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CHAPTER VIII.
NATURE & EXTENT OF DISABILITY |
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§ 8.01 Generally
- December 1999. (Award) Board considered argument that opinion of the treating physician should be given greater
weight than the opinions of physicians employed by the parties for the litigation. The Board noted a treating
physician may have an advantage in observing and noting a worker's signs and symptoms but every situation is
unique. Board stated it would be improper to always give greater weight to treating physician. McLemore v.
Coleman Company, Inc., Docket No. 234,347.
- July 1998. (Award) The extent of disability of an injured worker is a question of fact; therefore, the fact finder is
free to consider all of the evidence and decide for itself the percentage of disability. The numbers testified to by the
physicians are not absolutely controlling. See Tovar v. IBP, Inc., 15 Kan. App. 2d 782, 817 P.2d 212, rev. denied
249 Kan. 778 (1991). Supsurit v. IBP, Inc., Docket No. 206,638.
- December 1996. (Award) It is the situs of the resulting disability and not the situs of the trauma which determines
a claimant's entitlement to workers compensation benefits. See Bryant v. Excel Corp, 239 Kan. 688, 722 P.2d 579
(1986). Button v. Central Mechanical Construction and Transportation Insurance Company, Docket No. 177,161.
- ----- See Also, Edmonds v. Lawrence Memorial Hospital and Phico Insurance Company, Docket No. 192,329
(December 1996); Blindt v. Midwest Drywall and Liberty Mutual Insurance Company, Docket No. 213,959
(February 1999).
8.02 General Body Disability
8.03 Generally
- June 2000 (Award) Retirement will not prevent a claimant from receiving a work disability, but it does not
automatically entitle a claimant to work disability benefits. The Board concluded under the circumstances of this
case the claimant's award would be limited to functional impairment because her retirement was for reasons other
than a compensable injury. Betty Remfry vs. State of Kansas and State Self-Insurance Fund, Docket Nos. 239,601 &
239,602.
- June 2000 (Award) The Board affirmed the ALJ denial of work disability. The claimant's award was limited to
functional impairment because her termination of employment where she was earning a comparable pre-injury wage
was voluntary and not related to her injury. Dorothy Jean Kipp vs. Dillon Companies, Inc., Docket No. 236,475.
- February 2000. (Award) Board considered simultaneous injury to right wrist and right ankle to determine nature
and extent of disability and specifically whether this should be treated as two scheduled injuries or body as a whole
injury. Board found, considering provisions of K.S.A. 44-510c(a)(2) that this should be treated as body as a whole.
That statute creates a permanent total disability for injuries involving both arms, both feet, and both legs, or any
combination thereof, and thereby treats the combination as a whole body injury. Pruter v. Larned State Hospital,
Docket No. 241,765 [Reversed and remanded by Court of Appeals opinion, Docket No. 84,865, December 15,
2000].
- December 1999. (Award) Board held that where both hands and arms are simultaneously injured, the injury is
compensable as an injury to the body rather than a "scheduled" injury despite the fact that the symptoms in each
upper extremity began at different times. Gibson v. IBP, Inc., Docket No. 208,554 [Affirmed by unpublished Court
of Appeals opinion, Docket No. 84,650, December 8, 2000].
- July 1998. (Award) For a general body disability, a claimant is entitled to either the functional impairment or, if
claimant does not earn a wage after the injury equal to 90 percent or more of the pre-injury wage, claimant may be
entitled to a higher work disability. K.S.A. 44-510e. Milner v. American Drug Stores, Inc d/b/a Osco Drug and
Kemper Insurance Company, Docket No. 198,875. [Affirmed by unpublished Court of Appeals opinion, Docket No.
81,675, December 23, 1999.]
8.04 Functional Impairment
- July 2000 (Award) The $50,000 limit for awards based on functional impairment applies to repetitive trauma
injuries. Rebecca S. Matin vs. Outside Connections, Inc. and CGU Insurance Company and Wausau Insurance
Company, Docket No. 236,835.
- January 2000. (Award) Board approved use of Table 16 in the Fourth Edition to the AMA Guides to evaluate
impairment for entrapment neuropathy even after surgery. Kuhn v. Micro-Lite, LLC, Docket Nos. 236,395 &
236,732.
- January 2000. (Award) The Board found the examining physician's rating could be considered as based on the
AMA Guides even though physician did not use inclinometer to measure range of motion. Although the method did
not strictly comply with the Guides, the physician measured range of motion and the rating was generally based on
the Guides. Gravenstein v. City of Topeka, Docket Nos. 230,090 & 241,877.
- January 2000. (Award) The Board examined paragraph found on page 19 of the Fourth Edition of the AMA
Guides relating circumstances where alternation of activities reduces symptoms of repetitive trauma injury. The
Board reviewed those provisions to determine whether 0 percent rating by one of the testifying physicians was
justified by the AMA Guides. The Board concluded a 0 percent rating would be appropriate only if, in addition to
the symptoms reduced by alteration of activities, the evidence showed absence of symptoms, normal physical exam,
and normal laboratory studies. Evans v. Kansas Humane Society of Wichita, Docket No. 230,210.
- January 2000. (Award) The Board reviewed provisions of AMA Guides for rating of burn injuries and found in
this case the burn placed claimant's impairment in Class 2 found in Table 2. The Board, therefore, affirmed the
award of 20 percent, a rating within the range of 10 to 24 percent for Class 2. Franklin v. National Byproducts, Inc.,
Docket No. 230,661.
8.05 Generally
- December 1999. (Award) Where claimant suffers aggravation of original injury that is a direct and natural
consequence of the original injury, the version of the AMA Guides applicable at the time of the original injury will
govern determination of functional impairment. Simmons v. Flint Hills Job Corps, Docket No. 209,343 [Affirmed as
modified by unpublished Court of Appeals opinion, Docket No. 84,569, December 22, 2000].
- November 1998. (Award) Functional impairment defined as the extent expressed as a percentage of the loss of a
portion of the total physiological capabilities of the human body as established by competent medical evidence
based upon the AMA Guides to the Evaluation of Permanent Impairment. Arnold v. Meier's Ready Mix, Inc and
Kansas Aggregate Ready Mix Assoc., Docket No. 205,689 [Affirmed by unpublished Court of Appeals opinion,
Docket No. 82,466, November 12, 1999.]
- See Also, Strickland vs. Feed Mercantile and Kansas Livestock Association, Docket No. 233,738 (November
2000).
- October 1998. (Award) Claimant is entitled to functional impairment for his work-related injury regardless of
whether the injury was the result of an accident or occupational disease. Wright v. Plunkett Feedlot and EMC
Insurance Company, Docket No. 173,322.
- September 1998. (Award) Claimant contended she suffered injuries to her right elbow and left thumb. The dispute
on appeal related to the difference between the functional impairment ratings given by two different doctors. Both
doctors indicated their ratings were given pursuant to the Fourth Edition of the AMA Guides. One doctor gave
claimant an impairment rating of 5 % to the right upper extremity but concluded claimant had no functional
impairment to the left. The second doctor diagnosed bilateral carpal tunnel syndrome as well as ulnar nerve
entrapment. The Board agreed with the ALJ and second doctor and found the diagnosis of bilateral carpal tunnel
syndrome to be the more credible diagnosis. Hannah v. Kreonite, Inc and Continental Western Insurance Co,
Docket No. 230,249 ( September 1998).
- September 1998. (Award) Where claimant's date of accident was found to be December 10, 1996, the functional
impairment rating is to be determined according to the Fourth Edition of the AMA Guides to the Evaluation of
Permanent Impairment, if the impairment is contained therein. K.S.A. 1996 Supp. 44-510e. Martin v. Customized
Transportation, Inc and Reliance National Indemnity Company, Docket No. 219,398.
- ----- Respondent argues that the doctor improperly relied on the provisions on page 63 of the Fourth Edition of the
AMA Guides to justify variance from the Guides. The Board agrees with respondent's argument on this point.
Where the only imaging techniques done are the normal x-rays, such techniques cannot be used to justify increasing
the rating or giving a rating where none is otherwise warranted. Id.
- ----- Respondent next argues that the rating should be 0 percent based on the hypothetical example given on page
19 of the Fourth Edition of the Guides. The example given is of an individual with a repetitive trauma injury who
develops pain and swelling while working but has a normal examination and the symptoms are relieved when she
stops the work activity causing the symptom. Even though it is clear she cannot continue in the same work, the
Guides indicate she has no permanent impairment. The Board disagrees with respondent's contention that this
hypothetical requires a 0 percent rating in this case. The circumstances of this case differ from the hypothetical. In
this case the doctor has concluded claimant has flexor compartment syndrome. He testified that flexor compartment
syndrome may require surgery if claimant continues with tasks that put force on his arms. These factors do, in the
Board's opinion, distinguish the facts in this case from those in the hypothetical. Id.
- ----- But See Dissent, the dissenting Board Members would find that claimant has not met his burden of proving he
has a permanent impairment based on the AMA Guides as required by K.S.A. 1996 Supp. 44-510e. Id.
- See also, Mabe v. Raytheon Aircraft Company and Workers Compensation Fund, Docket Nos. 174,765 & 222,521
(June 1999).
- August 1998. (Award) Two physicians expressed opinions on claimant's functional impairment--one pursuant to
AMA Guides Third Edition and one pursuant to the Fourth Edition. Held, effective April 4, 1996, the legislature
amended K.S.A. 44-510e(a) to require functional impairment to be established based upon the Fourth Edition of the
AMA Guides, if contained therein. Therefore, since claimant's date of accident was April 27, 1996, the Fourth
Edition of the AMA Guides should be used to measure claimant's functional impairment. In the case at hand, the
only competent medical opinion was found to be that based upon the Fourth Edition. Hollie v. Riverside Hospital
and Phico Insurance Company, Docket No. 213,147.
- July 1998. (Award) Where the AMA Guides conflict with a specific statute, the statute controls. Munoz v.
National Beef Packing and Wausau Underwriters, Docket No. 208,340 [Affirmed by unpublished Court of Appeals
Opinion, Docket No. 81,687].
- July 1998. (Award) Functional impairment is required to be based on the AMA Guides if the impairment is
contained therein. See K.S.A. 44-510e(a). If the impairment is not contained therein, the Appeals Board finds the
physician is free to express his/her personal opinion of functional impairment. Supsurit v. IBP, Inc., Docket No.
206,638.
- March 1998. (Award) Proof of permanent functional impairment based upon the AMA Guides is not essential for
a claimant to receive compensation based on a work disability. See, McLaughlin v. Excel Corporation, 14 Kan.
App. 2d 44, 783 P.2d 348, rev. denied 245 Kan. 784 (1989). Waggoner v. Fiberglass Engineering, Docket No.
199,827.
- January 1998. (Award) Despite the fact the AMA Guides to the Evaluation of Permanent Impairment, Third
Edition (Revised), do not specifically address claimant's rib fractures and a pneumothorax, the assessment of a 7
percent functional impairment is held proper where it has been established by competent medical evidence. Schwarz
v. Lifetouch National School Studios and Liberty Mutual Insurance Company, Docket No. 204,404.
- ----- The fact that the AMA Guides to the Evaluation of Permanent Impairment, Third Edition (Revised), do not
specifically address the injuries in question does not preclude a finding of a functional impairment. Id.
- December 1997. (Award) K.S.A. 44-510e states that the extent of permanent partial general disability shall not be
less than the percentage of functional impairment." Therefore, where claimant has a 26 percent permanent
impairment to the body as a whole on a functional basis, and where claimant's work disability is less than the
established functional impairment, claimant is entitled pursuant to K.S.A. 1994 Supp. 44-510e to the 26 percent
permanent partial disability to the body as a whole. Peres v. Beachner Construction Company, Inc. and Aetna
Casualty & Surety Company, Docket No. 210,614.
- October 1997. (Award) Where claimant does not show the extent of his disability according to the AMA Guides,
Third Edition (Revised), and has not established that the condition is not covered by the AMA Guides, Third Edition
(Revised), the Appeals Board finds claimant has not met his burden to show the extent of his functional impairment.
The work disability that appears to be less than the functional impairment controls the award of permanent partial
disability in this case. Walker v. General Motors Corporation and Kansas Workers Compensation Fund, Docket
Nos. 196,172 & 196,173.
- ----- K.S.A. 44-510e(a) provides that functional impairment must be based on the Third Edition (Revised) of the
AMA Guides if the impairment is contained therein. Id.
- September 1997 (Award) Where claimant's functional impairment rating exceeded his work disability percentage,
claimant was entitled to permanent partial disability based upon the higher functional impairment rating. Jones v.
Target West, Dayton/Hudson Corp. and Kansas Workers Compensation Fund, Docket No. 199,274.
- July 1997. (Award) Where claimant injuries both the right and left upper extremities without simultaneous
aggravation, the Appeals Board finds claimant is entitled to two functional impairments, one to the right upper
extremity and one to the left upper extremity, under K.S.A. 44-510d. Atwood v. City of Wichita and Kansas
Workers Compensation Fund, Docket No. 192,202.
- April 1997. (Award) Where there is a stipulation as to the percentage of functional impairment, this becomes the
minimum amount of permanent partial general disability. K.S.A. 1992 Supp. 44-510e(a). Respondent must then
pay this amount of stipulated functional impairment and claimant may have a remedy under K.S.A. 44-512b --
Interest Statute-- for respondent's failure to pay the minimum amount of compensation that would be due pursuant
to the stipulation as to functional impairment. Under that statute, failure to pay compensation prior to an award
without just cause can result in an interest penalty. Lyons v. Southwestern Bell Telephone Company, Docket No.
184,807.
- April 1994. (Award) Eighty-five percent functional impairment rating considered and used as basis for award even
though it may not have followed AMA Guides, where date of accident was prior to July 1, 1993 changes in law, the
rating was the only one evidence and the rating was not so unreasonable that it should be disregarded. McNeeme v.
Hyplains Dressed Beef, Inc, Docket No. 155,767.
8.06 Preexisting Functional Impairment
- June 2000. (Award) K.S.A. 44-501(c) requires proof that a ratable functional impairment preexist the work-related
accident. However, it is not required that the functional impairment was given a rating or that the claimant had
formal medical restrictions. What is critical is that the condition is an impairment somehow limiting the claimant's
abilities or activities. Andrew E. Bradford vs. Manhattan Mercury/Seaton Publishing Company and Cincinnati
Insurance Companies, Docket No. 210,583.
- See Also, Esparza vs. National Beef Packing Company and Wausau Insurance Companies, Docket No. 239,452
(September 2000).
- May 2000. (Award) The claimant was found permanently and totally disabled from an injury that aggravated a prior
injury. K.S.A. 44-501(c) governs the reduction of an award for a prior injury. The pre-existing impairment is
converted into the number of weeks that would be paid for the pre-existing impairment. These "weeks" are then
subtracted from the weeks that would otherwise be paid for the permanent total disability. Terry L. Boyer vs. Binney
& Smith, Inc. and Royal Insurance Company, Docket No. 228,897.
- See Also, Parrish vs. Russell Stover Candies and Hartford Accident & Indemnity, Docket No. 233,990 (December
2000).
- December 1999. (Award) Board held that preexisting impairment should not be deducted from award where
respondent has not proven a basis for determining extent of preexisting functional impairment. Dissent would hold
that claimant has burden to prove extent of impairment resulting from the new injury. Larsen v. KTC, Inc., Docket
No. 234,170.
- See Also, Gary L. Park vs. Smith Temporary Services and Legion Insurance Company, Docket No. 230,788 (May
2000).
- July 1999. (Award) Credit for preexisting functional impairment per K.S.A. 1996 Supp. 44-501(c) not given where
physician's testimony regarding percent of current and preexisting impairment was not based upon the Fourth
Edition of the AMA Guides, as was required by statute. Edwards v. D & M Masonry and TIG Insurance Group,
Docket No. 220,839.
- July 1999. (Award) In order for a K.S.A. 44-510a (Ensley) credit to apply, the amount of the preexisting disability
that contributed to the overall disability following the later injury has to be proven. In the case at hand, where the
record does not contain sufficient information to determine the percentage that claimant's settlement of his 1989
injury contributed to claimant's overall disability following the 1993 injury, the Board found that the request for a
credit as prescribed by K.S.A. 44-510a (Ensley) is denied. Rando v. Texaco Refining & Marketing and Cigna and
Kansas Workers Compensation Fund, Docket No. 187,546 (July 1999).
- June 1999. (Award) Credit under K.S.A. 44-501(c) for claimant's preexisting disability denied where there is no
competent medical evidence stating what percentage of claimant's current disability is due to the preexisting
impairment. The Board found the physician's "coin toss" approach in which the physician said he could not
determine the preexisting functional impairment in a rationale way and simply assigned 50 percent of claimant's
functional impairment to be preexisting was not an effective way to assign preexisting disability in workers
compensation cases. Everly v. Dillon Companies, Inc., Docket No. 223,739 [Affirmed by unpublished Court of
Appeals opinion, Docket Nos. 83,606 & 83,613, May 19, 2000].
- April 1999. (Award) K.S.A. 44-501(c) requires that any award of compensation be reduced by the amount of
functional impairment determined to be preexisting. In the case at hand, claimant had a preexisting impairment of 5
percent. A permanent total disability differs from a 100 percent permanent partial disability. A permanent total
disability pays benefits of $125,000 at a weekly compensation rate based on the calculation set forth in K.S.A. 44-510c. A 100 percent disability, on the other hand, would pay the weekly compensation rate for 415 weeks, but not
to exceed $100,000. K.S.A. 1996 Supp. 44-510e. As a result, one cannot deduct the percentage of impairment in
exactly the same way one would with a permanent partial disability. One cannot deduct the percentage of
preexisting disability from the percentage of disability found. The Board concluded, however, that the logical
alternative would be to deduct the number of weeks represented by the preexisting disability, in this case 20.75
weeks for a 5 percent disability, from the number of weeks of benefits to be paid for the permanent total disability.
In this case, the permanent total disability would be paid at $293.35 per week for 23.14 weeks of temporary total
disability and 402.97 weeks of permanent disability for a total of $125,000. With the 20.75 weeks deducted, the
award in this case was found to be for 23.14 weeks of temporary total disability at $293.35 per week and 382.22
weeks (402.97 - 20.75 = 382.22) of permanent total disability at $293.35 per week for a total award of $118,912.36.
Horton v. Bob's Super Saver Country Mart Cadwell's Country Mart and Crum & Forster Insurance Company
United States Fire Insurance North River Insurance Company, Docket Nos. 220,167 &220,168 [Affirmed by
unpublished Court of Appeals opinion, Docket No. 83,289, February 18, 2000]..
- March 1999. (Award) When there are preexisting work restrictions, the permanent partial general disability rate
for the new accident is determined based upon the new restrictions ONLY. Nothing is deducted for the preexisting
functional impairment. Reed v. Central Sand Company, Inc and Travelers Insurance Company, Docket No.
216,797.
- August 1998. (Award) Respondent argues that the permanent partial disability awarded claimant should be reduced
based on a physician's opinion that claimant's preexisting 1990 low back injury contributed 25 percent to claimant's
present 7 percent permanent functional impairment rating. The Appeals Board, however, found that respondent
failed to prove that claimant had a preexisting functional impairment that required a credit under K.S.A. 44-501(c).
This decision was based upon the fact that claimant was released after the 1990 injury to return to her regular work
without any permanent restrictions and with no permanent functional impairment rating. Additionally, claimant
testified she remained asymptomatic until the 1994 accident in question. Lodwick v. Rubbermaid Specialty
Products, Docket No. 204,829.
- May 1998. (Award) In the absence of medical evidence to indicate there was a loss of a portion of the claimant's
total physiological capabilities prior to the accident, a credit pursuant to K.S.A. 44-501(c) is not warranted for an
asymptomatic preexisting condition. Further, a preexisting impairment that does not result in, for example,
restrictions or a rating under the AMA Guides, is not a preexisting impairment to be deducted from the injury.
DeClements v. John Stalcup d/b/a J & S Trucking and Kansas Workers Compensation Fund, Docket No. 205,037.
- See Also, Cano v. Andy Machey, Docket No. 202,489 (March 1997); Fenwick v. Sterling Presbyterian, Docket No.
206,618 (April 1997).
- April 1998. (Award) K.S.A. 44-501(c), which allows a reduction for preexisting functional impairment, is not
applicable when a worker has an unknown, asymptomatic condition that neither disables nor restricts nor impairs the
individual in any manner. Thornton v. Premier Wine & Spirits, Inc and CNA Insurance Companies, Docket No.
193,567.
- April 1998. (Award) The Appeals Board has held in the past that a reduction under K.S.A. 44-510a is only
applicable if compensation was actually paid or is collectable for the prior disability. Where claimant has settled his
prior claims for a functional impairment by being returned to work with respondent at a comparable wage, the
Appeals Board finds it would be inequitable to reduce claimant's overall disability under both K.S.A. 44- 510a and
K.S.A. 44-501(c). See Also Carver v. Missouri Gas Energy, Docket No. 195,270 (July 1997). Villalobus v. Nat'l
Beef Packing Co & Lumbermen's Underwriting Alliance and Workers Compensation Fund, Docket No. 184,413.
- ----- An exam of claimant on March 9, 1993, indicated problems in claimant's right scapular border, the right hand
and wrist. Currently claimant is alleging problems with his right upper extremity including the wrist and the
shoulder. The Appeals Board finds that the 5 percent permanent partial impairment of function to the right upper
extremity as assessed by claimant's physician in 1993 is a preexisting functional impairment as contemplated by
K.S.A. 44-501(c). In converting the 5 percent upper extremity impairment to a 3 percent whole body impairment,
the Appeals Board finds respondent is entitled to a reduction of 3 percent from the overall award. Id.
- April 1998. (Award) Claimant had experienced problems with carpal tunnel syndrome while working for
respondent in 1996. Claimant had settled a previous 1988 workers compensation claim for right upper extremity
carpal tunnel syndrome in which she was given a 10 percent right upper extremity impairment. Claimant contends
her current injuries are the result of a long series of micro traumas culminating in one injury on March 1, 1996.
Respondent, on the other hand, argues that each day leading up to March 1, 1996, was a separate micro trauma. The
Appeals Board does not accept claimant's position because claimant clearly had a preexisting impairment at the time
of her 1988 settlement. Respondent's argument is not accepted either because, while micro trauma injuries do
constitute a long series of traumas, no single event can be pinpointed as the cause of the ultimate functional
impairment. In considering the medical reports in the record, the Appeals Board finds the opinion of one doctor
most credible and finds claimant has a preexisting 4 percent functional impairment to the right upper extremity
which converts to a 2 percent whole body functional impairment. Massoth v. Raytheon Aircraft Company, Docket
No. 213,006.
- March 1998. (Award) K.S.A. 44-501(c) was intended to prevent a pyramiding of benefits. But when a preexisting
condition is neither known nor symptomatic nor disabling in any discernible manner, the condition does not
constitute an impairment to be deducted from the disability percentage. Piatkowski v. Xerox Corporation and
Zurich Insurance Company, Docket No. 205,533.
- February 1998. (Award) Where claimant was assessed with a 4 percent preexisting impairment. The Appeals
Board finds it was proper for the Administrative Law Judge to reduce claimant's 24 percent rating by the 4 percent
preexisting impairment to arrive at an award of 20 percent. Reisigel v. Dillon Companies, Inc., Docket No. 201,044.
- February 1998. (Award) The Appeals Board finds a K.S.A. 44-510a (Ensley) credit is only applicable if the
resulting disability was contributed to by the prior disability. Smith v. Atchison Casting Corporation and Kansas
Workers Compensation Fund, Docket Nos. 173,077; 186,055 & 186,618.
- ----- Claimant's permanent total disability is reduced by his preexisting functional impairment under a K.S.A. 44-510a (Ensley) credit. Id.
- But See, Daniels v. Americold Corporation and Travelers Property Casualty, Docket No. 189,238 (September
1998), questioning whether it is proper to reduce a permanent total disability award by any preexisting impairment.
- January 1998. (Award) The Appeals Board finds respondent is entitled to a credit pursuant to K.S.A. 44-501(c)
based upon the preexisting functional impairment assessed claimant for the earlier injuries. As such, the Appeals
Board finds the 53 percent permanent partial disability awarded shall be reduced the 14 percent functional
impairment assessed for the prior injuries. Claimant is therefore awarded a 39 percent permanent partial disability
to the body as a whole as a result of the injuries suffered while working for respondent. Ehrlich v. Lampe Trucking
and Commercial Union Insurance, Docket No. 201,243.
- See Also, Faroh v. Sedgwick County, Docket No. 201,856 (March 1997).
- October 1997. (Award) Respondent argues claimant's work disability should be reduced by a credit for the
settlement of claimant's prior bilateral wrist and hand injuries as provided for in K.S.A. 44-510a and further reduced
by the amount of preexisting functional impairment of the prior bilateral wrist and hand injuries as provided by
K.S.A. 44-501(c). The Appeals Board has previously addressed this issue of whether both a credit pursuant to
K.S.A. 44-510a and a preexisting permanent functional impairment pursuant to K.S.A. 44-501(c) should be applied
to reduce claimant's entitlement to permanent partial disability benefits. See Carver v. Missouri Gas Energy,
Docket No. 195,270 (July 1997). In Carver, as in this case, the record contained evidence that it was arguable both
statutes could be applied. However in Carver, the Appeals Board concluded that it would be inequitable and
duplicative to reduce claimant's overall disability by the preexisting impairment twice. Therefore, after examining
the provisions of both statutes, the Appeals Board finds that only the 1993 amendment to K.S.A. 44-501(c) should
be applied. This conclusions is supported by the fact that the legislature specifically amended K.S.A. 44-501(c) to
include a reduction for preexisting functional impairment and such amendment applies to all work-related accidents
on for after July 1, 1993. Maberry v. Rubberm aid Specialty Products and American Manufacturers Mutual Ins.
and Kansas Workers Compensation Fund, Docket No. 186,053.
- ----- Claimant was assessed a 10 percent right upper extremity functional impairment and a 15 percent left upper
extremity functional impairment as a result of two prior work-related injuries. In accordance with the AMA Guides
to the Evaluation of Permanent Impairment, Third Edition (Revised), those two upper extremity ratings combine to a
14 percent whole body functional impairment rating. Claimant's current work disability award of 64.5 percent is
therefore reduced by the preexisting whole body functional impairment in the amount of 14 percent resulting in
claimant's entitlement to a 50.5 percent work disability. Id.
- See Also, Alexander v. Leland M. Alexander & Company and Granite State Insurance Company, Docket No.
206,282 (August 1997); Faroh v. Sedgwick County, Docket No. 201,856 (March 1997).
- July 1997. (Award) K.S.A. 44-501(c) generally provides that an award of compensation for an aggravation of a
worker's preexisting condition shall be reduced by the amount of functional impairment determined to be
preexisting. Before July 1, 1993, an injured worker's preexisting disability if aggravated or accelerated by a
subsequent injury was not apportioned between the disability resulting from the injury and the preexisting disability.
See Claphan v. Great Bend Manor, 5 Kan. App.2d 47, 611 P.2d 180 (1980). Carver v. Missouri Gas Energy,
Docket No. 195,270.
- ----- Although the legislature amended K.S.A. 44-501(c) in 1993 to reduce a claimant's award by his or her
preexisting functional impairment, it retained the credit provisions contained in K.S.A. 44-510a. These provisions
generally provide for a reduction in the resulting permanent disability compensation by the percentage of
contribution which the prior disability contributes to the overall disability following the later injury. The reduction
is only applicable if compensation was actually paid or is collectible for the prior disability. In some circumstances,
as in the case at hand, it could be arguable both statutes, and therefore both credits, could be applied. However, it
would be inequitable and duplicative to reduce claimant's overall disability by the preexisting impairment twice.
Therefore, one factor to be considered in all cases where both statutes could arguable be applied is whether the date
of accident is before or after July 1, 1993, the effective date of the amendment to K.S.A. 44-501(c). Where
claimant's accident occurs on or after July 1, 1993, the credit provisions found in K.S.A. 44-501(c) should be
applied. Id.
- ----- Claimant suffered a work-related injury to his lower back in 1991 and received a whole body functional
impairment rating of 37.5 percent. He later re-injured his back in 1994, and expert medical opinion testimony firmly
established that claimant's 1994 injury aggravated his preexisting 1991 injury. The Administrative Law Judge
applied the work disability test set forth in K.S.A. 44-510e and determined claimant was entitled to permanent
partial disability based on a work disability in the amount of 74 percent. The Administrative Law Judge then
reduced claimant's work disability of 74 percent by the 37.5 percent preexisting functional impairment which was
the basis for the 1991 workers compensation settlement. Affirmed by Appeals Board. Id.
- ----- See Also, Concurring Opinion, construing K.S.A. 44-501(c) as a requirement that preexisting functional
impairment be deducted from "any award," and finding an employee should recover only to the extent of the
increased disability. Id.
- April 1997. (Award) Before 1993, when a preexisting condition was aggravated by a work-related accident, the
worker was entitled to receive permanent partial disability benefits for both the preexisting impairment and the
permanent aggravation. However, the 1993 Legislature added language to K.S.A. 44-501(c) to prevent multiple
recovery for the same permanent impairment. Before the statute is applicable, however, the respondent must prove
claimant had a preexisting functional impairment. Fenwick v. Sterling Presbyterian Manor and Insurance
Management Associates, Inc., Docket No. 206,618.
- February 1997. (Award) The K.S.A. 44-510a credit avoids pyramiding of benefits by offsetting benefits paid for
one injury when it contributes to the disability from a second injury. The credit is given during the period that the
benefits overlap. Rios v. National Beef Packing Company and Lumbermen's Underwriting Alliance Wausau
Insurance Companies and Kansas Workers Compensation Fund, Docket Nos. 175,891; 186,485; & 189,187.
- December 1996. (Award) By enacting the 1993 Amendments to K.S.A. 44-501(c), the legislature intended for
workers with preexisting conditions to only be compensated for new injuries to the extent the new injury caused
increased disability. The minimum compensation would be the amount of increase in functional impairment. This
legislative intent is best achieved by taking into consideration any preexisting restrictions when determining tasks
loss. However, to require both that the work disability be reduced to eliminate those tasks claimant performed
during the 15-year period which he can no longer perform due to a preexisting condition and to also subtract out the
preexisting functional impairment in those cases would result in penalizing claimant by deducting twice for the same
preexisting condition. Therefore, in the case at hand, the Board found that claimant was entitled to a 54% work
disability award without a reduction for the preexisting functional impairment. Converse v. Adia Personnel Services
and Pacific Employers Insurance Company and Kansas Workers Compensation Fund, Docket No. 184,630.
- ----- But See Dissent, the Dissenting Board Member would require that both the work disability be reduced to
eliminate those tasks claimed can no longer perform during the 15-year period due to a preexisting condition and to
further subtract out the percentage of preexisting functional impairment in line with K.S.A. 44-501(c). Id.
- See Also, Houk v. Community Living Opportunity and Cigna Workers Compensation and Workers Compensation
Fund, Docket No. 189,952 (February 1999); and See Dissent, in which the Dissenting Board Member would find
that even though claimant can still perform all the tasks she was performing before the accident, she can no longer
perform them for a full work day. Therefore, the majority's finding of a 0 percent tasks loss, when averaged with
her actual wage loss of 68 percent does not fully compensate claimant for her work disability.
- November 1996. (Award) Reduction for preexisting functional impairment not given where there is no evidence in
the record to indicate that the preexisting asymptomatic synovial cyst resulted in a loss of a portion of the claimant's
total physiological capabilities prior to the accident in question. Schuler, Jr v. Schock Transfer Company, Inc and
Schuler, Jr v. Crooks Driver Leasing and Aetna Casualty & Surety, Docket Nos. 204,130 & 204,131 [Affirmed by
unpublished Court of Appeals opinion, Docket No. 78,067].
- February 1996. (Award) The injury in this case occurred July 24, 1993 and the claim is, therefore, governed by
amendments which became effective July 1, 1993. Those include the provisions of K.S.A. 44-501(c) that the award
be reduced by the amount of functional impairment determined to be preexisting. The amendments also include the
provisions of K.S.A. 44-510e which require that functional impairment be based on the AMA Guides to the
Evaluation of Permanent Impairment, Third Edition (Revised). The Board concludes that the functional
impairment to be deducted should also be based on the AMA Guides. The amendment defines functional
impairment as loss of physiological capabilities based upon the AMA Guides. Hawley v. Continental Grain Co.,
Docket No. 187,615.
8.07 Functional Impairment Ratings
- October 2000 (Award) For a doctor's opinion to be considered, it must be shown that the doctor properly utilized
the AMA Guides. Ruvalcaba vs. Thierer Construction Company and Kansas Building Industry Workers
Compensation Fund, Docket No. 245,335.
- See Also, Masters vs. HBD Industries, Inc. and Liberty Mutual Insurance Company, Docket No. 211,367
(December 2000).
- April 1999. (Award) Testimony of physician used to establish functional impairment rating rejected by the Board
where the physician admitted he was not familiar with the AMA Guides and did not use the Guides when
formulating his opinion. Birmingham v. Deffenbaugh Disposal Services and ITT Hartford Insurance (SRS), Docket
No. 208,094 [Affirmed by unpublished Court of Appeals opinion, Docket No. 83,292, June 16, 2000].
- ----- Where use of the Third Edition of the AMA Guides would be appropriate for claimant's date of accident, but
the physician utilized the Fourth Edition of the Guides, the Board finds the physician's testimony does not comply
with K.S.A. 44-510e. Id.
- See also, Romero v. Excel Corporation, Docket No. 217,617 & 219,371 (May 1999).
- February 1999. (Award) A treating physician's functional impairment rating is not necessarily more credible than
that of another physician. Miller v. HCA Wesley Medical Center, Docket Nos. 196,886 & 202,639.
- February 1998. (Award) Percent of impairment/ loss of use must be based upon the AMA Guides to the
Evaluation of Permanent Impairment, Third Edition (revised), if the impairment is contained therein. See K.S.A.
44-510d(a)(23). Aguinaga v. Rubbermaid Specialty Products, Docket No. 220,463.
- ----- The AMA Guides do not distinguish forearm from arm and shoulder as the Kansas schedule requires;
therefore, ratings to the upper extremity will be treated as ratings to the forearm, arm or shoulder as whichever may
be indicated or required. Id.
- November 1997. (Award) Where the record contains opinions from two physicians on the percent of functional
impairment and where one opinion is pursuant to AMA Guides to the Evaluation of Permanent Impairment, Third
Edition (revised), and the other opinion is not, the trier of fact should accept the opinion issued based upon the
Guides -- that is the more credible opinion. Guiden v. Christ Villa Nursing Center and Legion Insurance Company,
Docket No. 208,848.
- ----- Permanent functional impairment ratings must be pursuant to the AMA Guides. See K.S.A. 44-510d(a)(23).
Id.
- November 1996. (Award) The Board reduces claimant's functional impairment rating from 12% to 6% after
respondent produced a videotape of claimant performing activities which were somewhat inconsistent with her
complaints to her physicians and prior impairment rating. Burgess v. Brookside Manor and Insurance Company of
North America, Docket No. 189,931.
- November 1995. (Award) While the law in effect at the time of claimant's injury does not mandate a use of the
AMA Guides, if medical professionals use the Guides , they must use the Guides properly in evaluating claimants'
functional impairment. In this case, neither doctor accurately assessed claimant's total loss in awarding claimant a
functional impairment. As such, the Board finds claimant has suffered a fifteen percent (15%) whole body
functional impairment as a result of the injury suffered May 28, 1991. This fifteen percent (15%) functional
impairment awarded by the Board is a compromise of the medical evidence presented in this matter. Gilley v. Taco
Tico, Docket No. 157,012.
8.08 Permanent Total Disability
8.09 Permanent Partial General Disability
8.10 Work Disability
8.11 Generally
- March 1998. (Award) An injured worker who returns to work at an accommodated job following a work-related
injury and is subsequently laid off, either because of an economic layoff or because the employer can no longer
accommodate her restrictions, is entitled to a work disability. See Lee v. Boeing Co., 21 Kan. App.2d 365, 899 P.2d
516 (1995). Waggoner v. Fiberglass Engineering, Inc and Cigna Insurance Company, Docket No. 199,827.
- ----- Proof of permanent functional impairment based upon the AMA Guides is not essential for a claimant to
receive compensation based on a work disability. See, McLaughlin v. Excel Corporation, 14 Kan. App. 2d 44, 783
P.2d 348, rev. denied 245 Kan. 784 (1989). Id.
- April 1997. (Award) Where the record indicates claimant's performance over the past thirteen years with
respondent was "satisfactory" until her upper extremity problems began to develop, the Appeals Board finds this
sudden emergence of the poor work evaluations after claimant began developing the upper extremity problems
indicates a direct connection with her work-related injury. In this instance, the evidence does not support a finding
that claimant was fired for poor work performance unrelated to her injury. Claimant is, therefore, entitled to work
disability. Jonas v. Towanda Publishing Company and Thomas McGee & Sons, Docket No. 192,426.
- January 1997. (Award) Claimant suffered an injury in 1983 causing him to terminate his employment with his
first employer. Thereafter claimant attended truck driving school and began driving trucks. Even though claimant
was under specific work restrictions including limitations to his ability to lift and repetitively bend and stoop,
claimant voluntarily performed his work duties outside of those restrictions for several years. Claimant was
subsequently injured in 1992. Respondent contests claimant's award of work disability in the present matter arguing
that claimant's pre-existing limitations from the 1983 injury should be taken into consideration in assessing
claimant's inability to obtain work in the open labor market and earn a comparable wage. However, the Board finds
that to penalize claimant in this instance by denying him a work disability and apply the prior restrictions, which
claimant exceeded for a period of several years, would have the undesired effect of discouraging injured workers
from returning to work by further penalizing them if they were re-injured after doing so. The fact claimant could
voluntarily exceed the 1983 work restrictions simply indicates that they were excessive. Therefore, the Appeals
Board finds that the award of the Administrative Law Judge granting claimant a work disability is accurate and
appropriate. Byers v. Morton Buildings, Inc. and Insurance Company of North America and Kansas Workers
Compensation Fund, Docket No.173,408. [Affirmed by unpublished Court of Appeals opinion, Docket No.
78,537].
- See Also, Flores v. Cameron Drywall, Docket No. 152,948 (January 1994).
8.12 Work Disability Test ( Pre 1993 Amendments )
- November 1999. (Award) Held claimant entitled to work disability award where post traumatic stress disorder
worsened to the point that claimant could no longer continue to work for respondent. Board distinguished Watkins v.
Food Barn Stores Inc., 23 Kan. App. 2d 837, 936 P.2d 294 (1997) and Lowmaster v. Modine Manufacturing Co., 25
Kan. App. 2d 215, 962 P.2d 1100, rev. denied ___ Kan. ___ (1998). Watkins distinguished on grounds that in this
case claimant left work because condition worsened. Lowmaster distinguished because evidence indicated claimant
could not work at respondent. Helmstetter v. Midwest Grain Products, Inc., Docket No. 222,191 [Affirmed by
unpublished Court of Appeals opinion, Docket No. 84,437, February 16, 2001].
- May 1999. (Award) The challenge faced by the Board was how to handle the argument that claimant's
recommended restrictions were for a condition or conditions other than the work-related injury. The Board
understood that in the testimony of one physician, part of his rating and part of his restrictions related to a
preexisting disc disease and part to the additional injury caused by the work-related accident. The Board noted,
however, that at the time of claimant's injury, in cases involving an aggravation of a preexisting condition, a
claimant was entitled to the benefits based on the full resulting disability, including the preexisting disability. See
Baxter v. L.T. Walls Constr.. Co., 241 Kan. 588, 738 P.2d 445 (1987). Therefore, based upon the record, the Board
concluded that claimant's full resulting disability, including the preexisting condition, was to be compensable.
Holmes v. State of Kansas and State Self Insurance Fund and Kansas Workers Compensation Fund, Docket No.
172,052.
- February 1999. (Award) The Board concluded the record as a whole established that claimant did not have the
ability to earn a post-injury wage comparable to the wage earned while employed by respondent. Therefore,
claimant attending college in good faith effort to attain the ability to find employment would not disqualify claimant
from receiving a work disability award. Amy L. Burroughs vs. IBP, Inc., Docket No. 170,497 (February 1999).
[Affirmed by unpublished Court of Appeals opinion, Docket Number 82,838, November 19, 1999.]
- May 1998. (Award) The Board finds claimant is entitled to a work disability as a result of the work-related
shoulder injury. Although claimant was terminated for cause, for not calling in and not showing up for work,
claimant was not terminated as a result of any manipulation of the workers compensation system. Further, the Board
found the shoulder injury would have prevented claimant from returning to work driving a truck. Nothing in the
record indicated either that claimant did earn or was able to earn a comparable wage. K.S.A. 1990 Supp. 44-510e.
The Board therefore granted a work disability of 21 percent. Rome v. Western Livestock Express and National
American Insurance Company, Docket No. 170,650.
- March 1998. (R/M) The definition of work disability has undergone several legislative revisions since the Workers
Compensation Act was first enacted. Before the July 1, 1987, amendments to K.S.A. 44-510e(a), the definition of
work disability was tied to the job the claimant was performing at the time of the injury. In 1987, however, the
Kansas Legislature amended the definition of work disability to not tie it to the type of job the claimant was
performing at the time of his injury, but instead to the entire open labor market. Nevertheless, the Kansas Court of
Appeals in Watkins v. Food Barn Stores, Inc., 23 Kan. App.2d 837, 936 P.2d 294 (1997), considered this amended
version of the statute and held that if an injured worker has the ability to return to his former job without any
accommodations then, absent a change in his physical condition, he is precluded from receiving a work disability.
McChristian v. Total Petroleum, Inc and Itt Hartford, Docket No. 193,082.
- ----- The Assistant Director denied claimant's request for an increase in work disability pursuant to the holding in
Watkins because claimant was returned to an unaccommodated job and was subsequently laid off. The Appeals
Board, however, found the job claimant returned to with respondent following his injury was an accommodated job.
Although claimant returned to the same job he had performed prior to his injury, respondent made arrangements to
accommodate claimant's restrictions. Claimant was instructed to always seek assistance in any job tasks which
exceeded his restrictions. Furthermore, he was instructed to work at his own pace to avoid additional injury.
Claimant was specifically assigned to two-man crews so that there would always be someone available to assist him.
His co-workers also did what they could to take care of him. The Appeals Board finds that because claimant
returned to an accommodated job, he is entitled to consideration for a work disability following Lee v. Boeing Co.,
21 Kan. App.2d 365, 899 P.2d 516 (1995). Therefore, Watkins does not apply. Id.
- March 1998. (Award) Work disability awarded until claimant restored to comparable wage. Post injury wage
earning ability or actual earnings will be compared to the average weekly wage. Sherman v. Ninnescah Manor, Inc
and Kansas Health Care Assn., Docket No. 186,998.
- ----- The Appeals Board is not required to weigh equally loss of access to the open labor market and loss of ability
to earn a comparable wage, but without a compelling reason to give either factor a greater weight, it normally will
weigh each factor equally. See Schad v. Hearthstone Nursing Center, 16 Kan. App.2d 50, 816 P.2d 409, rev. denied
250 Kan. 806 (1991). Id.
- February 1998. (Award) Although not obligated to , the Appeals Board generally balances claimant's ability to
earn a comparable wage with claimant's ability to perform work in the open labor market to compute the work
disability under K.S.A. 1990 Supp. 44-510e. See Hughes v. Inland Container Corp, 247 Kan. 407, 799 P.2d 1011
(1990). Magallanes v. Patrick Well Service and U.S.F. & G., Docket No. 159,193.
- See Also, Cook v. Ashland Feeders and Travelers Insurance Company, Docket No. 165,691 (March 1998); Siebert
v. F.W. Woolworth, Inc. and Travelers Insurance Company, Docket No. 184,351 (December 1997); Larrison v. J.E.
Dunn Construction Company, Inc and Builders' Assn Self-Insurers' Fund, Docket No. 150,543 (January 1997).
- January 1998. (Award) Claimant slipped on a piece of fat at work and injured her right knee and aggravated a
preexisting condition of degenerative cervical disc and osteophytic disease in her neck. Despite her contention that
she is permanently and totally disabled from engaging in any substantial and gainful employment, the appeals Board
finds claimant retains the ability to perform sedentary work. Considering claimant's 85 to 90 percent loss of ability
to perform work in the open labor market and her 71 percent loss of ability to earn a comparable wage, the Appeals
Board finds claimant has a 79.25 percent permanent partial general disability as a result of the accident. Quandt v.
IBP, Inc. and Workers Compensation Fund, Docket No. 184,591.
- ----- But See Dissent, Based upon the reasoning in Wardlow v. ANR Freight Systems, 19 Kan. App.2d 110, 872
P.2d 299 (1993), and claimant's uncontroverted testimony that she is unable to find any full time work, the
dissenting Board member finds claimant is essentially unemployable and has established a permanent, total
disability. Id.
- ----- Second Dissent, which found claimant had the ability to work full time if she could find full time employment
and would determine claimant's wage-earning ability based upon a standard 40 hour work week rather than the 20
hour work week as used by the majority. Id.
- October 1997. (Award) Claimant sustained injuries to his back on three separate occasions in 1985, 1988 and
1990. As a result, claimant contends he is entitled to a substantial work disability under K.S.A. 1984 Supp., 44-510e and based upon the principles set forth in Ploutz v. Ell-Kan Co., 234 Kan. 953, 676 P.2d 753 (1984). In
Ploutz, the Supreme Court was asked to review the Court of Appeals' interpretation of the 1974 statutory provision
dealing with workers compensation work disability. The Court found that work disability is "that portion of the job
requirements that a worker is unable to perform by reason of an injury." Id. at 955. The pivotal question found by
the Court is what portion of the claimant's job requirements is he/she unable to perform because of the injury. Here
claimant returned to work at his regular employment subsequent to the injury. While it is true claimant bid to a
lighter job alleging ongoing pain symptomatology, the Appeals Board finds that claimant was under no medical
restrictions at the time he returned to work in 1985 and suffered no loss in his ability to engage in work of the same
type and character. Based upon the requirements of K.S.A. 1984 Supp. 44-510e and the holding of Ploutz, claimant
is not entitled to a work disability as a result of the injury suffered in 1985. Ball v. Georgia Pacific Corporation
and Kansas Workers Compensation Fund, Docket No. 155,811.
- See also, Hayslett v. Rockwell International, Docket Nos. 163,234; 163,235 & 165,474 (March 1994), where the
Board applied the Ploutz standard to find a 33.33% disability.
- July 1997. (Award) Termination of employment for violation of company policies does not necessarily preclude
claimant from work disability award where: (1)claimant produces evidence to rebut the presumption of no work
disability; and (2), such evidence does not establish that claimant's actions were tantamount to refusing to work or
that claimant has withdrawn from the open market without good cause. Molinar v. IBP, Docket No. 155,675.
- July 1997. (Award) Two components of the work disability test discussed: (1) loss of ability to perform work in
the open labor market, and (2) loss of ability to earn a comparable wage. Jones v. U.S.D. 315 and Allied Mutual
Insurance Co., Docket No. 195,651.
- June 1997. (Award) When dealing with an injury occurring prior to July 1, 1993, the definition of work disability
is controlled by the language in K.S.A. 1992 Supp. 44-510e(a). Williams v. Central Mechanical Const. Co., Inc.
and CNA Insurance Companies and Workers Compensation Fund, Docket No. 183,553.
- June 1997. (Award) The Appeals Board finds no legitimate reason for placing greater emphasis upon one prong of
the work disability equation over the others. Jackson v. The Boeing Company and Aetna Casualty & Surety
Company and Kansas Workers Compensation Fund, Docket No. 176,169.
- April 1997. (Award) The Kansas Supreme Court in Hughes v. Inland Container Corp, 247 Kan 407, 799 P.2d 1011
(1990), in considering the formula set forth in K.S.A. 44-510e, found that an average of claimant's loss of ability to
perform work in the open labor market and loss of ability to earn comparable wages, while not mandatory, is an
appropriate method of computing claimant's work disability. The Supreme Court did mandate that both the ability
to perform work in the open labor market and the ability to earn comparable wages must be considered in
determining the extent of work disability. Hatfield v. Metro Courier Service and Aetna Casualty & Surety, Docket
No. 162,872.
- See Also, Rios v. Excel Corporation and Kansas Workers Compensation Fund, Docket No. 176,751 (January
1998); Lang v. Okmar Oil Company and St. Paul Fire & Marine Insurance Company and Kansas Workers
Compensation Fund, Docket No. 155,777 (January 1997).
- April 1997. (Award) When determining an award of work disability medical opinions are to be equally weighed.
See Hughes v. Inland Container Corporation, 247 Kan. 407, 799 P.2d 1011 (1990). Zimmer v. M-C Industries, Inc
and Maryland Casualty Insurance, Docket No. 187,540. [Affirmed by unpublished Court of Appeals opinion,
Docket No. 79,044].
- March 1997. (Award) Work disability not given where it is found that claimant's back injury neither reduced
claimant's ability to perform work in the open labor market nor his ability to earn a comparable wage. Claimant's
preexisting mental condition of schizophrenia was the cause of claimant's not being able to hold a job. Webb v.
Andys of Topeka and Tri-State Insurance Company and Workers Compensation Fund, Docket No. 137,625.
[Affirmed by unpublished Court of Appeals opinion, Docket No. 78,802].
- March 1994. (Award) Where there was no reason to give greater weight to either factor, loss of ability to access
the open labor market and loss of ability to earn a comparable wage, both are given equal weight when determining
work disability. Honeywell v. J.C. Penney Company, Docket No. 165,127.
- See also, Hoffer v. Rubbermaid Inc., Docket No. 158,156 (April 1994).
- March 1994. (Award) The test for determining permanent partial general disability is the extent, expressed as a
percentage, to which the claimant's ability to perform work in the open labor market is reduced and the ability to
earn a comparable wage has further been reduced, taking into consideration the employee's education, training,
experience and capacity for rehabilitation. See Hughes v. Inland Container Corp., 247 Kan. 407, 422, 799 P.2d
1011 (1990). In the case at hand, the Appeals Board adopts the formula set forth in Hughes and averages the 57%
loss of labor market access with the 0% loss of ability to earn a comparable wage and finds the claimant has suffered
a 28.5% work disability. Rice v. Golden Acres Nursing Home and National Union Fire Insurance Company and
Kansas Workers Compensation Fund, Docket Nos. 163,517 & 165,668.
8.13 Loss of Access to Labor Market
- July 1997. (Award) Where a vocational rehabilitation expert testifies claimant has lost between 55 to 70 percent of
his ability to perform work in the open labor market because of his work-related injuries to his upper extremities, the
Appeals Board finds claimant has a 65 percent permanent partial general disability for which permanent partial
disability benefits are awarded. King v. The Boeing Company and Aetna Casualty & Surety Company & Workers
Compensation Fund, Docket No. 189,943.
- December 1996. (Award) Before a wage can be imputed to the wage component of the work disability test a job
has to also be available in claimant's labor market. See Scharfe v. Kansas State Univ, 18 Kan. App. 2d 103, 848
P.2d 994, rev. denied 252 Kan. 1093 (1992). Jarrell v. Waste Management of Wichita and CNA Insurance Company
and Kansas Workers Compensation Fund, Docket No. 175,426.
- December 1995. (Award) Claimant's vocational rehabilitation counselor's opinion admitted into evidence
essentially stated that claimant's unemployability related to her overall condition at the time that he had evaluated
claimant from a vocational standpoint. That included the medical problems claimant developed or which were
diagnosed after her last day of working for the respondent and which were conditions unrelated to her work-related
injuries. Nowhere did the vocational rehabilitation counselor give an opinion of the labor market loss utilizing the
restrictions of Dr. Shaw or any other restrictions resulting from the work-related injuries alone. Therefore, the
Appeals Board found that claimant had failed to meet her burden of proof with regard to the loss of labor market
access. The labor market loss, therefore, was considered to be 0%. Brobst v. Brighton Place North and Church
Mutual Insurance Company and Kansas Workers Compensation Fund, Docket Nos. 152,447; 152,448 & 152,449 [
Affirmed by Kansas Court of Appeals, 24 Kan. App.2d 766, 955 P.2d 1315 (1997)].
- December 1993. (Award) Greater weight is given to loss of access to the labor market to arrive at a 58% work
disability. Newberry v. Stormont Vail Regional Medical Center and Kansas Workers Compensation Fund, Docket
No. 158,390.
- December 1993. (Award) Award is based on loss of access to labor market as stated by the vocational expert
relying upon the restrictions recommended by the treating expert where claimant has been unable to find
employment in spite of good faith effort. Branstetter v. Villa Del Mar Apartments, Docket No. 160,652.
8.14 Loss of Ability to Earn Work at a Comparable Wage (Wage Loss)
- January 1999. (Award) K.S.A. 1992 Supp. 44-510e defines the extent of permanent partial general disability to be
the extent, expressed as a percentage, to which the ability of the employee to perform work in the open labor market
and to earn comparable wages has been reduced. The language of that statute does not consider whether claimant is
actively searching for employment; instead, it focuses upon what ability claimant may or may not have to earn
wages. As such, claimant is awarded 46 percent permanent partial work disability . De La Paz v. Erman
Corporation and National Union Fire insurance Company and Insurance Company of North American and Home
Insurance Company and Kansas Workers Compensation Fund, Docket Nos. 133,539; 154,373; and 172,398.
- October 1998. (Award) A claimant who earns a comparable wage after the injury is limited to disability based
functional impairment. K.S.A. 1992 Supp. 44-510e. Thidsorn v. Excel Corporation, Docket No. 177,005.
- September 1998. (Award) Claimant failed his burden of proving loss of access to the ope labor market where
claimant presented no competent and credible medical evidence attesting to the loss of access to the open labor
market. Therefore, claimant is entitled to no loss of access to the open labor market as a result of this injury.
Tackett v. Koch Chemical Company and Insurance Company of North America and Kansas Workers Compensation
Fund, Docket No. 163,962 [Reversed and remanded by unpublished Court of Appeals opinion, Docket No. 77,468].
- July 1997. (Award) Where a vocational rehabilitation expert testifies that claimant has lost 70 percent of his
ability to earn a comparable wage, the Appeals Board finds claimant has a 65 percent permanent partial general
disability for which permanent partial disability benefits are awarded. King v. The Boeing Company and Aetna
Casualty & Surety Company & Workers Compensation Fund, Docket No. 189,943.
- June 1997 (Award) When discussing claimant's ability to earn a comparable wage, the Administrative Law Judge
utilized the opinion of one witness but not another. The Appeals Board held there was no justifiable reason for not
considering both witness' opinions equally. Jackson v. The Boeing Company and Aetna Casualty & Surety
Company and Kansas Workers Compensation Fund, Docket No. 176,169.
- May 1997. (Award) Where claimant left her employment because of her dissatisfaction with the general working
conditions and not because of her work-related injury, and where claimant continued to earn a comparable post-injury wage elsewhere, the Appeals Board finds claimant is not entitled to work disability benefits. Fahringer v.
IBP, Inc., Docket Nos. 159,418 & 159,419.
- January 1997. (Award) The Appeals Board finds claimant has a 37 percent loss of ability to earn a comparable
wage by comparing the average weekly wage claimant was earning the day of the accident to claimant's present
average weekly wage. The Board finds that comparison more indicative of claimant's loss of ability to earn a
comparable wage and rejects respondent's argument that the Board should compare claimant's present average
weekly wage with the average weekly wage based upon claimant's annual salary for the year preceding the accident.
Becker v. Gilbert Central Corporation and Aetna Casualty and Surety Company, Docket No. 172,229. [Affirmed
by unpublished Court of Appeals opinion, Docket No. 78,320].
- September 1996. (Award) In the case at hand, the Board finds the proper method of determining a claimant's wage
loss after his return to work would be to compare the average weekly wage claimant was earning with respondent to
the anticipated average weekly wage claimant testified he had the ability and expected to earn with his new
employer. The claimant's actual earnings post-accident and post-rehabilitation would be the best measure of his
earning ability. Therefore, by comparing claimant's $575.50 gross average weekly wage to his anticipated post-accident average weekly earnings of $490 results in a loss of 15 percent. This combined with the 50 percent labor
market loss results in a work disability of 32.5 percent. Abrams v. Joe Conroy Contractor, Inc. and Aetna
Casualty & Surety Company, Docket No. 150,733
- February 1994. (Award) Claimant's actual post-injury wage used to compute loss of ability to earn a comparable
wage where her actual post-injury wage was higher than the wage projected by claimant's expert. Patton v. Winfield
State Hospital, Docket No. 166,606.
- December 1993. (Award) Greater weight given to loss of ability to earn a comparable wage and stipulated average
weekly wage used to arrive at a 28% general disability. Murphree v. Steve Runn Drywall Const., Docket No.
166,809.
- December 1993. (Award) Award is based upon loss of ability to earn a comparable wage where evidence
established that there would be a loss of access to the labor market but did not establish what the loss would be.
Berry v. Boeing Military Airplanes and Kansas Workers Compensation Fund, Docket No. 129,500. [Affirmed in
part, reversed in part and remanded from Court of Appeals at 20 Kan. App. 2d 220 (1994)].
8.14a Lack of Good Faith By Claimant to Return to Work at a Comparable Wage
- Foulk v. Colonial Terrace, 20 Kan. App.2d 277, 887 P.2d 140 (1994), rev. denied, 257 Kan. 1091 (1995)
- See Also, Sec. 8.22 For New Act or Post-93 Work Disability and Claimant's Lack of Good Faith to Return to
Work at a Comparable Wage
- September 1999. (Award) Claimant entitled to a work disability because he was placed in an accommodated job
earning a comparable wage and the respondent terminated the claimant from that accommodated job for reasons not
proven by the record. Once claimant loses an accommodated job, the no work disability presumption may be
rebutted. Otherwise, an employer could accommodate an injured worker, therefore invoking the presumption, and
then discharge the worker and use the presumption in an effort to avoid a work disability. See Watkins v. Food Barn
Stores, Inc., 23 Kan. App.2d 837 (1997). White v. Payless Shoe Source and Kansas Workers Compensation Fund,
Docket No. 180,691.
- October 1998. (Award) A claimant who refused to attempt an appropriate comparable wage job offered is treated
as though he/she earned a comparable wage. See Foulk. But if a claimant attempts to perform a job offered but is
not able to do so because of his/her injury, the claimant may be entitled to a work disability. See Guerrero v. Dold
Foods, Inc, 22 Kan. App.2d 53, 913 P.2d 612 (1995). In the case at hand, claimant attempted an accommodated job
for respondent but experienced much pain while performing his job duties. Respondent terminated claimant after
learning of his pain. The Board finds claimant did not refuse accommodated work by not being able to perform the
accommodated job without pain. Thidsorn v. Excel Corporation, Docket No. 177,005.
- March 1998 (Award) Foulk does not apply to limit claimant to an award based upon functional impairment where
of the three jobs offered claimant by respondent, two were not within claimant's restrictions and the third would not
allow claimant to work at a comparable wage. Cook v. Ashland Feeders and Travelers Insurance Company, Docket
No. 165,691.
- ----- Under Copeland v. Johnson Group, Inc., 24 Kan. App.2d 306, 944 P.2d 179 (1997), [Affirmed by Court of
Appeals, Docket No. 81,414, December 30, 1999] if a finding is made that a good faith effort has not been made to
find appropriate employment, then the fact finder must determine an appropriate post injury wage based upon all of
the evidence before it, including any expert testimony concerning claimant's capacity to earn wages. For injuries
which occur pre-July 1, 1993, the Appeals Board finds Copeland obligates the finder of facts to decide claimant's
ability to earn wages. The language of K.S.A. 44-510e before July 1, 1993, also obligates the finder of facts to
determine the claimant's ability to earn comparable wages. Therefore, to apply Copeland to a pre-July 1, 1993,
injury would simply be case law supporting an already existing statutory obligation. Id.
- March 1998. (Award) Asking claimant to change from 2nd to 1st shift to better accommodate claimant is not
unreasonable. Claimant's refusal to do so invokes the policies of Foulk. Swickard v. Meadowbrook Manor and
Zurich-American Insurance Company, Docket No. 201,767 [Affirmed by Court of Appeals opinion, Docket No.
81,018].
- ----- But See Dissent, the Dissenting Board Member does not believe the Foulk decision applies because claimant
was justified in declining the first shift job because of transportation problems. The evidence does not establish that
claimant was attempting to wrongfully manipulate her workers compensation award. Id.
- February 1998. (Award) Where claimant's failure to complete a vocational rehabilitation plan was due to an
illness rather than a willful or deliberate attempt to manipulate the workers compensation system via a refusal to
take full advantage of the vocational rehabilitation benefits that may have enabled her to return to work, the Appeals
Board finds the public policy considerations set forth in Foulk do not apply to this case. Crane v. State of Kansas
and State Self Insurance Fund, Docket No. 204,615.
- February 1998 (Award) The Appeals Board finds respondent's offer to provide "some type of work" for claimant
leaves a multitude of question unanswered regarding the specific job, the specific physical requirements of the job,
whether this job would be within claimant's restrictions, whether the job would be full or part-time, etc. Therefore,
the Board finds that even if claimant were aware of the offer, he would not violate the principles of Foulk in refusing
to accept this ambiguous job offer of respondent. Magallanes v. Patrick Well Service and U.S.F. & G., Docket No.
159,193.
- October 1997. (Award) After a work-related accident, claimant returned to work as an electrician for respondent;
however, claimant quit his employment when he could no longer perform his regular job within his restrictions.
Although respondent argues the rationale in Foulk applies, the Appals Board finds claimant did make a good-faith
effort to return to employment as a journeyman electrician. Additionally, claimant was neither offered nor refused
accommodated work and respondent did not offer claimant vocational rehabilitation benefits or other vocational
assistance. Therefore, claimant was entitled to work disability benefits as defined by K.S.A. 1992 Supp. 44-510e.
Fowlkes v. Capital Electric Construction Company and Builders' Association Self-Insurers Fund and Workers
Compensation Fund, Docket No. 187,309 [Affirmed by unpublished Court of Appeals opinion, Docket No. 80,161].
- August 1997. (Ph) Claimant suffered accidental injury to her hands, arms and shoulders on Feb. 1, 1993.
Thereafter, she was treated, reached maximum medical improvement and returned to work to chose a job working
for respondent within her restrictions. Claimant was offered the job she picked bagging flap meat but later refused
to attempt the job alleging she was physically incapable. The Appeals Board affirmed the Administrative Law
Judge's application of Foulk to claimant's case in finding claimant's refusal to attempt the work, even after two
physicians opined it would be within her work restrictions, was unreasonable. Claimant was allowed functional
impairment only. Serrano v. Excel Corporation, Docket No. 176,759
- June 1997. (Award) Following claimant's release to return to work, claimant performed an accommodated light
duty job of marking ribs. Claimant performed this job for less than two days, however, because she felt it violated
her work restrictions. Claimant was subsequently terminated because of her refusal or inability to perform the job.
Taking the record as a whole, the Appeals Board finds claimant has established sufficient doubt as to her ability to
perform the job so as to persuade the Appeals Board that the public policy considerations outlined in Foulk and the
presumption of no work disability are not applicable to her case. Additionally, the Appeals Board finds claimant has
put forth a good faith effort to perform her light duty job. See Guerrero v. Dold Foods, Inc., 22 Kan. App.2d 53, 913
P.2d 612 (1995). Almarez v. Excel Corporation and Kansas Workers Compensation Fund, Docket Nos. 179,646 &
179,647.
- May 1997. (Award) Claimant injured his left shoulder in a work-related accident and was provided an
accommodated job. Claimant attempted to perform the new job but experienced increased symptomatology and was
terminated. The Appeals Board finds claimant put forth a reasonable effort to perform the job and thus the
principles in Foulk do not apply. Narvaez v. Excel Corporation and Workers Compensation Fund, Docket No.
181,197.
- April 1997. (Award) An offer by respondent to "find something for claimant to do" following a work-related injury
is not an offer of a job at a comparable wage within claimant's restrictions. Therefore, claimant's refusal to accept
respondent's offer does not invoke the public policy considerations outlined in Foulk. It is necessary that an offer to
accommodate within claimant's restrictions be communicated to the claimant. Hatfield v. Metro Courier Service
and Aetna Casualty & Surety, Docket No. 162,872.
- April 1997. (Award) Where claimant, who developed bilateral carpal tunned syndrome, was not offered a job she
could perform within her restrictions at a comparable wage, the Appeals Board finds the argument of respondent and
conclusion of the Administrative Law Judge that the facts are analogous to Foulk are misplaced. The Appeals Board
finds claimant is entitled to permanent partial disability based on an award of work disability. Zimmers v. M-C
Industries, Inc and Maryland Casualty Insurance, Docket No. 187,540.
- April 1997. (Award) Respondent's arguments that the public policy outlined in Foulk applies to claimant's case
denied when Appeals Board finds claimant was neither qualified for nor permitted by respondent to perform an
accommodated job because claimant had not satisfied the continuing education requirements for a licensed nurse.
Wrigley v. Medicalodges, Inc. and Workers Compensation Fund, Docket No. 162,882.
- April 1997. (Award) Where claimant refused accommodated employment within her physical restrictions, the
Appeals Board finds, based upon the logic contained in Foulk, that claimant is limited to functional impairment as a
result of the injury suffered with respondent. Patee v. The Boeing Company and Aetna Casualty & Surety and
Kansas Workers Compensation Fund, Docket No. 160,948.
- See Also, Montoya v. Monfort, Inc. and City Insurance Company, Docket Nos. 168,342 & 169,906 (January 1997)
[Affirmed by unpublished Court of Appeals opinion, Docket No. 78,508].
- March 1997. (Award) Held: the bid process under which respondent's plant operates-whereby a worker may "bid"
on regular duty jobs at such time as they may become available and then, when they do bid, the worker may or may
not win the bid for that job depending upon the respective seniority of the bidders - does not constitute an offer of
employment. Further, although claimant could have tried harder to find a comparable full-time job, the Appeals
Board does not find the facts of this case analogous to the facts in Foulk. Alger-Combes v. IBP, Inc., Docket No.
159,586.
- March 1997. (Award) Where claimant terminated her employment with respondent due to her inability to perform
her job without pain and where respondent was not able to return claimant to an accommodated position following
bilateral carpal tunnel surgery for her work-related injury, the Appeals Board finds the application of Foulk to this
case inappropriate. Martin v. IBP, Inc. and Workers Compensation Fund, Docket No. 165,267. [Affirmed by
unpublished Court of Appeals opinion, Docket No. 78,847].
- ----- Claimant's leaving an interview with a telemarketing company due to her inability to read the requested script
did not constitute a wrongful termination of her interview and therefore the application of Foulk to this case is not
appropriate. Id.
- December 1996. (Award) Where claimant was only 12 hours away from graduating with a college degree at the
time of his regular hearing, the Appeals Board finds claimant's decision to complete his education rather than accept
a temporary job with respondent or seek other employment does not, under the facts of this case, constitute a
voluntary removal from the labor market so as to invoke the public policy considerations announced in Foulk.
Converse v. Adia Personnel Services and Pacific Employers Insurance Company and Kansas Workers
Compensation Fund, Docket No. 184,630.
- December 1994. (Award) Foulk does not apply where claimant's injury prevents him/her from continuing to
perform the work he/she attempted to perform for the respondent post-injury. James v. Valassis Color Graphics,
Inc., Docket No. 165,727.
- November 1995. (Award) Where claimant refused to take a job transfer to a different region of the country in order
to accept the accommodated employment offered by respondent, the Appeals Board finds the public policy
considerations outlined in Foulk do not apply and claimant is not precluded from receiving work disability. The
Board finds claimant was justified in declining to accept employment outside the area that would normally be
considered his labor market and having to uproot his family from that area. See also Scharfe v. Kansas State Univ.,
18 Kan. App.2d 103, 848 P.2d 994, rev. denied 252 Kan. 1093 (1992), holding that the open labor market must be
reasonably accessible and individuals are not required to move their residences or travel unreasonable distances to
obtain employment. Latta v. Continental Airlines Corp and National Union Fire Ins. Co. and Workers
Compensation Fund, Docket No. 189,201.
- But See, May 1995. (Award) Employees terminated for poor job performance or misconduct unrelated to the
work-related injury may reasonably be considered to have the "ability" to perform the job where the job loss resulted
from matters within the employee's control. K.S.A. 1998 Supp. 44-510e. Acklin v. Woodson County, Docket No.
147,322.
- January 1994. (Award) Claimant not entitled to work disability where work restrictions were based upon
claimant's subjective complaints and evidence showed reason to doubt claimant's credibility as to those complaints
and contained persuasive evidence claimant could have performed the duties in a job paying a comparable wage.
Foulk v. Colonial Terrace, Docket No. 168,294. [Affirmed by Court of Appeals in Foulk v. Colonial Terrace, 20
Kan. App.2d 277, 887 P.2d 140 (1994), rev. denied , 257 Kan. 1091 (1995)].
8.15 Presumption upon Return to Work at Comparable Wage / Presumption of No Work Disability
- March 1998 (Award) Presumption of no work disability applies on review and modification as of date claimant
was able to earn a comparable wage. Valley v. Peerless Products, Inc and Aetna Casualty & Surety Company,
Docket No. 165,115.
- January 1998. (Award) Where claimant (1) returned to work to her regular job duties without accommodations,
(2) earned a wage comparable to what she was earning at the time of her accidental injuries, and (3) did not prove a
worsening of her work-related injuries, claimant's request for review and modification of her award must be denied
and the presumption of no work disability contained in K.S.A. 1991 Supp. 44-510e remains intact. Mayhew v.
Southwestern Bell Telephone Co., Docket No. 176,868. [Affirmed by unpublished Court of Appeals opinion,
Docket No. 80,731].
- ----- The loss of employment cannot by itself create a work disability where the injured workers returns to work in
an unaccommodated job at a comparable wage. Id.
- November 1997. (Award) Claimant suffered a work-related injury but was able to return to work for respondent
performing her former duties without accommodation. Claimant continued to work for respondent until she was
laid off when the facility at which she was working closed down. Claimant now seeks review and modification of
her running award because of the change in her employment status. Based upon the reasoning outlined in Watkins
v. Food Barn Stores, Inc., 23 Kan. App.2d 837, 936 P.2d 294 (1997), the Appeals Board concludes that claimant's
application for Review and Modification must be denied as the record contains no evidence that claimant's physical
condition worsened after her return to work. Wagner v. Total Petroleum and Hartford Accident & Indemnity,
Docket No. 189,269.
- ----- "Where an employee returns to work in an unaccommodated job and earns wages comparable to those earned
before his or her injury, the presumption of no work disability applies and will not be rebutted absent evidence of a
change in the employee's physical condition. See Watkins v. Food Barn Stores, Inc., 23 Kan. App.2d 837, 936 P.2d
294 (1997). Id.
- See Also, Holden vs. The Boeing Company and Kemper Insurance Companies, Docket No. 220,124 (October
2000).
- October 1997. (Award) Claimant returned to work following his work-related injury, but the evidence establishes
that he was not able to continue to perform the same duties he had performed at the time of the injury. Specifically,
claimant testified that he was not able to do the lifting and other manual work that had done. Additionally, as a bank
branch manager, claimant was able to accommodate the injury and the work he performed was, therefore,
accommodated employment. Although claimant's treating physician did not recommend work restrictions before
claimant left work for respondent when the branch office closed, he did later recommend restrictions which the
Board found attributable to his initial injury. The Appeals Board finds accommodation was necessary and for that
reason the case is more analogous to Lee v. Boeing, 21 Kan. App. 2d 365, 889 P.2d 516 (1995) than Watkins v.
Food Barn Stores, Inc., 23 Kan. App.2d 837, 936 P.2d 294 (1997). The Appeals Board therefore finds the
presumption of no work disability is rebutted by the specific facts in this case, namely the significant restrictions
recommended and the vocational rehabilitation experts' opinions that these restrictions would affect claimant's
ability to obtain work in the open labor market at a comparable wage. McLinn v. Commercial Sound Company and
Commercial Union Insurance Company, Docket No. 173,709.
- ----- In Watkins v. Food Barn Stores, Inc., 23 Kan. App.2d 837, 936 P.2d 294 (1997), the Court of Appeals held
that if the claimant returns to an unaccommodated comparable wage job after his injury and is then laid off for
economic reasons, the layoff does not trigger an entitlement to work disability. The presumption of no work
disability found in K.S.A. 44-510e still applies, and the claimant's award is limited to one based upon functional
impairment only. Id.
- But See, May 1997. (Award) Where claimant was laid off from work due to an economic layoff, the Appeals
Board finds claimant was no longer earning a comparable wage to his pre-injury wage and the presumption of no
work disability in K.S.A. 1992 Supp. 44-510e ceased to exist. Therefore, claimant became entitled to work
disability at the time of his layoff. Rogers v. Learjet, Inc., Docket No. 168,216.
- October 1997. (Award) Claimant suffered a third injury to his back in February of 1990. It is significant that while
claimant returned to a different job after the 1990 injury, he also returned to a job which was a regular duty job and
required no accommodation. The Kansas Court of Appeals in Watkins v. Food Barn Stores, Inc., 23 Kan. App.2d
837, 936 P.2d 294 (1997), found that a worker who returned to work performing the same job without
accommodations for the same wages, following an injury, does not suffer a work disability unless his physical
condition changes. Here claimant returned to work for respondent at a job that he bid into, which required no
accommodation and paid a wage equal to or greater than that which claimant was earning at the time of the injury.
Claimant continued working that job until the plant closed in April 1991. As such, following Watkins, the Appeals
Board finds claimant is entitled to a functional impairment as a result of the injury suffered in February 1991.
Additionally, in Watkins, the Court of Appeals specifically limited the holding of Lee v. Boeing Company, 21 Kan.
App.2d 365, 889 P.2d 516 (1995), which applied the presumption of no work disability to one period of time and
allowed it to be overcome as to another period. Rather, the Watkins Court found the Lee philosophy did not apply
as the claimant in Watkins was able to return to an unaccommodated job at a comparable wage. In this instance,
claimant returned to work with respondent without accommodation, at a comparable wage, and the holding of
Watkins applies. Ball v. Georgia Pacific Corporation and Kansas Workers Compensation Fund, Docket No.
155,811.
- October 1997. (Award) Where claimant returned to work for respondent and performed her duties as city clerk for
the same wages as before her injury, the presumption of no work disability applies as contained in K.S.A. 1992
Supp. 44-510e. Therefore, claimant's permanent partial disability benefits are limited to those based upon her
functional impairment. The Appeals Board applies the rationale outlined in Watkins v. Food Barn Stores Inc., 23
Kan. App.2d 837, 936 P.2d 294 (1997), for the rationale that where an injured employee returns to work in an
unaccommodated job and earns wages comparable to those earned before the accident, the presumption of no work
disability applies and will not be rebutted by mere proof of loss of employment. Kellar v. City of Douglass and
Employers Mutual Casualty Company and Workers Compensation Fund, Docket No. 189,253.
- September 1997. (Award) There is a statutory presumption against work disability if the employee returns to a
post-injury wage comparable to the pre-injury wage. Unless this presumption against work disability, codified in
K.S.A. 1992 Supp. 44-510e(a), is rebutted by the claimant, he/she is limited to permanent partial disability benefits
based on his/her permanent functional impairment rating. If the presumption is rebutted, claimant is entitled to work
disability if higher than the permanent functional impairment rating. See Locks v. Boeing Co., 19 Kan. App.2d 17,
864 P.2d 738 (1993). Jones v. Target West, Dayton/Hudson Corp. and Kansas Workers Compensation Fund,
Docket No. 199,274.
- July 1997. (Award) Where claimant was never offered a job post-injury within her restrictions at a comparable
wage, the presumption of no work disability contained in K.S.A. 1992 Supp. 44-510(e) does not apply to claimant
and she is eligible for work disability. The Board found claimant's post-injury job was not at a comparable wage
because of a decrease in the number of work hours offered and because the post-injury job was paying one dollar
less per hour than claimant was making pre-injury. Jones v. U.S.D. 315 and Allied Mutual Insurance Co., Docket
No. 195,651.
- June 1997. (Award) Despite expert testimony stating claimant's post-injury wages would most likely be less than
the pre-injury wages, where claimant returned to work and did in fact earn wages comparable to that which he was
earning at the time of the accident, the presumption of no work disability contained in K.S.A. 1992 Supp. 44-510e
has not been overcome. Williams v. Central Mechanical Const. Co., Inc. and CNA Insurance Companies and
Workers Compensation Fund, Docket No. 183,553.
- May 1997. (Award) In order for the no work disability presumption to apply, the injured worker has to engage in
work for wages comparable to the average gross weekly wage the worker was earning at the time of the injury. The
only evidence contained in the record that claimant engaged in work at a comparable wage following her injury is
the two days she attempted to return to work for respondent as a bakery department manager. Based upon
claimant's physicians' and claimant's own testimony, the Appeals Board finds that claimant at that time, at least
from a psychological perspective, was unable to perform her job duties due to her work-related injury which
required the amputation of both the left index and middle fingers. Claimant was found to be eligible for permanent
partial disability benefits based on the work disability test contained in K.S.A. 1988 Supp. 44-510e(a). Pressley v.
Mission Untied Super, Inc and Liberty Mutual insurance Company, Docket No. 141,570.
- May 1997. (Award) Where claimant opted to complete her undergraduate degree following her work-related
accident instead of continuing to work, the Appeals Board finds claimant has voluntarily removed herself from the
open labor market and thus the presumption of no work disability listed in K.S.A. 1990 Supp. 44-510e is applicable.
Chubb v. Baxter Memorial Hospital and Phico Insurance Company, Docket No. 165,020.
- April 1997. (R/M) the presumption of no work disability still applies to claimant's action where she is earning
more after the injury then before, despite the fact that claimant argues she returned to a lower grade level job and
would be earning more if she remained in the same grade level job she was in at the time of the injury. Whisler v.
The Boeing Company and Aetna Casualty and Surety and the Kansas Workers Compensation Fund, Docket No.
152,107.
- April 1997. (R/M) Although claimant is now earning more per week than he was at the time of the injury, he
argues that the presumption of no work disability has been overcome by the opinions of vocational experts who
testified as to claimant's loss of ability to obtain employment in the open labor market. The Appeals Board
nevertheless finds the presumption should apply. The claimant is employed and the theoretical loss of ability does
not, as a practical matter, have any significance at this time. Lundry v. The Boeing Company and Aetna Casualty &
Surety and Kansas Workers Compensation Fund, Docket No. 166,389.
- ----- The presumption of no work disability can be overcome by evidence that the job is temporary or the injury
progressive so that the injury and loss of ability will likely have a medical significance. See Locks v. Boeing Co., 19
Kan. App.2d 17, 864 P.2d 738, rev. denied 253 Kan. 859 (1993). Id.
- March 1997. (Remand) This matter was remanded to the Appeals Board with instructions form the Court of
Appeals to recalculate claimant's permanent partial disability during the period of June 30, 1992, through August
30, 1993, in which claimant was either on light duty with respondent or being paid temporary total disability
compensation while she underwent surgery to her shoulder. In its previous October 30, 1995, Order, the Appeals
Board awarded claimant a 42 percent permanent partial general body work disability with no consideration given for
the time claimant was on light duty with respondent. The Court of Appeals, however, mandated that appropriate
consideration be given for that period. The Court of Appeals also noted that a review of the record failed to uncover
evidence overcoming the statutory presumption of no work disability continued in K.S.A. 1992 Supp. 44-510e.
Therefore, the Appeals Board finds claimant is entitled to an award of permanent partial disability based upon her
percentage of functional impairment during the period of time in question. See Lee v. Boeing Military Airplanes, 21
Kan. App. 2d 365, 899 P.2d 516 (1995). Mardis v. The Boeing Company and Aetna Casualty & Surety Co. and
Kansas Workers Compensation Fund, Docket No. 183,524.
- February 1997. (Award) Where the greater weight of evidence in the record establishes that respondent had made
a successful effort to place claimant in a permanent necessary production job, where he could perform the job
requirements within his permanent work restrictions, earning a comparable wage, the Appeals Board finds the
presumption of no work disability contained in K.S.A. 1992 Supp. 44-510e(a) has not been overcome. Claimant is
limited to an award based upon an 11 percent functional impairment. Rey v. Monfort, Inc., Docket Nos. 180,492;
180,935; and 183,718. [Affirmed by unpublished Court of Appeals opinion, Docket No. 78,640].
- February 1997. (Award) Claimant injured his lower back when a co-worker walked beside claimant to greet him.
Claimant, who had been retrieving papers from his briefcase in his car, immediately turned when the co-worker
approached, injuring his lower back. As a result of his back pain, claimant was unable to satisfactorily perform his
job and terminated his employment with respondent. Claimant secured a subsequent job with the Wyandotte County
Sheriff's Department. Claimant performed a sedentary job with the sheriff's department, but after only a few weeks,
took a leave of absence to perform work on a wheat harvest. Claimant experienced a flare-up with his back while
helping with the wheat harvest. The sheriff's department terminated claimant for absenteeism. Respondent argues
the presumption of no work disability applies to this case because claimant was able to return to work at a
comparable wage for over a year following his injury and voluntarily terminated his employment with respondent
for reasons not associated with his injury. The Appeals Board, however, found that claimant's subjective
complaints about his back coupled with his physician's testimony that claimant's job with respondent exceeded
claimant's permanent restrictions, proves claimant is entitled to a work disability. Claimant's work disability was
determined by following Hughes v. Inland Container Corp, 247 Kan. 407, 799 P.2d 1011 (1990). However, for the
period of time after his accident and until he terminated his employment with respondent, in which claimant worked
at his regular job earning a comparable wage, the Appeals Board finds claimant should be limited to permanent
partial disability based upon his functional impairment only. Denk v. State of Kansas, Docket No. 176,667.
- December 1996. (Award) Claimant returned to work, post-injury, for respondent in the same or similar position
and at a higher wage. Claimant argued the presumption of no work disability was overcome, however, by the
testimony of claimant's vocational experts who stated claimant's access to the labor market was restricted. The
Board, however, found claimant's work restrictions to be excessive as evidenced by other physician's testimony and
the fact that claimant could easily work beyond the restrictions. Therefore, the Board finds the presumption of no
work disability has not been overcome. McChristian v. Total Petroleum, Inc and Hartford Accident & Indemnity
and Kansas Workers Compensation Fund, Docket No. 193,082.
- October 1996. (Award) Presumption of no work disability has not been overcome where the record indicates that
claimant could have performed post-injury work at a comparable wage and voluntarily terminated her employment
with respondent for reasons unrelated to the work-related injury. See Lock s v. Boeing, 19 Kan. App.2d 17, 864
P.2d 738 (1993). Chairez v. IBP, Inc, Docket Nos. 181,994 & 181,995.
- April 1994. (Award) Claimant awarded benefits based on functional impairment for the approximately two years
after his injury while he worked at a comparable wage job with employer and then increased to higher work
disability once he was laid off from the comparable wage position. Lee v. Boeing Military Airplanes, Docket No.
157,744.
- March 1994. (Award) Presumption does not apply where evidence does not show accommodated position paid a
comparable wage and claimant was unable to perform duties of accommodated position. Flurry v. State of Kansas,
Docket No. 170,443.
- March 1994. (Award) Presumption did not limit award to functional where claimant offered temporary
accommodated job and accommodations did not appear to be realistic. Saunders v. Osawatomie State Hospital,
Docket No. 154,857.
- February 1994. (Award) Presumption that there is no work disability applied to limit award to functional
impairment where claimant returned to work for a different employer at a comparable wage. Baca, Jr., v. Monfort,
Docket No. 172,573.
- February 1994. (Award) Evidence that return to work at a comparable wage was in accommodated position and
claimant was then laid off as a part of a general economic layoff does overcome the presumption that claimant has
no work disability. Jump v. Boeing Co., Docket No. 154,492.
- February 1994. (Award) Where evidence established that claimant returned to work at a comparable wage and,
because of his seniority, was not likely to be laid off, award was limited to functional impairment on basis of
presumption even though claimant did have work restrictions as a result of his injury. Hopper v. Beech Aircraft
Corp., Docket No. 168,414.
- February 1994. (Award) Claimant's award limited to functional impairment where evidence established he
returned to work with same employer at a comparable wage even thought at a different job where claimant had
worked for same employer for 13 years, new job was within previous job classification, and there appeared to be no
reason claimant could not continue in job into foreseeable future. Hunt v. Wescon Products, Docket No. 155,577.
- February 1994. (Award) Claimant entitled to work disability where evidence indicated he could not return to pre-injury job with respondent, respondent had sent notice of job openings but did not know whether claimant could
perform the work required in those jobs, did not in fact ever offer any of those jobs, only sent notice of openings,
and where claimant testified he did not apply because he was familiar with the jobs and felt he could not perform the
duties. Esquibel v. Dodge City Community College, Docket No. 165,911.
- February 1994. (Award) Where claimant returned to work at a comparable wage but later left the comparable
wage job, award limited to functional impairment where evidence did not establish that she left the comparable
wage job because of the injury. Turner v. Rubbermaid-Winfield, Inc., Docket No. 144,263.
- February 1994. (Award) Where employee returned to comparable wage job only temporarily and was then subject
to economic layoff, presumption of no work disability is overcome. Harrold v. Boeing Military Airplanes, Docket
No. 165,911.
- January 1994. (Award) Claimant's award limited to functional impairment only where evidence established that
after the accident he returned to work at a wage higher than he received at the time of the injury. Mitchell v.
Coleman, Docket Nos. 144,226 & 145,503.
- January 1994. (Award) Presumption of no work disability applied to limit claimant to functional impairment
award where evidence established claimant returned to his pre-injury employment even though it was only for a
brief period. Voller v. Kelly Truck, Docket No. 145,369.
- January 1994. (Award) The Board found no evidence to overcome the presumption of no work disability where
claimant returned to work at a comparable wage even though it was at an accommodated position. Rios v. National
Beef, Docket No. 168,755.
- December 1993. (Award) Claimant not entitled to work disability where she returned to her previous job at the
same wage but was subsequently terminated for reasons not related to her claim or her ability to perform the work.
Walsh v. Moore's Supermarket, Docket No. 163,502.
8.16 Computation of Benefits
- October 1998. (Award) Claimant suffered a work-related injury in which she slipped on ice and fell backwards on
her buttocks with her arms down causing injury to her back. After examining the testimony of a physician and
vocational rehabilitation experts, the Board finds claimant suffered a 50.5% loss of access to the open labor market
and a 17 % loss of ability to earn comparable wages, resulting in a 33.75% permanent partial disability to the body
as whole. Huff v. Sellman Kennels/Wichita Greyhound and National Union Fire Insurance Company and Kansas
Workers Compensation Fund, Docket No. 175,588.
- ----- But See Dissent, the Dissenting Board Member finds that two board-certified orthopedic surgeons opined that
claimant had no functional impairment and no need for any work restrictions. This supports no loss in claimant's
ability to perform work in the open labor market and no loss in claimant's ability to earn a comparable wage. Only
when considering the biased opinion of another doctor can a functional impairment and work disability be assessed.
Therefore, the Dissenting Board Member would find the greater weight of the evidence as required by K.S.A. 44-501 to be with the latter physician's opinion. Therefore, claimant has failed to prove any permanency associated
with the injury and the Board would award claimant temporary total disability compensation and medical expenses
associated with the authorized and unauthorized treatment but would deny claimant any permanent functional
impairment or any permanent work disability from the injury. Id.
- September 1998. (Award) In determining the extent of permanent partial disability, both the reduction in
claimant's ability to perform work in the open labor market and claimant's ability to earn comparable wages must be
considered. The statute is silent as to how any type of percentage is to be arrived at. Hughes v. Inland Container
Corp., 247 Kan. 407, 799 P.2d 1011 (1990). However, a mathematical equation or formula must necessarily be
utilized in order to arrive at a percentage. Schad v. Hearthstone Nursing Center, 16 Kan. App. 2d 50, 52-53, 816
P.2d 409, rev. denied 250 Kan. 806 (1991). Hughes, while indicating a balancing of the two factors is required,
does not state specifically how this balance occurs or what emphasis is to be placed on each of the tests. The
Appeals Board, in considering both claimant's failure to prove a loss of access to the open labor market and a wage
loss of 61 percent, finds claimant entitled to a 30.5 percent permanent partial work disability as a result of the
injuries suffered with respondent to both his foot and his low back. Tackett v. Koch Chemical Company and
Insurance Company of North America and Kansas Workers Compensation Fund, Docket No. 163,962 [Reversed
and remanded by unpublished Court of Appeals opinion, Docket No. 77,468].
- April 1997. (Award) See discussion where Appeals Board averages 64% loss of ability to perform work in the
open labor market with 45% loss of ability to earn a comparable wage to award claimant with a 55% work disability.
Wrigley v. Medicalodges, Inc. and Workers Compensation Fund, Docket No. 162,882.
- April 1997. (Award) Under the pre-July 1, 1993, Act, the benefits for general body disability are to be paid for a
full 415 weeks. A change in the percentage of disability reduces the amount of the payment made over those weeks,
not the number of weeks benefits are paid. In the case at hand, the reduction to a 6 percent disability reduces the
amount of the weekly payment for what remains of the 415 weeks. Lundry v. The Boeing Company and Aetna
Casualty & Surety and Kansas Workers Compensation Fund, Docket No. 166,389.
- April 1997. (Award) Application of Romeo v. Smith Temporary Service, Docket No. 184,711 (December 1995)
discussed. Whisler v. The Boeing Company and Aetna Casualty and Surety and the Kansas Workers Compensation
Fund, Docket No. 152,107.
- ----- Under Romeo, review and modification may, in some instances, result in the termination of benefits because
the full number of weeks awarded on review and modification have already been paid. Id.
- ----- Under the old Act calculations, (pre July 1, 1993) applicable to this case, benefits for a general body disability
run for a full 415 weeks. Review and modification adjusts the amount of weekly payments not the number of
weeks. Id.
- November 1995. (Award) The Work Disability statute does not address how to calculate benefits payable for an
injury when the disability rate changes for one injury. Such a change may occur from review and modification or as
a part of the initial award when, for example, the claimant ceases to work or returns to work after being off for a
period. The award may change from functional impairment to work disability or vice versa. Under the pre-1993
calculation, a change in the disability rate meant a change in the weekly rate for the remaining weeks. Bohanan v.
USD 260 and KS Assoc of School Boards and Workers Compensation Fund, Docket No. 190,281 [Affirmed by
Court of Appeals, 24 Kan. App.2d 362].
- December 1995. (Award) When there is a change in the disability rate the award must be recalculated using the
new or latest disability rate as though no permanent partial benefits had been paid. Any weeks of disability benefits
previously paid are credited against the latest disability award. Romeo v. Smith Temporary Services, Docket No.
184,711 (December 1995)
- See Also, Deviney v. Oakwood Villa Care Center, Docket No. 179,026 (October 1996); Ruddick v. The Boeing
Company and Aetna Casualty & Surety Company and Kansas Workers Compensation Fund, Docket Nos. 187,724
& 187,764 (December 1996) [Reversed and remanded by Supreme Court opinion, 263 Kan. 494].
8.17 Work Disability Test ( Post 1993 Amendments )
- July 2000. (Award) Claimant's heavy lifting work activities permanently aggravated claimant's preexisting low
back condition. As the result, claimant is entitled to be compensated for the permanent disability. But, claimant is
not entitled to work disability because he is not able to return to work because his overall physical condition had
deteriorated as a result of a personal health condition, i.e. a heart attack, not associated with claimant's employment.
Claimant's is entitled to a permanent partial disability award based on only his permanent functional impairment.
Delvin Hupfer vs. Kansas Brick & Tile Company, Inc. and Travelers Insurance Company, Docket No. 222,019.
- July 2000. (Award) Claimant's non-related health problems rendered claimant incapable of engaging in substantial,
gainful employment. Therefore, claimant is not entitled to a work disability based upon a loss of ability to earn
wages. Claimant's award is limited to functional impairment. Michael L. Jordan vs. Mercy Hospital, Docket No.
220,307.
- March 2000. (Award) When respondent would not accommodate claimant's light duty restrictions imposed after
claimant's work-related injury, claimant was forced to quit. Claimant should not be denied a work disability because
respondent, one year and a half after claimant left respondent's employment, made a non-specific offer of an
accommodated job. Claimant's reluctance to return to respondent's employment in response to respondent's
subsequent offer is reasonable because claimant secured permanent steady employment offering potential
advancement within claimant's permanent work restrictions. Farley v. Central Mechanical Construction, Inc.,
Docket No. 234, 635.
- March 1999. (Award) Intrinsic in the Workers Compensation Act is the requirement that there be some type of
causal connection or nexus between the injury and the disability for which the benefits are being awarded. The
injury must arise out of the employment. In the case of a work disability, the Board finds this requires a nexus
between the injury and both the task loss and wage loss. The task loss factor is based on loss of ability resulting
from the injury. In the case of wage loss, the causation requirement is less explicit. The Board believes the
fundamental function and purpose of the Act expects that there be a nexus between the injury and the wage loss
before that loss can be a factor used to calculate the amount of benefits. Lawless v. Emerson Electric Company,
Docket No. 214,874.
- March 1999. (Award) In January 1996, while working as a heavy equipment operator for respondent Saginaw
Quarries, claimant injured his neck, back, shoulder, arm and leg. Claimant was off work for three weeks before
returning to work with respondent with work restrictions against lifting. Claimant was then transferred to work for
Neosho where he again worked as a heavy equipment operator. (Neosho owns Saginaw). In May 1996, claimant re-injured the same parts of his body by lifting a 100 pound ramp. This lifting violated claimant's existing work
restrictions. Claimant testified that he was the only one there who could lift the ramp. Neosho refused to reemploy
claimant after this injury stating he had to be 100 percent in order to come back to work. Claimant has not worked
since the injury but has put in employment applications with other employers. The issue on appeal is whether to
assess the work disability benefits against Neosho, the second employer. The Board found that the work disability
benefits should be assessed against Saginaw, the first employer, since the work restrictions, which in turn produced
the work disability, occurred from the injury at Saginaw. Claimant suffered no new work restrictions in the injury
from the second employer. For the injury at Saginaw, claimant should receive benefits based on functional
impairment until after his injury at Neosho -- until that date he was earning the same wage as he did at Saginaw.
But after the second injury, the injury at Neosho, claimant ceased to earn 90 percent or more of the wage he earned
at Saginaw and the permanent partial disability should be modified to work disability based on task and wage loss.
Claimant's work disability benefits, however, only begin after the period of temporary total disability as he should
not receive work disability while receiving temporary total. Surls v. Saginaw Quarries, Inc Neosho Construction
Company, Inc & Liberty Mutual Insurance Company St. Paul Fire & Marine Insurance Company, Docket Nos.
211,321 & 123,766. [Affirmed by Court of Appeals, Docket No. 83,095, February 18, 2000.]
- ----- But See, Dissent, the dissenting Board Member would affirm the ALJ's decision that claimant receive benefits
based on functional impairment for the injury received at the first employer, Saginaw; and a work disability for the
injury he received at the second employer. The dissenting Board Member finds the event which makes claimant's
disability a work disability is the second injury which resulted in a wage of less than the 90 percent threshold. Id.
- ----- But See, Second Dissent, this dissenting Board Member would also affirm the ALJ's award. The dissent
further believes that claimant's preexisting work restrictions should not be taken into consideration when claimant's
work tasks loss is determined since the second employer worked claimant outside those restrictions. See Mayberry
v. Rubbermaid Specialty Products, Docket No. 186,053 (October 1997). Id.
- March 1999. (Award) Claimant was injured in a work-related accident and then was released and returned to work
for two weeks before suffering a disabling, non work-related heart attack. At the time claimant returned to work,
she could not perform her job due to her work-related injuries. As such, the Appeals Board imputed a wage and
found claimant was entitled to a work disability award. Wortham v. Wal-Mart and Claims Management, Inc,
Docket No. 213,499 [Affirmed by unpublished Court of Appeals opinion, Docket No. 83,086].
- February 1999. (Award) An employer may terminate a worker because it cannot accommodate medical
restrictions. But when the employer later offers an accommodated position that pays a comparable wage, the
worker's permanent partial general disability benefits are limited to the functional impairment rating from that point
forward. See Cabrera v. Casco, Inc, 25 Kan. App.2d 169, 959 P.2d 918 (1998). Acosta v. National Beef Packing
Company, LP & Wausau Underwriters Insurance Co, Docket No. 206,691.
- ----- A worker's permanent partial general disability benefits are limited to the functional impairment rating when
the worker voluntarily terminates a job that he/she is capable of performing and that pays at least 90 % of the pre-accident wage. See Lowmaster v. Modine Manufacturing Co., 25 Kan. App.2d 215, 962 P.2d 1100, rev. denied
Kan. (1998). Id.
- August 1998. (Award) Claimant returned to work at an unaccommodated job; was given benefits for her functional
impairment and then was terminated for reasons unrelated to her injury. On review and modification claimant
requests work disability. Work disability was denied, however, based upon the holding in Watkins v. Food Barn
Stores, Inc., 23 Kan. App.2d 837, 936 P.2d 294 (1997). When an injured employee returns to an unaccommodated
job at a comparable wage, unless there is a change in the physical condition, the employee is not entitled to work
disability if he/she loses the job for reasons not related to the injury. The Board finds, however, that Watkins should
not prevent modification to award work disability, even where a claimant returns to an unaccommodated job, if it is
shown that the job was inappropriate and the claimant would have eventually had to leave because of the injury. But
in the Board's view, the record here does not convincingly support that conclusion. The Board concludes that the
ruling by the Court of Appeals in Watkins prevents modification of the award in this case. Hittle v. Southwestern
Bell Telephone Company and Liberty Mutual Insurance Company, Docket No. 196,744.
- ----- But See Dissent. The Dissenting Board Member believes the facts in this case are distinguishable from
Watkins where the claimant returned to work and performed his former job duties without any accommodations
until being lad off. Unlike Watkins, the dissent finds that claimant did in fact return to an accommodated job at
work which involved less data entry and typing. However, the dissent believes that even if claimant returned to an
unaccommodated job, Watkins still does not apply as the job claimant returned to was inappropriate and violated
reasonable medical restrictions. Id.
- See Also, Polzkill vs. Kansas Public Service and St. Paul Fire & Marine Ins. Co. and Kansas Workers
Compensation Fund, Docket No. 183,435 (November 2000) and Newman vs. Kansas Enterprises, Inc. d/b/a AAA
Equipment & Supply and Wausau Underwriters Insurance Company, Docket Nos. 186,258 & 189,497 (December
2000).
- February 1998. (Award) K.S.A. 44-510e(a) requires averaging two factors to determine the extent of permanent
partial general disability: the percentage loss of ability to perform tasks claimant performed in his or her work over
the 15 years preceding the date of accident and the percentage difference between claimant's average weekly wage
at the time of the injury and the wage after the injury. Duru v. Rubbermaid Specialty Products, Docket No.
208,113.
- ----- K.S.A. 44-510e provides that benefits must be limited to functional impairment as long as the employee is
engaged in work for wages equal to 90 percent or more of the wage the employee was earning at the time of the
injury. Id.
- ----- Claimant is not entitled to a wage loss factor based upon actual wage loss unless and until it is shown that
claimant exercised good faith in his or her efforts to obtain or retain employment after the injury. See Copeland v.
Johnson Group, Inc. and Travelers Insurance Company, 24 Kan. App.2d 306,944 P.2d 179 (1997). [Affirmed by
Court of Appeals, Docket No. 81,414, December 30, 1999.] Id.
- October 1997. (Award) Claimant suffered accidental injury arising out of and in the course of her employment in
1994, while moving shelves at respondent's store where she was the manager. After a period of treatment, claimant
returned to work for respondent in an accommodated job. However, in 1995, claimant was laid off by respondent
amid allegations that claimant suffered from a bad attitude and provided poor management. Respondent provided
no support for these allegations leading to claimant's termination. Claimant, on the other hand, presented a multi-year employment history with the respondent with no prior indications of a bad attitude or poor management.
Rather, claimant had consistently received good reviews for her job performance. Respondent cited Perez v. IBP,
Inc., 16 Kan. App.2d 277, 826 P.2d 520 (1991), for the proposition that claimant should be limited to her functional
impairment as she was terminated for having a bad attitude at work. The Appeals Board, however, finds
respondent's reasons for terminating claimant to be a smoke screen created to justify the termination and avoid a
work disability assessment. Work disability was awarded by the Appeals Board. Miller v. Total Petroleum, Inc.
and Hartford Accident & Indemnity, Docket No. 211,557.
- September 1997. (Award) For injuries after July 1, 1993, K.S.A. 44-510e provides two prongs for measuring work
disability. The wage loss prong is determined by comparing the pre- and post-injury wage. The difference,
converted to a percentage, is then averaged together with the task loss prong. The task loss is the loss of ability,
again converted to a percentage, to perform tasks performed in the previous fifteen years of work. The task loss
must be based on the opinion of a physician. K.S.A. 44-510e also provides that a claimant's disability should be
limited to his or her functional impairment if after the accident he/she earns 90 percent or more of the pre-injury
wage. See Discussion in, Logan v. Fry-Wagner Moving & Storage and Vanliner Insurance Company, Docket No.
206,790.
- See Also, Pride v. Able Design Plastics and Travelers Insurance Company, Docket No. 202,819 (April 1998);
Edwards v. Klein Tools, Inc., Docket No. 198,017 & 198,018 (July 1997) [Note, Edwards v. Klein Tools, Inc was
reversed by Court of Appeals in Edwards v. Klein Tools, Inc, Docket No. 79,597 (Kan. App. 1999)].
- July 1997. (Award) Both the work tasks loss and the wage loss component of the work disability test must be
given equal weight when arriving at a work disability. Carver v. Missouri Gas Energy, Docket No. 195,270.
- April 1997. (Award) Claimant suffered a work-related accident and received permanent partial disability for her
functional impairment. Claimant, however, contends she should receive work disability for the time she could not
work due to her non work-related coronary bypass surgery. Although it is true that the difference between
claimant's pre and post injury wages at this time was 100 percent, such a reading of K.S.A. 44-510e contradicts the
general intent of the Workers Compensation Act. The Act provides benefits to assist with the loss caused by a
work-related injury. Before work disability is appropriate, the work-related injury must have a negative impact on
claimant's ability to work and earn wages. When after the work injury, a claimant suffers a separate non work-related accident or illness, such as the coronary problems in the case at hand, which by itself renders claimant
unable to work, such an intervening or superseding event should not trigger work disability benefits. Fenwick v.
Sterling Presbyterian Manor and Insurance Management Associates, Inc., Docket No. 206,618.
- March 1997. (Award) Claimant's permanent partial disability benefits based upon his percentage of functional
impairment would be changed to a work disability based upon the average of his task loss and wage loss, following
his being laid off due to respondent' inability to accommodate his restrictions. Faroh v. Sedgwick County, Docket
No. 201,856.
- February 1997. (Award) The language of K.S.A. 44-510e, as amended by the legislature in 1993, denies the
Appeals Board the flexibility of adjusting the tasks and wage prongs of the statute. The statute mandates that the
loss of ability to perform work tasks be averaged together with the difference between the average weekly wage the
worker was earning at the time of the injury and the average weekly wage the worker is earning after the injury.
Stroud v. Sedgwick County, Docket No. 202,590.
- February 1997. (Award) Claimant's disability is increased to a work disability after she was laid off from work
and no longer earned a comparable wage. The presumption of no work disability no longer applies to claimant after
the layoff. See Lee v. Boeing Co., 21 Kan. App.2d 365, 899 P.2d 516 (1995). Rios v. National Beef Packing
Company and Lumbermen's Underwriting Alliance Wausau Insurance Companies and Kansas Workers
Compensation Fund, Docket Nos. 175,891; 186,485; & 189,187.
- November 1996. (Award) When determining a claimant's tasks loss, the Board does not consider it necessary that
the physician "do the math and state the percentage" of tasks loss. The physician must, however, apply his or her
work restrictions to the list of tasks. Therefore, where the physician's opinion of claimant's ability to perform the
tasks he had performed over the past 15 years eliminated five of the eight tasks, the Appeals Board computes
claimant's tasks loss to 62.5 percent. Smith v. Valley Pro Source and Crum & Forster Insurance Company, Docket
No. 199,793.
- October 1996. (Award) A claimant would be eligible for work disability from the date of accident until the time
period in which respondent offers claimant accommodated employment earning at least 90% of claimant's pre-injury wage. Claimant would be eligible for permanent partial disability based on functional impairment after being
given the accommodated job. Debaeza v. Super 8 Motel and Allied Mutual Insurance Company, Docket No.
183,947.
8.18 Loss of Ability to Perform the Work Tasks During the 15-year Period Preceding the Accident
8.19 Generally
- February 2000. (Award) Board did not consider it necessary for vocational expert to testify where claimant
reviewed task list and testified to its accuracy. The Board also considered a second task list by second vocational
expert to be admissible where the expert testified she obtained the information from the claimant but claimant did
not testify to the accuracy of the second list. Pierson v. Three Rivers, Inc., Docket No. 222,808.
8.20 Work Task Loss
- July 2000 (Award) Claimant failed to prove a task loss when the list did not include all jobs, and the listed tasks
combine several tasks, duplicated some tasks and contained unclear descriptions of the job requirements. Jose
Alfredo Garcia vs. Schlumberger Dowell and Travelers Insurance Company, Docket No. 230,103.
- June 2000 (Award) The evaluating physician used an invalid functional capacity evaluation to reach his restriction
and task loss opinions. However, the Board concluded that the physician's opinion is acceptable because the
physician testified that his restrictions were appropriate given the injury and resulting surgery. Anita Keeler vs.
Candlewood Hotel and Zurich Insurance Company, Docket No. 223,811.
- June 2000. (Award) The task loss opinion must be the opinion of a physician. Therefore, a physician's opinion
must support any modification of the work loss opinion. Gary Phleger vs. Harding Glass and Legion Insurance
Company, Docket No. 239,217.
- April 2000. (Award) A vocational expert's task loss opinion is admissible if the expert testifies he/she obtained the
list from information provided by claimant, even if the claimant does not testify to the accuracy of the list, and
claimant was available to testify and can be examined or cross- examined about accuracy of the list. Elizia Gonzalez
vs. Tommassi's of Wichita, Inc. and Northwestern National Casualty, Docket No. 216,281.
- October 1999. (Award) Where task list upon which task loss opinions were based failed to include tasks from
several jobs claimant had in the relevant 15 years, claimant has failed to meet the burden of proving the task loss.
Atkinson v. Major, Inc., Docket No. 225,572. [Affirmed by unpublished Court of Appeals opinion, Docket No.
84,281, August 4, 2000.]
- July 1999. (Award) Where medical testimony pointed to claimant's inability to perform 10 of the of the 27
different tasks he performed in the "fifteen-year period preceding the accident," claimant's work tasks loss is found
to be 37 percent. Marley v. M. Bruenger & Company, Inc. and Legion Insurance Company, Docket No. 213,003
[Reversed by Court of Appeals opinion, Docket No. 83,699, May 5, 2000].
- March 1999. (Award) Intrinsic in the Workers Compensation Act is the requirement that there be some type of
causal connection or nexus between the injury and the disability for which the benefits are being awarded. The
injury must arise out of the employment. In the case of a work disability, the Board finds this requires a nexus
between the injury and both the task loss and wage loss. The task loss factor is based on loss of ability resulting
from the injury. In the case of wage loss, the causation requirement is less explicit. The Board believes the
fundamental function and purpose of the Act expects that there be a nexus between the injury and the wage loss
before that loss can be a factor used to calculate the amount of benefits. Lawless v. Emerson Electric Company,
Docket No. 214,874.
- March 1999. (Award) Claimant's tasks loss percentage found to be 0 percent because of the failure of her
physician's tasks opinion to establish the amount of tasks loss. The physician's opinion did not satisfy the statutory
requirements for tasks loss because it was not based on the tasks claimant performed. The physician testified that he
identified tasks from the DOT listing for the job claimant performed, but this method would only give tasks typically
performed in those jobs but would not establish that claimant performed those tasks. The tasks loss component of
work disability should be based on the tasks claimant actually performed. Hildreth v. Rossville Valley Manor and
Kansas Health Care Association, Docket No. 211,198.
- February 1999. (Award) Per the provisions of K.S.A. 44-510e, there must be an adequate foundation for the
physician's tasks loss opinion; and that opinion must necessarily include an adequate description of each individual
work task. A general description of a worker's job does not suffice under the present permanent partial general
disability definition. Burk v. Pro Fit Cap Company, Inc and Travelers Insurance Company, Docket No. 225,944.
- November 1998. (Award) The loss of claimant's job task performing ability has to be expressed in the opinion of a
physician. Johnson v. Hillcrest Manor and National Union Fire Ins. Co, Docket No. 217,751.
- October 1998 (Award) The Court of Appeals affirmed the Board's decision. In its opinion, the Court of Appeals
held that K.S.A. 1998 Supp. 44-510e does not require a time-weighted analysis by the Board when determining a
loss of ability to perform work tasks. Adrienne Martinez vs. U.S.D. No. 501, Docket No. 211,399 (October 1998).
[Affirmed by unpublished Court of Appeals opinion, Docket Number 82,265, December 3, 1999.]
- October 1998. (Award) Task loss analysis computation explained; equal weight given to two physicians. Tippin v.
Sedgwick County, Docket No. 204,191.
- April 1998. (Award) K.S.A. 44-510e(a) clearly requires the decision of task loss be based upon a physician's
opinion and not the opinion of claimant. McGee v. Yellow Technology Services, Inc., Docket No. 201,419.
- March 1998. (Award) Time-weighted work task loss analysis explained. Claimant's work task loss is determined
by weighing the period of time claimant performed a particular job together with the percentage assigned to the
individual work tasks that claimant can no longer perform. Waggoner v. Fiberglass Engineering, Inc and Cigna
Insurance Company, Docket No. 199,827.
- See Also, Tracy v. Anthony Hospital and Commercial Union Insurance, Docket No. 222,386 (December 1998);
But See, Dissent, the Dissenting Board Member in Tracy v. Anthony Hospital finds the majority was incorrect in
applying the time-weighted approach to work tasks loss analysis as nothing in the statute suggests that the Board
should consider or attempt to measure the amount of time an employee has spent in those tasks.
- See Also, November 1995. (Award) The Appeals Board finds the time-weighted work task loss assessment to be
the most persuasive, in the case at hand, and more accurately assesses claimant's loss of ability to perform tasks.
The time weighting assigned each task a percentage of time performed over the fifteen (15) year history. Dehncke v.
Marks Carpets and Cigna and Kansas Workers Compensation Fund, Docket No. 189,455.
- ----- Dissent, the Dissenting Board Member believes there is nothing in the statutory language of K.S.A. 44-510e
which suggests the Board is to either consider or attempt to measure the amount of time an employee has spent in
the tasks. If the test were to determine the percentage of time one engaged in those lost tasks, a time-weighted
analysis would be appropriate. However, since that is clearly not the test, the majority is inappropriately applying a
standard and test other than the one provided by the legislature. Id.
- But See, August 1997. (Award) The non-time-weighted work task loss analysis is adopted over the time-weighted
analysis, where the Appeals Board concludes two physicians' work task loss opinions, based on the non-time-weighted analysis, are the most persuasive. Stark v. Monfort, Inc., Docket No. 210,898.
- See also, Edwards v. D & M Masonry and TIG Insurance Group, Docket No. 220,839 (July 1999), time-weighted
work tasks loss analysis not used where claimant did not give an accurate estimate of the time he spent on each task.
- See also, Patricia Hamel vs Roadway Express, Inc. & Liberty Mutual Insurance Company, Docket No. 219,836
(January 2000). [On remand, from Court of Appeals unpublished opinion, Docket Number 82,284 October 15,
1999, for explanation of Board's rejection of time-weighted task loss opinion.]
- March 1998. (Award) Work disability affirmed. Claimant has tasks loss due to environmental restrictions; he is
not to work around heavy concentrations of fumes, dusts, extremes of temperature and humidity, and other things
that would be irritating to his airways. Even though claimant could still perform most or all tasks in a clean
environment, claimant has tasks loss because he does not actually work in such an environment. Hamilton v.
Agricultural Carriers, Inc and Liberty Mutual Insurance Company, Docket No. 220,728.
- December 1997. (Award) Where claimant's physician failed to break all claimant's previous jobs down into
individual work tasks, the Appeals Board agrees with the Administrative Law Judge's determination that the task
loss analysis provided in this case does not adequately satisfy the requirements of K.S.A. 1994 Supp. 44-510e.
Claimant is therefore given a 0 percent task loss. Peres v. Beachner Construction Company, Inc. and Aetna
Casualty & Surety Company, Docket No. 210,614.
- December 1997. (Award) Duplicative tasks excluded in determining task loss. See Discussion in Owings v.
Walter A. Young Construction, Inc. and Steve Beyrle, DBA Beyrle Construction and Cigna and Travelers Insurance
Company, Docket No. 192,579.
- October 1997. (Award) K.S.A. 44-510e requires the opinion of a physician regarding the loss of ability to perform
tasks. However, where the record contains no opinion of a physician on this question of tasks, the Appeals Board
must find claimant has failed to sustain his burden of proving the task loss, and therefore, a 0 percent task loss must
be used as part of the new act work disability formula. Walker v. General Motors Corporation and Kansas Workers
Compensation Fund, Docket Nos. 196,172 & 196,173.
- See Also, Gowdy v. Pickrell Drilling Company, Inc. and ITT Hartford, Docket No. 189,514 (February 1997).
- October 1997. (Award) Respondent appeals from a work disability Award and argues claimant's disability, which
the Appeals Board found to be a whole body injury caused by a simultaneous injury to both shoulders, should be
limited to permanent functional impairment because of preexisting permanent restrictions that resulted from a
previous bilateral carpal tunnel syndrome injury. Although claimant did have preexisting work restrictions, the
Appeals Board concludes that claimant performed work for respondent after she suffered her wrist and hand injuries,
which exceeded those prior restrictions. Therefore, the Appeals Board finds those prior restrictions should not be
considered when determining claimant's work disability. Maberry v. Rubbermaid Specialty Products and American
Manufacturers Mutual Ins. and Kansas Workers Compensation Fund, Docket No. 186,053.
- October 1997. (Award) Respondent argues that the physician's acceptance of the work task loss assessment report,
as developed by a vocational rehabilitation expert who utilized the physician's permanent restrictions, is not a
physician's opinion on claimant's work task loss but merely the opinion of a rehabilitation expert. The Appeals
Board, however, finds that the work task loss assessment report, which was reviewed by the physician and in which
the physician agreed with the conclusion of the report, is the opinion of a physician as required by statute. Pickering
v. Classic Steambrite and Steam Master Carpet and Aetna Casualty & Surety Company, Docket No. 210,457.
- July 1997. (Award) The first prong of K.S.A. 44-510e requires claimant prove, through the opinion of a
physician, the percentage of tasks claimant is no longer able to perform as a result of an accident. Where the
claimant failed to provide his doctors with an appropriate list of tasks which claimant performed over the 15-year
period preceding the date of accident, the Appeals Board finds the percentage of task loss for the first prong of the
formula set forth in K.S.A. 44-510e should be considered nil. Petkoff v. Eliason & Knuth and Lumbermen's
Underwriting Alliance, Docket No. 187,137.
- See Also, Fairless v. Morton Building, Inc. and Insurance Company of North America, Docket No. 204,172 (July
1997).
- July 1997. (Award) Claimant sustained a work-related back injury in 1991 and a subsequent work-related back
injury in 1994. In determining claimant's work disability, the Appeals Board finds even though claimant's
permanent work restrictions did not significantly change following the 1994 injury, claimant's overall condition
worsened as evidenced by a 5 percent permanent functional impairment increase. This increase in functional
impairment coupled with respondent's refusal to return claimant to any type of work, substantiate that claimant's
1994 injury resulted in a work tasks loss as found by the Administrative Law Judge in the amount of 70 percent.
Additionally, the Appeals Board affirmed the Administrative Law Judge's award which reduced claimant's work
disability by the 37.5 percent preexisting functional impairment rating which was the basis for the 1991 workers
compensation settlement. Carver v. Missouri Gas Energy, Docket No. 195,270.
- ----- See Also, Concurring Opinion, stating it would deduct only the preexisting functional impairment and would
not attempt to construct a new set of rules for calculating the task loss where there has been another or preexisting
task loss during the relevant fifteen-year work history. Id.
- ----- But See, Dissent, stating the majority's method for calculating the task loss where there has been another or
preexisting task loss during the relevant fifteen-year work history is in fact easier to apply but was specifically
rejected by the Appeals Board in Converse v. ADIA Personnel Services, Docket No. 184,630 (December 1996).
The Appeals Board should continue to construe the tasks loss prong of the two-part work disability test in K.S.A.
44-510e(a) as referring to only those work tasks which the employee still has the ability to perform immediately
prior to the injury which is the subject of the claims. Since, in the case at hand, there is no evidence of the
percentage of work tasks claimant has lost the ability to perform out of those work tasks which he could still
perform at the time of the subsequent injury, a zero percent tasks loss should be applied. Further, it would be
unnecessary to also subtract the percentage of functional impairment determined to be preexisting, since, as in
Converse, the zero percent tasks loss already fully accounts for claimant's preexisting condition. Id.
- ----- See Also, Second Dissent, holding that in addition to the zero percent tasks loss, described in the first Dissent,
the statutory mandate of K.S.A. 44-501(c) requires the reduction of the preexisting functional impairment from the
newly computed work disability. Id.
- See Also, Alexander v. Leland M. Alexander & Company and Granite State Insurance Company, Docket No.
206,282 (August 1997).
- June 1997. (Award) Claimant worked for respondent as a correctional specialist for 28 years. As a part of
claimant's work, during the relevant fifteen years, she was required to be able to defend herself and restrain
residents. After her work-related back injury, claimant was no longer able to restrain residents or defend herself and
was moved to her current post-injury position in the medical records department at a wage less than 90 percent of
the pre-injury average gross weekly wage. Claimant contends the ability to restrain residents is an integral part of
most, if not all, of the tasks she performed in the 15-year work history and her tasks loss is therefore between 85 to
100 percent. Conversely, respondent contends the restraint of a resident is a separate single task and should be
treated as such. Therefore, according to respondent, claimant's tasks loss is only 14 percent. The Appeals Board
found the key issue in determining a claimant's tasks loss is whether claimant can still do the work she had done
over the prior 15 years. In this case the answer, for the most part, is no. The ability to restrain the residents was an
integral part of most of her tasks, which she can no longer perform. Therefore, the Appeals Board agrees with
claimant, finding there has been an 85 percent tasks loss. Wilder v. Shawnee County and Kansas Workers
Compensation Fund, Docket No. 202,296.
- ----- The key issue in determining claimant's tasks loss is whether claimant can still do the work he/she had done
over the prior 15 years preceding the accident. Id.
- June 1997. (Award) Claimant's work task loss discussed. Where claimant's physicians testified that he was
unable to perform six out of his ten former work tasks, the Appeals Board finds claimant has a 60 percent task loss.
Enriquez v. IBP, Inc., Docket No. 196,942.
- May 1997. (Award) The Workers Compensation Act does not define "work tasks" or otherwise provide any
guidance as to how to determine what tasks should be identified for any given job. That there can be a difference of
opinion in this regard even among vocational experts is apparent from the record in this case where two vocational
experts gave different opinions as to the amount of work tasks claimant could no longer perform. Since the Appeals
Board did not find any compelling reason to adopt the list of tasks identified by one vocational expert over the other,
the Appeals Board considers the better approach to be to consider the tasks lists of both experts. Lyday v. J.I. Case
Company, Docket No. 205,329.
- ----- Because the work disability statute K.S.A. 44-510e(a) speaks in terms of work tasks and not jobs, the Appeals
Board concluded that tasks which are repeated in more than one job should be eliminated from the equation when
determining the percentage of loss. Id.
- May 1997. (Award) Where claimant presented no evidence based upon the opinion of a physician as to any task
loss she may have incurred as a result of her injury and where it appears from the evidence that the injury which led
claimant to quit her employment with respondent was not work-related nor did claimant accept respondent's offers
for accommodation, the Appeals Board finds claimant is not entitled to an award of work disability but is limited to
functional impairment only. Dombkowski v. IBP, Inc. and Kansas Workers Compensation Fund, Docket Nos.
177,397; 195,846 & 195,847. [Affirmed by unpublished Court of Appeals opinion, Docket No. 79,239].
- April 1997. (Award) Where no medical opinion regarding work task loss is in the record, claimant's award is
limited to functional impairment; work disability will not be awarded. Whelan v. City of St. Paul and Cigna
Workers Compensation, Docket No. 202,839.
- February 1997. (Award) Claimant has the burden of proof to establish both the task loss and difference in earnings
contemplated by K.S.A. 44-510e. Nielson v. Plains Liquids Transport, Inc. and Commercial Union Insurance Co.,
Docket No. 184,826.
- ----- Under K.S.A. 44-510e, the measure of permanent partial general disability benefits is not whether a worker is
able to return to a former job or occupation but, instead, what effect the injury has had upon the ability to perform
the specific work tasks which the worker performed in any substantial and gainful employment over the 15 year
period preceding the date of accident. Id.
- February 1997. (Award) Work task analysis discussed. See Anderson v. The Boeing Company and Aetna
Casualty & Surety Company & Kemper Insurance Company, and Kansas Workers Compensation Fund, Docket No.
186,194. [Affirmed by Court of Appeals in 25 Kan. App.2d 220].
- December 1996. (Award) By enacting the 1993 Amendments to K.S.A. 44-501(c), the legislature intended for
workers with preexisting conditions to only be compensated for new injuries to the extent the new injury caused
increased disability. The minimum compensation would be the amount of increase in functional impairment. This
legislative intent is best achieved by taking into consideration any preexisting restrictions when determining tasks
loss. However, to require both that the work disability be reduced to eliminate those tasks claimant performed
during the 15-year period which he can no longer perform due to a preexisting condition and to also subtract out the
preexisting functional impairment in those cases would result in penalizing claimant by deducting twice for the same
preexisting condition. Therefore, in the case at hand, the Board found that claimant was entitled to a 54% work
disability award without a reduction for the preexisting functional impairment. Converse v. Adia Personnel Services
and Pacific Employers Insurance Company and Kansas Workers Compensation Fund, Docket No. 184,630.
- ----- But See, Dissent, the Dissenting Board Member would require that both the work disability be reduced to
eliminate those tasks claimant can no longer perform during the 15-year period due to a preexisting condition and to
further subtract out the percentage of preexisting functional impairment in line with K.S.A. 44-501(c). Id.
- November 1996. (Award) When determining a claimant's tasks loss, the Board does not consider it necessary that
the physician "do the math and state the percentage" of tasks loss. The physician must, however, apply his or her
work restrictions to the list of tasks. Therefore, where the physician's opinion of claimant's ability to perform the
tasks he had performed over the past 15 years eliminated five of the eight tasks, the Appeals Board computes
claimant's tasks loss to 62.5 percent. Smith v. Valley Pro Source and Crum & Forster Insurance Company, Docket
No. 199,793.
- October 1996. (Award) Work tasks loss opinion given by vocational rehabilitation expert not accepted by the
Appeals Board as it is not "in the opinion of a physician" as required by K.S.A. 44-510e. DeViney v. Oakwood Villa
Care Center a/k/a American Health Foundation and Reliance Insurance Co and Travelers Insurance and Kansas
Workers Compensation Fund, Docket No. 179,026.
8.21 Difference Between the Average Weekly Wage Earned Pre-injury and the Average Weekly Wage Earned Post-injury.
- January 2000. (Award) Claimant was entitled to work disability award where terminated from a job paying more
than 90 percent when the termination was, at least in part, because of the injury and/or the workers compensation
claim. Duke v. Cornejo & Sons, Inc., Docket No. 233,942.
- October 1999. (Award) Where a claimant is, both before and after the injury, expected to work six days each week,
the average weekly wage should, both before and after injury, be calculated for the work disability based on a six
day work week pursuant to Tovar v. IBP, Inc., 15 Kan. App. 2d 782, 817 P.2d 212, rev. denied 249 Kan. 778 (1991).
Lewis v. IBP, Inc., Docket No. 193,744.
- March 1999. (Award) Intrinsic in the Workers Compensation Act is the requirement that there be some type of
causal connection or nexus between the injury and the disability for which the benefits are being awarded. The
injury must arise out of the employment. In the case of a work disability, the Board finds this requires a nexus
between the injury and both the task loss and wage loss. The task loss factor is based on loss of ability resulting
from the injury. In the case of wage loss, the causation requirement is less explicit. The Board believes the
fundamental function and purpose of the Act expects that there be a nexus between the injury and the wage loss
before that loss can be a factor used to calculate the amount of benefits. Lawless v. Emerson Electric Company,
Docket No. 214,874.
- ----- When a claimant changes jobs or changes to a lower paying accommodated employment because of the injury,
other factors may also influence the new wage, but the injury is a cause of the wage change. The Board does not
require that the claimant show what portion of the change in wages is due to the injury and what is due to other
factors. It is enough that the wage change would not have occurred but for the injury. Even later changes in that
wage, up or down, have some causal connection to the injury through the initial job change. The same is not true if
the claimant remains able to, and does continue to do, the job he/she did at the time of the injury. Later changes in
the wage resulting from changes in the employers practices or other factors may not be in any way caused by the
injury. Id.
- ----- The Act was not intended as a wage guarantee. When the claimant is able to return to the same job and wage
he/she had at the time of the injury, a subsequent change in pay which reduces the pay to less than 90 percent should
not automatically trigger work disability. It should not unless the wage is shown to be the result of the injury. To do
otherwise, violates the fundamental requirement that the disability be caused by the injury. Id.
- ----- In the case at hand, the Board determined that claimant returned to and was able to do the same job after the
injury without accommodation. Claimant did not show that the reason she now earns less than 90 percent of her
pre-injury wage was because of the injury. The Board found that the reason claimant earns less than 90 percent of
the pre-injury wage was because of the changes in her employer's incentive system and reduced overtime, neither of
which occurred because of claimant's injury or because claimant worked slower. Claimant therefore has not proven
a nexus between the injury and the fact that she now earns less than 90 percent of the pre-injury average weekly
wage. Claimant is not entitled to a work disability. Id.
- ----- But See, Dissent, the Dissenting Board Members would find that claimant had restrictions on her tasks
performing abilities that prevented her form doing all of the tasks she was performing at her job for respondent at
the time of her injuries. Once this has been established, then the Dissent finds that whether claimant's subsequent
wage loss occurred as a result of her injuries is not meaningful to a determination of work disability. Further, the
Dissent believes that the majority opinion, in rejecting claimant's request for review and modification based on the
material change in claimant's circumstances -- the wage loss, is really applying an ability test rather than an actual
wage loss test for the wage loss prong of the work disability formula. The Dissent believes the majority has erred by
applying this ability test and that claimant's permanent partial general disability should be determined by comparing
actual pre-injury and post-injury wages. Id.
- March 1999. (Award) The wage prong of the work disability calculation is based on the actual wage loss only if
claimant has shown good faith in efforts at obtaining or retaining employment after the injury. Claimant may not,
for example, refuse to accept a reasonable offer for accommodated work. If the claimant refuses to even attempt
such work, the wage of the accommodated job may be imputed to the claimant in the work disability calculation.
Foulk v. Colonial Terrace, 20 Kan. App. 2d 277, 887 P.2d 140 (1994), rev. denied 257 Kan. 1091 (1995). Even if
no work is offered, claimant must show that he/she made a good faith effort to find employment. If the claimant
does not do so, a wage will be imputed to claimant based on what claimant should be able to earn. Copeland v.
Johnson Group, Inc., 24 Kan. App. 2d 306, 944 P.2d 179 (1997) [Affirmed by Court of Appeals, Docket No. 81,414,
December 30, 1999.]. Sinn v. Trans Union and Sedgwick James of Missouri, Inc, Docket No. 201,454.
- September 1998. (Award) Although the present version of K.S.A. 44-510e does not speak in terms of "ability," the
appellate courts have sometimes returned to this "wage earning ability post-accident" test where there is the
appearance of misconduct. Morris v. Rubbermaid Specialty Products, Docket No. 213,651. [Affirmed by
unpublished Court of Appeals opinion, Docket No. 82,083, December 10, 1999.]
- March 1998. (Award) Asking claimant to change from 2nd to 1st shift to better accommodate claimant is not
unreasonable. Claimant's refusal to do so invokes the policies of Foulk. Swickard v. Meadowbrook Manor and
Zurich-American Insurance Company, Docket No. 201,767 [Affirmed by Court of Appeals opinion, Docket No.
81,018].
- ----- But See, Dissent, the Dissenting Board Member does not believe the Foulk decision applies because claimant
was justified in declining the first shift job because of transportation problems. The evidence does not establish that
claimant was attempting to wrongfully manipulate her workers compensation award. Id.
- March 1998. (Award) When comparing claimant's pre- and post-injury wage to determine the wage loss factor for
the calculation of work disability, the Board uses the definition of average weekly wage found in K.S.A. 44-511.
Hunt v. McDonald's of Paola, Kansas and Kansas Restaurant & Hospitality Association of Self-Insurance Fund,
Docket No. 192,487.
- ----- When claimant repeatedly works overtime before his/her injury and then, for no apparent reason, refuses to
work overtime after the injury, a post-injury overtime pay may be imputed to the claimant when calculating the
wage loss. Id.
- February 1998. (Award) Claimant is not entitled to a wage loss factor based upon actual wage loss unless and
until it is shown that claimant exercised good faith in his or her efforts to obtain or retain employment after the
injury. See Copeland. Duru v. Rubbermaid Specialty Products, Docket No. 208,113.
- October 1997. (Award) The Appeals Board found that claimant's wage loss should be determined by her actual
earnings post-injury at the time of the regular hearing instead of a post-injury wage based on a job claimant was
offered but had not yet started. Maberry v. Rubbermaid Specialty Products and American Manufacturers Mutual
Ins. and Kansas Workers Compensation Fund, Docket No. 186,053.
- September 1997. (Award) Claimant's post injury employment consisted of a job as a dispatcher, a six-month
period of unemployment and a job at a courier service. In determining claimant's post-injury average weekly wage
to compute benefits, the Appeals Board has used the wage with the courier service to compare to the pre-injury
wage. This was found to be claimant's last job and it does not appear to have been chosen to manipulate the wage.
The Board has not separately calculated the wage difference for the period of employment as a dispatcher or for the
period of unemployment. Both would produce a different number of weeks of benefits to be paid. However,
because of the calculation method the Board uses when there is change in work disability, there would be no net
difference in the permanent partial benefits if the work disability were calculated separately for each period of
employment. See Bohanan v. USD 260, Docket No. 190,281 (Nov. 1995). Logan v. Fry-Wagner Moving &
Storage and Vanliner Insurance Company, Docket No. 206,790.
- June 1997. (Award) In 1993 the Kansas Legislature made a significant modification in K.S.A. 44-510e(a) by
eliminating the "ability" language contained in the statute and inserting in its place language dealing with the wage
the worker "is earning" after the injury. This change has shown a definite intent to consider actual wages earned by
claimant in most workers compensation situations. See discussion in, Parrott v. Sedgwick County, Docket No.
201,221.
- June 1997. (Award) To satisfy the second prong of the "new act" work disability test, the Appeals Board takes the
difference between claimant's average weekly wage earned pre- and post-injury. Therefore, where claimant's
average weekly wage on the date of the accident was $481.52, but despite efforts to find employment after the
injury, claimant remains unemployed, the Appeals Board find the difference between claimant's pre- and post-injury
average weekly wage to be 100 percent. Enriquez v. IBP, Inc., Docket No. 196,942.
- June 1997 (Award) The 1993 legislative amendments to K.S.A. 44-510e(a) effectively eliminated the
"presumption of no work disability" when dealing with post-injury comparable wages. An employee is now
statutorily denied permanent partial disability in excess of the percent of functional impairment, as long as the
employee's post-injury wage is 90 percent or more of the pre-injury wage. Williams v. Central Mechanical Const.
Co., Inc. and CNA Insurance Companies and Workers Compensation Fund, Docket No. 183,553.
- May 1997. (Award) On the date of this 1995 injury, claimant was earning an average weekly wage of $494.71.
When the vocational rehabilitation expert testified, she stated claimant was currently earning a post-injury wage of
$161 per week. However, she also found claimant had the "ability" to earn $260 per week post injury. The
Administrative Law Judge used this "ability" test in estimating claimant's ultimate work disability. The Appeals
Board, on the other hand, rejected the use of such "ability" test, finding that claimant had an actual post-injury wage
of only $161. Essentially, before K.S.A. 44-510e was amended in 1993, the test of work disability considered the
extent, expressed as a percentage, to which the "ability" of the employee to perform work in the open labor market
and to earn comparable wages was reduced. The legislative intent, in modifying K.S.A. 44-510e and eliminating an
employee's "ability" is clear. The language of the statute considers only what the worker does, in fact, earn after
the injury, not what he or she could earn. Diffey v. Homeland Stores and National Union Fire Insurance CO NY,
Docket No. 198,307.
- April 1997. (Award) In the case at hand, the employee voluntarily retired following his work-related injury. In
determining the wage loss component of the work disability test, K.S.A. 44-510e(a), the ALJ found claimant had
suffered a 100% wage loss after subtracting claimant's post-injury average weekly wage from his pre-injury average
weekly wage since claimant was retired and not earning a wage. The Appeals Board adopted the holding of
McKinney v. The Boeing Co.-Wichita, Docket No. 184,281 (October 1996), in which the Appeals Board found that
"considering both K.S.A. 44-501 and K.S.A. 44-510e, and their amendments . . . the legislature must have intended
that actual wage difference be used in the formula to determine permanent partial general disability benefits when a
worker retires." Therefore, in determining the wage loss component of the work disability test, the Appeals Board
affirms the Administrative Law Judge's finding of 100 percent for loss of wage. Zinn v. The Boeing Company-Wichita and Aetna Casualty & Surety Company and Kansas Workers Compensation Fund, Docket No. 184,800.
- April 1997. (Award) Where the employee voluntarily retires following a work-related injury, the Appeals Board
finds that the employee's actual wage difference be used to determine the wage loss component of the work
disability test. A wage reflecting the amount claimant had the potential to earn should not be imputed. Therefore,
claimant is found to have a 100 percent loss of wage. Zinn v. The Boeing Company-Wichita and Aetna Casualty &
Surety Company and Kansas Workers Compensation Fund, Docket No. 184,800.
- See Also, McKinney v. The Boeing Co-Wichita, Docket No. 184,281 (October 1996).
8.22 Lack of Good Faith by Claimant in Securing Post-injury Work
- Foulk v. Colonial Terrace, 20 Kan. App.2d 277, 887 P.2d 140, rev. denied, 257 Kan. 1091 (1995)
- Copeland v. Johnson Group, Inc. and Travelers Insurance Company, 24 Kan. App.2d 306, 944 P.2d 179 (1997)
[Affirmed by Court of Appeals, Docket No. 81,414, December 30, 1999]
- See Also, Sec. 8.14a for Old Act or Pre-93 Work Disability and Claimant's Lack of Good Faith in Securing Post-Injury Work
- June 2000 (Award) The respondent placed the claimant on a long-term leave of absence. According to the leave of
absence clause in the collective bargaining agreement, the claimant was subject to the termination of his
employment if he worked for another employer while on long-term leave of absence. The long-term leave of
absence could last up to 18 months. During this time, the claimant was eligible for health insurance benefits, but no
other form of compensation. The respondent terminated claimant's employment after learning the claimant worked
for two days as a greeter for a local car dealership. The Board held that the leave of absence clause was
unreasonable and should not disqualify the claimant from his entitlement to work disability. The Board concluded
that the respondent could not expect the claimant not to seek post-injury employment while on leave of absence
when the claimant has that obligation under the Workers Compensation Act. John Blackmore vs. National Beef
Packing Company and Wausau Underwriters Insurance, Co., Docket No. 225,283.
- March 2000. (Award) When respondent would not accommodate claimant's light duty restrictions imposed after
claimant's work-related injury, claimant was forced to quit. Claimant should not be denied a work disability because
respondent, one year and a half after claimant left respondent's employment, made a non-specific offer of an
accommodated job. Claimant's reluctance to return to respondent's employment in response to respondent's
subsequent offer is reasonable because claimant secured permanent steady employment offering potential
advancement within claimant's permanent work restrictions. Farley v. Central Mechanical Construction, Inc.,
Docket No. 234, 635.
- February 2000. (Award) In case where respondent terminated claimant after the injury because claimant failed to
provide evidence she had been continuously licensed as a nurse, the Board imputed to the claimant the wage in the
work from which she was terminated and, on that basis, found she should be treated as earning a wage that was 90
percent or more of her wage at the time of the injury. For that reason claimant was limited to functional impairment
under K.S.A. 44-510e. Campos v. Western Plains Regional Hospital, Docket No. 205,604.
- October 1999. (Award) Claimant who made minimal contact with job service and who made only a total of six
contacts, including job service, during a nearly ten-month period failed to make a good faith effort to find
employment after his injury. Atkinson v. Major, Inc., Docket No. 225,572. [Affirmed by unpublished Court of
Appeals opinion, Docket No. 84,281, August 4, 2000.]
- See Also, McGhee vs. Payless Shoesource, Docket No. 210,059 (August 2000).
- August 1999. (Award) Claimant refused to accept respondent's accommodated job offer which required her to be a
security guard some 40 miles from where she lived and worked and which required her to work nights. Claimant
further refused any other job offers which paid less than $8 per hour. Applying the Foulk good faith analysis test,
the Board finds it was reasonable for claimant to refuse respondent's job offer that she be a security guard since that
position was drastically different than the type of work she had done and the concerns she expressed about the
position seemed reasonable, ie she was concerned for her personal safety if she would have to work nights. On the
other hand, the Board found claimant's self-limit to positions which paid at least $8 per hour and her limiting her job
search to only the small town in which she lived did violate the requirement that she act in good faith. Therefore, a
post-injury wage is imputed to claimant when determining her entitlement to work disability. Parsons v. Seaboard
Farms, Inc., Docket No. 227,035 [Affirmed by Court of Appeals opinion, Docket No. 83,948, July 28, 2000].
- See Also, Brett K. Pomeroy vs. Epic Construction Co., Inc. and Builders' Association Self-Insurers' Fund, Docket
No. 239,849 (April 2000). Dissent argues that applying the rationale of Foulk and Copeland to the facts of this case
the comparable wage of the accommodated job offered by respondent should be imputed.
- August 1999. (Award) A traumatic neurosis, even preexisting, if aggravated by a subsequent industrial accident, is
compensable under the Workers Compensation Act if it results from a physical injury and meets the other
requirements of the Act. See Boutwell v. Domino's Pizza, 25 Kan. App.2d 110, 959 P.2d 469, rev. denied Kan.
(1998). Therefore, where the medical evidence supported a finding that claimant's psychiatric condition was
aggravated by the work-related accident, the Board affirmed the ALJ who found that claimant's failure to seek
replacement employment was not due to bad faith on claimant's part (per the Copeland analysis) but was the direct
result of the injury suffered by claimant and the aggravation of her psychiatric condition. Further, the Board and
ALJ found claimant justified, as a result of her psychiatric condition and diagnosis of fibromyalgia, in believing that
she was unable to return to work. Claimant would therefore be entitled to a work disability. Smallwood v. Golf
Enterprises, Inc. and Travelers Insurance Company and Kansas Workers Compensation Fund, Docket No. 206,399.
- ----- Psychiatric problems which either stem from or are aggravated by the accident are compensable and must be
taken into consideration when awarding claimant a work disability. [In the case at hand, the Board finds claimant
entitled to a permanent total disability award rather than a work disability award as a result of her psychiatric
condition]. Id.
- August 1999. (Remand) Following the appellate court's mandate in Edwards v. Klein Tools, Inc., 25 Kan. App.2d
879, 974 P.2d 609 (1999), the Board uses claimant's actual post-injury wage instead of an imputed wage in finding
claimant entitled to a 45% work disability award. The Board also rejected claimant's method of calculating work
disability under the "new act" disability test. Edwards v. Klein Tools, Inc., Docket Nos. 198,017 & 198,018.
- July 1999. (Award) Wage imputed where claimant stated he could not work an eight-hour day; however, medical
restrictions did not prohibit claimant from working eight-hour days. Edwards v. D & M Masonry and TIG
Insurance Group, Docket No. 220,839.
- June 1999. (Award) A wage is not imputed to claimant who refused to accept an accommodated job where, based
on her own knowledge and the restrictions given to her by her prior physician, claimant felt she could not perform
the job. [ A wage was later imputed to claimant, however, after she left her employment with respondent because
she did not put forth a good faith effort to find other employment]. Baeza v. National Beef Packing Co. and
Lumbermen's Underwriting Alliance, Docket No. 187,168 [Reversed and remanded with directions by unpublished
Court of Appeals opinion, Docket No. 83,594, July 21, 2000].
- June 1999. (Award) Claimant's award limited to functional impairment under Lowmaster and Foulk rationale
where claimant was terminated from a post-injury job in which she earned 90 percent of her pre-injury wage for
violating company policy -- she ate a piece of chicken which respondent sold without paying for it. Everly v. Dillon
Companies, Inc., Docket No. 223,739 [Affirmed by unpublished Court of Appeals opinion, Docket Nos. 83,606 &
83,613, May 19, 2000].
- June 1999. (Award) Award limited to functional impairment (under Copeland and Lowmaster rationale) where
claimant's credibility was severely damaged by videotapes showing claimant performing activities which he testified
to not being able to perform and which were outside his work restrictions. Bryant v. Superior Industries
International, Docket No. 227,113
- May 1999. (Award) Work disability denied and claimant limited to functional impairment where it was shown that
respondent would have returned claimant to a comparable job earning at least 90 % of his pre-injury wage had
claimant not been terminated for falsifying a work status slip. The policy considerations of Foulk are applied; a
wage is imputed to claimant. Benford v. Grede Foundries, Inc and Wausau Underwriters Ins. Co., Docket No.
216,822.
- See also, Mendoza v. Monfort, Inc, Docket No. 208,602 (May 1999).
- May 1999. (Award) Work disability denied where respondent showed it would have transferred claimant to a
comparable, post-injury job had claimant applied for it. Bradley v. St. Francis Regional Medical Center, Docket
No. 208,427 [Affirmed by unpublished Court of Appeals opinion, Docket No. 83,442, May 26, 2000].
- ----- An employee who is capable of performing work within his permanent restrictions must, at a minimum,
attempt to do such work. A mere refusal to work is insufficient to allow an employee to circumvent the provisions
of K.S.A. 44-510e(a). Id.
- See Also, Oscar Ortega vs. Excel Corporation, Docket No. 195,974 (February 1998). The permanent partial
disability benefits are also limited to the functional impairment. [Affirmed by unpublished Court of Appeals
opinion, Docket Number 82,146, November 19, 1999 rev. denied ____Kan.___ (2000).]
- April 1999. (Award) Although not all violations of company policy invoke the policy considerations outlined in
Foulk, the Board finds that where respondent offered claimant a comparable post-injury job, but claimant was
terminated from that job for violating company policies regarding time and attendance, then the policy
considerations of Foulk apply and a wage is imputed to claimant, limiting him to an award based only upon his
functional impairment. Birmingham v. Deffenbaugh Disposal Services and ITT Hartford Insurance (SRS), Docket
No. 208,094 [Affirmed by unpublished Court of Appeals opinion, Docket No. 83,292, June 16, 2000].
- March 1999. (Award) Held: not good faith effort to find appropriate employment therefore an imputed wage will
be used, where claimant never sought full time work even though she was not restricted from working 40 hours per
week. Staggs v. Hunter Care Centers, Inc and National Union Fire Insurance Company, Docket No. 210,500.
- See also, Urquidi v. Trinity Manor Adult Care Home and Kansas Assoc. of Homes of the Aging, Docket No.
186,568 (April 1999) [Affirmed by unpublished Court of Appeals opinion, Docket Nos. 83,138 & 83,183, April 28,
2000]; and Schultz vs. Joe Conroy Contractor, Inc., and Kansas Building Industry WCF, Docket No. 211,499
(August 2000).
- March 1999. (Award) Respondent contends claimant is not entitled to a work disability because she was
terminated for cause. For several reasons, the Board finds this factor does not limit the claimant to disability based
on functional impairment. First, claimant's physician's opinion on tasks indicates claimant cannot now do all the
tasks she was doing in the job for respondent. Absent some accommodation, she could not have continued to earn
the wage she was earning with respondent. Second, the Board has concluded that while termination for post-injury
conduct may eliminate work disability, termination for pre-injury misconduct does not. Ramirez v. Excel
Corporation, Docket No. 198,826 (January 1998). The rationale for this distinction is that pre-injury misconduct is
not generally a means of manipulating the amount of benefits and for that reason does not raise the issues addressed
in the Foulk and Copeland decisions. Finally, the Board notes the reason for claimant's termination does not
suggest bad faith on claimant's part. It was not a termination for conduct equivalent to failing to try to find
employment or refusing to accept accommodated employment. Sinn v. Trans Union and Sedgwick James of
Missouri, Inc, Docket No. 201,454. **Note, Ramirez v. Excel Corporation, Docket No. 198,826 (January 1998) was
Reversed & Remanded by Court of Appeals opinion, Docket No. 80,670].
- But See, August 1999. (Remand) On remand the Board followed the Court of Appeals' opinion in Docket No.
80,670 and found that claimant would not be entitled to an award of work disability as a result of his loss of
employment due to his own actions, ie. the falsification of his employment application. As a result, claimant's
permanent partial disability award is limited to his functional impairment. Ramirez v. Excel Corp., Docket No.
198,826.
- See also Hamilton v. Arby's Roast Beef Restaurant and National Union Fire Insurance Company, Docket No.
241,239 (July 1999), wherein respondent produced additional evidence to support its claim of misrepresentation and
also argued the Court of Appeals in Ramirez v. Excel Corporation, Docket No. 80,670, Kan. App., rev. denied
Kan. (1999), suggests that a misrepresentation made at the time of hiring will bar a workers compensation claim
by an employee if there is a causal connection between the misrepresentation and the injury. However, the Board
continued to hold that a misrepresentation made at the time of hiring does not bar a workers compensation claim
even if the injury is causally related to that misrepresentation. The claimant is entitled to benefits if he suffered
accidental injury arising out of and in the course of employment and otherwise meets the criteria of the Act. The
Act does not make misrepresentation on an application for employment a defense. Further, in the Board's view,
Ramirez does not hold otherwise. Id.; and Craft vs. Russell Stover Candies and Hartford Insurance Company,
Docket No. 247,188 (October 2000).
- March 1999. (Award) Under the principles outlined in Foulk, a wage comparable to what claimant was earning at
the time of his injury, is imputed to claimant and a work disability denied where the Board determined that claimant
terminated his employment with respondent not because of physical limitations associated with his work-related
injury but because he planned to open and pursue his own business. Wiley v. Dillon Companies, Inc, Docket No.
205,235.
- March 1999. (Award) Claimant was injured in a work-related accident and then was released and returned to work
for two weeks before suffering a disabling, non work-related heart attack. At the time claimant returned to work,
she could not perform her job due to her work-related injuries. As such, the Appeals Board imputed a wage and
found claimant was entitled to a work disability award. Wortham v. Wal-Mart and Claims Management, Inc,
Docket No. 213,499 [Affirmed by unpublished Court of Appeals opinion, Docket No. 83,086].
- February 1999. (Award) Work disability allowed despite the fact claimant was terminated for cause, where
respondent's records contain nothing to suggest claimant acted in bad faith after the injury. Watson v. Hobart
Corporation and Travelers Insurance Company, Docket No. 220,529. [Affirmed in part, reversed in part, and
remanded by unpublished Court of Appeals opinion, December 10, 1999.]
- February 1999. (Award) Claimant must show she made a good faith effort to find employment even if
accommodated work is not offered. Houk v. Community Living Opportunity and Cigna Workers Compensation and
Workers Compensation Fund, Docket No. 189,952.
- February 1999. (Award) Where claimant's efforts at obtaining employment after leaving respondent are severely
lacking, having only applied for two positions within the last 6 months, the Appeals Board imputes a post-injury
average weekly wage under Copeland based on the Federal minimum wage standards. Leighty v. Aging Projects,
Inc and Wausau Underwriters Insurance Company, Docket No. 216,983.
- February 1999. (Award) Because of Copeland, an employer is neither required to return an injured worker to work
nor provide vocational rehabilitation benefits. Copeland places the burden to find employment solely and squarely
on the injured worker's shoulders. Acosta v. Riverside Hospital and Phico Insurance Company, Docket No.
217,942.
- February 1999. (Award) When a worker exercises good faith in attempting to perform work and return to
employment, termination for violation of company attendance rules or other policies does not necessarily preclude a
work disability. Work disability is awarded in the case at hand. See Lyday v. J.I. Case Company, Docket No.
205,329 (May 1997). Acosta v. National Beef Packing Company, LP & Wausau Underwriters Insurance Co,
Docket No. 206,691.
- ----- Workers who are performing accommodated work should advise their employers of any problems working
within their medical restrictions and should afford the employer an opportunity to adjust the accommodations. And
failing to provide an employer an opportunity to further accommodate is strong evidence of a lack of good faith. See
Chavez v. IBP, Inc, Docket No. 204,408 (January 1999); and Hunsecker v. Enterprise Estates Nursing Center,
Docket No. 186,229 (December 1996). Id.
- ----- Employers, as well as employees, must act in good faith in providing accommodated employment to a worker.
The public policy considerations in Foulk are not applicable where the accommodated job is not genuine [Tharp v.
Eaton, 23 Kan. App.2d 895, 940 P.2d 66 (1997)], within the worker's medical restrictions [ Bohanan v. U.S.D. No.
260, 24 Kan. App.2d 362, 947 P.2d 440 (1997)], or where the worker is fired after attempting to work within the
medical restrictions and experiences increased symptoms [ Guerrero v. Dold Foods, Inc, 22 Kan. App.2d 53, 913
P.2d 612 (1995)]. Id.
- ----- Misconduct which occurs before the accident may be treated differently than misconduct that occurs after the
injury as it cannot be said that the worker was attempting to manipulate the workers compensation claim. See
Figueroa v. Excel Corporation, Docket No. 211,777 (June 1998) [Affirmed in part and reversed in part by
unpublished Court of Appeals opinion, Docket Nos. 81,420 & 81,433, February 4, 2000].. Id.
- January 1999. (Award) The Appeals Board agrees with the ALJ and finds that claimant's post-injury wage should
be calculated on the basis of a 40-hour work week. Although claimant made a good faith effort to find other
employment, it does not appear that claimant has made any effort to work a full work week. Therefore, using his
hourly wage at his new job, an average weekly wage for a full 40-hour work week will be imputed to claimant.
Wilson v. Augustine Auction Service and Aetna Casualty & Surety Company, Docket No. 222,461.
- January 1999. (Award) Claimant suffered a work-related injury with respondent and was initially advised
respondent could not accommodate her restrictions. At that point, claimant left for Nevada to visit her mother.
While in Nevada, respondent contacted claimant's estranged spouse to inform him that respondent would
accommodate claimant's work restrictions, and claimant was to report to work first thing the next morning.
Claimant's spouse notified claimant in Nevada and she attempted to return home. Claimant, however, was unable to
return home as she was "bumped" off several flights returning to Kansas. In frustration and as an attempt to get on
the next flight back to Kansas, claimant became outraged and hostile at airline employees. Claimant was
subsequently detained for this behavior and then arrested when small amounts of marijuana were found on her
person. When claimant did return to Kansas and reported to work, claimant was fired. Claimant's termination was
a result of her being unable to report to work while she was being held in jail. Claimant did not call and notify
respondent of her being in jail or her being out of the State, claimant simply did not report in to work while she was
in jail. Respondent argued that a work disability should be denied as claimant did not make a good faith effort to
attempt respondent's accommodated work and was terminated due to her own malfeasance. The Appeals Board,
however, disagreed. The Board does not find that K.S.A. 44-510e, as interpreted by the applicable appellate court
decisions, necessarily requires that all terminations for cause be treated the same. See Zarnowski v. Collingwood
Grain, Inc, Docket No. 190,684 (April 1996). The Board believes that claimant may make a good faith effort to
perform an accommodated job and still be terminated for cause. See Guerrero v. Dold Foods, Inc, 22 Kan. App.2d
53, 913 P.2d 612 (1995). In addition, the Board finds that claimant's loss of wage was caused by a combination of
factors, the most predominant one being her injury. Therefore, the Board finds a post-injury wage should not be
imputed to claimant and she is awarded a 78.5 percent work disability. Bowers v. Cessna Aircraft Company and
Kemper Insurance Company, Docket No. 216,956. [Affirmed by unpublished Court of Appeals opinion, Docket No.
82,648, November 19, 1999.]
- ----- The Perez v. IBP, Inc, Foulk and Copeland exceptions to the work disability statute, contained in K.S.A. 44-510e, should, in the Board's view, be limited to circumstances where the claimant has not acted in good faith and
should not venture into the employer's termination procedures. Id.
- ----- Lowmaster v. Modine Manufacturing Co, 25 Kan. App.2d 216, 962 P.2d 1100, rev. denied (1998), decision
discussed regarding termination for cause and work disability. Id.
- January 1999. (Award) A worker is required to advise an employer of problems with accommodated work. The
Act requires both the employer and employee to exercise good faith in returning the employee to work. Chavez v.
IBP, Inc, Docket No. 204,408.
- ----- The Foulk rationale applies to the case at hand where despite the fact respondent offered accommodated work,
claimant quit his job stating he did not feel he could physically work for respondent any longer. The Board found
that considering the lack of complaints by claimant regarding his accommodated job; the failure to request different
job duties; immediately moving to Mexico after quitting his job and thus removing himself from the open labor
market; claimant's failure to meet with respondent to discuss the need for additional accommodations; medical
testimony that claimant was doing well in his accommodated work; and claimant's lack of desire to seek additional
medical treatment, the Board was not convinced that claimant quit his job due to his inability to perform it.
Additionally, the Board also found that Copeland's rationale applied to these facts, since the Board was not
convinced, due in part to the lack of complaints about the accommodated job by claimant, that he in good faith
attempted to retain his employment with respondent and thus retain a comparable wage job. Further, claimant had
testified that he had not been looking for a job as he did not feel he was healthy enough to work. Id.
- December 1998. (Award) Where claimant merely looked in the newspaper for a job, a wage is imputed to
claimant who is not found to have made a good faith effort to find subsequent employment despite the fact claimant
was told by a physician that he was permanently and totally disabled. Abbott v. Renzenberger, Inc and ITT
Hartford, Docket No. 225,412.
- December 1998. (Award) The wage prong of the work disability calculation is based on the actual wage loss only
if claimant has shown good faith in efforts at obtaining or retaining employment after the injury. For example,
claimant may not refuse to accept a reasonable offer for accommodated work. If the claimant refuses to even
attempt such work, the wage of the accommodated job may be imputed to the claimant in the work disability
calculation. Foulk v. Colonial Terrace. Even if no work is offered, claimant must show that he/she made a good
faith effort to find employment. If the claimant does not do so, a wage will be imputed to claimant based on what
claimant should be able to earn. Copeland v. Johnson Group, Inc. Tracy v. Anthony Hospital and Commercial
Union Insurance, Docket No. 222,386.
- December 1998. (Award) Claimant was unable to return to work at an accommodated job due to pain from her
prior work-related injury. Therefore, the public policy considerations in Foulk are not applicable and a wage is not
imputed to claimant. Birney v. Medicalodge of Kinsley, Docket Nos. 206,808 & 206,809.
- December 1998. (Award) Claimant was terminated for unexcused absences. Claimant was absent from work as a
result of his being in jail for criminal activity not associated with his employment. Claimant was denied a work
disability because if claimant had remained employed for respondent and was not terminated for his own
misconduct, he would have earned a comparable wage. Hernandez v. IBP, Inc, Docket Nos. 173,366; 189,697; and
195,548.
- December 1998. (Award) Claimant was terminated for poor job performance. However, since there was no
evidence that claimant's termination was due to deliberate or intentional misconduct on claimant's part, the public
policy considerations of Foulk do not apply and claimant is entitled to a work disability from the date of his
termination. Moore v. Stag Parkway, Inc and Kemper Insurance Companies Liberty Mutual Insurance Company,
Docket No. 220,848.
- November 1998. (Award) Claimant did not put forth a good faith effort to find post-injury employment where the
record reflects that claimant filled out only one post-injury employment application. Sivils v. Servicemaster
Company and Home Insurance Company, Docket No. 208,873.
- See Also, Grover v. IBP, Inc and Kansas Workers Compensation Fund, Docket No. 187,660 (November 1998).
- November 1998. (Award) The Board finds in this case claimant refused to attempt the security guard job offered
by respondent, a position which would have paid a wage which was 90 percent of the pre-injury wage. Claimant
declined the offer because he did not believe it was a good faith offer. There were several factors which would tend
to support that conclusion. Respondent's earlier dealings with claimant and the fact the offer was the minimum
necessary to eliminate the work disability suggest respondent may have been motivated more by the effect on the
workers compensation benefits paid than on the effect on claimant. Nevertheless, respondent did offer the job and
while the evidence suggests the offer may have been a reluctant offer, it appears to have been a real offer. The only
way to test the offer was for claimant to try the job. He did not do so, and the Board concludes the wage in that
offered job should be imputed to claimant. Claimant is, therefore, limited to the disability based on functional
impairment of 8 percent. Arnold v. Meier's Ready Mix, Inc and Kansas Aggregate Ready Mix Assoc., Docket No.
205,689. [Affirmed by unpublished Court of Appeals opinion, Docket No. 82,466, November 12, 1999.]
- November 1998. (Award) Even if accommodated work is not offered, claimant must still show he/she made a
good faith effort to find employment. Johnson v. Hillcrest Manor and National Union Fire Ins. Co, Docket No.
217,751.
- November 1998. (Award) Where the only reason claimant is not earning a post-injury comparable wage is due to
her decision to self-limit her work week to 20 hours, the Appeals Board finds claimant failed to make a good faith
effort to find appropriate employment under Copeland and it is proper to impute a wage to claimant. Hazen v.
Riverside Hospital and Phico Insurance Company, Docket No. 196,529.
- ----- Claimant failed to provide respondent the opportunity to accommodate her work restrictions when she
voluntarily terminated her employment with respondent. The claimant is limited to functional impairment because
the Kansas Court of Appeals has held that the Legislature does not intend for a worker to receive compensation
where the worker is capable of earning nearly the same wage as his or her pre-injury wage, and unreasonably refuses
to either attempt an offered job within his or her restrictions or fails to make a good faith effort to find appropriate
employment. See Foulk v. Colonial Terrace, 20 Kan. App.2d 277, 887 P.2d 140 (1994), rev. denied 257 Kan. 1091
(1995); Lowmaster v. Modine Manufacturing Co, 25 Kan. App. 2d 215, 962 Kan. 1100 (1998). Id.
- October 1998. (Award) Being terminated for poor work performance will, under some circumstances, rule out a
work disability award following the termination. This is true at least where claimant can perform an
unaccommodated job after his/her injury. See Watkins v. Food Barn Stores, Inc, 23 Kan. App.2d 837, 936 P.2d 294
(1997). In the case at hand, however, the record shows claimant's injury left her with restrictions which made it
inappropriate for her to do the job she was doing for respondent. Under these circumstances, the Board concludes
claimant should receive a work disability commensurate with the injury suffered. Lee v. OK Transfer & Storage
Inc, Docket No. 202,798 (October 1998).
- ----- The wage prong of the work disability calculation is based on the actual wage loss only if claimant has shown
good faith efforts at employment after the injury. Foulk. Even if no work is offered, claimant must show he/she
made a good faith effort to find employment. If the claimant does not do so, a wage will be imputed to claimant
based on what claimant should be able to earn. Copeland. Id.
- October 1998. (Award) K.S.A. 44-510e, the statute pertaining to awarding and computing benefits for unscheduled
injuries, must be read in light of Foulk and Copeland. In Foulk, the Court held that a worker could not avoid the
presumption of no work disability contained in K.S.A. 1988 Supp. 44-510e by refusing to attempt to perform an
accommodated job that paid a comparable wage which the employer had offered. In Copeland, the Court held, for
purposes of the wage loss prong of K.S.A. 44-510e, that a workers' post-injury wage would be based upon ability
rather than actual wages when the worker failed to put forth a good faith effort to find appropriate employment after
recovering form the injury. In the case at hand, the Board finds the claimant has not established that she made a
good faith effort to find employment after leaving employment with respondent. A workers is required to put forth a
good faith effort to find employment before, during and after a job placement program. Lowe v. Presbyterian
Manors, Inc, Docket No. 208,653.
- October 1998. (Award) Claimant's work disability denied and is limited to functional impairment under the
theories outlined in Foulk and Copeland. The evidence supports respondent's contentions that a comparable wage
job was offered to claimant after the injury; however, for reasons unknown, claimant simply stopped showing up for
work and lost her job as a result of violations of respondent's attendance policy. In addition, the evidence does not
support a finding that claimant put forth a good faith effort in attempting to obtain employment after being
terminated by respondent. DeHart v. Recreation Vehicle Products and Fireman's Fund, Docket No. 214,101.
- See Also, Burton vs. Labor Ready, Inc., Docket No. 225,093 (November 2000).
- September 1998. (Award) Termination for misconduct that occurred prior to the work-related injury will be treated
differently than misconduct that occurs post-injury. Under the facts of this case, the Board concludes that claimant
is entitled to a work disability. Claimant was terminated because he fell asleep at work several days before his
work-related injury occurred. Morris v. Rubbermaid Specialty Products, Docket No. 213,651. [Affirmed by
unpublished Court of Appeals opinion, Docket No. 82,083, December 10, 1999.]
- ----- Termination for violation of company policy does not preclude work disability award in absence of bad faith
by claimant or conduct tantamount to a refusal to work. See Foulk. Id.
- See Also, Figueroa v. Excel Corporation, Docket No. 211,777 (June 1998) [Affirmed in part and reversed in part
by unpublished Court of Appeals opinion, Docket Nos. 81,420 & 81,433, February 4, 2000]. Ramirez v. Excel
Corporation, Docket No. 198,826 (January 1998) [ Reversed & Remanded by Court of Appeals opinion, Docket
No. 80,670]; and Armstrong v. IBP, Docket No. 179,373 (August 1996).
- But See, August 1999. (Remand) On remand the Board followed the Court of Appeals' opinion in Docket No.
80,670 and found that claimant would not be entitled to an award of work disability as a result of his loss of
employment due to his own actions, ie. the falsification of his employment application. As a result, claimant's
permanent partial disability award is limited to his functional impairment. Ramirez v. Excel Corp., Docket No.
198,826.
- September 1998. (Award) Foulk is not applicable where claimant returned to work for respondent in an
accommodated position and was terminated "for cause" but not due to claimant's bad fait or refusal to work.
Further claimant did make a good faith effort to find appropriate work; therefore, claimant is entitled to a work
disability. Neisz v. Bill's Dollar Stores and Lumbermen's Underwriting Alliance, Docket No. 214,766. [Affirmed
by Court of Appeals, Docket No. 82,053, December 23, 1999.]
- July 1998. (Award) Where claimant voluntarily quit a job which would have paid her at least 90 percent of her pre-injury wages, and where the Board finds evidence that claimant could have continued working for respondent and
that she would have been accommodated, then under the rationale of Foulk and Copeland, claimant's disability must
be limited to the functional impairment. Milner v. American Drug Stores, Inc d/b/a Osco Drug and Kemper
Insurance Company, Docket No. 198,875. [Affirmed by unpublished Court of Appeals opinion, Docket No. 81,675,
December 23, 1999.]
- July 1998. (Award) The Copeland decision does, as respondent notes, refer to a good faith effort to find
"appropriate" employment. The Board concludes, however, that the determination regarding what is "appropriate"
employment should be a limited one. The Board does not believe the Copeland decision requires that all claimants
seek the highest possible wage. Too many other factors reasonably influence a good faith decision about
employment. Nor does the Board believe the Copeland decision intended for the administrative law judges or the
Board to determine what employment is in the best interest of the claimant. According to the Board, a claimant in a
workers compensation case, unable to perform his or her previous employment because of the injury, is entitled to
seek new employment which is in his or her best interest, the same as any other person might, and without regard to
its effect on the calculation of work disability. What the claimant should not be able to do is seek low wage
employment for the purpose of enhancing the workers compensation benefits. If he/she were to do so, that would
not be "appropriate" employment. Nelson v. Delbert Crowl Co. Inc and Commercial Union Insurance and Kansas
Workers Compensation Fund, Docket No. 190,485.
- See Also, Gumm v. Duke Manufacturing Co and Lumbermens Mutual Casualty Company, Docket No. 216,993
(November 1998). [Affirmed by unpublished Court of Appeals opinion, Docket No. 82,417, December 10, 1999.];
and Watkins vs. Shawnee County Refuse Department, Docket No. 236,393 (October 2000). Good faith requirement
in Copeland continues after claimant takes voluntary disability retirement.
- June 1998. (Remand) This case was remanded from the Court of Appeals' opinion in Copeland v. Johnson Group,
Inc., 24 Kan. App.2d 306, 944 P.2d 179 (1997) [Affirmed by Court of Appeals, Docket No. 81,414, December 30,
1999]. The Court of Appeals determined pursuant to K.S.A. 44-510e(a) that the difference between pre- and post-injury wages can be based on the actual wages only when the fact finder has first made a finding that claimant made
a good faith effort to find appropriate employment. Therefore, the Board makes the finding that claimant made a
good faith effort to find appropriate employment, and that respondent did not make claimant an offer of
accommodated employment. The Board's original award was reinstated. Copeland v. Johnson Group, Inc and
Travelers Insurance Company and Kansas Workers Compensation Fund, Docket No. 184,874. [Affirmed by Court
of Appeals, Docket No. 81,414, December 30, 1999.]
- June 1998. (Award) Claimant must make a good faith effort to find employment. If claimant does make a good
faith effort, the wage prong of the work disability formula will be the percentage difference between the pre- and
actual post-injury wage. If claimant does not make a good faith effort to find employment, a wage will be imputed
to claimant based on all relevant factors, including expert testimony about claimant's ability to earn wages. See
Copeland. Figueroa v. Excel Corporation, Docket No. 211,777 [Affirmed in part and reversed in part by
unpublished Court of Appeals opinion, Docket Nos. 81,420 & 81,433, February 4, 2000].
- ----- Claimant suffered a work-related injury but was later terminated when respondent discovered claimant had
lied on his pre-employment application. Claimant did not disclose a prior employer and work-related injury.
However, the Board concludes the fact claimant was terminated for lying on his employment application does not
preclude work disability. The Board construes the Foulk and Copeland decisions as applicable to post-injury
conduct, not pre-injury conduct. The underlying rationale of those decisions is to avoid the potential of
manipulation inherent in claimant's post-injury conduct. The potential for manipulation of workers compensation
benefits does not exist in termination for pre-injury conduct and for that reason the Board has not applied the Foulk
and Copeland rationale to claimant's pre-injury conduct. Additionally, although termination for misconduct may be
the event that places claimant into the open labor market, it is the restriction of the compensable work-related injury
that then prevents claimant from performing the tasks he/she previously performed and may prevent claimant from
obtaining work at a similar wage. The injury is in a practical sense disabling the claimant's efforts to work and is a
work disability. Claimant is entitled to a 81 % work disability. Id.
- ----- If an employee is offered a job after the injury which he/she could perform but refuses to even attempt to
perform the job, the wage in that job will be imputed to the claimant and if the wage is 90 percent or more of the
pre-injury wage, claimant will be limited to an award based only on functional impairment. See Foulk. Id.
- ----- Misconduct that occurs before the accident may be treated differently than misconduct that occurs after the
injury as it cannot be said that the worker was attempting to manipulate the workers compensation claim. Id.
- See Also, Walker v. Systems Material Handling Co., Inc and Liberty Mutual Insurance Company, Docket No.
187,948 (September 1998 On Remand from Unpublished Court of Appeals Opinion, Docket No. 78,153).
- June 1998. (Award) In light of the Foulk and Guerrero v. Dold Foods, Inc., 22 Kan. App.2d 53, 913 P.2d 612
(1995), decisions, the Board concludes that the fiction treating claimant as engaging in work at 90 percent of the pre-injury wage is not to be applied except where claimant's conduct is equivalent to refusing to attempt accommodated
employment. Also the Board considered the conduct equivalent in those cases where the claimant accepted the offer
but did not make a good faith effort to perform accommodated employment. See Banuelos v. Excel Corporation,
Docket No. 180,288 (May 1996). Ishman v. State of Kansas and State Self-Insurance Fund, Docket Nos. 198,342 &
204,554.
- ----- The Board found a good faith effort to find appropriate employment for one period of time in question, but not
for another. Therefore, work disability is based upon actual wage loss during the time claimant was working for
another employer, but a wage will be imputed per Copeland thereafter while claimant was unemployed and while
underemployed. Id.
- ----- A claimant who is performing accommodated work should advise the employer of any problems working
within restrictions and should afford the employer an opportunity to adjust or decide whether it wants to adjust the
accommodations. Id.
- May 1998. (Award) Where respondent offered to return claimant to work at the deputy sheriff's position with the
accommodation of a shoulder harness rather than a heavy hip gun belt, which claimant alleged injured his leg, and
where claimant's physicians believed he would be capable of attempting the sheriff's duties with this
accommodation and pain medication, the Appeals Board finds under the policies outlined in Foulk claimant's
response letter raising numerous issues dealing with seniority, vacation time, sick leave and other issues including a
request for a description of the job to be an unreasonable response on claimant's part. The letter constitutes a
constructive rejection of the accommodated position. A post-injury wage should be imputed to him under the
principles outlined in Copeland. Tibbits v. Shawnee County, Docket No. 198,464. [Affirmed by unpublished Court
of Appeals opinion, Docket No. 81,336, January 7, 2000.]
- ----- Claimant's attempts to obtain employment as a computer programmer, a position for which claimant did not
appear to be well trained or well qualified in, does not constitute a good faith effort by claimant to obtain
employment subsequent to the injury. The Appeals Board, pursuant to Copeland, is obligated as the finder of facts
to determine an appropriate post-injury wage upon which to base a work disability. Id.
- May 1998. (Award) Where claimant acknowledged at the time of the regular hearing that he made no job search
and had contacted no prospective employers, the Appeals Board finds claimant is in violation of the policies
outlined in Copeland and an appropriate post-injury wage will be determined. However, as respondent was
unwilling and unable to offer claimant an accommodated job the Appeals Board cannot use the wages paid by
respondent as basis for computing the wage loss prong of the work disability analysis. Therefore, the Appeals Board
finds the claimant is capable of earning minimum wage at $5.15 per hour, working a 40 hour week. This wage is
imputed to claimant. Acosta v. Collingwood Grain, Inc and Old Republic Insurance, Docket No. 201,316.
- May 1998. (Award) Both Foulk and Copeland apply to claimant where respondent offered an accommodated job
which claimant did not attempt to perform. The fact that respondent had attempted to provide claimant other
accommodated positions which happened to aggravate her condition is not evidence that respondent acted in bad
faith and does not excuse claimant from attempting to perform the newly offered position. Cummings v. Kaylor
Dental Laboratory, Inc and Berkley Administrators, Docket No. 211,637.
- April 1998. (Award) A claimant who is offered a job with a wage comparable to the pre-injury wage may not
benefit from refusing to even attempt that job. The wage will be imputed to claimant and the award will be limited
to functional impairment. See Foulk. Zimmer v. Central Kansas Medical Center and Sedgwick James of Missouri,
Docket No. 204,292.
- ----- Where claimant was not able to perform 7 of the 15 tasks in her post-injury job, the Appeals Board does not
find the post-injury job offered by respondent one which claimant could perform. Id.
- ----- A claimant who loses his or her job must make a good faith effort to find employment. If the claimant fails to
do so, the wage factor used in the work disability test will not be based on actual wage loss. A reasonable wage will
be imputed to the claimant and the wage loss calculated from that imputed wage. See Copeland. Zimmer v. Central
Kansas Medical Center and Sedkwick James of Missouri, Docket No. 204,292.
- April 1998. (Award) Despite the fact claimant tried to perform accommodated jobs offered by respondent but
could not due to her physical inabilities, a post-injury wage is nevertheless imputed against claimant under the
rationale outlined in Copeland, where claimant obtained subsequent employment but left that employment for
reasons unrelated to her injury. Perez v. Tony's Pizza Service and Liberty Mutual Insurance Company, Docket No.
217,650.
- ----- Where claimant put forth a good faith effort to perform her job but was physically unable to, claimant may still
be entitled to a work disability. See Guerrero v. Dold Foods, Inc., 22 Kan. App.2d 53, 913 P.2d 612 (1995). Id.
- April 1998. (Award) Claimant acknowledged that once his unemployment compensation ran out, he stopped
looking for a job, feeling that he would be unable to find employment within his restrictions. Following the
Copeland decision, the Board finds claimant has voluntarily taken himself out of the open labor market without
justification and has not made a good faith effort to find appropriate employment. Additionally, following the
Copeland decision, claimant will have a post-injury wage imputed to him. Villalobos v. National Beef Packing
Company and Lumbermen's Underwriting Alliance and Kansas Workers Compensation Fund, Docket No. 184,413.
- March 1998. (Award) When claimant repeatedly works overtime before his/her injury and then, for no apparent
reason, refuses to work overtime after the injury, a post-injury overtime pay may be imputed to the claimant when
calculating the wage loss. Hunt v. McDonald's of Paola, Kansas and Kansas Restaurant & Hospitality Association
of Self-Insurance Fund, Docket No. 192,487.
- March 1998. (Award) Claimant went on only 4 interviews in a several month long period once his unemployment
insurance ran out; additionally, claimant failed to follow through with several job leads provided for him by a
vocational rehabilitation specialist. Therefore, the Appeals Board applies Copeland to the facts in the case and
imputes a post-injury wage to claimant. Brott v. Breckco Construction Company, Inc and CNA Insurance
Companies, Docket No. 214,230.
- March 1998. (Award) Copeland provides that an employee will not be entitled to compute work disability using
the actual percentage difference between the pre- and post-injury wage unless the employee makes a good faith
effort to find employment. Copeland does not stand for the proposition that the disability should be limited to
functional impairment in every case where the claimant did not make a good faith effort to find employment. A
wage will be attributed to such a claimant based on relevant factors, including expert testimony about the wage the
claimant is able to earn. The result limits claimant to functional impairment only if the attributed wage is 90 percent
or more of the pre-injury wage. K.S.A. 44-510e. Decker v. Premiere Inc. and St. Paul Fire & Marine Insurance
Company, Docket No. 196,154. [Affirmed by unpublished Court of Appeals opinion, Docket No. 81,040].
- February 1998. (Award) Where claimant terminated his employment with respondent which was paying him 89
percent of his pre-injury wage and returned to law school, the Appeals Board finds claimant to be in violation of
Copeland v. Johnson Group, Inc. and Travelers Insurance Company, 24 Kan. App.2d 306, 944 P.2d 179 (1997)
[Affirmed by Court of Appeals, Docket No. 81,414, December 30, 1999]. Claimant's termination with respondent
was a voluntary act, and the 89 percent earning ability displayed by claimant should be imputed for the purpose of
figuring claimant's work disability. Fisher v. Quaker Oats Company and Kansas Workers Compensation Fund,
Docket No. 190,499.
- ----- But See, Dissent, in which the Dissenting Board Member finds claimant has failed to prove his entitlement to
a work disability and should be limited to an award for a 7 percent functional impairment based upon the principles
set forth in Foulk and Copeland. The Dissenting Board Member feels the claimant should not be allowed to rely
upon medical limitations to receive substantial work disability when claimant regularly violated those limitations in
his own personal life. Id.
- See Also, October 1997. (Award) Where claimant retained the ability to gain employment in the open labor
market, even if not at a comparable wage, but decided to return to school instead, the Appeals Board finds claimant
has not made an effort to obtain other employment. As authorized by the Copeland decision, the wage prong of
K.S.A. 44-510e may, therefore, be based upon what claimant is able to earn. Walker v. General Motors Corporation
and Kansas Workers Compensation Fund, Docket Nos. 196,172 & 196,173 [Affirmed in part, reversed in part and
remanded with instructions by unpublished Court of Appeals opinion, Docket No. 78,153].
- But See, December 1997. (Award) Where claimant made a good faith effort to find employment after his
termination with respondent and then decided to go back to school to further his education, the Appeals Board finds,
under these specific facts, that claimant was not attempting to wrongfully manipulate his workers compensation
award. The public policy considerations outlined in Copeland do not apply as the fact finder should use the
difference between claimant's actual pre- and post-injury wage to determine the percentage of permanent partial
general disability under K.S.A. 44-510e. Kirkbride v. Total Petroleum, Inc., Docket No. 216,667.
- See Also, June 1998. (Award) Claimant, who returned to vocational technical school to improve her skills and job
marketability, was found to have made a good faith effort to find appropriate employment. The fact respondent
could not accommodate claimant's injuries; claimant attempted but could not find work within her restrictions;
claimant lived in a rural area which did not offer a wide variety of jobs; and, the insurance carrier could have but did
not provide vocational rehabilitation leads, the Board to believe claimant's attending school is reasonable and
satisfies both Foulk and Copeland. Lampe v. Coldwater Laundry and Farm Bureau Insurance, Docket No. 213,506.
- See Also, December 1996. (Pre-1993 Act Award) Where claimant was only 12 hours away from graduating with a
college degree at the time of his regular hearing, the Appeals Board finds claimant's decision to complete his
education rather than accept a temporary job with respondent or seek other employment does not, under the facts of
this case, constitute a voluntary removal from the labor market so as to invoke the public policy considerations
announced in Foulk. Converse v. Adia Personnel Services and Pacific Employers Insurance Company and Kansas
Workers Compensation Fund, Docket No. 184,630.
- See Also, December 1996. (Award) Respondent asks the Board to apply the rationale of Foulk to the case at hand
where claimant did not seek employment following his work-related injury but opted to return to school. The record
indicated that claimant choose to return to school in part because claimant suffered from multiple sclerosis and felt
the need for re-education so that he may attain a more sedentary job. Further, respondent never actually offered
claimant employment after the injury. Instead respondent gave claimant several pre-employment tests all of which
he failed. Despite respondent's argument that claimant purposefully failed the tests, the Appeals Board cannot find
any evidence in the record indicating such intent to fail on claimant's part. Finally, the Legislature in 1993 changed
the language of the work disability statute by deleting the language referring to a claimant's "ability" to earn post-injury wages; as such, the Board finds no support for relying upon respondent's vocational experts' opinions
regarding claimant's ability to work post-injury. Claimant is allowed a 93.5% work disability. Heard v. HCA
Wesley Medical Center and Kansas Workers Compensation Fund, Docket No. 187,099.
- See Also, November 1996. (Award) The Appeals Board does not consider claimant's decision to return to nursing
school and work part-time to be conceptually equivalent to refusing an offer of accommodated employment under
the Foulk rationale. Respondent has an option to offer claimant an accommodated position and also the option to
offer vocational retraining. Claimant's decision to undergo retraining at his own expense should not be treated as
conduct inconsistent with the purpose of the Workers Compensation Act. Cheek v. United Parcel Service and
Liberty Mutual Insurance Company, Docket No. 198,330.
- See Also, August 1999. (Award) Respondent contents claimant did not make a good faith effort to find post-injury
employment and has the ability to earn a comparable wage to the average weekly wage she was earning pre-injury.
The Board found that although claimant made few job applications, she did make regular contact with prospective
employers via telephone. Her inability to find work was due in large part to her work restrictions from her work
injury. Thus, claimant's returning to school to increase her marketability was not unreasonable under the
circumstances and she remained entitled to a work disability award. In addition, while in school, claimant continued
her job search efforts. Respondent criticized those efforts but offered no job placement or vocational rehabilitation
assistance. Hanser v. Sirloin Stockade and Crum & Forster Commercial Insurance, Docket No. 216,417 [Affirmed
by unpublished Court of Appeals opinion, Docket No. 83,771, June 9, 2000].
- See Also, Parrish vs. Russell Stover Candies and Hartford Accident & Indemnity, Docket No. 233,990 (December
2000).
- February 1998. (Award) Where respondent offered to return claimant to work at a comparable wage 2 ½ years
after claimant was laid off and after claimant had moved to a different state and purchased property there, the
Appeals Board finds the public policy considerations in Foulk and Copeland do not apply to this case. Butcher v.
The Boeing Company and Aetna Casualty & Surety Company and Kansas Workers Compensation Fund, Docket
No. 163,303.
- February 1998. (Award) Claimant is not entitled to a wage loss factor based upon actual wage loss unless and
until it is shown that claimant exercised good faith in his or her efforts to obtain or retain employment after the
injury. See Copeland. Duru v. Rubbermaid Specialty Products, Docket No. 208,113.
- February 1998. (Award) To be entitled to a wage loss based upon the actual wage loss, the claimant must establish
that he or she had made a good faith effort to obtain employment per Copeland. In this case, the Appeals Board
finds claimant has not made a good faith effort to obtain employment after leaving a job which she was reassigned
to and which more than likely could have reasonably been performed within her restrictions. Sampson v. Key
Industries, Inc. and Travelers Insurance Company, Docket No. 210,444.
- February 1998. (Award) The Appeals Board will not apply the policies set forth in Copeland to the pre July 1,
1993, version of K.S.A. 44-510e as a claimant's ability to earn wages is already a part of the work disability
formula. Magallanes v. Patrick Well Service and U.S.F. & G., Docket No. 159,193.
- January 1998. (Award) Claimant, a meet trimmer for respondent, injured his back while bending over to pick up a
piece of meet. Because his injury rendered him unable to continue in the job he held at the time of his injury, and
claimant has, in spite of his good faith effort, been unable to find work at 90 percent or more of his pre-injury wage,
claimant is entitled to work disability as defined in K.S.A. 44-510e if that work disability is higher than the
functional impairment. Copeland. Paniagua v. National Beef Packing Co. L.P. and Wausau Insurance Companies,
Docket No. 205,469 [Affirmed by unpublished Court of Appeals opinion, Docket No. 80,669].
- January 1998. (Award) Where claimant voluntarily terminated his computer science program through a
community college thereby limiting claimant's ability to find a substantially better job than he had pre-injury, the
Appeals Board must impute a post-injury wage to claimant as mandated by Copeland. Ehrlich v. Lampe Trucking
and Commercial Union Insurance, Docket No. 201,243.
- January 1998. (Award) The Appeals Board awards a work disability in this instance despite claimant's
falsification of his pre-employment application, with regard to a prior workers compensation injury in California,
and concludes that the employment contract entered into between claimant and respondent did not change the
employer/employee relationship with regard to claimant's entitlement to workers compensation benefits. For the
employment contract to be void, sufficient for the purpose of denying workers compensation coverage, claimant's
fraud would have had to have a causal relationship to claimant's injury. See White v. Thompson, 181 Kan. 485, 312
P.2d 612 (1957); 3 Larson's Workers' Compensation Law § 47.51 (1997); Cordova v. Spice Merchant & Co.,
Docket No. 192,123 (December 1997). Although claimant falsified his pre-employment application by failing to list
prior workers compensation injuries and claims, the Appeals Board finds that neither Foulk nor Copeland apply to
this scenario. In both Foulk and Copeland the improper actions of the claimant occurred after claimant suffered an
injury arising out of and in the course of his or her employment with respondent. In the case at hand, the improper
actions of claimant occurred at the time claimant applied for work with respondent. This was prior to the date
claimant suffered his accidental injury. In addition, Foulk does not apply to this circumstance as claimant has not
refused post-injury employment but instead is out of work as a result of his pre-injury actions. Copeland does not
apply in this instance as claimant made a good faith effort to find work after his injury. Work disability is awarded.
Ramirez v. Excel Corporation, Docket No. 198,826 [ Reversed & Remanded by Court of Appeals opinion, Docket
No. 80,670].
- ----- But See, Dissent, Based upon the Appeals Board's prior holdings in Oritz v. Nies Construction, Inc., Docket
No. 199,812 (August 1997) and Cano v. Andy Mackey Painting, Docket No. 202,489 (March 1997), the dissenting
Board Member finds it would be inappropriate for claimant to be awarded a work disability based upon his loss of
wages when respondent put forth the effort to return claimant to work at an accommodated position and claimant's
loss of employment resulted purely from his own actions, ie., the falsification of his employment application at the
time of hire. Id.
- See also, August 1999. (Remand) On remand the Board followed the Court of Appeals' opinion in Docket No.
80,670 and found that claimant would not be entitled to an award of work disability as a result of his loss of
employment due to his own actions, ie. the falsification of his employment application. As a result, claimant's
permanent partial disability award is limited to his functional impairment. Ramirez v. Excel Corp., Docket No.
198,826.
- December 1997. (Award) The Appeals Board imputes a post injury wage to claimant, an illegal alien, and limits
benefits under the Workers Compensation Act to functional impairment only. See K.S.A. 44-510e and Copeland.
Cordova v. Spice Merchant & Co. and State Farm Fire & Casualty Company, Docket No. 192,123.
- December 1997. (Award) Where claimant decided that he was not able to worker even though the medical
restrictions would allow him to work, the Appeals Board applies the logic outlined in Copeland and finds the
claimant has voluntarily removed himself from the open labor market and has not provided a good faith effort in
attempting to obtain employment. Peres v. Beachner Construction Company, Inc. and Aetna Casualty & Surety
Company, Docket No. 210,614.
- ----- Copeland requires that if a good faith effort has not been made, the fact-finder will have to determine an
appropriate post-injury wage based upon all the evidence before it including expert testimony concerning claimant's
capacity to earn wages. Id.
- ----- Where there is no evidence regarding claimant's post-injury wage earning abilities and where medical
testimony supports claimant ability to return to work within his restrictions, the Appeals Board finds claimant is able
to earn the minimum wage of $5.15 per hour for a 40 hour week giving claimant a post-injury wage of $206 per
week. When this is compared to claimant's average weekly wage of $340.35 the Appeals Board finds claimant has
suffered a 30 percent wage loss as a result of these injuries. Id.
- See Also, Owings v. Walter A. Young Construction, Inc. and Steve Beyrle, DBA Beyrle Construction and Cigna and
Travelers Insurance Company, Docket No. 192,579 (December 1997); Jones v. American Red Cross and National
Union Fire Insurance Company, Docket No. 199,242 (November 1997).
- November 1997. (Award) Claimant's decision to complete a one-year technical course was found to not be a
wrongful attempt to manipulate her workers compensation award. The Appeals Board found claimant was justified
in declining respondent's offer of a temporary job in order to complete her retraining program. One of the job's
offered claimant was only temporary in nature and not expected to last more than a couple of weeks. Further, the
second job offered claimant was not appropriate as it was not within claimant's physical capabilities. Pollett v.
Emerson Electric Company, Docket No. 199,951.
- ----- Both Foulk and Copeland are premised upon the injured worker's lack of good faith and announced public
policy principles to prevent someone from wrongfully manipulating their worker compensation award. In Foulk, the
Court held workers could not without justification refuse to attempt to perform an accommodated job in order to
increase their workers compensation benefits. In Copeland, the Court cited Foulk and held an injured worker was
required to exercise good faith in seeking appropriate employment after an accident. Id.
- November 1997. (Award) The philosophy outlined in Foulk does not apply where claimant is not offered a
comparable job. See Also Bohanan v. USD 260, 24 Kan. App.2d 362, 947 P.2d 440 (1997). Corby v. St. John
Welding & MFG. and ITT Hartford, Docket No. 199,626.
- November 1997. (Award) Where claimant voluntarily terminated her employment with respondent, the decision of
the Administrative Law Judge denying claimant work disability based upon the rationale outlined in Foulk is
affirmed. The Court of Appeals in Foulk felt it inappropriate for a claimant in this circumstance to be rewarded for
the refusal to accept a position within his/her capabilities at a comparable wage. Anton v. Rolm Company and
Travelers Insurance Company, Docket No. 195,009.
- November 1997. (Award) Where claimant has not shown a good faith effort to return to employment at a
comparable wage as evidenced by her not cooperating with her employer to receive job placement assistance or
attend interviews and follow up with job contacts, the Appeals Board finds, in considering the principles set forth in
Copeland, the claimant has failed to show a good faith effort to obtain employment. Claimant was found to have
purposely avoided employment which would have allowed her to earn at least 90 percent of her pre-injury wages;
therefore, claimant is limited to her functional impairment of 20 percent. Jones v. American Red Cross and
National Union Fire Insurance Company, Docket No. 199,242.
- November 1997. (Award) Where claimant failed to complete a single job application for any employer subsequent
to his release to return to work following his work-related injury, the Appeals Board applies the principles outlined
in Copeland and finds the claimant has not made a good-faith effort to locate employment subsequent to his release
and return to work. As such, a post-injury wage must be determined based upon the evidence in the record. Corby v.
St. John Welding & MFG. and ITT Hartford, Docket No. 199,626.
- October 1997. (Award) Claimant's refusal to accept respondent' job offer for work in a community 60 miles away
was reasonable under the circumstances considering, among other things, the distance of the commute and the fact
claimant did not want to relocate his family. Under these circumstances, the policy outlined in Foulk is not
applicable. Rojas v. Praireland Processors, Inc. and ITT Hartford, Docket No. 199,314.
- See Also, Walker v. Systems Material Handling Co., Inc and Liberty Mutual Insurance Company, Docket No.
187,948 (September 1998 On Remand from Unpublished Court of Appeals Opinion, Docket No. 78,153).
- October 1997. (Award) The policy considerations outlined in Foulk do not apply where claimant resigned his
employment with respondent after being refused both medical restrictions and a job transfer. Additionally, the
claimant exercised good faith in immediately finding other employment with a construction company. Therefore,
the Appeals Board finds the claimant has satisfied the requirement of good faith as set forth by the Court of Appeals
in Copeland. Oliver v. The Boeing Co. -Wichita and American Manufacturers Mutual Insurance and Workers
Compensation Fund, Docket No. 192,223 [Affirmed by Court of Appeals, Docket No. 80,253].
- September 1997. (Award) Where claimant does not cooperate in a vocational rehabilitation program offered by
respondent, a post injury wage should be imputed for the purposes of calculating the wage loss prong of the
permanent partial disability/ work disability formula. The Appeals Board finds claimant's refusal to cooperate with
a job placement plan is conceptually equivalent to the refusal of accommodated work, and therefore, the public
policy principles outlined in Foulk apply. Beitler v. Klaver Construction Company, Inc. and Bituminous Insurance
Companies, Docket No. 199,248.
- August 1997. (Award) Where the record is clear and uncontradicted that if claimant would have had a legal status,
rather than being deemed an illegal alien, the respondent would have returned him to work at a comparable wage,
the Appeals Board finds that a comparable wage should be imputed to the claimant as provided by K.S.A. 44-510e.
The policy considerations outlined in Foulk apply to claimant's case. Claimant is therefore limited to the
percentage of his functional impairment. Claimant's illegal alien status should not be a benefit to him and burden to
his employer. Oritz v. Nies Construction, Inc and CNA Insurance Company, Docket No. 199,812.
- August 1997. (Award) Where respondent made both verbal and written communications to claimant regarding
job openings and respondent's willingness to accommodate, and claimant refused to attempt the offered, modified
and accommodated jobs, the rationale in Foulk applies. Claimant is not entitled to receive permanent partial
disability benefits in excess of the percentage of functional impairment. Collins v. Providence Medical Center and
Aetna Casualty and Surety Insurance Company, Docket No. 198,933.
- See Also, Deist v. Dillon Companies, Inc., Docket No. 213,485 (August 1997) [Reversed and remanded by
unpublished Court of Appeals decision, Docket No. 79,843] ; Gietzen-Herrmann v. Excel Corporation, Docket Nos
186,832 & 189,389 (April 1997).
- August 1997. (Award) Claimant is not required to move residences or travel a great distance to accept an
accommodated job offered by respondent. See Scharfe v. Kansas State Univ., 18 Kan. App.2d 103, 108, 848 P.2d
994, rev. denied 252 Kan. 1093 (1992). Stark v. Monfort, Inc., Docket No. 210,898.
- August 1997. (Award). Where the accommodated work offered to and refused by claimant included a fringe
benefit package identical to that which claimant was earning at the time of regular employment, the Appeals Board
finds it appropriate to include the fringe benefit package in the imputed post-injury average weekly wage used to
compute claimant's entitlement to benefits. Additionally, in determining the wage loss prong of the work disability
test set forth in K.S.A. 44-510e, both the pre- and post-injury fringe benefit packages are included in the average
weekly wage computation. Deist v. Dillon Companies, Inc., Docket No. 213,485. [Reversed and remanded by
unpublished Court of Appeals decision, Docket No. 79,843].
- July 1997. (Award) Where claimant fails to pursue jobs within claimant's abilities and restrictions, the Appeals
Board applies the Foulk rationale to this "new act" case and denies claimant's work disability due to claimant's lack
of good faith in the job search process. McPheeters v. Wesley Medical Center and Kansas Workers Compensation
Fund, Docket No. 202,132.
- See Also, Wilson v. Kaylor Dental Lab and Wichita Chamber Workers Compensation Fund, Docket No. 211,695
(July 1997).
- July 1997. (Award) Where claimant moves to a different city without notifying her employer, thereby preventing
the employer from offering claimant an accommodating job, the Appeals Board applies the Foulk rationale to this
injury occurring after July 1, 1993. Thus, the Appeals Board finds the wages claimant would have earned had
claimant returned to work for the employer should be imputed for purposes of applying K.S.A. 44-510e in
determining claimant's entitlement to permanent partial general disability. Ward-Wallace v. L.C. Enterprises d/b/a
Big Cheese Pizza and Cigna, Docket No. 190,086.
- July 1997. (Award) Where claimant's work restrictions would have precluded claimant from returning to her pre-injury employment and where claimant was not offered accommodated work within her work restrictions, claimant's
pre-injury wages cannot be imputed to her under the rationale outlined in Foulk. Perry v. McDonalds and American
Family Mutual Insurance Co., Docket No. 198,879.
- See Also, Farris v. Automotive Controls Corporation and Kansas Workers Compensation Fund, Docket No.
195,747 (March 1997). [Affirmed by unpublished Court of Appeals opinion, Docket No. 78,904].
- June 1997. (Award). Claimant was unable to meet with respondent's vocational rehabilitation counselor to discuss
possible accommodations. Respondent refused to reschedule the appointment and took the opportunity to terminate
claimant despite claimant's requests to have the meeting rescheduled. Claimant's termination "for cause" may have
been pursuant to respondent's policies and procedures, but it does not invoke the public policy considerations relied
upon in Foulk. Enriquez v. IBP, Inc., Docket No. 196,942.
- May 1997. (Award) Claimant was returned to work with restrictions after suffering a work-related injury.
However, claimant was terminated by respondent after he was caught falling asleep on the job. The Appeals Board
found the preponderance of evidence pointed to the fact the medication claimant was taking for his injury had the
side effect of causing drowsiness. Although claimant may have been negligent in not informing his physician of this
side effect and requesting other medication, there is no evidence of malfeasance. Under these facts, the Board
would not impute to claimant the wage he was earning with the respondent post-injury. Therefore, since claimant is
unemployed he has a 100% wage loss. Accordingly, claimant should not be precluded from receiving work
disability from the date of his termination. Lyday v. J.I. Case Company, Docket No. 205,329.
- ----- Because both employers and employees must act in good faith, termination for violations of company rules do
not necessarily invoke the public policy considerations of Foulk and Copeland to preclude a work disability absent a
worker's bad faith. Id.
- April 1997. (Award) Where claimant was not offered accommodated work at a comparable wage and where the
record does not contain evidence that claimant refused to attempt to perform a job within her permanent work
restrictions as outlined in Foulk, claimant is, therefore, eligible for an award based on work disability. Johnson v.
Manor Care Nursing Center and National Union Fire Insurance Company, Docket No. 198,615.
- April 1997. (Award) Where claimant did not even look for a job within her restrictions, the Appeals Board finds a
post-injury wage should be imputed to the claimant in computing the wage loss component of the work disability
test as was done in Wollenberg v. Marley Cooling Tower Company, Docket No. 184,428 (September 1995). Lerma
v. Rainbows United, Inc. and Continental Insurance Company, Docket No. 184,346 [Affirmed by unpublished
Court of Appeals opinion, Docket No. 79,100].
- ----- Where the record does not contain evidence as to claimant's post-injury wage earning ability. The Appeals
Board finds an appropriate wage to impute to the claimant is the minimum wage rate. Id.
- See Also, DeClements v. John Stalcup d/b/a J & S Trucking and Kansas Workers Compensation Fund, Docket No.
205,037 (May 1998).
- March 1997 (Award) Claimant attempted several types of work offered by respondent from a customer service
position in respondent's shoe department to a freight processor in the shoe department to a job in the fitting room
and finally to a front door greeter. However, claimant continually experienced problems when performing each job.
The Administrative Law Judge applied the principles outlined in Foulk finding claimant refused to attempt
accommodated jobs; however, the Appeal Board reversed finding both claimant and respondent made efforts to find
claimant an accommodated position. Cushenberry v. Walmart and National Union Fire Insurance Company of New
York, Docket No. 199,674.
- March 1997. (Award) The fact claimant was unemployed at the time of the regular hearing does not give rise to
the application of Foulk to this case since there is no evidence that claimant has refused employment and in fact
claimant had submitted applications for employment following his leaving his employment with respondent due to
the fact respondent could not provide an accommodated job. White, Jr. v. Dupaco Paint, Inc. and ITT Hartford,
Docket No. 195,927.
- March 1997. (Award) Claimant's request for work disability is denied, where it is found that claimant did not put
forth a good faith effort to return to an accommodated job for respondent following his injury, thus resulting in
claimant's termination of employment. See Perez v. IBP, Inc., 16 Kan. App.2d 277, 826 P.2d 520 (1991). Cano v.
Andy Mackey Painting and Farm Bureau Mutual Insurance Co, Inc., Docket No. 202,489.
- January 1997. (Award) When a worker declines accommodated employment that does not violate his/her
permanent medical restrictions and limitations, the public policy considerations limiting permanent partial disability
benefits to the functional impairment rating are applicable as set forth in Foulk. The legislature did not intend to
allow a worker to decline accommodated employment which falls within his/her capabilities. In such cases the
respondent is entitled to the conclusive statement of law contained in K.S.A. 44-510e that a worker shall not be
entitled to receive permanent partial disability compensation in excess of the percentage of functional impairment.
Jones v. Fry-Wagner Moving & Storage, Inc. and Vanliner Insurance Company, Docket No. 189,746.
- April 1996. (Award) While claimant may have been negligent in the performance of his job duty and where that
negligence may have resulted in claimant's termination of employment, the fact that there is no evidence of
malfeasance precludes the Appeals Board from imputing to claimant the wage he was earning with respondent post-injury. Accordingly, claimant should not be precluded from receiving a work disability from the date of his
termination. Zarnowski v. Collingwood Grain, Inc and Old Republic Insurance Company, Docket No. 190,684.
- December 1996. (Award) A claimant who is performing accommodated work should advise the employer of
problems working within the restrictions and afford the employer the opportunity to adjust or at least to decide
whether it wants to adjust the accommodation. The failure on the part of the employee to do so would in many cases
be strong evidence that claimant is not making a good faith effort. Hunsecker v. Enterprise Estates Nursing Center
and Kansas Association of Homes for the Aging Insurance Group, Inc., Docket No. 186,229 (December 1996)
[Affirmed by unpublished Court of Appeals opinion, Docket No. 78,260].
- ------ Where the offer of accommodated employment did not provide any specific method for claimant to avoid
violation of her work restrictions in performing her duties and where the likelihood that claimant would be faced
with the situation that she would need to work outside her restrictions to fulfill her work-related duties was high, the
Appeals Board agrees with claimant that respondent's offer of employment was unreasonable and claimant did not
act in bad faith by refusing such accommodated employment. Id.
- November 1996. (Award) Where claimant was terminated due to absenteeism and where the record indicates that
respondent offered claimant an accommodated job prior to her termination, the Board finds a post-injury wage
should be imputed to claimant as she has not made a good faith effort as set forth by Foulk to find post-injury
employment. Highley v. Our Own Hardware and American Hardware Mutual Ins. Co, Docket No. 193,927.
- October 1996. (Award) Foulk rationale not applied to impute a wage to claimant where despite the fact that she
did not look for subsequent work with anyone other than respondent, the Board found under the facts of that case,
that claimant had reason to believe respondent would be offering her an accommodated job. Scott v. HCA Wesley
Medical Center and Kansas Workers Compensation Fund, Docket No. 196,167.
- September 1995. (Award) Where claimant refuses to return to a job for respondent which could be performed
within claimant's work restrictions, the Appeals Board finds under the post 1993 work disability test, an average
weekly wage should be imputed to claimant. Wollenberg v. Marley Cooling Tower Company, Docket No. 184,428.
- ----- The rationale of the Kansas Court of Appeals in Foulk has been applied to claims arising under the 1993
amendments to the Kansas Workers Compensation Act. Id.
- See Also, Edwards v. Klein Tools, Inc., Docket No. 198,017 & 198,018 (July 1997) [Note, Edwards v. Klein Tools,
Inc was reversed by Court of Appeals in Edwards v. Klein Tools, Inc, Docket No. 79,597 (Kan. App. 1999). See the
Board's remanded decision summarized at the beginning of this section under August 1999 cases]; Cabrera v.
Casco, Inc. and Liberty Mutual Insurance Company, Docket No. 198,074 (April 1997) [Affirmed by Court of
Appeals in 25 Kan. App.2d 169]; Doering v. Evangelical Lutheran Good Samaritan Society, d/b/a Minneapolis
Good Samaritan Center and Constitution State Service Company, Docket No. 187,307 (November 1996) [Affirmed
by unpublished Court of Appeals opinion, Docket No. 78,038].; Highley v. Our Own Hardware and American
Hardware Mutual Ins. Co, Docket No. 193,927 (November 1996); Wolters v. Property Management and
Maintenance and CNA Insurance Company, Docket No. 186,353 (November 1996).
- May 1995. (Award) The fiction treating claimant as engaging in work at 90 percent of the pre-injury wage is not to
be applied except where claimant's conduct is equivalent to refusing to attempt accommodated employment. The
Board considers the conduct equivalent in those cases where the evidence establishes that the claimant accepted the
offer but did not make a good faith effort to perform accommodated employment. Banuelos v. Excel Corporation,
Docket No. 180,288.
- See Also, Hunsecker v. Enterprise Estates Nursing Center and Kansas Association of Homes for the Aging
Insurance Group, Inc., Docket No. 186,229 (December 1996) [Affirmed by unpublished Court of Appeals opinion,
Docket No. 78,260].
8.23 Computation of Benefits
- December 1999. (Award) This case came before the Board on remand from the Court of Appeals to determine the
proper method of calculating permanent partial disability awards when there is a change in the disability. The Board
reviewed the methods and the arguments for the purpose of responding to various misunderstandings about how the
Board calculates the award when there is a change. The Board's method calculates the weeks of benefits under the
initial disability rate by multiplying the disability rate by 415 weeks, or 415 less any weeks of temporary total
disability over 15 weeks. The next disability is calculated the same and amounts paid or payable under the initial
disability are deducted. Benefits are not paid beyond 415 weeks. Deist v. Dillon Companies, Inc., Docket No.
213,485.
- See Also, William L. Martin vs. Osage City Golf & Country Club and Utica National Insurance Group, Docket
Nos. 242,403 & 242,806 (June 2000).
- December 1999. (Award) This is a review and modification proceeding where Board again reviewed Board's
method of computing benefits in cases where there is a change in the disability. Claimant argued the Board should
deduct the weeks paid under the first disability from the total of 415 weeks and multiply the result by the new
percentage of disability. The Board, on the other hand, has multiplied the new disability percentage times 415 weeks
and subtracted the weeks paid or payable under the first disability rate from the result. The Board's decision includes
several examples to illustrate the difference and explain why the Board uses this method. Walz v. Casco, Inc.,
Docket No. 222,827.
- September 1999. (Award) Claimant suffered a work-related injury of a repetitive nature, underwent surgery for
that injury, returned from surgery and continued working for respondent, then resigned his position. The Board
found the date of accident to be last day before surgery. The case demonstrates how to recompute the permanent
partial general disability benefits when the rate of disability changes from 12% to 80% to 39% and back to 12%.
Thompson Jr. v. Lady Baltimore Foods, Inc and Self-Insured, Docket No. 210,700 [Affirmed by unpublished Court
of Appeals opinion, No. 84,015, August 25, 2000.]
- June 1999. (Award) Computation of award when disability rate changes discussed. Under the Appeals Board's
award calculation formula, a change in the disability percentage results in a recalculation of the award using the new
percentage. This becomes, in effect, a new ceiling on benefits because a credit is given for all weeks previously paid
under the prior permanent partial disability percentage(s). The change in disability does NOT mean that no
payments are made for the prior period of disability, or that only the last disability percentage is used to calculate all
benefits. See Edwards v. Klein Tools, Inc., 25 Kan. App. 2d 879, 974 P.2d 609 (1999); Wheeler v. Boeing Co., 25
Kan. App. 2d 632, 967 P.2d 1085 (1998), petition for rev. denied (1999); and Bohanan v. U.S.D. No. 260, 24 Kan.
App. 2d 362, 947 P.2d 440 (1997). See also Ullum v. Sedan Limestone Co., Inc., Appeals Board Docket No.
195,076 (August 1997) and Ridder v. Topeka Truck Plaza, Inc., Appeals Board Docket No. 177,364 (July 1997).
Hill v. C.R.. Anthony Company and Cigna, Docket No. 206,740.
- ----- An example of an award computation where the disability rate changes is as follows: "WHEREFORE,
AN AWARD OF COMPENSATION IS HEREBY MADE IN ACCORDANCE WITH THE ABOVE
FINDINGS IN FAVOR of the claimant, Liese E. Hill, and against the respondent, C. R. Anthony Company, and its
insurance carrier, CIGNA, for an accidental injury which occurred March 11, 1994, and based upon an average
weekly wage of $135.23 for 11.43 weeks of temporary total disability compensation at the rate of $90.16 per week
or $1,030.53, followed by 60.18 weeks for the period through January 27, 1997, at the rate of $90.16 per week or
$5,425.83, for a 14.5% permanent partial functional disability. For the 28.29-week period beginning January 28,
1997 and ending August 13, 1997, claimant is entitled to permanent partial disability compensation at the rate of
$90.16 per week, or $2,550.63, for a 72% permanent partial work disability. Thereafter beginning August 14, 1997,
claimant's permanent partial disability award is again 14.5%, for a maximum of 60.18 weeks (415 weeks x 14.5% =
60.18). Giving a credit for the weeks of permanent partial disability compensation already paid, there is no
additional sum due or owing for this latest period of disability. The award is $9,006.99 which is all past due and
ordered paid in one lump sum minus amounts previously paid." Id.
- October 1997. (Award) Computation of work disability under K.S.A. 44-510e discussed. Rojas v. Praireland
Processors, Inc. and ITT Hartford, Docket No. 199,314.
- See Also, Foroughi v. Nurses House Call and Kimberly-Olsten and Liberty Mutual Insurance Company and
Hartford Insurance Company, Docket Nos. 205,741 & 208,027 (January 1998); Duru v. Rubbermaid Specialty
Products, Docket No. 208,113 (February 1998).
- October 1997. (P/A) How to compute the amount of compensation due when the work disability award is reduced
to a functional disability and the entire functional amount has already been paid. Collins v. Cessna Aircraft
Company, Docket No. 186,974.
- ----- In computing permanent partial disability under K.S.A. 44-510e for a post July 1, 1993, injury, if the disability
rate goes down, as when the claimant returns to work after being off for a period of time, and if the new calculation
on the new rating results in fewer weeks than respondent has previously paid, respondent owes nothing more. Id.
- September 1997. (Award) When there is a change in work disability under the 1993 amendments, the Appeals
Board will recalculate the disability on the basis of the latest work disability and give a credit for prior payments.
Logan v. Fry-Wagner Moving & Storage and Vanliner Insurance Company, Docket No. 206,790.
- September 1997. (Award) Modification of Award for post 1993 work disability benefits discussed. Potter v.
Consolidated Freightways, Inc., Docket No. 208,736.
- August 1997. (Award) The Appeals Board recognizes K.S.A. 44-510e does not address how to calculate benefits
payable for an injury when the disability rate changes for that injury. After considering several methods of
calculating the award when there is a change in the disability rate, the Appeals Board concludes the most equitable
method is to calculate the award, or recalculate the award if benefits have already been paid based on a different
disability rating, using the new or latest disability rate as though no permanent partial benefits have been paid or
were payable under the earlier disability rate. See Discussion in, Ullum v. Sedan Limestone Co, Inc. and Aetna
Casualty & Surety Company, Docket No. 195,076.
-
See also, Ridder v. Topeka Truck Plaza, Inc., Docket No. 177,364 (July 1997).
- November 1996. (Award) When determining a claimant's tasks loss, the Board does not consider it necessary that
the physician "do the math and state the percentage" of tasks loss. The physician must, however, apply his or her
work restrictions to the list of tasks. Therefore, where the physician's opinion of claimant's ability to perform the
tasks he had performed over the past 15 years eliminated five of the eight tasks, the Appeals Board computes
claimant's tasks loss to 62.5 percent. Smith v. Valley Pro Source and Crum & Forster Insurance Company, Docket
No. 199,793.
- December 1995. (Award) When there is a change in the disability rate, the respondent is entitled to a credit for
the permanent partial disability benefits previously paid. The latest disability rate, or amounts already paid, if
higher, become the ceiling for the benefits awarded. Romeo v. Smith Temporary Services, Docket No. 184,711.
- See Also, Wheeler v. The Boeing Company and Kemper Insurance Company and Kansas Workers Compensation
Fund, Docket No. 187,565 (May 1997). [Affirmed by Court of Appeals opinion, Docket No. 79,159].
- November 1995. (Award) K.S.A. 44-510e requires that once the loss of ability to perform work tasks is analyzed
by the physician and the difference in pre-injury and post-injury earnings is computed, that these numbers be
averaged together in order to find claimant's appropriate work disability. Claimant's 44% task loss, when averaged
with claimant's 64% wage loss, results in a 54% work disability. Bohanan v. USD 260 and KS Assoc of School
Boards and Workers Compensation Fund, Docket No. 190,281 [Affirmed by Court of Appeals, 24 Kan. App.2d
362].
- ----- The Work Disability statute does not address how to calculate benefits payable for an injury when the
disability rate changes for one injury. Such a change may occur from review and modification or as a part of the
initial award when, for example, the claimant ceases to work or returns to work after being off for a period. The
award may change from functional impairment to work disability or vice versa. There are several possible methods
for calculating the award under the Post-1993 Act when there is a change in the disability rate. The Board, however,
finds the most equitable method is to calculate the award, or recalculate the award if benefits have already been paid
based on a different disability rating, using the new or latest disability rate as though no permanent partial benefits
had been paid or were payable under any earlier disability rate. The award so calculated gives the total number of
weeks and amounts payable for the award. If permanent partial benefits have previously been paid, based on a
different rate of disability, respondent is entitled to a credit for those payments. If the rating goes down, as when the
claimant returns to work after being off for a period of time, and the new calculation on the new rating results in
fewer weeks than respondent has previously paid, respondent owes nothing more. If the disability rate goes up, as
when the claimant is laid off, the new work disability rating is calculated based on 415 weeks (less deduction for
temporary total paid over 15 weeks) and the number of weeks of permanent partial benefits paid based on the lower
rating is credited against amounts due. The last disability rating or amounts already paid, if higher, becomes the
ceiling on benefits awarded. Id.
8.24 Work Restrictions
8.25 Generally
8.26 Prior Permanent Work Restrictions
- March 1999. (Award) When there are preexisting work restrictions, the permanent partial general disability rate
for the new accident is determined based upon the new restrictions ONLY. Nothing is deducted for the preexisting
functional impairment. Reed v. Central Sand Company, Inc and Travelers Insurance Company, Docket No.
216,797.
- November 1997. (Award) Where the work restrictions imposed upon claimant for the 1992 accident are essentially
the same as those imposed on claimant for the 1987 accident, the Appeals Board finds claimant is not entitled to
additional work disability in this case for the 1992 accident. Foreman v. Salvation Army and The Home Insurance
Company and Kansas Workers Compensation Fund, Docket No. 169,430 [Reversed and remanded by unpublished
Court of Appeals opinion, Docket No. 80,426].
- October 1997. (Award) Respondent appeals from a work disability Award and argues claimant's disability, which
the Appeals Board found to be a whole body injury caused by a simultaneous injury to both shoulders, should be
limited to permanent functional impairment because of preexisting permanent restrictions that resulted from a
previous bilateral carpal tunnel syndrome injury. Although claimant did have preexisting work restrictions, the
Appeals Board concludes that claimant performed work for respondent after she suffered her wrist and hand injuries
that exceeded those prior restrictions. Therefore, the Appeals Board finds those prior restrictions should not be
considered when determining claimant's work disability. Maberry v. Rubbermaid Specialty Products and American
Manufacturers Mutual Ins. and Kansas Workers Compensation Fund, Docket No. 186,053.
- July 1997. (Award) Prior work restrictions discussed. The Appeals Board finds the Court of Appeals in Miner v.
M. Bruenger & Co., 17 Kan. App.2d 185, 836 P.2d 19 (1992), did not decide the issue of whether prior permanent
restrictions must be taken into consideration when determining work disability in every case. Carver v. Missouri
Gas Energy, Docket No. 195,270.
- ----- Under circumstances in this case, preexisting work restrictions were not taken into consideration when
determining work disability. Id.
- ----- But See, Dissent, stating the Appeals Board has previously held that prior restrictions should be taken into
consideration when determining the extent to which a claimant has lost the ability to perform work tasks under
K.S.A. 44-510e(a). See Converse v. ADIA Personnel Services, Docket No. 184,630 (December 1996). Id.
8.27 Scheduled Injuries
8.28 Generally
- December 1999. (Award) Board held that where both hands and arms are simultaneously injured, the injury is
compensable as an injury to the body rather than a "scheduled" injury despite the fact that the symptoms in each
upper extremity began at different times. Gibson v. IBP, Inc., Docket No. 208,554 [Affirmed by unpublished Court
of Appeals opinion, Docket No. 84,650, December 8, 2000].
8.29 Permanent Partial Scheduled Disability
8.30 Functional Impairment
- January 2000. (Award) Board approved use of Table 16 in the Fourth Edition to the AMA Guides to evaluate
impairment for entrapment neuropathy even after surgery. Kuhn v. Micro-Lite, LLC, Docket Nos. 236,395 &
236,732.
8.31 Amputation
8.31a Generally
- September 1997. (Award) Claimant, a printing press operator, injured his left hand in a work-related accident
when the press started unexpectedly and pulled his hand into the punch unit. As a result, claimant's left middle
finger and a substantial portion of the left metacarpal were amputated. The issue before the Appeals Board was
whether the amputation, which included part of the fifth metacarpal as well as the finger, entitled claimant to the full
150 weeks allotted for loss of the hand or only a portion of that 150 weeks. The Appeals Board held amputation of
the little finger and a substantial portion of the metacarpal entitles the claimant to disability benefits at the level of
the hand but does not entitle claimant to the full 150 weeks of benefits given for amputation of the hand. Landry v.
Graphic Technology, Inc. and ITT Hartford Insurance, Docket No. 216,166 [Affirmed by unpublished Court of
Appeals opinion, Docket No. 80,087; Affirmed by Kansas Supreme Court opinion, Docket No. 80,087, January 28,
2000].
- ----- The Appeals Board concludes the language in K.S.A. 44-510d(a)(18) assumes a severance below the wrist
which crosses the entire width of the hand. The Appeals Board has construed this statute as such principally for two
reasons. First, an amputation such as that suffered by claimant where his left ring finger and portion of his left
metacarpal were amputated leaves a substantial portion of the function or use of the hand available to claimant. It is,
therefore, logical to treat it differently from the loss of the entire hand. In addition, the statute governing benefits for
scheduled injuries, K.S.A. 44-510d, was amended in 1993. Subsection (a)(23) stated that loss of a scheduled
member is to be rated using the third edition, revised, of the "American Medical Association Guidelines for the
Evaluation of Physical Impairment," which states amputation of all digits of the metacarpophalangeal joint level is
required for a 100% impairment to the hand. Id.
8.31b Healing Period
- September 1997. (Award) K.S.A. 44-510d(b) authorizes a healing period in cases of amputation. Claimant may be
allowed a healing period of not more than 10 percent of the total period allotted for the scheduled injury in question
and, in any event, not longer than 15 weeks. Return by the employee to his "usual occupation" also terminates the
healing period. Landry v. Graphic Technology, Inc. and ITT Hartford Insurance, Docket No. 216,166 [Affirmed by
unpublished Court of Appeals opinion, Docket No. 80,087; Affirmed by Kansas Supreme Court opinion, Docket
No. 80,087, January 28, 2000].
- ----- Claimant's left ring finger and part of his left metacarpal joint were amputated. As a result of the amputation,
claimant was off work 5.27 weeks. When he returned, he was placed in a different type of work. The Appeals
Board concludes the work to which he returned to for that three to four months was not his "usual occupation."
Accordingly, the Board allows a healing period of 15 weeks. Id.
- March 1994. (Award) Claimant is entitled to a healing period of 15 weeks in case involving hand surgery. Samms
v. Abilene Nursing Home, Docket No. 168,071.
8.32 Occupational Disease
- February 2000. (Award) The Board reviewed the measure of disability for occupational disease cases and noted
that although it had previously applied work disability standards for occupational disease the same as for accidental
injury, language in Burton v. Rockwell International, 266 Kan. 1, 967 P.2d 290 (1998) suggests the Supreme Court
still applies the single factor of loss of earning capacity as the measure of disability in occupational disease cases
and, therefore, measures disability differently for occupational disease than for accidental injury. Boldridge v.
Atchison Casting Corporation, Docket No. 233,132.
8.33 Psychological Injury
- March 2000. (Award) In cases involving both physical and psychological impairment, the disability award must be
based on consideration of both. This does not mean that, in all cases, the two should be added. It may be proper to
add the physical and psychological impairments but this depends on how each impairment affects the other. See
also, Adamson v. Davis Moore Datsun, Inc., 19 Kan. App. 2d 301, 868 P.2d 546 (1994). Brown v. Elec-Tron, Inc.,
Docket No. 223,178.