Reichel v. State, 020321 AKWC, 21-0009

Case DateFebruary 03, 2021
CourtAlaska
ANDREW REICHEL, Employee, Claimant,
v.
STATE OF ALASKA, Employer,
and
STATE OF ALASKA, Insurer, Defendants.
AWCB Decision No. 21-0009
AWCB No. 201714715
Alaska Workers Compensation Board
February 3, 2021
         FINAL DECISION AND ORDER           Cassandra Tilly, Designated Chair          Andrew Reichel’s (Employee) January 21, 2020 claim was heard on August 6, 2020 in Fairbanks, Alaska, a date selected on June 3, 2020. An April 23, 2020 Affidavit of Readiness for Hearing (“ARH”) gave rise to this hearing. Attorney J.C. Croft appeared and represented Employee. Attorney Adam Franklin appeared and represented State of Alaska (Employer). Employee testified. The record closed on August 20, 2020 after receipt of supplemental filings.          ISSUES          Employee contends he is entitled to a compensation rate increase based upon income from secondary employment begun shortly before the work injury and increased income through his employment with the State of Alaska in the year following the work injury. Employee requests an increase to the maximum applicable compensation rate.          Employer contends Employee’s compensation rate was correctly calculated under AS 23.30.220 by utilizing Employee’s wage information for the two years prior to his injury.          1) Is Employee entitled to a compensation rate recalculation?          Employee contends he is entitled to an award of full attorney’s fees and costs as submitted.          Employer contends Employee is not entitled to an award of fees and costs because a fee award is inappropriate where there is no controversion or resistance in paying benefits; and Employer never controverted or resisted paying benefits. Employer asserts if Employee is eligible for an award of benefits, some fees should be stricken due to being unrelated to Employee’s claim for a compensation rate adjustment, unnecessary, and excessive in light of the complexity of the claim and value of the benefit obtained for Employee.          2) Is Employee entitled to an award of attorney’s fees and costs?          FINDINGS OF FACT          A preponderance of the evidence establishes the following facts and factual conclusions:          1) On October 12, 2017, Employee was employed as a Correctional Officer II for the State of Alaska. (First Report of Injury, October 13, 2017).          2) On October 12, 2017, Employee was injured during an assault by an inmate at Fairbanks Correctional Center. (Agency record).          3) Employee was transported by ambulance to Fairbanks Memorial Hospital with head trauma including eye and facial injuries. (Fairbanks Fire Department PCR Report, October 12, 2017).          4) The emergency room physician diagnosed acute multiple left facial fractures, and acute superficial laceration to the left temporal area. Employee was referred to oral maxillofacial surgeon Richard Hompesch, DDS. (Timmerman ER report, October 13, 2017).          5) On October 12, 2017, Employee was excused from work through October 18, 2017 or later depending upon the oral surgeon’s recommendations. (Golden Heart Emergency Physicians record, October 12, 2017).          6) Employee was placed on light duty from October 18, 2017, to the week of November 27, 2017. (North Star Oral & Facial Surgery LLC record, undated).          7) On October 23, 2017, Employee was evaluated by Richard Raugust, M.D. Impressions were: “1. Fractured nose with a deviated septum, deviated far to the right. 2. Blowout fracture of left orbit floor with mild diplopia. 3. Trimalar fracture with minimal displacement with some decreased excursion of mandibular motion due to swelling around the zygomatic arch area.” Employee was referred to Stanley R. Fuller, M.D., at Eye Clinic of Fairbanks for evaluation of diplopia and blow out fracture. Dr. Raugust noted Employee “needs a repair of his nose, a closed reduction of the nasal bones and an open reduction of his nasal septum. That can be done at the same time as his blowout fracture if Dr. Fuller wishes to do that.” (Raugust record, October 23, 2017).          8) Employee was excused from work October 23, 2017 through November 22, 2017. (Fuller records, October 23, 2017; November 11, 2017).          9) On October 25, 2017, Employee was excused from work due for one week to 10 days due to surgery. (Raugust record, October 25, 2017).          10) On October 26, 2017, Employee underwent surgery consisting of closed reduction nasal bone fracture, open reduction nasal septal fracture, and nasal antral window on the left with evacuation of hematoma. (Raugust report, October 26, 2017).          11) On November 30, 2018 Employee was examined by Nathaniel Buffington, M.D. Dr. Buffington’s assessment included traumatic brain injury with loss of consciousness, initial encounter (S06.9X9A); open fracture of left orbital floor with nonunion, subsequent encounter (S02.32XK); and impingement of left ulnar nerve (G56.22). Dr. Buffington recommended Employee be seen at the Mayo Clinic. (Buffington record, November 30, 2018).          12) On October 7, 2019, Employee was evaluated by Jessica Petersen, O.T., of Mayo Clinic Occupational Therapy. Diagnoses included cognitive disorder due to brain injury and concussion with loss of consciousness of 30 minutes or less sequela. A treatment plan of up to 55 visits was initiated. (Peterson record, October 7, 2019).          13) In November, 2019, Employee underwent successful left orbital floor fracture surgery in Utah. (Buffington record, November 19, 2019).          14) On November 21, 2019, Employee was placed on light duty with a 25# lifting restriction. (Buffington record, November 19, 2019).          15) On January 21, 2020, Employee filed a workers compensation claim requesting a compensation rate adjustment. Attached to his claim were Internal Revenue Service (IRS) records related to a secondary job Employee held in 2018, and earnings from his job with Employer in 2018. The division served the claim and attachments on all parties on the same date. (Claim for Workers’ Compensation Benefits, January 21, 2020).          16) On February 6, 2020, Employer sent a discovery request to Employee’s attorney, specifically requesting production of “evidence documenting that [Employee] earned income from secondary employment, i.e. employment beyond his employment for Employer, in the two (2) years prior to his date of injury on October 12, 2017.” The cover letter sent with the discovery request provided
Ultimately, we are trying to determine if [Employee] has a valid claim for a compensation rate increase. If you or [Employee] has information to substantiate his compensation rate demand in addition to the information filed with the claim, we are certainly happy to consider it rather than have a hearing.
The State would appreciate your response to its discovery request within thirty (30) days of receipt of this letter and request. If [Employee] did not earn additional income in the years prior to his injury, the State is amendable (sic) to dismissing this claim.
(Employer’s Discovery Request, February 6, 2020).          17) On April 23, 2020, Employee responded to Employer, indicating he began secondary employment as an armed security guard in 2017, and continued to have that secondary employment. “[Employee’s] secondary employment, as well as ability to earn more in 2018 and 2019 working for the State, should be, and should have been, factored into his compensation rate.” (Employee Discovery Response, April 23, 2020).          18) On April 23, 2020, Employee filed an affidavit of readiness for hearing (“ARH”). (ARH, April 23, 2020).          19) Employee’s weekly compensation rate was calculated by Employer at $995.87 based on 2016 earnings and using the Division of Workers’ Compensation benefit calculator. (Employer Discovery Response, June 3, 2020).          20) On July 17 and 20, 2020, Employee filed IRS tax records listing Employee’s income from 2015 to 2019. (Agency record).          21) Employee’s attorney represented he received the tax “documentation over the weekend and filed it on the first possible business day after receipt.” (Employee Response, July 30, 2020).          22) IRS tax records reflected Employee’s gross income from the State of Alaska as: $30,500 in 2015; $53,238 in 2016; $57,435 in 2017; $77,946 in 2018; and $73,920 in 2019. (Agency record).          23) IRS tax records showed gross income related to Employee’s secondary employment as...

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