Clauson v. Department of Labor & Industries

Talmadge, J.

(dissenting) — The majority decides a worker may be 160 percent disabled. Because the majority’s decision defies logic, common sense, a fundamental tenet of the Industrial Insurance Act, and nearly 65 years of this court’s decisions to the contrary, I dissent.

*587Clauson hurt his hip on the job in 1974. In September 1980, the Department of Labor and Industries (Department) ruled he had a 35 percent permanent partial disability as a result. Clauson then injured his back while on the job in January 1983. As a result of this separate, more serious injury, the Department placed him on the pension rolls as permanently and totally disabled in August 1989. Later that year, the Department reevaluated his prior hip injury and concluded Clauson was now 60 percent permanently partially disabled because of hip injury in addition to being 100 percent disabled from the back injury, but made no further award, limiting his total award to the pension for his 100 percent permanent total disability. Clauson appealed. The Board of Industrial Insurance Appeals and the superior court upheld the Department, but the Court of Appeals reversed, holding Clauson was entitled to receive payments as if he were 160 percent disabled. The majority now agrees with the Court of Appeals.

We are asked in this case to decide if an award of permanent partial disability (PPD) under Washington’s Industrial Insurance Act compensates for loss of earning capacity or represents general tort damages. Without discussing this fundamental question, the majority appears to conclude sub silentio that a PPD award compensates for general tort damages. Because Washington’s Industrial Insurance Act and the cases arising under it plainly indicate PPD awards compensate loss of earning capacity and because there cannot be more than a 100 percent loss of earning capacity, Clauson should not be allowed to collect both a pension for 100 percent permanent total disability and an award for 60 percent permanent partial disability.

ANALYSIS

Both the Board of Industrial Insurance Appeals and the Spokane County Superior Court (Whaley, J.) concluded our Industrial Insurance Act did not permit an award of permanent partial disability benefits to Mr. Clauson, who *588was already determined to be totally and permanently disabled and was receiving a pension.3 The Board and the trial court based their decision on the policy that an award of permanent partial disability is designed only to compensate an injured worker for loss of earning capacity. Therefore, an award of permanent partial disability to a worker who is already permanently and totally disabled and receiving a pension results in a double recovery of benefits.

Division Three of the Court of Appeals reversed the decision of the Spokane County Superior Court in Clauson v. Department of Labor & Indus., 79 Wn. App. 537, 903 P.2d 518 (1995), implicitly determining an award of permanent partial disability was not designed to compensate an injured worker for loss of earning capacity. Rather, the Court of Appeals concluded because a worker could receive an award of permanent partial disability if the award took place before the worker was adjudicated permanently and totally disabled, the sequence of claim closure should not work to the detriment of the injured worker. Clauson, 79 Wn. App. at 543. The majority agreed with this view. Majority op. at 586.

A. The Court of Appeals’ Decision

The Court of Appeals’ decision stems from a misreading of the applicable statute. The Court of Appeals said:

A worker who becomes permanently totally disabled as a result of a work related injury is entitled to a monthly pension, the amount of which is determined according to RCW 51.32.060. Under RCW 51.32.060(4), if a further accident *589results in the permanent total disability of a previously injured worker, he or she shall receive the pension to which he or she would be entitled, notwithstanding the payment of a lump sum for the prior injury. In other words, previously paid permanent partial disability benefits cannot be deducted from the pension.
We think it is clear under the plain language of the provisions above, that had the Department closed Mr. Clauson’s first claim before it classified him as permanently totally disabled under the separate second claim, he would have been entitled to additional permanent partial disability benefits under RCW 51.32.080(3), adjusted for benefits already paid.

Clauson, 79 Wn. App. at 541-42. In other words, the Court of Appeals reads RCW 51.32.060(4) to permit permanent partial disability payments in addition to permanent total disability payments for separate injuries. Thus, Clauson can be 60 percent disabled due to his hip injury and be compensated for that, and be 100 percent disabled due to his back injury, and be compensated additionally for that for a total of 160 percent disability. An analysis yielding a 160 percent disability pension cannot be right.

RCW 51.32.060(4) reads:

Should any further accident result in the permanent total disability of an injured worker, he or she shall receive the pension to which he or she would be entitled, notwithstanding the payment of a lump sum for his or her prior injury.

As the Court of Appeals reads this statute, "any further accident” could mean any further accident at all, whether it was related to the "prior injury” or not. But that is not how this Court has interpreted the statute.

In Arnold v. Department of Labor & Indus., 168 Wash. 300, 11 P.2d 825 (1932), the court considered a case in which an injured worker had first his left leg amputated in two stages, and then his right leg amputated in two stages over a six-year period, all as the result of the same *590industrial accident. He had received a lump sum for permanent partial disability stemming from the amputation of his left leg in 1925. After his right leg was amputated first below the knee and then at mid-thigh in 1929 and 1930, he sought to reopen his claim for the purpose of obtaining an award for permanent total disability.

The Department recognized his claim, but deducted from his award the amount it had already paid him for his permanent partial disability. The issue before this court was whether Arnold was entitled to the full award for his permanent total disability, undiminished by the amount he had already received. Id. at 302.

The applicable statute in 1932 was the precursor of RCW 51.32.060(4). The only difference between the two is the newer version is gender neutral. The court considered it "plain” that the statute permitted Arnold to receive a total permanent disability award undiminished by an award for a prior accident. Subsequent cases have supported Arnold’s holding: "In [Arnold] we held that an aggravation of an original injury resulting in permanent total disability entitles an injured workman to compensation for total disability without deduction for a previous award for partial disability under the provisions of Rem. Rev. stat., § 7697.” Dry v. Department of Labor & Indus., 180 Wash. 92, 106, 39 P.2d 609 (1934) (emphasis added). Accord Stone v. Olinger, 6 Wn.2d 643, 648, 108 P.2d 630 (1940); Seagraves v. Department of Labor & Indus., 185 Wash. 333, 54 P.2d 1010 (1936).

Thus, the Court of Appeals misreads RCW 51.32.060(4) in this case. Since 1932 in Washington, "any further accident” has meant an aggravation of an original injury, not an entirely separate injury.

B. The Policy Behind Disability Awards

Awards of permanent partial disability are governed by RCW 51.32.060 and RCW 51.32.080. RCW 51.32.060 provides a worker who is permanently and totally disabled will receive monthly payments during the period of *591the worker’s disability based essentially on the worker’s wages and family size. That the injured worker with a PPD award receives compensation in the form of monthly payments certainly suggests the award is designed to compensate the injured worker for loss of earning capacity.

While Title 51 RCW does not specifically address how a prior pension may affect a contemporaneous claim for a PPD, RCW 51.32.060(4) does indicate the payment of a prior PPD award does not affect the entitlement of an injured worker to receive a pension for the ultimate effect of the original injury; RCW 51.32.080(4) also provides:

If permanent partial disability compensation is followed by permanent total disability compensation, any portion of the permanent partial disability compensation which exceeds the amount that would have been paid the injured worker if permanent total disability compensation had been paid in the first instance, shall be deducted from the pension reserve of such injured worker and his or her monthly compensation payments shall be reduced accordingly.

See Stuckey v. Department of Labor & Indus., 129 Wn.2d 289, 916 P.2d 399 (1996) (RCW 51.32.080(4) offsets prior award of permanent partial disability).

As Title 51 does not specifically answer the question presented by this case, we must resort to the general policy of the Industrial Insurance Act to address the issues. Washington’s Industrial Insurance Act is designed to insure against the loss of wage earning capacity. Adams v. Department of Labor & Indus., 128 Wn.2d 224, 233, 905 P.2d 1220 (1995); Leeper v. Department of Labor & Indus., 123 Wn.2d 803, 814, 872 P.2d 507 (1994); Fochtman v. Department of Labor & Indus., 7 Wn. App. 286, 293, 499 P.2d 255 (1972). This principle plainly animates the concepts of temporary and permanent total disability wherein regular monthly payments are made on a temporary or permanent basis to an injured worker in lieu of the wages lost by the injured worker due to injury.

Although PPD awards set forth in RCW 51.32.080 *592sometimes are described in terms of the loss of or loss of use of a specific body part, the principle of loss of earning capacity has also been applied to PPD awards.4 In Franks v. Department of Labor & Indus., 35 Wn.2d 763, 215 P.2d 416 (1950), we held an injured worker’s loss of earning power or capacity to earn money was also present in the schedule of benefits for a permanent partial disability. "In the case of permanent partial disability, the legislature has taken loss of earning power into consideration by prescribing, in dollars, the compensation to be paid for certain specified disabilities.” Franks, 35 Wn.2d at 774. This same principle was announced in Fochtman, 7 Wn. App. at 293-94. The majority opinion does not cite either Franks or Fochtman.

To underscore this earning power basis for PPD awards, our cases also indicate an injured worker is entitled to recover no more than 100 percent of that worker’s earning capacity as compensation for any injury or combination of injuries. This is consistent with the view temporary and total permanent disability and permanent partial disability all relate to loss of earning capacity. In Harrington v. Department of Labor & Indus., 9 Wn.2d 1, 113 P.2d 518 (1941), and Sorenson v. Department of Labor & Indus., 19 Wn.2d 571, 143 P.2d 844 (1943), we held once a worker is classified as entitled to a pension, the worker may not receive additional temporary total disability (time-loss) benefits under the Act if the worker recovers sufficiently to obtain employment and is thereafter injured. In Harrington, a worker injured his back and received a pension as permanently and totally disabled. The worker subsequently recovered sufficiently to go to work for a logging company where he was seriously injured. He filed a claim for medical expenses and time-loss compensation. We denied further compensation for the second injury stating:

Having been classified as permanently and totally disabled, *593respondent could not, in law, be further disabled. He had already received the highest disability rating known to law, and upon that rating had been granted the highest compensation allowable under the workmen’s compensation act....
The mere fact that a workman may recover from an injury which has been classified as a permanent total disability and for which he has been fully compensated, does not negative the fact that he has already received all the benefits that may be allowed for permanent and total disability. A subsequent lesser disability cannot be superimposed upon the maximum disability recognized by law. A contrary conclusion would result in an overlapping of classifications and in the allowance of double payment.

Harrington, 9 Wn.2d at 7-8.

Similarly, in Sorenson, the claimant injured his foot and was awarded a pension. The worker later returned to employment and again injured the same foot. He filed a second claim for compensation and the claim was rejected. We upheld the denial of benefits, stating:

Having been classified as permanently totally disabled and having received the maximum allowed under the law therefor as a lump sum settlement, appellant may not be compensated out of the accident fund for further injuries received while in extrahazardous employment.

Sorenson, 19 Wn.2d at 577-78. See also Peterson v. Department of Labor & Indus., 22 Wn.2d 647, 651, 157 P.2d 298 (1945) (a worker who received a pension is estopped from receiving further compensation for subsequent injuries).

Thus, because a PPD award compensates for an injured worker’s loss of earning capacity, an injured worker may receive only 100 percent of his or her lost earning capacity. Unless the Legislature specifically provides for the compensation of lost earning capacity in an amount in excess of 100 percent, as the Legislature did in RCW 51.32.060(4), an injured worker is barred from receiving *594benefits under the Industrial Insurance Act in excess of 100 percent of his or her lost earning capacity.

CONCLUSION

The schedule of benefits set forth in RCW 51.32.080 for permanent partial disability relates to an injured worker’s earning capacity. A pension for a permanent total disability constitutes compensation for a 100 percent loss of earning capacity. Therefore, a PPD award and a pension are incompatible, unless, as the majority appears to conclude, the scheduled PPD benefits constitute general tort damages rather than replacement income. The majority’s conclusion is a significant departure from the firmly-established principle that industrial insurance in Washington exists to replace an injured worker’s lost earning capacity. It is for the Legislature to bring about such a fundamental policy change, not this court.

I would reverse the Court of Appeals and reinstate the decision of the Spokane County Superior Court and the Board of Industrial Insurance Appeals.

Durham, C.J., concurs with Talmadge, J.

A court will generally give deference to an agency’s view of the law in construing an ambiguous statute the agency is charged with administering. When the statute is not ambiguous, we give no deference to the agency’s interpretation of it. Erection Co. v. Department of Labor & Indus., 121 Wn.2d 513, 521-22, 852 P.2d 288 (1993). That is because "[i]nterpretation of a statute is solely a question of law and within the conventional competence of the court.” American Legion v. City of Walla Walla, 116 Wn.2d 1, 5, 802 P.2d 784 (1991). When the issue on appeal is a question of law, we review it as we review all questions of law, de novo. Stuckey v. Department of Labor & Indus., 129 Wn.2d 289, 295, 916 P.2d 399 (1996).

In nearly all worker compensation systems in America, awards of permanent partial disability compensate for loss of earning capacity, as distinct from tort liability. 1C Arthur Larson, Workmen’s Compensation § 57.11.