Appeals Court Says 'Total Disability' Means Just That

The N.C. Court of Appeals, in a decision that will be welcomed by large employers trying to contain their workers' comp premiums, has ruled that “total disability” means exactly what it says: For an injured worker to collect total disability payments he or she must be unable to return to work at any job -- his old job or some other lower-paying job.

The decision comes in the case of a worker at the Converse shoe factory in Lumberton, Michael Demery, who strained his back lifting a 50-pound basket of shoe molds in 1994. Demery was diagnosed with lumbar strain, received medical attention and told to return to work on light duty. He continued to feel back pain at work and on Jan. 2, 1995, he told his foreman that he could no longer stand his back pain. He then left work never to return.

Demery had surgery twice for a herniated disk, and his doctors said he was left with a 20 percent permanent partial disability. His doctor placed Demery on permanent work restrictions of frequent change of position, limited bending and stooping, and lifting of weights no greater than 25 pounds.

The N.C. Industrial Commission ruled that Demery was permanently totally disabled because he was unable to return to his old job or a similar paying job. The commission also awarded Demery lifetime medical expenses. Converse appealed, and the Court of Appeals, in a decision handed down on June 12, reversed the Industrial Commission in part and remanded the case.

“In the present case, the (Industrial Commission) found that plaintiff had met the burden of showing total disability because he was incapable of earning the same wages as before the injury in the same or other employment, and his incapacity to earn wages was caused by a compensable injury,” Judge Howard Hunter wrote for the court. “We disagree with the commission's interpretation of total disability.

“For the Industrial Commission to find that an employee is permanently and totally disabled, the employee must meet the burden of showing that he is totally incapable of earning wages.”

Judges James A. Wynn Jr. and John C. Martin concurred in the opinion in case No. COA99-592.

“Our review of the record does not indicate that competent evidence supports the conclusion that plaintiff is totally disabled . . . . Plaintiff has not met the burden of showing, with competent evidence, that he is totally disabled and therefore unable to earn any of the wages he was receiving at the time of his injury in the same or any other employment. Plaintiff has the burden of showing he is disabled,either partially or totally, before the Industrial Commission may award him permanent disability.”

Lawyers familiar with the case said the Appeals Court is raising an important distinction between medical disability and vocational disability. Some injured employees are unable to return to their old job or any other form of work. They are medically disabled and are entitled to total permanent disability.

Other employees injured on the job become vocationally disabled -- meaning they are unable to return to their old job or one very similar. But because it's entirely possible they could take some other kind of job, they are not automatically entitled to total disability, the Court of Appeals indicated.

Other Opinions
It's a violation of the state constitution's requirement for just compensation for the state Department of Transportation to condemn part of a tract of land for a road project and not pay for it, the state Court of Appeals ruled. The 2-1 decision written by Judge James Wynn, in which Judge Robert C. (Bob) Hunter concurred and Judge Clarence Horton dissented, involved 11.4 acres of land in Hickory taken by the DOT. The land was part of an 18-acre parcel owned by two couples. The DOT refused to pay for the 11.4 acres it condemned because it said the new road make the remaining part of the tract much more valuable than before. A jury upheld the department's decision. State law requires DOT to pay fair market value for property when it condemns an entire tract. But in cases where a portion is taken, it allows officials to weigh the benefits to the remaining property against the actual loss. "In effect, the property owner is subjected to an involuntary taking of his property while also being subjected to the injustice of receiving an amount less than what he has actually lost," Judge Wynn wrote in the majority opinion. Judge Horton said issues of just compensation weren't properly before the court and the equal protection arguments had no merit. The case is No. COA 97-1470.

The N.C. Supreme Court issued the decisions below on June 16

* Allen R. Tew v. Brown, (06/16/2000 583PA99)
* Deese v. Champion Int'l Corp., (06/16/2000 500PA98-2)
* Dobson v. Harris, (06/16/2000 435PA99)
* Gray v. N.C. Ins. Underwriting Ass'n, (06/16/2000 84PA99)
* Halford v. Wright, (06/16/2000 557A99)
* Lanning v. Fieldcrest-Cannon, Inc., (06/16/2000 360PA99)
* Osburn v. Danek Med., Inc., (06/16/2000 549A99)
* Bailey v. State, (06/16/2000 56PA00)
* Saunders v. Edenton OB/GYN Ctr., (06/16/2000 469A99)
* State v. Lemons, (06/16/2000 377A95-2)
* State v. Lawrence, (06/16/2000 585A97)
* State v. Hyde, (06/16/2000 529A98)
* State v. Rogers, (06/16/2000 176A98)
* Tucker v. Westlake, (06/16/2000 5A00)

The N.C. Court of Appeals issued several decisions on June 20. They are available by clicking here.


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