No. 04209900 (2003). EMPLOYEE: William Auclair.
Case Date | November 04, 2003 |
Court | Massachusetts |
Massachusetts Workers Compensation
2003.
No. 04209900 (2003).
EMPLOYEE: William Auclair
COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF INDUSTRIAL
ACCIDENTS EMPLOYEE: William
Auclair EMPLOYER: Marshalls INSURER: TJX
CompaniesBOARD NO.
04209900REVIEWING BOARD DECISION (Judges Carroll, Levine and
Maze-Rothstein)APPEARANCES
Bruce S. Lipsey, Esq., for the employee
Joseph B. Bertrand, Esq., for the insurer
CARROLL, J. The insurer appeals from a
decision awarding, in pertinent part, ongoing total incapacity benefits under
G. L. c. 152, § 34, and a twenty percent penalty on the retroactive
component of that award under § 8(5), for the insurer's unilateral
termination of benefits. While the insurer contended that it discontinued
benefits due to its offer of a particular suitable job, pursuant to
§§ 8(2)(d) and 35D(3), the administrative judge found that the job
offer did not comport with the statutory requirements. We conclude that the
judge appropriately levied the penalty against the insurer. We affirm the
decision for the following reasons as to the penalty issue, and summarily
affirm the decision in all other respects.
The fifty-seven year old employee sustained a prior work-related
herniated disc at L2-3, which resulted in surgery. After the employee returned
to work as a manager in the shoe department, he experienced an onset of
disabling back pain on October 26, 2000. The employee has treated with a number
of physicians since that time. (Dec. 4-5.)
The insurer paid without prejudice for a period and then properly
discontinued its without-prejudice payments under § 7. The employee filed
a claim for § 34 temporary total incapacity benefits and, after a §
10A conference, the insurer was ordered to pay ongoing § 34 benefits. The
insurer appealed to a full evidentiary hearing. (Dec. 2.) Prior to the hearing
date, the insurer terminated payment of those benefits, when the employee did
not respond to a written job offer. (Dec. 7.) As of the time of the hearing,
the employee's claims were for ongoing § 34 benefits, and a § 8(5)
penalty for illegal discontinuance. The insurer defended on the basis of extent
of incapacity, and denied that it had done anything wrong in discontinuing
weekly benefits. (Dec. 2.)
The employee was examined by a § 11A impartial physician,
Dr. Frederick Ayers. Dr. Ayers diagnosed the employee as having...
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