| Section 19(f) Recall Proper to Amend Penalties when
Miscalculated under McMahan |
| Bunnow
v. Industrial Comm'n |
| 327 Ill. App. 3d 1039, 765 N.E.2d 467, 262 Ill. Dec. 331 (1st Dist.
2002) |
|
On review the Industrial Commission issued an award including penalties.
The following day the Illinois Supreme Court issued the McMahon
decision allowing penalties for vexatious non-payment of medical
expenses. Before the Commission issued its decision, claimant filed
a petition for reconsideration under McMahon. The Commission's decision
awarded penalties but not for the non-payment of medical expenses.
Claimant then filed an amended motion to reconsider and a petition
under section 19(f) moving for the correction of a clerical error.
The appellate court ruled that a motion to reconsider is not a procedure
allowed by the Act. However, section 19(f) filings are allowed,
even at the Commission level. Since McMahon required penalties to
be calculated as (TTD benefits + medical expenses) * 0.5, the motion
under section 19(f) was proper. The appellate court remanded the
case with instructions to recalculate the penalties with the medical
expenses included in the calculation.
|
| Workers' Compensation Lien Attached to Wrongful Death
Settlement thus Eliminating an Award Under the Act |
| Padgett
v. Industrial Comm'n |
| 327 Ill. App. 3d 655, 764 N.E.2d 125, 261 Ill. Dec. 834 (1st Dist.
2002) |
|
Claimant was a child of the deceased injured worker and was a beneficiary
in a civil case against a hospital which allegedly caused the death
of the injured worker while receiving treatment for work related
injuries. The arbitrator found that the civil settlement was subject
to the employer's workers' compensation lien under section 5(b)
and amounted to more than claimant's potential recovery under the
Act. Respondent was entitled to a credit against the amount of its
liability to claimant up to the full amount of the civil settlement.
Thus, claimant was precluded from recovery under the Illinois Workers'
Compensation Act. The appellate court affirmed.
|
| Fall on Ice in Parking Lot Compensable when it Occurred
During Tasks of Employment |
| Homerding
v. Industrial Comm'n |
| 327 Ill. App. 3d 1050, 765 N.E.2d 1064, 262 Ill. Dec. 456 (1st Dist.
2002) |
|
Claimant slipped and fell in the rear of an icy parking lot of
a strip mall while making a second trip to her car to retrieve tools
of her trade as a beauty operator. The employer did not own or maintain
the parking lot. The arbitrator found the case compensable, awarded
benefits and penalties. The Industrial Commission reversed the arbitrator
and found the case not compensable. The appellate court reversed
the Industrial Commission and held the case compensable. It focused
on the fact that at the time of the accident claimant had already
begun her workday and was injured while performing a task that advanced
employer's interests. The trip to the car also allowed her to carry
out her usual employment duties.
|
| Vocational Rehabilitation Benefits May Not be Awarded
Under Section 19(b-1) |
| Mobile
Oil Corporation v. Industrial Comm'n |
| 327 Ill. App. 3d 778, 764 N.E.2d 539, 261 Ill. Dec. 924 (3d Dist.
2002) |
|
Claimant filed a 19(b-1) petition for TTD and medical benefits.
He also sought vocational rehabilitation benefits. The Arbitrator
awarded, TTD, medical expenses and awarded vocational rehabilitation
expenses and maintenance even though he had been released to return
to work. The Industrial Commission affirmed. The appellate court
held that vocational rehabilitation benefits and maintenance may
not be awarded as relief in a hearing conducted pursuant to section
19(b-1) of the Act.
|
| Aggravation of Degenerative Condition Not Compensable
|
| Sisbro,
Inc. v. Industrial Comm'n |
| 327 Ill. App. 3d 868, 764 N.E.2d 1163, 262 Ill. Dec. 46 (4th Dist.
2002) Reversed by IL
Sup. Ct. |
|
Claimant sought benefits for a degenerative condition in his right
foot. He twisted his right ankle in a pothole while delivering dairy
products for Sisbro. The Industrial Commission found the case compensable
and awarded benefits. The appellate court reversed the Commission.
It held that claimant was not entitled to compensation, regardless
of whether his condition of ill-being was caused by a work-related
aggravation of a preexisting condition, if his physical condition
was so deteriorated that his condition of ill-being could have been
produced by normal daily activity. The court acknowledged that claimant's
condition (Charcot arthropathy) was caused by the work injury but
denied compensation because any activity could have caused the condition
given his preexisting diabetic neuropathy.
|
| Aggravation of Pre-existing Hypertension Compensable
under "Mental-Physical" Analysis |
| City
of Springfield v. Industrial Comm'n |
| 328 Ill. App. 3d 448, 766 N.E.2d 261, 262 Ill. Dec. 641 (4th Dist.
2002) |
|
Claimant was assigned to duties as a detective investigating criminal
activities by juvenile offenders, interviewing suspects and victims
of crime, and making arrests, including drug arrests at crack houses.
He investigated gang activity and his life had been threatened many
times. He was diagnosed with hypertension in the early 1990. His
treating physician opined that the claimant's hypertension had been
exacerbated by his stressful job duties and that his hypertension
was uncontrollable in his workplace. He further opined that the
claimant was disabled from his job and that continued work in law
enforcement would be detrimental to the claimant's health. The arbitrator
denied benefits and the Industrial Commission reversed. The appellate
court affirmed the Industrial Commission. It rejected respondent's
argument that the case had to be analyzed under either a "mental-mental"
theory or the "physical-mental" theory. The court held
that claimant was not seeking compensation for psychological injuries
so a "mental-physical" analysis was appropriate. Claimant
must prove only that some act of employment was a causative factor,
not the sole, or even the principal causative factor. The case was
compensable since it was uncontroverted that the claimant's job-related
stress aggravated his pre-existing hypertension (a physical condition)
to the point where the claimant could no longer engage in police
work without endangering his health.
|
| Widows Claim Denied when Decedent Corporate Officer
Elected to Exclude Self from Coverage |
| D.
Mayer Landscaping v. Industrial Comm'n |
| 328 Ill. App. 3d 853, 767 N.E.2d 821, 263 Ill. Dec. 95 (1st Dist.
2002) |
|
Claimant was the widow of a corporate officer of killed while working
in his own landscaping business. Decedent previously elected to
exclude himself from coverage under the Act. The court rejected
the widow's claim that decedent was acting in a dual capacity when
he was killed. It also rejected the widow's claim that her right
to sue under the Act was independent and therefore not dependent
on the decedents' election to exclude himself under the policy of
insurance. Thus, benefits were denied.
|
| Penalties Proper on Non-Payment of PPD Award when
only Medical Bills Disputed on Review |
| Zitka
v. Industrial Comm'n |
| 328 Ill. App. 3d 844, 767 N.E.2d 405, 262 Ill. Dec. 945 (1st Dist.
2002) |
|
The arbitrator awarded 73 3/7 weeks TTD and 45% man as a whole
plus all medical bills submitted by claimant. Respondent filed a
timely petition for review of the case but challenged only the medical
award. The Industrial Commission revised the medical award and remanded
the case to the arbitrator for further testimony on the issue. Shortly
prior to the Commission's decision was issued, claimant filed a
petition for penalties under sections 19(k) and 19(l). Respondent
paid the PPD and TTD award shortly after receiving the Commission's
decision. At the hearing on the petition for penalties, the Commission
awarded penalties against the respondent for failing to pay the
PPD and TTD awards in a timely fashion. The penalties amounted to
$32,791 under 19(k) and $6,558 under 19(l). The appellate court
affirmed finding that respondent had waived any challenge to the
PPD and TTD awards, thus the awards were payable immediately. Failure
to pay these awards supported penalties even though the medical
benefit aspect of the case was on review.
|
| Pertillo Doctrine Applies to Workers' Compensation
Cases and Precludes Exparte Communications with Claimants Health Care
Providers |
| Hydraulics
v. Industrial Comm'n |
| 329 Ill. App. 3d 166, 768 N.E.2d 760, 263 Ill. Dec. 679 (2d Dist.
2002) |
|
Counsel for respondent sent a videotape and a job description to
claimant's treating physician and asked whether the evidence changed
his mind as to causation. The doctor clarified his opinion by stating
that no causal connection existed between the injury and the work
activities. The arbitrator excluded the testimony as a violation
of the Petrillo Doctrine which precludes ex-parte communications
with health care providers as a violation of the physician patient
privilege. The Industrial Commission affirmed as did the appellate
court. It held that Petrillo applies to worker's compensation cases.
The court noted that workers' compensation practice, while not subject
to discovery procedures as provided under the Code of Civil Procedure,
nonetheless has analogous avenues for securing information from
treating physicians. It state that every competent, non-ex-parte
method of acquiring medical information referenced in Petrillo as
a basis for barring ex-parte contact, including subpoenas, release
of relevant records, interrogatories, oral depositions, and live
testimony, can be found in an analogous form within the Workers'
Compensation Act.
|
| McMahan v. Industrial Comm'n Applies Retroactively |
| American
Airlines v. Industrial Comm'n |
| 328 Ill. App. 3d 343, 766 N.E.2d 1132, 262 Ill. Dec. 829 (1st Dist.
2002) |
|
The appellate court held that McMahan v. Industrial Comm'n 183
Ill. 2d 499 (1998) allowing penalties for non-payment of medical
expenses applies retroactively.
|
| Mental Stress Causally Related to Gastrointestinal
Illness |
| Baggett
v. Industrial Comm'n |
| 201 Ill. 2d 187, 775 N.E.2d 908, 266 Ill. Dec. 836 (2002) |
|
The Illinois Supreme Court reversed the Industrial Commission,
holding that it applied the wrong legal standard to a "mental-physical"
claim. Claimant, a high school industrial arts teacher for the Marion
school district (District), collapsed at work from gastrointestinal
tract bleeding which led to a myocardial infarction, cardiac arrest,
and resulting anoxic brain damage, rendering him permanently and
totally disabled. Claimant alleged that the mental stress from his
job was a causative factor in the development of the peptic ulcer
that led to his disability. The arbitrator awarded benefits but
the Industrial Commission held that petitioner failed to prove that
he had an accident under the Act because there was no evidence that
he was subject to more stress than hi co-workers and that there
was no unusual job stress at the time of his collapse. The appellate
court affirmed the Industrial Commission. The Supreme Court reviewed
the case de novo, finding that the Industrial Commission and appellate
court applied improper legal standards. It held that claimant need
only prove that some act or phase of the employment was a causative
factor of the resulting injury. Moreover, claimant need only prove
that the usual job stress is greater than those facing the general
public. He is not required to prove that the job stress is greater
than that of coworkers or that unusual levels of stress existed
at the time of injury. The court found that claimant's job as a
school teacher subjected him to stress greater than the general
public and that the work stress was a causative factor in the aggravation
of his ulcer which led to his disablement. The arbitrator's award
of permanent total disability was reinstated.
|
| Decision of Improperly Constituted Commission Panel
is Null and Voids |
| Daniels
v. Industrial Comm'n |
| 201 Ill. 2d 160, 775 N.E.2d 936, 266 Ill. Dec. 864 (2002) |
|
The Commission's appointment of two arbitrators to fill vacancies
on panel "B" was beyond the statutory authority of the
Commission because it was up to the Governor to appointment replacements.
Thus, the decision of the commission was null and void. The case
was remanded to the Commission for another hearing.
|
| Failure to Award Wage Differential not Against Manifest
Weight of Evidence |
| Pietrzak
v. Industrial Comm'n |
| 329 Ill. App. 3d 828, 769 N.E.2d 66, 263 Ill. Dec. 864 (1st Dist.
2002) |
|
The appellate court affirmed the Commission's permanency award
rather than a wage differential when evidence of a labor market
survey supported the existence of jobs within claimant's restrictions
at or near his prior wage level. The fact that claimant selected
a job earning substantially less the his pre-injury earnings was
not sufficient to require a wage differential award.
|
| Commission Lacked Subject Matter Jurisdiction where
City of Chicago Passed Ordinance Precluding Recovery by Police Officers
and Firefighters under the Act |
| Jones
v. Industrial Comm'n |
| 335 Ill. App. 3d 340, 780 N.E.2d 697, 269 Ill. Dec. 225 (3d Dist.
2002) |
|
Claimant police officers and firefighters were precluded from seeking
benefits under the Act because the City of Chicago passed an ordinance
providing for medical care and precluding recovery under the Illinois
Workers' Compensation Act. The fact that the City stipulated to
jurisdiction during trial had no impact on the Commission's subject
matter jurisdiction because it cannot be waived, stipulated to or
consented to by the parties. Further, subject matter jurisdiction
may be raised at any time and may be raised sua sponte if necessary.
|
| Retroactive Pay Raise Included in Average Weekly Wage
Calculation |
| City
of Chicago v. Industrial Comm'n |
| 331 Ill. App. 3d 402, 770 N.E.2d 1208, 264 Ill. Dec. 512 (1st Dist.
2002) |
|
The arbitrator awarded permanent total benefits based on an AWW
of $670.82, excluding a retroactive pay raise because the raise
was not in effect at the time of the injury. The Commission reversed
the arbitrator and included the pay raise, increasing the AWW to
$698.83. The appellate court affirmed the Commission, finding that
section 10 of the Act required inclusion of the retroactive pay
raise because it was remuneration for work he completed during the
relevant 52-week period prior to the injury.
|
| Credit Allowed for prior Settlement in Iowa under
Section 8(e) |
| Keil
v. Industrial Comm'n |
| 331 Ill. App. 3d 478, 771 N.E.2d 626, 264 Ill. Dec. 922 (3d Dist.
2002) |
|
Claimant received an award of 50% of a leg but the arbitrator refused
to give credit for a prior settlement in Iowa for 17.5% or the same
leg. The Commission applied the credit in whole. The appellate court
held that the statue does not restrict such credits to Illinois
claims and affirmed the Commission's application of the credit.
The manner in which the credit is to be determined is a factual
matter for the Commission.
|
| Claimant Not Entitled to Additional Compensation and
Fees Under Sections 19(k) and 16(l) After 19(g) Proceedings Instituted |
| Preston
v. Industrial Comm'n |
| 332 Ill.App.3d 708, 773 N.E.2d 1183, 266 Ill.Dec. 113, Ill.App.
3 Dist., Jul 08, 2002 |
|
The appellate court affirmed the Industrial Commission's denial
of a claim for additional compensation under 19(k) and 16(l) after
claimant had already instituted proceedings under 19(g) to collect
the Industrial Commission's award. The existence of a final arbitrator's
award or Commission decision is a prerequisite to initiating a section
19(g) action. Thus, no additional compensation could be awarded
after petitioner sought his 19(g) judgment in circuit court.
|
| Penalties Under Section 19(k) and 16(l) Should Not
be Assessed Against PPD Award |
| National
Manufacturing v. Industrial Comm'n |
| 331 Ill.App.3d 1045, 780 N.E.2d 703, 269 Ill.Dec. 231, Ill.App.
3 Dist., Jun 05, 2002 |
|
The Industrial Commission awarded 40% of a leg and 6 1/7 week TTD
and further held that TTD was improperly withheld. It awarded penalties
under sections 19(k) and 16(l) based on 50% of the entire award
including the permanency award. The appellate court reversed and
found that the penalties should be calculated only on the TTD improperly
withheld. Penalties should not be calculated against the permanency
since it was not due and owing at the time of the award.
|
| Termination of TTD Based On Skipped IME Not Proper
Where Insufficient Expenses Advanced |
| Anders
v. Industrial Comm'n |
| 332 Ill. App. 3d 501, 773 N.E.2d 746, 266 Ill. Dec. 11 (4th Dist.
July 2002) |
|
The Industrial Commission's award of TTD and penalties was affirmed
despite the fact that claimant missed a section 12 independent medical
exam. The expenses advanced were insufficient to defray the cost
of travel to the exam and the claimant never received the train
ticket sent by the employer. Thus, TTD was properly awarded and
penalties were appropriate.
|
| Industrial Commission Has No Jurisdiction to Pierce
Corporate Veil |
| JMH
Props. v. Industrial Comm'n |
| 332 Ill. App. 3d 831, 773 N.E.2d 736, 266 Ill. Dec. 1 (4th Dist.
July 2002) |
|
Claimant filed two applications for adjustment of claim following
an incident in which he was electrocuted while at work. One was
against his employer, and the other was against the principal stockholder
of the employer. Following a hearing, an arbitrator denied the claim
against the principal stockholder but awarded benefits against the
employer. Neither of those decisions was appealed. Claimant then
filed in circuit court for a judgment on the award against the employer
and a second count against the principal stockholder trying to pierce
the corporate veil. Judgment was entered against the employer, but
the claim against the principal stockholder was dismissed. The dismissal
was not appealed. Claimant then sought relief at the Industrial
Commission to pierce the corporate veil. The arbitrator found against
the principal stockholder and pierced the corporate veil. The Industrial
Commission affirmed. The appellate court reversed, finding that
the Industrial Commission had no jurisdiction to pierce the corporate
veil. It noted that the Industrial Commission, as an administrative
agency, has no general or common law powers. The only powers it
possesses are those granted to it by the legislature, and any action
it takes must be specifically authorized by the legislature. To
the extent that an agency acts outside its statutory authority,
it is without jurisdiction. Piercing the corporate veil is an equitable
remedy, and thus, beyond the jurisdiction of the Industrial Commission.
|
| Spoliation Claim Not Barred By Exclusivity Provision
of Act |
| Schusse
v. Pace Suburban Bus Div. of the Reg'l Transp. Auth. |
| 334 Ill. App. 3d 960, 779 N.E.2d 259, 268 Ill. Dec. 645 (1st Dist.
August 2002) |
|
Plaintiff, an employee of defendant, was driving a Pace bus when
the driver's seat collapsed, allegedly causing a spinal cord injury
to plaintiff. Plaintiff made a statement regarding his injury in
a workers' compensation form and submitted the statement to Pace.
Plaintiff applied for workers' compensation benefits. Defendant
replaced the suspension system for the driver's seat in the bus
at issue in October 1990 and apparently destroyed the original seat.
Plaintiff filed claims against the manufacturer of the seat and
also filed a spoliation of evidence claim against his employer.
The circuit court granted the employer's section 2-619 motion to
dismiss under the exclusivity provision of the Act. The appellate
court reversed. It held that the spoliation claim did not arise
out of and in the course of plaintiff's employment with defendant
and, therefore, was not barred by the exclusivity provision of the
Act.
|
| Exclusivity Provision of the Act Not Applicable to
Injuries of Former Employees |
| Hunter
v. Southworth Prods. Corp. |
| 333 Ill. App. 3d 158, 775 N.E.2d 238, 266 Ill. Dec. 676 (4th Dist.
August 2002) |
|
Decedent was employed by Exxon Mobil at the time it installed and
modified a lift table in its plant. Subsequently, Exxon Mobil sold
the plant to Tenneco who continued to use the lift table. Decedent
was killed when the lift table fell on him while he was employed
by Tenneco. Exxon Mobil asserted the exclusivity provisions of the
Act as a bar to a third-party complaint filed against it. The issue
was certified on appeal. The appellate court rejected the holding
of an Oregon court that applied the exclusivity provisions to such
facts. The appellate court distinguished the language of the Illinois
Workers' Compensation Act and held that Exxon Mobil was not entitled
to the protection of the exclusivity provision of the Act because
the Act defines "employer" and "employee" and
authorizes recovery under the Act for injuries incurred when the
employee is engaged in the line of duty as an employee. It was undisputed
that Exxon Mobil was not the employer at the time of injury.
|
| Concurrent Jurisdiction Exists Under Illinois Workers'
Compensation Act and Longshore and Harbor Workers' Compensation Act
for Land Based Injuries |
| McCoy
v. Industrial Comm'n |
| 335 Ill.App.3d 723, 781 N.E.2d 365, 269 Ill.Dec. 568, Ill.App. 1
Dist., Sep 26, 2002 |
|
Decedent was working on a dock untying the ropes of a ship that
was about to leave shore. As he was attempting to untangle the ropes,
members of the ship's crew began to pull in the ropes. The decedent
slipped and fell into the water, where he subsequently drowned.
The Industrial Commission held that the Longshore and Harbor Workers'
Compensation Act (33 U.S.C. §901 et seq. (1998)) provided the
exclusive source of jurisdiction over the claim and denied the claim.
The appellate court reversed. Under the Jensen doctrine, if the
injury occurred on navigable water while the decedent was performing
traditionally maritime functions, then the Commission does not have
jurisdiction over the claims. If, however, the injury occurred on
the dock rather than on the water then the Commission has jurisdiction.
Applying the reasoning of the Supreme Court in Taylor and Minnie,
the appellate court held that the decedent's slip on the dock gave
rise to his claim for benefits. Since this act took place on land,
his injury was land based and the Industrial Commission has concurrent
jurisdiction with the Federal Act. Other key words: longshoreman,
Jones Act, admiralty
|
|