Editor’s comment: With respect to the members of the Court, if our suspicions are correct, we feel this award is preliminarily confusing and potentially strains credulity. We do not feel the legislature intended this result and we feel there is nothing clearly outlined in the legislation upon which the Court relies to reach this outcome. It is also may be a matter of unnecessarily generous largesse for every widow or widower in this state for anyone related to someone injured severely while living who later passes from related conditions. We also feel it may be a business-destroying, premiums-about-to-skyrocket decision that will again push jobs away from our state. Underwriters for Illinois claims beware!
In light of this ruling, we are petrified of what to expect in the Beelman Trucking ruling currently being considered by the Illinois Supreme Court. In Beelman Trucking, claimant suffered severe injuries and lost both arms. The Arbitrator accurately ruled he was a statutory total and permanent disability and such benefits are unquestionably due for life. On top of that, she also ordered 100% loss of use of the limbs so as to require PPD to be paid weekly at the same time the total and permanent benefits were being paid—the outcome requires a number of years of “double PPD.” We are unaware of any legislative scheme in all of the U.S. workers’ compensation systems that foster such outcomes. Now, Illinois may not have one but two different scenarios where double-payment is perceived by our Courts to be the law. Defense observers note there was no compelling reason for the Supreme Court to consider the Beelman Trucking decision that overruled the double-payment scenarios. The ruling in this case we analyze today now leads us to feel the pro-plaintiff jurists on the reviewing courts may want double-payment of benefits to become the law in as many settings as possible.
In Freeman United Coal Mining Company v. Van Houten, (No. 4-07-0905WC & 4-07-0907WC September 29, 2008), an Application for exposure to coal dust was filed by a living coal miner named Kenneth Van Houten on March 10, 2000 for a February 2, 1998 exposure. He died on May 19, 2000 of what were later determined to be work-related causes. After his passing, on August 2, 2000, the widow filed a separate Application for death benefits. We consider the second Application the confuser and consider it wholly unnecessary—he died of the same cause; exposure to coal dust.
There is no dispute Decedent worked as a coal miner for 38 years and was exposed to coal dust. He developed chronic lung disease in the form of hypoxemia, chronic obstructive pulmonary disease, long-standing heart disease and chronic bronchitis. The Arbitrator found Decedent’s exposure to coal and rock dust a causative factor in the development of his maladies and eventual death. He awarded the widow benefits under Section 7 of the Act and ordered the employer to pay for decedent’s funeral expenses.
The confusion begins when the Arbitrator did not award benefits in the decedent’s claim that he filed while living, ruling the claims abated on his passing. We cannot tell if the parties sought TTD from February 2, 1998 until his passing on May 19, 2000. From our review of the ruling, the condition was work-related and claimant was disabled from February 2, 1998 until his passing, if Petitioner asked for it, we assert the Arbitrator could have awarded TTD from the date of his disablement on February 2, 1998 until death occurred in May 2000. The Commission effectively affirmed and found the condition abated at death and the widow was entitled to death benefits only.
On appeal, the widow argued the Commission’s finding which ruled Decedent’s claim brought while living abated by virtue of Section 8(h) was “legal error.” The Appellate Court reviewed this issue de novo as one of statutory construction. Delivering the opinion of the court, Justice McCullough found Section 8(h) unambiguously “provides that benefits to which the employee would have been entitled but for his death are to be paid to the employee’s survivors upon his death from any cause.” The Court further held if a claimant “dies during the pendency of the claims process, the claim shall proceed as if the death had not occurred.” If the claim prevails, “all compensation that would have been awarded to the claimant shall be paid to the dependents of the deceased claimant” and “any other claims any dependent might have as a result of the claimant’s death shall proceed unaffected.”
We point out the statute doesn’t say what the Court says it does—the words “the claim shall proceed as if the death had not occurred” aren’t in Illinois law. We also point out all Illinois workers’ compensation benefits are to be paid weekly. There is no indication our legislature wanted double weekly payments to be paid at any time to widows or anyone else. One reading of this challenging decision may allow for double weekly checks to be awarded—we consider that to be anomalous and inconsistent with most U.S. workers’ compensation systems and legislative intent.
So our worry is a hypothetical claimant who smokes a “clove cigarette” at lunch and then falls from a ladder at work. During emergency care, the physicians amputate his/her arms and legs. Claimant survived but never recovered consciousness and he/she dies one week later of the injuries. In such a scenario, it would appear his/her widow(er) would be entitled to one week of TTD (less the waiting period) and then the full death benefit. To the contrary, in this unanimous decision, the Court appears to rule the widow would get the full death benefit that is a minimum in this state of at least $560K up to about $1.6 million dollars and on top of that, the widow could also file a second Application for the same accident/exposure and would also get 100% loss of use of each leg and each arm. Such a scenario would add at least an additional 936 weeks of benefits or potentially over $1 million more to the death benefit. If the Commission truly felt generous, they could dump in another 500 weeks for 100% loss of use of the “person as a whole” which would give the estate another $325K. In such a scenario, the award could exceed $3 million! We will leave all of that to your imaginations because that is where we feel this is coming from.
We feel the accurate ruling in this matter is claimant had one case for one exposure on February 2, 1998—the second filing is duplicative and unnecessary; you can’t and shouldn’t be able to file and maintain two Applications for one exposure on one day. We assert the second Application should have been dismissed and urge Respondent’s counsel to move to dismiss it right now to protect the record. We also feel it may or may not have confused the reviewing court because the plain reading of their decision is confusing us. We note the Court specifically rules “Any other claims any dependent might have as a result of the claimant’s death shall proceed unaffected.” (emphasis added; we also note the decision is referring to dependents when they appear to actually refer to the widow who isn’t necessarily a dependent). We have no idea what, why and how a widow of a deceased injured worker has “any other claim” arising out of one exposure on one day.
Under the statutory provision cited by the Court in their decision, we feel the widow(er) unquestionably takes any workers’ compensation benefits be it medical bills, TTD or PPD due to claimant while living. Upon passing, the living claim for any pending benefits would shift/abate/whatever-you-want-to-call-it to allow the widow(er) to then be entitled to the full weekly death benefit. Please note the death benefit might be dramatically higher for a lower wage individual than PPD rates for scheduled injuries. Under our view, using a “plain English language” reading of the Act, he/she would never be entitled to both weekly PPD for the claim to be paid after the passing of claimant with weekly death benefits at the same time.
If the Court simply intended to allow for an award of TTD from February 2, 1998 until May 19, 2000 and remanded the matter for that purpose, the decision should say so. As we read the ruling, it would appear the Court wants double payment of weekly benefits when they refer to “any other claims” and say “the claim shall proceed as if the death had not occurred.” We feel this is wholly inconsistent with the legislation and hope the anomaly is clarified.
We hope the legislative gurus at the Illinois State Chamber read this one carefully and put it on the list of stuff that may need to be reformed. This article was drafted by Matthew A. Wrigley, J.D. and Eugene F. Keefe, J.D. We invite your thoughts and replies.