Nelson, Anvil v. QVS, Inc. ( 2023 )


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  •                                                                                     FILED
    Mar 22, 2023
    10:55 AM(CT)
    TENNESSEE
    WORKERS' COMPENSATION
    APPEALS BOARD
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Anvil Nelson, Jr.                             )   Docket No.      2021-06-1121
    )
    v.                                            )   State File No. 26092-2021
    )
    QVS, Inc., et al.                             )
    )
    )
    Appeal from the Court of Workers’             )   Heard February 22, 2023
    Compensation Claims                           )   via Microsoft Teams
    Kenneth M. Switzer, Chief Judge               )
    Affirmed and Remanded
    In this appeal, the employer contends the trial court erred when it disqualified counsel from
    joint representation of the employer and its insurer and ordered the insurer to retain
    independent counsel to represent the employer. The alleged injured worker, who is also
    the owner and president of the employer, filed a motion seeking to disqualify defense
    counsel altogether or, in the alternative, to compel the retention of independent counsel for
    the employer, asserting there is a concurrent conflict of interest. The court concluded a
    conflict existed, disqualified counsel from representing the employer, and ordered the
    insurer to hire independent counsel to represent the employer. The employer has appealed.
    Having reviewed the record on appeal, we affirm the trial court’s order disqualifying
    counsel from representing the employer and remand the case.
    Judge Pele I. Godkin delivered the opinion of the Appeals Board in which Judge Meredith
    B. Weaver joined. Presiding Judge Timothy W. Conner filed a separate opinion concurring
    in part and dissenting in part.
    Adam C. Brock-Dagnan, Knoxville, Tennessee, for the employer-appellant, QVS, Inc.
    Steven Fifield, Nashville, Tennessee, for the employee-appellee, Anvil Nelson, Jr.
    Factual and Procedural Background
    Anvil Nelson, Jr. (“Employee”), owner and President of QVS, Inc. (“Employer”),
    asserts he sustained injuries arising out of and in the course and scope of his employment
    1
    when he tripped over a pallet and fell, landing on his face. 1 Employee was transported to
    Erlanger Hospital where he received medical treatment and, two days later, underwent
    multi-level cervical spine fusion surgery. 2 Employer’s workers’ compensation insurer,
    Wesco Insurance Company (“Insurer”), denied the claim and provided no workers’
    compensation benefits.
    On February 1, 2022, Employee filed a petition for workers’ compensation benefits,
    asserting his claim was wrongfully denied.                 He requested medical treatment,
    reimbursement for and payment of medical bills, and temporary total disability benefits.
    The day after the trial court entered an order setting discovery deadlines, Employee
    forwarded correspondence to Insurer’s third-party administrator, AmTrust North America,
    “in [his] capacity as the President and Owner of QVS, Inc., not in [his] capacity as the
    injured worker.” In that correspondence, he asserted it was Employer’s position that,
    “since the date of the injury, March 3, 2021, . . . this claim should be accepted.” Employee
    further stated:
    I understand that you disagree and have denied the claim. I believe this is a
    clear conflict between QVS, Inc. and AmTrust North America/Wesco
    Insurance Company. I am formally requesting that conflict counsel be hired
    and assigned to represent QVS, Inc. in the . . . claim. I am not sure why this
    has not already been done, so I request that conflict counsel be brought in as
    quickly as possible after your receipt of this letter.
    On October 24, Employee propounded requests for admission to Insurer and AmTrust
    North America, as well as requests for admission to Employer. 3 On October 26, counsel
    for Insurer confirmed receipt of Employee’s correspondence requesting conflict counsel
    and provided the following response:
    I am in receipt of your client’s request for conflict counsel. However, after
    examining QVS, Inc.’s policy language and communicating with my client,
    we have elected to move forward with [Employee’s] deposition and
    independent medical examination. I have enclosed a notice of deposition and
    will provide you with an examination date within the next few business days.
    1
    The record indicates the corporation was dissolved at some point after the alleged work-related accident.
    2
    There are no medical records contained in the record; therefore, we glean the factual history of the claim
    from the documents included in the technical record.
    3
    Thus, Employee, in his capacity as the worker alleging an injury, served requests for admission upon
    Employer, for which he is the purported corporate representative.
    2
    In the letter, Insurer’s counsel also assured Employee that his client would “keep an open
    mind” regarding Employee’s request for conflict counsel and “reconsider said request upon
    new information.”
    On November 1, Insurer’s counsel filed a motion to quash Employee’s requests for
    admission, contending, in part, that Employer and Insurer are “indistinguishable” and that
    Employee’s discovery requests were intended “to create a conflict of interest where one
    does not exist.” On November 4, Employee, in his capacity as both Employee and owner
    of Employer, filed his response in opposition to Insurer’s motion to quash, asserting that
    the requests for admission propounded were “proper under the Rules of Civil Procedure,
    are relevant to the issues involved in this litigation, and are in no way frivolous.”
    That same day, Employee filed a motion to disqualify defense counsel entirely or,
    in the alternative, to compel the Insurer to retain independent counsel for Employer. In his
    motion, Employee argued that a conflict existed because Insurer and/or its third-party
    administrator had denied his claim, contrary to the wishes of Employer. Employee further
    argued that Insurer had refused to provide independent counsel when Employee, acting in
    his capacity as Employer, lodged a written request. 4 Employee attached the Rule 72
    Declaration of Marco Sous, an individual who was working alongside Employee when he
    was injured, as one of the exhibits to his motion. In his affidavit, Mr. Sous stated that
    Employee “had been fine” prior to the fall and that he “observed [Employee’s] left foot trip
    over a pallet causing him to fall face down to the concrete floor.” Mr. Sous stated, “I
    specifically remember that [Employee] tripped over the pallet. Stated another way, the
    pallet caused [Employee’s] fall and injury.” Mr. Sous asserted that, when he was
    interviewed about the incident, he told the insurance adjuster that he witnessed Employee
    trip over the pallet and fall face down to the floor.
    The Rule 72 Declaration of Employee was also attached as an exhibit to his motion,
    wherein he stated that he was the owner and president of QVS, Inc., in addition to being a
    covered employee under his workers’ compensation policy. Employee asserted that in his
    capacity as owner and president of the company, counsel for Insurer was also acting as his
    attorney and “despite being my lawyers, no [attorney] has attempted to obtain any
    information from [Employer] or made any effort to involve the company in any aspect of
    the claim, despite purporting to represent the Employer.” Employee further stated that
    counsel had noticed him to a deposition and was working “solely for the benefit of its other
    clients in this matter.” Employee reiterated his request for conflict counsel and confirmed
    he had not “signed any written waiver of the ongoing conflict of interest or provided written
    consent to be represented by [counsel for Insurer] while the conflict exists.”
    4
    Counsel for Insurer asserted that its initial decision not to provide conflict counsel was based upon policy
    language. During oral argument, counsel clarified that Insurer had provided only portions of the policy
    language at the time the decision was made; however, neither the policy nor relevant excerpts from the
    policy were offered into evidence.
    3
    In its response to Employee’s motion, Insurer asserted that no conflict existed. In
    support of its position, counsel argued that Employer is a “distinct and separate entity from
    Employee himself; therefore [counsel] represents QVS, Inc., not Employee.” In a reply
    brief, Employee agreed that he and his company are two separate legal entities but asserted
    that fact was not determinative of whether a conflict existed. Employee noted that he is
    the owner and president of the company, the “main point of contact . . . to obtain any and
    all information relevant to this claim . . . [and] will likely serve as the corporate
    representative for most of the issues in his claim.” Further, Employee asserted he paid his
    workers’ compensation insurance premiums, oversaw all employees of his company, and
    “in his role as the owner, president, and representative of [Employer] is intricately entwined
    [with] the company.”
    Employee attached a Rule 72 Declaration of attorney Cliff Wilson as an exhibit to
    his reply brief. In his Rule 72 Declaration, Mr. Wilson stated that he has practiced law in
    the state of Tennessee since 1983 and was selected by the Tennessee Supreme Court to
    serve two consecutive three-year appointments as a panel member of the Tennessee Board
    of Professional Responsibility. Mr. Wilson averred he was familiar with the issues in this
    particular claim, as well as the ethical obligations of defense attorneys. Mr. Wilson also
    stated that he was familiar with the rules of professional conduct related to conflicts of
    interest. Mr. Wilson provided an opinion that counsel’s joint representation of Employer
    and Insurer “appears . . . to be a conflict of interest within the meaning of PRC 1.7.” Mr.
    Wilson stated that “[Employer] through its owner [Employee], requested conflict counsel,
    which in my opinion should have been provided by [Insurer] and/or Third-Party
    Administrator.” He concluded by stating, “Even if this situation is not a Rule 1.7 conflict,
    in my opinion, the appearance of impropriety is still present where the Employer’s own
    lawyer seeks to depose [Employee] as an adverse witness and subject him to a medical
    exam designed to support the denial of his claim against the wishes of the Employer.”
    On November 15, the trial court issued an order denying Insurer’s motion to quash
    Employee’s requests for admission. On November 28, Employee sought a protective order
    to postpone his deposition, asserting that his pending motion regarding defense counsel’s
    alleged conflict of interest should be fully resolved prior to his deposition. 5
    On November 29, the trial court issued an order disqualifying Insurer’s counsel from
    representing Employer, noting that, under the circumstances of this case, the interests of
    Employee and his company “are intricately intertwined” and “[o]ne cannot serve two
    masters.” Further, the court concluded that “[Employer’s] corporate representative,
    [Employee], has interests directly adverse to [Insurer’s] interests.” The court noted that
    Employee paid premiums for Employer’s workers’ compensation insurance coverage and,
    as an officer, did not elect to be excluded from coverage. In addition, the court observed
    5
    On December 6, the trial court, noting Employer did not file a response, granted Employee’s motion for
    a protective order.
    4
    that the interests of the corporate representative for Employer were “directly adverse to the
    carrier’s interests” and noted that counsel “cannot simultaneously contend that the claim is
    compensable, a position favorable to [Employee] and the corporate representative, and
    defend against the claim as noncompensable, a position favorable to [Insurer].” In
    addition, Employer had “not sought informed consent, in writing, from each affected
    client.” Thus, the court concluded that a concurrent, actual conflict of interest exists and
    that Insurer’s attorney and his firm should be disqualified from representing Employer.
    The court did not order counsel’s complete disqualification but instead ordered Insurer to
    hire independent counsel to represent Employer. Insurer has appealed.
    Standard of Review
    “A trial court’s ruling on attorney disqualification, or the vicarious disqualification
    of that attorney’s firm, will be reversed only upon a showing of an abuse of discretion.”
    Clinard v. Blackwood, 
    46 S.W.3d 177
    , 182 (Tenn. 2001). A trial court abuses its discretion
    when it causes an injustice by applying an incorrect legal standard, reaches an illogical
    result, resolves the case on a clearly erroneous assessment of the evidence, or relies on
    reasoning that causes an injustice. Gonsewski v. Gonsewski, 
    350 S.W.3d 99
    , 105 (Tenn.
    2011). The abuse of discretion standard “does not permit an appellate court to substitute
    its judgment for that of the trial court.” 
    Id.
     Moreover, pursuant to the abuse of discretion
    standard, “the appellate court should presume the [trial court’s] decision is correct and
    should review the evidence in the light most favorable to the decision.” 
    Id. at 105-06
    . The
    standard we apply in reviewing the trial court’s decision also presumes that the court’s
    factual findings are correct unless the preponderance of the evidence is otherwise. See
    
    Tenn. Code Ann. § 50-6-239
    (c)(7) (2022).
    Analysis
    Insurer asserts the trial court erred by concluding there was a conflict of interest
    arising from counsel’s joint representation of Employer and Insurer. In its brief on appeal,
    Insurer raises two issues, which we restate as follows: (1) whether the trial court has
    authority to issue an order of disqualification, and (2) whether Employee failed to prove a
    concurrent conflict of interest exists. Conversely, Employee contends Insurer’s argument
    regarding subject matter jurisdiction is waived because it was not raised in the trial court
    or, if it is not waived, is without merit. Employee also asserts the trial court did not abuse
    its discretion by concluding a concurrent conflict of interest exists.
    Authority of Trial Court
    Insurer asserts the trial court does not have authority to enter an order of
    disqualification because it is under the purview of an administrative agency in the executive
    branch of government and is not part of the judicial branch. In its brief, Insurer argues that
    “[t]his distinction is crucial” because licensing and regulation of attorneys practicing law
    5
    lies within the inherent authority of the Tennessee Supreme Court and the judicial branch
    of government. Therefore, Insurer contends, the trial court’s order is void because it does
    not possess subject matter jurisdiction over the disqualification of an attorney or its firm.
    Employee, on the other hand, argues that this issue is either waived because Insurer failed
    to raise it at trial or, if it is not waived, is without merit. Although the issue of subject
    matter jurisdiction cannot be waived, see Nickerson v. Knox Cnty. Gov’t, No. 2019-03-
    0559, 2020 TN Wrk. Comp. App. Bd. LEXIS 18, at *3 (Tenn. Workers’ Comp. App. Bd.
    Apr. 17, 2020), we agree with Employee that this issue is without merit under the
    circumstances of this case.
    Tennessee Supreme Court Rule 8, Rule of Professional Conduct 8.5(b)(1) states that
    a “tribunal” can consider issues raised under the Rules of Professional Conduct in any
    matter pending before it. Tennessee Supreme Court Rule 8, Rule of Professional Conduct
    1.0(m) defines “tribunal” as follows:
    “Tribunal” denotes a court (including a special master, referee, judicial
    commissioner, or other similar judicial official presiding over a court
    proceeding), an arbitrator in a binding arbitration proceeding, or a legislative
    body, administrative agency, or other body acting in a adjudicative capacity.
    A legislative body, administrative agency, or other body acts in an
    adjudicative capacity when a neutral official, after the presentation of
    evidence or legal argument by a party or parties, will render a binding legal
    judgment directly affecting a party’s interests in a particular matter.
    (Emphasis added.) Hence, if the Court of Workers’ Compensation Claims is a “tribunal”
    exercising adjudicative functions, it is instructed by the Supreme Court to apply the Rules
    of Professional Conduct in any matter pending in that court.
    In his brief on appeal, Employee argues that “[n]o action related to the workers’
    compensation claim could be filed in a Circuit or Chancery Court, nor could a party file a
    petition directly before the Tennessee Supreme Court seeking disqualification [of an
    attorney in a case pending in the Court of Workers’ Compensation Claims]. The position
    of the Appellant leaves the Rules of Professional Conduct toothless and unenforceable.” It
    is apparent from the plain language of Rule 1.0(m) that the Court of Workers’
    Compensation Claims falls squarely within the definition of a tribunal exercising
    adjudicative authority. Further, the Rules of Professional Conduct are to be applied to any
    matter before a tribunal, and the Court of Workers’ Compensation Claims has exclusive
    jurisdiction over all workers’ compensation claims. Tenn. Code. Ann. § 50-6-237.
    Moreover, orders issued by the Court of Workers’ Compensation Claims are
    appealable to the Tennessee Workers’ Compensation Appeals Board and, ultimately, may
    be appealable to the Tennessee Supreme Court. See 
    Tenn. Code Ann. § 50-6-225
    . Thus,
    the Supreme Court can exercise judicial review of such decisions. In short, we conclude
    6
    that the Court of Workers’ Compensation Claims, as a tribunal performing adjudicative
    functions, has the authority to address issues arising under the Tennessee Rules of
    Professional Conduct. Specifically, we conclude the Court of Workers’ Compensation
    Claims possesses subject matter jurisdiction over the disqualification of an attorney or the
    attorney’s firm and is able to weigh the evidence and arguments of parties, make a
    determination as to whether a concurrent conflict exists, and issue an order of
    disqualification, if necessary.
    Conflict of Interest
    The second issue raised on appeal is whether Employee failed to prove that a
    concurrent conflict of interest exists. Rule 1.7 of the Rules of Professional Conduct
    provides the framework for our analysis regarding legal representation when there is an
    asserted conflict of interest. Rule 1.7 states:
    (a) Except as provided in paragraph (b), a lawyer shall not represent a client
    if the representation involves a concurrent conflict of interest. A
    concurrent conflict of interest exists if:
    (1) the representation of one client will be directly adverse to another
    client; or
    (2) there is a significant risk that the representation of one or more
    clients will be materially limited by the lawyer’s responsibilities to
    another client, a former client or a third person or by a personal
    interest of the lawyer.
    Subsection (b) delineates certain circumstances where an attorney may represent a client,
    notwithstanding a concurrent conflict of interest. An attorney may concurrently represent
    more than one client under the following circumstances:
    (1) the lawyer reasonably believes that the lawyer will be able to provide
    competent and diligent representation to each affected client;
    (2) the representation is not prohibited by law;
    (3) the representation does not involve the assertion of a claim by one client
    against another client represented by the lawyer in the same litigation or
    other proceeding before a tribunal; and
    (4) each affected client gives informed consent, confirmed in writing.
    Tenn. Sup. Ct. R. 8, RPC 1.7.
    7
    In Moody v. Hutchison, 
    247 S.W.3d 187
    , 200 (Tenn. Ct. App. 2007), the Tennessee
    Court of Appeals explained that “[a]n actual conflict of interest is usually defined in the
    context of one attorney representing two or more parties with divergent interests.” The
    Court then explained:
    A test for determining a disqualifying conflict in that situation is whether the
    attorney “made a choice between possible alternative courses of action [that
    were] helpful to one client but harmful to the other.” The term has been
    described as “a situation in which regard for one duty tends to lead to [the]
    disregard of another.” In Ford v. Ford, 
    749 F.2d 681
    , 682 (11th Cir.), cert.
    denied, 
    474 U.S. 909
    , 
    106 S. Ct. 278
    , 
    88 L. Ed. 2d 243
     (1985), the court
    declared a conflict of interest when an “attorney was placed in a position of
    divided loyalties.”      Once an actual conflict of interest is shown,
    disqualification is the appropriate remedy.
    
    Id. at 200
    .
    The Tennessee Supreme Court also addressed conflicts of interest in In re
    Youngblood, 
    895 S.W.2d 322
     (Tenn. 1995). In that case, the Tennessee Board of
    Professional Responsibility had issued Formal Ethics Opinion 93-F-132, which addressed
    the ability of in-house attorneys hired by an insurer to represent the interests of that
    insurer’s insured entities, and the Supreme Court was asked to address the validity of that
    opinion. In rejecting the notion that an in-house attorney employed by an insurer had an
    inherent conflict in representing an insured entity of that insurer, the Supreme Court
    explained, “the relationship of employer-employee obviously creates the potential for
    conflicts of interest. However, in the situation posed by the inquiry, it is not a potential
    conflict that is prohibited, but the “reasonable probability” of a real conflict. Tenn. R.
    Sup. Ct. 8, EC 5-2.” 
    Id. at 328
     (emphasis added). The Court then discussed the general
    circumstances of an insurer hiring an attorney to represent an insured:
    The employment of an attorney by an insurer to represent the insured does
    not create the relationship of attorney-client between the insurer and the
    attorney, nor does that employment necessarily impose upon the attorney any
    duty or loyalty to the insurer which impairs the attorney-client relationship
    between the attorney and the insured or impedes the performance of legal
    services for the insured by the attorney. Where the employer is not also a
    client, a conflict will not occur unless the attorney is obligated by the terms
    or circumstances of employment to protect the interest of the employer even
    to the detriment of the insured.
    
    Id.
     This rationale addresses typical liability cases where an insurance contract obligates an
    insurer to defend a claim brought against its insured. The issue becomes more complicated
    in workers’ compensation cases because Tennessee Code Annotated section 50-6-102(11)
    8
    places the insurer in the same shoes as the employer. Therefore, the “reasonable probability
    of a real conflict” becomes much more acute in workers’ compensation cases when the
    insurer and the insured have diverging interests.
    The Supreme Court in Youngblood then explained, “Any policy, arrangement or
    device which effectively limits, by design or operation, the attorney’s professional
    judgment on behalf of or loyalty to the client is prohibited by the Code, and, undoubtedly,
    would not be consistent with public policy.” Youngblood, 
    895 S.W.2d at 328
    . Thus, in
    circumstances where a workers’ compensation insurer is contractually obligated to retain
    an attorney to defend an insured company in a workers’ compensation case, the attorney’s
    primary ethical duty is to the employer, but the term “employer” includes both the company
    and the insurer. 
    Tenn. Code Ann. § 50-6-102
    (11). When the interests of the company and
    its insurer diverge, there is a “reasonable probability of a real conflict.” Youngblood, 
    895 S.W.2d at 328
    .
    Here, Insurer asserts Employee failed to prove that a concurrent conflict of interest
    exists. In support of its assertion, Insurer contends that because Employer is a corporation,
    a legal entity separate from its corporate officers, the argument that counsel cannot
    represent both Insurer and Employer “runs contrary to a basic understanding of corporate
    law, as [Employer] is a distinct and separate entity from Employee himself.” Employer
    also contends that a company’s president is “still an employee for purposes of Tennessee
    Workers’ Compensation Law. Therefore, unless Employee presented sufficient evidence
    demonstrating that he, in his capacity as the president, opted out of the workers’
    compensation        insurance      policy     agreement      between    [Employer]       and
    [Insurer] . . . Employee exists exclusively as an employee, as defined under [Tennessee
    Code Annotated section] 50-6-102(12)(1)(a).” In sum, Insurer argues that Employee
    “conflates his personal disagreement [with the denial of his claim] with a conflict of
    interest.”
    Conversely, Employee asserts the trial court did not abuse its discretion by finding
    a conflict of interest exists. In response to Insurer’s argument that Employer, as a
    corporation, is a distinct and separate legal entity, Employee asserts that, as the President
    and owner of Employer, he “certainly acts for [Employer]” and “evidence of [Employer’s]
    interests must come from [Employee].” Moreover, Insurer presented no evidence rebutting
    the assertion that Employee is also the corporate representative with authority to speak for
    the corporation.
    Employee argues the trial court did not apply an incorrect legal standard, but instead
    correctly relied upon Rule 1.7 of the Tennessee Rules of Professional Conduct in its
    analysis. Moreover, Employee asserts there was no abuse of discretion because the trial
    court’s ruling was limited in scope and only disqualified counsel from representing
    Employer. Finally, Employee contends the trial court’s logic was sound, and its assessment
    9
    of evidence, including the Rule 72 Declarations of attorney Cliff Wilson and Employee,
    was not clearly erroneous.
    In this case, it is clear that Employee occupies more than one role: he is the alleged
    injured worker and was the owner and President of Employer at the time the incident
    occurred. While both parties agree that Employee and Employer are two separate legal
    entities, Employee, in his capacity as President and owner of the company, has asserted his
    role as corporate representative and taken a position on behalf of Employer that is adverse
    to that of Insurer. Employee also asserts that counsel for Insurer has made no effort to
    communicate with Employer, although he concedes this is likely due to Employee’s being
    represented by counsel in his capacity as the injured worker. This fact further highlights
    the existence of a conflict: Insurer’s counsel cannot communicate with Employer’s
    designated representative because that representative is also the injured worker, who is
    represented by counsel. In addition, counsel for Insurer intends to obtain a medical
    examination and depose Employee, who is also the corporate representative for his client.
    This is clearly a case in which regard for one duty can lead to the disregard of another, and
    counsel will be placed in a position of divided loyalties. Under the circumstances
    presented, we cannot conclude that the trial court abused its discretion by finding that a
    concurrent, actual conflict of interest exists and disqualifying counsel from joint
    representation of both Insurer and Employer. 6
    Conclusion
    For the foregoing reasons, we affirm the trial court’s order disqualifying counsel
    from representing Employer, and we remand the case. Costs on appeal are taxed to Insurer.
    6
    In his separate opinion, our colleague addresses whether the trial court had the authority to order Insurer
    to retain and pay for independent counsel to represent Employer. We agree in part with his assessment that
    the record is lacking in legal or factual support regarding this issue. We conclude, however, that because
    this issue was not raised by either party on appeal, we cannot address it. Thus, we offer no opinion as to
    whether the Court of Workers’ Compensation Claims exceeded its authority in ordering Insurer to hire
    conflict counsel.
    10
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Anvil Nelson, Jr.                                    )    Docket No.        2021-06-1121
    )
    v.                                                   )    State File No. 26092-2021
    )
    QVS, Inc., et al.                                    )
    )
    )
    Appeal from the Court of Workers’                    )    Heard February 22, 2023
    Compensation Claims                                  )    via Microsoft Teams
    Kenneth M. Switzer, Chief Judge                      )
    Opinion Concurring in Part and Dissenting in Part
    Timothy W. Conner, J., concurring in part and dissenting in part.
    Although I agree with the majority opinion’s rationale concerning the conflict issue,
    I write separately to address what I view as a deficiency in the record and a lack of
    evidentiary support for part of the trial court’s order. Upon review of the record on appeal,
    I am unable to find any evidence offered to the trial court that would support a contractual
    or legal obligation on the part of Insurer to retain independent counsel for Employer in a
    conflict situation. Employee has cited no common law precedent addressing an insurer’s
    obligation to retain independent counsel in a conflict situation absent a specific provision
    in the insurance contract. 1 Moreover, neither party has addressed whether the Court of
    Workers’ Compensation Claims has the authority to review the terms of a workers’
    compensation insurance contract and interpret its provisions. 2 Therefore, given the current
    lack of relevant evidence on this issue, I would reverse the portion of the trial court’s order
    requiring Insurer to retain and pay for independent counsel.
    1
    I further note that Tennessee Code Annotated section 23-3-103(a) and Tenn. Comp. R. and Regs. 0800-
    02-21-.04(1)(c) mandate that a corporation “be represented by a licensed attorney in the court of workers’
    compensation claims and the workers’ compensation appeals board.” As we have explained previously, a
    “corporation cannot practice law, cannot represent itself in the Court of Workers’ Compensation Claims
    and cannot seek to introduce evidence or examine a witness through a ‘duly authorized representative.’”
    Higgins v. Big K Food Market & Liquors, Inc., No. 2014-01-0007, 2014 TN Wrk. Comp. App. Bd. LEXIS
    3, at *11-12 (Tenn. Workers’ Comp. App. Bd. Dec. 8, 2014). Hence, in my opinion, if there is no
    contractual or legal obligation for Insurer to retain and pay for independent counsel, that obligation would
    fall on the corporation.
    2
    Given that this issue was not raised in the context of this appeal, I offer no opinion concerning whether
    the Court of Workers’ Compensation Claims can review and rule on the terms of a workers’ compensation
    insurance contract.
    1
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION
    WORKERS’ COMPENSATION APPEALS BOARD
    Anvil Nelson, Jr.                                     )      Docket No. 2021-06-1121
    )
    v.                                                    )      State File No. 26092-2021
    )
    QVS, Inc., et al.                                     )
    )
    )
    Appeal from the Court of Workers’                     )      Heard February 22, 2023
    Compensation Claims                                   )      via Microsoft Teams
    Kenneth M. Switzer, Chief Judge                       )
    CERTIFICATE OF SERVICE
    I hereby certify that a true and correct copy of the Appeals Board’s decision in the referenced
    case was sent to the following recipients by the following methods of service on this the 22nd
    day of March, 2023.
    Name                              Certified   First Class   Via   Via     Sent to:
    Mail        Mail          Fax   Email
    Adam C. Brock-Dagnan                                                X     acbrock-dagnan@mijs.com
    telett@mijs.com
    Steven Fifield                                                      X     steven@rockylawfirm.com
    connie@rockylawfirm.com
    Kenneth M. Switzer, Chief Judge                                     X     Via Electronic Mail
    Penny Shrum, Clerk, Court of                                        X     penny.patterson-shrum@tn.gov
    Workers’ Compensation Claims
    Olivia Yearwood
    Clerk, Workers’ Compensation Appeals Board
    220 French Landing Dr., Ste. 1-B
    Nashville, TN 37243
    Telephone: 615-253-1606
    Electronic Mail: WCAppeals.Clerk@tn.gov
    

Document Info

Docket Number: 2021-06-1121

Judges: Pele I. Godkin, Meredith B Weaver, Timothy W. Conner

Filed Date: 3/22/2023

Precedential Status: Precedential

Modified Date: 3/22/2023