Matuszczak v. The Illinois Workers Compensation Commission , 22 N.E.3d 341 ( 2014 )


Menu:
  •                                
    2014 IL App (2d) 130532WC
                                         No. 2-13-0532WC
    Opinion filed September 30, 2014
    IN THE
    APPELLATE COURT OF ILLINOIS
    SECOND DISTRICT
    Workers’ Compensation Commission Division
    _____________________________________________________________________________
    WALTER MATUSZCZAK,                     ) Appeal from the Circuit Court of
    ) Du Page County.
    Appellee,                        )
    )
    v.                                     ) No. 12-MR-1631
    )
    THE ILLINOIS WORKERS’                  )
    COMPENSATION COMMISSION et al.         ) Honorable
    ) Bonnie M. Wheaton,
    (Wal-Mart, Appellant).                 ) Judge, Presiding.
    ______________________________________________________________________________
    JUSTICE HARRIS delivered the judgment of the court, with opinion.
    Justices Hoffman, Hudson, and Stewart concurred in the judgment and opinion.
    Presiding Justice Holdridge specially concurred, with opinion.
    OPINION
    ¶1     On March 26, 2010, claimant, Walter Matuszczak, filed an application for adjustment of
    claimant pursuant to the Workers’ Compensation Act (Act) (820 ILCS 305/1 to 30 (West 2008)),
    seeking benefits from the employer, Wal-Mart. Following a hearing, the arbitrator determined
    claimant sustained accidental injuries that arose out of and in the course of his employment on
    March 7, 2010, and awarded him (1) 232/7 weeks’ temporary total disability (TTD) benefits from
    June 13 to November 22, 2011; (2) $14,227.41 in medical expenses; and (3) prospective medical
    expenses in the form of a surgical procedure recommended by one of claimant’s doctors.
    
    2014 IL App (2d) 130532WC
    ¶2     On review, the Illinois Workers’ Compensation Commission (Commission) vacated the
    arbitrator’s TTD award but otherwise affirmed and adopted his decision. On judicial review, the
    circuit court of Du Page County reversed the portion of the Commission’s decision that vacated
    the arbitrator’s TTD award.       The employer appeals, arguing the Commission correctly
    determined claimant was not entitled to TTD after June 12, 2011, the date of his for-cause
    termination from employment. We affirm the circuit court’s judgment, reversing the portion of
    the Commission’s decision that vacated the arbitrator’s award. We reinstate the arbitrator’s TTD
    award and remand to the Commission for further proceedings pursuant to Thomas v. Industrial
    Comm’n, 
    78 Ill. 2d 327
    , 
    399 N.E.2d 1322
    (1980).
    ¶3                                     I. BACKGROUND
    ¶4     At arbitration, claimant testified he worked for the employer for over three years as a full-
    time night stocker. His job duties included taking 5- to 100-pound boxes off skids and neatly
    placing products in proper areas. On March 7, 2010, claimant injured his neck, back, and right
    arm at work when several fully stocked shelves of glass cleaner fell on top of him.
    ¶5     On March 9, 2010, claimant began seeking medical care.             Thereafter, he received
    conservative treatment from various providers and was consistently given modified-duty work
    restrictions. Following his accident, claimant returned to work for the employer in a light-duty
    capacity. On May 23, 2011, claimant saw Dr. Mark Lorenz, who recommended surgery on
    claimant’s cervical spine.
    ¶6     Claimant testified, on June 12, 2011, he was terminated from his employment for an
    incident unrelated to his work injury. Thereafter, claimant remained unemployed. On cross-
    examination claimant agreed that, at the time of his termination, he prepared a handwritten
    statement acknowledging that he stole cigarettes from the employer on June 3, 2011, and on a
    -2-
    
    2014 IL App (2d) 130532WC
    “couple of days” in May 2011. He agreed that, at the time he took the cigarettes, he understood
    that stealing is a crime and stealing from his employer could result in termination. Further,
    claimant acknowledged that, had he not stolen cigarettes, he might still have been working for
    the employer in a light-duty capacity at the time of arbitration. Claimant asserted he had looked
    for work within his light-duty restrictions but had not been successful.
    ¶7     On January 25, 2012, the arbitrator issued his decision in the matter. As stated, he
    determined claimant sustained accidental injuries that arose out of and in the course of his
    employment on March 7, 2010, and awarded him (1) 232/7 weeks’ TTD benefits; (2) $14,227.41
    in medical expenses; and (3) prospective medical expenses in the form of the surgery
    recommended by Dr. Lorenz. The arbitrator’s TTD award extended from June 13, 2010, the day
    after claimant was terminated from his employment for stealing, to November 22, 2011, the date
    of the arbitration hearing. With respect to TTD, the arbitrator noted claimant was subject to
    light-duty restrictions that were being accommodated by the employer at the time of his
    termination, he did not return to work after being terminated, and claimant testified that he tried
    looking for work within his restrictions. He further stated as follows:
    “In Interstate Scaffolding Inc. v. Illinois Workers’ Compensation Commission,
    236 Ill[.] 2d 132, 
    923 N.E.2d 266
    (2010), the court found that the employer was obligated
    to pay TTD benefits even when the employee has been discharged, whether or not the
    discharge was for cause, and that when an injured employee has been discharged by his
    employer the inquiry for deciding his entitlement to TTD benefits remains, as always,
    whether the claimant’s condition has stabilized. More to the point, the court noted that if
    the injured employee is able to show that he continues to be temporarily totally disabled
    as a result of his work[-]related injury, the employee is entitled to these benefits.”
    -3-
    
    2014 IL App (2d) 130532WC
    The arbitrator based his TTD award on findings that claimant had “remained under the same
    light[-]duty restrictions imposed at the time of his termination.”      Further, he determined
    claimant’s condition had not stabilized at the time of arbitration and claimant had not reached
    maximum medical improvement (MMI).
    ¶8     On October 5, 2012, the Commission vacated the arbitrator’s award of 232/7 weeks’ TTD
    benefits but otherwise affirmed and adopted his decision. It noted that a claimant’s benefits may
    be terminated or suspended if he refuses work within his physical restrictions and agreed with
    the employer's position that claimant’s theft of cigarettes from the employer, coupled with
    claimant’s knowledge that his theft could lead to termination, constituted a refusal of work
    within his physical restrictions by claimant. The Commission further stated as follows:
    “We do not believe the Interstate Scaffolding court was proscribing all use of discretion
    in cases involving employment termination; rather, as stated previously, we believe the
    court was rejecting an analysis of the propriety of the discharge and rejecting an
    automatic suspension or termination of [TTD] benefits in cases involving employment
    termination.”
    ¶9     On April 23, 2013, the circuit court of Du Page County reversed the portion of the
    Commission’s decision that vacated the arbitrator’s TTD award.
    ¶ 10   This appeal followed.
    ¶ 11                                    II. ANALYSIS
    ¶ 12   On appeal, the employer argues the Commission’s finding that claimant was not entitled
    to TTD benefits following his June 2011 termination from employment was neither contrary to
    law nor against the manifest weight of the evidence. It maintains that, although Interstate
    Scaffolding prohibits the automatic suspension or termination of TTD benefits when a claimant
    -4-
    
    2014 IL App (2d) 130532WC
    is fired for reasons unrelated to his injury, it does “not proscribe all use of discretion [by the
    Commission] when deciding whether an employer remains liable for TTD” following an
    employee’s discharge. Thus, the employer contends the Commission was free to exercise its
    discretion in the instant case to determine that claimant’s decision to steal from the employer
    when he admittedly knew such action could result in his termination was the equivalent of
    refusing work within his physical restrictions and a valid basis for suspending or terminating
    TTD.
    ¶ 13   Claimant argues the analysis used by the Commission to deny him TTD benefits
    following his termination from employment was contrary to law pursuant to Interstate
    Scaffolding. He contends that case is factually similar to the present case and prohibits the
    Commission from delving into the reasons for termination, which he alleges the Commission
    impermissibly did in this case.
    ¶ 14   “A claimant is temporarily totally disabled from the time an injury incapacitates him
    from work until such time as he is as far recovered or restored as the permanent character of his
    injury will permit.” Westin Hotel v. Industrial Comm’n, 
    372 Ill. App. 3d 527
    , 542, 
    865 N.E.2d 342
    , 356 (2007). “It is a well-settled principle that when a claimant seeks TTD benefits, the
    dispositive inquiry is whether the claimant’s condition has stabilized, i.e., whether the claimant
    has reached [MMI].” Interstate 
    Scaffolding, 236 Ill. 2d at 142
    , 923 N.E.2d at 271. Further, “[t]o
    be entitled to TTD, a claimant must show not only that he did not work but that he could not
    work.” Residential Carpentry, Inc. v. Illinois Workers’ Compensation Comm’n, 
    389 Ill. App. 3d 975
    , 981, 
    910 N.E.2d 109
    , 115 (2009). TTD benefits may be suspended or terminated if the
    employee (1) refuses to submit to medical, surgical, or hospital treatment essential to his
    recovery; (2) fails to cooperate in good faith with rehabilitation efforts; or (3) refuses work
    -5-
    
    2014 IL App (2d) 130532WC
    falling within the physical restrictions prescribed by his doctor. Interstate Scaffolding, 
    236 Ill. 2d
    at 
    146, 923 N.E.2d at 274
    .
    ¶ 15   “Before a reviewing court may overturn a decision of the Commission, the court must
    find that the award was contrary to law or that the Commission’s factual determinations were
    against the manifest weight of the evidence.”           Beelman Trucking v. Illinois Workers’
    Compensation Comm’n, 
    233 Ill. 2d 364
    , 370, 
    909 N.E.2d 818
    , 822 (2009). Generally, the period
    during which a claimant is entitled to TTD benefits is a factual determination for the
    Commission and its decision will not be disturbed unless it is against the manifest weight of the
    evidence.   Westin 
    Hotel, 372 Ill. App. 3d at 542
    , 865 N.E.2d at 356.            However, “if the
    Commission relies on a legally erroneous premise to find a fact, the resulting decision is contrary
    to law and must be reversed.” Franklin v. Industrial Comm’n, 
    211 Ill. 2d 272
    , 282-83, 
    811 N.E.2d 684
    , 691 (2004). “On questions of law, review is de novo, and a court is not bound by
    the decision of the Commission.” Beelman 
    Trucking, 233 Ill. 2d at 370
    , 909 N.E.2d at 822.
    ¶ 16   Here, the parties disagree on whether the Commission utilized the correct legal analysis
    in vacating the arbitrator’s award of TTD benefits following claimant’s termination from his
    employment. This issue presents a question of law and is subject to de novo review.
    ¶ 17   In Interstate Scaffolding, 
    236 Ill. 2d
    at 
    136, 923 N.E.2d at 268
    , the claimant sustained
    work-related injuries to his head, neck, and back but was able to return to work for the employer
    in a light-duty capacity. Following his return to work, a conflict arose between the claimant and
    the assistant to the employer’s president, culminating in the claimant’s termination from
    employment. Interstate Scaffolding, 
    236 Ill. 2d
    at 
    136-37, 923 N.E.2d at 268-69
    . The stated
    reason for the claimant’s dismissal was defacement of the employer’s property due to the
    claimant writing religious graffiti in the employer’s storage room. Interstate Scaffolding, 236 Ill.
    -6-
    
    2014 IL App (2d) 130532WC
    2d at 
    137-38, 923 N.E.2d at 269
    . Although the claimant admitted to writing religious slogans in
    the storage room, he did not believe those writings were the reason for his dismissal, stating
    other employees had written on the shelves or walls of the storage room without repercussion.
    Interstate Scaffolding, 
    236 Ill. 2d
    at 
    138-39, 923 N.E.2d at 269-70
    .
    ¶ 18   Following a hearing, the arbitrator determined the claimant was not entitled to TTD
    benefits subsequent to his termination. Interstate Scaffolding, 
    236 Ill. 2d
    at 
    139, 923 N.E.2d at 270
    . The Commission modified that portion of the arbitrator’s decision, finding the claimant’s
    condition had not stabilized as of the date of arbitration and he was entitled to TTD benefits for
    the period of time between his termination and the arbitration hearing. Interstate Scaffolding,
    
    236 Ill. 2d
    at 
    140, 923 N.E.2d at 270
    . On appeal, this court reversed the Commission’s award of
    TTD benefits, “holding that an employer may cease paying TTD benefits if the injured employee
    commits a volitional act of misconduct that serves as justification for his termination.” Interstate
    
    Scaffolding, 236 Ill. 2d at 142
    , 923 N.E.2d at 271 (citing Interstate Scaffolding, Inc. v. Illinois
    Workers’ Compensation Comm’n, 
    385 Ill. App. 3d 1040
    , 1047, 
    896 N.E.2d 1132
    , 1139 (2008)).
    ¶ 19   Ultimately, the supreme court reversed this court's decision and reinstated the
    Commission's TTD award, holding “that when an employee who is entitled to receive workers’
    compensation benefits as a result of a work-related injury is later terminated for conduct
    unrelated to the injury, the employer’s obligation to pay TTD workers’ compensation benefits
    continues until the employee’s medical condition has stabilized and he has reached [MMI].”
    Interstate Scaffolding, 
    236 Ill. 2d
    at 
    135-36, 923 N.E.2d at 268
    . In reaching its decision, the
    court rejected this court’s finding that the critical inquiry in determining a claimant’s entitlement
    to TTD benefits when leaving the workforce was whether the departure was voluntary.
    Interstate Scaffolding, 
    236 Ill. 2d
    at 
    143-45, 923 N.E.2d at 272-73
    . The court noted that
    -7-
    
    2014 IL App (2d) 130532WC
    “worker’s compensation is a statutory remedy” and “[a]ny action taken by the Commission must
    be specifically authorized by statute.” Interstate Scaffolding, 
    236 Ill. 2d
    at 
    145, 923 N.E.2d at 273-74
    . Further it stated as follows:
    “Looking to the Act, we find that no reasonable construction of its provisions
    supports a finding that TTD benefits may be denied an employee who remains injured,
    yet has been discharged by his employer for ‘volitional conduct’ unrelated to his injury.
    A thorough examination of the Act reveals that it contains no provision for the denial,
    suspension, or termination of TTD benefits as a result of an employee's discharge by his
    employer. Nor does the Act condition TTD benefits on whether there has been ‘cause’
    for the employee’s dismissal.       Such an inquiry is foreign to the Illinois workers’
    compensation system.” Interstate Scaffolding, 
    236 Ill. 2d
    at 
    146, 923 N.E.2d at 274
    .
    ¶ 20   The supreme court held “that an employer’s obligation to pay TTD benefits to an injured
    employee does not cease because the employee had been discharged—whether or not the
    discharge was for ‘cause’ ” and “[w]hen an injured employee has been discharged by his
    employer, the determinative inquiry for deciding entitlement to TTD benefits remains, as always,
    whether the claimant’s condition has stabilized.” (Emphasis added.) Interstate Scaffolding, 
    236 Ill. 2d
    at 
    149, 923 N.E.2d at 276
    . Further, the court stated as follows:
    “It remains the law in Illinois that an at-will employee may be discharged for any
    reason or no reason. [Citation.] Whether an employee has been discharged for a valid
    cause, or whether the discharge violates some public policy, are matters foreign to
    workers’ compensation cases. An injured employee’s entitlement to TTD benefits is a
    completely separate issue and may not be conditioned on the propriety of the discharge.”
    Interstate Scaffolding, 
    236 Ill. 2d
    at 
    149, 923 N.E.2d at 276
    .
    -8-
    
    2014 IL App (2d) 130532WC
    ¶ 21   Cleary, the supreme court’s holding in Interstate Scaffolding prohibits the automatic
    denial of TTD benefits to an injured employee when the employee has been discharged from
    work by the employer. However, that is not the extent of the court’s holding. In addition to
    proscribing the denial of TTD based solely on an employee’s discharge, the court also clearly
    held that when an employee who is entitled to benefits under the Act is terminated for conduct
    unrelated to his injury, the employer's TTD obligation continues “until the employee’s medical
    condition has stabilized.” Interstate Scaffolding, 
    236 Ill. 2d
    at 
    135-36, 923 N.E.2d at 268
    . This
    is true even in cases of for-cause dismissal. In so holding, the court expressly rejected an
    interpretation of the Act that would support a denial of TTD where an employee’s volitional
    conduct was the basis for termination.
    ¶ 22   Here, the employer agrees claimant sustained a compensable work injury on March 7,
    2010. Also, it is undisputed that claimant was discharged by the employer for acts unrelated to
    his injury. Thus, the appropriate inquiry for the Commission was whether claimant’s medical
    condition had stabilized at the time of his termination. As to that issue, the undisputed facts
    show claimant was placed on light-duty work restrictions following his accident and he remained
    under light-duty restrictions after his June 2011 termination.         Both the arbitrator and the
    Commission determined claimant was entitled to prospective medical expenses for surgery
    necessary to treat his work injury, that claimant had not reached MMI, and that claimant’s
    condition had not stabilized. These findings are not challenged on appeal. Thus, the evidence
    was sufficient to show, at the time of his termination, claimant continued to be temporarily
    totally disabled as a result of his work-related injury. Such a showing entitled him to TTD
    benefits from the time of his termination to the date of arbitration. Interstate Scaffolding, 
    236 Ill. 2d
    at 
    149, 923 N.E.2d at 276
    (“If the injured employee is able to show that he continues to be
    -9-
    
    2014 IL App (2d) 130532WC
    temporarily totally disabled as a result of his work-related injury, the employee is entitled to
    TTD benefits.”).
    ¶ 23   Nevertheless, despite finding claimant’s condition was not stabilized, the Commission
    determined it had discretion to find the conduct that resulted in claimant’s termination amounted
    to a refusal of light-duty work and was, therefore, a sufficient basis for denying TTD benefits. In
    Interstate Scaffolding, 
    236 Ill. 2d
    at 
    146-47, 923 N.E.2d at 274
    , the supreme court acknowledged
    that TTD benefits may be suspended or terminated when a claimant refuses work within his
    physical restrictions; however it also determined such a situation did not exist in the case before
    it—a case where the claimant was entitled to benefits under the Act and had returned to light-
    duty work for the employer but was later terminated for conduct unrelated to his injury. We find
    these circumstances are the same as those presented in the case at bar.
    ¶ 24   On appeal, the employer argues Interstate Scaffolding is factually distinguishable because
    claimant in this case acknowledged that he knew his conduct (stealing from the employer) could
    have resulted in his termination. We disagree. Like the claimant in Interstate Scaffolding,
    claimant in this case sustained compensable work-related injuries, returned to work in a light-
    duty capacity for the employer (for over a year in the case at bar), and was terminated by the
    employer for conduct unrelated to his work injury. Just as the facts of Interstate Scaffolding did
    not amount to a refusal of light-duty work, the facts here also fail to present such a situation.
    ¶ 25   Additionally, we find nothing in the supreme court’s decision that would show the result
    in Interstate Scaffolding was dependent upon the claimant’s knowledge, or lack thereof, as to
    whether his conduct could result in termination. As the supreme court pointed out, in Illinois, an
    at-will employee may be discharged for any reason or no reason and whether an employee is
    justifiably discharged is a matter “foreign to workers’ compensation cases” and completely
    - 10 -
    
    2014 IL App (2d) 130532WC
    separate from issues related to an injured employee's entitlement to TTD. Interstate Scaffolding,
    
    236 Ill. 2d
    at 
    149, 923 N.E.2d at 276
    . Whether claimant was appropriately discharged, or knew
    he could be as a result of his conduct, was not an appropriate consideration for the Commission
    under the circumstances presented.
    ¶ 26    The record shows claimant was entitled to benefits under the Act as a result of his work-
    related injury but was terminated from his employment for conduct unrelated to his injury. Per
    Interstate Scaffolding, the critical inquiry for the Commission when determining claimant’s
    entitlement to TTD was whether his medical condition had stabilized and he had reached MMI.
    The Commission went beyond such considerations in vacating the arbitrator’s award of TTD and
    its decision is contrary to law.
    ¶ 27                                    III. CONCLUSION
    ¶ 28    For the reasons stated, we affirm the circuit court’s judgment, reversing the portion of the
    Commission’s decision which vacated the arbitrator’s award. We reinstate the arbitrator’s TTD
    award and remand to the Commission for further proceedings pursuant to Thomas, 
    78 Ill. 2d 327
    ,
    
    399 N.E.2d 1322
    .
    ¶ 29    Judgment affirmed and arbitrator’s award reinstated; cause remanded.
    ¶ 30    PRESIDING JUSTICE HOLDRIDGE, specially concurring.
    ¶ 31    I agree that the judgment of the circuit court should be affirmed and the arbitrator’s
    award should be reinstated with the cause remanded to the Commission. I write separately in
    order to clarify the majority’s analysis of Interstate Scaffolding, Inc. v. Illinois Workers’
    Compensation Comm’n, 
    236 Ill. 2d
    132 (2010). In that case, a majority of this court held that an
    employer could cease payment of TTD benefits if the injured employee committed a volitional
    act of misconduct that justified his termination. Interstate Scaffolding, Inc. v. Illinois Workers’
    - 11 -
    
    2014 IL App (2d) 130532WC
    Compensation Comm’n, 
    385 Ill. App. 3d 1040
    , 1047 (2008). As the majority herein points out,
    our supreme court subsequently rejected this analysis, holding that an employer’s obligation to
    pay TTD benefits does not cease when an employee has been discharged. Interstate Scaffolding,
    
    236 Ill. 2d
    at 145. Rather, “the determinative inquiry for deciding entitlement to TTD benefits
    remains, as always, whether the claimant’s condition has stabilized.”           (Emphasis added.)
    Interstate Scaffolding, 
    236 Ill. 2d
    at 149.
    ¶ 32   I write separately to point out that the appellate court's decision in Interstate Scaffolding
    was not unanimous. The dissent pointed out that the determinative inquiry should not be
    whether the employer had just cause to terminate the employee, but whether the employer’s
    refusal to continue to pay TTD benefits after the termination was permissible under the Act.
    Interstate 
    Scaffolding, 385 Ill. App. 3d at 1052
    (Donovan, J., dissenting, joined by Holdridge, J.).
    The dissent further pointed out that, even if the employer could establish that a claimant’s
    employment was terminated for misconduct, the claimant should nonetheless be allowed to
    establish that his work-related injuries and medical restrictions “prevent[ed] him from securing
    employment at pre-injury work levels.” 
    Id. If so,
    the dissent reasoned, he should be allowed to
    continue receiving TTD benefits. 
    Id. While our
    supreme court did not expressly adopt the
    analysis articulated in the dissent, I maintain that the analysis in the dissent is fully consistent
    with the supreme court’s holding.
    - 12 -