
HITE, FANNING & HONEYMAN L.L.P.
100 N. Broadway, Suite 950
Wichita, KS 67202
Kim
R. Martens Telephone: 316-265-7741
Facsimile: 316-267-7803
E-mail: martens@hitefanning.com
May
17, 2007: Kansas
Workers Compensation Law Update - Significant 2007 Pro-Employer Change To Kansas Workers Compensation Law From The Kansas Supreme Court, But Not From The Kansas Legislature.
1. Results of the 2007 Kansas legislative session.
The 2007 Kansas Legislative
Session ended with no significant legislative change or amendment to the Kansas
Workers Compensation Act. Controversial
provisions put forward in past legislative sessions by both management and
labor went nowhere in 2007. However, in
light of the dramatic change to Kansas
workers compensation law issued by the Kansas Supreme Court in the Casco opinion
filed on March 23, 2007, and highlighted below, labor can be expected to
attempt to introduce some legislative change to the Act in upcoming
sessions. However, given the current
Republican dominated make up of the Kansas House and Senate, successful passage
of any legislation to reverse the effect of Casco appears unlikely at
this time.
2. The 2007 Kansas Supreme Court dramatically reverses its 1931
decision of Honn v. Elliott, 132 Kan. 454,
295 Pac. 719 that was the foundation for
the “parallel injury rule” that for 76 years served as the basis for bilateral
upper-extremity and lower extremity disabilities to be compensated as a general
body disability, instead of separate scheduled disabilities.
In Casco v. Armour Swift-Eckrich, ___ Kan. ___, 154 P.3d. 494 (2007
Kan. LEXIS 235), the Kansas Supreme Court issued a dramatic reversal of its own
precedent, abandoning the 76 year old “parallel injury rule” that originated
from its 1931 decision in Honn v. Elliott. In summary, the practical significance of Casco
is it will likely result in an immediate and significant reduction in the
disability compensation cost for employers of many pending and future bilateral
upper-extremity and lower-extremity claims.
In place of a detailed technical
legal analysis of the sweeping Casco decision, this limited discussion
will focus on the likely practical effect this new change in the law will have
on your existing and future bilateral upper-extremity and lower-extremity
disability claims.
But first, in an effort to quell
the shrill “sky is falling” cries from the claimant’s bar, that the Casco
decision has tilted the earth off its axis, and eviscerated the essential
“grand compromise” forming the basis for the entire Kansas Workers Compensation
Act, remember what Casco does not change. Casco
does not change the unlimited lifetime right to payment of all causally
related, reasonable and necessary, medical expenses, for all bilateral upper
and lower extremity injuries, free of any co-payments or deductibles for
injured workers. Casco does
nothing to ease the burden on employers of the cost of lifetime medical
expenses for these injuries. What the
Kansas Supreme Court has said Casco will accomplish is bring everyone
back to a point that was originally intended by the legislature when it
established the “schedule” of disabilities as the general rule, and
“non-scheduled disabilities” (general body disabilities) as the exception for
permanent partial disability compensation.
As a practical matter, the real
issue involved here is whether “work disability” compensation benefits are
available to injured workers with bilateral upper and lower extremity
injuries. Prior to Casco, the
routine bilateral carpal tunnel syndrome injury to a high wage earner in
Kansas, such as a highly paid aircraft industry worker that does not return to
work after the injury, would typically expose the employer to a maximum
$100,000.00 permanent partial general body “work disability compensation”
award. Under Kansas law, a general body disability award
qualifies at minimum for an award based on the functional impairment, but that
functional impairment percentage is but the mere floor, for the potential
ultimate compensation award. Work
disability compensation far in excess of the amount generated by the functional
award would become available to the injured worker if he/she was not working at
the time of the regular hearing, and that loss of employment was due to their
bilateral carpal tunnel injury and disability.
A common pre - Casco 2007
work disability compensation award for a high wage aircraft or other industrial
worker with bilateral carpal tunnel syndrome, which generates a 10% whole body impairment
rating from the doctor, where the worker could not return to work after being
issued permanent work restrictions, would be something similar to the following
benefit computation: 415 maximum weeks of compensation x 50% work disability =
207.5 compensable weeks x $483 maximum compensation rate = $100,222,50. This amount would automatically be reduced
down to the $100,000.00 cap for any permanent partial general body disability.
While upper-extremity injuries
generate “scheduled disabilities” under the Kansas statute, following the 76 year old
pre - Casco “Honn precedent,” workers compensation administrative
law judges would never have given the time of day to an argument by an employer
that permanent disability compensation for bilateral carpal tunnel syndrome
should be limited to that available to two separate scheduled
disabilities. The pre - Casco
bilateral carpal tunnel syndrome awards would have almost always been
calculated based on the much more economically generous general body work
disability compensation entitlement.
After Casco, that same
aircraft worker with a bilateral carpal tunnel syndrome injury with a
functional impairment rating of 10% to each upper-extremity would likely
receive something similar to the following permanent disability compensation
benefit computation: Right Upper-Extremity: 190 maximum weeks x 10%
impairment = 19 compensable weeks x $483 maximum weekly compensation rate =
$9,177.00; Left Upper-Extremity: 190 maximum weeks x 10% impairment = 19
compensable weeks x $483 maximum weekly compensation rate = $9,177.00. Adding together the right and left awards
would result in a total permanent scheduled disability compensation award of $18,354.00.
In summary, this hypothetical
illustrates that the pre - Casco bilateral carpal tunnel syndrome
disability compensation award would likely cost the high wage paying employer
$100,000.00 in permanent disability compensation benefits; whereas, under the Casco
separate schedule disability compensation award, the same set of injuries would
cost the employer $18,354.00.
One post Casco caveat
regarding single injury (as opposed to repetitive micro-trauma injury)
bilateral carpal tunnel and other similar combination extremity disability
claims - under the plain language of the Kansas permanent total
disability compensation statute, such combination disability claims could
potentially, under certain fact situations, be presumed to constitute a
$125,000.00 permanent total disability compensation award. It can be expected that in certain currently
pending, and future, bilateral upper and lower-extremity cases, claimants will
utilize the plain language of the permanent total statute, and attempt to
procure a $125,000.00 disability compensation award by invoking the permanent total
disability presumption by putting on evidence that the worker is essentially
and realistically unemployable from any type of substantial gainful
employment because of the injury. It is
critical in such currently pending cases, and future cases, for the employer to
put on evidence to rebut the presumption by putting on evidence that the
claimant is capable of engaging in some type of substantial and gainful
employment.
Employers should also be on the
alert for separate body part conditions to be “combined” into a “single injury”
via the “secondary injury” theory. The
“secondary injury” theory allows a subsequent, but separate, body part problem
to be combined with the original injured body part via the “natural and
probable consequence” rule to turn an otherwise inexpensive scheduled
disability into a $125,000.00 permanent total disability compensation
award. An example of this would be a
left knee injury that later causes an aggravation of a preexisting right knee
condition. Here the claimant would be
favoring the original injury to the left knee, resulting in the “secondary”
injury to the right knee by overcompensation.
Under the “secondary injury” rule, the right knee problem becomes a compensable
injury and the date of this right knee injury relates back to the date of the
original left knee injury via the natural and probably consequence
doctrine. The key for employers to avoid
this often hidden but dangerous exposure is to always present lay and/or expert
testimony that claimant is capable of engaging in some type of substantial and
gainful employment.
In short, employers must now pay
close attention to any bilateral or combination injury claims to see that they
are properly compensated as separate scheduled disabilities, and if they are
alleged as a single injury either directly, or indirectly through the
“secondary injury” rule, that there is evidence to rebut the permanent total
presumption that the claimant is incapable of engaging in any type of
substantial and gainful employment.