2006

348 West Hospitality Lane, Suite 202
San Bernardino, CA 92408
909.890.1800
909.890.1801

3131 Camino Del Rio North, Suite 380
San Diego, CA 92108
619.283.7011
619.283.7684

2024 North Broadway, Suite 315
Santa Ana, CA 92706
714.541.6611
714.541.6703


 

 

 


COURT OF APPEAL ISSUES DECISION IN NABORS, EXTENDING DOCTRINE OF DYKES TO INSURED EMPLOYERS ON THE ISSUE OF APPORTIONMENT UNDER LABOR CODE 4664
By Brian S. Grosenbach, Esq.

Danny Nabors v. Workers’ Compensation Appeals Board; Piedmont Lumber Co., 8 WCAB Rptr. 10,171 (SRO 122159)

The Court of Appeal, First District, Div. 2, recently issued a published opinion applying the holding of E & J Gallo Winery v. WCAB (Dykes) (2005) 134 CA4th 1536, 34 CWCR 1, 70 CCC 1664, and reversed the en banc decision concerning the method of calculating permanent disability when the injured worker had a prior industrial injury for which permanent disability was awarded. Therefore, when an employee sustains multiple industrial injuries, the employee is entitled to compensation for total disability above any percentage of permanent disability previously awarded. This is accomplished by the application of the Fuentes formula C: dollar value of previous award, subtracted from the dollar value of total current permanent disability.

The Court of Appeal quoted from Dykes:

“Turning its attention to the meaning of the new apportionment provision, the court concluded the plain language of section 4664, subdivision (1) (ante, pp. 2-3) means that “[a] n employer is liable for the direct consequences of a work-related injury, nothing more and nothing less.” Furthermore, “section 4664 contemplates accumulating multiple disability awards rather than subtracting percentage levels of disability.” But the court noted that while the new statues, in conjunction with the permanent disability schedule and the life pension provision, may be interpreted to permit several different approaches to apportioning liability, yielding quite disparate results, the Legislature did not specify any particular method of calculating an award.

Guided by the specific legislative mandate of section 4664, subdivision (a), as well as the overriding principle of liberal construction of workers compensation laws for the benefit of injured workers (section 3202), and mindful of the exponentially progressive nature of the permanent disability tables, which serve to compensate employees with higher levels of permanent disability “in greater proportion” to those with lower levels, the court concluded that only formula C ensures both that the employee is adequately compensated and that an employer is liable only for the percentage of disability directly caused by the current injury. In other words, an employer is liable for that part of a worker’s overall disability that exceeds his prior disability level.”

In this particular case, applicant Danny Nabors sustained an admitted industrial injury on May 2, 1996 to his low back and radiating pain to both lower extremities, while employed by Piedmont Lumber & Mill Company. On August 2, 2001, applicant received a stipulated Award of 49% permanent disability, equivalent to $42,476.00, based on a preclusion from substantial work. During the period ending August 19, 2002, applicant sustained a cumulative industrial injury to his back and lower extremities while employed by Piedmont. On September 29, 2004, the issues of permanent disability and apportionment proceeded to trial before WCJ Mark Fudem. WCJ Fudem then issued rating instructions: “Work preclusions limiting applicant to sedentary work and need for a cane, Apportion 49% adjusted permanent disability per the August 2, 2001 Award.”

Subsequently the disability evaluator provided a recommended rating of 31% permanent disability, amounting to total indemnity of $22,610.00, on November 29, 2004 and served the same upon all parties. The recommended rating was derived from an overall rating of 80% permanent disability, based upon the work preclusions for applicant’s low back limiting him to sedentary work and requiring use of a cane from which the applicant’s prior Award of 49% was subtracted. On December 24, 2004, WCJ Fudem issued his decision finding 31% permanent disability after apportionment.

Applicant sought reconsideration contending that he should receive an ward of 80% permanent disability for his injury, equivalent to $118,795.00, less the amount of $42,476.00 for the prior 49% permanent disability award. The Appeals Board in a 4-2 en banc decision affirmed WCJ Fudem’s findings.

However, as referenced above, the Court of Appeal reversed the en banc decision and remanded the case for recalculation of the permanent disability benefits, relying on the 5th District Court of Appeal opinion in Dykes. The Court of Appeal found no reason why the Dykes rationale should not apply to a case of successive injuries with the same employer insured by different carriers. The Court of Appeal noted that “the Dykes court expressly limited its analysis to the “narrow contest” in which “the injured employee received a prior disability award while working for the same self-insured employer.” The Court found this to be a distinction without a difference.

This decision is likely to have an immediate effect, in view of the large number of cases on the issue where writs have been granted and the matters are pending at the appellate level.


Contact Parker & Irwin