”elementinthe definitionofan“injury,”andspecificallydidsointhecontextofaworkplaceassaultina healthcaresetting.The2009decisionconcernedattorneys’feesawardedunderN.C.Gen.Stat. §97-88.1becauseoftheemployer’smultipleandunsuccessfulappeals,whichnecessitated additionaltimeandexpensestodefendandultimatelydelayedthebenefitsawardedbyseveral years. Dodrillv.JerryRhyne’sCollisionRepair,2006N.C.App.LEXIS1472(filedJuly5,2006) Dodrillwasanoccupationaldiseasecaseinvolvingbilateralbursitisandrotatorcufftears,andit evaluatedthe“lastinjuriousexposure”ruleinfixingliabilitywhentherewasadisputebetween differentinsurancecompaniesastowhichoneboretheriskofthatwork-relatedexposurethat causedtheoccupationaldiseases. Silversv.Mastercraft,Inc.,COANo.05-895(filedJune5,2006) Silverslookedattheconceptof“suitable”employmentandtheemployee’srighttoongoing disabilitycompensationwhenthereisnoalternative,suitableemploymentavailable.Silvers alsolookedattheissueofimpropercommunicationsbetweenanemployer’srepresentative andatreatingphysicianthatwerebothexparteandinviolationofthephysician-patient privilegeofN.C.Gen.Stat.§8-53 Montgomeryv.Toastmaster,Inc.,174N.C.App.320,620S.E.2d685(2005) Montgomeryalsolookedattheconceptof“suitable”employment,butitalsoconsideredthe issueofwhetheranemployeewasstilldisabledeventhoughsheretiredforinjury-related reasons. Mearesv.DanaCorp./WixxDivision,172N.C.App.291,615S.E.2d912(2005) Mearesheldthataninsurancecarriercouldnotsetoffitsliabilityforworkers’compensationby theamountspaidtotheinjuredemployeeunderaseverancepackage. Brooksv.CapstarCorp.,360N.C.60,621S.E.2d170(2005)(amicuscuriaeinvolvementforthe NorthCarolinaAcademyofTrialLawyers),dismissingpetitionfordiscretionaryreviewas improvidentlyallowed,168N.C.App.23,606S.E.2d696(2005) Brooksconsideredwhetheranemployee’spoorvocationalprofilerosetothelevelofan intentional“refusal”ofvocationalrehabilitationservicesinanefforttosuspenddisability compensation. Konradyv.U.S.Airways,Inc.,165N.C.App.620,599S.E.2d593(2004) Konradydealtwiththeelementsofan“accident”andwhethertheaccidentcausedthe employee’sdisability.Indoingso,KonradyheldthatNorthCarolinadoesnotapportion disabilitybetweencompensableandnon-compensablecauseswhenthebasisofsuch apportionmentisspeculative. Boneyv.WinnDixie,Inc.,163N.C.App.330,593S.E.2d93(2004) Boneyconcernedtheissueofhowtocalculatethe“averageweeklywage”ofaretired employeeinjuredinapart-time,supplementaljob. Atkinsv.KellySpringfieldTireCo.,358N.C.540,597S.E.2d128(2004)(percurium)(amicus curiaeinvolvementfortheNorthCarolinaAcademyofTrialLawyers),dismissingpetitionfor discretionaryreviewasimprovidentlyallowed,154N.C.App.512,571S.E.2d865(2002) Atkinsaddressedtheissueofwhatconstitutesa“fullandcompletemedicalreport,”which shouldaccompanyagreementsbeforetheCommissioncanapprovethem.Atkinsalsogaverise totheIndustrialCommissionForm25A. Willeyv.WilliamsonProduce,357N.C.41,577S.E.2d622(2003)(percurium)(amicuscuriae involvementfortheNorthCarolinaAcademyofTrialLawyers),reversing149N.C.App.74, 562S.E.2d1(2002) Willeyaddressedtheintoxicationdefensetoworkers’compensationclaimsunderN.C.Gen. Stat.§97-12andrefusedtoapplya“presumptionofimpairment”inNorthCarolina,whichis thelawinseveralotherstates.In2006,theNorthCarolinalegislaturemodifiedsection97-12 toprovideforarebuttablepresumptionofimpairmentafterWilleyclarifiedthatnosuch impairmentpreviouslyexistedinthestatute. Osmondv.CarolinaConcreteSpecialties,151N.C.App.541,568S.E.2d204(2002) Osmondinvolvedthe“specialerrand”exceptiontothe“comingandgoing”rulefordetermining compensability. Bridwellv.GoldenCorralSteakHouse,149N.C.App.338,561S.E.2d298(2002) Bridwelldealtwiththeissueof“disability”underN.C.Gen.Stat.§97-2(9). Ruizv.BelkMasonry,148N.C.App.675,559S.E.2d249(2002) Ruizannouncedthatundocumentedaliensare“employees”forpurposesofreceivingworkers’ compensationbenefitswhentheyareinjuredatwork.Morespecifically,Ruizdeterminedthat theFederalImmigrationReformControlActof1986didnotpreemptstate-lawdefinitionsof theword“employee”forworkers’compensationpurposes,whichwouldhaveprecluded undocumentedaliensfromreceivingcompensationdespitetheirinjuries.Thecasealsodealt withcompensatingfamilymembersforprovidingattendantcaretoinjuredworkers. Grovesv.TravelersInsuranceCo.,354N.C.206,552S.E.2d141(2001)(percurium)(amicus curiaeinvolvementfortheNorthCarolinaAcademyofTrialLawyers),reversing139N.C.App. 795,535S.E.2d105(2000) Groveslookedattheexclusivityremedyofworkers’compensation,whichN.C.Gen.Stat.§9710.1establishes. Shahv.HowardJohnson,140N.C.App.58,535S.E.2d577(2000) Shahincludedthevalueoflodgingintotheemployee’s“averageweeklywage”andlookedat theconceptof“suitable”employment. Londonv.Snak-TimeCatering,136N.C.App.473,525S.E.2d203(2000) Londonheldthatinsurancecarriershadtoreimburseaninjuredemployee’sfamilymembers forattendantcareservices,ormedicallynecessaryandunskillednursingservices,provided whenaninsurancecarrierdidnotprovidethoseservices. InreHarringtonv.Adams-RobinsonEnterp.,349N.C.218,504S.E.2d786(1998)(amicus curiaeinvolvementfortheNorthCarolinaAcademyofTrialLawyers),affirming128N.C.App. 496,495S.E.2d377(1998) Harringtonaddressestheconceptofmaximummedicalimprovementinthecontextofongoing disability. SouthernWatchSupplyCo.v.RegalChrysler-Plymouth,Inc.,69N.C.App.164,316S.E.2d318 (1984),appealafterremand,82N.C.App.21,345S.E.2d453(1986) SouthernWatchSupplyinvolvedtheissueofproximatecauseandthe“reasonableperson” standardinnegligenceclaims.Thecasewasappealedagainafteraninitialremand,atwhich timeitaddressedthepresentsenseimpressionandexcitedutteranceexceptionstothe hearsayrule. Nassifv.SouthernWholesale,Inc.,73N.C.App.608,327S.E.2d64(1985) Nassifconsideredtheinclusionandexclusionofevidencebasedonitscredibility.
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