Reed v. Carolina HoldingsÂ

IN THE COURT OF APPEALS OF NORTH CAROLINA
No. COA15-1034
Filed: 7 February 2017
North Carolina Industrial Commission, I.C. No. 845311
CHRISTOPHER S. REED, Employee, Plaintiff,
v.
CAROLINA HOLDINGS, WOLSELEY MANAGEMENT, Employer, ACE USA/ESIS,
Carrier, Defendants.
Appeal by Defendants from an Opinion and Award entered 17 April 2015 by
the Full North Carolina Industrial Commission. Heard in the Court of Appeals 7
June 2016.
Lennon, Camak & Bertics, PLLC, by George W. Lennon and Michael W. Bertics,
for Plaintiff-Appellee.
Hedrick Gardner Kincheloe & Garofalo, LLP, by Paul C. Lawrence and M.
Duane Jones, for Defendant-Appellants.
INMAN, Judge.
A defendant may not argue on appeal that the North Carolina Industrial
Commission lacks the authority to award fees for attorneys to be paid out of an award
of medical compensation without preserving the issue before the Commission. An
award of attendant care compensation will be upheld where the Commission’s
findings of fact are supported by competent evidence and the findings of fact support
REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
the Commission’s conclusion of law that the attendant care services are reasonable
and necessary.
Carolina Holdings, Wolseley Management, and ACE USA/ESIS (“Defendants”)
appeal from an Opinion and Award of the Full Commission of the North Carolina
Industrial Commission (the “Commission”), wherein the Commission awarded
retroactive and ongoing medical compensation for attendant care services for
Christopher S. Reed (“Mr. Reed” or “Plaintiff”), and twenty-five percent of the
retroactive medical compensation to be paid to Mr. Reed’s attorney as an attorney’s
fee.
Defendants contend the Commission erred in awarding attendant care services
and exceeded its authority in granting an attorney’s fee award to be deducted from
the retroactive award of attendant care. Mr. Reed filed a motion to dismiss
Defendants’ appeal for failure to properly preserve their challenge to the attorney’s
fee award below. After careful review, we affirm the Commission’s award of
attendant care services and grant Mr. Reed’s motion to dismiss Defendant’s appeal
as to the award of attorney’s fees.
Factual and Procedural History
Mr. Reed began working with Defendants on 20 May 1998. On 26 June 1998,
Mr. Reed sustained a traumatic brain injury along with injuries to his shoulder, back,
and other body parts when a stack of building supplies collapsed on top of him.
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Defendants accepted liability for Mr. Reed’s injuries and provided compensation for
Mr. Reed’s lost income and medical treatment resulting from the injury.
Psychological and psychiatric evaluations over the next decade indicated that Mr.
Reed’s cognitive and emotional condition continued to deteriorate and that Mr. Reed
was not reliably taking prescribed medication. In 2010, a forensic psychiatrist
diagnosed Mr. Reed with a cognitive disorder, obsessive compulsive disorder, and a
mood disorder.
On 18 March 2011, Mr. Reed filed a Form 33 requesting that the Commission
hear his claim for attendant care compensation. Following a hearing, Deputy
Commissioner George R. Hall, III entered an Opinion and Award requiring
Defendants to pay Mr. Reed’s mother (“Mrs. Reed”) ten dollars per hour for twenty-
four hours per day, seven days per week from 27 June 1998 through the date of the
Opinion and Award and continuing, and allowing Mr. Reed’s counsel to deduct
twenty-five percent of the back due attendant care owed from the award as a
reasonable attorney’s fee. The Deputy Commissioner denied Mr. Reed’s counsel’s
request to deduct twenty-five percent of the compensation for future attendant care
as an attorney’s fee.
Defendants appealed the award to the Full North Carolina Industrial
Commission pursuant to N.C. Gen. Stat. § 97-85 and Rule 701 of the North Carolina
Industrial Commission. Mr. Reed appealed to the Full Commission pursuant to N.C.
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Gen Stat. § 97-90(c) that portion of the award denying the claim for attorney’s fee to
be deducted from future medical compensation.
On appeal from the Deputy Commissioner’s decision, the Commission received
additional evidence with respect to Mr. Reed’s attendant care claim. Defendants
offered surveillance evidence conducted from July 2012 through November 2012 in
support of their contention that Mr. Reed does not require attendant care. This
evidence included testimony by three private investigators regarding Mr. Reed’s
ability to perform daily activities, his physical limitations, and his regular residence.
Mr. Reed introduced additional deposition testimony by himself, his mother, his
friend Jessica Lloyd, and two of his doctors.
After reviewing the additional evidence, the Commission entered its Opinion
and Award on 17 April 2015. The Commission made extensive findings of fact and
conclusions of law and issued the following award:
1. Plaintiff’s request for compensation for attendant
care services provided to him from March 18, 2007 to
March 17, 2011 is DENIED. Plaintiff’s request for
attendant care services provided to him beginning March
18, 2011 to the present and continuing is GRANTED.
From March 18, 2011, through the present and continuing,
Defendants shall pay Plaintiff’s mother, Mrs. Reed, for 8
hours per day, 7 days per week of attendant care services
she has provided and continues to provide to Plaintiff at a
reasonable rate agreed upon by the parties. The amounts
awarded are subject to the attorneys’ fee set forth below.
2. As a reasonable attorney’s fee, Plaintiff’s counsel is
entitled to be paid 25% of all accrued retroactive attendant
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care compensation herein. Defendants shall deduct 25%
from the accrued amount and pay it directly to Plaintiff’s
counsel as a reasonable attorney’s fee. Plaintiff’s counsel
request for 25% of future attendant care payments is
DENIED. However, Plaintiff’s counsel may seek
additional compensation if future attendant care issues
arise.
Following the Commission’s Opinion and Award, the parties respectively filed
a series of pleadings in three forums:
 On 30 April 2015, Mr. Reed filed with the Wake County Superior Court a
notice of appeal from the Opinion and Award pursuant N.C. Gen. Stat. §
97-90(c) regarding the Commission’s denial of his request for attorney’s fees
to be deducted from future attendant care compensation.
 On 5 May 2015, Defendants filed with the Commission a Motion for
Reconsideration arguing—apparently for the first time—that the
Commission had erred in awarding any attorney’s fees from medical
compensation awarded to Mr. Reed. The Motion cited the same legal
authorities that would later be raised in Defendants’ appeal to this Court.
The record does not reflect that Defendants raised this issue or presented
these legal arguments previously before either Deputy Commissioner Hall
or the Commission.1
1 The Motion also asked the Commission to amend the Opinion and Award to require Mr.
Reed’s mother to report her attendant care earnings to the government and to be responsible for paying
all taxes applicable to the earnings.
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 On 13 May 2015, Defendants filed with this Court a notice of appeal from
the Commission’s Opinion and Award.
 Two days later, on 15 May 2015, Defendants filed with the Wake County
Superior Court a pleading captioned “Defendants’ Response to Plaintiff’s
Notice of Appeal of Award of Attorney’s Fees,” asserting the same argument
Defendants presented to the Commission in their Motion for
Reconsideration. Defendants asked the Wake County Superior Court to
reverse the Commission’s award of attorney’s fees to Mr. Reed “or at the
very least allow for this matter to be decided by the Full Commission” based
on Defendants’ then pending Motion for Reconsideration.2
 On 2 June 2015, the Commission filed an Order concluding that
Defendants’ appeal to the Wake County Superior Court deprived the
Commission of jurisdiction to reconsider its Opinion and Award.
 On 10 June 2015, Defendants filed a Motion to Intervene in the Wake
County Superior Court proceeding initiated by Mr. Reed.
 On 23 June 2015, the Superior Court entered an order allowing Defendants
to intervene in that proceeding, but holding the case in abeyance pending
the outcome of Defendants’ appeal to this Court.
2 Defendants represented to the Superior Court that their Motion for Reconsideration
concerned the Commission’s “decision with regards to Award No. 1.” However, Award No. 1 addressed
attendant care compensation, not attorney’s fees.
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On appeal before this Court, Defendants challenge the Commission’s findings
of fact related to Mr. Reed’s ability to function independently, his need for around the
clock monitoring, the medical necessity of his attendant care services, and the weight
given to Defendants’ surveillance evidence. Defendants also challenge the
Commission’s authority to award attorney’s fees pursuant N.C. Gen. Stat. § 97-90(c)
to be deducted from an award of attendant care compensation. Mr. Reed has filed a
motion to dismiss Defendants’ appeal as to the issue of attorney’s fees.
Plaintiff’s Motion to Dismiss Defendants’ Appeal
Mr. Reed’s motion to dismiss asserts (1) that Defendants lack standing to
challenge an award of attorney’s fees; (2) that our Court lacks subject matter
jurisdiction regarding attorney’s fees because the Superior Court has exclusive
jurisdiction regarding such fees; and (3) that our Court lacks subject matter
jurisdiction because Defendants failed to preserve their argument regarding the
Commission’s authority to grant attorney’s fee awards from medical compensation.
After careful review, we agree that Defendants failed to preserve their argument
regarding the Commission’s authority to award attorney’s fees to be deducted from
attendant care compensation. We therefore dismiss Defendants’ appeal with respect
to that issue.
Rule 701 of the North Carolina Industrial Commission states:
(2) After receipt of notice of appeal, the Industrial
Commission will supply to the appellant a Form 44
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Application for Review upon which appellant must state
the grounds for appeal. The grounds must be stated with
particularity, including the specific errors allegedly
committed by the Commissioner or Deputy Commissioner
and, when applicable, the pages in the transcript on which
the alleged errors are recorded.
(3) Particular grounds for appeal not set forth in the
application for review shall be deemed abandoned, and
argument thereon shall not be heard before the Full
Commission.
Workers’ Comp. R. of N.C. Indus. Comm’n 701, 2011 Ann. R. (N.C.) 1070-71. It is
well established that “the portion of Rule 701 requiring appellant to state with
particularity the grounds for appeal may not be waived by the Full Commission.”
Roberts v. Wal-Mart, Inc., 173 N.C. App. 740, 744, 619 S.E.2d 907, 910 (2005). “[T]he
penalty for non-compliance with the particularity requirement is waiver of the
grounds, and where no grounds are stated, the appeal is abandoned.” Wade v.
Carolina Brush Mfg. Co., 187 N.C. App. 245, 249, 652 S.E.2d 713, 715-16 (2007)
(citations omitted). Applying established precedent to the record in this case, we
conclude that although Defendants preserved their objection to the award of
attorney’s fees as a derivative of their objection to the award of attendant care
compensation, Defendants failed to preserve a challenge to the Commission’s
authority to award attorney’s fees deducted from such compensation. There is no
indication in the record that this issue was raised at all before the Commission prior
to the Opinion and Award from which this appeal arises. Defendants pleaded only a
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generalized assignment of error regarding the attorney’s fee award. There is no
indication in the record that Defendants stated in any form or fashion the basis of
their objection to the award of attorney’s fees with sufficient particularity to give Mr.
Reed or the Commission notice of a legal issue to be addressed on appeal from the
Deputy Commissioner’s decision.
Defendants argue they preserved the issue of attorney’s fees on appeal to the
Full Commission because the fifteenth—and last—assignment of error in their Form
44 referred to the Deputy Commissioner’s award of attorney’s fees. Assignment of
Error 15 stated:
For all the reasons stated above, Award #2 is contrary to
law, is not supported by the findings of fact and is contrary
to the competent and credible evidence of record.
Although neither the word “attorney” nor the word “fee” is mentioned in the
assignment of error, Paragraph No. 2 under the heading “Award” in the Deputy
Commissioner’s Opinion and Award provides for the award of attorney’s fees.
Therefore, the fifteenth assignment of error could be said to identify the attorney’s
fee award in general. As for the basis of the objection, however, the assignment
simply states it is “[f]or all the reasons stated above . . . .” The reasons stated above,
i.e., assignments of error 1 through 14, challenge factual findings and conclusions of
law related to whether Mr. Reed requires attendant care and whether Mr. Reed and
his mother are entitled to reimbursement for attendant care services. So Defendants’
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objection to the award of attorney’s fees appears to be based solely on their objections
to the award of attendant care compensation. None of the prior assignments
challenge the Commission’s authority to award attorney’s fees to be deducted from
attendant care compensation.
The fifteenth assignment of error is similar to the assignment of error that this
Court found insufficient to preserve a challenge to a deputy commissioner’s award of
attorney’s fees in Adcox v. Clarkson Bros. Constr. Co., 236 N.C. App. 248, 254, 773
S.E.2d 511, 516 (2015). That assignment of error challenged an award
on the grounds that it is based upon Findings of Fact and
Conclusions of Law which are erroneous, not supported by
competent evidence or evidence of record, and are contrary
to the competent evidence of record, and are contrary to
law: Award Nos. 1-3.
Id.
Although the assignment of error in Adcox mentioned the paragraph number
corresponding to attorney’s fees in the deputy commissioner’s award, this Court held
that the generalized assignment “covers everything and touches nothing.” Id. at 255,
773 S.E.2d at 516 (citation and quotation marks omitted). The assignment did “not
state the basis of any objection to the attorneys’ fee award with sufficient
particularity to give [the] plaintiff notice of the legal issues that would be addressed
by the Full Commission such that he could adequately prepare a response.” Id.
(citation omitted). The Court in Adcox compared the insufficient assignment of error
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there to the appellant’s assignment of error in Walker v. Walker, 174 N.C. App. 778,
782, 624 S.E.2d 639, 642 (2005). Adcox, 236 N.C. App. at 255, 773 S.E.2d at 516. The
assignment of error in Walker, analogous to that in Adcox and in this case, asserted
that several rulings of the trial court were “erroneous as a matter of law.” Walker,
174 N.C. App. at 782, 624 S.E.2d at 642. This Court held that the assertion “that a
given finding, conclusion, or ruling was ‘erroneous as a matter of law’ completely fails
to identify the issues actually briefed on appeal.” Id. (emphasis in original).
Defendants contend that they did properly raise sufficient grounds in their
brief to the Commission to preserve their challenge to the Commission’s authority to
grant attorney’s fees from an award of attendant care compensation. They rely on
this Court’s decision in Cooper v. BHT Enters., 195 N.C. App. 363, 672 S.E.2d 748
(2009). In Cooper, the plaintiff asserted that the defendant’s failure to file a Form 44
constituted abandonment of the grounds for the defendant’s appeal from a deputy
commissioner’s decision to the Commission, and therefore the Commission erred in
hearing the appeal. Id. at 368, 672 S.E.2d at 753. But this Court concluded that
“both this Court and the plain language of the Industrial Commission’s rules have
recognized the Commission’s discretion to waive the filing requirement of an
appellant’s Form 44 where the appealing party has stated its grounds for appeal with
particularity in a brief or other document filed with the Full Commission,” and
overruled the plaintiff’s argument. Id. at 369, 672 S.E.2d at 753-54. Thus, the Court
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in Cooper refused to put form over substance and affirmed the Commission’s
discretion to hear an issue that had been stated with particularity.
Here, unlike in Cooper, we find in the record no substance that can mend the
insufficiency of Defendants’ Form 44. Although Defendants contend in response to
the Motion to Dismiss that they stated their challenge to the Commission’s authority
to award attorney’s fees in their brief to the Commission on appeal from the Deputy
Commissioner’s decision, they did not include the referenced brief in the record. Nor
did Defendants seek to supplement the record with the referenced brief in response
to the Motion to Dismiss. We have searched the record and find no such pleading
filed with the Commission by Defendants regarding attorney’s fees other than the
Defendants’ Motion for Reconsideration, which Defendants filed after the
Commission had issued its Opinion and Award. Like the defendants in Adcox,
Defendants do not point to any support in the record indicating that they raised this
issue in their appeal from the Deputy Commissioner’s decision. Nor do Defendants
point to any indication in the record that the Commission sought to exercise its
discretion to determine this issue. As discussed further infra, the only pleadings in
the record regarding this issue were filed after the Commission had issued its Opinion
and Award. Accordingly, we hold Defendants abandoned their argument that the
Commission lacked the authority under the Act to grant an award of attorney’s fees
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out of an award of attendant care compensation, and dismiss Defendants’ appeal as
to this issue.
The dissenting opinion asserts that we decline to address the issue of attorney’s
fees “solely because Defendants did not include a copy of their supporting legal brief
to the Full Commission in the long settled record on appeal.” To be clear, we hold
that because there is no indication in the record that Defendants raised the issue
before the Commission and there is no indication that the Commission addressed the
issue, we have no jurisdiction to review it. This is not a case of a technicality
foreclosing review based on an inadvertent omission in the record. Not only did
Defendants not include in the record the brief they now claim preserved the issue,
but they failed to supplement the record with the referenced brief when challenged
to point to any portion of the record preserving the issue for review. Indeed, the
record reflects only that after the Commission issued its Opinion and Award,
Defendants filed a Motion for Reconsideration regarding the attorney’s fee issue.
That pleading tellingly does not refer to Defendants having raised the issue in any
prior brief or argument to the Commission.
The dissent seeks to justify a different result by relying on inapposite case
authority. In Tucker v. Workable Company, 129 N.C. App. 695, 701, 501 S.E.2d 360,
365 (1998) the parties had mistakenly stipulated before the Commission that the
worker’s weekly salary was $659.70 per week although it was actually $157.80 per
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week. The employer discovered the error after the Commission’s Opinion and Award
and sought reconsideration, which the Commission denied. Id. This Court reversed
the denial and remanded the matter to the Commission. Id.
The award of attorney’s fees from attendant care compensation does not arise
from a factual mistake or a legal error that has previously been recognized by this
Court or the Supreme Court of North Carolina. It is an issue of first impression
requiring careful interpretation of the Workers’ Compensation Act. We cannot
circumvent the limits of our jurisdiction to address a watershed issue with broad
reaching consequences.
Because we dismiss Defendants’ appeal regarding the Commission’s authority
to award attorney’s fees from attendant care compensation based on their
abandonment of the issue before the Commission, we need not address the other
arguments presented by Plaintiff in his Motion to Dismiss.
Award of Attendant Care Compensation
Defendants assign error to the Commission’s award of attendant care
compensation by asserting there was insufficient evidence to support the
Commission’s findings of fact and therefore, the findings of fact do not support the
Commission’s conclusions of law. We disagree.
A. Standard of Review
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When reviewing an award from the Commission, our review is limited to
determining: (1) whether the findings of fact are supported by competent evidence,
and (2) whether those findings support the Commission’s conclusions of law.
Chambers v. Transit Mgmt., 360 N.C. 609, 611, 636 S.E.2d 553, 555 (2006).
Unchallenged findings of fact “are ‘presumed to be supported by competent evidence’
and are, thus ‘conclusively established . . . .’ ” Chaisson v. Simpson, 195 N.C. App.
463, 470, 673 S.E.2d 149, 156 (2009) (quoting Johnson v. Herbie’s Place, 157 N.C.
App. 168, 180, 579 S.E.2d 110, 118 (2003)). “The Commission’s conclusions of law are
reviewed de novo.” McRae v. Toastmaster, Inc., 358 N.C. 488, 496, 597 S.E.2d 695,
701 (2004) (citation omitted). “An opinion and award of the Industrial Commission
will only be disturbed upon the basis of a patent legal error.” Roberts v. Burlington
Indus., Inc., 321 N.C. 350, 354, 364 S.E.2d 417, 420 (1988).
B. Analysis
In North Carolina, the Workers’ Compensation Act provides employees
compensation for injuries sustained within the course and scope of employment,
charging employers with the responsibility to cover costs such as medical
compensation. N.C. Gen. Stat. § 97-1 et seq. (2015). The Act defines medical
compensation as:
medical, surgical, hospital, nursing, and rehabilitative
services, including, but not limited to, attendant care
services prescribed by a health care provider authorized by
the employer or subsequently by the Commission,
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vocational rehabilitation, and medicines, sick travel, and
other treatment, including medical and surgical supplies,
as may reasonable be required to effect a cure or give relief
and for such additional time as, in the judgment of the
Commission, will tend to lessen the period of disability; and
any original artificial members as may reasonably be
necessary at the end of the healing period and the
replacement of such artificial members when reasonably
necessitated by ordinary use or medical circumstances.
N.C. Gen. Stat. § 97-2(19).3 To award medical compensation, and specifically
attendant care services, the Commission must make findings from competent
evidence to support its conclusion that the attendant care services were reasonable
and necessary as a result of the employee’s injury. See Shackleton v. Southern
Flooring & Acoustical Co., 211 N.C. App. 233, 245, 712 S.E.2d 289, 297 (2011). Such
competent evidence includes, but is not limited to: “a prescription or report of a
healthcare provider; the testimony or a statement of a physician, nurse, or life care
planner; the testimony of the claimant or the claimant’s family member; or the very
nature of the injury.” Id. at 250-51, 712 S.E.2d at 300.
Here, the Commission made the following findings of fact, which Defendants
challenge, in support of its conclusion that Mr. Reed’s attendant care services were
reasonable and necessary:
3 The General Assembly amended the Act in 2011 to include attendant care services within
the definition of medical compensation. 2011 N.C. Sess. Laws ch. 287, § 2. This definition was not in
effect at the time this claim was filed; however, the North Carolina Supreme Court has previously
included attendant care services within the statute’s “other treatment.” Mehaffey v. Burger King, 367
N.C. 120, 125, 749 S.E.2d 252, 255 (2013). Neither party disputes attendant care services as being
other than medical compensation.
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6. Dr. Prakken [Mr. Reed’s physician] also opined that
Plaintiff is not able to function independently. Plaintiff
cannot effectively shop for himself, pay his own bills, or set
up his own appointments because of his obsessive
compulsive symptoms and his high level of anxiety. He is
inconsistent with his activities of daily living. Dr. Prakken
compared Plaintiff’s levels of function with that of an 8-
year-old child and testified that Plaintiff could not function
outside an institution without his mother, Elizabeth Reed.
7. Since Plaintiff’s injury, Mrs. Reed has been caring
for him. The attendant care services Mrs. Reed provides
for Plaintiff include shopping for him, cooking,
transporting and attending with Plaintiff most medical
visits, cleaning, providing money management, scheduling
medical appointments, reminding him to bathe and attend
to personal hygiene, making sure he takes his prescription
medications, monitoring his status 24 hours per day, seven
days per week since Plaintiff’s behavior and sleeping habits
are unpredictable, calming him down during an anxiety
attack or other crisis. Mrs. Reed has not worked in the
competitive labor market since Plaintiff’s accident.
8. Prior to his injury, Plaintiff was a fully functional
college student who was able to function independently.
There is no evidence that he would have become wholly
dependent on the care of his mother, but for the
compensable accident at work and resulting traumatic
brain injury.
...
33. Dr. Prakken was deposed for a second time after the
reopening of the record in this matter. Dr. Prakken is
board certified in psychiatry and pain management. He
reviewed the surveillance taken by Defendants and
testified that the surveillance evidence did not show
Plaintiff’s mental or emotional states and that Plaintiff’s
impairment is not the kind of impairment you can easily
see in a snapshot. Dr. Prakken testified that his opinion
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regarding Plaintiff’s need for attendant care has not
changed and that Plaintiff need around the clock passive
medical monitoring. Dr. Prakken explained that Plaintiff
was one of the most anxious and ill patients he has had in
his practice and that Plaintiff required attendant care
because he has grave difficulties from his traumatic brain
injury. Dr. Prakken testified that Plaintiff’s decision-
making process is so concrete and centered on what he feels
at that moment that it leaves him very impulsive and he
doesn’t have the capacity to modulate those feelings and
understand that he may feel differently later. Dr. Prakken
further testified that Plaintiff’s actions and his choices
change moment to moment like his feelings do and that is
something that requires management and he cannot live
independently for even a moderate amount of time. For
example, Dr. Prakken testified that living independently
would leave Plaintiff impulsive about potential medication
use and he would not be able to consistently pay bills, feed
himself, or take care of his activities of daily living.
34. As a part of his anxiety, Plaintiff also suffers from
obsessive compulsive disorder which according to Dr.
Prakken is like a “double whammy, where he’s not only in
this very, very short decision-making loop based solely on
how he feels, but how he feels is just profused with
anxiety.” Dr. Prakken testified that if Plaintiff did not
have attendant care he would need to be institutionalized
and that Plaintiff has difficulty getting out of his internal
anxiety state long enough to attend to the social needs of
others and to efficiently be able to hold a job. With respect
to Plaintiff’s relationship with Ms. Lloyd, Dr. Prakken
testified that Plaintiff longs to be normal and has a
tendency to attach to people in a profound way if they show
caring or liking for him. Dr. Prakken Believed that Ms.
Lloyd was likely giving Mrs. Reed some extended care
support.
...
38. Based upon a preponderance of the evidence in view
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of the entire record, the Full Commission finds that the
surveillance evidence submitted by Defendants does not
show any activity in excess of Plaintiff’s physical
limitations, does not show Plaintiff performing any work
activity and only showed Plaintiff performing very limited
activities of daily living. The Full Commission gives great
weight to the opinion testimony of Dr. Prakken and finds
as fact that the surveillance videos and reports do not show
Plaintiff’s mental and emotional state.
...
45. Based upon a preponderance of the evidence in view
of the entire record, the Full Commission finds that Mrs.
Reed has provided reasonable and medically necessary,
attendant care services for Plaintiff for which she should
be compensated. Plaintiff needs 24 hours per day, 7 days
per week attendant care services. Plaintiff has needed this
level of care since his release from the hospital following
his injury. As a result of his June 26, 1998 injury by
accident, Plaintiff sustained severe injuries including
fractures of the jaw, broken teeth, injuries to his head,
shoulder, back and other body parts, and a traumatic brain
injury. Plaintiff was hospitalized and underwent
numerous surgeries for his injuries. Upon his release from
the hospital, Plaintiff was no longer able to live by himself
and he moved into his parents’ house. Mrs. Reed testified
that upon his release from the hospital, Plaintiff was no
longer able to function independently and she had to
“pretty much keep an eye on-on him.” Defendants did not
offer Plaintiff any attendant care services upon his release
from the hospital and Mrs. Reed testified that she began
providing Plaintiff attendant care services for his activities
of daily living such as cooking, cleaning, and shopping for
Plaintiff, transporting Plaintiff to his medical visits, and
reminding Plaintiff to bathe and take his medication and
assisting him with his physical and emotional needs.
There are both active and passive elements to the
medically necessary attendant care provided by Mrs. Reed.
The passive elements of care include general monitoring of
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Plaintiff’s medical and emotional state to some extent
throughout each day and the fact that Mrs. Reed is “on-
call” to help Plaintiff 24 hours per day 7 days per week.
Even when Plaintiff is sleeping, which is sporadic and
sometimes not at all on some nights, Mrs. Reed is available
to assist Plaintiff. However, since Plaintiff is able to
actually perform his own basic activities of daily living with
prompting, spends long periods of time alone where only
monitoring of him is required and asserts his desire to be
independent by leaving home and going places on his own,
the Full Commission finds that Mrs. Reed actually spends
an average of 8 hours per day providing attendant care
services to Plaintiff, even though he requires constant
monitoring. The Full Commission further finds that Ms.
Lloyd assists Plaintiff’s mother with the passive
monitoring Plaintiff requires when Plaintiff is visiting her.
Based on these findings of fact, the Commission made and entered the
following conclusion of law and award:
3. With respect to attendant care services provided to
Plaintiff from March 18, 2007 to March 17, 2011,
Defendants did not have actual or written notice that
Plaintiff needed attendant care services as a result of
conditions related to his compensable injury and Plaintiff
did not seek approval of those attendant care services until
March 18, 2011 when he filed a Form 33. Plaintiff’s request
for attendant care services during the period from March
18, 2007 to March 17, 2011 was not sought within a
reasonable time. N.C. Gen. Stat. §§ 97-2(19), 97-25;
Mehaffey v. Burger King, __ N.C. __, 749 S.E.2d 252 (2013).
However, Defendants had written notice through the Form
33 filed by Plaintiff on March 18, 2011 that Plaintiff needed
attendant care services as a result of conditions related to
his compensable injury. Under the circumstances of this
case, the Full Commission concludes that Plaintiff sought
approval from the Industrial Commission for attendant
care services that were being provided by Mrs. Reed and
that it is reasonable to retroactively compensate Mrs. Reed
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
for attendant care services provided to Plaintiff from the
date Defendants had actual notice that these services were
being provided and Plaintiff was seeking reimbursement.
Schofield v. Great Atl. & Pac. Tea Co., 299 N.C. 582, 593,
264 S.E.2d 56, 63 (1980). As a result of his compensable
injury, Plaintiff is entitled to attendant care services in the
amount of 8 hours per day, 7 days a week. Plaintiff is
entitled to retroactive compensation for the attendant care
services provided by Mrs. Reed for 8 hours per day, 7 days
per week, from March 18, 2011 and continuing to through
the present. N.C. Gen. Stat. §§ 97-2(19), 97-25; Mehaffey
v. Burger King, __ N.C. __, 749 S.E.2d 252 (2013).
...
1. Plaintiff’s request for compensation for attendant
care services provided to him from March 18, 2007 to
March 17, 2011 is DENIED. Plaintiff’s request for
attendant care services provided to him beginning March
18, 2011 to the present and continuing is GRANTED.
From March 18, 2011, through the present and continuing,
Defendants shall pay Plaintiff’s mother, Mrs. Reed, for 8
hours per day, 7 days per week of attendant care services
she has provided and continues to provide to Plaintiff at a
reasonable rate agreed upon by the parties. The amounts
awarded are subject to the attorneys’ fee set forth below.
If these findings of fact are supported by competent evidence, they are
conclusive on appeal, “even if there is evidence to support a contrary finding.” Kelly
v. Duke University, 190 N.C. App. 733, 738, 661 S.E.2d 745, 748 (2008) (citing
Morrison v. Burlington Industries, 304 N.C. 1, 6, 282 S.E.2d 458, 463 (1981)). We
consider the following testimony by Dr. Steven Prakken:
Q. To your knowledge, has Christophor [sic] ever moved
to any t -- any place other than the home of his mother,
Elizabeth?
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
A. No, not to my knowledge.
Q. And, to your knowledge, has he continued to require
the attendant care you have prescribed and testified as
medically necessary in his case?
A. Yes, his condition has not changed.
Q. And, in your opinion, is that attendant care more
likely than not going to be required in the future by his
mother or friends and family members regardless of where
he may be?
A. Attendant -- Attendant care will be needed.
...
In my clinical experience, [Chris] is one of the most
anxious and ill people that I have in my practice.
...
His actions, and his choices, and his decisions
change moment-to-moment like his feelings do. That is
something that requires management. That is something
that cannot live independently for an extern -- for even a
moderate amount of time, certainly not for an extended
period of time.
It will leave him impulsive about potentially
medication use. It will leave him impulsive about taking a
trip that he can’t survive doing, like some f -- you know, f -
- a thousand mile drive to somewhere that he suddenly has
kind of a sudden passion to go do. He won’t be able to be
consistent about paying bills, or feeding himself, or taking
care of his activities of daily living consistently.
...
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
Obsessive compulsive disorder, which everybody is
diagnosing him with, is an anxiety spectrum illness[.]
...
And, so, that’s -- so, him, it’s kind of a double
whammy where he’s not only in this very, very short
decision-making loop based solely on how he feels, but how
he feels is just perfused with anxiety. And that
combination just makes his life quite miserable.
And it’s not something that he’s going to be able to
do -- sorry -- his -- his life is not something he’s going to be
able to manage or handle on his own for any -- even mildly
extended period of time.
Q. In your previous deposition, you indicated if he did
not have attendant care, that he would probably have to be
institutionalized or in some type of group facility. Is that
still your opinion?
A. Clearly. . . .
...
Q. And would it be helpful to Chris to visit friends in
his own age group, such as Jessica Lloyd?
A. Yes, it would be helpful for him to -- to actually visit
with any age group. And if it happens to be somebody in
his own age group, that’s even better, yes.
...
So, [Ms. Lloyd], to me, is most likely giving the mom some
attendant care support, so she can actually -- mom can
have a day or an ert -- emergency, or a -- a night out without
Chris, with somebody. I mean -- I mean, I’m sure she just
goes nuts with him as much of the time -- with -- with --
with -- with the amount of time she has to spend with him.
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
...
Q. And from your familiarity with the surveillance
evidence, just generally, would surveillance evidence show
his mental and emotional status in any way?
A. It would not.
...
Q. And if the surveillance evidence showed many days
when no activity was observed, would that be consistent
with Chris’s condition?
A. Certainly.
In addition to the deposition of Dr. Prakken, the Commission heard testimony
from Mr. Reed’s mother, Mrs. Elizabeth Reed. The following excerpts of her
testimony are relevant to our review:
Q. The – can you tell us what Chris’ condition was
before his admittedly compensable injury?
A. Yes, Chris was perfectly normal with no disabilities.
He had graduated from high school. He had graduated
from Lewis College and he was a student at Western
Carolina University and he came home for a summer job
and that’s when the doors fell on him.
...
Q. Have you taken him to most of these medical
appointments?
A. Yes, sir. I have.
...
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
Q. And can you tell us what your role has been in this
process since the injury in June of 1998?
A. . . . I tried to take care of him the best that I could. .
. . be there to – to monitor him, to sit at the hospital, to sit
at the doctor’s offices, prepare whatever food we needed to
prepare for him . . . . I realized after the accident that he
was no longer able to take care of any money that he had .
. . we have to pretty much keep an eye on – on him because
of the depression . . . . We have had case managers on his
case before and communicating with them, communicating
with the doctors, dispensing his medications, just doing
what a parent would do for their child.
...
Q. Can you tell us from your own observations what
problems, if any, he has with – with sleeping and resting?
A. He has difficulty with sleeping. . . .
...
Q. Does he need help shopping?
A. He does. . . .
...
Q. Is he able to cook for himself?
A. Well, he used to cook a lot for himself before the
accident. He, like I said, he lived independently. . . . [A]fter
the accident we thought we could resume letting him take
care of himself which that’s what I would have preferred
but he would forget and leave the stove on. So, he is not
allowed to use the stove. . . .
Q. So, do you do most of the cooking?
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
A. I do.
...
Q. Does he need reminders about bathing and shaving
and things like that?
A. He does. . . .
...
Q. And is the need for monitoring somethings that’s
present twenty-four hours a day, seven days a week?
...
A. Yes . . .
The testimony by Dr. Prakken and Mrs. Reed is competent evidence that
supports the Commission’s findings of fact challenged by Defendants. Dr. Prakken’s
testimony supports the Commission’s finding that attendant care services are
medically necessary for Mr. Reed. Mrs. Reed’s testimony describing the attendant
care she provides to Mr. Reed to help him with hygiene, shopping, cooking, taking
medications, and managing his finances supports the Commission’s finding that the
attendant care services she provides are reasonable.
While there may be additional contrary evidence in the record, it is the
Commission that “is the sole judge of the credibility of the witnesses and the weight
to be given their testimony.” Adam v. AVX Corp., 349 N.C. 676, 680, 509 S.E.2d 411,
413 (1998) (quoting Anderson v. Lincoln Constr. Co., 265 N.C. 431, 433-34, 144 S.E.2d
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
272, 274 (1965)). As such, we conclude that competent evidence supports the
Commission’s findings of fact.
Because we hold the Commission’s findings of fact are supported by competent
evidence, they are conclusive on appeal. Id. at 681, 509 S.E.2d at 414 (citing
Gallimore v. Marilyn’s Shoes, 292 N.C. 399, 402, 233 S.E.2d 529, 531 (1977)). The
Commission’s findings establish that while Mr. Reed requires attendant care services
twenty-four hours per day, seven days per week, these services are both “active and
passive.” The findings further establish that Mrs. Reed is merely “on-call” twenty-
four hours per day, seven days per week, as opposed to actively monitoring Mr. Reed
twenty-four hours per day, seven days per week. This in turn, supports the
Commission’s conclusion of law that Mr. Reed’s attendant care compensation for Mrs.
Reed is only reasonable and necessary for eight hours per day, seven days per week.
We conclude that the Commission’s findings of fact are supported by competent
evidence and that these findings support its conclusions of law. Accordingly, we
affirm the Commission’s award of attendant care compensation to Mr. Reed.
Conclusion
For the foregoing reasons, we dismiss Defendants’ appeal of the Commission’s
award of attorney’s fees and affirm the Commission’s award of attendant care.
DISMISSED IN PART AND AFFIRMED IN PART.
Judge BRYANT concurs.
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REED V. CAROLINA HOLDINGS, ET. AL.
Opinion of the Court
Judge TYSON concurs in part and dissents in part with separate opinion.
No. COA15-1034 – Reed v. Carolina Holdings, et. al.
TYSON, Judge, concurring in part, dissenting in part.
Under our standard of review of appeals from the Industrial Commission,
competent evidence supports the Commission’s award of attendant care to a third-
party medical provider. The majority’s conclusion to dismiss Defendants’ appeal from
the Commission’s unauthorized award of attorney’s fees from attendant care
compensation, by asserting that issue was not properly before the Full Commission
and is not properly before this Court is error. I respectfully dissent from that
conclusion.
Whether the Industrial Commission has statutory or other authority to award
attorney’s fees from attendant care medical compensation due to a third-party
medical provider was addressed before the Full Commission, was properly preserved
by Defendants, and is properly before this Court. The Industrial Commission is
without any lawful authority, and erred as a matter of law by ordering the payment
of additional Plaintiff’s attorney’s fees from the award of attendant care medical
compensation due and payable to a third-party medical provider.
I. Plaintiff’s Motion to Dismiss Defendant’s Appeal
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
More than six months after the record on appeal was settled and after
Defendants’ brief was filed, Plaintiff filed a motion to dismiss Defendants’ appeal.
Plaintiff argues this Court is without subject matter jurisdiction to review the
attorney’s fee award because: (1) Defendants failed to properly preserve their
challenge to the attorney’s fee award in their Form 44 before the Full Commission;
(2) Defendants lack standing to contest the award of Plaintiff’s attorney’s fee; and (3)
jurisdiction lies solely with the Wake County Superior Court, and Defendants have
appealed to the improper tribunal. Defendants fully responded to and challenged
each assertion in Plaintiff’s motion.
The majority disposes of Defendants’ appeal solely on the grounds Defendants
failed to preserve their challenge to the attorney’s fee award in their Form 44 before
the Full Commission. I respectfully disagree to dismiss this issue which was fully
addressed before the Commission, and also address the additional two threshold
jurisdictional issues asserted in Plaintiff’s motion to dismiss to reach the substantive
merits of Defendants’ appeal: the legality of awarding attorney’s fees out of payments
due for attendant care delivered by a third-party medical provider.
A. Preservation of the Issue Before the Industrial Commission
The majority’s opinion partially dismisses Defendants’ appeal, and holds
Defendants failed to show before this Court that the issue of the award of attorney’s
fees was properly preserved before and addressed by the Full Commission. I disagree.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
The majority notes, after giving sufficient notice of appeal from the Deputy
Commissioner to the Full Commission, an appellant must complete a Form 44
Application for Review, which is supplied by the Commission. The Form 44 should
assert the grounds for the appeal “with particularity.” Workers’ Comp. R. of N.C.
Indus. Comm’n 701(2), 2011 Ann. R. (N.C.) 1070. The appellant is required to file
and serve the completed Form 44 and an accompanying brief within the specified
time limitations “unless the Industrial Commission, in its discretion, waives the use
of the Form 44.” Id. Defendants clearly met all these requirements.
If an appellant fails to state “with particularity” the grounds for appeal, such
grounds are “deemed abandoned and argument thereon shall not be heard before the
Full Commission.” Workers’ Comp. R. of N.C. Indus. Comm’n 701(2)-(3), 2011 Ann.
R. (N.C.) 1070. The appellant may “compl[y] with Rule 701(2)’s requirement to state
the grounds for appeal with particularity by timely filing their brief after giving notice
of their appeal to the Full Commission.” Cooper v. BHT Enters., 195 N.C. App. 363,
368, 672 S.E.2d 748, 753 (2009).
The majority correctly recognizes our Court has refused to place “form over
substance” with regard to the Rule 701 requirements. Plaintiff was and is clearly on
notice of Defendants’ challenges to the award of attorney’s fees out of the challenged
award of attendant care medical compensation. Defendants’ Form 44 clearly
challenges the Deputy Commissioner’s “Award 2” as “contrary to law,” which award
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
deals solely with attorney’s fees. Defendants also filed a motion for reconsideration
in the Full Commission, which also deals specifically with attorney’s fees.
In Tucker v. Workable Company, 129 N.C. App. 695, 700, 501 S.E.2d 360, 365
(1998), the defendant argued the Commission had erred by failing to modify the
amount of the plaintiff’s average weekly wage. The Full Commission determined the
average weekly wage issue was not preserved and did not consider the issue. Id. at
700-701, 501 S.E.2d at 365.
This Court noted “that if findings of fact made by the Industrial Commission
‘are predicated on an erroneous view of the law or a misapplication of the law, they
are not conclusive on appeal.’” Id. at 701, 501 S.E.2d at 365 (quoting Radica v.
Carolina Mills, 113 N.C. App. 440, 446, 439 S.E.2d 185, 189 (1994)). Our Court
concluded that while Rule 701 requires the appellant to state the grounds for appeal
with particularity,
[t]his Court has held that when the matter is “appealed” to
the full Commission pursuant to G.S. 97-85, it is the duty
and responsibility of the full Commission to decide all of
the matters in controversy between the parties. Joyner v.
Rocky Mount Mills, 92 N.C. App. 478, 374 S.E.2d 610
(1998). In Joyner, we said, “[i]nsamuch as the Industrial
Commission decides claims without formal pleadings, it is
the duty of the Commission to consider every aspect of
plaintiff’s claim whether before a hearing officer or on
appeal to the full Commission.” Id. at 482, 374 S.E.2d at
613.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Id. (quoting Vieregge v. N.C. State University, 105 N.C. App. 633, 638, 414 S.E.2d 771,
774 (1992), disc. review denied, 345 N.C. 354, 483 S.E.2d 192 (1997)) (emphasis
original). In Tucker, this Court considered the issue of the plaintiff’s average weekly
wage, and held the Commission erred in its determination of the amount of the
plaintiff’s average weekly wage. Id. at 702, 501 S.E.2d at 365; see also Hauser v.
Advanced Plastiform, Inc., 133 N.C. App. 378, 388-89, 514 S.E.2d 545, 552 (1999)
(relying upon the quoted language from Tucker, and holding the issue of attorney’s
fees was before the Full Commission, even though the plaintiff did not raise the issue
in the Form 44).
The majority recognizes Cooper’s controlling authority, but declines to address
the issue of attorney’s fees and grants Plaintiff’s tardy motion to dismiss, because
Defendants did not include a copy of their supporting legal brief to the Full
Commission in the long-settled record on appeal.
The record on appeal was settled by the parties and filed in with this Court on
15 September 2015. Plaintiff’s motion to dismiss was filed over six months later on
14 April 2016. Plaintiff does not show any prejudice and cannot argue he failed to
receive adequate notice of Defendants’ appeal from the issue of the award of
attendant care medical compensation and the additional Plaintiff’s attorney’s fees to
be paid therefrom. Adequate notice is “the underlying consideration behind the spirit
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
of Rule 701.” Lowe v. Branson Auto., __ N.C. App. __, __ , 771 S.E.2d 911, 919-20
(2015).
The Full Commission reduced the Deputy’s award of attendant care, which also
reduced any purported attorney’s fee to be paid therefrom. Plaintiff does not
challenge that the Commission clearly considered and ruled upon Defendants’
arguments regarding the award of medical attendant care compensation payable to
a third-party provider and Plaintiff’s attorney’s fee to be paid from those proceeds.
The attorney’s fee award was an inseparable part and parcel of the award of
attendant care compensation, which was undoubtedly before the Full Commission
and is properly before this Court now. The Commission’s purported award of
attorney’s fees from attendant care compensation “is predicated on an erroneous view
of the law or a misapplication of the law,” and “is not conclusive on appeal.” Tucker,
129 N.C. App. at 701, 501 S.E.2d at 365
Like in Tucker and Hauser, “the opinion and award of the Full Commission
indicates that the issue of attorneys’ fees was before the Commission.” Hauser, 133
N.C. App. at 388, 514 S.E.2d at 552. This issue was preserved and is properly before
this Court. Plaintiff’s motion to dismiss is wholly without merit, and should be
denied.
B. Standing to Contest the Award of Plaintiff’s Attorney’s Fees
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Plaintiff’s motion to dismiss also argues Defendants have not suffered
pecuniary loss from the award of attorney’s fees to be paid from proceeds of medical
compensation, and have not suffered an injury to confer jurisdiction upon this Court.
This issue is settled law.
This Court concluded in Saunders v. ADP TotalSource Fi Xi, Inc., __ N.C. App.
__, __, 791 S.E.2d 466, 472 (2016):
Having both the duty and right to direct medical care and
treatment provided to their injured employee, Defendants
have a continuing interest in the pool of resources available
for medical care and benefits for their employees’ injuries
and assuring the medical providers do not reduce care and
are fully compensated for services they render to an injured
employee. Defendants have shown their legal rights have
been denied or directly and injuriously affected by the
superior court’s purported . . . award of attorney’s fees from
funds stipulated as medical compensation, and have
standing to challenge that order before this Court.
(citations and quotation marks omitted).
Also, because Plaintiff’s additional attorney’s fees were ordered to be paid from
the proceeds of the retroactive attendant care compensation awarded by the
Commission and due a third-party medical provider, which Defendants clearly have
standing to appeal and have, in fact, properly appealed, Defendants also have
standing to appeal from any purported award of attorney’s fees associated with and
to be deducted from those awarded attendant care proceeds. See id.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Defendants’ arguments against the overall compensation and the attorney’s
fees include as a common thread: the contention that Plaintiff’s counsel and health
care providers have directed his care and rehabilitation in such a manner to
undermine his ability to rehabilitate, and creates for Plaintiff, his mother, and
counsel an additional pecuniary interest in Plaintiff remaining in attendant care for
the foreseeable future, never rehabilitating and returning to work. Defendants’
standing to dispute this issue and the resultant attorney’s fee claim before the
Commission would be rendered meaningless, without standing to appeal from the
Commission’s order.
Furthermore, the attorney’s fee is part of the attendant care medical
compensation awarded by the Commission, which Defendants, as parties before the
Commission, clearly have standing to challenge on appeal and have correctly
appealed to this Court. Id.; N.C. Gen. Stat. § 97-86 (2015). Plaintiff’s argument is
wholly without merit.
C. Proper Tribunal for Appeal
Plaintiff also argues this Court does not have subject matter jurisdiction,
because the issue Defendants contest regarding the attorney’s fees is within the sole
jurisdiction of the superior court. The law is also settled on this issue.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
The issue of whether attorney’s fees may be deducted from the proceeds of an
award of third-party attendant care medical compensation and paid directly to
Plaintiff’s attorney is properly before this Court. In Saunders, this Court stated:
[T]he superior court in its order apparently found facts and
ruled far beyond an appellate review of the
“reasonableness” of the attorney’s fee, for legal services
rendered to the injured worker by his attorney. The
superior court purported to adjudicate a question of
workers’ compensation law, i.e., whether the Commission
may order an attorney’s fee to be paid from the award of
medical compensation. This determination is outside the
scope of the superior court’s appellate jurisdiction under
N.C. Gen. Stat. § 97-90(c), and rests within the statutes
governing the Industrial Commission, subject to appeal to
this Court. N.C. Gen. Stat. § 97-91 (2015). Our Court has
determined “medical compensation is solely in the realm of
the Industrial Commission, and § 97-90(c) gives no
authority to the superior court to adjust such an award
under the guise of attorneys’ fees. Doing so constitutes an
improper invasion of the province of the Industrial
Commission, and constitutes an abuse of discretion.”
Palmer I, 157 N.C. App. at 635, 579 S.E.2d at 908.
Saunders, __ N.C. App. at __, 791 S.E.2d at 476-77.
The appeal from the Industrial Commission’s order, which adjudicated a
question of worker’s compensation law, is properly before this Court de novo, and not
the Wake County Superior Court for any “reasonableness” review. Id. Plaintiff’s
motion and argument are wholly without merit.
II. Award of Attorney’s Fees
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Defendants argue the Commission cannot award attorney’s fees under these
facts, and erred as a matter of law by purporting to award Plaintiff’s attorney
additional fees to be paid directly from the award of attendant care compensation
payable to a third-party medical provider. I agree.
A. Standard of Review
The Commission’s award of attorney’s fees is a conclusion of law, which is
reviewable by this Court de novo. Grantham v. R.G. Barry Corp., 127 N.C. App. 529,
534, 491 S.E.2d 678, 681 (1997), disc. review denied, 347 N.C. 671, 500 S.E.2d 86
(1998).
B. Analysis
The Full Commission purported to award Plaintiff’s attorney a fee of twenty-
five percent, to be paid directly from the proceeds of all retroactive attendant care
medical compensation awarded to Ms. Reed from 18 March 2011 until 13 May 2015,
the date of the Commission’s award. The Commission denied Plaintiff’s attorney’s
request for twenty-five percent of future attendant care medical payments.
Defendants were ordered to deduct twenty-five percent from the accrued retroactive
proceeds awarded to a third-party medical provider, and to pay it directly to Plaintiff’s
counsel. Defendant correctly asserts this attorney’s fee award by the Commission
was ordered without any statutory basis, and is not authorized as a matter of law.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
The employer is statutorily required to provide “medical compensation” as
benefits to an injured employee. N.C. Gen. Stat. § 97-25 (2015). Medical
compensation is defined as services “as may reasonably be required to effect a cure or
give relief and for such additional time as, in the judgment of the Commission, will
tend to lessen the period of disability.” N.C. Gen. Stat. § 97-2 (2015). “[An] employer’s
right to direct medical treatment (including the right to select the treating physician)
attaches once the employer accepts the claim as compensable.” Kanipe v. Lane
Upholstery, 141 N.C. App. 620, 624, 540 S.E.2d 785, 788 (2000).
The Workers Compensation Act presumes the injured worker will heal, recover
from the injuries for which he is receiving medical care, and will return to work.
Effingham v. Kroger Co., 149 N.C. App. 105, 114-15, 561 S.E.2d 287, 294 (2002)
(“Temporary disability benefits are for a limited period of time. There is a
presumption that [the employee] will eventually recover and return to work.
Therefore, the employee must make reasonable efforts to go back to work or obtain
other employment.” (internal citation and quotation marks omitted)).
Here, Plaintiff was injured after a month on the job on 26 June 1998. Plaintiff
retained counsel soon after the injury. On 18 March 2011, Plaintiff filed a Form 33
to request a hearing before the Commission, and alleged Defendants had failed to pay
attendant care medical compensation to which he was entitled. Three months later,
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
in June 2011, the General Assembly amended N.C. Gen. Stat. § 97-2, to include
attendant care services within the definition of “medical compensation.”
N.C. Gen. Stat. § 97-2(19) (2015) specifically defines “medical compensation”
to include “attendant care services prescribed by a health care provider authorized
by the employer or subsequently by the Commission[.]” Prior to the statute’s
amendment, and at the time Plaintiff’s claim for attendant care arose, the phrase
“other treatment” set forth in N.C. Gen. Stat. § 97-2(19) had been interpreted to
include attendant care medical services. See Mehaffey v. Burger King, 367 N.C. 120,
124-25, 749 S.E.2d 252, 255 (2013) (citing Ruiz v. Belk Masonry Co., 148 N.C. App.
675, 681, 559 S.E.2d 249, 253-54, appeal dismissed and disc. rev. denied, 356 N.C.
166, 568 S.E.2d 610 (2002)). All parties stipulated during oral arguments and the
majority correctly notes that payment for third-party provided “attendant care
services” constitutes “medical compensation”.
1. Palmer v. Jackson (“Palmer I”)
Medical compensation paid by the employer for medical services previously
rendered are payments and reimbursements to third-party providers. These
payments are neither entitlements nor indemnity wages or benefits payable to the
injured worker or his attorney. Payments for medical compensation are not subject
to any offsets from those proceeds to pay Plaintiff’s attorney additional fees under the
- 39 -
REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Worker’s Compensation Act. Palmer v. Jackson, 157 N.C. App. 625, 579 S.E.2d 901
(2003) (“Palmer I”).
In Palmer I, the injured employee had incurred substantial medical bills owed
to the University of North Carolina Hospitals and University of North Carolina
Physicians and Associates. Id. at 626, 579 S.E.2d at 903. Plaintiff’s attorneys
“exert[ed] much time, money and expertise,” to prove to the Commission that that the
plaintiff’s heatstroke was compensable as an occupational disease. Id. As part of the
award, the defendant-employer was ordered to pay for past and future medical
expenses incurred by the plaintiff. Id. at 627, 579 S.E.2d at 903.
The superior court in Palmer I awarded twenty-five percent of both the wage
indemnity and the medical compensation proceeds, either already paid or still
outstanding, to be paid to plaintiff’s attorneys. Id. at 630, 579 S.E.2d at 906. This
Court noted, “[t]he trial court’s order effectively reduced the award of medical
compensation to the hospitals. As can be gleaned from the order, the trial court
determined that [the plaintiff’s attorneys] had done the hospitals a great service, and
therefore felt that the deduction was justified in the interest of fairness and equity.”
Id.
On appeal by the defendant-employer, this Court held “[t]he trial court may
not […] reduce the compensation paid to medical providers in order to fund the fee
award.” Id. at 638, 579 S.E.2d at 909. Here, like in Palmer I and contrary to this
- 40 -
REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Court’s holding, the Commission, without any statutory or other authority, purported
to order additional attorney’s fees to be deducted from the proceeds of attendant care
medical compensation due to a third-party medical provider. Id.
Under Palmer I, and N.C. Gen. Stat. 97-90 this purported award is clearly
prohibited and unlawful. We are bound by our prior decisions. In re Civil Penalty,
324 N.C. 373, 384, 379 S.E.2d 30, 37 (1989) (“[A] panel of the Court of Appeals is
bound by a prior decision of another panel of the same court addressing the same
question, but in a different case, unless overturned by an intervening decision from a
higher court.”) Plaintiff has failed to demonstrate the rule set forth in Palmer I does
not control the issue before us. Id.
This Court later revisited the Palmer case in Palmer v. Jackson, 161 N.C. App.
642, 590 S.E.2d 275 (2003) (“Palmer II”). The Court upheld the Commission’s
determination that the plaintiff’s caretakers were entitled to payment of $7.00 per
hour and interest accrued for providing past and future attendant medical care to the
plaintiff. The defendants were ordered to pay the plaintiff’s counsel “a fee equal to
twenty-five percent of the lump sum amount retroactively paid for attendant care for
attorney’s fees.” Id. at 650, 590 S.E.2d at 279. Nothing in the Commission’s award
required the fees to be paid from the compensation due to a third-party medical
provider.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Defendants in Palmer II did not argue before this Court that the Commission
had erred by awarding an attorney’s fee to be paid from the award of attendant care
medical compensation. The plaintiff argued “the Commission failed to address
whether defendants wrongfully defended the claim for retroactive care without
reasonable grounds.” Id. at 649, 590 S.E.2d at 279. This Court overruled the
plaintiff’s argument and determined, “[i]t is apparent that the Commission did
consider plaintiff’s claim and awarded those fees which it believed to be appropriate.”
Id. at 650, 590 S.E.2d at 279.
This Court did not rule upon the Commission’s authority to award attorney’s
fees to be paid directly from the proceeds of attendant care medical compensation due
to a third-party provider absent statutory authority. The Palmer II case is wholly
uninstructive on this issue.
2. “[E]very litigant is responsible for his or her own attorney’s fees.”
The statute and this Court’s decision in Palmer I are wholly consistent with
the long established common and statutory law of North Carolina regarding the
award of attorney’s fees. “[T]he general rule has long obtained that a successful
litigant may not recover attorneys’ fees, whether as costs or as an item of damages,
unless such a recovery is expressly authorized by statute.” Enterprises, Inc. v.
Equipment Co., 300 N.C. 286, 289, 266 S.E.2d 812, 814 (1980) (citing Hicks v.
Albertson, 284 N.C. 236, 200 S.E.2d 40 (1972)) (emphasis supplied).
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
“Even in the face of a carefully drafted contractual provision indemnifying a
party for such attorney’s fees as may be necessitated by a successful action . . . , our
courts have consistently refused to sustain such an award absent statutory authority
therefor.” Id. at 289, 266 S.E.2d at 814-15 (citing Howell v. Roberson, 197 N.C. 572,
150 S.E. 32 (1929); Tinsley v. Hoskins, 111 N.C. 340, 16 S.E. 325 (1892)); see also
Bailey v. State, 348 N.C. 130, 159, 500 S.E.2d 54, 71 (1998) (“[T]he general rule in
this country [is] that every litigant is responsible for his or her own attorney’s fees.”)
The Workers’ Compensation Act provides very specific circumstances by the
General Assembly under which the Commission may award an attorney a fee for
representation of the injured employee, none of which apply here. See N.C. Gen. Stat.
§ 97-88 (2015) (allows attorney’s fees to an injured employee if the insurer has
appealed a decision to the Full Commission or to any court, and on appeal, the
Commission or court has ordered the insurer to make, or continue making, payments
of benefits to the employee); N.C. Gen. Stat. § 97-88.1 (2015) (where a hearing was
brought, prosecuted, or defended without reasonable ground, the Commission may
assess the whole cost of the proceedings including reasonable fees for either party’s
attorney upon the party who has brought or defended them); N.C. Gen. Stat § 97-
90(c) (2015) (allows for Commission to award fees resulting from a contract between
the employee and his or her attorney).
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
The Workers’ Compensation Act contains no statutory authority to allow the
Commission to award an additional plaintiff’s attorney’s fee to be paid from an award
of attendant care medical compensation provided by and due a third-party medical
provider. In the absence of specific statutory authority for such award, the
Commission is without any authority whatsoever to award attorney’s fees therefrom,
and the long-standing common law and general rule controls. Each party is
responsible to pay for his or her own attorney’s fees. Enterprises, 300 N.C. at 289, 266
S.E.2d at 814.
Our binding precedent in Palmer I, and the well-settled Supreme Court
precedents adopting and affirming the common law rule controls the Commission’s
unlawful award of additional Plaintiff’s attorney’s fees. Absent specific statutory
authority for fee shifting, a litigant is responsible to pay his or her own attorney’s
fees. Id. The Commission is without any statutory or case law authority to award
Plaintiff additional attorney’s fees to be deducted and paid from proceeds of attendant
care or other compensation due and payable to a third party medical provider. Palmer
I, 157 N.C. App. at 638, 579 S.E.2d at 909. That portion of the Commission’s Opinion
and Award is contrary to the Workers’ Compensation Act and controlling case law,
and should be vacated.
III. Conclusion
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
Defendants have standing to bring this appeal to this Court as parties
aggrieved by entry of the Industrial Commission’s award of attendant care medical
compensation. Saunders, __ N.C. App. at __, 791 S.E.2d at 472. All issues raised by
Defendants before the Deputy Commissioner and Full Commission are properly
appealed and before this Court. Plaintiff’s tardy motion to dismiss is without merit,
and should be denied in its entirety.
Payments for attendant care provided by a third-party, as conceded by all
counsel, are defined as medical compensation under N.C. Gen. Stat. § 97-2(19) and in
Palmer I, 157 N.C. App. at 638, 579 S.E.2d at 909. Under Palmer I, medical
compensation proceeds due a third-party provider cannot be reduced or offset to fund
additional fees for Plaintiff’s attorney. Id.
No statutory authority exists under the Workers’ Compensation Act or under
any case law for the Commission to order payment of Plaintiff’s attorney’s fees from
an award of attendant care services provided by, and from medical compensation
proceeds payable and due, a third-party provider. In the absence of specific statutory
authority for the Commission to order such award, the North Carolina precedents
affirming the long standing common law and general rule controls: “every litigant is
responsible for his or her own attorney’s fees.” Bailey, 348 N.C. at 159, 500 S.E.2d at
71.
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REED V. CAROLINA HOLDINGS, ET. AL.
Tyson, J., concurring in part, dissenting in part.
The Commission is without statutory authority, and erred as a matter of law
by purporting to award Plaintiff’s attorney an additional fee to be offset from the
proceeds of attendant care compensation that is awarded and payable to a third-party
medical provider. Id. The opinion and award of the Full Commission on this issue
should be vacated. I respectfully dissent.
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