IN THE SUPREME COURT OF TENNESSEE
AT KNOXVILLE
(HEARD IN NASHVILLE)
FOR PUBLICATION
ROBERT HAROLD BOMELY, JR., ) Filed: June 1, 1998
)
Plaintiff/Appellee, ) Knox Chancery
)
) Hon. Frederick D. McDonald
v. ) Chancellor
)
MID-AMERICA CORPORATION, ) No. 03-S-01-9605-CH-00059
d/b/a BURGER KING, )
)
Defendant/Appellee, )
)
and )
)
LARRY BRINTON, JR., )
DIRECTOR OF THE DIVISION OF )
WORKERS’ COMPENSATION, )
TENNESSEE DEPARTMENT OF )
LABOR, SECOND INJURY FUND, )
)
Defendant/Appellant. )
For Appellee Bomely: For Appellee Mid-America
Corporation, d/b/a Burger King:
David H. Dunaway
Dunaway & Associates Steven Johnson
LaFollette Butler, Vines and Babb
Knoxville
For Appellant:
John Knox Walkup
Attorney General & Reporter
Dianne Stamey Dycus
Senior Counsel
Nashville
O P I N IO N
TRIAL COURT REVERSED IN DROWOTA, J.
PART AND AFFIRMED IN PART.
In this workers’ compensation action the Second Injury Fund,
defendant-appellant, has appealed from a judgment of the Chancery Court of Knox
County which found the employee, Robert Bomely, plaintiff-appellee, to be totally and
permanently disabled. The award was apportioned 65 percent to the employer, Mid-
America Corporation, d/b/a Burger King, defendant-appellee, and 35 percent to the
Second Injury Fund under Tenn. Code Ann. § 50-6-208(b). The trial court assessed
the employer’s liability based on 400 weeks of benefits and held the Second Injury
Fund liable for the remaining 938 weeks of benefits (until the employee reached the
age of 651). Thus, the employer’s liability was limited to 65 percent of 400 weeks
rather than 65 percent of the total number of weeks to age 65. We transferred this
case from the Special Workers’ Compensation Appeals Panel to decide whether it
was proper to have limited the employer’s liability in this fashion. After carefully
examining the record before us and considering the relevant authorities, we conclude
that the award should be apportioned between the employer and the Second Injury
Fund based on the total number of weeks to age 65 rather than limiting the
employer’s liability to a percentage of 400 weeks. Accordingly, that portion of the trial
court’s judgment is reversed. We shall also address (1) whether an award of
permanent total disability is subject to the monetary cap imposed by the 400 week
maximum total benefit provision of Tenn. Code Ann. § 50-6-102(a)(6) and (2) whether
the apportionment of benefits between the employer and the Second Injury Fund in
this case is controlled by subsection (a) or (b) of Tenn. Code Ann. § 50-6-208.
BACKGROUND
In 1993 and again in 1994, the employee, Robert Bomely, was working
as an assistant manager for Burger King when he injured his neck and back in the
course and scope of his employment. He had an extensive history of prior back and
neck injuries, both work-related and nonwork-related. These include a
1
See Tenn. Code Ann. § 50-6-207(4)(A)(i)(providing that compensation for permanent total
disability “shall be paid during the period of such permanent total disability until the employee
reaches the age of 65. . . . “).
2
noncompensable back injury in 1982; a work-related back injury in 1983 that resulted
in a court approved settlement for 25 percent permanent disability to the body as a
whole; a work-related back injury in 1988 for which a settlement was reached and
approved by the court for 10 percent permanent disability to the body as a whole; and
a noncompensable neck injury resulting from a car accident in 1989. Accordingly, the
employee has received workers’ compensation awards totaling 35 percent permanent
disability to the whole body prior to the 1993 and 1994 work-related back and neck
injuries which precipitated this suit. The employee was able to return to work after
each injury, but has not been able to return to work since his last injury in 1994.
Dr. William Kennedy, an orthopedic surgeon, testified that the employee
sustained a 29 percent permanent anatomical impairment to his neck and a 26
percent permanent anatomical impairment to his back for a total of 47 percent
impairment to the body as a whole. Dr. Kennedy attributed 33 percent of the total
anatomical impairment of 47 percent to the 1993 and 1994 injuries, which equates
to 15.6 percent. A psychiatrist testified the employee has permanent and severe
depression related to his injuries which prevent him from being gainfully employed.
A vocational disability expert concluded that the employee is totally and permanently
vocationally disabled.
The trial court found the employee to be permanently and totally
disabled, a finding that the parties do not contest on appeal. The court also found
that only 20 percent of the employee’s permanent and total disability was attributable
to the last injury. The court further determined that the employee was entitled to
workers’ compensation benefits until he reached the age of 65 (he was 42 years old
at the time of trial). See Tenn. Code Ann. § 50-6-207(4)(A)(i). The trial court then
apportioned the award 65 percent to the employer and 35 percent to the Second
Injury Fund pursuant to Tenn. Code Ann. § 50-6-208(b). The court assessed the
employer’s liability based on 65 percent of 400 weeks of benefits for a total of 280
weeks (or $81,640) and held the Second Injury Fund liable for the remaining 938
3
weeks of benefits (or $294,532). The employer’s liability was thus limited to 65
percent of 400 weeks rather than 65 percent of the total number of weeks to age 65
(1,218 weeks).
The primary question on appeal is whether it was proper to have
assessed the employer’s liability based on a percentage of 400 weeks.2 A
secondary but related issue is whether an award of permanent total disability is
subject to the monetary cap imposed by the 400 week maximum total benefit
provision of Tenn. Code Ann. § 50-6-102(a)(6). A final question is whether the
apportionment of benefits between the employer and the Second Injury Fund in this
case is controlled by subsection (a) or (b) of Tenn. Code Ann. § 50-6-208.
I.
The Second Injury Fund argues that the trial court erred by limiting the
employer’s liability to 65 percent of 400 weeks. Citing Reagan v. American
Policyholders’ Ins., 842 S.W.2d 249 (Tenn. 1992), the Fund contends that the
employer’s liability should be calculated based upon the total amount of benefits
awarded to age 65. According to the Fund, the workers’ compensation law contains
no indication that the legislature intended to limit an employer’s liability under Tenn.
Code Ann. § 50-6-208 to 400 weeks. Rather, the legislature expressed its intent
through the enactment of Tenn. Code Ann. § 50-6-207(4)(A)(i) in 1992 that
employers can be held liable for benefits to age 65 if the employee is permanently
and totally disabled.
In response, the employer argues that to hold it liable for more than 400
weeks of benefits would undermine the purpose of the Second Injury Fund to
2
A similar question was presented in Sweeten v. Trade Envelopes, Inc., 938 S.W.2d 383
(Tenn. 1996). In Sweeten, the employer settled with a permanently and totally disabled employee
for 75 percent based upon 400 weeks, and then at trial the Second Injury Fund was held liable for
the remaining benefits to age 65. This Court did not reach the issue, however, because we set
aside the settlement. Thus, while Sweeten and the case at bar present the same scenario
involving the Fund being held responsible for all benefits beyond 400 weeks, the present case is
the first time this Court has squarely addressed the issue.
4
encourage employers to hire injured workers because employers will not risk having
to pay benefits to age 65.
In Reagan v. American Policyholders’ Ins., 842 S.W.2d 249 (Tenn.
1992), the employee fell through a floor in the course and scope of his employment
which left him totally and permanently disabled. He had previously settled a workers’
compensation claim for 15 percent permanent impairment to the body as a whole.
Due to his low average weekly wage, the employee was entitled to an award of 550
weeks rather than the typical 400 weeks of benefits provided at that time for
permanent total disability. The employer in Reagan argued that its liability was
limited to 85 percent of 400 weeks and that the Second Injury Fund should be liable
for the rest of the award. This Court rejected the employer’s argument and held that
the apportionment should be based on the total amount of money awarded to the
employee. Reagan, 842 S.W.2d at 251. We reasoned that apportioning the award
in this manner was the only equitable thing to do. Id.
The employer in the case at bar argues that Reagan is “wholly
unrelated to the issues in the present case” because it was decided before the 1992
change to the workers’ compensation law providing that a permanently and totally
disabled worker is entitled to receive benefits until age 65. It is true that when
Reagan was decided an award for permanent total disability was based on 400
weeks of benefits rather than the current payment of benefits until age 65. See Tenn.
Code Ann. § 50-6-207(4)(A)(i). As such, Reagan does not address the
apportionment of benefits until age 65.
Nonetheless, we are persuaded that the principle of equitable
apportionment adopted in Reagan applies with equal force to the case at bar. It is
not equitable to cap the employer’s liability at 400 weeks and require the Fund to pay
the bulk of the award in light of the fact that Tenn. Code Ann. § 50-6-102(a)(6)(C)
specifically exempts permanent total disability awards from the 400 week maximum
5
total benefit limitation and Tenn. Code Ann. § 50-6-207(4)(A)(i) authorizes benefits
to age 65 in cases of permanent and total disability. There is no indication in the
workers’ compensation law that the legislature intended to limit an employer’s liability
under Tenn. Code Ann. § 50-6-208 to 400 weeks. In fact, the legislature has
expressed its intent through Tenn. Code Ann. § 50-6-207(4)(A)(i) that employers can
be held liable for benefits to age 65 if an employee is totally and permanently
disabled. If the legislature had wanted to cap an employer’s liability at 400 weeks
where benefits are awarded to age 65 in cases involving the Second Injury Fund it
could have easily done so.
Furthermore, we note here as we did in Reagan that the “objective of
the legislation creating the Second Injury Fund is to limit the liability exposure of the
employer by holding it responsible only for the employee’s first 100 percent of
workers’ compensation disability, thereby encouraging the employment of injured
workers.” Reagan, 842 S.W.2d at 250. “In other words, the employer is responsible
for the employee’s first 100 percent of benefits and the Second Injury Fund is
responsible for the rest.” Id. at 250-251. Under our holding today the employer’s
exposure to liability is still limited to the first 100 percent of Bomely’s permanent total
disability. If Bomely is able to rehabilitate himself and return to work and then gets
injured again, the employer would pay nothing in benefits.
In sum, we are persuaded that the equitable division rationale that we
adopted in Reagan should apply in this case. We find no statutory or equitable basis
for using 400 weeks as the basis of apportionment under Tenn. Code Ann. §§ 50-6-
208 and 50-6-207(4)(A)(i). In reaching this conclusion, we are cognizant of the
employer’s argument that if an employer’s liability is not limited to a percentage of
400 weeks, some employers might resist hiring young workers with disabilities in light
of the legislation extending benefits to age 65 for permanent total disability.
Whatever the merits of this argument, it should be addressed to the legislature since
that body, not the courts, brought about the change in the law.
6
II.
An issue necessarily related to the apportionment question is what
effect, if any, the maximum total benefit provision of Tenn. Code Ann. § 50-6-
102(a)(6) has on awards of permanent total disability made under Tenn. Code Ann.
§ 50-6-207(4)(A)(i), which makes benefits payable to age 65. The question has
considerable practical significance because limiting benefits to the maximum total
benefit could substantially reduce the amount of compensation paid to the worker.
Tenn. Code Ann. § 50-6-207(4)(A)(i) provides that compensation for
permanent total disability “shall be paid during the period of such permanent total
disability3 until the employee reaches the age of sixty-five. . . .” Tenn. Code Ann. §
50-6-207(4)(B) provides that in cases of permanent total disability an employee is to
be compensated as provided for in Tenn. Code Ann. § 50-6-207(4)(A) - to age 65 -
“provided, that the total amount of compensation payable hereunder shall not exceed
the maximum total benefit, exclusive of medical and hospital benefits.” At first
glance, Tenn. Code Ann. § 50-6-207(4)(B) appears to place a monetary cap on
awards of permanent total disability. However, this is not the case. The statutory
definition of “maximum total benefit” in Tenn. Code Ann. § 50-6-102(a)(6) provides
that “maximum total benefit means the sum of all weekly benefits to which a worker
may be entitled.” The maximum total benefit for “injuries arising on or after July 1,
1992, shall be four hundred (400) weeks times the maximum weekly benefit except
in instances of permanent total disability.” Tenn. Code Ann. § 50-6-
102(a)(6)(C)(emphasis added).
Because the statutory definition of maximum total benefit exempts
permanent total disability awards from the 400 week limitation, we conclude that such
3
An employee is considered totally disabled when an injury “totally incapacitates the
employee from working at an occupation which brings such employee an income. . . .” Tenn. Code
Ann. § 50-6-207(4)(B).
7
benefits are to be paid until age 65 under Tenn. Code Ann. § 50-6-207(4)(A)(i)
without regard to the monetary cap imposed by the maximum total benefit provision
of Tenn. Code Ann. § 50-6-102(a)(6). Although the 400 week limitation on benefits
expressly applies in cases of temporary partial disability, see Tenn. Code Ann. § 50-
6-207(2), and permanent partial disability, see Tenn. Code Ann. § 50-6-207(3)(F), the
limitation does not apply to permanent total disability under Tenn. Code Ann. § 50-6-
207(4). Had the legislature intended to limit permanent total disability awards to a
maximum of 400 weeks, it could have drafted a provision explicitly doing so as it did
for temporary partial and permanent partial disability. Our conclusion is further
buttressed by Tenn. Code Ann. § 50-6-207(4)(A)(iii), which says that “[a]ttorneys’ fees
in contested cases of permanent total disability shall be calculated upon the first four
hundred (400) weeks of disability only.” If the legislature had intended to limit
permanent total disability benefits to 400 weeks of compensation under Tenn. Code
Ann. § 50-6-102(a)(6), it would not have been necessary to provide that attorney’s
fees be calculated only upon the first 400 weeks of compensation.
In sum, we hold that awards of permanent total disability are payable
to age 65 under Tenn. Code Ann. § 50-6-207(4)(A)(i) and are not subject to the
monetary cap imposed by the 400 week maximum total benefit provision of Tenn.
Code Ann. § 50-6-102(a)(6). Our holding on this point is a reasonable construction
of statutory language which avoids statutory conflict and provides for the harmonious
operation of the laws in question.4 See Cronin v. Howe, 906 S.W.2d 910, 912 (Tenn.
1996). We further find that when liability is apportioned to the Second Injury Fund,
payments by the Fund do not begin until “after completion of the payments” by the
4
In Love v. American Olean Tile Company, S.W.2d (Tenn. 1998), a companion
case to the one at bar, the Special Workers’ Compensation Appeals Panel held that awards of
permanent total disability are subject to the maximum total benefit provision of Tenn. Code Ann.
§ 50-6-102(a)(6). Judge Joe C. Loser, Jr., speaking for the Special Workers’ Compensation
Appeals panel in Love, is of the view that permanent total benefits are payable to age 65, but may
not exceed the maximum total benefit. This view is based on the belief that the legislature did not
intend to financially burden the Second Injury Fund and perhaps result in the employee’s social
security disability benefits being reduced. See 42 U.S.C. § 424(a). As our opinions in the present
case and in Love demonstrate, we do not agree with the Panel’s holding in Love, but we do
recognize that our resolution of these cases will result in the Second Injury Fund paying larger
monetary awards. Once again, however, these are arguments that should be addressed to the
legislature since that body, not the courts, brought about the change in the law.
8
employer. Tenn. Code Ann. § 50-6-208(a)(1). See also Perry v. Sentry Ins. Co., 938
S.W.2d 404, 408 (Tenn. 1996).
III.
Finally, we must address the employer’s argument that the trial court
should have apportioned the award between it and the Second Injury Fund under
Tenn. Code Ann. § 50-6-208(a)5 rather than under Tenn. Code Ann. § 50-6-208(b).6
The basis for the employer’s argument is that subsection (a) and subsection (b) of
Tenn. Code Ann. § 50-6-208 are mutually exclusive.
After this case was tried and the employer filed its brief in this Court in
which it contended that subsection (a) and subsection (b) of Tenn. Code Ann. § 50-6-
208 are mutually exclusive, this Court decided Perry v. Sentry Ins. Co., 938 S.W.2d
404 (Tenn. 1996). In Perry, we noted (and reiterate here) that the Second Injury
Fund is liable under subsection (a) if (1) the employee has previously sustained a
permanent physical disability from any cause or origin, either compensable or
noncompensable, and (2) the employee becomes permanently and totally disabled
as the result of a subsequent compensable injury.7 Id. at 407. See also Sweeten,
938 S.W.2d at 385. In such a case, the employer pays only for the disability that
results from the subsequent injury that rendered the employee permanently and
totally disabled, without consideration of any prior injuries. Tenn. Code Ann. § 50-6-
5
Subsection (a)(1) of Tenn. Code Ann. § 50-6-208 provides in pertinent part: “If an
employee has previously sustained a permanent physical disability from any cause or origin and
becomes permanently and totally disabled through a subsequent injury, such employee shall be
entitled to compensation from such employee’s employer or the employer’s insurance company
only for the disability that would have resulted from the subsequent injury, and such previous injury
shall not be considered in estimating the compensation to which such employee may be entitled
. . . .”
6
Subsection(b)(1)(A) of Tenn. Code Ann. § 50-6-208 provides: “In cases where the injured
employee has received or will receive a workers’ compensation award or awards for permanent
disability to the body as a whole, and the combination of such awards equals or exceeds one
hundred percent (100%) permanent disability to the body as a whole, the employee shall not be
entitled to receive from the employer or its insurance carrier any compensation for permanent
disability to the body as a whole that would be in excess of one hundred percent (100%) permanent
disability to the body as a whole, after combining awards.”
7
Subsection (a), unlike subsection (b), also requires the employer to have had actual
knowledge of the employee’s prior permanent physical disability prior to the subsequent injury.
Burris v. Cross Mountain Coal Co., 798 S.W.2d 746, 748 (Tenn. 1990).
9
208(a)(1). In other words, an employer under subsection (a) is responsible only for
that disability that would have resulted from the subsequent injury had the earlier
injury or injuries not existed. Perry v. Sentry Ins. Co., 938 S.W.2d 404 (Tenn. 1996);
Cameron v. Kite Painting Co., 860 S.W.2d 41 (Tenn. 1993); Allkins v. Thomas
Furniture Co., 762 S.W.2d 557 (Tenn. 1988); see also Minton v. State Industries,
Inc., 825 S.W.2d 73, 76-77 (Tenn. 1992). Accordingly, it is important for trial courts
to make an explicit finding of fact regarding the extent of vocational disability
attributable to the subsequent or last injury, without consideration of any prior injuries.
This the trial judge did in this case, making a finding of 20 percent vocational
disability attributable to the last injury.
We further indicated in Perry (and again reiterate here) that an
employee will also have met the requirements for recovery under subsection (b) if the
employee has received or will receive workers’ compensation awards, including the
last one, for permanent disability to the whole body which exceed 100 percent when
combined. Perry, 938 S.W.2d at 407. See also Sweeten, 938 S.W.2d at 385;
Henson v. City of Lawrenceburg, 851 S.W.2d 809, 812 (Tenn. 1993). When this
occurs, the Second Injury Fund pays benefits due the worker in excess of 100
percent after all compensable awards, including the last one, are combined. Hill v.
Eagle Bend Mfg., Inc., 942 S.W.2d 483 (Tenn. 1997); Huddleston v. Hartford Acc. &
Indem. Co., 858 S.W.2d 315 (Tenn. 1993); Fink v. Caudle, 856 S.W.2d 952 (Tenn.
1993); Henson v. City of Lawrenceburg, 851 S.W.2d 809 (Tenn. 1993); Reagan v.
American Policyholders’ Ins., 842 S.W.2d 249 (Tenn. 1992); Cox v. Martin Marietta
Energy Systems, 832 S.W.2d 534 (Tenn. 1992); Hale v. CNA Ins. Companies, 799
S.W.2d 659 (Tenn. 1990); Sims v. Bituminous Cas. Corp., 798 S.W.2d 751 (Tenn.
1990); Burris v. Cross Mountain Coal Co., 798 S.W.2d 746 (Tenn. 1990); Sitz v.
Goodyear Truck Tire Ctr., 762 S.W.2d 886 (Tenn. 1988). We thus concluded in
Perry that an injured worker may meet the criteria under both subsection (a) and
subsection (b) of Tenn. Code Ann. § 50-6-208. Perry, 938 S.W.2d at 407 (“[S]ection
(a) and (b) are not mutually exclusive, and an employee may meet the criteria for
1 0
recovery under both sections.”).8 Thus, Perry resolves the argument of the employer
in the instant case that subsections (a) and (b) are mutually exclusive. We would
add, however, that when the facts satisfy the requirements of both subsections,
courts should apply the one which produces a result more favorable to the employer
since the goal of the Second Injury Fund statute is to encourage the hiring of injured
workers by limiting employer liability. See Reagan, 842 S.W.2d at 250; Burris, 798
S.W.2d at 749.
As indicated above, the trial court in this case apportioned the award
65 percent to the employer and 35 percent to the Second Injury Fund pursuant to
Tenn. Code Ann. § 50-6-208(b). The trial court as an alternative finding determined
that under subsection (a) Bomely had sustained a 20percent permanent disability as
a result of the 1994 injury. Accordingly, under subsection (a), the trial court found
that the employer would have been responsible for 20 percent of the award and the
Second Injury Fund responsible for the remaining 80 percent of the award. The trial
court concluded, however, that it was bound to apply subsection (b) because the
employee had prior awards of benefits. At the time the trial court decided the case
it did not have the benefit of this Court’s decision in Perry.
The facts in this case, as we found in Perry, satisfy only the requirements of
section (a). The employee has not met the requirements of section (b) of having
received awards for permanent disability which equal or exceed 100 percent. The
employee had received prior workers’ compensation awards totaling 35 percent
permanent disability to the whole body prior to the last work-related injury in 1994.
He was found to have sustained a 20 percent permanent disability as a result of the
1994 injury. As in Perry, the combined awards (55 percent) do not equal or exceed
100 percent.
8
In Hale v. CNA Ins. Companies, 799 S.W.2d 659 (Tenn. 1990), subsection (a) was not
pursued because the record failed to reflect “knowledge” on the part of the employer of the 1972
injury. Therefore, we applied subsection (b).
1 1
The trial court did, however, correctly recognize that the facts of this case
satisfy the requirements of subsection (a). The employee had sustained prior
injuries which caused permanent disability and he subsequently became permanently
and totally disabled as a result of the 1994 compensable injury. As explained above,
the employer would pay only for the disability that resulted from the last injury which
rendered the employee totally and permanently disabled without consideration of any
prior injuries, which the trial court correctly found to be 20 percent. The evidence
does not preponderate against this finding. Tenn. Code Ann. § 50-6-225(e)(2) (1997
Supp.). The Second Injury Fund would be responsible for the remaining 80 percent
of the award. The Fund will begin to discharge its liability after the employer has paid
its portion of the award.
For the foregoing reasons, the judgment of the trial court is affirmed in
part and reversed in part and the case remanded so that the trial court can rule on
a motion filed by the employee to hold the employer in contempt for failing to pay his
medical expenses. Costs on appeal are taxed to the defendant-appellee.
__________________________________
Frank F. Drowota, III,
Justice
Concur:
Anderson, C.J.
Reid, Birch, JJ.
Holder, J - Separate Concurring and Dissenting Opinion
1 2
1 3
IN THE SUPREME COURT OF TENNESSEE
AT KNOXVILLE
FILED
June 1, 1998
ROBERT HAROLD BOMELY, JR., )
Cecil Crowson, Jr.
) Appellate C ourt Clerk
Plaintiff/Appellee, )
)
v. )
)
MID-AMERICA CORPORATION, )
D/B/A BURGER KING, ) Knox Chancery
)
Defendant/Appellee, ) Hon. Frederick D. McDonald
) Chancellor
and )
) No. 03-S-01-9605-CH-00059
LARRY BRINTON, JR., )
DIRECTOR OF THE DIVISION OF )
WORKERS' COMPENSATION, )
TENNESSEE DEPARTMENT OF )
LABOR, SECOND INJURY FUND, )
)
Defendant/Appellant. )
C O N C U R R I N G AND
D I S S E N T IN G O P I N I O N
I agree with the majority’s holding that an employee who is permanently and
totally disabled is entitled to receive benefits until age 65. I dissent, however
because: (1) I believe the majority's analysis of the proper division between the
employer and the Second Injury Fund substitutes a judicially-created policy of
"equitable division" for the clear and established legislative policy that dictated the
Second Injury Fund legislation; and (2) I disagree with the majority's approach in
finding both subsection (a) and (b) applicable in cases of permanent total disability.
DIVISION BETWEEN EMPLOYER AND SECOND INJURY FUND
I disagree with the majority’s decision to “equitably divide” the total award
between the employer and the Second Injury Fund and not to limit the employer’s
liability to the first 400 weeks of the award. Applying the majority's analysis,
employers will be deterred from the hiring of the handicapped. For example:
X is 20 years old and has a prior non-compensable disability of 75
percent. X sustains a compensable disability of 25 percent and is
rendered permanently and totally disabled.
Y is 20 years old with no previous disability. Y sustains the precise
injury that X sustained. Y receives a 25 percent disability rating and
is able to continue working.
According to the majority, an employer will pay 585 weeks (25% of 2340 weeks) of
X's total compensation. Y, however, will receive only 100 weeks (25% of 400
weeks) compensation for the same injury. Under the majority’s analysis, X's
employer has incurred an additional 485 weeks or nearly six times the liability of Y's
employer by having hired an employee with a prior disability instead of an employee
with no prior disability. This result is contrary to the clear purpose of the Second
Injury Fund and will have a devastating impact on the ability of the handicapped to
obtain employment.
The majority asserts that "[t]here is no indication in the workers'
compensation law that the legislature intended to limit an employer's liability under
Tenn. Code Ann. § 50-6-208 to 400 weeks." Subsection (b), however, expressly
limits an employer's liability to "one hundred percent (100%) permanent disability
to the body as a whole." Accordingly, subsection (b) does purport to limit an
employer's liability. The issue, therefore, becomes: To what does 100 percent to
1 5
the body as a whole equate in terms of compensability as contemplated under
subsection (b)?
If a worker has sustained prior permanent partial compensable injuries to the
body as a whole of 30 percent and 70 percent, the employer's liability is limited to
the first 100 percent or 400 weeks compensation. If a worker has a prior
compensable disability of 50 percent and subsequently sustains a compensable
disability of 70 percent but is able to earn a wage, the employer's liability is still
limited to 100 percent or 400 weeks total compensation. Accordingly, I would find
that the first 100 percent to the body as a whole as contemplated under subsection
(b) equates to 400 weeks of total compensation.
APPLICATION OF SUBSECTION (a) or (b)
I disagree with the majority's approach of finding both subsection (a) and
subsection (b) applicable in cases of permanent total disability and then applying
the subsection favoring the employer. The Second Injury Fund was created merely
to assure that, in cases of permanent total disability, an employer incurs the same
liability by hiring a disabled worker as it incurs by hiring a healthy worker.
Accordingly, the Second Injury Fund should be absolved from liability when a worker
with a preexisting disability sustains a catastrophic injury which would render even
a healthy worker permanently and totally disabled.
Assume a worker with a preexisting compensable disability of 35 percent is
hired by an employer. The worker then sustains a catastrophic injury which would
cause permanent total disability or 100 percent vocational disability absent any
preexisting conditions. The majority's approach is as follows: (1) under subsection
(a), the employer would be responsible for 100 percent; (2) under subsection (b),
1 6
add 100 percent to the preexisting 35 percent, apportioning 65 percent to the
employer and 35 percent to the Second Injury Fund; and (3) choose the result
favoring the employer. Accordingly, the majority would apply subsection (b) (65
percent instead of 100 percent), and the Second Injury Fund would incur liability for
an injury that would have caused permanent total disability regardless of any
preexisting condition.
HISTORICAL ANALYSIS
A prevailing view during the development of workers' compensation law was
that an employer took an employee as he found him. E. I. du Pont de Nemours &
Co. v. Friar, 404 S.W.2d 518, 521 (Tenn. 1966). The employer, therefore, was
liable for all disabilities that resulted from an accident that aggravated a preexisting
physical impairment. Id. Accordingly, employers assumed additional liability by
hiring individuals suffering physical impairments. Id. This additional liability led to
considerable resistance in the hiring of the handicapped. Id.
The legislature recognized that employment of the handicapped was in the
interest of society and responded by enacting the Second Injury Fund legislation.
Id. The Second Injury Fund was designed "to overcome some of the resistance to
employment of disabled persons." Id. To overcome this resistance, the Second
Injury Fund limited an employer's liability when the employer hired a disabled worker
and the worker subsequently became permanently and totally disabled by a
compensable injury. Id. Accordingly, the purpose of the Second Injury Fund
legislation was "to encourage employers to hire workers with an existing handicap
which would impair their competitive position as a job seeker." Id.; See also Brown
v. John Martin Const. Co., 642 S.W.2d 145, 147 (Tenn. 1982) (noting statute "seeks
to reward the employer's humane gesture" by limiting its liability). The history of
1 7
legislative encouragement in the hiring of the handicapped along with the related
concept of limiting employer liability must be considered when analyzing subsection
(a) and the later addition of subsection (b).
Subsection (a)
The Second Injury Fund operates to relieve an employer of liability while
assuring that injured employees receive full compensation. The statutory provisions
establishing the Second Injury Fund are codified at Tenn. Code Ann. § 50-6-208.
Subsection (a) of § 50-6-208 reads in pertinent part:
If an employee has previously sustained a permanent physical
disability from any cause or origin and becomes permanently and
totally disabled through a subsequent injury, such employee shall be
entitled to compensation from such employee's employer or the
employer's insurance company only for the disability that would have
resulted from the subsequent injury, and such previous injury shall not
be considered in estimating the compensation to which such
employee may be entitled under this Chapter . . .
Tenn. Code Ann. § 50-6-208(a)(1). Subsection (a) also provides that:
Nothing in this section shall be construed to limit the employer's
liability as provided by law for aggravation of preexisting conditions or
disabilities in cases where recovery against the second injury fund is
not applicable.
Tenn. Code Ann. § 50-6-208(a)(4).
Reading subsections (a)(1) and (a)(4) in pari materia, Lyons v. Rasar, 872
S.W.2d 895, 897 (Tenn. 1994), I find that under § 50-6-208(a)(1), an employer is
responsible only for that disability that the subsequent work-related injury
occasioned. The legislature's insertion of subsection (a)(4) prohibits consideration
1 8
of aggravation or exacerbation of preexisting conditions when determining an
employer’s liability under subsection (a). Accordingly, an employer under
subsection (a) is responsible only for that disability that would have resulted from
the subsequent injury had the earlier injury not existed.
This interpretation furthers the legislative purpose of enacting the Second
Injury Fund. To interpret otherwise would run counter to the policy of encouraging
employers to hire the handicapped. I shall use the following hypothetical for
illustrative purposes:
Employer hires two employees, X and Y. X has a congenital condition
that causes a 5 percent anatomical disability. Y has no disabilities.
Both X and Y suffer precisely the same compensable injury. Y
sustains a 70 percent vocational impairment. X, however, is rendered
permanently and totally disabled when the compensable injury is
superimposed over X's prior disability.
X is entitled to benefits until age 65. Y, however, is entitled to 70
percent of 400 weeks, or 280 weeks of compensation. The Second
Injury Fund does not incur a portion of Y's award.
This example assumes that X would have sustained only a 70 percent vocational
disability absent the preexisting condition. If the employer pays benefits above and
beyond 280 weeks, the employer has assumed additional liability by hiring an
individual with a preexisting disability. Moreover, X's disability exceeding 70 percent
is either attributable to a preexisting condition or to an aggravation of a preexisting
disability.
The above result holds true whether the employee's preexisting condition is
compensable or noncompensable under the Act. The inverse, as the Second Injury
Fund argues, should also be true. The Second Injury Fund should not be
implicated if the subsequent injury would have in and of itself caused permanent
1 9
and total disability. See Church v. N.B.C Co. Inc., 461 S.W.2d 387, 388 (Tenn.
1970) (holding Second Injury Fund not implicated when "employee sustained total
permanent disability (100 percent) from the current disability (silicosis) without
considering the previous permanent disability [of 35 percent]").
Subsection (b)
I read subsection (b) as relying on a mathematical computation to assess
awards rather than on the relative contribution of the subsequent injury. Tennessee
Code Annotated § 50-6-208(b)(1)(A) reads as follows:
In cases where the injured employee has received or will receive a
workers' compensation award or awards for permanent disability to
the body as a whole, and the combination of such awards equals or
exceeds one hundred percent (100%) permanent disability to the
body as a whole, the employee shall not be entitled to receive from
the employer or its insurance carrier any compensation for permanent
disability to the body as a whole that would be in excess of one
hundred percent (100%) permanent disability to the body as a whole,
after combining awards.
The Second Injury Fund shall pay any benefits in excess of 100 percent permanent
disability to the body as a whole after all compensable awards are combined. Tenn.
Code Ann. § 50-6-208(b)(1)(B) (1996 Supp.); Henson v. City of Lawrenceburg, 851
S.W.2d 809, 812 (Tenn. 1993).
Subsection (b) clearly limits an employer's exposure for all compensable
awards to the first 100 percent of combined permanent vocational disability.
Assessment under subsection (b) is as follows: Employee has sustained two prior
compensable awards with vocational disabilities totaling 75 percent and a non-
compensable injury of 5 percent. Employee then sustains a third compensable
injury which causes an additional 30 percent vocational disability. The employee,
2 0
however, can still perform light duty and earn a wage. Under this scenario, the non-
compensable injury should be ignored and the employer should be responsible for
25 percent of 400 weeks with the Second Injury Fund incurring the remaining 5
percent of the 400 weeks.
Application of subsections (a) and (b)
Having determined that assessment of liability is different under subsections
(a) and (b), I shall now address under what circumstances a trial court applies either
(a) or (b). I believe that this Court's interpretation of both subsections' applications
should further the legislative intent in enacting the Second Injury Fund.
The Second Injury Fund legislation was formerly codified at Tenn. Code Ann.
§ 50-1027. The 1945 amendment to § 50-1027 reads as follows:
If an employee has previously sustained a permanent disability by
reason of the loss of, or loss of use of, a hand, an arm, a foot, a leg,
or an eye and becomes permanently and totally incapacitated through
the loss, or loss of use of another member, he shall be entitled to
compensation from his employer or the employer's insurance carrier;
. . . provided, however, that in addition to such compensation for said
subsequent injury, and after completion of the payments therefor,
then such employee shall be paid the remainder of the compensation
that would be due for the permanent total disability out of a special
fund to be known as the "second injury fund" herein created.
Accordingly, the 1945 amendment addressed only that situation in which an
employee was rendered permanently and totally disabled as the result of a
subsequent injury. The 1945 amendment did not contain a provision comparable
to Tenn. Code Ann. § 50-6-208(b)(1) that addresses compensable permanent
partial vocational disabilities exceeding 100 percent in the aggregate.
2 1
The 1945 amendment is similar to Tenn. Code Ann. § 50-6-208(a)(1). 9 Both
statutes require a subsequent injury causing a permanent total disability. Both
statutes further provide that prior injuries shall not be considered when estimating
the current award. The 1945 amendment, however, limited recovery to situations
in which an employee previously sustained a permanent disability to a hand, arm,
foot, leg, or eye and subsequently became permanently and totally disabled as the
result of an injury to "another member."
Our present statute, as amended, extends subsection (a)'s coverage to
encompass all forms of preexisting conditions. See Tenn. Code Ann. § 50-6-208
(stating "[i]f an employee has sustained permanent physical impairment from any
cause or origin . . .") (emphasis added). Accordingly, subsection (a) should apply
when a permanently and totally disabled worker has sustained: (1) prior
compensable injury(ies); (2) prior noncompensable injury(ies); or (3) a combination
of prior compensable and non-compensable injuries. The legislature's inclusion of
the "catch all" phrase in subsection (a) is an indication that the legislature intended
subsection (a) to apply whenever a subsequent injury causes permanent and total
disability.
Both the inclusion of the "catch all" phrase in subsection (a) and the addition
of subsection (b) appeared in the 1985 amendment. I, therefore, find it improbable
that the legislature intended subsection (b) to apply to subsequent injuries causing
permanent and total disabilities when it simultaneously broadened subsection (a)
to encompass all permanent total disabilities regardless of the origin of the
preexisting conditions.
9
If an employee has previously sustained a permanent physical
disability from any cause or origin and becomes permanently
and totally disabled through a subsequent injury . . .
Tenn. Code Ann. § 50-6-208(a)(1).
2 2
I believe it an untenable proposition that the legislature intended both
subsections to apply to the same case and render a different result. The majority's
solution is to apply whichever subsection is “favorable to the employer.” The
statute, however, neither mandates nor requires this construction.
The application of both subsections may occur under the majority's analysis
whenever an employee becomes rehabilitated after receiving permanent partial
disability awards under the workers' compensation statute. For example, an
employee who has prior permanent partial compensable disabilities totaling 80
percent returns to work and is able to perform as well as prior to the injuries. The
employee then sustains a work-related injury that causes the employee to become
permanently and totally disabled. The trial court finds under subsection (a) that the
last injury caused a 40 percent vocational disability absent consideration of the prior
injuries. Under my analysis the employee would receive a 40 percent award from
the employer, with the Second Injury Fund responsible for the remaining 60 percent.
I would not apply subsection (b).
The majority would agree that the employer is responsible for 40 percent
under subsection (a). Applying subsection (b), however, the majority would find the
employer responsible for 20 percent (the difference between the prior awards and
100 percent) and Second Injury Fund responsible for 20 percent (80 percent + 40
percent, with that portion exceeding 100 percent apportioned to the Second Injury
Fund). Since the 20 percent finding is more favorable to the employer than the 40
percent finding, the majority would apply subection (b). What the majority fails to
address is that the employee will receive only 40 percent of the total disability award
under the majority's analysis.
2 3
We should presume that the legislature did not intend an absurdity and adopt
a reasonable construction which avoids statutory conflict. Cronin v. Howe, 906
S.W.2d 910, 912 (Tenn. 1995); Epstein, v. State, 211 Tenn. 633, 366 S.W.2d 914
(1963). Interpreting the subsections to be mutually exclusive avoids arbitrarily
deciding which subsection shall apply. I would therefore overrule this Court’s
holding in Perry that the subsections are not mutually exclusive. Perry v. Sentry Ins.
Co., 938 S.W.2d 404 (Tenn. 1996).
Upon reading the statutes in pari materia and examining the plain language
of the § 50-6-208(a) & (b), I would find that subsection (a) applies when there is a
subsequent injury and the employee is rendered permanently and totally disabled.
Subsection (b) applies only when the employee is still able to earn a wage or be
gainfully employed but has received compensable vocational disabilities which
exceed 100 percent or 400 weeks of compensation.
In this case, Bomely was rendered permanently and totally disabled as a
result of the 1994 compensable injury. He previously had sustained both
compensable and noncompensable injuries. Because Bomely is no longer able to
earn a wage, I would hold that subsection (b) does not apply. His employer had
notice of his preexisting conditions. Accordingly, subsection (a) applies. I would
affirm the trial court’s finding that, under subsection (a), Bomely sustained a 20
percent disability as a result of the 1994 injury and that the liability of the employer
is limited to the first 400 weeks of disability.
Under subsection (a) I believe we should determine what vocational disability
the 1994 injury would have caused if Bomely had no preexisting condition.
Although the trial judge erroneously decided the case under subsection (b), he
alternatively found that under subsection (a) Bomely would have sustained a 20
2 4
percent vocational disability absent consideration of his preexisting conditions. I
would find that the trial judge's finding of 20 percent is supported by the record. I
would, therefore, apportion under subsection (a) as follows: (1) the employer is
responsible for 20 percent of 400 weeks; and (2) the Second Injury Fund is
responsible for the remaining benefits until age 65.
I am mindful that this holding would have a harsh impact on the Second
Injury Fund in light of the legislative amendment which permits benefits until age 65.
The legislature, however, did not amend the language providing for assessment of
liability under subsections (a) and (b) when it amended Tenn. Code Ann.
§ 50-6 207(4)(A)(I) to permit benefits to age 65. Moreover, the policy which dictated
the Second Injury Fund has not been altered. Accordingly, I believe we are
constrained to interpret the statute in a manner which furthers the policy that
dictated the legislation. I would overrule cases holding to the contrary. Although
I fully subscribe to the need for stare decisis, I am willing to abandon an analysis
that in hindsight does not further the purposes of the Second Injury Fund statute.
The majority bases its analysis on a theory of equity. Equity, however, is not
a policy that dictated the Second Injury Fund legislation. The Second Injury Fund
was created to encourage the hiring of the handicapped. The majority in striving for
equity, however, has essentially altered or re-legislated the policy that dictated the
creation of the Second Injury Fund.
Janice M. Holder, Justice
2 5