CHARLES RITCH, Claimant-Appellant v. PROFESSIONAL TRANSPORTATION, INC., Employer-Respondent and TREASURER OF THE STATE OF MISSOURI, CUSTODIAN OF THE SECOND INJURY FUND ( 2020 )


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  • CHARLES RITCH,                               )
    )
    Claimant-Appellant,                  )
    )
    v.                                           )      No. SD36435
    )      Filed: March 16, 2020
    PROFESSIONAL TRANSPORTATION,                 )
    INC.,                                        )
    )
    Employer-Respondent,                 )
    )
    and TREASURER OF THE STATE OF                )
    MISSOURI, CUSTODIAN OF THE                   )
    SECOND INJURY FUND,                          )
    )
    Respondent.                          )
    APPEAL FROM THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
    AFFIRMED
    Charles Ritch (Employee) appeals from a decision by the Labor and Industrial
    Relations Commission (Commission) that dismissed Employee’s petition to change or
    review a compromise settlement (the Petition). The Petition alleged that Employee’s
    worsening condition meant “the award of 31% of the body as a whole is no longer
    reasonable and should be increased[.]” The Commission dismissed the Petition for lack of
    statutory authority to consider it. The Commission’s decision was correct and is affirmed.
    Employee suffered a back injury at work on June 11, 2014. He filed a claim on
    November 30, 2015. On April 17, 2017, a compromise settlement of the claim was
    approved by an administrative law judge (ALJ). The settlement acknowledged that
    Employee’s medical expenses of $115,270.44 had been paid and that he had received
    $14,036.50 for temporary disability. Because the parties disputed the nature and extent of
    permanent partial disability, they agreed to a compromise lump-sum settlement pursuant
    to § 287.390.1 Employee received $26,000, which was based upon an approximate
    disability of 31% of the “body as a whole (spine).” The claim was left open as to future
    medical treatment/expense. Employee signed the compromise settlement. In relevant part,
    this document informed Employee:
    THE EMPLOYEE UNDERSTANDS: by entering this settlement, … the
    EMPLOYEE is forever closing out this claim under the Missouri Workers’
    Compensation Law; that EMPLOYEE will receive no further compensation
    … by reason of this accident/disease[.]
    On August 7, 2019, Employee filed the Petition, which was entitled “PETITION
    TO CHANGE OR REVIEW AWARD UNDER RSMO. 287.470[.]” In relevant part, the
    Petition alleged that Employee’s condition had worsened since the compromise settlement
    was approved. Paragraph 9 of the Petition then alleged: “Because of the worsening
    condition the award of 31% of the body as a whole is no longer reasonable and should be
    increased” pursuant to § 287.470. The Petition concluded with a request for the following
    relief:       “WHEREFORE, [Employee] prays that the disability under the award be
    increased.”
    1
    All references to statutes are to RSMo (2016).
    2
    The Commission decided that § 287.470 did not provide statutory authority to
    review and change a compromise settlement approved by an ALJ. Therefore, it dismissed
    the Petition. This appeal followed.
    Employee’s point on appeal challenges the Commission’s decision concerning its
    statutory authority to review the Petition on the merits. This is a question of law which we
    review de novo. See Spradling v. SSM Health Care St. Louis, 
    313 S.W.3d 683
    , 686 (Mo.
    banc 2010); Morris v. Captain D’s, 
    537 S.W.3d 420
    , 423 (Mo. App. 2018). Employee
    contends the Commission did have statutory authority to award additional compensation
    to Employee pursuant to § 287.470 because his compromise settlement left future medical
    treatment/expense open. Employee’s argument is not supported by the language of that
    statute, which states:
    Upon its own motion or upon the application of any party in interest on the
    ground of a change in condition, the commission may at any time upon a
    rehearing after due notice to the parties interested review any award and on
    such review may make an award ending, diminishing or increasing the
    compensation previously awarded, subject to the maximum or minimum
    provided in this chapter, and shall immediately send to the parties and the
    employer’s insurer a copy of the award. No such review shall affect such
    award as regards any moneys paid.
    § 287.470. Employee’s argument assumes that the reference to “any award” includes a
    compromise settlement. That is incorrect. As this Court held in Shockley v. Laclede Elec.
    Co-op., 
    825 S.W.2d 44
    (Mo. App. 1992), “[a] settlement under § 287.390 is not an award
    which is subject to review under § 287.470.” 
    Id. at 47.
    Instead, a compromise settlement
    must be approved by an ALJ or the Commission pursuant to § 287.390. In relevant part,
    this statute states:
    Parties to claims hereunder may enter into voluntary agreements in
    settlement thereof, but no agreement by an employee or his or her
    dependents to waive his or her rights under this chapter shall be valid, nor
    3
    shall any agreement of settlement or compromise of any dispute or claim
    for compensation under this chapter be valid until approved by an
    administrative law judge or the commission, nor shall an administrative law
    judge or the commission approve any settlement which is not in accordance
    with the rights of the parties as given in this chapter. No such agreement
    shall be valid unless made after seven days from the date of the injury or
    death. An administrative law judge, or the commission, shall approve a
    settlement agreement as valid and enforceable as long as the settlement is
    not the result of undue influence or fraud, the employee fully understands
    his or her rights and benefits, and voluntarily agrees to accept the terms of
    the agreement.
    § 287.390.1. Once a compromise settlement has been approved, the Commission lacks the
    statutory authority to set it aside. 
    Shockley, 825 S.W.2d at 47
    .
    Employee argues that the Commission had the statutory authority to review the
    Petition because the compromise settlement left future medical treatment/expense open.
    To support that argument, Employee cites State ex rel. ISP Minerals, Inc. v. Labor &
    Indus. Relations Comm’n, 
    465 S.W.3d 471
    (Mo. banc 2015).
    We conclude that ISP Minerals, Inc. is factually distinguishable. In ISP Minerals,
    Inc., our Supreme Court held that the Commission had the authority to determine the
    employee’s entitlement to future medical care because that aspect of the claim was left
    open. 
    Id. at 474-75.
    The instant case is different because Employee is not asking the Commission to
    decide his entitlement to future medical care. Instead, he is asking the Commission to set
    aside the prior compromise settlement and award him a higher percentage of permanent
    partial disability based upon his asserted worsening condition.         We conclude the
    Commission lacks the statutory authority to do so. The ISP Minerals, Inc. case does not
    stand for the proposition that the Commission has the statutory authority to review all
    issues which may arise in a compromise settlement that contains some open future issue,
    4
    as explained in Davidson v. Davidson Masonry & Constr., LLC, 
    583 S.W.3d 517
    (Mo.
    App. 2019):
    Instead, ISP Minerals, Inc. expressly states that the “[e]mployee is seeking
    to determine whether he is entitled to benefits pursuant to the settlement
    which expressly left ‘future related pulmonary med[ical] care open.’” 
    Id. at 475.
    In that case, the issue brought before the Commission for review
    was the issue specifically left open for future determination. Such is not the
    case here. Davidson seeks the Commission’s review of whether the
    Settlement should be set aside in its entirety because of the allegation that
    it was obtained fraudulently based on an improper rate of temporary total
    disability. This issue is not tangentially or even tenuously related to the
    future medical care issue left open.
    
    Id. at 520-21.
    We reach the same conclusion here. Employee is not asking the Commission
    to decide an issue of future medical care. Instead, he is asking the Commission to set aside
    the compromise settlement and increase the rating of 31% body as a whole for permanent
    partial disability. The Commission has no statutory authority to do so, so it properly
    dismissed the Petition.
    Employee’s point is denied, and the Commission’s decision is affirmed.
    JEFFREY W. BATES, C.J. – OPINION AUTHOR
    DANIEL E. SCOTT, P.J. – CONCUR
    DON E. BURRELL, J. – CONCUR
    5
    

Document Info

Docket Number: SD36435

Judges: Judge Jeffrey W. Bates

Filed Date: 3/16/2020

Precedential Status: Precedential

Modified Date: 3/16/2020