State ex rel. Kirby v. Indus. Comm.
Case Details
- Status
- Published
- Procedural Posture
- appeal - claimant appealed court of appeals denial of writ of mandamus
Related Laws
No specific laws identified for this ruling.
Claim Types
Outcome
Industrial Commission's termination of permanent total disability benefits was affirmed where claimant committed fraud by performing sustained remunerative employment while receiving disability benefits. Writ of mandamus seeking reinstatement was denied.
Excerpt
Workers' compensation—Permanent total disability compensation benefits awarded claimant—Termination of benefits—Writ of mandamus sought by claimant denied by court of appeals—Industrial Commission's determination that claimant committed fraud after discovery of his performance of sustained remunerative employment while receiving disability benefits affirmed.
Similar Rulings
Workers' compensation—Total-temporary-disability compensation—R.C. 4123.511(K) requires Bureau of Workers' Compensation to recoup overpayment of total-temporary-disability compensation paid to an injured worker between time injured worker reached maximum medical improvement and date of termination of total-temporary-disability compensation—Court of appeals' judgment denying writ of mandamus affirmed—State ex rel. Russell v. Indus. Comm. overruled.
<bold>Workers' Compensation — Causation — fibromyalgia — doctor's opinion</bold> <bold>testimony</bold> <block_quote> The Court of Appeals erred in concluding that competent evidence was presented to support the Industrial Commission's findings of fact with regard to the cause of plaintiff-employee's fibromyalgia based solely on the opinion testimony of one doctor.</block_quote>
<bold>1. Workers' Compensation — Seagraves test — injured employee's</bold> <bold>right to continuing benefits — termination for misconduct</bold> <block_quote> Our Supreme Court adopts the <italic>Seagraves</italic>, <cross_reference>123 N.C. App. 228</cross_reference> (2003), test for determining an injured employee's right to continuing workers' compensation benefits after being terminated for misconduct whereby an employer must demonstrate initially that the employee was terminated for misconduct, the same misconduct would have resulted in the termination of a nondisabled employee, and the termination was unrelated to the employee's compensable injury, in order to find that an employee constructively refused suitable work, thus barring workers' compensation benefits for lost earnings unless the employee is then able to show that his inability to find or hold other employment at a wage comparable to that earned prior to the injury is due to the work-related injury.</block_quote> <bold>2. Workers' Compensation — constructive refusal of suitable</bold> <bold>employment — termination for misconduct unrelated to</bold> <bold>workplace injuries</bold> <block_quote> The Industrial Commission erred in a workers' compensation case by concluding that defendant employer met its burden of providing competent evidence that plaintiff employee's failure to perform her UPC labeling duties was not related to her prior compensable injury under workers' compensation, which thereby led to her termination for misconduct and denial of additional workers' compensation benefits based on an alleged failure to accept a suitable position reasonably offered by her employer, because: (1) the evidence relied upon by the Commission's majority indicated that plaintiff was having continuing problems in the wake of, and as a result of, her injuries; (2) there was no competent evidence referenced in the Commission's opinion and award that supported a showing by defendant employer that
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