Maroulakos v. Walmart Associates , 300 Neb. 589 ( 2018 )


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  • Nebraska Supreme Court Online Library
    www.nebraska.gov/apps-courts-epub/
    10/12/2018 01:11 AM CDT
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    Nebraska Supreme Court A dvance Sheets
    300 Nebraska R eports
    MAROULAKOS v. WALMART ASSOCIATES
    Cite as 
    300 Neb. 589
    Miko M aroulakos, appellant, v.
    Walmart Associates, Inc., appellee.
    ___ N.W.2d ___
    Filed July 20, 2018.     No. S-17-1110.
    1.	 Workers’ Compensation: Appeal and Error. Pursuant to Neb. Rev.
    Stat. § 48-185 (Cum. Supp. 2016), an appellate court may modify,
    reverse, or set aside a Workers’ Compensation Court decision only when
    (1) the compensation court acted without or in excess of its powers; (2)
    the judgment, order, or award was procured by fraud; (3) there is not
    sufficient competent evidence in the record to warrant the making of the
    order, judgment, or award; or (4) the findings of fact by the compensa-
    tion court do not support the order or award.
    2.	____: ____. Determinations by a trial judge of the Workers’
    Compensation Court will not be disturbed on appeal unless they are
    contrary to law or depend on findings of fact which are clearly wrong in
    light of the evidence.
    3.	 Workers’ Compensation. The Nebraska Workers’ Compensation Act
    provides that when an employee suffers personal injury caused by acci-
    dent or occupational disease, arising out of and in the course of his or
    her employment, such employee shall receive compensation from his or
    her employer if the employee was not willfully negligent at the time of
    receiving such injury.
    4.	 Workers’ Compensation: Words and Phrases. The phrase “arising
    out of” describes the accident and its origin, cause, and character, i.e.,
    whether it resulted from the risks arising within the scope or sphere of
    the employee’s job.
    5.	 Workers’ Compensation. All risks causing injury to an employee can
    be placed within three categories: (1) employment related—risks dis-
    tinctly associated with the employment; (2) personal—risks personal
    to the claimant, e.g., idiopathic causes; and (3) neutral—a risk that
    is neither distinctly associated with the employment nor personal to
    the claimant.
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    6.	 ____. Generally, harm that can be attributed solely to personal or idio-
    pathic causes is universally noncompensable.
    7.	 ____. Unexplained-fall cases begin with a completely neutral origin
    of a mishap, while idiopathic-fall cases begin with an origin which
    is admittedly personal and which therefore requires some affirma-
    tive employment contribution to offset the prima facie issue of per-
    sonal origin.
    8.	 Appeal and Error. Absent plain error, when an issue is raised for the
    first time in an appellate court, it will be disregarded inasmuch as the
    trial court cannot commit error regarding an issue never presented and
    submitted to it for disposition.
    9.	 ____. Plain error is plainly evident from the record and of such a nature
    that to leave it uncorrected would result in damage to the integrity, repu-
    tation, or fairness of the judicial process.
    10.	 Workers’ Compensation. A workers’ compensation award cannot be
    based on possibility or speculation, and if an inference favorable to the
    claimant can be reached only on the basis thereof, then the claimant can-
    not recover.
    11.	 ____. A finding in regard to causation of an injury is one for determina-
    tion by the Workers’ Compensation Court as the finder of fact.
    Appeal from the Workers’ Compensation Court: James R.
    Coe, Judge. Affirmed.
    David M. Handley, of Watson & Carroll, P.C., L.L.O., for
    appellant.
    Jennifer S. Caswell and Zachary W. Anderson, of Baylor,
    Evnen, Curtiss, Grimit & Witt, L.L.P., for appellee.
    Heavican, C.J., Miller-Lerman, Cassel, Stacy, Funke, and
    Papik, JJ., and Schreiner, District Judge.
    Funke, J.
    Miko Maroulakos appeals from a Workers’ Compensation
    Court’s order, which determined his injuries did not “arise
    out of” his employment. At trial, Maroulakos argued only that
    his injury arose out of employment, because his fall resulted
    from a risk of employment, but on appeal, he argues that his
    injury arose out of employment under the “increased-danger”
    rule, because he fell into an industrial shelving unit. We hold
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    MAROULAKOS v. WALMART ASSOCIATES
    Cite as 
    300 Neb. 589
    Maroulakos waived this argument by failing to present it to the
    compensation court. Therefore, we affirm.
    I. BACKGROUND
    In August 2014, Maroulakos was working for Walmart
    Associates, Inc. (Walmart), as an overnight support manager.
    After coming back from his meal break, Maroulakos felt over-
    heated, exhausted, and lightheaded. He told some coworkers
    that he would go home once he finished his overnight stock
    audits. Video surveillance captured Maroulakos walking past
    product aisles, approaching a product shipper, moving to the
    right of and away from the shipper, and then falling into a
    product aisle.
    While on the floor, Maroulakos appeared to have a sei-
    zure lasting at least 30 seconds. As a result of the acci-
    dent, Maroulakos sustained a facial laceration, sinus fractures,
    and possibly a traumatic brain injury causing neurocognitive
    impairment.
    Maroulakos’ amended complaint requested workers’ com-
    pensation benefits, alleging personal injuries that resulted from
    his tripping over a pallet in the course of his employment. At
    trial, Maroulakos testified he had no memory of the actual
    fall and relied on Walmart’s video surveillance, his medical
    reports, and a report by neurologist Srinivasan Mani, M.D.
    Mani’s report stated that based on Maroulakos’ medical
    history and the video surveillance, it appeared Maroulakos
    tripped and fell and sustained a head injury, which caused
    a subsequent seizure. Mani diagnosed Maroulakos as likely
    suffering from an associated cognitive disturbance, which he
    opined resulted from the fall. The report, however, made no
    mention of Maroulakos’ hitting an industrial shelving unit as
    he fell or whether his injuries were inconsistent with falling to
    the floor. The only reference to Maroulakos’ hitting a shelf was
    in a “History of Present Illness” in one of the medical reports,
    which contained the following statement: “Patient fell on the
    end of shelf and sustained facial laceration.”
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    MAROULAKOS v. WALMART ASSOCIATES
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    300 Neb. 589
    Walmart called two employees who had witnessed
    Maroulakos’ fall. One witness stated that she was standing in
    a product aisle 2 feet from Maroulakos when he walked face
    first into an industrial shelving unit and fell backward onto the
    floor. She stated she did not see Maroulakos trip over anything
    or remember a pallet on the floor. The other witness was 40 to
    50 feet away but looked toward Maroulakos, in the midst of
    falling, after he heard grunting and other audible noises from
    Maroulakos’ direction. The witness stated that Maroulakos fell
    face first into a shelf but that he did not remember seeing a
    pallet on the floor.
    Evidence presented at trial showed that when Maroulakos
    was 12 years old, he contracted viral encephalitis, which
    required him to undergo at least seven brain surgeries to
    remove a cyst and implant a shunt. Because Maroulakos suf-
    fered at least one seizure during these surgeries, he was pre-
    scribed antiseizure medication, which he stopped taking after
    high school. Maroulakos testified he did not have any seizures
    or related health issues between being removed from antisei-
    zure medication and his August 2014 fall, at which time he was
    44 years old.
    The compensation court determined that the only issue
    presented was whether Maroulakos’ accident arose out of
    employment. It rejected Maroulakos’ argument and Mani’s
    interpretation of the video that he had tripped over a pallet.
    Instead, the court ruled that the surveillance video showed
    that “[Maroulakos] begins to rock back and forth on his
    feet as he walks and staggers briefly . . . then falls to the
    ground.” The court determined Maroulakos’ fall resulted from
    an idiopathic seizure and syncope event that was personal
    to him and not compensable under the Nebraska Workers’
    Compensation Act.1 The court dismissed Maroulakos’ com-
    plaint with prejudice.
    1
    Neb. Rev. Stat. §§ 48-101 to 48-1,117 (Reissue 2010, Cum. Supp. 2016 &
    Supp. 2017).
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    Maroulakos perfected a timely appeal. We removed the case
    to our docket on our own motion pursuant to our authority to
    regulate the caseloads of the Nebraska Court of Appeals and
    this court.2
    II. ASSIGNMENT OF ERROR
    Maroulakos assigns error to the trial court’s determination
    that his accident did not arise out of his employment.
    III. STANDARD OF REVIEW
    [1] Pursuant to § 48-185, an appellate court may modify,
    reverse, or set aside a Workers’ Compensation Court deci-
    sion only when (1) the compensation court acted without or
    in excess of its powers; (2) the judgment, order, or award was
    procured by fraud; (3) there is not sufficient competent evi-
    dence in the record to warrant the making of the order, judg-
    ment, or award; or (4) the findings of fact by the compensation
    court do not support the order or award.3
    [2] Determinations by a trial judge of the Workers’
    Compensation Court will not be disturbed on appeal unless
    they are contrary to law or depend on findings of fact which
    are clearly wrong in light of the evidence.4
    IV. ANALYSIS
    Maroulakos admits that at trial, he focused on whether he
    tripped over a pallet instead of whether he struck a shelf dur-
    ing his fall. He further admits that he did not argue before
    the trial court that his injury arose out of employment under
    the increased-danger rule. However, he argues that the Court
    of Appeals has held in Svehla v. Beverly Enterprises5 and
    2
    See Neb. Rev. Stat. § 24-1106(3) (Supp. 2017).
    3
    Greenwood v. J.J. Hooligan’s, 
    297 Neb. 435
    , 
    899 N.W.2d 905
    (2017).
    4
    Id.
    5
    Svehla v. Beverly Enterprises, 
    5 Neb. Ct. App. 765
    , 
    567 N.W.2d 582
    (1997).
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    Lucas v. Anderson Ford 6 that when an employment hazard
    causes or increases the severity of an injury sustained from
    an idiopathic accident, the injury becomes compensable as
    arising out of employment. He further contends that because
    evidence showed that he sustained facial and brain injuries by
    landing face first on an industrial shelving unit, the Workers’
    Compensation Court was required to apply the rule from
    Svehla and Lucas after determining his fall resulted from an
    idiopathic condition.
    Walmart does not dispute that the compensation court was
    bound by the rule adopted in Svehla and Lucas, but it argues
    Maroulakos had the burden of proving that he, in fact, fell into
    the shelving unit and that doing so increased the injuries he
    suffered from his idiopathic fall.
    [3] The Nebraska Workers’ Compensation Act provides
    that when an employee suffers personal injury caused by
    accident or occupational disease, arising out of and in the
    course of his or her employment, such employee shall receive
    compensation from his or her employer if the employee was
    not willfully negligent at the time of receiving such injury.7
    Section 48-151(2) provides that there is no presumption that
    an employee’s injury sustained in the course of his or her
    employment was in fact caused by the employment, and a
    claimant has the burden of proving an injury arose out of
    employment by a preponderance of the evidence.8
    [4-6] The phrase “arising out of” describes the accident and
    its origin, cause, and character, i.e., whether it resulted from
    the risks arising within the scope or sphere of the employee’s
    job.9 All risks causing injury to an employee can be placed
    6
    Lucas v. Anderson Ford, 
    13 Neb. Ct. App. 133
    , 
    689 N.W.2d 354
    (2004).
    7
    § 48-101. See Hintz v. Farmers Co-op Assn., 
    297 Neb. 903
    , 
    902 N.W.2d 131
    (2017).
    8
    See, also, Hintz, supra note 7.
    9
    Potter v. McCulla, 
    288 Neb. 741
    , 
    851 N.W.2d 94
    (2014).
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    within three categories: (1) employment related—risks dis-
    tinctly associated with the employment; (2) personal—risks
    personal to the claimant, e.g., idiopathic causes; and (3)
    neutral—a risk that is neither distinctly associated with the
    employment nor personal to the claimant.10 Harm that arises
    from risks distinctly associated with the employment is uni-
    versally compensable.11 Generally, harm that can be attributed
    solely to personal or idiopathic causes is universally non-
    compensable.12 Harm that arises from neutral risks is gener-
    ally compensable.13
    As noted in Maradiaga v. Specialty Finishing14:
    Generally, a risk may be classified as “‘neutral’” for
    either of two reasons: (1) “[t]he nature of the risk may be
    known, but may be associated neither with the employ-
    ment nor the employee personally,” or (2) “the nature
    of the cause of harm may be simply unknown.” . . .
    Examples of neutral risks of the first type are stray bul-
    lets, lightning, or hurricanes, . . . while the most common
    example of a neutral risk of the second type is a purely
    unexplained fall . . . .
    [7] In Logsdon v. ISCO Co.,15 we considered whether
    an individual’s purely unexplained fall in the course of his
    employment arose out of his employment. We distinguished
    purely unexplained falls causing injuries from idiopathic falls,
    explaining: “Unexplained-fall cases begin with a completely
    neutral origin of a mishap, while idiopathic-fall cases begin
    10
    Logsdon v. ISCO Co., 
    260 Neb. 624
    , 
    618 N.W.2d 667
    (2000).
    11
    
    Id. 12 See
    id.
    13
    Id.
    
    14
    Maradiaga v. Specialty Finishing, 
    24 Neb. Ct. App. 199
    , 206, 
    884 N.W.2d 153
    , 159 (2016), citing 1 Arthur Larson & Lex K. Larson, Larson’s
    Workers’ Compensation Law §§ 4.03 and 7.04[1][a] (2016).
    15
    Logsdon, supra note 10.
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    with an origin which is admittedly personal and which there-
    fore requires some affirmative employment contribution to
    offset the prima facie issue of personal origin.”16
    A vast majority of courts nationally have adopted the
    increased-danger rule, which provides that “the effects of [an
    idiopathic-caused] fall are compensable if the employment
    places the employee in a position increasing the dangerous
    effects of such a fall.”17 The Nebraska Court of Appeals con-
    sidered this rule in Svehla and Lucas, though it did not refer-
    ence the increased-danger rule. In both cases, the appellate
    court considered whether a fall with a potential idiopathic
    cause became compensable as a result of the contribution of an
    employment condition.
    In Svehla, the employee fell on the level ground of her
    employer’s premises while walking to her vehicle after work
    and died from her injuries.18 The trial court concluded that the
    evidence failed to establish the cause of the employee’s fall but
    that the evidence showed her idiopathic condition was just as
    likely to have caused the fall as the employee’s tripping, and it
    denied compensation.19
    The appellate court ruled that the compensation court’s
    determination that the fall may have resulted from an idio-
    pathic cause prevented treating the fall as purely unexplained.20
    The court then noted that injuries sustained in an idiopathic
    fall “are compensable if the employment places the employee
    in a position increasing the dangerous effects of such a
    fall, such as on a height, near machinery or sharp corners,
    16
    
    Id. at 633,
    618 N.W.2d at 675, citing Svehla, supra note 5.
    17
    1 Arthur Larson et al., Larson’s Workers’ Compensation Law § 9.01[1] at
    9-2 (2017). See § 9.01[4] (citing cases).
    18
    Svehla, supra note 5.
    19
    
    Id. 20 Id.
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    or in a moving vehicle.”21 Nevertheless, the appellate court
    agreed with the trial court that the injury was noncompensable
    because the plaintiff failed to determine how the employee
    sustained the injury leading to her death.22
    In Lucas, the employee fell when rising from a chair while
    seated at his desk. The trial court determined that the fall was
    due to the employee’s being hypoglycemic and that the fall
    resulted in a fractured hip.23 Though there was no evidence the
    employee struck the chair or the desk during his fall, the trial
    court stated in its order, “‘I find that the desk and the chair
    created an increased risk in that the fracture is a result of how
    one hits the floor, and how one hits the floor is depend[e]nt on
    what obstacles are present which change the way the plaintiff
    lands on the floor.’”24
    The workers’ compensation review panel reversed the trial
    court’s order, stating that the trial court was clearly wrong in
    finding the employee suffered an accident arising out of his
    employment and finding that there was insufficient evidence
    “‘to remove his idiopathic fall from the application of the
    general rule that harm that can be attributed to personal or
    idiopathic causes is universally non compensable.’”25 The
    Court of Appeals noted that “[b]ecause the trial court found
    that [the employee’s] fall was not an unexplained fall, but,
    rather, an idiopathic fall, [the employee] was required to
    show some affirmative employment contribution to offset the
    fact that his fall was precipitated by a personal condition.”26
    Ultimately however, the appellate court agreed with the
    21
    
    Id. at 777,
    567 N.W.2d at 591. Accord 1 Larson et al., supra note 17,
    § 9.01[1].
    22
    Svehla, supra note 5.
    23
    Lucas, supra note 6.
    24
    
    Id. at 139,
    689 N.W.2d at 360.
    25
    
    Id. 26 Id.
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    review panel that there was no evidence to support the
    trial court’s finding that the employee’s risk of injury was
    increased by getting up from a chair behind a desk when he
    fell to the ground.27
    Neither our statements in Logsdon28 nor the Court of Appeals’
    statements in Svehla or Lucas support Maroulakos’ argument—
    the court was required to consider whether an employment
    hazard caused or contributed to his ultimate injury, because it
    determined an idiopathic condition caused his fall. As stated
    in Logsdon, the presumption is that a personal risk is non-
    compensable and it is incumbent on the employee to prove an
    affirmative condition of employment caused or contributed to
    the ultimate injury.29 The increased-danger rule may be a valid
    theory for establishing that an injury arose out of employment,
    which we need not determine here, but it is a separate theory
    from arguing a fall was caused by an employment condition or
    a neutral cause.
    [8,9] Absent plain error, when an issue is raised for the first
    time in an appellate court, it will be disregarded inasmuch as
    the trial court cannot commit error regarding an issue never
    presented and submitted to it for disposition.30 Plain error is
    plainly evident from the record and of such a nature that to
    leave it uncorrected would result in damage to the integrity,
    reputation, or fairness of the judicial process.31
    [10] The rule of liberal construction of the Nebraska
    Workers’ Compensation Act applies to the law, not to the evi-
    dence offered to support a claim by virtue of the law.32 The
    rule does not dispense with the necessity that claimant shall
    27
    
    Id. 28 Logsdon,
    supra note 10.
    29
    See, also, § 48-151(2).
    30
    State v. Lester, 
    295 Neb. 878
    , 
    898 N.W.2d 299
    (2017).
    31
    
    Id. 32 Smith
    v. Ruan Transpt, Inc., 
    190 Neb. 509
    , 
    209 N.W.2d 146
    (1973).
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    prove his right to compensation within the rules above set
    forth, nor does it permit a court to award compensation where
    the requisite proof is lacking.33 A workers’ compensation award
    cannot be based on possibility or speculation, and if an infer-
    ence favorable to the claimant can be reached only on the basis
    thereof, then the claimant cannot recover.34
    As in Lucas, there is no evidence in the record that
    Maroulakos’ injuries were caused or aggravated by a hazard of
    employment. Maroulakos did not present any evidence that his
    facial and potential brain injuries were inconsistent with a fall
    to a hard tile floor or that his potential brain injuries did not
    result solely from his idiopathic condition. Therefore, any find-
    ing that the increased-danger rule did apply would have been
    purely speculative.
    Further, Maroulakos did not prove that he struck the indus-
    trial shelving unit during his fall. While the employees tes-
    tifying for Walmart both stated that he fell face first into the
    shelving unit, there was also video evidence of the fall that did
    not clearly show that he hit the shelving unit and which contra-
    dicted the testimony that he fell backward after making contact
    with the shelving unit. Additionally, despite one comment in
    a medical report, there was no medical evidence discussing
    Maroulakos’ making contact with the shelving unit and stating
    that such was a cause of the injuries.
    [11] The trial court ruled that Maroulakos fell to the floor
    after falling from his syncope event. A finding in regard to
    causation of an injury is one for determination by the Workers’
    Compensation Court as the finder of fact.35 Based on the record
    before us, this finding was supported by competent evidence.
    Thus, the court did not commit plain error by not applying
    the increased-danger rule, and Maroulakos’ assignment of error
    33
    Haufe v. American Smelting & Refining Co., 
    163 Neb. 329
    , 
    79 N.W.2d 570
          (1956).
    34
    Visoso v. Cargill Meat Solutions, 
    285 Neb. 272
    , 
    826 N.W.2d 845
    (2013).
    35
    Miller v. Meister & Segrist, 
    255 Neb. 805
    , 
    587 N.W.2d 399
    (1998).
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    is without merit because he waived his argument by failing to
    present it to the compensation court.
    V. CONCLUSION
    For the preceding reasons, we affirm the decision of the
    compensation court.
    A ffirmed.
    Miller-Lerman, J., concurring.
    In cases where a compensation court finds that an accident
    occurred from an “idiopathic” condition, it logically follows
    that the compensation court should address the increased-
    danger rule when there is evidence suggesting that features of
    the workplace increased the severity of the worker’s injuries.
    The evidence in this case shows the area where Maroulakos
    fell had an industrial shelving unit proximate to his path of
    descent to the floor, and two Walmart coworkers testified that
    they witnessed Maroulakos collide with the shelving. A note in
    a medical report also suggests that Maroulakos’ facial injuries
    are consistent with falling on the end of a shelf. Although the
    compensation court found that Manoulakos had an idiopathic
    condition and “[fell] to the ground,” it would have been help-
    ful to address whether Maroulakos hit a shelf on the way down
    and, if so, whether such hit increased his injuries. However,
    this specific question was not raised before the compensation
    court. Therefore, I concur.
    Schreiner, District Judge, joins in this concurrence.