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IN THE WORKERS' COMPENSATION
COURT OF THE STATE OF MONTANA
1995 MTWCC 86
WCC
No. 9508-7367
PAUL
LUGO
Petitioner
vs.
MONTANA
HOSPITALS ASSOCIATION/
WORKERS'
COMPENSATION TRUST
Respondent/Insurer
for
COMMUNITY
MEDICAL CENTER
Employer.
SUMMARY JUDGMENT
This case presents
a singular issue of statutory interpretation: Are unemployment benefits
received by a part-time worker "wages" for purposes of determining the
workers' average weekly wage and computing workers' compensation benefits?
Respondent moved for summary judgment and the motion is now granted.
Uncontested Facts
The following facts are admitted
by the parties:
1. The petitioner in this
matter is Paul Lugo, who is the claimant and will be hereafter referred
to as "claimant."
2. On November 1, 1994, claimant
suffered a compensable industrial accident while working for Community
Medical Center in Missoula.
3. At the time of the injury,
Community Medical Center was self-insured through the Montana Hospitals
Association Workers' Compensation Trust.
4. A claim for compensation
was filed and accepted as compensable.
5. Claimant was previously
employed by Community Medical Center as an EMT. However, he was laid
off due to a reduction in force. Thereafter, he took a part-time job
as an orderly. He was working part-time as an orderly when he was injured.
6. In addition to the wages
claimant was receiving from Community Medical Center at the time of
his injury, he was also receiving partial unemployment benefits. Those
benefits were paid pursuant to unemployment benefits laws.
7. Claimant's partial unemployment
benefits terminated as a result of his injury.
8. In calculating claimant's
benefits, Community Medical Center has included claimant's actual wages
but refused to include the partial unemployment benefits.
9. If, as a matter of law,
the unemployment benefits are not includable in calculating claimant's
benefits, then his compensation rate has been properly calculated.
(Source: Petition for Trial,
Response to Petition, Stipulation to Agreed Facts, and the parties' briefs.)
Discussion
Since the injury occurred
in November 1994, the 1993 version of the Workers' Compensation Act applies
in this case. Buckman v. Montana Deaconess Hospital, 224 Mont.
318, 730 P.2d 380 (1986). All statutory citations in this decision are
to the 1993 Act.
Compensation benefits are
based on the worker's wages at the time of his injury. Weekly benefits
for temporary total and permanent total disability are two-thirds of the
worker's "wages received at the time of the injury", subject to a statutory
maximum and to an inflationary adjustment. §§ 39-71-701(3) and -702(3),
MCA (1993). Permanent partial disability benefits are based in part upon
the claimant's "actual wage loss" from the injury.
"Wages" is defined in section
39-71-123, MCA (1993), as follows:
39-71-123. Wages
defined. (1) "Wages" means the gross remuneration paid in money,
or in a substitute for money, for services rendered by an employee,
or income provided for in subsection (1)(d). Wages include but are not
limited to:
(a) commissions, bonuses,
and remuneration at the regular hourly rate for overtime work, holidays,
vacations, and sickness periods;
(b) board, lodging, rent,
or housing if it constitutes a part of the employee's remuneration and
is based on its actual value;
(c) payments made to an
employee on any basis other than time worked, including but not limited
to piecework, an incentive plan, or profit-sharing arrangement; and
(d) income or payment in
the form of a draw, wage, net profit, or substitute for money received
or taken by a sole proprietor or partner, regardless of whether the
sole proprietor or partner has performed work or provided services for
that remuneration.
(2) Wages do not include:
(a) employee expense reimbursements
or allowances for meals, lodging, travel, subsistence, and other expenses,
as set forth in department rules;
(b) special rewards for
individual invention or discovery;
(c) tips and other gratuities
received by the employee in excess of those documented to the employer
for tax purposes;
(d) contributions made by
the employer to a group insurance or pension plan; or
(e) vacation or sick leave
benefits accrued but not paid.
(3) For compensation benefit
purposes, the average actual earnings for the four pay periods immediately
preceding the injury are the employee's wages, except if:
(a) the term of employment
for the same employer is less than four pay periods, in which case the
employee's wages are the hourly rate times the number of hours in a
week for which the employee was hired to work; or
(b) for good cause shown
by the claimant, the use of the four pay periods does not accurately
reflect the claimant's employment history with the employer, in which
case the insurer may use additional pay periods.
(4) (a) For the purpose
of calculating compensation benefits for an employee working concurrent
employments, the average actual wages must be calculated as provided
in subsection (3).
(b) The compensation benefits
for a covered volunteer must be based on the average actual wages in
the volunteer's regular employment, except self-employment as a sole
proprietor or partner who elected not to be covered, from which the
volunteer is disabled by the injury incurred.
(c) The compensation benefits
for an employee working at two or more concurrent remunerated employments
must be based on the aggregate of average actual wages of all employments,
except self-employment as a sole proprietor or partner who elected not
to be covered, from which the employee is disabled by the injury incurred.
(5) The compensation benefits
and the payroll, for premium purposes, for a volunteer firefighter covered
pursuant to 39-71-118 must be based upon a wage of not less than $900
a month and not more than 1 ½ times the average weekly wage as defined
in this chapter.
The general definition of
wages as set forth in subsection (1) is controlling in this case since
none of the specific inclusions or exclusions apply. The key language
in the subsection is as follows:
(1) "Wages" means the gross
remuneration paid in money . . . for services rendered by an
employee . . . . [Emphasis added.]
In construing this language,
the Court must give these words their plain meaning; if their meaning
is plain and unambiguous, they must be applied as written. Murer v.
State Compensation Mut. Ins. Fund, 267 Mont. 516, 520, 885 P.2d 428,
430 (1994). The Court cannot amend the plain words of the statute or insert
additional terms. Russette v. Chippewa Cree Housing Authority,
265 Mont. 90, 93, 874 P.2d 1217, 1219 (1994).
Community Medical Center has
cited a number of cases, as well as Larson's Workmen's Compensation Law,
as supporting its argument that unemployment benefits are not wages. We
need not consider or cite these precedents, for even under the wildest
stretch of the imagination unemployment benefits cannot be considered
compensation "for services rendered by an employee." Unemployment benefits
are paid from an unemployment benefits insurance fund. §§ 39-71-2103(1),
-201(11), MCA. Benefits are payable to unemployed individuals.
§ 39-51-201(3), MCA. They are social benefits, not compensation for work.
Judgment for respondent, Community
Medical Center.
This judgment is certified
as final for purposes of appeal.
Dated in Helena, Montana,
this 1st day of November, 1995.
(SEAL)
/s/ Mike
McCarter
JUDGE
c: Mr. Andrew F. Scott
Mr. Steven S. Carey
Submitted: October 19, 1995 |