Opinion

Nicole Bowlin v. Servall, LLC

Court
Tennessee Supreme Court
Filed
Aug 13, 2021
Status
Published
Author
Justice Roger A. Page
On the bench
Justice Roger A. Page
Cited by
0 cases
Authority
More cited than 38.1%

The opinion

IN THE SUPREME COURT OF TENNESSEE

SPECIAL WORKERS' COMPENSATION APPEALS PANEL

AT JACKSON

Assigned on Briefs June 21, 2021

NICOLE BOWLIN v.SERVALL,LLC,ET AL.

Appeal from the Workers' Compensation Appeals Bo:7rd

Court of Workers' Compensation Claims

No. 2017-07-0224 Allen Phillips, Judge

No. W2020-01708-SC-R3-WC — MAILED 7/14/21

Nicole Bowlin ("Employee") filed a workers' compensation claim against Servall, LLC

("Employer")alleging injuries suffered in a work-related motor vehicle accident. Employer

initially denied the claim. After an expedited hearing, the Court of Workers' Compensation

Claims ("trial court") ordered Employer to pay Einployee's medical expenses and awarded

attorney's fees under Tennessee Code Annotated section 50-6-226(a)(1). The Workers'

Coinpensation Appeals Board ("Appeals Board") vacated the award of attorney's fees as

premature and rernanded the case. The parties settled the case as to all issues except for

attorney's fees. The trial court approved the settlement agreement but declined to order

Employer to pay the attorney's fees authorized by section 50-6-226(a)(1). The Appeals

Board affirmed. Employee appealed. The appeal has been referred to the Special Workers'

Compensation Appeals Panel for a hearing and a report of findings of fact and conclusions

of law pursuant to Tennessee Supreme Court Rule 51. We affirm the judgment of the

Appeals Board and adopt its opinion as set forth in the attached Appendix.

Tenn. Code Ann.§ 50-6-217(a)(2)(B)(Supp. 2020) Appeal as of Right;

Decision of the Workers' Compensation Appeals Board Affirmed

ROGER A.PAGE,J., delivered the opinion ofthe court, in which WILLIAM B. ACREE,SR. J.,

joined. Don R. Ash,SR. J., not participating.

Monica R. Rejaei, Memphis, Tennessee, for the appellant, Nicole Bowlin.

Gordon C. Aulgur, Lansing, Michigan,for the appellees, Servall, LLC,and Accident Fund

Insurance Co.

OPINION

Employee worked for Employer as a pest control technician. On September 29,

2016, she suffered injuries in a motor vehicle accident while traveling to a customer's

home. Employer initially denied her claim for workers' compensation benefits.

After an expedited hearing, the trial court ordered Employer to pay Employee's

medical expenses but declined to award attorney's fees for a purported wrongful denial of

the claim under Tennessee Code Annotated section 50-6-226(d)(1)(B)(Supp. 2020). The

trial court did, however, award attorney's fees based on the unpaid medical expenses under

Tennessee Code Annotated section 50-6-226(a)(1) (2014 & Supp. 2020). Employer

appealed. The Appeals Board affirmed the trial court's order with respect to Employee's

medical expenses, vacated the award of attorney's fees as premature at the expedited

hearing stage, and remanded the case.

The parties then settled the case as to all issues except Employer did not agree to

pay the attorney's fees authorized by section 50-6-226(a)(1). After a compensation hearing,

the trial court approved the settlement agreement but declined to order Employer to pay

the attorney's fees on the contested medical benefits based on the language in section 50-

6-226(a)(1). The Appeals Board affirmed and certified as final the trial court's order.

In this appeal, the determinative issue is whether Employer may be liable for the

attorney's fees authorized in section 50-6-226(a)(1). Upon due consideration, we affirm

the judgment of the Appeals Board and adopt its opinion as set forth in the attached

Appendix. Costs of this appeal are taxed to Nicole Bowlin, for which execution may issue

if necessary.

ROGER A.PAGE,JUSTICE

2

APPENDIX

(OPINION OF THE WORKERS'COMPENSATION

APPEALS BOARD)

Factual and Procedural Background

A recitation ofthe full history ofthe litigation is not necessary to address the present

appeal, but we have, for context, set out portions ofthe factual and procedural background

from our earlier decision following the employer's appeal of a September 2017 expedited

hearing order of the Court of Workers' Compensation Clairns.

Nicole Bowlin("Employee")suffered injuries in a motor vehicle accident on

September 29, 2016, while in the course and scope of her employment with

Servall, LLC ("Employer"), a pest control company. Employee, a pest

control technician, was travelling to a customer's home when she rear-ended

a vehicle stopped at an intersection. She was transported by ambulance to

Volunteer General Hospital in Martin, Tennessee, where she was diagnosed

with a fracture of her cervical spine. Due to the nature of her injuries, she

was airlifted to Regional Medical Center in Memphis.

A drug screen performed after the accident revealed the presence of THC, a

metabolite of marijuana. Employer denied Employee's claim for workers'

compensation benefits based on the drug screen. Employer took the position

that its status as a participant in Tennessee's Drug-Free Workplace Program

("the Program") in years prior to Employee's accident entitled it to a

presumption that Employee's drug use was the proximate cause of her

injuries as provided for in Tennessee Code Annotated section 50-6-110(c)(1)

The trial court found Ernployer was not a member of the Program when

Employee was injured and thus was not entitled to the presumption in section

50-6-110(c)(1). The court also concluded that Employer otherwise failed to

prove Employee's marijuana use was the proximate cause ofthe accident and

ordered Employer to provide medical benefits and to pay Employee's

3

medical expenses. The trial court awarded attorney's fees based on the

amount of outstanding medical bills pursuant to Tennessee Code Annotated

section 50-6-226(a)(1), but declined to award attorney's fees for a purported

wrongful denial ofthe claim under Tennessee Code Annotated section 50-6-

226(d)(1)(B). . . .

Bowlin v. Servall, LLC, No. 2017-07-0224, 2018 TN Wrk. Comp. App. Bd. LEXIS 6, at

*2-4(Tenn. Workers' Comp. App. Bd. Feb. 8, 2018)(footnotes omitted).

We affirrned the trial court's decision regarding Employer's failure to prove

participation in the Drug-Free Workplace Program for the relevant time period, but we

vacated the award of attorney's fees under section 50-6-226(a)(1), finding "it was

premature for the trial court to award attorney's fees at [the expedited hearing] stage of the

case." Bowlin, 2018 TN Wrk. Comp. App. Bd. Lexis 6, at *15.

Following our remand of the case, the parties reached a settlement agreement as to

all issues except for attorney's fees and informed the trial court that Employer did not agree

to pay attorney's fees based on a percentage of the medical expenses the court had earlier

ordered Employer to pay. The Court of Workers' Compensation Claims held a

compensation hearing to consider the terms of the parties' settlement agreement and to

resolve the attorney's fee issue. At the hearing, the parties agreed that Employee incurred

medical expenses totaling $89,377.37, and that Employer had paid a total of $24,382.08

under Tennessee's medical fee schedule to satisfy the medical expenses the court had

ordered Employer to pay.' In the pre-hearing brief filed by Employee and during the

hearing, counsel for Employee did not request an attorney's fee for Employer's allegedly

wrongful denial of medical benefits as provided in section 50-6-226(d)(1)(B),"but instead,

[sought] only a claim for fees pursuant to [section] 50-6-226(a)(1) based upon the award

of medical benefits at the Expedited Hearing."(Emphasis in original.)Employee contended

the court should order Employer to pay a 20% attorney's fee on the "full unpaid medical

expenses [of $89,337.37] presented at the Expedited Hearing." Following the hearing, the

court found the settlement provided Employee substantially the benefits to which she was

entitled and approved the settlement, including a 20% attorney's fee to her counsel from

the permanent partial disability benefits the parties agreed Employee would receive.

However,the court denied Employee's request for attorney's fees on the contested medical

benefits based on the language in section 50-6-226(a)(1), stating:

I Pursuant to Tennessee Code Annotated section 50-6-204, the Administrator of the Bureau of Workers'

Compensation adopted rules to establish a comprehensive medical fee schedule. See Tenn. Comp. R. &

Regs. 0800-02-17-.01 (2019).

4

Though [Employer] paid the medical bills only after a Court order, and her

attorney is entitled to a fee for obtaining that recovery, the Court cannot

compel [Employer] to pay the fee. Under section 50-6-226(a), any fees on

contested medicals must be paid by the party employing the attorney out of

her recovery.

Employee has appealed.

Standard of Review

The standard we apply in reviewing a trial court's decision presumes that the court's

factual findings are correct unless the preponderance of the evidence is

otherwise. See Tenn. Code Ann. § 50-6-239(c)(7) (2019). The interpretation and

application of statutes and regulations are questions of law that are reviewed de novo with

no presumption of correctness afforded the trial court's conclusions. See Mansell v.

Bridgestone Firestone N. Am. Tire, LLC,417 S.W.3d 393, 399(Tenn. 2013). We are also

mindful of our obligation to construe the workers' compensation statutes "fairly,

impartially, and in accordance with basic principles of statutory construction" and in a way

that does not favor either the employee or the employer. Tenn. Code Ann. § 50-6-116

(2019).

Analysis

Employee raises a single issue on appeal, stated in her brief as "whether the trial

court erred in failing to order Employer to pay Employee's ... attorney's fees based on the

unpaid medical expenses of $89,377.37 ordered to be paid per the Expedited Hearing

Order." Here, as in the trial court, Employee contends Employer should pay attorney's fees

"in accordance with [section] 50-6-226(a)(1)," which provides as follows:

The fees of attorneys for services to employees under this chapter, shall be

subject to the approval ofthe workers' compensation judge before which the

matter is pending, as appropriate; provided, that no attorney's fees to be

charged employees shall be in excess oftwenty percent(20%)ofthe amount

of the recovery or award to be paid by the party employing the attorney.

Initially, we return to the 2017 expedited hearing to provide additional context to

the current appeal. In the 2017 expedited hearing,Employee sought medical and temporary

disability benefits as well as attorney's fees for Employer's alleged wrongful denial of

5

Employee's claim pursuant to section 50-6-226(d)(1)(B). The trial court denied

Employee's request for attorney's fees under section 50-6-226(d)(1)(B), stating that the

statute "allows [attorney's fees] when an attorney pursues a 'wrongfully' denied claim."

Citing our decision in Andrews v. Yates Services, LLC, No. 2016-05-0854, 2017 TN Wrk.

Comp. App. Bd. LEXIS 35, at *7-8 (Tenn. Workers' Comp. App. Bd. May 23, 2017), the

Court of Workers' Compensation Claims concluded there was "no reason to deviate from

[the Andrews] standard at this interlocutory stage but reserve[d] consideration of any

further application until afterfinal resolution ofthe case."(Emphasis added.) However,in

the September 2017 expedited hearing order, the court ordered Employer to pay certain

bills Employee incurred for treatment of her work injury, adding that "[Employee's]

counsel is entitled to a twenty percent attorney['s] fee on the award of medical benefits

under Tennessee Code Annotated section 50-6-226(a)(1)." The order did not address who

would be responsible for paying the attorney's fees authorized by section 50-6-226(a)(1).

Employer appealed the 2017 decision and, in its brief, asserted the trial court erred

"when it ordered [Employer] to pay [Employee's] counsel an attorney fee based [on]

unpaid medical bills because the issue was not ripe at the interlocutory stage."(Emphasis

added.) Notwithstanding that the trial court did not order Employer to pay the attorney's

fee but awarded Employee's counsel a twenty percent fee in accordance with section 50-

6-226(a)(1), Employer argued the court erred in prematurely awarding an attorney's fee.

We vacated the attorney's fee award, concluding "it was premature for the trial court to

award attorney's fees at this stage ofthe case."

Following our remand of the case, Employee filed a motion to enforce payment of

the medical benefits previously ordered by the trial court, requesting additionally that the

court award attorney's fees pursuant to section 50-6-226(d)(1)(A) for Employer's alleged

failure to provide the medical benefits the court had previously ordered in the expedited

hearing.2 The trial court granted Employee's motion and ordered Employer to "pay

attorney's fees to [Employee's] counsel, under Tennessee Code Annotated section 50-6-

226(d)(1)(A) in the amount of$750." At a subsequent status hearing, the parties informed

the court they had settled the case but had a dispute as to the payment of attorney's fees. In

an order setting a compensation hearing, the trial court stated that "an issue remained

regarding attorney's fees for recovery of contested medical bills." The court's order noted

that the court "awarded [Employee's] counsel a twenty percent attorney's fee on the

2 Tennessee Code Annotated section 50-6-226(d)(1)(A) authorizes the Court of Workers' Compensation

Claims to award reasonable attorney's fees when an employer "[flails to furnish appropriate medical,

surgical, and dental treatment or care ... to an employee provided for in a settlement, expedited hearing

order, compensation hearing order, or judgment . ..."

6

contested medical bills, but the Appeals Board vacated the award on grounds that an award

of fees was inappropriate at the interlocutory stage ofthe case."

As noted above, the parties agreed on the amount of medical expenses Employee

incurred and agreed on the amount Employer paid under the medical fee schedule to satisfy

the medical expenses the court ordered Employer to pay. We emphasize that, in the

compensation hearing, Employee did not request attorney's fees for Employer's alleged

wrongful denial of Employee's claim. Rather, Employee's request for attorney's fees was

limited to fees recoverable pursuant to section 50-6-226(a)(1) and based upon the award of

medical benefits included in the 2017 expedited hearing order.

Employee contended in the compensation hearing that Employer should pay a 20%

attorney's fee on the "full unpaid medical expenses [of $89,337.37] presented at the

Expedited Hearing." The trial court concluded that the parties' settlement agreement

provided Employee substantially the benefits to which she was entitled, and the court

approved the settlement, including a 20% attorney's fee for Employee's counsel based on

the permanent partial disability benefits the parties agreed Employee would receive.

However, the court declined to order Employer to pay attorney's fees on the medical

benefits previously recovered by Employee based on the statutory language of section 50-

6-226(a)(1), which, as previously quoted, states that "no attorney's fees to be charged

employees shall be in excess of twenty percent (20%) of the amount of the recovery or

award to be paid by the party employing the attorney."

In her brief, Employee correctly notes that the Tennessee Supreme Court long ago

held that contested medical expenses are part of the "recovery or awarr upon which

attorney's fees may be awarded. See Langford v. Liberty Mutual Ins. Co., 854 S.W.2d 100,

102 (Tenn. 1993). Although the 2013 Workers' Compensation Reform Act modified

section 50-6-226(a), the changes did not vitiate or irnpair the

precedent Langford established. The determinative issue in this appeal is whether the Court

of Workers' Compensation Claims may order an employer to pay attorney's fees on

contested medical expenses recovered by or awarded to an employee pursuant to section

50-6-226(a)(1).3

3 Were we to answer this question affirmatively, we would have to address whether the trial court erred in

failing to order Employer to pay attorney's fees under the circumstances presented and, if so, whether the

attorney's fees are based on the amount of the expenses charged by the providers or the amounts paid by

Employer under the fee schedule. Our conclusion that section 50-6-226(a)(1) does not authorize the Court

of Workers' Compensation Claims to order an employer to pay attorney's fees on disputed medical

expenses pretermits these issues.

7

Employee asserts that "case law supports Employer's liability" to pay attorney's

fees recovered or awarded pursuant to section 50-6-226(a)(1). After analyzing several

cases addressing the issue, Employee asserts the instant case is most similar to Reatherford

v. Lincoln Brass Works, No. 01S01-9707-CV-00145, 1998 Tenn. LEXIS 33 (Tenn.

Workers' Comp. Panel Jan. 26, 1998) and Moore v. Town of Collierville, 124 S.W.3d 93

(Tenn. 2004). Employee contends these cases support her assertion that"Employer is liable

to pay Employee's counsel the attorney's fee on the contested medical bills" that Employee

recovered. Our review ofthe case law does not support Employee's position.

As noted above, in 1993 the Tennessee Supreme Court, in a case of first impression,

held that medical expenses awarded by a trial court are part of the "recovery or award"

under section 50-6-226(a) and are, therefore, subject to attorney's fees. In Langford, the

employer denied the employee's claim, and, after a trial, the court found the claim to be

compensable and awarded benefits, including $17,939.51 in medical expenses the

employee had incurred. The trial court ordered the employer to pay the medical expenses

directly to the employee who, in turn, was responsible for paying the medical providers.

The trial court's order also provided that an attorney's fee in the amount of20% was proper

"upon 'the total recovery herein."' Langford,854 S.W.2d at 100. A dispute arose thereafter

as to whether attorney's fees were assessable against the funds held for payment to the

medical providers, and the trial court resolved the dispute by holding the medical expenses

were not subject to attorney's fees. The Supreme Court reversed, concluding that

"contested medical expenses are a part ofthe 'recovery or award' specified in [section] 50-

6-226(a) on which attorneys' fees may be assessed." Id. at 102. The Court stated that

"attorneys' fees in the amount of20 percent shall be awarded out ofthe medical expenses

recovered in the judgment in the amount of $17,939.51." Id. (emphasis added). The

defendant employer had been dismissed from the appeal and did not take a position in the

appeal.

The Supreme Court addressed section 50-6-226(a) again three years later in Wilkes

v. The Resource Authority ofSumner County, 932 S.W.2d 458 (Tenn. 1996), where the

employee's recovery or award included the expenses of reconstructive surgery. An issue

arose "concerning the propriety of awarding attorney's fees against medical expenses

associated with the reconstructive surgery," and the trial court refused to award attorney's

fees assessed against the medical expenses. However, the precise issue in the instant case

was not presented in Wilkes. The issue there was whether the employee's attorney was

entitled to an award of fees from the expenses related to the reconstructive surgery. The

issue did not concern whether the employer could or would be responsible for such fees.

The Supreme Court held the employee's attorney was entitled to an award of fees from the

expenses related to the surgery and noted "the practical impact of this holding is that the

8

employee will not receive one hundred percent ofthe cost ofthe surgery." The Court stated

that "[a]lthough this result is not attractive, we are not at liberty to rewrite Tennessee Code

Annotated Section 50-6-226(a)to provide for attorney's fees in addition to the 'amount of

the recovery or award.' Such a change would require legislative action." Id. at 464. In the

twenty-four years since Wilkes was decided, the legislature has not rewritten the statute to

provide for a different result.

In Reatherford, cited by Employee as being "rnore akin" to the case presently before

us, the employee's recovery included "all medical expenses," which was comprised of

$11,438 for treatment provided by the Veterans' Administration ("VA"). Following an

appeal in which the Supreme Court affirmed the trial court's judgment, the employee filed

a motion in the trial court in which the employee sought"judicial coercioe ofthe employer

to pay the benefits that were awarded, including interest. Reatherford, 1998 Tenn. LEXIS

33, at *2. The employer responded by stating that the interest had been paid and that, with

respect to the medical expenses, it had received a letter from the VA prior to trial asserting

a subrogation interest of $11,438 and requesting payment for its interest. Further, the

employer's response stated that, after the case was concluded, the VA agreed to accept

$7,625 in settlement of its claim for medical expenses. Id. Against that background, the

trial court ruled that the VA had a subrogation interest in the amount of $11,438 for the

medical treatment it provided, and the court awarded the employee's attorney a twenty

percent fee for representing the VA's interest "with such payment to be made by the

[employer]." Id. at *3. The employer appealed, questioning the award of attorney's fees.

The Supreme Court Special Workers' Compensation Appeals Panel affirmed the trial

court's order, noting that the initial judgment directed the employer to pay "'all medical

expenses,' as contrasted to specific amounts to named providers." Id. at *4. The Panel

affirmed the trial court's order that the employer pay an attorney's fee based on the

employee's attorney's representation ofthe VA's subrogation interest, stating Iv* know

of no authority, and none has been cited to us, for the proposition that under the

circumstances of this case the [employer] should be allowed to defeat the attorney fee in

the manner fashioned." Id. at *5. The critical distinction in Reatherford is that the

employer was ordered to pay an attorney's fee based on an attorney's representation of a

third party in the recovery of its subrogation lien and not based on the attorney's

representation of the employee. The facts, procedure, and issue regarding the claim for

attorney's fees in Reatherford differ significantly from the instant case, and the Panel's

holding does not support the assertion that section 50-6-226(a)(1) authorizes the Court of

Workers' Compensation Claims to order an employer to pay attorney's fees on the amount

of disputed medical expenses that an employee recovers.

9

Finally, in Moore, also relied on by Employee, the issue presented to the Supreme

Court was "whether an employer is liable to a health insurer who paid medical expenses

incurred by an employee as a result of a work-related injury but did not intervene in the

workers' compensation suit to seek reimbursement." Moore, 124 S.W.3d at 97. The

Supreme Court did not address section 50-6-226(a) in Moore but, instead, focused on an

employer's liability for unauthorized medical expenses paid by a third-party insurer and

whether that insurer must intervene in the workers' compensation case to secure

reimbursement from the employer. The Moore Court concluded that an employer "is liable

for all medical expenses deemed reasonable and necessary as a result of the workplace

injury and shall be required to reimburse the employee's health insurer who has paid those

expenses without the necessity of the insurer intervening in the workers' cornpensation

claim." Id. at 100. The Court remanded the case to the trial court to determine whether and

to what extent the employee's health insurer paid medical expenses that were reasonable,

necessary, and on account of the work-related injuries. In addition, the Court stated that

"[t]he employee's attorney shall be entitled to the statutory attorney's fee based on these

additional recovered medical expenses." Id. However, the Court did not address whether

the employer was responsible for paying the statutory attorney's fees or whether such fees

would be deducted from the amounts recovered. Thus, Moore is clearly distinguishable

from the instant case and, like Reatherford and Wilkes, does not support the assertion that

section 50-6-226(a)(1) authorizes the Court of Workers' Compensation Claims to order an

employer to pay attorney's fees on contested medical expenses that are recovered or

awarded to an employee.

In summary,case law has clearly established precedent for awarding attorney's fees

on medical expenses recovered or awarded to an employee. However, Employee has not

cited, nor have we located, a case holding that an employer may be liable for the attorney's

fees authorized in section 50-6-226(a)(1). Moreover, a plain reading of section 50-6-

226(a)(1) indicates that the attorney's fees are to be "paid by the party employing the

attorney." Tenn. Code Ann. § 50-6-226(a)(1). This language has been part ofthe workers'

compensation law since its 1919 inception. See Acts 1919, ch. 123, § 33.

Conclusion

We affirm and certify as final the trial court's July 16, 2020 order approving the

settlement ofEmployee's claim and denying Employee's request for attorney's fees on the

contested medical benefits. Costs on appeal are taxed to Employee.

10

IN THE SUPREME COURT OF TENNESSEE

SPECIAL WORKERS' COMPENSATION APPEALS PANEL

AT JACKSON

NICOLE BOWLIN v. SERVALL,LLC ET AL.

[TrialCourt] for Workers' Compensation Appeals Board County

No. 2017-07-0224

No. W2020-01708-SC-R3-WC

JUDGMENT ORDER

This case is before the Court upon the entire record, including the order of referral

to the Special Workers' Compensation Appeals Panel, and the Panel's Memorandum

Opinion setting forth its findings of fact and conclusions of law, which are incorporated

herein by reference.

Whereupon, it appears to the Court that the Memorandum Opinion of the Panel

should be accepted and approved; and

It is, therefore, ordered that the Panel's findings of fact and conclusions of law are

adopted and affirmed, and the decision ofthe Panel is made the judgment of the Court.

Costs are assessed to Nicole Bowlin, for which execution may issue if necessary.

It is so ORDERED.

PER CURIAM

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