Julie Munoz v. Sonic Restaurants 10 and Hartford Accident & indemnity/gallagher Bassett , 234 Ariz. 145 ( 2014 )


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  •                              IN THE
    ARIZONA COURT OF APPEALS
    DIVISION TWO
    JULIE A. MUNOZ,
    Petitioner Employee,
    v.
    THE INDUSTRIAL COMMISSION OF ARIZONA
    Respondent,
    SONIC RESTAURANTS #10,
    Respondent Employer,
    HARTFORD ACCIDENT & INDEMNITY/GALLAGHER BASSETT,
    Respondent Insurer.
    No. 2 CA-IC 2013-0001
    Filed February 10, 2014
    Special Action – Industrial Commission
    ICA Claim No. 20112340156
    Insurer No. 001461041756WC01
    Jacqueline Wohl, Administrative Law Judge
    AWARD AFFIRMED
    COUNSEL
    The Hansen Firm, PLLC, Tucson
    By Deborah P. Hansen
    Counsel for Petitioner Employee
    The Industrial Commission of Arizona, Phoenix
    By Andrew F. Wade
    Counsel for Respondent
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    Jones, Skelton & Hochuli, P.L.C., Phoenix
    By Gregory L. Folger, Lori L. Voepel, and Jennifer B. Anderson
    Counsel for Respondents Employer and Insurer
    OPINION
    Presiding Judge Kelly authored the opinion of the Court, in which
    Judge Espinosa and Judge Eckerstrom concurred.
    K E L L Y, Presiding Judge:
    ¶1          In this statutory special action, petitioner Julie Munoz
    challenges the Industrial Commission’s workers’ compensation
    award, claiming the administrative law judge (“ALJ”) improperly
    excluded from her average monthly wage the income she had
    contracted to receive from her horse training and rehabilitation
    business. For the following reasons, we affirm the ALJ’s award.
    Factual and Procedural Background
    ¶2          We view the evidence in the light most favorable to
    upholding the ALJ’s award. Sw. Gas Corp. v. Indus. Comm’n, 
    200 Ariz. 292
    , ¶ 2, 
    25 P.3d 1164
    , 1166 (App. 2001). In 2011, Munoz
    injured her shoulder while working for respondent Sonic
    Restaurants. She filed a claim for workers’ compensation benefits
    for the industrial injury. Hartford, the respondent insurer, accepted
    her claim and based her compensation of $524.98 on her average
    monthly wage (“AMW”) from Sonic. The Industrial Commission of
    Arizona approved that amount. At a hearing, the parties stipulated
    that this amount should be increased to $1,570.68 to include wages
    from Munoz’s concurrent job at a home improvement store.
    ¶3           Munoz, however, claimed that her AMW calculation
    also should include earnings from the horse training and
    rehabilitation business she had established just before her injury.
    She alleged at the hearing and in a post-hearing memorandum that
    she already had received five contracts to train and rehabilitate
    horses, which she claimed were “uncontradicted evidence of earning
    2
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    capacity as of the date of injury.”1 She testified at the hearing that
    she had not yet moved onto the property where she planned to
    board the horses, had not taken possession of any of the horses, and
    had not received payment on any of the contracts other than a $100
    deposit from one horse owner.2
    ¶4          Following the hearing, the ALJ adopted the parties’
    stipulated amount of Munoz’s monthly wages from Sonic and the
    home improvement store. After noting that AMW should be
    determined by examining what a claimant actually earns during the
    thirty days prior to the industrial industry, the ALJ concluded the
    horse contracts represented prospective income that could not
    properly be calculated as AMW. The ALJ further found that the
    “Contracting Agreements” for the prospective earnings described an
    independent contractor relationship between Munoz and the horse
    owners and, as such, were not subject to the Workers’ Compensation
    Act (“the Act”) nor properly calculable as AMW. The ALJ thus
    excluded the prospective horse business earnings from Munoz’s
    AMW calculation.
    ¶5          Munoz requested administrative review, and the ALJ
    affirmed the award. She then petitioned this court for review. We
    have jurisdiction of this statutory special action pursuant to A.R.S.
    §§ 12–120.21(A)(2) and 23–951(A), and Rule 10, Ariz. R. P. Spec.
    Actions.
    Discussion
    ¶6          We first determine whether Munoz was an independent
    contractor in her horse business, and whether any earnings from
    1The record shows Munoz contracted with five different horse
    owners to board, train, and rehabilitate the owners’ horses. The
    contract agreements were dated May 24, May 31, June 3, June 15,
    and June 24 of 2011. Munoz testified she was to receive a deposit
    from each owner when the horse was collected, and the balance
    when she had finished training and/or rehabilitating the horse.
    2Munoz  refunded this deposit when her injury prevented her
    from executing the contracts.
    3
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    that business therefore were outside the scope of the Act and
    properly excluded from the AMW calculation. Munoz argues the
    ALJ erred by so concluding.
    ¶7         In the “Decision Upon Hearing and Findings and
    Award Establishing Average Monthly Wage,” the ALJ concluded
    there was no evidence that [prospective
    income from the horse contracts] was
    subject to the Worker[s’] Compensation
    Act. The “Contracting Agreements” on
    their face describe an independent
    contractor relationship between the
    applicant and the horse owners. Because
    the applicant did not show that these
    earnings were subject to the Workers’
    Compensation Act, they cannot be
    considered in computing her average
    monthly wage.
    ¶8          The ALJ relied on A.R.S. § 23-902 and our supreme
    court’s holding in Faulkner v. Industrial Commission, 
    71 Ariz. 76
    , 
    223 P.2d 905
    (1950), in determining that income earned by a claimant
    who is not subject to the Act—such as an independent contractor—
    cannot be considered in an AMW calculation. Munoz claims,
    however, that the ALJ erred by conflating who properly may be
    covered under the Act with what wages may form the basis for the
    AMW calculation. She argues that the issue is “not whether
    [Munoz] is an employee of the horse-owners that she has contracted
    with” but whether the ALJ’s calculation of AMW improperly
    excluded wages from the horse training business that constituted
    real economic gain to Munoz.
    ¶9           We will uphold an ALJ’s factual findings if they are
    reasonably supported by the evidence. Micucci v. Indus. Comm’n, 
    108 Ariz. 194
    , 195, 
    494 P.2d 1324
    , 1325 (1972). And “[i]n any given case,
    the ALJ has discretion to choose the appropriate formula for
    calculating the average monthly wage” within the provided
    framework. Morse v. Indus. Comm’n, 
    213 Ariz. 575
    , ¶ 9, 
    146 P.3d 76
    ,
    78 (App. 2006). The determination that a claimant is an independent
    4
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    contractor, however, is a conclusion of law. Anton v. Indus. Comm’n,
    
    141 Ariz. 566
    , 569, 
    688 P.2d 192
    , 195 (App. 1984). Although we defer
    to the ALJ’s factual findings, we review questions of law de novo.
    Hahn v. Indus. Comm’n, 
    227 Ariz. 72
    , ¶ 5, 
    252 P.3d 1036
    , 1038 (App.
    2011).     In doing so, we liberally construe the Workers’
    Compensation Act in order to effectuate its remedial purpose.
    Schuck & Sons Constr. v. Indus. Comm’n, 
    213 Ariz. 74
    , ¶ 13, 
    138 P.3d 1201
    , 1204 (App. 2006). This includes a liberal construction of who
    may be considered an “employee” under the Act. See Hughes v.
    Indus. Comm’n, 
    113 Ariz. 517
    , 519, 
    558 P.2d 11
    , 13 (1976).
    ¶10        The determination of a claimant’s average monthly
    wage is governed by A.R.S. § 23-1041, which provides in pertinent
    part:
    A. Every employee of an employer within
    the provisions of this chapter who is
    injured by accident arising out of and in the
    course of employment . . . shall receive the
    compensation fixed in this chapter on the
    basis of the employee’s average monthly
    wage at the time of injury.
    ....
    G. For the purposes of this section,
    “monthly wage” means the average wage
    paid during and over the month in which
    the employee is killed or injured.
    Arizona courts have created the presumption that a claimant’s
    average monthly wage under subpart (G) is the income actually
    earned during the thirty days prior to injury. See Lowry v. Indus.
    Comm’n, 
    195 Ariz. 398
    , ¶¶ 6, 10, 
    989 P.2d 152
    , 154-55 (1999); Swift
    Transp. v. Indus. Comm’n, 
    189 Ariz. 10
    , 11, 
    938 P.2d 59
    , 60 (App.
    1996). However, when “‘the thirty-day period does not represent
    the earning capacity of a claimant, the ALJ may in its discretion look
    at a reasonable period beyond the given month to allow
    consideration of pertinent factors.’” Berryhill v. Indus. Comm’n, 232
    5
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    Ariz. 603, ¶ 7, 
    307 P.3d 1030
    , 1032 (App. 2013), quoting 
    Swift, 189 Ariz. at 11
    , 938 P.2d at 60.
    ¶11          When a claimant is concurrently employed at the time
    of injury, earnings from both positions may be aggregated to
    establish the claimant’s AMW. Wiley v. Indus. Comm’n, 
    174 Ariz. 94
    ,
    104, 
    847 P.2d 595
    , 605 (1993) (addressing “wages from concurrent
    dissimilar employment”).        The claimant has the burden of
    establishing concurrent employment and earnings on the date of
    injury. See Zapien v. Indus. Comm’n, 
    12 Ariz. App. 334
    , 336, 
    470 P.2d 482
    , 484 (1970).
    ¶12          If a claimant’s concurrent employment is not subject to
    the Workers’ Compensation Act, then the employee’s earnings from
    such employment cannot be considered for purposes of calculating
    AMW. See 
    Faulkner, 71 Ariz. at 78
    , 223 P.2d at 906; Wheeler v. Indus.
    Comm’n, 
    22 Ariz. App. 488
    , 490, 
    528 P.2d 874
    , 876 (1974); see also
    Arizona Workers’ Compensation Handbook § 7.3.3.2, at 7-15 (Ray Jay
    Davis et al. eds., 1992) (hereinafter “Handbook”). Independent
    contractors generally are excluded from coverage under the Act. See
    § 23-902(C), (D); Handbook § 2.2.2.3, at 2-9.
    ¶13          In Faulkner v. Industrial Commission, our supreme court
    concluded that in determining a claimant’s average monthly wage,
    the Industrial Commission did not err by failing to consider
    concurrent wages received from the claimant’s full-time, uninsured
    employment with the Veteran’s 
    Administration. 71 Ariz. at 77-78
    ,
    223 P.2d at 905-06. The court reasoned that the Act3 is based upon
    the principle of insurance and the Industrial Commission would be
    “derelict in its duty” if it included in the AMW calculation wages
    from an employer who “was neither covered nor could be covered
    by a policy with the commission.” 
    Id. 3 Although
    Faulkner and other older cases refer to the
    “Workmen’s Compensation Act,” rather than the current “Workers’
    Compensation Act,” both terms refer to the workmen’s
    compensation act mandated by article XVIII, § 8, Ariz. Const. See
    A.R.S. § 23-901(19).
    6
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    ¶14          In Wheeler v. Industrial Commission, the court considered
    whether a claimant’s independent self-employment wages should be
    included in computing his average monthly 
    wage. 22 Ariz. App. at 489
    , 528 P.2d at 875. In doing so, it noted that while § 23-1041
    intends that workers receive compensation reasonably representing
    their earning capacity at the time of the industrial accident, Faulkner
    nonetheless controlled the issue. 
    Id. at 490,
    528 P.2d at 876. The
    Wheeler court found that it would be “improper and unjust to shift
    the cost from the self-employed businessman to the employer
    purchasing workmen’s compensation insurance” and noted that
    self-employed workers had “alternatives available . . . to protect
    [themselves] against injury and loss of income which is uninsurable
    under the Arizona Workmen’s Compensation Act.” 
    Id. at 489-90,
    528 P.2d at 875-76. The court concluded that, under Faulkner, it
    would be improper to include earnings from concurrent self-
    employment in the AMW calculation. 
    Id. at 490,
    528 P.2d at 876.4
    The same reasoning applies here.
    ¶15          We next consider whether income from Munoz’s horse-
    care business arose from an independent contractor relationship
    with the horse owners, precluding its inclusion in the AMW
    calculation. See 
    Faulkner, 71 Ariz. at 78
    , 223 P.2d at 906; Wheeler, 22
    Ariz. App. at 
    490, 528 P.2d at 876
    ; see also Handbook § 7.3.3.2, at 7-15.
    Neither the presence nor the absence of a written contract controls
    whether a claimant is an independent contractor. 
    Anton, 141 Ariz. at 568
    , 688 P.2d at 194. Rather, “[t]he distinction between an employee
    and an independent contractor usually rests on the extent of control
    the employer may exercise over the details of the work.” Cent.
    4   Our supreme court has acknowledged that the Faulkner
    rationale has been subjected to broad criticism, e.g. Floyd Hartshorn
    Plastering Co. v. Indus. Comm’n, 
    16 Ariz. App. 498
    , 507, 
    494 P.2d 398
    ,
    407 (1972), but has chosen not to overrule its holding. Wiley v. Indus.
    Comm’n, 
    174 Ariz. 94
    , 102, 
    847 P.2d 595
    , 603 (1993). We thus agree
    with the Wheeler court that the Faulkner decision “still has legal and
    practical viability” and controls the issue. 22 Ariz. App. at 
    489-90, 528 P.2d at 875-76
    .
    7
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    Mgmt. Co. v. Indus. Comm’n, 
    162 Ariz. 187
    , 189, 
    781 P.2d 1374
    , 1376
    (App. 1989).
    ¶16           To determine who has the right to control, courts
    consider “various indicia of control” to resolve whether a claimant is
    an independent contractor or employee. Home Ins. Co. v. Indus.
    Comm’n, 
    123 Ariz. 348
    , 350, 
    599 P.2d 801
    , 803 (1979). Such indicia
    include, inter alia, the duration of employment, the method of
    remuneration, who furnishes equipment, who has the right to hire
    and fire, who bears responsibility for workmen’s compensation
    insurance, and the extent of the employer’s control over the details
    of the work. 
    Id. No one
    factor is determinative, as courts must look
    to the totality of the facts and circumstances. El Dorado Ins. Co. v.
    Indus. Comm’n, 
    25 Ariz. App. 617
    , 619, 
    545 P.2d 465
    , 467 (1976).
    ¶17         The evidence presented at the hearing established that
    Munoz was acting as an independent contractor while operating her
    horse business. The contracts, which were drafted by Munoz, refer
    to Munoz as “Contractor,” and the horse owners, respectively, as
    “Owner.” They obligate Munoz to “Train and Rehabilitate Horse(s)
    on the following estimated schedule”: 60 to 120 days for $500 per
    month for a minimum of 60 days; after that, the price will be
    reduced by $50 for each month the contract is extended.
    ¶18          Nothing in these contracts, which state they are the
    “entire agreement between the parties,” indicates that the horse
    owners had any right to control the manner in which Munoz trained
    or cared for the horses. Munoz presented no evidence that the horse
    owners had any control over Munoz’s schedule or that they
    furnished any equipment for her use. See 
    Zapien, 12 Ariz. App. at 336
    , 470 P.2d at 484 (claimant has burden of establishing average
    monthly wage). Munoz explained that the horse owners would pay
    her a deposit when she took possession of their horses and that the
    balance was to be paid when she was finished. Further, she
    expressly disclaimed responsibility and liability arising from
    “Feeding, shoeing, shots, and/or any Veterinarian expenses,”
    indicating that Munoz—and not the horse owners—determined the
    scope of her horse care and training duties. This evidence does not
    establish that Munoz was an employee of the horse owners and thus
    subject to the Workers’ Compensation Act. See Zapien, 
    12 Ariz. App. 8
                  MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    at 
    336, 470 P.2d at 484
    . We therefore conclude she was an
    independent contractor, and any income from the horse contracts
    properly was excluded from her AMW calculation.
    ¶19          At oral argument, Munoz urged us to disregard or
    overturn Faulkner and its progeny. 5 But, as the court in Wheeler
    correctly noted, it would be improper for this court to disregard our
    supreme court’s decision in Faulkner to conclude the Commission
    should have included wages from independent self-employment in
    Munoz’s AMW calculation. 22 Ariz. App. at 
    490, 528 P.2d at 876
    .
    “Whether prior decisions of the highest court in a state are to be
    disaffirmed is a question for the court which makes the decisions.”
    McKay v. Indus. Comm’n, 
    103 Ariz. 191
    , 193, 
    438 P.2d 757
    , 759 (1968).
    Further, in general, it is the sole prerogative of the Legislature to
    specify any additional persons or classes of persons who are to be
    considered employees within the meaning of the Workers’
    Compensation Act. Mitchell v. Gamble, 
    207 Ariz. 364
    , ¶ 19, 
    86 P.3d 944
    , 950 (App. 2004).
    ¶20           Munoz also argues for the first time in her reply brief
    that she is a sole proprietor, rather than an independent contractor.6
    She claims that because sole proprietors are contemplated under the
    Act, her anticipated horse business income should be calculable as
    AMW. She relies on § 23-901(6)(i) to argue that sole proprietors
    5Munoz    claimed, in part, that recent statutory changes should
    affect our analysis. But she did not develop this contention or
    support her claim with relevant legal authority, see Ariz. R. Civ.
    App. P. 13(a)(6), and did not raise this issue prior to oral argument,
    see Mitchell v. Gamble, 
    207 Ariz. 364
    , ¶ 16, 
    86 P.3d 944
    , 949-50 (App.
    2004) (“Generally, issues and arguments raised for the first time at
    oral argument on appeal are untimely and deemed waived.”).
    6Generally,  an issue raised for the first time in a reply brief is
    waived, although we may review it at our discretion. State v.
    Aleman, 
    210 Ariz. 232
    , ¶¶ 9-10, 
    109 P.3d 571
    , 575 (App. 2005); Ariz.
    R. Civ. App. P. 13(c) (reply brief “shall be confined strictly to
    rebuttal of points urged in the appellee’s brief”). In the exercise of
    that discretion, we briefly address the issue.
    9
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    potentially are eligible for coverage under the Act. That provision
    states in relevant part that
    [t]he sole proprietor of a business subject to
    this chapter may be deemed to be an employee
    entitled to benefits provided by this chapter on
    written acceptance, by endorsement, at the
    discretion of the insurance carrier of an
    application for coverage by the sole
    proprietor. The basis for computing premium
    payments and compensation benefits for the
    sole proprietor . . . is subject to the
    discretionary approval of the insurance
    carrier.
    ¶21         Under the Act, a sole proprietor may be entitled to
    benefits, but such a determination is at the discretion of the
    insurance carrier with whom the sole proprietor applies for workers’
    compensation coverage. § 23-901(6)(i). Munoz does not allege or
    demonstrate that she had applied for or obtained workers’
    compensation coverage for her horse business, or that she would
    have received benefits as a sole proprietor had she been injured
    while working in her horse business. See 
    Zapien, 12 Ariz. App. at 336
    , 470 P.2d at 484 (claimant has burden of establishing average
    monthly wage).7
    ¶22         Because we conclude that Munoz’s horse business
    income would arise from an independent contractor relationship
    with the horse owners, placing it outside the scope of the Act and
    thus not includable in her AMW, we do not address her separate
    7And,  as noted by the court in Wheeler, self-employed business
    persons have alternatives to the workers’ compensation scheme for
    protection against injury and loss of income. 
    22 Ariz. App. 488
    , 489-
    90, 
    528 P.2d 874
    , 875-76.
    10
    MUNOZ V. INDUS. COMM’N OF ARIZ.
    Opinion of the Court
    argument regarding whether prospective income may be included
    in the AMW calculation.8
    Disposition
    ¶23          For the foregoing reasons, the ALJ’s award is affirmed.
    8In her opening brief, Munoz also claims that “[i]n addition to
    the legal errors, what [the ALJ’s] Decision does is impermissibly
    shift the burden of the loss of wage earning and wage earning
    capacity to the Applicant.” She does not provide any case law or
    reasoning to support her burden-shifting argument. We thus do not
    consider it further. See Ariz. R. Civ. App. P. 13(a)(6) (appellate brief
    “shall contain . . . the issues presented, and the reasons therefor,
    with citations to the authorities, statutes and parts of the record
    relied on”).
    11