Flink v. American Alternative Insurance , 301 Mont. 223 ( 2000 )


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    No. 99-438
    IN THE SUPREME COURT OF THE STATE OF MONTANA
    
    2000 MT 224
    301 Mont. 223
    7 P. 3d 416
    ANNETTE FLINK,
    Petitioner and Appellant,
    v.
    AMERICAN ALTERNATIVE INSURANCE CO.,
    Respondent and Insurer for
    MISSOULA TEXTILE SERVICES, Employer,
    Defendants and Respondents.
    APPEAL FROM: District Court of the Judicial District,
    The Honorable Mike McCarter, Judge presiding.
    COUNSEL OF RECORD:
    For Appellant:
    Rex Palmer, Attorneys, Inc., P.C., Missoula, Montana
    For Respondent:
    William Dean Blackaby, The Blackaby Law Firm, P.C.,
    Helena, Montana
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    Submitted on Briefs: March 23, 2000
    Decided: August 15, 2000
    Filed:
    __________________________________________
    Clerk
    Justice Jim Regnier delivered the opinion of the Court.
    ¶1 Annette Flink appeals from the Findings of Fact, Conclusions of Law and Judgment of
    the Workers' Compensation Court awarding her a 20 percent penalty on retroactive
    benefits, denying her request for attorney fees, and holding that the insurer properly
    calculated her weekly wage using a 40-hour work week. We reverse. There is one
    dispositive issue on appeal: Whether the Workers' Compensation Court erred in
    concluding that Flink's average weekly wage was properly calculated?
    BACKGROUND
    ¶2 Flink was hired by Missoula Textile Services as a garment sorter and started work on
    May 19, 1998. On her first day of work, she suffered an injury to her left wrist. Flink
    worked approximately one and one-half hours the next day, May 20, 1998. She also
    worked for Missoula Textile Services between May 26 and June 11, 1998.
    ¶3 In September 1998 Flink hired counsel to assist her with her claim for workers'
    compensation benefits arising from her wrist injury. On September 23, 1998, Flink's
    counsel wrote American Alternative Insurance Co. (American), insurer for Missoula
    Textile Services, requesting that it initiate temporary total disability benefits retroactive to
    her last day of work. In response, American's claim adjuster began collecting medical and
    employment information on the claimant. In November 1998 Flink's treating orthopedic
    surgeon recommended surgery to treat her condition. American commenced paying
    temporary total disability benefits on December 14, 1998, retroactive to November 21,
    1998, the day after Flink's treating orthopedic surgeon recommended surgery. On January
    25, 1999, American paid Flink additional retroactive temporary total disability benefits for
    the period of July 14, 1998, to November 20, 1998. Two days later, it conceded liability
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    for additional temporary total and temporary partial disability benefits for the period of
    June 12 through July 13, 1998.
    ¶4 On January 20, 1999, Flink filed a Petition for Hearing, claiming a dispute arose
    between the parties concerning the amount of benefits she was due. Pursuant to a pretrial
    order issued April 12, 1999, there were three issues to be determined by the court: (1) the
    number of hours Flink was hired to work; (2) whether American should be penalized for
    unreasonable delay; and (3) whether Flink was entitled to attorney fees and costs. The
    Workers' Compensation Court held a hearing on May 7, 1999. The court issued its
    Findings of Fact, Conclusions of Law and Judgment on May 25, 1999. The court
    concluded that Flink's wage was properly calculated using a 40-hour work week, granted
    Flink a 20 percent penalty for unreasonable delay on the retroactive benefits paid by
    American after she filed her petition, denied Flink's request for attorney fees, and awarded
    Flink's request for costs. Flink appeals.
    STANDARD OF REVIEW
    ¶5 We review findings of fact of the Workers' Compensation Court to determine whether
    they are supported by substantial credible evidence. See Matthews v. State Compensation
    Ins. Fund, 
    1999 MT 225
    , ¶ 5, 
    296 Mont. 76
    , ¶ 5, 
    985 P.2d 741
    , ¶ 5. We review the
    Workers' Compensation Court's conclusions of law to determine whether they are correct.
    Matthews, ¶ 5.
    DISCUSSION
    ¶6 Whether the Workers' Compensation Court erred in concluding that Flink's average
    weekly wage was properly calculated?
    ¶7 The Workers' Compensation Court specifically found that it was more probable than
    not that Flink would have worked some overtime. The court then concluded that the
    amount of overtime she would have worked was speculative and based her compensation
    rate on a 40-hour week. The court stated that pursuant to Robertson v. Aero Power-Vac,
    Inc. (1995), 
    272 Mont. 85
    , 
    899 P.2d 1078
    , prospective overtime could not be used in
    calculating disability benefits unless an employer guaranteed the overtime or hired an
    employee to work a scheduled number of overtime hours. On this basis, the court
    concluded that Flink's wages were properly computed utilizing a 40-hour work week.
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    ¶8 Flink asserts that an award of overtime wages does not depend on whether overtime
    was specifically scheduled or guaranteed. Flink contends that her rate computation should
    include overtime wages because she established that she would have worked overtime and
    she presented evidence of similarly situated employees who worked overtime. American
    counters that absent a clear indication that Flink was hired to work in excess of 40 hours
    per week, the trial court properly declined to speculate on prospective overtime. American
    also asserts that Flink failed to offer evidence sufficient for the trial court to accurately
    calculate overtime.
    ¶9 Flink's injury occurred while the 1997 version of the Workers' Compensation Act was
    in effect. Therefore, the 1997 version of the Act applies to her claims. See Madill v. State
    Compensation Ins. Fund (1997), 
    280 Mont. 450
    , 458, 
    930 P.2d 665
    , 670. An injured
    employee's wages for purposes of calculating workers' compensation benefits are
    determined pursuant to § 39-71-123, MCA. See Robertson, 272 Mont. at 87, 899 P.2d at
    1080. Section 39-71-123(3)(a), MCA (1997), provides, in relevant part:
    [I]f the term of employment . . . is less than four pay periods, the employee's wages
    are the hourly rate times the number of hours in a week for which the employee was
    hired to work.
    ¶10 The issue presented to the Workers' Compensation Court was the number of hours in a
    week for which Flink was hired to work. The court erroneously concluded that even
    though Flink proved she was hired to work overtime, pursuant to Robertson overtime
    could not be used in calculating wages unless an employer guarantees overtime or hires an
    employee to work a scheduled number of overtime hours. In Robertson, we did not
    conclude that overtime could only be used in calculating "the number of hours in a week
    for which the employee is hired to work" under § 39-71-123(3)(a), MCA, if it was
    "scheduled" or "guaranteed."
    ¶11 The issue in Robertson was the sufficiency of the evidence with regard to overtime-i.
    e., whether the Workers' Compensation Court's finding that Robertson was hired for 47
    hours of work was clearly erroneous. On appeal, Robertson insisted that he was hired to
    work 5 to 6, 12-hour shifts and that therefore he was entitled to temporary total disability
    benefits based on a 72-hour work week. We affirmed the Workers' Compensation Court's
    determination that Robertson's benefits would be based on a 47-hour work week because
    he was not guaranteed a 72-hour week and because no employee who worked on the
    project worked for more than 47 hours. Robertson, 272 Mont. at 88, 899 P.2d at 1080.
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    ¶12 Robertson does not stand for the proposition that overtime hours cannot be included in
    the hours per week for which an employee was hired to work unless those hours were
    guaranteed or scheduled. In fact, Robertson received a benefit based on a 47-hour work
    week despite the fact that he was neither guaranteed overtime nor scheduled a specific
    (1)
    number of overtime hours. Robertson was hired to work at a job that "could last five to
    six days" at shifts that could last "up to 12 hours." Robertson, 272 Mont. at 88, 899 P.2d at
    1080 (emphasis added). The Worker's Compensation Court relied on an erroneous
    interpretation of Robertson in reaching its determination that Flink's benefits should be
    based on a 40-hour work week.
    ¶13 The Worker's Compensation Court's determination that Flink was hired to work only
    40 hours a week is also not supported by substantial credible evidence. The court's
    findings with regard to the number of hours Flink was hired to work are inconsistent. The
    court found that Flink was hired on a 40-hour per week basis, but also found that had Flink
    continued her employment at Missoula Textile she would have worked overtime. If Flink
    proved that she would have worked overtime, then her rate should not have been
    computed on a 40-hour per week basis.
    ¶14 Moreover, the court also concluded that the number of overtime hours Missoula
    Textile hired Flink to work was "simply speculative." In every dispute concerning a
    prospective wage claim where the evidence clearly establishes that the employee would
    more likely than not work overtime, but the employer did not specifically guarantee or
    schedule overtime, the number of overtime hours the employee was "hired to work" is
    going to be speculative, at least in the sense that it will have to be based on circumstantial
    rather than direct evidence of the actual hours the employee worked. However, this does
    not preclude the consideration of overtime in calculating the claimant's rate under § 39-71-
    123(3)(a), MCA (1997). The Workers' Compensation Court demonstrated its facility to
    confront this issue in Robertson.
    ¶15 Lastly, we note that the record contains sufficient circumstantial evidence from which
    the Workers' Compensation Court could make a determination of the number of overtime
    hours Flink was hired to work. Dawn Steadele, the person who replaced Flink, had worked
    21 hours of overtime in the last 31 weeks. Steadele did not request overtime. Rebekah
    Pierce, who requested overtime, testified that she performed similar, but expanded duties
    and averaged over 50 hours a week.
    ¶16 We reverse the Workers' Compensation Court's finding that Flink's disability benefits
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    were properly calculated based on a 40-hour work week and remand for a redetermination
    of the number of hours she was hired to work. On remand the Workers' Compensation
    Court must necessarily address the further issues of attorney fees and penalty under §§ 39-
    71-2907 and -612, MCA (1997).
    /S/ JIM REGNIER
    We Concur:
    /S/ JIM REGNIER
    /S/ WILLIAM E. HUNT, SR.
    /S/ TERRY N. TRIEWEILER
    /S/ W. WILLIAM LEAPHART
    1. Interestingly, as in the instant case, the insurer in Robertson calculated the employee's rate based on a
    40-hour week. However, unlike the instant case, the Workers' Compensation Court awarded the
    employee benefits on a 47-hour week even though the employee was not guaranteed or scheduled
    overtime.
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Document Info

Docket Number: 99-438

Citation Numbers: 2000 MT 224, 301 Mont. 223, 7 P.3d 416, 57 State Rptr. 925, 2000 Mont. LEXIS 222

Judges: Hunt, Leaphart, Regnier, Trieweiler

Filed Date: 8/15/2000

Precedential Status: Precedential

Modified Date: 11/11/2024