Summary
In Grice, supra, plaintiff had won (as to the fund) at the trial level and accordingly the matter before the board was a favorable adjudication of total and permanent disability.
Summary of this case from Leupp v. LaundromatOpinion
Docket No. 62459.
Decided December 27, 1979.
On application by the plaintiff for leave to appeal the Supreme Court, in lieu of granting leave to appeal, vacated the order of the Worker's Compensation Appeal Board dismissing the plaintiff's claim against the Second Injury Fund and remanded the case to the Worker's Compensation Appeal Board.
Marston, Sachs, Nunn, Kates, Kadushin O'Hare, P.C. (by John L. Zorza, II, and Granner S. Ries), for plaintiff.
Frank J. Kelley, Attorney General, Robert A. Derengoski, Solicitor General, and Joseph M. Binno, Assistant Attorney General, for defendant Second Injury Fund.
In this application for leave to appeal, plaintiff Gary Grice presents an issue left unanswered by White v Weinberger Builders, Inc, 397 Mich. 23; 242 N.W.2d 427 (1976). In White, the Court held that a claimant would be precluded from proceeding against the Second Injury Fund for differential benefits if the employer and employee had redeemed all alleged employer liability prior to an admission or adjudication of liability. The issue raised in this case is whether claimant is precluded from proceeding against the Second Injury Fund for differential benefits when the employer and claimant have redeemed all employer liability after a finding by the referee that claimant was totally and permanently disabled as a result of an occupational injury, but while an appeal of this finding was pending before the Worker's Compensation Appeal Board (WCAB).
Subsequent to the conclusion of the redemption agreement, the WCAB granted the Fund's motion to dismiss plaintiff's claim for differential benefits. The Court of Appeals denied plaintiff's application for leave to appeal on December 6, 1978. Pursuant to GCR 1963, 853.2(4), 865.1(7), for reasons set forth below, in lieu of granting leave to appeal, we vacate the WCAB's order dismissing plaintiff's claim for differential benefits and remand to the WCAB. We hold solely that, because the redemption occurred after an adjudication of General Motors' liability, plaintiff is not precluded from continuing to seek differential benefits. We express no opinion regarding the merits of the Fund's appeal.
I
Only a brief statement of facts is necessary to the resolution of this issue. Plaintiff filed a claim for workers' compensation benefits alleging total and permanent disability arising from work-related injuries. Following a hearing, the referee determined that:
"Plaintiff is totally and permanently disabled by reason of loss of industrial use of both legs, in that use of the legs causes pain and cramping of the legs, and produces pain in the back and hips."
Benefits were awarded after a finding of occupational nexus.
The employer and the Fund appealed to the WCAB attacking the finding of a causal relationship between the work-related injury and the alleged total and permanent disability, as well as the conclusion that the disability was sufficiently catastrophic to be characterized as total and permanent. While the appeals were pending, the employer and plaintiff entered into a redemption agreement (negotiated settlement). Subsequently, the Fund filed a motion to dismiss plaintiff's claim against it. The WCAB granted the motion and the Court of Appeals denied leave to appeal.
II
The central thrust of the White decision was that, because the Fund's potential liability is derivative of the employer's liability, the Fund should not be subjected to a separate hearing on its liability once the employer and employee have redeemed the employer's potential liability. Plaintiff contends that White is distinguishable because General Motors was found liable by the referee before the redemption occurred. The Fund argues that because this determination was not final (because of the appeals) at the time the redemption occurred, the White rationale applies to foreclose its liability. Resolution of this dispute depends on whether the referee's decision was a sufficient adjudication of liability.
The fact that an appeal followed does not diminish the impact of the referee's finding of liability. In the workers' compensation setting, the referee's decision is an adjudication of liability. This is sufficient to remove the considerations which motivated the White majority. We see no difference between these facts (where the employer has abandoned its appeal) and a case where only the Fund appeals the referee's decision.
We intimate no opinion as to whether the Fund is liable to plaintiff. Such a decision is for the WCAB, provided the Fund continues to pursue its appeal. Our decision today only affects the dismissal of plaintiff's claim.
The WCAB's order dismissing plaintiff's claim against the Second Injury Fund is vacated and the case is remanded to the WCAB for proceedings consistent with this opinion.
COLEMAN, C.J., and KAVANAGH, WILLIAMS, LEVIN, FITZGERALD, RYAN, and BLAIR MOODY, JR., JJ., concurred.