Issue: Worker’s Compensation Claimants Not
Immune From Absenteeism Policies
Case: Bickers v. W. & S. Life Ins. Co., Slip Opinion
No. 2007-Ohio-6751
On Thursday, December 20, 2007, the Ohio Supreme Court issued its
decision in Bickers v. W. & S. Life Ins. Co., Slip
Opinion No. 2007-Ohio-6751, a decision which significantly limits
the application of Coolidge v. Riverdale Local School Dist.,
100 Ohio St.3d 141, 2003-Ohio-5357. The 2003 Coolidge case implied
that employees in general could not be disciplined or discharged
for absenteeism caused by an industrial injury. In Bickers the
Court held that Coolidge only applied to the facts of
that case. The Court disavowed that workers’ compensation
claimants are immune from their employers’ absenteeism
policies simply by being claimants and made it plain that workers’ compensation
claimants are protected only against retaliatory actions taken
because of their pursuit of a workers’ compensation claim.
In so holding, the Court has restored the long-held understanding
of Ohio law on this subject, which appeared to have been disturbed
by the Coolidge decision.
Because of Coolidge, many Ohio employers feared that they
had lost the ability to enforce their normal absenteeism policies
as to employees who claimed that they were missing work because
of an industrial injury. Employers were understandably concerned
that Coolidge required them to hold jobs open indefinitely
for employees who said that they were missing work due to the effect
of a workers’ compensation claim. The Bickers Court
addressed that concern and wrote that Coolidge “does
not create a claim of wrongful discharge in violation of public
policy for an employee who is discharged while receiving workers’ compensation.”
In Bickers, an employee of the Western & Southern Life
Insurance Company filed a workers’ compensation claim, which
was allowed for multiple conditions. Following the injury, Bickers
experienced periods of inability to work, which were compensated
through temporary total disability benefits under the Workers’ Compensation
Act. Bickers was terminated by her employer because of absenteeism
while she was receiving temporary total disability compensation. Bickers filed
a complaint for wrongful discharge, relying on Coolidge.
The Supreme Court, however, held her discharge to be lawful, holding
that the rule in Coolidge only applies to a determination
of whether there was cause sufficient to overturn the contractual
protection afforded under R.C. 3319.16, governing contracts involving
school teachers. The Court took note that Bickers, unlike
the plaintiff in Coolidge, was not a school teacher whose
employment was subject to R.C. 3319.16 and, for that reason, could
not base a claim on Coolidge. This strict limitation on
the scope of the Coolidge case practically overturns it.
The Court noted that if Ohio ever adopts immunity from absenteeism
policies for workers’ compensation claimants, it would have
to be the General Assembly that creates the immunity. The Court’s
majority wrote that it would not impose such a rule in Ohio through
judge-made law. While the Court acknowledged the long-standing
principle that workers’ compensation claimants cannot be
singled out for selective enforcement of absenteeism policies,
workers’ compensation claimants have no greater right to
be absent from work without penalty than do all other Ohio workers.
It remains the case that workers’ compensation claimants
may enjoy a right to limited absence without penalty under certain
familiar laws, such as the Family and Medical Leave Act, but there
is no special right to be absent enjoyed by those who claim an
inability to work due to industrial injuries. The opportunity of
employers to set attendance policies for employees, including workers’ compensation
claimants, is made clear by the new Bickers decision.
Many Ohio employers suspended enforcement of their normal absenteeism
policies as to employees who claimed that they were missing work
because of an industrial injury. Those employers may now want to
revisit renewed enforcement of attendance policies with respect
to workers’ compensation claimants. The Court’s majority
has ended a four-year period of ambiguity on this important point
of Ohio employment and workers’ compensation law. Justified
concerns about workers’ compensation claimants enjoying a
special right to be absent without consequence have been forcefully
laid to rest by the majority in Bickers.
May 31,
2007
Wrongful Discharge under
Coolidge and Retaliatory Discharge under R.C. 4123.90
Wurzauf v. Honda
of America Mfg., Inc., Slip Copy, 2007 WL 1175481, Ohio App.
Third Dist. (April 23, 2007).
In 2003, the claimant injured his right hand while
working for Honda. He was unable to return to work and began
receiving temporary total disability compensation ("TTD").
In 2004, he was terminated from his employment for his failure
to comply with a disability management program at Honda. Because
he had failed to timely submit medical documentation of his absence
from work, the claimant was not receiving TTD at the time of
his termination, although TTD was later retrospectively ordered
paid by the Commission. Following his discharge, the claimant
commenced an action against Honda for retaliatory discharge under
R.C. 4123.90. In his trial brief, he argued that his separation
was also in violation of public policy as set forth in the Coolidge
case. A bench trial resulted in a finding that Honda did not
retaliate against the claimant and that the termination did not
violate public policy. The Third Appellate District Court agreed
and affirmed, finding that the claimant presented no evidence
in support of his retaliation claim and failed to plead a cause
of action under Coolidge. The Court discussed that the claimant
could not have prevailed even if he had successfully pleaded
an action for wrongful discharge;
"Unlike the teacher in Coolidge, Honda did not discharge
[claimant] Wurzauf for absenteeism or his inability to work.
Instead, the evidence and testimony introduced at trial established
that Honda discharged [claimant] Wurzauf for his outright refusal
to comply with a program that, according to [the employer's witness']
undisputed account, Honda actually designed and implemented to
benefit disabled employees like [claimant] Wurzauf by assisting
them in returning to work."
The Court acknowledged that an
employer cannot circumvent Coolidge by implementing a program
to couch an otherwise unlawful, absenteeism-based discharge in
terms of noncooperation or noncompliance. However, Honda's disability
management program was implemented well before Coolidge.
Wrongful Discharge
under Coolidge and Retaliatory Discharge under R.C. 4123.90
Klopfenstein
v. NK Parts Industries, Inc., Slip Copy, 2007 WL 1175243,
Ohio App. Third Dist. (April 23, 2007).
The claimant was terminated for absenteeism at
a time when he was receiving TTD. He initiated an action against
his employer for wrongful discharge in violation of public policy.
The trial court dismissed the action for lack of subject matter
jurisdiction. The dismissal was based on a finding that R.C. 4123.90
is the exclusive remedy for retaliatory discharge in connection
with a workers' compensation claim and the claimant had not met
the 180 day statute of limitations. The appellate court reversed
the decision and remanded the case, finding that Coolidge provides
a public policy exception to the employment at will doctrine
and creates a separate cause of action. Therefore, cases brought
under Coolidge are not subject to the limitations set forth in
R.C. 4123.90.
NOTE: This decision contains a good discussion
of the post-Coolidge litigation in both the Ohio and federal
court systems. It is noted that despite a number of district
court opinions finding in favor of the public policy exception,
the Sixth Circuit has held that a retaliatory discharge action
must be brought under R.C. 4123.90. Current Ohio appellate
courts are split on this issue. The Eighth App. Dist. has rejected
the concept that Coolidge created a public policy exception to
employment at will and the First App. Dist. has found that Coolidge
does create such a public policy exception. The Ohio Supreme
Court has accepted a discretionary appeal in the First App. Dist.
case in Bickers
v. W.S. Life Ins. Co., Inc., 110 Ohio St.3d 1409, 2006-Ohio-3306.
The employer appealed the allowance of a workers'
compensation to the court of common pleas in accordance with
R.C. 4123.512. The claimant filed a complaint, then voluntarily
dismissed it (under Civ. R. 41(A)) one month prior to trial.
The claimant failed to re-file her complaint within one year
from dismissal as required by the savings statute. The employer
filed a motion for judgment on the pleadings which was granted
by the trial court and upheld on appeal. The claimant unsuccessfully
argued that she was entitled to an extension of time to re-file
her complaint under Civ R. 6(B) due to various illnesses suffered
by her attorney.
The court held that the time extensions of
Civ. R. 6(B) do not apply to Ohio's savings statute, R.C. 2305.19.
State, ex rel.
McDaniel, v. Indus. Comm., Slip Copy, 2007 WL 1219483
Ohio App. 10 Dist. (April 26, 2007).
The BWC's Fraud SIU received an anonymous tip
that a claimant was working while receiving permanent, total
disability compensation ("PTD"). A motion was filed
asking for the termination of PTD and a declaration of fraud.
Evidence was collected and presented to the Commission that
the claimant had a lawn care business and had cut one lawn
in 2001; mowed a church's lawn twice for $90 in 2002; and mowed
three lawns during the growing season in 2003: one for free,
one for $30, and one for $20. The claimant used a riding lawn
mower, a push lawn mower, a grass trimmer, and a blower. The
Commission granted the motion, terminated PTD and made a declaration
of fraud. The claimant filed an action in mandamus seeking
reinstatement of PTD on the basis that his activities did not
meet Lawson test for ineligibility for PTD. The court agreed
and granted the writ.
"These activities are substantially less strenuous and
less consistent than those in Lawson, and there is no evidence
that the activities were outside of relator's restrictions.
Admittedly, a complicating factor in the present case is that
relator was operating a business and advertising such, while
the claimant in Lawson was engaging in volunteer activities
largely associated with his position on the city council. Nevertheless,
we do not find that this fact is significant enough to take
the current case out of the ambit of the circumstances and
holding in Lawson… While we do not condone relator's
failure to inform the Commission of his activities and his
evasiveness when confronted by the investigators from the Bureau
of Workers’ Compensation we cannot find that there is
some evidence of relator's ability to engage in sustained remunerative
employment."
State, ex rel.
Gebhart, v. Indus. Comm., Slip Copy, 2007 WL 944079 Ohio
App. 10 Dist. (March 30, 2007).
The claimant signed a voluntary resignation following
his work-related injury in order to avoid having to take a
post-accident drug test. He subsequently applied for TTD in
his WC claim. The employer argued that the signed resignation
precluded claimant's eligibility for TTD. The Commission agreed.
On mandamus, the Court denied the writ, finding that the settlement
agreement which stated that claimant voluntarily quit his employment
operated as a voluntary abandonment of the workplace. Therefore,
it was not an abuse of discretion for the Commission to deny
TTD.
The claimant returned to work following back surgery
and worked light duty until the plant was sold. Further light
duty was not available and the claimant was awarded TTD. He remained
off work and, for a period of nine months, failed to provide
medical documentation of his absence. He subsequently turned
in a C-84 form which the employer disputed as a new period of
disability. A self-insured complaint was denied by the BWC on
the basis that the nine month lapse in documentation entitled
the employer to treat the application as a new period of TTD.
The claimant then failed to appear for two employer-sponsored
IMEs and his claim was suspended. Pursuant to the collective
bargaining agreement, the claimant was notified that he had five
days to report to work or provide medical documentation. The
claimant failed to respond and was terminated. The Commission
denied TTD from the date of termination forward on the basis
that claimant voluntarily abandoned his employment under Louisiana
Pacific. The claimant argued that the termination was not voluntary
and violated the public policy under the Coolidge case.
The Supreme Court found that an "employment discharge may
be deemed a voluntary separation from employment that precludes
TTD compensation because although not generally consented to,
discharge is often a consequence of behavior that the claimant
willingly undertook, and may thus take on a voluntary character." However,
where claimant was already disabled when employment separation
occurred, TTD is not foreclosed, and not all cases falling within
the parameters of Louisiana-Pacific are the same. Where the infraction that precipitated the discharge
is potentially due to industrial injury, further inquiry is necessary.
The case was remanded to the Commission for reconsideration in
accordance with the principles of the Pretty Products case.
State, ex rel.
Care Ents., Inc., v. Mabe, Slip Copy, 2007 WL 1083418, Ohio
App. 10 Dist., 2007 (April 12, 2007).
The Commission allowed the claimant's workers'
compensation claim and ordered the payment of compensation
and benefits. The employer learned of the claim upon receipt
of a staff level notice of hearing regarding wage loss compensation.
In response, the employer filed a mandamus action against the
BWC asking for a writ ordering the BWC to pay for the claim
out of the surplus fund because the employer never received
proper notice of the claim and was denied due process. The
court found that the employer had received proper notice, but
that its third-party administrator had not. The form which
identified the employer's TPA did not contain an address or
the proper name of the employer's facility. The court concluded
that the employer's lack of notice of the claim was due primarily
to its own error. Further, the employer had an opportunity
to appear at the hearing for which it received notice, but
failed to do so. The requested writ of mandamus was denied.
Klopfenstein
v. NK Parts Industries, Inc. (3rd Dist. No. 17-05-05), 2007-Ohio-1916
(April 23, 2007).
Plaintiff had a workersâ compensation claim
for which he was receiving TTD compensation. Because of absenteeism
due to his injury, the employer terminated his employment consistent
with its attendance policy. Plaintiff filed a lawsuit alleging
wrongful discharge in violation of public policy, but did not
allege a violation under R.C. 4123.90. Employer moved to dismiss
the lawsuit pursuant to Civ.R. 12(B)(1), contending plaintiff
failed to comply with the notice and time provisions under R.C.
4123.90. Trial court granted the motion, dismissing the case.
Plaintiff appealed to the court of appeals, which reversed the
trial court. The court of appeals held that Coolidge creates
a public policy exception to the employment-at-will doctrine.
The public policy is embedded in the Workersâ Compensation
Act, not solely R.C. 4123.90, and prohibits discharge for absenteeism.
Therefore, plaintiffâs action was not based upon R.C. 4123.90.
Discharge for absenteeism when employee is receiving
TTD compensation violates the public policy in the Workersâ Compensation
Act. R.C. 4123.90 does not provide the exclusive remedy for
such discharges.
Wurzauf v. Honda of America MFG., Inc. (3rd Dist. No. 14-06-31), 2007-Ohio-1913 (April 23, 2007).
Plaintiff had a workersâ compensation claim for which he was absent from work. Honda discharge plaintiff for non-compliance with its ãMITä program, a return to work program. Plaintiff was not receiving TTD compensation at the time of his discharge because he had failed to submit proper documentation. Commission retroactively awarded TTD compensation. Thereafter, plaintiff filed a wrongful discharge action under R.C. 4123.90, but did not allege he was wrongfully discharged in violation of public policy. Trial court found no evidence supporting wrongful discharge under the statute or under public policy. Plaintiff appealed to the court of appeals, which affirmed the trial courtâs judgment. Court of appeals found plaintiff failed to allege violation of public policy in his complaint, and therefore, such a claim was not before the trial court. Additionally, the court distinguished the case from Coolidge because plaintiff was not discharged under an attendance policy.
To pursue a claim for wrongful discharge under Ohioâs public policy, plaintiff must allege such a claim in his complaint.
State ex rel. McDaniel v. Indus. Comm. (10th Dist. No. 06AP-513), 2007-Ohio-2009 (April 26, 2007).
Claimantâs PTD compensation was terminated by the Commission on the grounds claimant was engaged in sustained remunerative employment at the time he was receiving PTD compensation and had committed fraud. Claimant filed a complaint in mandamus to reinstate his PTD compensation. Facts revealed the following work activities: claimant mowed one lawn in 2001; mowed a churchâs lawn twice in 2002 for $90; and mowed three lawns in 2003, one for free and the other two for $30 and $20. Facts also revealed claimantâs lawn mowing activities were within his physical restrictions, and he was operating a business and advertising such. Finding claimantâs activities were minimal and did not constitute sustained remunerative employment, appellate court magistrate granted the writ of mandamus. Commission objected. Although the court of appeals acknowledged the case was ãcomplicatedä by the fact the claimant operated a business, court affirmed the magistrateâs decision.
Minimal work activities within claimantâs restrictions do not constitute sustained remunerative employment.
Claimant filed motion to additionally allow claim for lumbar sprain. In a second motion, claimant requested claim be additionally allowed for lateral tibial plateau defect, right knee and aggravation of pre-existing chondral defect of the middle patella facet, right knee. Commission denied both motions and claimant appealed under R.C. 4123.512. Claimant sought jury instruction to include ãaggravationä of lumbar sprain. Because Commission never decided ãaggravation of lumbar sprain,ä court refused to instruct jury on issue. Jury found claimant not entitled to participate for a lumbar sprain. Claimant appealed, alleging courtâs refusal to instruct on aggravation was erroneous under Robinson v. AT&T Network Systems which held employee forfeited right to litigate condition as an ãaggravationä when he fails to appeal denial of said condition on direct cause. Appellate court cites Ward v. Kroger Co., finding that a claim for an aggravation of a pre-existing condition not previously adjudicated by Commission is not within courtâs jurisdiction under R.C. 4123.512.
An appeal under R.C. 4123.512 provides a mechanism for judicial review of Commission decisions, not for amendment of administrative claims for conditions not yet ruled on by Commission.
(06 ö No.8) Status of New Workersâ Compensation Legislation
Senate Bill 7
On June 29, 2006, a petition was filed with the Ohio Secretary of State requesting a referendum on Senate Bill 7. The Secretary of Stateâs office sent a letter to the referendum committee advising them of signature deficiencies. The committee had 10 days from the date of receipt of the letter to submit additional signatures to overcome the deficiency. On August 29, 2006 the referendum committee filed a motion for temporary restraining order and preliminary injunction with the Franklin County Court of Common Pleas alleging the 10 day letter was issued too soon as the Secretary of Stateâs office is not authorized to issue a 10 day letter while challenges to the initial signatures are pending. Supporters of the referendum filed an additional 103,000 signatures on September 15, 2006 with the Secretary of State. After reviewing the signatures, the Secretary of State determined the signature requirement still had not been met. On September 18, 2006, the Franklin County Court of Common Pleas granted a preliminary injunction ruling the Secretary of Stateâs office should not have started the 10 day cure period until the challenges to the signatures at the local county board of elections are complete. The Secretary of Stateâs office has appealed the common pleas court decision to the 10th District Court of Appeals and the parties will be filing briefs this week. As of todayâs date it is still unclear whether Senate Bill 7 will be on the November ballot. In short, the referendum has not yet been defeated.
1. State, ex rel. Dixon v. Airborne Express, Inc., 108 Ohio St. 3d 200, 2006-Ohio-660 (March 1, 2006).
Claimant Dixon was injured and unable to return
to his previous position. Dixon requested a vocational rehabilitation
plan. The Commission ordered the employer to pay living-maintenance
compensation “once the claimant enters the approved vocational
rehabilitation plan.” The plan recommended direct placement
or pursuit of an Associate Degree in the business field. Dixon
subsequently enrolled in a four-year degree program at Wright
State University. The employer did not approve this action. Dixon’s
request for living-maintenance compensation was denied...
Governor Taft’s recent signing of SB 7 will reform significant
aspects of Ohio’s workers’ compensation. Under the
bill, injured workers and employers can expect changes in benefits
such as...
On April 1, 2004, the Fifth District Court of Appeals in
Ohio issued its decision in Wood v. Ohio
State Highway Patrol,
156 Ohio App.3d 725, 808 N.E.2d 887 (Ohio App. 5th Dist. 2004).
In Wood, the Claimant, a former Ohio State Highway Patrolmen,
appealed the decision of the Industrial Commission which denied
him workers’ compensation benefits for the psychological
diagnosis of post traumatic stress disorder (“PTSD”).
Claimant allegedly contracted PTSD as a result of several incidents
which occurred during his years of employment with the Highway
Patrol. The trial court affirmed the Commission’s decision
which denied claimant the right to receive workers’ compensation
benefits.
The
Unauthorized Practice of Law Continues More on what TPA’s can
and cannot do
By
John Slater
In December of 2004, the Ohio Supreme Court issued its much
anticipated decision regarding Third Party Administrators (TPA’s)
and the unauthorized practice of law. Although the court did
put some restrictions on TPA’s, it basically rejected
the recommendation of the Board on the Unauthorized Practice
of Law.
State ex rel. Ferrell v. Indus. Comm, Franklin App. No. 04AP-948, 2005-Ohio-3100.
Farrell applied for permanent total disability (PTD) benefits
based solely on the allowed physical conditions in his claim,
which had been determined to be MMI. At that time, he was receiving
TTD for allowed psychological conditions. These conditions were
not yet MMI, per an Industrial Commission Order.
In response to a challenge from a local bar association,
the Ohio State Supreme Court late last year upheld the right
of non-attorney representatives (TPAs) to continue appearing
at administrative hearings for employers. This ruling re-affirmed
a practice that had been in place for 34 years under an agreement
between the Ohio Bar Association and the TPAs.
Inaccurate Employment Application Not
Enough to Deny Temporary Total Disability Compensation Benefits By
Eric Daniel, Esq.
On September 7, 2005, the Ohio Supreme Court
ruled that an inaccurate employment application was not sufficient
to terminate temporary total disability benefits without additional
proof that there was an “intent to deceive.” (MORE...)
Legislative changes may be on the horizon for Ohio employers. Governor
Taft has made it his number two priority behind tax reform, to reform the Ohio
workers’ compensation system. Reform legislation is being proposed by
Senator Cates under S. B. 7 and by Representative Buehrer under H.B. 7. Hearings
have been held in both chambers of the legislature concerning the proposed
legislation with employer groups, such as the Ohio Self-Insured Association,
the Ohio Manufacturers Association and the Ohio Chamber of Commerce, providing
testimony that they are generally in favor of the bills. (MORE...)
TTD
Not Compensable under Voluntary Abandonment.
SUBJECT Temporary Total Compensation
Payne
v. Greater Cleveland R.T.A., Cuyahoga App. No. 83240,
decided November 26, 2003, unreported
SUBJECT
Subrogation
RULE
The Ohio Supreme Court’s ruling that the subrogation statute
was unconstitutional does not permit claimants to pursue subrogation
payments previously deducted or paid from their tort recovery.
State
ex rel. Jackson Tube Serv., Inc. v. Indus. Comm.,
99 Ohio St.3d 1, 2003-Ohio-2259
SUBJECT
Medical Treatment and TTD for Nonallowed Conditions.
RULE
The Commission must find a causal relationship between the claimant’s
disability and the non-allowed conditions that might later become
part of the claim, before awarding TTD. Also, authorized surgery
for non-allowed conditions does not eliminate the need for a formal
recognition of those conditions.
State
ex rel. Pinson v. Indus. Comm.,
155 Ohio App.3d 270 (2003)
SUBJECT
Temporary Total Compensation
RULE
When a claimant has knowledge that a certain course of conduct
will result in the termination of his employment, and he voluntarily
engages in that conduct resulting in his termination, he is barred
from receiving temporary total compensation.
Michael
J. Spisak
Schottenstein,
Zox & Dunn
1350 Euclid Ave., Suite 1400
Cleveland, OH 44212 (216) 621-6501
State
ex rel. Parsec, Inc., 155 Ohio App.3d 303 (2003)
SUBJECT
Total Loss of Vision
RULE
Total loss of vision award is proper even if claimant undergoes
cornea transplant surgery and, through the aid of an artificial
cornea, regains sight in that eye.