David Smith v. Amfire, LLC

                             STATE OF WEST VIRGINIA
                                                                                   FILED
                          SUPREME COURT OF APPEALS                             October 21, 2013
                                                                            RORY L. PERRY II, CLERK
                                                                          SUPREME COURT OF APPEALS
DAVID SMITH,                                                                  OF WEST VIRGINIA

Claimant Below, Petitioner

vs.)   No. 11-1680 (BOR Appeal No. 2046167)
                   (Claim No. 2007211108)

AMFIRE, LLC,
Employer Below, Respondent


                             MEMORANDUM DECISION
         Petitioner David Smith, by Otis Mann Jr., his attorney, appeals the decision of the West
Virginia Workers’ Compensation Board of Review. Amfire, LLC, by Robert Busse, its attorney,
filed a timely response.

       This appeal arises from the Board of Review’s Final Order dated December 2, 2011, in
which the Board affirmed a May 20, 2011, Order of the Workers’ Compensation Office of
Judges. In its Order, the Office of Judges affirmed the claims administrator’s October 22, 2010,
decision closing the claim for temporary total disability benefits. The Court has carefully
reviewed the records, written arguments, and appendices contained in the briefs, and the case is
mature for consideration.

       This Court has considered the parties’ briefs and the record on appeal. The facts and legal
arguments are adequately presented, and the decisional process would not be significantly aided
by oral argument. Upon consideration of the standard of review, the briefs, and the record
presented, the Court finds no substantial question of law and no prejudicial error. For these
reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate
Procedure.

        Mr. Smith was injured on June 25, 2006, when he was struck by a falling rock. The claim
was held compensable for contusion of the shoulder, thigh, hip, chest wall, and back; lumbar
sprain; lumbar radiculopathy; and herniated lumbar disc. Following the compensable injury, Mr.
Smith received temporary total disability benefits. On September 12, 2007, Dr. Greenburg, Mr.
Smith’s treating physician, found that he had reached maximum medical improvement, although
he stated at a later time that Mr. Smith had not reached maximum medical improvement because
he had not completed treatment with a pain management specialist. Dr. Mukkamala found that
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Mr. Smith had reached maximum medical improvement as of September 24, 2007. On October
22, 2010, the claims administrator closed the claim for temporary total disability benefits.

        In its decision affirming the October 22, 2010, claims administrator’s decision, the Office
of Judges held that the claim was properly closed for temporary total disability benefits. Mr.
Smith disputes this finding and asserts that he is entitled to additional temporary total disability
benefits from December 19, 2007, through June 27, 2008.

       West Virginia Code § 23-4-7a (2005) states that temporary total disability benefits are
not paid after a claimant has reached maximum medical improvement, is released to return to
work, or actually returns to work, whichever occurs first. The Office of Judges found that based
on a preponderance of the evidence, Mr. Smith had reached maximum medical improvement by
September 24, 2007, which it further found is consistent with Dr. Greenburg’s September 12,
2007, report. As noted by the Office of Judges, the evidence of record does not establish that Mr.
Smith is entitled to additional temporary total disability benefits. The Board of Review reached
the same reasoned conclusions in its decision of December 2, 2011. We agree with the reasoning
and conclusions of the Board of Review.

        For the foregoing reasons, we find that the decision of the Board of Review is not in clear
violation of any constitutional or statutory provision, nor is it clearly the result of erroneous
conclusions of law, nor is it based upon a material misstatement or mischaracterization of the
evidentiary record. Therefore, the decision of the Board of Review is affirmed.

                                                                                         Affirmed.

ISSUED: October 21, 2013

CONCURRED IN BY:
Chief Justice Brent D. Benjamin
Justice Robin J. Davis
Justice Margaret L. Workman
Justice Menis E. Ketchum
Justice Allen H. Loughry II




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