Opinion

Jones, Anthony v. Trojan Labor of Nashville, LLC

  • 2016 TN WC 82
Court
Tennessee Court of Workers' Compensation Claims
Filed
Apr 13, 2016
Status
Published
On the bench
Dale Tipps
Cited by
0 cases

The opinion

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT MURFREESBORO

ANTHONY JONES, ) Docket No.: 2015-05-0427

Employee, )

v. ) State File Number: 77314-2015

TROJAN LABOR OF NASHVILLE, )

LLC )

Employer. ) Judge Dale Tipps

)

ORDER GRANTING MOTION TO DISMISS

THIS CAUSE came before the undersigned Workers’ Compensation Judge on

April 7, 2016, for a telephonic hearing on the Motion to Dismiss pursuant to Tennessee

Compilation Rules and Regulations Rule 0800-02-21-.14(3) (2015) filed February 1,

2016, by the Employer, Trojan Labor of Nashville, LLC. The central legal issue is

whether the Employee, Anthony Jones, has resolved the evidentiary inadequacies in his

claim or articulated a clear intent and method to do so. For the reasons set forth below,

the Court finds Trojan’s motion is well-taken and dismisses Mr. Jones’ claim.

History of Claim

Mr. Jones filed a Petition for Benefit Determination seeking medical benefits for

injuries he allegedly suffered on September 16, 2015, while working for Trojan.

Specifically, he alleged he injured his back and right shoulder on that date while lifting an

oven. The central issue for adjudication at the Expedited Hearing was whether Mr. Jones

was likely to establish at a hearing on the merits that he suffered an injury arising

primarily out of and in the course and scope of his employment. In the resulting

Expedited Hearing Order Denying Requested Benefits, this Court concluded he had not

met the burden of establishing that likelihood.

Based largely on a credibility determination, the Court entered an Order on

January 21, 2016, finding Mr. Jones did not present sufficient proof to establish the

occurrence of a specific lifting injury on September 16, 2015. Trojan sought dismissal of

this claim because Mr. Jones did not introduce sufficient evidence to prevail at the

Expedited Hearing and did not appeal the Court’s findings.

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Findings of Fact and Conclusions of Law

Rule 14(3) provides that, where a claim is denied on grounds of compensability

following an Expedited Hearing, the employer may file a motion to dismiss the claim.

Rule .14(3) provides a procedural mechanism for the potential dismissal of a workers’

compensation claim that is unique to the Court of Workers’ Compensation Claims. As

such, a Rule .14(3) motion is distinct from the dismissal mechanisms (motions to dismiss

and for summary judgment) provided for in the Tennessee Rules of Civil Procedure.

Therefore, the Court finds that a Rule .14(3) motion to dismiss is an alternate procedure

as contemplated by Tennessee Code Annotated section 50-6-239(c)(1) (2015), and the

standards and procedures applied to motions to dismiss or for summary judgment under

the Tennessee Rules of Civil Procedure do not govern the determination of a Rule .14(3)

motion.

A party may only file a Rule .14(3) motion after the Court conducts an Expedited

Hearing and denies the claim on the grounds of compensability. When denying relief at

an Expedited Hearing, the Court must find that the employee would be unlikely to prevail

at a hearing on the merits. Tenn. Code Ann. § 50-6-239(d)(1) (2014).

That being the case, Rule .14(3) provides a procedural mechanism by which an

employer can force the employee to address the evidentiary inadequacies that resulted in

the adverse decision at the Expedited Hearing. Therefore, Trojan’s Rule .14(3) motion

forced Mr. Jones to address his evidentiary inadequacies by either producing evidence

that his injury arose primarily out of and in the course and scope of his employment, or

by articulating a clear intent and method to do so.

Although Mr. Jones filed a response to Trojan’s motion, he did not identify any

new evidence likely to establish his injuries arose out of and in the course and scope of

his employment. Further, Mr. Jones failed to meet the second prong of the Rule .14(3)

analysis. He identified no method for producing the necessary evidence or any intent to

do so in his written response. Mr. Jones’ only mention of any additional proof during the

motion hearing was his attorney’s statement that, “there may be additional proof – who

knows?” The Court finds this is insufficient to constitute a clear intent and method of

adducing the necessary additional proof. Dismissal is thus appropriate.

Mr. Jones first contends dismissal is improper because the Court’s January 21,

2016 Order denying benefits made no explicit finding on the issue of compensability. He

notes the Court’s finding that “Mr. Jones has not come forward with sufficient evidence

from which this Court can conclude he is likely to prevail at a hearing on the merits. Mr.

Jones’ request for medical and temporary disability benefits is denied at this time.” Mr.

Jones argues the Court’s use of “at this time” and its scheduling an initial hearing indicate

that the Court’s expectation that the claim would continue. He contends that, “if the

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Court intended the Order as a denial based upon compensability, there would be express

language to that effect sufficient to put the employee on notice of that important fact.”

Mr. Jones is correct that the Court’s Order of January 21, 2016, did not expressly

state is the denial is “based upon compensability.” However, the Court’s findings and

conclusions of law accomplished the same effect. The Order clearly states:

After carefully reviewing the testimony and exhibits, the Court cannot

credit Mr. Jones’ claim of a specific lifting injury on September 18, 2015.

Accordingly, Mr. Jones has not shown he is likely to prevail at a hearing on

the merits that his injuries arose primarily out of or in the course and scope

of his employment as required by Tennessee Code Annotated section 50-6-

102(14) (2015).

Tennessee Code Annotated section 50-6-102(14) (2015) provides, in part, an injury is

compensable “only if the injury is caused by a specific incident, or set of incidents,

arising primarily out of and in the course and scope of employment.” The fact that the

Court found Mr. Jones unlikely to prove a specific incident means he did not establish

that his work caused his injury. An injury that is not work-related, by definition, is not

compensable. Thus, the Court’s denial of Mr. Jones’ claim because he failed to prove it

work-related was a finding based upon compensability. To conclude otherwise would be

an exercise of form over substance. See Silas v. Brock Services, No. 2014-02-0013, 2015

TN Wrk. Comp. App. Bd. 35, at *9 (Tenn. Workers’ Comp. App. Bd. Oct. 2, 2015).

Mr. Jones next cites Tennessee Code Annotated section 50-6-239(d)(4), which

provides:

If a motion for temporary disability or medical benefits is denied on the

basis that the claim is not compensable, the proceeding shall continue

according to the procedure provided in subsection (c) unless the employee

files a request for an appeal to the workers’ compensation appeals board.

At any time after the employee has exhausted the procedures for seeking an

appeal from the workers’ compensation appeals board, as provided in this

chapter, the workers’ compensation judge may entertain an appropriate

motion from the employer for dismissal of the claim.

Mr. Jones notes the Court may entertain a motion to dismiss only “after the employee has

exhausted the procedures for seeking an appeal from the workers’ compensation appeals

board.” He argues that, since he filed no appeal in this case, he never exhausted the

procedures for seeking an appeal. Therefore, he contends section 50-6-239(d)(4)

precludes a motion to dismiss at this stage of the claim.1

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Mr. Jones’ arguments are premised in part on his contention that he is entitled to liberal construction of the

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Mr. Jones’ argument, while creative, is unpersuasive. Section 50-6-239(d)(4) does

not specifically preclude dismissal in cases where no appeal is taken. Instead, it merely

requires that an employer must wait until the conclusion of any appeal before moving for

dismissal. The most impartial and straightforward interpretation of “exhausting the

procedures for seeking an appeal” includes the failure to file a timely appeal. See Silas v.

Brock Services, No. 2014-02-0013, 2015 TN Wrk. Comp. App. Bd. LEXIS 35, at *11-12

(Tenn. Workers’ Comp. App. Bd. Oct. 02, 2015) (upholding dismissal of employee’s

claim pursuant to Rule .14(3) after employee failed to appeal an expedited hearing order).

Mr. Jones instead advocates a reading of the statute that would serve as a disincentive for

employees to seek appellate review of interlocutory orders and would impede the courts’

ability to control their dockets by dismissing claims that exhibit no likelihood of success.

Finally, Rule .14(3) is silent regarding whether a dismissal should be with or

without prejudice. The Court finds that Mr. Jones received a full and fair opportunity to

present his case, but nonetheless failed to meet his burden. Furthermore, because Mr.

Jones failed to identify any method or intent to cure his evidentiary shortcomings, it

would seem contrary to the purposes of Rule .14(3), as well as the legislative intent of the

2013 reforms, to dismiss the matter, only to allow Mr. Jones to re-file his claim and force

Trojan to make the very same arguments, expending additional time and resources. For

this reason, and for the sake of judicial economy, the Court dismisses Mr. Jones’ claim

with prejudice.

IT IS, THEREFORE, ORDERED that the above-captioned matter is hereby

dismissed with prejudice. The filing fee for this this cause of $150.00 is taxed to the

Employer, Trojan, pursuant to Rule 0800-02-21-.07 of the Mediation and Hearing

Procedures, for which execution may issue, as necessary.

Unless an appeal of this order is filed with the Workers’ Compensation Appeals

Board or the Tennessee Supreme Court, this order shall become final in thirty days.

ENTERED this the 13th day of April, 2016.

_____________________________________

Judge Dale Tipps

Court of Workers’ Compensation Claims

applicable provisions of the Workers’ Compensation Law. This is incorrect under current law. The Workers’

Compensation Law shall not be remedially or liberally construed in favor of either party but shall be construed

fairly, impartially and in accordance with basic principles of statutory construction favoring neither the employee

nor employer. Tenn. Code Ann. § 50-6-116 (2015).

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Right to Appeal:

Tennessee Law allows any party who disagrees with this Dismissal Order to

appeal the decision to the Workers’ Compensation Appeals Board. To file a Notice of

Appeal, you must:

1. Complete the enclosed form entitled: “Compensation Hearing Notice of Appeal.”

2. File the completed form with the Court Clerk within thirty days of the date the

Compensation Order was entered by the Workers’ Compensation Judge. See

Tenn. Comp. R. & Regs. 0800-02-22-.01(1)(b).

3. Serve a copy of the Request For Appeal upon the opposing party.

4. The appealing party is responsible for payment of a filing fee in the amount of

$75.00. Within ten calendar days after the filing of a notice of appeal, payment

must be received by check, money order, or credit card payment. Payments can be

made in person at any Bureau office or by United States mail, hand-delivery, or

other delivery service. In the alternative, the appealing party may file an Affidavit

of Indigency, on a form prescribed by the Bureau, seeking a waiver of the filing

fee. The Affidavit of Indigency may be filed contemporaneously with the Notice

of Appeal or must be filed within ten calendar days thereafter. The Appeals Board

will consider the Affidavit of Indigency and issue an Order granting or denying

the request for a waiver of the filing fee as soon thereafter as is

practicable. Failure to timely pay the filing fee or file the Affidavit of

Indigency in accordance with this section shall result in dismissal of the

appeal.

5. After the Workers’ Compensation Judge approves the record and the Court Clerk

transmits it to the Workers’ Compensation Appeals Board, the appeal will be

docketed and assigned to an Appeals Board Judge for Review. At that time, a

docketing notice shall be sent to the parties. Thereafter, the parties have fifteen

calendar days to submit briefs to the Appeals Board for consideration. See Tenn.

Comp. R. & Regs. 0800-02-22-.02(3).

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CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Order Granting Motion to

Dismiss was sent to the following recipients by the following methods of service on this

the 13th day of April, 2016.

Name Certified Via Via Service sent to:

Mail Fax Email

Tracy Moore X tracy@moorepeden.com

Laurenn Disspayne X ldisspayne@manierherod.com

_____________________________________

Penny Shrum, Clerk of Court

Court of Workers’ Compensation Claims

WC.CourtClerk@tn.gov

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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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