Opinion

Euclid Beverage v. Illinois Workers' Compensation Comm'n

  • 2019 IL App (2d) 180090WC
Court
Appellate Court of Illinois
Filed
Jun 28, 2019
Status
Published
Cited by
1 cases
Authority
More cited than 45.4%

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Appellate Court Date: 2019.06.12

11:02:10 -05'00'

Euclid Beverage v. Illinois Workers’ Compensation Comm’n,

2019 IL App (2d) 180090WC

Appellate Court EUCLID BEVERAGE, Appellee, v. THE ILLINOIS WORKERS’

Caption COMPENSATION COMMISSION et al. (John Bohentin, Appellant).

District & No. Second District, Workers’ Compensation Commission Division

Docket No. 2-18-0090WC

Rule 23 order filed November 27, 2018

Motion to

publish allowed February 25, 2019

Opinion filed February 25, 2019

Decision Under Appeal from the Circuit Court of Du Page County, No. 17-MR-1080;

Review the Hon. Paul Fullerton, Judge, presiding.

Judgment Affirmed.

Counsel on Robert W. Burnett, of Burnett & Carson, Ltd., of Naperville, for

Appeal appellant.

Robert L. Smith, of Gaido & Fintzen, of Chicago, for appellee.

Panel JUSTICE BARBERIS delivered the judgment of the court, with

opinion.

Presiding Justice Holdridge and Justices Hoffman, Hudson, and

Cavanagh concurred in the judgment and opinion.

OPINION

¶1 The claimant, John Bohentin, appeals the circuit court’s order setting aside the Illinois

Workers’ Compensation Commission’s (Commission) decision to award maintenance

benefits, finding that the record did not demonstrate that the claimant participated in a

vocational rehabilitation program or self-directed job search between April 25, 2012, and June

8, 2015, and confirming the Commission’s decision to award permanent partial disability

benefits as a percentage of the person as a whole.

¶2 I. Background

¶3 At the arbitration hearing on September 28, 2015, the parties stipulated that the claimant

had sustained a workplace accident on May 24, 2011, arising out of and in the course of his

employment with Euclid Beverage (Euclid) and that he had provided timely notice. The issue

before the arbitrator was whether a causal relationship existed between the accident and the

claimant’s current condition of ill-being. The parties also disputed the claimant’s entitlement

to benefits.

¶4 As a condition of his employment with Euclid, the claimant testified that he underwent a

physical examination and functional screening test to demonstrate his ability to lift 50 pounds.

He was subsequently hired by Euclid in 1999 as a sales supervisor and held that position until

November 2011. In his capacity as sales supervisor, the claimant called various retailers, such

as Jewel-Osco, and took orders for beer sales on a handheld device, filled shelves, and built

displays to hold anywhere from 10 to 1000 cases of beer. The claimant testified that he

performed repetitive lifting of up to 50 pounds, as well as bending, twisting, and reaching

throughout the day.

¶5 The claimant next testified regarding his previous employment. Prior to Euclid, the

claimant worked for Courtesy Distributors for approximately 18 years, first as a delivery driver

and then as a delivery manager for four months. As delivery manager, he supervised multiple

delivery drivers and ensured proper display and rotation of merchandise. According to the

claimant, he was not required to operate a computer; manage inventory or sales; or hire,

evaluate, or terminate employees.

¶6 The claimant testified that on May 24, 2011, he experienced a sharp pain in his back that

radiated down his right leg and “knocked [him] down” while stocking a cooler at a Jewel-Osco

location. Following this incident, the claimant contacted Sonia Madalinski, Euclid’s human

resources director, before a coworker transported him to Tyler Medical Services (TMS).

¶7 Shortly thereafter, the claimant presented to TMS and was examined by Dr. George

Pappas. After Dr. Pappas documented the claimant’s symptoms as “pain radiating into the

right leg with tingling,” he diagnosed the claimant with a “lumbar sprain with spasms.” Dr.

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Pappas recommended chiropractic treatment and light-duty work restrictions, which included

bending, as tolerated, and lifting no more than 10 pounds.

¶8 The claimant testified that he received medical attention for a low back injury prior to the

May 24, 2011, accident, although it was asymptomatic prior to the 2011 accident. The

claimant’s June 2011 MRI of the lumbar region showed a degenerative change in the lumbar

spine with disc disease at L2-L3 to L5-S1 and associated lower lumbar ligamentum flavum and

facet hypertrophy, which further contributed to central canal and foramina narrowing at L4-L5

and L5-S1. The claimant was referred to a neurosurgeon, Dr. Matthew Ross.

¶9 On September 14, 2011, Dr. Ross diagnosed the claimant with lumbar radiculopathy,

likely due to disc disease at L5-S1. Dr. Ross recommended nonsurgical treatment with lumbar

epidural and transforaminal cortisone injections. Dr. Ross also recommended the claimant

avoid lifting over 20 pounds and begin a gradual decrease in work activities.

¶ 10 On September 30, 2011, the claimant presented to Dr. Christopher J. Bergin, an orthopedic

surgeon, for a medical evaluation pursuant to section 12 of the Illinois Workers’ Compensation

Act (Act) (820 ILCS 305/12 (West 2010)) at Euclid’s request. Because the claimant’s earlier

low back injury had been asymptomatic prior to the May 24, 2011, accident, and the

mechanism of injury was consistent with aggravation of an underlying degenerative condition,

Dr. Bergin concluded that the claimant’s condition of ill-being was causally related to the May

24, 2011, accident. Dr. Bergin recommended physical therapy, lumbar epidural injections, and

light-duty work restrictions.

¶ 11 On November 22, 2011, Madalinski and Emmett McEnery, Euclid’s president, terminated

the claimant after informing him that his light-duty work restrictions would no longer be

accommodated. The claimant did not seek or gain employment following termination. As

such, from November 23, 2011, through April 24, 2012, the claimant received temporary total

disability (TTD) benefits. According to the claimant, although he requested, Euclid refused to

provide vocational rehabilitation services.

¶ 12 On February 6, 2012, Larry McGrail, Euclid’s vice president of operations, invited the

claimant to interview for a warehouse manager position. McGrail’s letter stated, in part:

“As you know, the position does not rely on physical ability but rather on the ability to

manage people and processes. This Warehouse Manager is responsible for the staff,

protecting the integrity of inventory, equipment and the facility and ensuring the trucks

get loaded.”

Although the claimant received McGrail’s letter, he did not interview because he did not feel

qualified for the position, given his highest level of education was a high school diploma.

Specifically, the claimant believed he lacked the appropriate training and education in

warehouse management, inventory control and management, employee scheduling, product

shipment, equipment and property management, as well as bills of lading. The claimant used a

computer for e-mail and Internet usage, although he described his keyboarding skills as

“hunting and pecking,” and he lacked training in database programs or Excel spreadsheets.

¶ 13 On February 7, 2012, the claimant presented to Dr. Bergin for a second section 12

evaluation. According to Dr. Bergin’s report, the claimant refused epidural injections and

declined a surgical procedure. Dr. Bergin diagnosed the claimant with degenerative disc

disease of the lumbar spine with a right synovial cyst at L4-L5 and right L5 radiculopathy. Dr.

Bergin opined that the claimant’s May 24, 2011, accident had aggravated a preexisting

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degenerative condition and that he was at maximum medical improvement (MMI) and should

undergo a functional capacity evaluation (FCE).

¶ 14 On April 12, 2012, the claimant presented to Dr. James Kelly. Dr. Kelly administered two

injections, which, according to the claimant, offered several years of pain relief. Dr. Kelly

noted that the claimant had a 50% to 60% improvement in pain but still experienced numbness

that was unaffected in his right leg. Specifically, the claimant’s pain had improved to a 3 on a

10 scale. Dr. Kelly recommended repeat lumbar epidural cortisone injections, pending

authorization, and to follow up with Dr. Ross to increase his work activities.

¶ 15 On April 24, 2012, Dr. Ross released the claimant to work with restrictions to “lift up to 15

lbs. Alternate sit/stand as needed.” Following his release to work, Euclid terminated the

claimant’s TTD benefits on April 24, 2012, after informing him that future employment was

unavailable with the above restrictions. The claimant testified that he did not look for work

after this date, but he received social security disability (SSD) benefits starting in May 2012.

¶ 16 On January 10, 2014, 20 months after his last medical visit, the claimant presented to Dr.

Ross. Dr. Ross noted that the injections administrated by Dr. Kelly provided the claimant with

a “lengthy duration of relief,” and that Dr. Kelly was in agreement with the claimant’s request

to complete a FCE. The claimant testified, however, that Euclid never authorized the

recommended cortisone injections and the FCE was never scheduled because the insurance

company refused to reimburse payment. The claimant testified that his last medical

appointment before the arbitration hearing was on January 10, 2014.

¶ 17 On April 27, 2015, the claimant presented to Lisa Helma, certified rehabilitation counselor

at Vocamotive Vocational Rehabilitation Services. In preparing an evaluation report, labor

market survey, and rehabilitation plan, Helma interviewed the claimant and reviewed his

medical and personnel records, McGrail’s invitation to interview for warehouse manager, and

the Dictionary of Occupational Titles. Helma noted that the warehouse manager position was

skilled at the sedentary level of physical demand and that the claimant “does not have previous

experience in this capacity. Based upon the results of the Labor Market Survey, [he] would not

be a qualified candidate.” Helma opined that, although the claimant lost access to his usual and

customary line of occupation, he was employable in prior-held positions with the potential to

earn $9 and $12 per hour. In forming her opinion, Helma was unaware that the claimant had

placed orders with a handheld device while employed with Euclid and that he had previously

worked for Courtesy Distributors as a delivery manager where he supervised multiple

employees.

¶ 18 McEnery testified to the following. Euclid hired the claimant, a good employee with

numerous positive performance appraisals, in 1999. The claimant was required to have a

thorough knowledge of essential trade practices because he was responsible for increasing beer

sales and distribution, thus, his compensation was tied to his performance. The software used

in the claimant’s handheld device did not require advanced training, but the claimant had

completed mandatory training prior to starting his position as a sales supervisor. According to

McEnery, the claimant was a good fit for the warehouse manager position because he had

acquired a variety of special skills over 30 years in the industry. In fact, although there were

over 150 capable employees, McEnery had recommended the claimant interview for the

position.

¶ 19 McGrail testified to the following. McGrail was very familiar with the claimant and his

skill set, which included use of Euclid’s software system. McGrail invited the claimant to

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interview because he believed the claimant was capable of managing and supervising

employees, McGrail acknowledged that the claimant did not have experience as an assistant

warehouse manager. McGrail also explained that Euclid had terminated the claimant due to his

permanent light-duty work restrictions and that he did not offer the claimant a permanent job

with work restrictions because the claimant did not interview.

¶ 20 The arbitrator’s decision, issued on April 6, 2016, determined that (1) there was a causal

connection between the May 24, 2011, work accident and the claimant’s current condition of

ill-being; (2) the claimant was entitled to TTD benefits of $713.91 per week for 22 weeks from

November 23, 2011, through April 24, 2012, with Euclid receiving a credit of $13,360.71 for

previously paid TTD benefits; (3) the claimant was entitled to maintenance benefits of $713.91

per week for 1626/7 weeks from April 25, 2012, through June 8, 2015; and (4) the claimant was

entitled to permanent partial disability (PPD) benefits, specifically wage differential benefits,

for $433.91 per week from June 9, 2015, through the duration of his disability, pursuant to

section 8(d)(1) of the Act (820 ILCS 305/8(d)(1) (West 2010)), because his injuries caused an

impairment of earnings.

¶ 21 On April 20, 2016, Euclid filed a petition for review before the Commission. On June 27,

2017, the Commission adopted in part and modified in part the arbitrator’s decision. The

Commission affirmed the arbitrators’ award of maintenance and TTD benefits, however, it

modified the PPD award from wage differential to a percentage of the person as a whole award,

pursuant to section 8(d)(2) of the Act, for $642.52 per week for a period of 200 weeks for 40%

loss of man as a whole. The Commission determined that the claimant’s “election not to work

after being medically cleared to work again prevented him from establishing what he is

capable of earning.”

¶ 22 On August 7, 2017, Euclid filed for review in the circuit court of Du Page County. On

January 9, 2018, the circuit court, without hearing, confirmed in part and set aside in part the

Commission’s decision. The court confirmed the Commission’s decision to award PPD

benefits based on a percentage of the person as a whole under section 8(d)(2) of the Act but set

aside the Commission’s decision to award maintenance benefits, finding that the record did not

demonstrate that the claimant participated in a vocational rehabilitation program or

self-directed job search between April 25, 2012, and June 8, 2015. On January 31, 2018, the

claimant filed a timely notice of appeal.

¶ 23 II. Analysis

¶ 24 This appeal is limited to the propriety of the various types of compensation awarded. In

particular, the claimant contends that the Commission’s decision to award maintenance

benefits was not against the manifest weight of the evidence because Euclid denied the

claimant’s request for vocational rehabilitation services in violation of section 8(a) of the Act

and Illinois Commission Rule 7110.10(a) (50 Ill. Adm. Code 7110.10(a), amended at 30 Ill.

Reg. 11743 (eff. June 22, 2006))1 and he experienced a reduction in earning capacity after

Euclid terminated his employment. The claimant also argues that the Commission’s

percentage of the person as a whole PPD award was against the manifest weight of the

evidence.

1

This rule has since been recodified to Commission Rule 9110.10(a) (50 Ill. Adm. Code 9110.10(a)

(eff. Nov. 9, 2016)).

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¶ 25 In response, Euclid argues that the claimant was not entitled to maintenance benefits

because he was not enrolled in a vocational rehabilitation program or engaged in a

self-directed job search after April 24, 2012, and he failed to present credible evidence

demonstrating a reduction in earning capacity.

¶ 26 A. Maintenance Benefits

¶ 27 The claimant argues that Euclid violated section 8(a) of the Act and Commission Rule

7110.10 (50 Ill. Adm. Code 7110.10, amended at 30 Ill. Reg. 11743 (eff. June 22, 2006)) by

failing to provide him with vocational rehabilitation services.

¶ 28 “[T]he determination of whether a claimant is entitled to maintenance benefits is a question

to be decided by the Commission, and its finding will not be reversed unless it is against the

manifest weight of the evidence.” W.B. Olson, Inc. v. Illinois Workers’ Compensation

Comm’n, 2012 IL App (1st) 113129WC, ¶ 39. For a finding of fact to be against the manifest

weight of the evidence, an opposite conclusion must be clearly apparent from the record on

appeal. City of Springfield v. Illinois Workers’ Compensation Comm’n, 388 Ill. App. 3d 297,

315 (2009).

¶ 29 Under section 8(a) of the Act (820 ILCS 305/8(a) (West 2010)), an employer “shall ***

pay for treatment, instruction and training necessary for the physical, mental and vocational

rehabilitation of the employee, including all maintenance costs and expenses incidental

thereto.” Since maintenance is awarded incidental to vocational rehabilitation, an employer is

obligated to pay maintenance only “while a claimant is engaged in a prescribed

vocational-rehabilitation program.” W.B. Olson, Inc., 2012 IL App (1st) 113129WC, ¶ 39. “A

claimant is generally entitled to vocational rehabilitation when he sustains a work-related

injury which causes a reduction in his earning power and there is evidence that rehabilitation

will increase his earning capacity.” Greaney v. Industrial Comm’n, 358 Ill. App. 3d 1002, 1019

(2005). Because the primary goal of rehabilitation is to return the injured employee to work

(Schoon v. Industrial Comm’n, 259 Ill. App. 3d 587, 594 (1994)), if the injured employee has

sufficient skills to obtain employment without further training or education, that factor weighs

against an award of vocational rehabilitation. National Tea Co. v. Industrial Comm’n, 97 Ill. 2d

424, 432 (1983). Moreover, an injured employee is generally not entitled to vocational

rehabilitation if the evidence shows that he does not intend to return to work, although able to

do so. Schoon, 259 Ill. App. 3d at 594.

¶ 30 Vocational rehabilitation may include, but is not limited to, counseling for job searches,

supervising job search programs, and vocational retraining, which includes education at an

accredited learning institution. See 820 ILCS 305/8(a) (West 2010). An employee’s

self-directed job search or vocational training may constitute a vocational-rehabilitative

program. Roper Contracting v. Industrial Comm’n, 349 Ill. App. 3d 500, 506 (2004).

Additionally, “rehabilitation efforts may be undertaken even though the extent of the

permanent disability cannot yet be determined.” Freeman United Coal Mining Co. v.

Industrial Comm’n, 318 Ill. App. 3d 170, 180 (2000).

¶ 31 Commission Rule 7110.10(a) provided as follows:

“The employer or his representative, in consultation with the injured employee and,

if represented, with his or her representative, shall prepare a written assessment of the

course of medical care, and, if appropriate, rehabilitation required to return the injured

worker to employment when it can be reasonably determined that the injured worker

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will, as a result of the injury, be unable to resume the regular duties in which engaged at

the time of injury, or when the period of total incapacity for work exceeds 120

continuous days, whichever first occurs.” (Emphasis added.) 50 Ill. Adm. Code

7110.10(a), amended at 30 Ill. Reg. 11743 (eff. June 22, 2006).

Thus, the rule required the employer to provide rehabilitation only if “appropriate.” (50 Ill.

Adm. Code 7110.10(a), amended at 30 Ill. Reg. 11743 (eff. June 22, 2006)). As noted above,

rehabilitation is neither mandatory for the employer nor appropriate if an injured employee

does not intend, although capable, to return to work. Schoon, 259 Ill. App. 3d at 594.

¶ 32 We are unpersuaded by the claimant’s arguments. First, the claimant never sought or

gained employment following termination from Euclid on November 22, 2011. As such,

rehabilitation would be neither mandatory nor appropriate because the claimant did not show

an intention to return to work, although he was capable, as evidenced by Dr. Ross’s notes

releasing the claimant to work with work restrictions on April 24, 2012, to “lift up to 15 lbs.

Alternate sit/stand as needed.” Moreover, it is undisputed that the claimant did not enroll in a

vocational rehabilitation program or engage in a self-directed job search after Euclid

terminated his TTD benefits on April 24, 2012. In fact, the Commission concluded that the

claimant abandoned the job market on that date. On that basis, contrary to the Commission’s

decision, Euclid’s obligation to provide maintenance was never triggered, and the claimant

failed to cite authority to support that notion.

¶ 33 Even assuming the claimant was entitled to rehabilitative services, he could have requested

an expedited hearing under section 19(b) of the Act (820 ILCS 305/19(b) (West 2010) (“the

employee may at any time petition for an expedited hearing by an Arbitrator on the issue of

whether or not he or she is entitled to receive payment of the services or compensation”)). The

claimant failed to request such a hearing.

¶ 34 Furthermore, we cannot find that the claimant proved a reduction in his earning capacity

after he was terminated from Euclid. First, the Commission found that he had failed to prove

his earning capacity because his reliance on Helma’s labor survey was “unacceptable

speculation.” In rejecting Helma’s opinions, the Commission concluded that Helma’s report

was completed in anticipation of litigation, just four months prior to the arbitration hearing,

and that Helma lacked knowledge regarding the claimant’s previous employment managing

employees as a delivery manager, which would have likely broadened the scope of possible

employment opportunities. Thus, the Commission concluded that the claimant was prevented

from establishing “what he is capable of earning.” In light of the foregoing, we find that the

Commission’s decision, awarding the claimant maintenance benefits from April 25, 2012, to

September 28, 2015, was against the manifest weight of the evidence. Accordingly, the circuit

court’s decision setting aside the Commission decision to award maintenance benefits is

affirmed.

¶ 35 B. PPD Award

¶ 36 There are two distinct types of PPD awards under section 8(d) of the Act. Gallianetti v.

Industrial Comm’n, 315 Ill. App. 3d 721, 727 (2000). Section 8(d)(1) of the Act provides for a

wage differential benefit (820 ILCS 305/8(d)(1) (West 2010)), and section 8(d)(2) of the Act

provides for a percentage of the person as a whole award (820 ILCS 305/8(d)(2) (West 2010)).

¶ 37 To qualify for wage differential benefits, a claimant must prove (1) a partial incapacity that

prevents claimant from pursuing his usual and customary line of employment and (2) an

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impairment of earnings. 820 ILCS 305/8(d)(1) (West 2010). The purpose of a wage differential

award is to compensate an injured claimant for his reduced earning capacity. Jackson Park

Hospital v. Illinois Workers’ Compensation Comm’n, 2016 IL App (1st) 142431WC, ¶ 39. The

amount of a wage differential benefit is

“equal to 662/3% of the difference between the average amount which [the claimant]

would be able to earn in the full performance of his duties in the occupation in which he

was engaged at the time of the accident and the average amount which he is earning or

is able to earn in some suitable employment or business after the accident.” 820 ILCS

305/8(d)(1) (West 2010).

¶ 38 Conversely, section 8(d)(2) of the Act provides for a PPD award based on a percentage of

the person as a whole. 820 ILCS 305/8(d)(2) (West 2010). A percentage of the person as a

whole award is appropriate in three circumstances: (1) when a claimant’s injuries do not

prevent him from pursuing the duties of his employment but he is disabled from pursuing other

occupations or is otherwise physically impaired, (2) when a claimant’s injuries partially

incapacitate him from pursuing the duties of his usual and customary line of employment but

do not result in an impairment of earning capacity, or (3) when a claimant, having suffered an

impairment of earning capacity, elects to waive his right to recover. 820 ILCS 305/8(d)(2)

(West 2010).

¶ 39 Our supreme court has expressed a preference for wage differential benefits over a

scheduled award, noting “the basis of the workers’ compensation system should be earnings

loss.” General Electric Co. v. Industrial Comm’n, 89 Ill. 2d 432, 438 (1982). Thus, where a

claimant proves he is entitled to wage differential benefits, the Commission is without

discretion to impose a section 8(d)(2) award except where a claimant waives his right to

recover under section 8(d)(1). See Gallianetti, 315 Ill. App. 3d at 729. The issue of whether a

claimant is entitled to a wage differential award is generally a question of fact for the

Commission to determine. Dawson v. Illinois Workers’ Compensation Comm’n, 382 Ill. App.

3d 581, 586 (2008). We review the Commission’s factual findings under the manifest-weight-

of-the-evidence standard. Tower Automotive v. Illinois Workers’ Compensation Comm’n, 407

Ill. App. 3d 427, 434 (2011).

¶ 40 In reversing the arbitrator’s wage differential award, the Commission determined that a

percentage of the person as a whole award was more appropriate because the claimant had

failed to establish entitlement to a wage differential award. In particular, the Commission

determined that, although the claimant was unable to return to Euclid as a sales supervisor, a

finding uncontested on appeal, the claimant did not establish an impairment of earnings.

Therefore, the crucial issue in determining whether the claimant was entitled to a wage

differential award is whether he proved that he suffered impairment in his “earning capacity.”

Jackson Park Hospital, 2016 IL App (1st) 142431WC, ¶ 42. If the claimant proved a loss in his

earning capacity, then the Commission’s PPD award, based on a percentage of the person as a

whole, was against the manifest weight of the evidence. Gallianetti, 315 Ill. App. 3d at 728

(“the plain language of section 8(d) prohibits the Commission from awarding a percentage-of-

the-person-as-a-whole award where the claimant has presented sufficient evidence to show a

loss of earning capacity”).

¶ 41 The Commission found that the claimant had abandoned the job market on April 24, 2012,

and failed to prove his earnings capability. Specifically, the Commission stated that the

claimant’s reliance on Helma’s labor survey to establish his earnings potential was

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“unacceptable speculation.” In particular, the Commission noted that Helma’s reports were

completed in anticipation of litigation, just four months prior the arbitration hearing, and she

lacked an understanding regarding the claimant’s previous work managing multiple

employees, which could have broadened the scope of possible employment opportunities.

Thus, the Commission concluded that the claimant was prevented from establishing “what he

is capable of earning.”

¶ 42 Based on the foregoing, we cannot say that the opposite conclusion is clearly apparent

regarding the Commission’s determination to award a percentage of the person as a whole

benefits rather than wage differential benefits. Accordingly, the decision of the circuit court,

confirming the Commission’s decision to award PPD benefits based on a percentage of the

person as a whole, is affirmed.

¶ 43 III. Conclusion

¶ 44 We affirm the circuit court’s order setting aside in part and confirming in part the

Commission’s decision.

¶ 45 Affirmed.

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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