State ex rel. Sanders v. Indus. Comm. , 2016 Ohio 7704 ( 2016 )


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  • [Cite as State ex rel. Sanders v. Indus. Comm., 2016-Ohio-7704.]
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    State of Ohio ex rel. Nancy E. Sanders,                :
    Relator,                              :
    v.                                                     :               No. 15AP-496
    Industrial Commission of Ohio                          :           (REGULAR CALENDAR)
    and Wyandot, Inc.,
    :
    Respondents.
    :
    D E C I S I O N
    Rendered on November 10, 2016
    On brief: The Bainbridge Firm, LLC, and Carol L.
    Herdman, for relator.
    On brief: Michael DeWine, Attorney General, and
    Stephen D. Plymale, for respondent Industrial Commission of
    Ohio.
    On brief: Kegler, Brown, Hill & Ritter Co., L.P.A., David M.
    McCarty, Randall W. Mikes, and Katja Garvey, for
    respondent Wyandot, Inc.
    IN MANDAMUS
    ON OBJECTIONS TO THE MAGISTRATE'S DECISION
    BROWN, J.
    {¶ 1} Relator, Nancy E. Sanders, the spouse of Thomas Sanders ("decedent"), has
    filed this original action requesting that this court issue a writ of mandamus ordering
    respondent, Industrial Commission of Ohio ("commission"), to vacate its order that
    denied her request for accrued temporary total disability ("TTD") compensation following
    the death of decedent, and to enter an order granting said compensation.
    No. 15AP-496                                                                               2
    {¶ 2} This court referred the matter to a court-appointed magistrate pursuant to
    Civ.R. 53 and Loc.R. 13(M) of the Tenth District Court of Appeals. The magistrate issued
    the appended decision, including findings of fact and conclusions of law, and
    recommended that this court grant relator's request for a writ of mandamus. Wyandot,
    Inc. ("Wyandot"), respondent, and the commission have filed objections to the
    magistrate's decision.
    {¶ 3} We will address Wyandot's and the commission's objections together, as
    they both argue for the same result based on generally the same rationales. After
    reviewing the orders of the staff hearing officer ("SHO") and district hearing officer
    ("DHO") and the magistrate's decision, we find the decisions of the SHO and DHO were
    supported by "some evidence," and we decline to adopt the magistrate's decision finding
    the contrary. State ex rel. Lewis v. Diamond Foundry Co., 
    29 Ohio St. 3d 56
    (1987). We
    agree with the magistrate that there exists no case law on point with the facts of this case,
    but we depart from the magistrate's over reliance on R.C. 4123.95's mandate that workers'
    compensation statutes be liberally construed in favor of employees and the dependents of
    deceased employees. We do not believe the current case demands reliance upon
    construction of a statute. Instead, as the commission determined, there exists a definitive
    determination by the common pleas court that the decedent was not entitled to an
    allowance for the additional conditions. The magistrate found that "[a]t the time of his
    death, decedent's claim was additionally allowed for these conditions and there is no way
    to know whether or not a jury would have agreed or concluded otherwise." However, we
    do know that the conditions were disallowed because the parties entered into an agreed
    entry indicating such. Thus, we do know the outcome of the matter. The trial court's
    dismissal entry indicates that Wyandot's and decedent's attorney agreed that, with
    decedent's death, neither decedent nor the Ohio Bureau of Workers' Compensation could
    establish decedent's entitlement to participate in the workers' compensation fund for
    these medical conditions. The common pleas court having conclusively ruled that
    decedent's claim for additional conditions was disallowed precludes a subsequent award
    of TTD compensation in favor of decedent's spouse. Therefore, for these reasons, we find
    the objections of Wyandot and the commission, insofar as they rely on our above
    reasoning, well-taken.
    No. 15AP-496                                                                             3
    {¶ 4} After an examination of the magistrate's decision, an independent review of
    the record pursuant to Civ.R. 53, and due consideration of Wyandot's and the
    commission's objections, we sustain the objections. Although we adopt the magistrate's
    findings of fact, we reject her conclusions of law.      Relator's request for a writ of
    mandamus is denied.
    Objections sustained; writ of mandamus denied.
    LUPER SCHUSTER, J, concurs.
    BRUNNER, J., concurs in judgment only.
    BRUNNER, J., concurring in judgment only.
    {¶ 5} I concur in judgment only with the majority, and I wish to elaborate on how
    the decision of the Marion County Court of Common Pleas can fairly be characterized as
    "some evidence" upon which the Industrial Commission of Ohio ("Commission") could
    rely in denying the surviving spouse's claim for her husband's temporary total disability
    ('TTD") compensation for the period of March 28, 2013 to the date of his death, March 6,
    2014. The key reason compensation to the decedent was denied (albeit after his death) for
    the specified conditions for the specified period is because his employer appealed to the
    Marion County Court of Common Pleas.           The employer won the appeal after the
    decedent's death when an agreed dismissal entry was entered that included language
    deciding the case for the employer on its merits. Had the employer not appealed, there
    would be no basis for the action now before us, because the decedent would have enjoyed
    the benefits awarded him beginning March 28, 2013 until his death. Because this action
    has been independently brought by the decedent's surviving spouse in her own capacity
    and as the decedent's dependent, the status of the decedent's claim at the time of his
    death or at the time of the trial court's judgment entry is not determinative of our review
    of the Commission's decision on the surviving spouse's timely claim.
    {¶ 6} The magistrate and the parties recognized that "there is not case law directly
    on point" concerning the facts presented when the Bureau of Workers' Compensation
    approves compensation for one or more conditions for a specific period of time, the
    employer appeals pursuant to R.C. 4123.60 to the common pleas court and the claimant
    dies before the determination of the common pleas court appeal. (Magistrate's Decision
    No. 15AP-496                                                                             4
    at ¶ 37.) The magistrate correctly stated, "there is no way to know whether or not a jury
    would have agreed or concluded otherwise" concerning the decedent's allowed conditions.
    (Magistrate's Decision at ¶ 39.)
    {¶ 7} But, here, for whatever reason, the dismissal entry in the Marion County
    Court of Common Pleas, filed October 28, 2014, not only dismissed the employer's appeal,
    it determined the outcome of the employer's appeal as a matter of law. As such it was a
    determination of law that the Commission was bound to follow in deciding compensation
    in the decedent's case. According to our holding in Barr v. Columbus S. Power Co., 10th
    Dist. No. 96APE05-638 (Dec. 17, 1996), we can simply view the trial court's agreed
    dismissal entry as one determining that decedent's condition "has been litigated" for the
    purposes of whether to award workers' compensation to him.
    {¶ 8} But when the "surviving spouse and dependent of decedent" files her own
    motion for the same benefits that were denied by the Marion County Court of Common
    Pleas, it is a separate action not bound by the outcome of the first action. (Magistrate
    Decision at ¶ 25.) The Eleventh District Court of Appeals has explained:
    A claimant's death not only abates his workers' compensation
    claim but may also create an interest in his dependent(s). This
    can occur * * * in two different ways. In the first scenario, a
    dependent may recover where the claimant had made a claim
    for benefits, obtained an award, and actually accrued benefits.
    In the second scenario, R.C. 4123.60 allows a dependent of
    the decedent to timely apply for compensation, if the decedent
    would have been lawfully entitled to have applied for an
    award at the time of his death. Under this portion, a
    dependent is therefore entitled to file an independent claim
    for compensation that the deceased employee could have
    pursued but for his death.
    (Emphasis added.) Largent v. Sticker Corp., 11th Dist. No. 2010-L-061, 2011-Ohio-6094,
    ¶ 28. Here, the parties and the magistrate focused on whether the time of the decedent's
    death controlled or the time of the Marion County Court of Common Pleas dismissal entry
    controlled. It is neither. Rather, the focus is on the parties. Relator has separate claims
    from the decedent, and she has not brought her action as the decedent's administrator,
    but in her own right as the surviving spouse and dependent of decedent pursuant to R.C.
    4123.60. (Magistrate's Decision at ¶ 25.)
    No. 15AP-496                                                                             5
    {¶ 9} The magistrate's findings of fact in paragraph 25 of her decision, that the
    decedent's spouse's motion was supported by the same evidence decedent had originally
    submitted in support of his motion for TTD compensation does not bar her action in
    mandamus. Res judicata in the context of workers' compensation has been addressed by
    this Court concerning post-death matters brought by a surviving spouse and dependents
    in Altvater v. Claycraft Co., 
    71 Ohio App. 3d 264
    , 268 (10th Dist.1991), appeal denied,
    
    62 Ohio St. 3d 1408
    . In Altvater we found that res judicata and collateral estoppel, based
    on the outcome of a prior suit for wrongful death benefits, did not bar a second suit for
    workers' compensation benefits by the surviving spouse "where there was a lack of
    identity of parties or their privies between the present intentional tort action and
    plaintiff's prior workers' compensation proceeding." We agreed with the plaintiff
    surviving spouse in that case that, "inasmuch as individuals who potentially might
    benefit from the [prior] wrongful death action had no interest or control over plaintiff's
    claim for workers' compensation death benefits, such individuals should not be
    penalized or bound by that action through res judicata or collateral estoppel." 
    Id. We held:
    Under Ohio law, "* * * the defenses of res judicata or collateral
    estoppel are operative in a second suit only when there is an
    identity of issues and an identity of parties or their privies in
    both the first and second suit. * * *" Whitehead v. Genl. Tel.
    Co. (1969), 
    20 Ohio St. 2d 108
    , 113, 49 O.O.2d 435, 438, 
    254 N.E.2d 10
    , 13. See, also, Beatrice Foods Co. v. Lindley (1982),
    
    70 Ohio St. 2d 29
    , 35, 24 O.O.3d 68, 71, 
    434 N.E.2d 727
    , 731
    ("* * * In order for either doctrine to apply, there must be an
    identity of parties and issues in the proceedings. * * *").
    
    Id. I would
    specify in our decision that relator, the surviving spouse, has exercised a
    separate right of action under R.C. 4123.60. This action is based on her own interests in
    the decedent's workers' compensation benefits that are not barred by res judicata or
    collateral estoppel, even if she supports her claim by the same evidence he originally
    submitted in support of his claim for TTD compensation that was granted and which was
    appealed by his employer.
    {¶ 10} The real issue, then, is did the Commission in reviewing the surviving
    spouse's (relator's) separate and independent claim abuse its discretion in considering the
    No. 15AP-496                                                                               6
    Marion County Court of Common Pleas agreed dismissal as a basis for denying her claim?
    The majority deems the dismissal to be some evidence, and we have previously stated:
    In mandamus, the issue before this court is whether the
    commission cited "some evidence" to support its decision and
    provided a brief explanation of its rationale. State ex rel. Noll
    v. Indus. Comm. (1991), 
    57 Ohio St. 3d 203
    , 
    567 N.E.2d 245
    .
    State ex rel. Marcum v. Volunteers of Am., 10th Dist. No. 02AP-633, 2003-Ohio-887,
    ¶ 40.   We can discern from the record that the Commission's appeal of decedent's
    favorable award of TTD compensation for the period beginning March 28, 2013, was
    nowhere close to being fully litigated. But it was decided on its merits after the decedent's
    death by a court of competent jurisdiction, the Marion County Court of Common Pleas, by
    an agreed dismissal entry.
    {¶ 11} Under these facts, I would look to the decision of the Seventh District Court
    of Appeals in Vincent v. Wheeling Pittsburgh Steel Corp., 7th Dist. No. 99-JE-7 (July 27,
    1999), in finding that the dismissal entry was sufficient to constitute "some evidence" in
    support of the Commission's decision to deny the surviving spouse her decedent's
    benefits. In Vincent, it was the decedent who had pursued an appeal of the denial of
    workers' compensation benefits. He died before the appeal could be finally decided. His
    surviving spouse sought his benefits on the same basis as he had appealed, and no res
    judicata or collateral estoppel were found to bar her claims. In noting that his prior
    claims remained unsettled, the Seventh District court stated:
    [G]iven the fact that Mr. Vincent died prior to prosecuting his
    appeal, it cannot be said that the issues raised in his workers'
    compensation claim were actually and directly litigated or
    that a valid, final judgment rendered upon the merits was
    made by a court of competent jurisdiction.
    (Emphasis added.) 
    Id. In relator's
    case, the decedent's claims were decided upon the
    merits after his death but before relator filed her motion, even though such claims were
    not fully litigated. Some seven months after decedent's death, an agreed judgment entry
    dismissing the appeal and finding for the Commission on the appeal's merits was entered
    by the Marion County Court of Common Pleas, a court of competent jurisdiction. This
    constitutes "some evidence" upon which the Commission could rely in denying relator's
    No. 15AP-496                                                                           7
    claim for the decedent's workers' compensation benefits from the period of March 28,
    2013 until his death. Because the standard of "some evidence" that binds our review does
    not quantify "how much" evidence is some evidence, I concur with the majority in its
    decision.
    {¶ 12} I would find that relator is not entitled to a writ of mandamus, because we
    find some evidence on which the Commission based its decision that being a valid, final
    judgment rendered upon the merits of decedent's similar claim that was made by a court
    of competent jurisdiction. I would therefore adopt the Magistrate's Decision as to the
    findings of fact but reject its conclusions of law, denying the writ of mandamus for the
    reasons stated in this concurring decision.
    [Cite as State ex rel. Sanders v. Indus. Comm., 2016-Ohio-7704.]
    APPENDIX
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    State of Ohio ex rel. Nancy E. Sanders,                :
    Relator,                              :
    v.                                                     :               No. 15AP-496
    Industrial Commission of Ohio                          :           (REGULAR CALENDAR)
    and Wyandot, Inc.,
    :
    Respondents.
    :
    MAGISTRATE'S DECISION
    Rendered on January 29, 2016
    The Bainbridge Firm, LLC, and Carol L. Herdman, for
    relator.
    Michael DeWine, Attorney General, and Stephen D. Plymale,
    for respondent Industrial Commission of Ohio.
    Kegler, Brown, Hill & Ritter Co., L.P.A., David M. McCarty,
    Randall W. Mikes, and Katja Garvey, for respondent
    Wyandot, Inc.
    IN MANDAMUS
    {¶ 13} Relator, Nancy Sanders, the spouse of Thomas Sanders ("decedent"), has
    filed this original action requesting that this court issue a writ of mandamus ordering
    respondent, Industrial Commission of Ohio ("commission"), to vacate its order which
    denied her request for accrued temporary total disability ("TTD") compensation following
    the death of decedent, and ordering the commission to find that she is entitled to that
    compensation.
    No. 15AP-496                                                                           9
    Findings of Fact:
    {¶ 14} 1. Decedent sustained a work-related injury on April 1, 2012 while working
    for respondent, Wyandot, Inc. ("Wyandot"), and his workers' compensation claim was
    originally allowed for the following conditions: "LEFT KNEE SPRAIN, LEFT TIBIAL
    PLATEAU FRACTURE."
    {¶ 15} 2. Decedent received a period of TTD compensation which was terminated
    following the March 28, 2013 hearing before a staff hearing officer ("SHO"), who found
    that relator's then-allowed conditions had reached maximum medical improvement
    ("MMI").
    {¶ 16} 3. On August 7, 2013, decedent filed a C-86 motion with the commission
    requesting that his claim be additionally allowed for "LATERAL TIBIAL PLATEAU
    CHONDROMALACIA and LEFT KNEE HYPERTROPHIC FAT PAD SYNOVITIS."
    {¶ 17} 4. A hearing was held before a district hearing officer ("DHO") on
    September 17, 2013. The DHO denied the request.
    {¶ 18} 5. Decedent appealed and the matter was heard before an SHO on
    October 31, 2013. At that time, the SHO determined that decedent's claim should be
    additionally allowed for lateral tibial plateau chondromalacia and left knee hypertrophic
    fat pad synovitis.
    {¶ 19} 6.     Wyandot's appeal was refused by order of the commission mailed
    November 27, 2013.
    {¶ 20} 7. In December 2013, following the allowance of the additional conditions
    and the refusal of Wyandot's appeal, decedent filed a C-86 motion requesting the payment
    of TTD compensation beginning March 28, 2013.
    {¶ 21} 8. On February 25, 2014, decedent filed an application for the
    determination of percentage of permanent partial disability ("PPD") based on all the
    allowed conditions and, in a tentative order dated March 7, 2014, the administrator
    granted decedent a five percent PPD award.
    {¶ 22} 9. In February 2014, Wyandot timely filed a notice of appeal from the
    commission's order additionally allowing decedent's claim in the Marion County Court of
    Common Pleas pursuant to R.C. 4123.512.
    No. 15AP-496                                                                          10
    {¶ 23} 10. The decedent died on March 6, 2014, at 54 years of age, apparently for
    reasons unrelated to the work-related injury.
    {¶ 24} 11. In a letter dated March 7, 2014, counsel for decedent notified the
    commission of decedent's death, dismissed without prejudice decedent's request for TTD
    compensation, and asked to cancel the hearing scheduled for March 10, 2014.
    {¶ 25} 12. On October 9, 2014, relator, as the surviving spouse and dependent of
    decedent, filed a motion pursuant to R.C. 4123.60 for the payment of the accrued TTD
    compensation payable to decedent from March 28, 2013 to the date of his death, March 6,
    2014. Relator's motion was supported by the same evidence decedent had originally
    submitted in support of his motion for TTD compensation.
    {¶ 26} 13. On October 28, 2014, a dismissal entry was filed in the employer's
    appeal in the Marion County Common Pleas Court. That entry specifically states:
    [W]ith the Plaintiff's death, neither the Plaintiff nor the
    Administrator of the Bureau of Workers' Compensation can
    establish Plaintiff's entitlement to participate in the Workers'
    Compensation Fund for these medical conditions.
    Accordingly, judgment is hereby rendered in favor of
    Defendant Wyandot, Inc. Plaintiff is found not entitled to
    participate in the Ohio Workers' Compensation Fund, in
    Claim No. 12-814433, for either "lateral tibial plateau
    chondromalacia" or "left knee hypertrophic fad pad synovitis."
    {¶ 27} 14. Relator's motion for accrued compensation was heard before a DHO on
    December 16, 2014. The DHO considered whether the relevant moment in time to be
    used to determine whether relator was entitled to an award of compensation was the date
    of decedent's death (March 6, 2014), or the date of the hearing (December 16, 2014). The
    DHO determined that, as of the date of decedent's death (March 6, 2014), the claim was
    allowed for the additional conditions; however, as of the date of the hearing
    (December 16, 2014), the Marion County Court of Common Pleas had specifically
    determined that decedent was not entitled to participate in the workers' compensation
    claim for either lateral tibial plateau chondromalacia or left knee hypertrophic fat pad
    synovitis. The DHO found the date of the hearing controlling and denied relator's motion.
    No. 15AP-496                                                                          11
    {¶ 28} 15. Relator appealed and the matter was heard before an SHO on
    February 2, 2015. After determining that relator had timely filed her motion within the
    one-year period prescribed by R.C. 4123.60, the SHO likewise relied on the dismissal
    entry filed in the Marion County Court of Common Pleas finding that decedent was not
    entitled to participate in the workers' compensation fund for the additional conditions.
    Specifically, the SHO reasoned:
    The Staff Hearing Officer finds that pursuant to R.C. 4123.60,
    the Staff Hearing Officer finds that the decedent would have
    been lawfully entitled to have applied for an award at the time
    of his death. There is no dispute that the C-86 Motion for
    accrued compensation that was filed on 10/09/2014 was
    timely filed within one year of the date of death as required by
    R.C. 4123.60. The C-84 Request for Temporary Total
    Compensation was signed by the Injured Worker/decedent on
    01/06/2014 and was filed on 10/09/2014. The C-84 was
    supported by the MEDCO-14 Physician's Report of
    Workability report of B. Rodney Comisar, M.D., dated
    02/17/2014. The Staff Hearing Officer notes that R.C.
    4123.60 indicates that the accrued benefits applied for may,
    after satisfactory proof to warrant an award and payment, be
    awarded and paid in an amount not exceeding the
    compensation which the decedent might have received but for
    his death, for the period prior to the date of his death. The
    Staff Hearing Officer notes that the determination as to the
    decedent's entitlement to payment of temporary total
    disability compensation from 03/28/2013 through
    03/06/2014 is being determined at hearing on 02/02/2015.
    The Staff Hearing Officer notes that as of the date of this
    determination, the claim has been specifically disallowed for
    the conditions of the lateral tibial plateau chondromalacia and
    the left knee hypertrophic fat pad synovitis. The Employer
    had originally appealed the allowance of those conditions into
    the Court of Common Pleas. The Employer's Appeal did not
    abate with the death of the injured Worker/decedent. In a
    judgment dated 10/28/2014, a Marion County Court of
    Common Pleas determined that the conditions of the lateral
    tibial plateau chondromalacia and left knee hypertrophic fat
    pad synovitis to be disallowed in this claim. As such, the Staff
    Hearing Officer finds no basis on which to now award the
    payment of temporary total disability compensation as
    accrued compensation for the period of 03/28/213 through
    03/06/2014. To order this compensation paid on today's date
    No. 15AP-496                                                                               12
    would be to ignore the fact that compensation is being
    ordered paid for conditions which are no longer allowed
    conditions in this claim. As such, the request for payment of
    accrued temporary total disability compensation is denied.
    The Staff Hearing Officer has reviewed and considered all the
    evidence on file prior to rendering this decision. The Staff
    Hearing Officer relies on R.C. 4123.60, as well as on the
    judgment entry from the Marion Court of Common Pleas, as
    contained in the claim file, in rendering this decision.
    (Emphasis sic.)
    {¶ 29} 16. In an order mailed March 12, 2015, relator's appeal was refused.
    {¶ 30} 17. Thereafter, relator filed the instant mandamus action in this court.
    Conclusions of Law:
    {¶ 31} For the reasons that follow, it is this magistrate's decision that this court
    should issue a writ of mandamus.
    {¶ 32} The Supreme Court of Ohio has set forth three requirements which must be
    met in establishing a right to a writ of mandamus: (1) that relator has a clear legal right to
    the relief prayed for; (2) that respondent is under a clear legal duty to perform the act
    requested; and (3) that relator has no plain and adequate remedy in the ordinary course
    of the law. State ex rel. Berger v. McMonagle, 
    6 Ohio St. 3d 28
    (1983).
    {¶ 33} In order for this court to issue a writ of mandamus as a remedy from a
    determination of the commission, relator must show a clear legal right to the relief sought
    and that the commission has a clear legal duty to provide such relief. State ex rel.
    Pressley v. Indus. Comm., 
    11 Ohio St. 2d 141
    (1967). A clear legal right to a writ of
    mandamus exists where the relator shows that the commission abused its discretion by
    entering an order which is not supported by any evidence in the record. State ex rel.
    Elliott v. Indus. Comm., 
    26 Ohio St. 3d 76
    (1986). On the other hand, where the record
    contains some evidence to support the commission's findings, there has been no abuse of
    discretion and mandamus is not appropriate. State ex rel. Lewis v. Diamond Foundry
    Co., 
    29 Ohio St. 3d 56
    (1987). Furthermore, questions of credibility and the weight to be
    given evidence are clearly within the discretion of the commission as fact finder. State ex
    rel. Teece v. Indus. Comm., 
    68 Ohio St. 2d 165
    (1981).
    No. 15AP-496                                                                             13
    {¶ 34} At the time of decedent's death, his claim was allowed for the additional
    conditions of lateral tibial plateau chondromalacia and left knee hypertrophic fat pad
    synovitis. Before he died, decedent filed a motion seeking the payment of TTD
    compensation beginning March 28, 2013. But for his death, decedent could have been
    paid TTD compensation during the pendency of Wyandot's appeal. If Wyandot would
    have been successful on appeal and decedent denied the right to participate for those
    conditions, he would have been allowed to keep the compensation. This overpayment
    would have been recouped by Wyandot either through reimbursement from the surplus
    fund or by deductions from any future compensation paid to decedent.
    {¶ 35} Under R.C. 4123.60, a dependent surviving spouse is lawfully entitled to
    apply for her husband's TTD award within one year of his death. R.C. 4123.60 specifically
    provides in part:
    If the decedent would have been lawfully entitled to have
    applied for an award at the time of his death the administrator
    may, after satisfactory proof to warrant an award and
    payment, award and pay an amount, not exceeding the
    compensation which the decedent might have received, but
    for his death, for the period prior to the date of his death, to
    such of the dependents of the decedent, or * * * as the
    administrator determines in accordance with the
    circumstances in each such case, but such payments may be
    made only in cases in which application for compensation was
    made in the manner required by this chapter, during the
    lifetime of such injured or disabled person, or within one year
    after the death of such injured or disabled person.
    {¶ 36} It is undisputed that relator's request for TTD compensation was timely
    filed. Both hearing officers focused on the dates of their respective hearings (December 16,
    2014 and February 2, 2015). At the time of the hearings, the Marion County Court of
    Common Pleas had determined that, due to decedent's death and his then inability to
    prove anew that he was entitled to participate in the workers' compensation fund for
    those additional conditions, decedent was not entitled to participate for either of those
    two conditions. As such, both hearing officers concluded that relator's timely request for
    TTD compensation was based on conditions for which the decedent's claim was not
    allowed and denied her request for TTD compensation solely on those grounds.
    No. 15AP-496                                                                           14
    {¶ 37} The magistrate agrees with the parties' acknowledgment that there is no
    case law directly on point and that R.C. 4123.60 specifically provides that the
    administrator may award and pay to a dependent the compensation which would have
    otherwise been payable to the decedent. Nevertheless, the magistrate finds that the
    commission's reason for denying relator's request for compensation does constitute an
    abuse of discretion.
    {¶ 38} As noted earlier in this decision, once a claimant's claim is allowed for
    certain conditions, an employer may still challenge in the common pleas court the
    claimant's right to participate in the workers' compensation fund for those allowed
    conditions. While the claimant has the burden of proving anew their right to participate
    for those allowed conditions, the claimant may apply for and be awarded benefits
    including compensation. Stated differently, at the time the employer files a notice of
    appeal, the claimant's claim is, on the one hand allowed for those conditions and, on the
    other hand, not yet allowed for those conditions. Because decedent was entitled to apply
    for TTD compensation at the time of his death, his surviving spouse, relator herein, was
    likewise entitled to apply for TTD compensation after he died.
    {¶ 39} Relator argues that by choosing to focus on the date of the hearings instead
    of decedent's death, the commission essentially eviscerated the intent of R.C. 4123.60. At
    the time of his death, decedent's claim was additionally allowed for these conditions and
    there is no way to know whether or not a jury would have agreed or concluded otherwise.
    In ruling the way it did, the Marion County Court of Common Pleas determined the
    outcome by stating that decedent was not entitled to participate for those conditions
    without considering the evidence. The commission determined that it was bound to apply
    the court's conclusion as it related to relator's claim under R.C. 4123.60.
    {¶ 40} R.C. 4123.95 mandates that the workers' compensation statutes be liberally
    construed in favor of employees and the dependents of deceased employees. Where is the
    liberal construction here? If only decedent would have requested TTD compensation at
    the same time he sought the allowance of additional conditions or relator filed her R.C.
    4123.60 claim immediately after her husband died, compensation would likely have been
    awarded. Unfortunately, relator waited and, although her motion was timely, the Marion
    No. 15AP-496                                                                            15
    County Court of Common Pleas filed its dismissal entry before a hearing was held on her
    motion.
    {¶ 41} There is no fairness here. Although R.C. 4123.60 provides that an award
    may be made and the commission might find either that the medical evidence does not
    support the award or find that relator should not receive the entire award, it was an abuse
    of discretion for the commission to deny her compensation for the reason it did.
    {¶ 42} Based on the foregoing, it is this magistrate's decision that the commission
    did abuse its discretion when it refused to consider relator's application under R.C.
    4123.60 to receive the TTD compensation to which decedent may have been entitled at
    the time of his death based solely on the fact that the Marion County Court of Common
    Pleas determined that decedent's death was equivalent to finding that he was not entitled
    to participate for those conditions.     This court should issue a writ of mandamus
    remanding this matter to the commission for it to determine the merits of relator's
    request for TTD compensation and to determine whether or not any such compensation
    will be paid to her.
    /S/ MAGISTRATE
    STEPHANIE BISCA
    NOTICE TO THE PARTIES
    Civ.R. 53(D)(3)(a)(iii) provides that a party shall not assign as
    error on appeal the court's adoption of any factual finding or
    legal conclusion, whether or not specifically designated as a
    finding of fact or conclusion of law under Civ.R.
    53(D)(3)(a)(ii), unless the party timely and specifically objects
    to that factual finding or legal conclusion as required by Civ.R.
    53(D)(3)(b).
    

Document Info

Docket Number: 15AP-496

Citation Numbers: 2016 Ohio 7704

Judges: Brown

Filed Date: 11/10/2016

Precedential Status: Precedential

Modified Date: 11/16/2016