3-104-352 (1998). MICHELLE KRIZMAN.
Case Date | August 03, 1998 |
Court | Colorado |
Colorado Workers Compensation
1998.
3-104-352 (1998).
MICHELLE KRIZMAN
INDUSTRIAL CLAIM APPEALS OFFICEIN THE MATTER OF THE CLAIM OF MICHELLE
KRIZMAN, Claimant, v. S.O.S. SERVICES, Employer, and COLORADO COMPENSATION
INSURANCE AUTHORITY, Insurer, Respondents.W. C. No. 3-104-352FINAL ORDER The respondents seek review of a final order of Administrative
Law Judge Martinez (ALJ), which awarded temporary disability benefits. The
respondents contend the ALJ erroneously held that the "cap" on temporary and
permanent partial disability payments established by § 8-42-107.5, C.R.S.
1997, does not apply to "scheduled injuries." Thus, the respondents argue the
ALJ incorrectly denied an offset against temporary disability benefits based on
prior payments for a scheduled injury. We modify the ALJ's order.
In March 1992, the claimant sustained a compensable injury to her
left upper extremity. Ultimately, the treating physician placed the claimant at
maximum medical improvement (MMI) on February 24, 1997. An accredited physician
then rated the claimant as suffering a forty-two percent impairment of the left
upper extremity, which converted to a twenty-five percent whole person
impairment.
The respondent-insurer (CCIA) filed a final admission of
liability on May 2, 1997. The CCIA admitted for two periods of temporary total
disability resulting in $50,704.85 of temporary disability benefits. The CCIA
also admitted for a forty-two percent upper extremity impairment. Although this
admission would ordinarily have entitled the claimant to $13,104 in scheduled
benefits, the CCIA restricted the admission to $9,295.15 based on its position
that the claimant had reached the $60,000 benefits cap established by §
8-47-107.5. The ALJ found that the claimant was paid $60,000, including
$9,295.15 in scheduled benefits.
In November 1997, the claimant was required to undergo surgeryto
implant a spinal stimulator. The ALJ determined that the claimant was again
temporarily and totally disabled commencing November 11.
Relying on Donald B. Murphy Contractors, Inc. v. Industrial Claim
Appeals Office, 916 P.2d 611 (Colo. App. 1995) (Murphy), the CCIA argued that
it was entitled to a credit against its liability for additional temporary
total disability benefits based on the scheduled disability benefits paid under
the final admission of liability. However, the ALJ rejected this argument and
held that the "cap" contained in § 8-42-107.5 "does not apply to a
scheduled injury." Consequently, the ALJ determined that the offset created by
Murphy does not apply to this case.
On review, respondents contend the ALJ incorrectly held that the
benefits "cap" does not apply in cases of a...
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