IN THE WORKERS' COMPENSATION
COURT OF THE STATE OF MONTANA
2002 MTWCC 48
WCC No. 2002-0648
SAMUEL COX, JR.
Petitioner
vs.
PACIFIC EMPLOYERS'
INSURANCE COMPANY
Respondent/Insurer
for
AIRCRAFT SERVICES
INTERNATIONAL GROUP
Employer.
DECISION AND
JUDGMENT ON THE PLEADINGS
Summary: Claimant
filed a petition seeking permanent partial disability benefits based on
age (1%) and labor restrictions (3%) even though he conceded in his petition
that he suffered no wage loss. The insurer moved for judgment on the pleadings.
Held:
The petition is dismissed since permanent partial disability benefits
are available only if the claimant suffered a wage loss.
Topics:
Constitutions, Statutes,
Regulations, and Rules: Montana Code Annotated: Section 39-71-703),
MCA (1999). Awards for wage loss and labor restrictions are
components of permanent partial disability benefits and cannot be made
absent a wage loss.
Benefits: Permanent
Partial Benefits: Education Factor. Awards for wage loss and
labor restrictions are components of permanent partial disability benefits
and cannot be made absent a wage loss.
Benefits: Permanent
Partial Benefits: Labor Capacity. Awards for wage loss and
labor restrictions are components of permanent partial disability benefits
and cannot be made absent a wage loss.
¶1 The petitioner/claimant
seeks benefits under section 39-71-703, MCA (1999), for age (1%) and for
work restrictions (3%). He concedes in his petition that he has no wage
loss.
¶2 Respondent moves for judgment
on the pleadings. For the reasons set forth below, the judgment is granted.
Discussion
¶3 The Workers' Compensation
Court has no rule governing judgment on the pleadings, therefore, it looks
to the Montana Rules of Civil Procedure for guidance, Murer v. Montana
State Compensation Mut. Ins. Fund, 257 Mont. 434, 849 P.2d 1036,
1037 (1993). Rule 12(c), Mont.R.Civ.P, governs such motions, providing:
(c) Motion for Judgment on
the Pleadings. After the pleadings are closed but within such time as
not to delay the trial, any party may move for judgment on the pleadings.
If, on a motion for judgment on the pleadings, matters outside the pleadings
are presented to and not excluded by the court, the motion shall be treated
as one for summary judgment and disposed of as provided in Rule 56, and
all parties shall be given reasonable opportunity to present all material
made pertinent to such a motion by Rule 56.
Judgment on the pleadings is
appropriate where the pleadings demonstrate that one of the parties is
entitled to judgment as a matter of law.
¶4 In the present case, the
Petition for Hearing affirmatively alleges that claimant was injured on
June 26, 2001, but never missed work. However, he received an impairment
rating of 5%, which has been paid. He argues that under section 39-71-703(5),
MCA (1999), he is entitled to an additional 4% for his age and restrictions.
¶5 Assuming the allegations
of the petition to be true, the petition fails to state a cognizable claim
for additional benefits under section 39-71-703, MCA (1999), which provides:
39-71-703. Compensation
for permanent partial disability. (1) If an injured worker
suffers a permanent partial disability and is no longer entitled to
temporary total or permanent total disability benefits, the worker is
entitled to a permanent partial disability award if that worker:
(a) has an actual wage loss
as a result of the injury; and
(b) has a permanent impairment
rating that:
(i) is established by objective
medical findings; and
(ii) is more than zero as
determined by the latest edition of the American medical association
Guides to the Evaluation of Permanent Impairment.
(2) When a worker receives
an impairment rating as the result of a compensable injury and has no
actual wage loss as a result of the injury, the worker is eligible for
an impairment award only.
(3) The permanent partial
disability award must be arrived at by multiplying the percentage arrived
at through the calculation provided in subsection (5) by 350 weeks.
(4) A permanent partial
disability award granted an injured worker may not exceed a permanent
partial disability rating of 100%.
(5) The percentage to be
used in subsection (3) must be determined by adding all of the following
applicable percentages to the impairment rating:
(a) if the claimant is 40
years of age or younger at the time of injury, 0%; if the claimant is
over 40 years of age at the time of injury, 1%;
(b) for a worker who has
completed less than 12 years of education, 1%; for a worker who has
completed 12 years or more of education or who has received a graduate
equivalency diploma, 0%;
(c) if a worker has
no actual wage loss as a result of the industrial injury, 0%; if a worker
has an actual wage loss of $2 or less an hour as a result of the industrial
injury, 10%; if a worker has an actual wage loss of more than $2 an
hour as a result of the industrial injury, 20%. Wage loss benefits must
be based on the difference between the actual wages received at the
time of injury and the wages that the worker earns or is qualified to
earn after the worker reaches maximum healing.
(d) if a worker, at the
time of the injury, was performing heavy labor activity and after the
injury the worker can perform only light or sedentary labor activity,
5%; if a worker, at the time of injury, was performing heavy labor activity
and after the injury the worker can perform only medium labor activity,
3%; if a worker was performing medium labor activity at the time of
the injury and after the injury the worker can perform only light or
sedentary labor activity, 2%.
(6) The weekly benefit rate
for permanent partial disability is 66 2/3% of the wages received
at the time of injury, but the rate may not exceed one-half the state's
average weekly wage. The weekly benefit amount established for an injured
worker may not be changed by a subsequent adjustment in the state's
average weekly wage for future fiscal years.
(7) If a worker suffers
a subsequent compensable injury or injuries to the same part of the
body, the award payable for the subsequent injury may not duplicate
any amounts paid for the previous injury or injuries.
(8) If a worker is eligible
for a rehabilitation plan, permanent partial disability benefits payable
under this section must be calculated based on the wages that the worker
earns or would be qualified to earn following the completion of the
rehabilitation plan.
(9) As used in this section:
(a) "heavy labor activity"
means the ability to lift over 50 pounds occasionally or up to 50 pounds
frequently;
(b) "medium labor activity"
means the ability to lift up to 50 pounds occasionally or up to 25 pounds
frequently;
(c) "light labor activity"
means the ability to lift up to 20 pounds occasionally or up to 10 pounds
frequently; and
(d) "sedentary labor activity"
means the ability to lift up to 10 pounds occasionally or up to 5 pounds
frequently.
The section, as pertains to
the present claim, is clear on its face and must be applied as written.
In re Marriage of Christian, 1999 MT 189, ¶ 12, 295 Mont. 352,
983 P.2d 966 (1999) ("When the statute is plain, unambiguous, direct and
certain, the statute speaks for itself and there is no need to resort
to extrinsic means of interpretation."). Subsection (1) provides that
a worker is entitled to a permanent partial disability award only
if he has both an impairment rating and a wage loss.
Under the plain language of the subsection, claimant is not
entitled to permanent partial disability benefits since he never missed
work and has no wage loss.
¶6 The requirement of a wage
loss to qualify a claimant for permanent partial disability benefits is
reiterated in subsection (2), which provides that a claimant with an impairment
rating but no wage loss is entitled only to an impairment award. It is
further reiterated in section 39-71-116(23), MCA (1999), which defines
permanent partial disability as follows:
(23) "Permanent partial disability"
means a physical condition in which a worker, after reaching maximum
medical healing:
(a) has a permanent impairment
established by objective medical findings;
(b) is able to return to
work in some capacity but the permanent impairment impairs the worker's
ability to work; and
(c) has an actual
wage loss as a result of the injury. [Emphasis added.]
I do not know how the legislature
could have made the wage loss requirement more clear.
¶7 Under the plain language
of subsections (3) and (5) of section 39-71-703, MCA (1999), awards for
age and restrictions are components of a permanent partial disability
award. Clamant is therefore entitled to neither.
JUDGMENT
¶8 Judgment is
entered dismissing the petition with prejudice.
¶9 The judgment
is certified as final for purposes of appeal. ARM 24.5.348.
DATED in Helena,
Montana, this 16th day of October, 2002.
(SEAL)
/s/ MIKE
McCARTER
JUDGE
c: Mr. Carl A. Hatch
Mr. Leo S. Ward
Submitted: October 7,
2002 |