COURT OF APPEALS OF VIRGINIA
Present: Judges Kelsey, Beales and Senior Judge Clements
Argued at Richmond, Virginia
NISOURCE, INC. AND ACE AMERICAN
INSURANCE COMPANY
OPINION BY
v. Record No. 0423-08-2 JUDGE JEAN HARRISON CLEMENTS
APRIL 7, 2009
ERIC SHAWN THOMAS
FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
Scott C. Ford (Brian A. Richardson; Jessica L. Hacker; McCandlish
Holton P.C., on briefs), for appellants.
Wesley G. Marshall for appellee.
NiSource, Inc. and Ace American Insurance Company (collectively, employer) appeal a
decision of the Workers’ Compensation Commission (commission) terminating the outstanding
award of temporary total disability benefits to Eric Shawn Thomas (claimant) and awarding him
temporary partial disability benefits instead. In reaching that decision, the commission
determined that claimant had engaged in post-injury, light-duty work and failed to report
earnings. The commission imputed a post-injury average weekly wage of $320 to claimant and
calculated the amount of temporary partial disability benefits to award him on that basis. On
appeal, employer contends the commission erred in imputing wages of only $320 to claimant.
On cross-appeal, claimant contends the commission erred in finding he had returned to work and
imputing an average weekly wage to him. Claimant also contends the commission abused its
discretion in refusing to assess attorney’s fees and costs against employer. Finding no error, we
affirm the judgment of the commission.
I. BACKGROUND
Claimant sustained injuries to his chest, abdomen, left side, and right shoulder while
working as a contract inspector for employer on January 4, 2006. Employer accepted claimant’s
injuries as compensable, and the commission entered an award for temporary total disability
benefits in the amount of $736 per week, commencing January 12, 2006, and continuing.
Claimant did not return to work with employer.
In October 2006, employer discontinued paying temporary total disability benefits to
claimant. On November 8, 2006, following the commission’s rejection on technical grounds of
its two previous applications, employer filed an application for a hearing alleging that claimant
had returned to work on or before July 11, 2006, and had failed to report earnings as required by
Code § 65.2-712. 1 Employer sought termination of the outstanding award and a credit for its
overpayment of compensation. On November 20, 2006, claimant filed a motion for the
assessment against employer of his costs and “a ten percent penalty on all compensation unjustly
withheld” by employer. Claimant alleged that employer’s application for a hearing was filed
“without reasonable grounds and in bad faith.” These matters came before the deputy
commissioner for a hearing on May 7, 2007.
At the hearing, claimant defended employer’s application on the grounds that he had “not
returned to work” and had “earned no wages” and that there was “no medical evidence of a
physical capacity to perform sustained employment.” Employer defended claimant’s motion for
costs and a penalty on the ground that its application was “grounded in fact and law.”
Claimant testified at the hearing that he formed Combat Solutions, a law enforcement and
military product supply company, on January 10, 2006. Claimant was the corporation’s
1
Code § 65.2-712 provides, in pertinent part, that “an employee [who] . . . receives
payment of compensation under this title . . . shall have a duty immediately to disclose to the
employer . . . [any] return to employment [or] increase in his earnings.”
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registered agent and, pursuant to the documents filed with the State Corporation Commission, he
and his wife, Michelle Thomas, were the company’s only two officers. In February 2006, the
company purchased and took over the operation of a business owned by Todd Bahr. Claimant
wrote a check to Bahr for $50,000 for the business. On March 19, 2007, claimant and his wife
executed paperwork issuing the shares of the company solely to claimant’s wife.
Claimant testified that he was identified on the company’s website as an
“owner/operator” of the company, as a certified National Rifle Association instructor, and as a
trainer for QuickClot products, which the company sold. Claimant also testified that, although it
was “a false statement,” he was identified on the company’s website, for marketing purposes, as
a former United States Army Ranger. 2
Claimant further testified that the company had “actively [sold its] product” via a Combat
Solutions store on eBay until three months before the hearing. However, the company produced
no documentation for those transactions.
Claimant also stated that the company had a “brick and mortar” store in Fredericksburg,
Virginia, which was open Monday through Friday from 10:00 a.m. to 6:00 p.m. and on Saturdays
from 10:00 a.m. to 4:00 p.m. Claimant admitted he routinely went to the store, but, “never
[having] thought about it,” could not give an “exact average” of the days per week he had been
in the store since January 2006. He testified that “[i]t could [have been] anywhere from one day
to four days” per week. When asked if he agreed that he had previously testified in a deposition
that he went to the store an average of four days per week since January 2006, claimant stated
that he believed he had said “three or four” days, but acknowledged he could not remember
exactly what he had said. Claimant later testified that he went to the store “anywhere from two,
2
Claimant explained that he had received some Ranger training while in the Army
National Guard and added that “all businesses” used the same “marketing strategy” on their
websites.
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three, four days” a week and had “probably . . . never been there all six days” during a week. He
further testified that he had never “been placed on a regular work schedule there.”
Claimant stated that, when he went to the store, he “usually” watched television, played
solitaire, or took naps in the store’s backroom. When the store was busy, he helped out by
answering the phone and working in the store. He worked the front counter, greeted customers,
rang up sales, and talked to customers about firearms and ammunition. He testified he worked
alone in the store for more than 1 hour approximately 15 to 20 times. He also admitted he wrote
139 checks on behalf of the company from February 2006 to January 2007; worked at a gun
show where the company had a booth on August 19, 2006; taught a home firearm safety class at
the company’s store on August 9, 2006; trained a company employee to teach QuickClot classes
and helped him teach a three-hour training session; and alone executed a contract on August 7,
2006, engaging Walter Darrow as the company’s accountant. Additionally, claimant
acknowledged that he had personal business cards for the company with his name on them and
that he drove a vehicle that had a Combat Solutions logo emblazoned on its side.
Claimant denied receiving any payment from Combat Solutions for the work he did for
the company. He stated that he received reimbursement from the company for a computer he
purchased. He also testified that he had to sell a boat and two motorcycles after his workers’
compensation payments stopped. It was his understanding the business lost $27,000 the first
year of its operation, but admitted that this understanding of the company’s finances was based
solely on the profit and loss statement prepared shortly before the hearing by the company’s
accountant. He testified that his wife handled the company’s finances.
Claimant further stated that, in addition to providing training for QuickClot products, the
company offered a handgun class every week as well as courses in “home firearm safety” and
“personal protection.” Claimant testified that, except for the one class he taught on August 9,
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2006, when he filled in for Todd Bahr, those classes were taught by Bahr, the person from whom
claimant and his wife purchased the business, and Curt Sebastian, the only employee actually on
the company’s payroll. According to claimant, Bahr taught the handgun class “up until he went
to the police academy,” and Sebastian taught “the class from that point on.”
Claimant further maintained that, after selling the business to claimant and his wife, Bahr
continued to work for the company until he left to attend the police academy in late 2006.
Claimant testified that Bahr resumed “stopping by and helping out at the shop” after he
graduated from the academy. However, he no longer “receiv[ed] monies from the business for
services performed” and helped out mostly by fixing and assembling weapons. Between March
3, 2006, and November 15, 2006, the company issued at least 20 checks signed by claimant to
Bahr totaling $5,094.
Claimant testified that students normally had to put down an initial $25 deposit when
they signed up for the handgun class and then pay an additional $20 when they took the class.
Claimant further testified that Combat Solutions paid the instructor of the class $38 per student,
which represented the $45 fee charged to the student less the $7 the company paid for the
booklet and certificate provided to the student.
Claimant also testified that it was his understanding that every sale the company rang up
was accounted for in the company’s computer system. However, claimant was unable, looking
at the computer printout of the company’s sales on August 9, 2006, to identify the sales for the
two students who participated in the class claimant taught that day. Likewise, he could point to
no other document that showed the company had “a record for receipt of monies from the two
students.”
Claimant further testified that the company hired Sebastian in August 2006 to work in the
store during the week. Usually at the store from 9:30 a.m. to 6:00 p.m., he worked 36 to 38
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hours per week. From the end of August to the end of December 2006, he received $5,502 in
wages from the company. Sebastian also owned a wildlife removal business and was a volunteer
firefighter.
Claimant denied ever having been released to light duty since January 2006 and testified
that he did not feel he was “physically capable of performing light duty as a sales clerk.” He
maintained that he was physically unable to work at all due to the possibility of re-injuring a
non-repairable diaphragmatic hernia, which could cause him to be “on a respirator the rest of
[his] life.” It was his understanding that he had been “deemed nonreturnable to work under life
threatening conditions.”
Claimant’s brother, Chris Thomas, identified himself as a board member of Combat
Solutions but admitted he was not listed as such in the company’s paperwork. He testified he
worked at the company’s store on Saturdays from 9:30 a.m. to 4:00 p.m. and used his law
enforcement contacts to “bring in new business” for the company. He further testified he did not
receive any pay from the company for the work he did. He also stated he had a separate full-time
job as a law enforcement recruiter that required him to work at least 40 hours per week and
travel. He maintained claimant was not an employee of Combat Solutions but acknowledged he
had seen him writing checks for the company and working at the store assisting customers and
ringing up sales.
Claimant’s wife, Michelle Thomas, testified she worked an average of 30 hours per week
at the company’s store without pay. She closed the store every night and worked on days she
had off from her full-time job as an office manager for a dental office. She testified she had all
Fridays and some Wednesday afternoons off from her job at the dental office. She paid the bills
and “maintain[ed] the books and records for the business,” including the company’s QuickBooks
Point of Sale records, and provided the company’s accounting records to Walter Darrow, the
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company’s accountant, for preparation of the company’s tax returns. She testified the gross
receipts for the business from February 13, 2006, through March 19, 2007, totaled $459,873 and
the total expenses for the business for calendar year 2006 totaled $80,728. She agreed that the
profit and loss statement prepared by the company’s accountant on February 28, 2007, showed
the company had a net loss of $27,732 in 2006. She further testified all of the sales at the store
were rung up and documented on the QuickBooks Point of Sale system used by the company.
She stated the company had sold only two products on eBay since January 2006 and the
company’s sales on eBay had totaled no more than $400. She could not, however, identify those
sales in any of the financial records produced by the company. Nor could she identify anywhere
in the company’s records the payments made by the two students in the August 9, 2006 class
taught by claimant. She identified Sebastian as the company’s sole payroll employee and
indicated he had been paid a total of $5,502 since he started working for the company on or
around August 25, 2006. She testified that claimant received no compensation from the
company for any of the work he performed and “was not an employee of the company.” She
further stated that claimant did not do “a whole lot” for the company and went to the store “a few
times” a week because he was bored. It was, she explained, simply “a place for him to go.” She
acknowledged that she had observed him “ringing up sales” and “assist[ing] customers” at the
store.
Bernard Trice, a licensed private investigator retained by employer, testified that he
observed claimant for several days in July and August 2006. On July 11, he saw claimant arrive
at the Combat Solutions store at approximately 9:45 a.m. Inside the store, Trice observed
claimant in “an office area behind the front counter.” Trice learned that “claimant [taught]
firearms classes but a schedule of the classes was not available at [that] time.” On the evening of
July 13, Trice observed claimant outside the back door of the store demonstrating a rifle to a
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customer. According to Trice, claimant appeared to be shooting rubber bullets from the gun.
Trice saw claimant leave the store around 7:00 p.m. On July 20, Trice observed claimant arrive
at the store at approximately 11:00 a.m. and leave the store around 6:45 p.m. On July 21, Trice
called the company’s store and was told that the next handgun class would be given on August 2
at 6:00 p.m. Trice was also told that “claimant, as well as his brother [taught] the classes.” On
August 9, Trice took a home firearm safety class at the store at 6:00 p.m. The class was taught
by claimant. According to Trice, he paid claimant $45 in cash shortly before the class began and
claimant did not offer him a receipt. He saw claimant put the cash in the drawer of the cash
register. Trice also observed the other student pay claimant $45 in cash without receiving a
receipt. At the conclusion of the nearly two-hour class, Trice received a certificate signed by
claimant. Trice further testified that he never saw claimant have any physical problems during
the entire period of observation.
Leslie Robson, a certified public accountant and certified business evaluation analyst,
stated that he was hired by employer to review the available records to determine whether
claimant worked for Combat Solutions and, if so, the value of claimant’s services to the business
in terms of an “average weekly wage.” He testified that he had examined the financial records
produced by the company, the depositions taken by employer, and the private investigator’s
report.
Referencing the company’s February 28, 2007 profit and loss statement listing the total
cost of goods sold in 2006 at $269,522 and the total income from the sales of goods sold in 2006
at $302,518, Robson explained that dividing the “cost of sales” by the “reported sales” produced
“an unreasonably high percentage for cost of sales” at 89.09%. Robson further explained that
the inverse of the cost of sales percentage represented the company’s gross profit margin. He
testified that a gross profit margin of only 10.91% was “extremely low . . . for this particular
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industry.” Robson further testified that, pursuant to “industry data,” the gross profit margin for a
business that was the type and size of Combat Solutions would normally be between 30.34 and
36.10%, meaning the cost of sales percentage would be between 63.90 and 69.66%. 3 Those
ranges, Robson stated, would “not change dramatically” even during the business’s “startup
period.” According to Robson, a gross profit margin of 11% was “so far out of range that [it
was] . . . beyond the realm of being reasonable.” A company simply could not “stay in business
very long” at that rate, he explained. Considering the “unreasonably high” cost of sales
percentage shown in the company’s February 28, 2007 profit and loss statement; the fact that a
separate inventory report produced by the company revealed a cost of sales percentage of
67.4%, 4 which was in line with the industry average; and the fact that he found no entry in the
company’s financial records for the stated income received in connection with the company’s
eBay sales or the August 9, 2006 class taken by the investigator, Robson opined that the
company had substantial unreported income.
Using the cost of sales figure listed in the company’s February 28, 2007 profit and loss
statement—$269,522—and the cost of sales percentage “at the high end of the industry
average”—69.66%—Robson opined the company’s actual total income from the sales of goods
sold in 2006 was at least $386,911, or $84,393 more than the income reported by the company.
3
Robson testified that these percentages were derived from two “well known source[s]”
of average “operating ratios of companies” based on company type and size: “Wiley Value
Source,” which uses information from the Internal Revenue Service to “compute[] average
operating ratios,” and “RMA Annual Statement Studies,” which uses loan data from banks to
compute those ratios. According to Robson, the cost of sales range of 63.90 to 69.66%
corresponded to a “gun shop” of the size of Combat Solutions.
4
The report, entitled “Combat Solutions Inventory Summary,” showed that the total
extended cost of the inventory the company had on hand was $23,804 and the total extended
selling price of that inventory was $35,319. Robson explained that dividing the cost of the
inventory by the amount for which it was to be sold resulted in a cost percentage of 67.4%.
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Adding the $84,393 of unreported income to the company’s net loss of $27,732, Robson
concluded the company had a “corrected net income” of approximately $56,660 in 2006.
Robson then apportioned the $56,660 to claimant and his wife and brother, the three
“people working in the business who [did not] have direct salaries being paid by check.” Based
on information contained in the depositions “about how much time each person spent at the
business,” Robson determined that claimant’s wife worked 18.5 hours per week at the
company’s store on weeknight evenings and Saturdays, claimant’s brother worked 11 hours per
week mostly on Saturdays, and claimant worked 40 hours per week, for a total of 2,919 hours
from March 13, 2006, when the store started generating sales, through December 31, 2006. In
attributing 40 hours per week to claimant, Robson noted that, according to the records he
reviewed, claimant was the only person who worked at the store during the day on weekdays
until Sebastian started working for the company in August. Dividing the company’s 2006
“corrected net income” of $56,660 by the 2,919 hours claimant and his wife and brother worked
in the business yielded an hourly rate of pay of $19.41. That rate, Robson noted, was less than
the $23.50 median hourly rate listed by the United States Bureau of Labor Statistics “for a
manager of a retail store of that nature and that size.” Multiplying the hourly rate of $19.41 by
the 40 hours of work per week attributed to claimant, Robson calculated that the average weekly
wage that should be imputed to claimant was $776. He opined that, “in a situation like this,”
where it is known that an individual is actively working in a family-owned business and there are
no “direct and open payments of income to that individual for the work that is done,” it is
appropriate and necessary to impute value for the work performed. “Real businesses,” he stated,
“keep records of the hours that their workers work and they pay them with checks and they
report all of their sales.”
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Walter Darrow, a certified public accountant, testified that he had reviewed the
accounting records of Combat Solutions and was preparing tax returns for the company. He
further testified that his firm prepared the February 28, 2007 profit and loss statement showing
the company had a net loss of $27,732 in 2006. He stated that the company’s loss was not
unexpected since first-year companies often had “some sort of loss.” Darrow also testified he
had not seen any records of payments by the company to claimant for any work he performed.
Likewise, he was unaware of any evidence that the company had underreported its 2006 income
by $56,000. He acknowledged that the reports he prepared were “only [as] good as the data” he
received from the company.
The relevant medical evidence provided to the deputy commissioner established that
claimant was admitted to the hospital on January 4, 2006, following a fall of approximately 25
feet at work. Claimant’s attending physician, Bradford F. King, M.D., diagnosed claimant as
experiencing “[l]eft chest wall and abdominal wall pain” and ordered, among other things, an
MRI and CT scan of claimant’s previously repaired diaphragmatic hernia. On January 23, 2006,
Dr. King noted that, although the MRI and CT scan showed that claimant’s diaphragmatic hernia
repair was intact, he did not want claimant to “return to any significant physical activity, work or
otherwise[,] that would endanger th[e] diaphragm hernia repair.”
On January 30, 2006, Dr. King opined that claimant’s condition precluded him from
returning to his work as a contract inspector:
I feel that any re-injury of his diaphragm would be life disabling
and potentially even life threatening for him and we should avoid
anything that would potentially put that at risk in the future . . . [.]
[T]he multiple prior surgeries he had and now [his] recent injury
. . . certainly compromise[] his ability to continue to do this type of
work . . . . At this point I feel he should not have any significant
vigorous physical activity, no lifting greater than 15-20 pounds
. . . and no work duties that would place him at risk for re-injury of
any of this area again.
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On April 19, 2006, Dr. King restated his belief that claimant should not return to any
work that “involve[d] physical activity.” He further noted that he “would consider [claimant]
probably completely disabled but [would] recheck one more time a CT scan [in six weeks] just to
reevaluate [the] hernia repair on him.” On June 27, 2006, Dr. King wrote:
[Claimant] had a CT scan done June 19, 2006. . . . At this
point in time I feel like he has excellent overall outcome from his
diaphragmatic hernia repair. I also feel strongly that the reason
behind this is his overall limited activity and lifting restrictions. I
think at any point in time if he were to go back to lifting greater
than 20-25 pounds or any prolonged vigorous activity at all he
would be in danger of repeat injury to his diaphragm or recurrence
of his hernia. . . . I think he is well healed. I think he’s chronically
going to be in danger of having this recur for him. As long as he is
able to maintain the above restrictions, no lifting greater than
20-25 pounds, no prolonged vigorous activity, no more than 1-2
hours worth of long standing and no prolonged ambulatory
requirements, I think this hernia will remain repaired well for him.
In essence I feel this would put him at complete disability probably
for the remainder of his life.
On July 14, 2006, Dr. King further explicated claimant’s work restrictions as follows:
At this time, [claimant] is under restrictions to refrain from any
extreme twisting or bending of his upper torso, no lifting, pushing,
pulling anything over 20 pounds. That restriction is expected to
remain unchanged and to be permanent. [Claimant] has a history
of work for [employer] for 15 years as a construction coordinator
which involved continuous field work. [Claimant] is unable to
return to this type of work or any sort of previous occupation such
as this. I do not expect that to change. [Claimant] is on a course of
pain management therapy including Methadone . . . which also
precludes . . . gainful employment operating any sort of machinery
or driving at all. Given his current physical limitations, use of
prescribed medications and significant life threatening risk of
re-injury to his abdominal area, [claimant] is unable to resume this
type of gainful employment. I do not expect that condition to
change and I believe his inability to resume gainful employment is
permanent. Return to employment is inadvisable given the risk of
future complications.
On December 22, 2006, Dr. King reiterated the same work restrictions and noted that claimant
was “otherwise doing well with no sign of recurrence of his diaphragmatic herniation.”
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The deputy commissioner kept the record open to allow employer to examine a
QuickBooks Point of Sales disk that “should have been produced” by claimant but was not. By
letter dated June 8, 2007, Robson reported that the disk showed “cost figures” for approximately
39% of the merchandise sold by Combat Solutions from March 13, 2006, to February 3, 2007.
Those figures, Robson further reported, “resulted in an average gross profit percentage of
30.90”%. Using that gross profit margin instead of the original 30.34%, Robson calculated that
the company had a corrected net income of $59,795 for 2006, which yielded an hourly rate of
pay of $20.48 and an average weekly wage for claimant of $819. Robson also stated that the
data on the disk reinforced his opinion that claimant “worked in the store on a nearly daily basis
between March 13 and July 31, 2006” because it showed there were sales almost every day prior
to the time claimant’s wife and brother “got off work from their regular jobs.”
In claimant’s “rebuttal report” of June 22, 2007, Darrow questioned Robson’s premise
that claimant was the only person who worked in the store when claimant’s wife and brother
were not available. Darrow understood that Bahr, the former owner of the business, “continue[d]
working during a transition period as part of the overall deal” to sell the business. Darrow
further questioned the reliability of the data on the disk, noting that some of the cost figures
inputted into the QuickBooks Point of Sale system were “patently ridiculous.” He concluded
that “the people inputting the cost figures” did not know how to use the system.
In an opinion issued August 1, 2007, the deputy commissioner determined that claimant
had “returned to work with Combat Solutions” and that “wages should be imputed to . . .
claimant for his services” to the company. Finding that claimant’s services were “worth
approximately $20.00 per hour” and that he averaged 16 hours of work per week for the
company, the deputy commissioner concluded that a weekly wage of $320 was “a reasonable
approximation” of claimant’s light-duty earnings. On that basis, the deputy commissioner
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awarded claimant temporary partial disability benefits in the amount of $567.74 per week,
commencing July 11, 2006, and continuing. The deputy commissioner also granted employer a
credit for overpayment and rejected claimant’s assertion that employer’s application lacked
reasonable grounds and was filed in bad faith. Both parties sought review of the deputy
commissioner’s decision.
In an opinion issued January 31, 2008, the full commission affirmed the deputy
commissioner’s award. The commission agreed with the deputy commissioner that claimant was
“working for Combat Solutions despite his stated physical inability to work” and that it was
appropriate to impute wages to claimant for the labor he provided to the company. Reviewing
the deputy commissioner’s calculation of claimant’s post-injury average weekly wage, the
commission stated as follows:
We find reasonable Robson’s determination that the
claimant provided labor to the business that should have been
compensated in the form of wages. However, we find that he may
have overstated the extent of the claimant’s hours, particularly
after Sebastian began working. The claimant performed services,
but it is also not unreasonable to assume that some of his time in
the shop was spent on personal activities and that his presence was
not required. Robson also may have overstated the extent of the
underreporting of sales, although the evidence does suggest there
was some underreporting. Darrow disagreed that there could have
been over $50,000 worth of underreported income, and stated that
a first-year business often loses money. For these reasons, we
decline to accept Robson’s full-time average weekly wage
calculation.
Given the evidence presented, we can find no fault with the
Deputy Commissioner’s resolution of this case, imputing wages to
the claimant of two days per week approximately based on
Robson’s hourly rate calculation, yielding an average weekly wage
of $320.00. The Deputy Commissioner correctly changed the
award to temporary partial and appropriately awarded a credit.
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The commission further approved the deputy commissioner’s rejection of claimant’s motion for
costs and sanctions, finding that the “proceedings were prosecuted on reasonable grounds” and
employer did not act in bad faith.
Employer’s appeal and claimant’s cross-appeal to this Court followed.
II. POST-INJURY AVERAGE WEEKLY WAGE
On appeal, both parties challenge the commission’s imputation of a post-injury average
weekly wage of $320 to claimant. Employer contends the commission erred in finding claimant
worked only two days per week and in imputing an average weekly wage of only $320 to him as
a result. Claimant contends the commission erred in finding he returned to work and in imputing
earnings to him. 5 We disagree with both parties’ contentions.
“On appeal from a decision of the Workers’ Compensation Commission, the evidence
and all reasonable inferences that may be drawn from that evidence are viewed in the light most
favorable to the party prevailing below.” Artis v. Ottenberg’s Bakers, Inc., 45 Va. App. 72, 84,
608 S.E.2d 512, 517 (2005) (en banc). Moreover, “we are bound by the commission’s findings
of fact as long as ‘there was credible evidence presented such that a reasonable mind could
conclude that the fact in issue was proved,’ even if there is evidence in the record that would
support a contrary finding.” Id. at 83-84, 608 S.E.2d at 517 (emphasis omitted) (quoting
5
In separate questions presented on cross-appeal, claimant also contends that no
“credible evidence support[s] the commission’s finding that [he] earned $320.00 per week” and
that “the commission err[ed] as a matter of law in discounting the weight it afforded to
[employer’s] accounting witness.” However, claimant presents no argument or authority in his
brief to support those questions presented. Rule 5A:20(e) requires that an appellant’s opening
brief contain ‘[t]he principles of law, the argument, and the authorities relating to each question
presented.’ Unsupported assertions of error ‘do not merit appellate consideration.’” Jones v.
Commonwealth, 51 Va. App. 730, 734, 660 S.E.2d 343, 345 (2008) (quoting Buchanan v.
Buchanan, 14 Va. App. 53, 56, 415 S.E.2d 237, 239 (1992)). Because claimant’s breach of the
requirements of Rule 5A:20 is significant, his unsupported questions presented “are waived, and
the judgment of the [commission] is affirmed without opinion as to whether error exists in the
record.” Parks v. Parks, 52 Va. App. 663, 664, 666 S.E.2d 547, 548 (2008), petition for appeal
refused, No. 082302 (Va. Feb. 4, 2009).
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Westmoreland Coal Co. v. Campbell, 7 Va. App. 217, 222, 372 S.E.2d 411, 415 (1988)). “This
rule applies when an expert’s opinion contains internal conflicts.” Greif Companies/Genesco,
Inc. v. Hensley, 22 Va. App. 546, 552, 471 S.E.2d 803, 806 (1996). “In determining whether
credible evidence exists, the appellate court does not retry the facts, reweigh the preponderance
of the evidence, or make its own determination of the credibility of the witnesses.” Wagner
Enters., Inc. v. Brooks, 12 Va. App. 890, 894, 407 S.E.2d 32, 35 (1991). Indeed, “[m]atters of
weight and preponderance of the evidence, and the resolution of conflicting inferences fairly
deducible from the evidence, are within the prerogative of the commission and are conclusive
and binding on the Court of Appeals.” Kim v. Sportswear, 10 Va. App. 460, 465, 393 S.E.2d
418, 421 (1990) (citation omitted).
“Unlike questions of fact,” however, “we review questions of law de novo.” Rusty’s
Welding Serv., Inc. v. Gibson, 29 Va. App. 119, 127, 510 S.E.2d 255, 259 (1999) (en banc).
Thus, we are “not bound by the legal determinations made by the commission. ‘We must inquire
to determine if the correct legal conclusion has been reached.’” Cibula v. Allied Fibers &
Plastics, 14 Va. App. 319, 324, 416 S.E.2d 708, 711 (1992) (quoting City of Norfolk v. Bennett,
205 Va. 877, 880, 140 S.E.2d 655, 657 (1965)), aff’d, 245 Va. 337, 428 S.E.2d 905 (1993).
Compensation benefits awarded pursuant to Code §§ 65.2-500 and 65.2-502 “cover
losses occasioned by the impairment of the claimant’s earning capacity” resulting from the
claimant’s compensable injury. Pilot Freight Carriers, Inc. v. Reeves, 1 Va. App. 435, 441, 339
S.E.2d 570, 573 (1986). Code § 65.2-500 applies “when the incapacity for work resulting from
the injury is total,” and Code § 65.2-502 applies “when the incapacity for work resulting from
the injury is partial.” Code § 65.2-502 provides that the compensation to be paid by an employer
to an injured employee during the employee’s partial incapacity for work is “66 2/3 percent of
the difference between [the employee’s] average weekly wages before the injury and the average
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weekly wages which [the employee] is able to earn thereafter.” (Emphasis added.) In Pilot
Freight Carriers, we recognized that
[t]he extent of incapacity must be ascertained from the evidence,
and such is not limited to any special class of proof. All legal facts
and circumstances surrounding the claim should properly be
considered and due weight given them by the [c]ommission.
It [is] the duty of the [c]ommission to make the best
possible estimate of [post-injury] impairments of earnings from the
evidence adduced at the hearing, and to determine the average
weekly wage that [the employee] was able to earn. This is a
question of fact to be determined by the [c]ommission which, if
based on credible evidence, will not be disturbed on appeal.
1 Va. App. at 441, 339 S.E.2d at 573 (citation omitted). Thus, we must uphold the commission’s
findings regarding the employee’s post-injury average weekly wage if credible evidence supports
those findings.
This case came before the commission on employer’s application for a hearing alleging
that claimant had returned to work on or before July 11, 2006. Reviewing the evidence
presented in the case, the commission agreed that claimant was “working for Combat Solutions
despite his stated physical inability to work” and that it was appropriate to impute wages to
claimant for the labor he provided the company. Approving the deputy commissioner’s
imputation of wages to claimant for 2 days, or 16 hours, per week of work at $20 per hour, for a
post-injury average weekly wage of $320, the commission affirmed the deputy commissioner’s
award to claimant of temporary partial disability benefits in the amount of $567.74 per week,
commencing July 11, 2006, and continuing.
A. Employer’s Claim of Error
The sole issue presented by employer is whether the commission erred in finding, for
purposes of calculating claimant’s post-injury average weekly wage, that claimant worked only
two days per week for Combat Solutions. Employer contends there was no credible evidence
presented to support that finding. Indeed, employer maintains that, given claimant’s “sworn
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deposition testimony” that he was at the company’s store 4 days per week and the fact that “no
one else was available to keep the store open from March through . . . the end of August” when
Sebastian was hired, the credible evidence presented at the hearing required a finding that
claimant worked a minimum of 40 hours per week at the company’s store. Hence, employer
argues, the commission should have imputed an average weekly wage of “at least $800” to
claimant. Thus, employer concludes, the commission erred in finding claimant worked only 2
days per week and imputing wages of only $320 to him. We find no merit in employer’s claim.
Viewed in the light most favorable to claimant, the party who prevailed on this issue
below, the credible evidence presented at the hearing established that claimant went to the
company’s store up to 4 days per week. However, with the exception of the private
investigator’s testimony that he observed claimant arrive at the store at approximately 11:00 a.m.
and leave the store around 6:45 p.m. on July 20, no evidence established the actual number of
hours claimant spent at the store on the days he was there. Likewise, the evidence failed to
establish the precise number of hours claimant actually spent working at the store on the days he
was there. While the evidence showed that claimant greeted and talked to customers, manned
the front counter, rang up sales, answered the phone, taught a class, and worked alone for more
than an hour on 15 to 20 occasions while at the store, the evidence also demonstrated that he
spent a significant portion of his time at the store in the backroom watching television, playing
solitaire, and taking naps. The investigator saw him actually working at the store only during
relatively brief periods of time. Nothing established that he had an actual schedule requiring him
to be there 40 hours a week or that he worked 10-hour shifts when he went to the store. Thus,
even if the evidence supported employer’s claim that claimant went to the store 4 days per work,
no evidence proved that claimant worked 10 hours per day, or 40 hours per week.
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Employer also argues that the commission erroneously failed, in finding claimant worked
only 2 days per week for Combat Solutions, to take into account the time claimant spent working
for the company outside the company’s store, including attending a gun show, signing 139
checks for the company, executing a contract with an accountant, and driving a vehicle with a
company logo emblazoned on it. We reject employer’s argument as meritless. For one thing,
nothing in the record indicates the commission did not take these activities into account when it
determined that claimant worked for the company only 2 days, or 16 hours, per week. To the
contrary, the commission referenced each activity in its opinion and expressly considered “the
evidence presented” in affirming the deputy commissioner’s finding that claimant worked 2 days
per week for the company. Moreover, there was no evidence presented showing that claimant
signed the checks or contract while outside of the store. The commission could have reasonably
concluded that the checks and contract were executed while claimant was working at the store.
Likewise, we refuse to accept employer’s invitation to conclude, as a matter of law, that the mere
act of driving a vehicle emblazoned with a company’s logo on it constitutes, in this context, time
spent working for the company. While the driving of such a vehicle may show that an individual
is associated with a particular company, the time spent driving such a vehicle during
non-working hours, be it to church, the doctor’s office, a distant vacation site, or even to or from
work—all comparable acts of displaying the company’s logo—is no more “time spent working”
in the instant context than the act of driving an unmarked vehicle under the same circumstances.
Indeed, carried to its logical extreme, employer’s position would lead to the absurd result of
having the time an emblazoned vehicle is parked in a location where the logo may be viewed by
others counted as time working for the company whose logo it is.
Similarly, we reject employer’s contention that the commission had to find claimant
worked at least 40 hours per week because he was the only person available to work in the store
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during the week “from March through . . . the end of August.” That contention ignores the
credible evidence establishing, under our standard of review, that, after selling the business to
claimant and his wife, Bahr continued to work at the company’s store until he left to attend the
police academy in late 2006. Indeed, between March 3, 2006, and November 15, 2006, the
company issued at least 20 checks to Bahr totaling $5,094. The commission could reasonably
conclude from this evidence, in combination with the evidence that claimant’s wife and brother
worked Saturdays at the store and that claimant’s wife worked weekday evenings, Fridays, and
some Wednesday afternoons, that, before Sebastian was hired in late August, Bahr worked at the
store during the hours not covered by claimant, his wife, and his brother.
We conclude, therefore, that credible evidence supports the commission’s finding that the
claimant did not work 40 hours per week as employer claims. Weighing the evidence and
resolving the numerous conflicting issues of fact therein, the commission found that claimant
worked 2 days, or a total of 16 hours, per week for the company. Because that finding falls
within the time range reasonably supported by the credible evidence, we cannot say the
commission erred in making that finding.
B. Claimant’s Claims of Error
Claimant challenges the commission’s imputation to him of a post-injury average weekly
wage on two grounds: First he maintains the commission’s threshold finding that he returned to
work is unsupported by the evidence. Second, he contends the commission erred as a matter of
law in imputing earnings to him. We reject both of claimant’s claims as meritless.
1. Return to Work
Relying on Bay Concrete Construction Co. v. Davis, 43 Va. App. 528, 600 S.E.2d 144
(2004), claimant contends the commission erred in finding he returned to work, because the
“uncontradicted medical evidence” established that he had no residual work capacity and was
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therefore “unable to perform gainful employment.” Finding credible evidence in the record to
support the commission’s factual determination that claimant returned to work, we disagree.
Viewed in the light most favorable to employer, the party who prevailed on this issue
below, the medical evidence established that, throughout his treatment of claimant, Dr. King
believed that “any re-injury of [claimant’s] diaphragm would be life disabling and potentially
even life threatening” and that claimant “should avoid anything that would potentially put [his
diaphragm] at risk.” Thus, Dr. King placed claimant “under restrictions to refrain from any
extreme twisting or bending of his upper torso,” “lifting, pushing, pulling anything over 20
pounds,” “prolonged vigorous activity, . . . more than 1-2 hours worth of long standing and . . .
prolonged ambulatory requirements.” The doctor explained that claimant’s work restrictions
were “expected to remain unchanged and to be permanent.” Accordingly, Dr. King opined that
claimant would never be able “to return to [his pre-injury] type of work” as a contract inspector,
“which involved continuous field work.” In light of the “significant life threatening risk of
re-injury to his abdominal area,” Dr. King concluded that claimant would be “unable to resume
[that] type of gainful employment.” He added that claimant’s “inability to resume gainful
employment [was] permanent.”
Focusing on Dr. King’s statement that claimant’s “inability to resume gainful
employment [was] permanent,” claimant argues that “[t]he evidence was uncontradicted [that
claimant] remained totally disabled.” Claimant’s argument ignores the light-duty restrictions
imposed by Dr. King and the fact that, given its context, Dr. King’s opinion that claimant’s
“inability to resume gainful employment [was] permanent” was properly subject to a different
interpretation by the commission. Indeed, where Dr. King’s statements “conflict with each
other, the commission, as fact finder, was entitled to determine the weight, meaning, and
credibility to give his . . . statements and to reconcile any possible conflicts therein.” Henrico
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County Sch. Bd. v. Etter, 36 Va. App. 437, 445, 552 S.E.2d 372, 375 (2001). Resolving any
possible conflicts in Dr. King’s opinions in favor of employer, the commission was entitled to
find that, while claimant’s condition permanently prevented him from returning to his pre-injury
employment as a contract inspector or any similar work requiring vigorous physical activity, he
was physically capable of performing light-duty work consistent with his work restrictions.
This finding is also supported by the actual light-duty work claimant performed for
Combat Solutions. The evidence established he went to the company’s store up to 4 days per
week where he taught a firearms class, rang up sales, answered the telephone, worked at the front
counter, and greeted and assisted customers. He worked alone in the store for more than 1 hour
approximately 15 to 20 times and was seen demonstrating a rifle to a customer. He also wrote
checks, executed a contract, and worked at a gun show on behalf of the company. As fact finder,
the commission could reasonably find from this evidence and the medical evidence that claimant
had the physical capacity to return to light-duty work and actually did so with Combat Solutions.
Moreover, claimant’s reliance on Bay Concrete is misplaced. In that case, Davis, the
claimant, received temporary total disability benefits from the carrier as well as voluntary
payment of lost wages from the employer during a period of total disability. 43 Va. App. at
531-32, 600 S.E.2d at 146. Davis did not work during the period he received compensation from
both the carrier and the employer. Id. at 534, 600 S.E.2d at 147. “The undisputed evidence
established that [Davis] was totally disabled during the relevant period.” Id. at 539, 600 S.E.2d
at 150. The employer made the voluntary payments to Davis “not for any work he actually did
but solely in the hope that he would remain a loyal employee and eventually return to work for
employer.” Id. The employer sought a credit for the payments it made to Davis, claiming they
were unreported “earnings.” Id. at 536, 600 S.E.2d at 148. Noting that “‘the commission must
compare the claimant’s pre-injury average weekly wage to the wage he is able to earn after the
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injury,’” we held that, “because of [Davis’s] total physical disability, he was not able to earn any
wage during the period in question, and thus, he had no ‘earnings.’” Id. at 539, 600 S.E.2d at
150 (quoting Smith v. Robert W. Smith, 32 Va. App. 242, 250, 527 S.E.2d 463, 467 (2000)
(emphasis added)).
Here, however, unlike in Bay Concrete where it was undisputed that Davis was totally
disabled and there was no suggestion that Davis’s actual activities during the period of disability
constituted work, claimant was not totally disabled and was actually performing work.
Accordingly, Bay Concrete is factually distinguishable and thus inapplicable in this case.
Because the medical evidence and claimant’s actual work activities on behalf of the
company support the commission’s factual determination that claimant returned to work, we will
not disturb that finding.
2. Imputation of Earnings
Relying on Smith, claimant contends the commission erred, as a matter of law, in
imputing earnings to him because the commission improperly based its imputation of earnings
on the company’s profits rather than his wages. He argues that he did not earn any wages from
Combat Solutions because, even if he did return to work, he did not receive a paycheck from
Combat Solutions and did not engage in any work activities “that significantly contributed to the
business.” Thus, he concludes, the commission’s decision to impute earnings to him “should be
reversed.” We disagree.
After finding claimant was no longer totally disabled, the commission was required under
Code § 65.2-502 “to determine the average weekly wage . . . [he] was able to earn.” Pilot
Freight Carriers, 1 Va. App. at 441, 339 S.E.2d at 573. That determination, “if based on credible
evidence, will not be disturbed on appeal.” Id.
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In Pilot Freight Carriers, the injured employee returned to work supervising and
managing his own trucking business shortly after suffering an injury while working for the
employer. Id. at 437, 339 S.E.2d at 571. The employer, who had accepted the injury as
compensable and was making temporary total disability payments to the employee, filed an
application seeking termination of the temporary total disability award. Id. at 437-38, 339
S.E.2d at 571. The commission dismissed the employer’s application, finding that “‘[t]he
supervisory work being performed by [the employee] may have some value but there [was] no
evidence before us in this regard.’” Id. at 442, 339 S.E.2d at 573. Concluding it was supported
by the record, we affirmed the commission’s finding and added that “[w]e [did] not mean to
imply that owning and operating a business [could] never be a sufficient reason to hold that the
employee [was] able to return to work” and earn a wage. Id.
Here, unlike in Pilot Freight Carriers, the commission had ample evidence before it
regarding the value of the light-duty work claimant performed for Combat Solutions. The
evidence presented at the hearing identified several work activities engaged in by claimant that
significantly contributed to the business, such as teaching a class, ringing up sales, attending a
gun show, assisting customers, and answering phones. The evidence further provided the
commission with the means to ascertain the value of that work and determine the average weekly
wage claimant was able to earn, notwithstanding his lack of an actual paycheck. Based on that
evidence, the commission found that claimant worked approximately 16 hours per week and that
his efforts were worth approximately $20 per hour. Accordingly, the commission imputed to
claimant an average weekly wage of $320.
In Smith, the claimant, Smith, was injured while operating a sole proprietorship. 32
Va. App. at 246, 527 S.E.2d at 465. Before the injury, he “worked an average of over forty
hours per week and was paid at the rate of $25 per hour for an average total of $1,000 per week.”
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Id. After the injury, “he was unable to work.” Id. During the period of his disability, however,
Smith received draws from the company that averaged over $1,500 per week. Id. at 246-47, 527
S.E.2d at 466. The commission determined that Smith was not entitled to wage loss benefits
because, even though he was unable to work and earn the wage he had received before the
injury, his net income had not decreased because he continued to receive a draw from the
business. Id. at 248, 527 S.E.2d at 466. We reversed the commission’s decision, holding “that,
to the extent the commission included business profits rather than wages or their equivalent in its
calculation of [Smith’s] . . . post-injury wage, the commission erred.” Id. at 256, 527 S.E.2d at
470.
Here, by contrast, claimant was able to and did work for Combat Solutions after his
injury. He was not a passive investor; he actually provided labor that financially benefited the
company. Indeed, had claimant not performed the work, the company would in all likelihood
have had to pay someone else to do it. Moreover, unlike in Smith, claimant was not entitled to
share in the company’s profits since wife was the sole shareholder. Accordingly, the
commission was entitled to conclude that “claimant provided labor to the business that should
have been compensated in the form of wages.” To conclude otherwise would allow an officer in
a small, family-owned company to defeat the worthy purpose of the Workers’ Compensation Act
and receive a windfall by simply showing he was not earning any documented wages.
To calculate claimant’s post-injury average weekly wage, the commission assigned an
hourly value to claimant’s work and multiplied that figure by the number of hours per week it
determined claimant worked for the company. The average weekly wage the commission
imputed to claimant was based solely on the commission’s determination of the value of the
work claimant performed. Because the commission’s determination is supported by credible
evidence, we must uphold it.
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III. COSTS AND FEES
Claimant contends the commission abused its discretion in refusing to assess fees and
costs against employer. We disagree.
The decision to assess fees or costs rests in the sound discretion of the commission and
will be reversed only for an abuse of that discretion. Volvo White Truck Corp. v. Hedge, 1
Va. App. 195, 200-01, 336 S.E.2d 903, 906 (1985). Code § 65.2-713 provides, in pertinent part,
as follows:
A. If the Commission or any court before whom any
proceedings are brought or defended by the employer or insurer
under this title shall determine that such proceedings have been
brought, prosecuted, or defended without reasonable grounds, it
may assess against the employer or insurer who has so brought,
prosecuted, or defended them the whole cost of the proceedings,
including a reasonable attorney’s fee, to be fixed by the
Commission.
B. Where the Commission finds that an employer or
insurer has delayed payment without reasonable grounds, it may
assess against the employer or insurer the whole cost of the
proceedings, including a reasonable attorney’s fee to be fixed by
the Commission. . . .
C. Where the Commission finds that an employer or
insurer has filed an application for a hearing in bad faith, it shall
assess against the employer or an insurer an amount up to ten
percent of the total amount of the benefits accrued from the date
the Commission determined the award should have been paid
through the date of the award. 6
Citing no authority for his position, claimant argues on appeal, as he did below, that cost
and fees should have been assessed against employer because employer’s first two applications
for a hearing were rejected by the commission for lack of compliance with the commission’s
rules. The first application, which was filed on October 4, 2006, was rejected because “the
6
In limiting his claim of error to the commission’s decision not to assess fees and costs
against employer, claimant has evidently abandoned his request for the assessment against
employer of “a ten percent penalty on all compensation unjustly withheld” by employer.
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investigative report was not signed or submitted under oath.” The second application, which was
filed on November 1, 2006, was rejected because it “was not properly submitted under oath” in
that “no date [was] provided on the application as to when it was notarized.”
The commission declined to assess fees and costs against employer, noting as follows:
After reviewing the file, we find no grounds on which to
award an assessment of costs. We have considered the prior
applications filed by the employer that were rejected . . . . The
carrier in this case faced an uphill battle in demonstrating a return
to work given the fact that the claimant was working in a small,
family run business and was not earning any documented wages.
We find no evidence that the carrier acted in bad faith, and we
certainly find that these proceedings were prosecuted on
reasonable grounds.
It is clear that the commission considered the rejected applications and the one filed on
November 8, 2006, and found they were neither filed in bad faith nor brought without reasonable
grounds. The commission further found implicitly that employer did not delay payment without
reasonable grounds. We cannot say, based on the record before us, that the commission’s rulings
were arbitrary or capricious, or otherwise unreasonable. Accordingly, we hold the commission
did not abuse its discretion under Code § 65.2-713 in refusing to assess fees and costs against
employer. See Rusty’s Welding Serv., 29 Va. App. at 130, 510 S.E.2d at 261 (holding that the
commission does not abuse its discretion when “the exercise of its discretion . . . [is] reasonable
and not arbitrary or capricious”).
IV. CONCLUSION
For these reasons, we affirm the judgment of the commission.
Affirmed.
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