John Welsh, v. Universal Fasteners, Inc., and The Yasuda Fire and Marine Insurance Company

This workers' compensation appeal has been referred to the Special Workers' Compensation Appeals Panel in accordance with Tenn. Code Ann. _5-6-225(e)(3) for hearing and reporting of findings of fact and conclusions of law. The employee contends the trial court erred in granting the employers motion for summary judgment on grounds that the claim was barred by the statute of limitations. We conclude that the running of the one year statute of limitations was tolled from the time the employee requested assistance of the Department of Labor until his claim for medical benefits was rejected by the claims specialist. Tenn. Code Ann. _5-6-225(e)(3) Appeal as of Right; Judgment of the Chancery Court Reversed and Remanded TURNBULL , Sp.J., delivered the opinion of court, in which DROWOTA , J., and LOSER, Sp.J., joined. Christopher L. Dunn, Columbia, Tennessee, for the appellant, John Welsh. Delicia R. Bryant, Brewer, Krause & Brooks, Nashville, Tennessee, for the appellees, Universal Fasteners, Inc., and The Yasuda Fire and Marine Insurance Company. MEMORANDUM OPINION Facts The thirty year old employee, Welsh, is a high school graduate with a work history of manufacturing line employment. He began working for his employer, Universal Fasteners, Inc., in March of 1989, and continues to work there. In the spring of 1996, the employee began experiencing pain in his right shoulder. From September of 1991 until September of 1996, he worked on Universal's plating line. This task required repetitive scooping liquid material [slugs] in one or two gallon buckets weighing between ten and sixty pounds. The task was repeated six times during each seven and one-half minute plating cycle throughout the work day. The pain in employee's shoulder progressed during the summer of 1996, ultimately causing him to report his injury to his employer on September 26, 1996. Welsh then went to Dr. Michael Pagnani who diagnosed bicipital tendinitis with a spur projecting from the under surface of the right acromion and recommended limitation of upper extremity work, and discussed the possibility of rotator cuff surgery if pain persisted. Dr. Pagnani was equivocal as to whether the injury resulted from employment. After initially paying medical expenses, the Yasuda Fire and Marine Insurance Company denied Welch's claim for medical benefits and filed a notice of controversy on November 4, 1996. Yasuda's last voluntary medical payment occurred on November 27, 1996. On November 18, 1996, the employee contacted the Tennessee Department of Labor and requested review of Yasuda's denial of benefits. The record does not contain the entire Department of Labor file, but does indicate the first claim specialist assigned to the case made an investigation and wrote for a medical report on April 23, 1997. Due to change ofpersonnel, a new claim specialist was assigned in the summer of 1997, and on August 8, 1997, she wrote Yasuda and Welsh indicating she found "the medical evidence supports that Mr. Welsh suffers from a compensable work related injury," and stated her position "medical coverage for this claim should be reinstated and recommended courses of treatment ... should be followed." However, on September 19, 1997, the specialist reversed her finding and stated in a letter to Mr. Welsh: "I cannot justify ordering medical and/or lost time benefits in this case. Mine is not the final word however, and you may bring your dispute before a court of proper jurisdiction. You do not have an unlimited time to do so. Tenn. Code Ann., Section 5-6-23 sets a one year statute of limitations to bring a suit for compensation. You may wish to seek legal counsel to properly preserveyour legal rights." The employee retained counsel in January of 1998, and filed suit February 3, 1998. The employee has not missed any work due to his injury, but did make a contingent claim for temporary total and permanent disability benefits in his filed complaint. From the above summarized evidence, the chancellor found no dispute as to any genuine issue of material fact and concluded that Welsh failed to file his complaint within one year from the date of last voluntary payment of medical expenses on November 27, 1996. At the hearing on motion for summary judgment, trial counsel failed to cite or advise the chancellor of the provision [2]