{ "id": 8915431, "name": "ROGER D. McALLISTER, SR., Employee, Plaintiff v. WELLMAN, INC., Employer, SELF INSURED (SEDGWICK OF THE CAROLINAS, INC., Administrator), Defendant", "name_abbreviation": "McAllister v. Wellman, Inc.", "decision_date": "2004-01-06", "docket_number": "No. COA03-310", "first_page": "146", "last_page": "150", "citations": [ { "type": "official", "cite": "162 N.C. App. 146" } ], "court": { "name_abbreviation": "N.C. Ct. App.", "id": 14983, "name": "North Carolina Court of Appeals" }, "jurisdiction": { "id": 5, "name_long": "North Carolina", "name": "N.C." }, "cites_to": [ { "cite": "333 N.C. 258", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2547559 ], "year": 1993, "opinion_index": -1, "case_paths": [ "/nc/333/0258-01" ] }, { "cite": "N.C. Gen. Stat. \u00a7 97-25.1", "category": "laws:leg_statute", "reporter": "N.C. Gen. Stat.", "weight": 2, "opinion_index": 0 }, { "cite": "73 N.C. L. Rev. 2502", "category": "journals:journal", "reporter": "N.C. L. Rev.", "year": 1995, "pin_cites": [ { "page": "2506, 2509-2510" } ], "opinion_index": 0 }, { "cite": "515 S.E.2d 700", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1998, "pin_cites": [ { "parenthetical": "citation omitted" } ], "opinion_index": 0 }, { "cite": "349 N.C. 228", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 571585, 571720, 571729, 571609, 571706 ], "year": 1998, "pin_cites": [ { "parenthetical": "citation omitted" } ], "opinion_index": 0, "case_paths": [ "/nc/349/0228-05", "/nc/349/0228-03", "/nc/349/0228-04", "/nc/349/0228-02", "/nc/349/0228-01" ] }, { "cite": "502 S.E.2d 58", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1998, "pin_cites": [ { "page": "61", "parenthetical": "citation omitted" } ], "opinion_index": 0 }, { "cite": "130 N.C. App. 135", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 11465738 ], "year": 1998, "pin_cites": [ { "page": "138", "parenthetical": "citation omitted" } ], "opinion_index": 0, "case_paths": [ "/nc-app/130/0135-01" ] }, { "cite": "500 S.E.2d 86", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1998, "opinion_index": 0 }, { "cite": "347 N.C. 671", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 551329, 551235, 551326, 551111 ], "year": 1998, "opinion_index": 0, "case_paths": [ "/nc/347/0671-03", "/nc/347/0671-04", "/nc/347/0671-02", "/nc/347/0671-01" ] }, { "cite": "491 S.E.2d 678", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1997, "pin_cites": [ { "page": "681" } ], "opinion_index": 0 }, { "cite": "127 N.C. App. 629", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 11799475 ], "year": 1997, "pin_cites": [ { "page": "534" } ], "opinion_index": 0, "case_paths": [ "/nc-app/127/0629-01" ] }, { "cite": "412 S.E.2d 87", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1992, "opinion_index": 0 }, { "cite": "330 N.C. 613", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2510021, 2511783, 2509685, 2509214, 2508735 ], "year": 1992, "opinion_index": 0, "case_paths": [ "/nc/330/0613-04", "/nc/330/0613-05", "/nc/330/0613-03", "/nc/330/0613-01", "/nc/330/0613-02" ] }, { "cite": "409 S.E.2d 618", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1991, "pin_cites": [ { "page": "619" } ], "opinion_index": 0 }, { "cite": "104 N.C. App. 289", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8521373 ], "year": 1991, "pin_cites": [ { "page": "292" } ], "opinion_index": 0, "case_paths": [ "/nc-app/104/0289-01" ] }, { "cite": "425 S.E.2d 698", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 5, "year": 1993, "pin_cites": [ { "page": "700" }, { "page": "704" }, { "page": "704" }, { "page": "704" } ], "opinion_index": 0 }, { "cite": "333 N.C. 258", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2547559 ], "weight": 3, "year": 1993, "pin_cites": [ { "page": "261" }, { "page": "267" } ], "opinion_index": 0, "case_paths": [ "/nc/333/0258-01" ] } ], "analysis": { "cardinality": 454, "char_count": 8037, "ocr_confidence": 0.745, "pagerank": { "raw": 6.422749621539709e-08, "percentile": 0.3969121365763023 }, "sha256": "11146f44eef7b045e3b2ec132538c05e59c72c873bf9f88e7044c7ac0c630257", "simhash": "1:362cf4ee99780af2", "word_count": 1257 }, "last_updated": "2023-07-14T16:27:54.754463+00:00", "provenance": { "date_added": "2019-08-29", "source": "Harvard", "batch": "2018" }, "casebody": { "judges": [ "Judges HUDSON and STEELMAN concur." ], "parties": [ "ROGER D. McALLISTER, SR., Employee, Plaintiff v. WELLMAN, INC., Employer, SELF INSURED (SEDGWICK OF THE CAROLINAS, INC., Administrator), Defendant" ], "opinions": [ { "text": "TYSON, Judge.\nWellman, Inc. (\u201cWellman\u201d) appeals from the North Carolina Industrial Commission\u2019s (the \u201cCommission\u201d) opinion and award, which concluded that Roger D. McAllister, Sr. (\u201cplaintiff\u2019) was entitled to have Wellman pay for all his medical treatment arising from his injury under Hyler v. GTE Products Co., 333 N.C. 258, 425 S.E.2d 698 (1993). We affirm.\nI. Background\nPlaintiff worked as a spinning operator for Wellman. On 9 June 1991, defendant suffered an injury to his lower back. Wellman accepted liability to compensate plaintiff for this injury, which was approved by the Commission. Plaintiff filed a second claim alleging an injury resulting from a fainting incident at Wellman on 26 June 1991. The Commission filed an opinion and award, which stated \u201c[Wellman] shall pay all medical expenses incurred, or to be incurred, by plaintiff as a result of his injury by accident . . . .\u201d Wellman did not appeal.\nOn 9 June 1999, the Commission denied benefits for plaintiff\u2019s claim for head and psychological injuries resulting from the accidents. The Commission\u2019s opinion and award stated, \u201cplaintiff\u2019s claim for additional benefits based on the alleged disability arising from his initial back injury is barred by res judicata where the alleged disability was in existence at the time of the June 22,1993 hearing before the Deputy Commissioner.\u201d\nOn 6 February 2001, plaintiff requested a hearing with the Commission to determine whether he was entitled to Hyler benefits for medical treatment for his back injury on 9 June 1991. Wellman filed a motion to dismiss and contended that res judicata barred plaintiff\u2019s claim. The Commission denied Wellman\u2019s motion and awarded plaintiff compensation under Hyler.\nII. Issue\nThe sole issue on appeal is whether the Commission erred in denying Wellman\u2019s motion to dismiss and concluding that res judi-cata did not bar plaintiff\u2019s claims for additional medical benefits.\nIII. Res Judicata\nA. Standard of Review\nOur review is to determine whether the Commission\u2019s findings of fact are supported by competent evidence and whether those findings support the Commission\u2019s conclusions of law. Pernell v. Piedmont Circuits, 104 N.C. App. 289, 292, 409 S.E.2d 618, 619 (1991), disc. rev. denied, 330 N.C. 613, 412 S.E.2d 87 (1992). The Commission\u2019s conclusions of law, are reviewable de novo. Grantham v. R. G. Barry Corp., 127 N.C. App. 629, 534, 491 S.E.2d 678, 681 (1997), disc. rev. denied, 347 N.C. 671, 500 S.E.2d 86 (1998). The issue before us is a question of law. We must determine whether the Commission\u2019s findings support its conclusion that plaintiff\u2019s request for additional medical benefits under Hyler is not barred by res judicata.\nThe doctrine of res judicata precludes relitigation of final orders of the Full Commission and orders of a deputy commissioner which have not been appealed to the Full Commission. The essential elements of res judicata are: (1) a final judgment on the merits in a prior suit; (2) an identity of the cause of action in the prior suit and the present suit; and (3) an identity of parties or their privies in both suits.\nBryant v. Weyerhaeuser Co., 130 N.C. App. 135, 138, 502 S.E.2d 58, 61, disc. rev. denied, 349 N.C. 228, 515 S.E.2d 700 (1998) (citation omitted). Here, a final judgment was obtained between the identical parties. We must determine whether the cause of action litigated and resolved in the 1999 opinion and award involved the same cause of action before the Commission in 2001.\nB. Hvler Benefits\nOur Supreme Court stated in Hyler, that \u201cwhere ... an injured employee\u2019s condition appeared stable but required monitoring to detect and prevent possible deterioration, medical expenses incurred in monitoring the employee\u2019s condition would give \u2018relief\u2019 of the type that would require his employer to pay those expenses.\u201d 333 N.C. at 261, 425 S.E.2d at 700. In Hyler, the Court distinguished compensation for financial loss from medical expenses stating that the \u201coverall intent of the Workers\u2019 Compensation Act [is] to allow recovery by employees for work-related injuries.\u201d Id. at 268, 425 S.E.2d at 704. Our Supreme Court held that medical expenses arising after the original order were allowable, without limitation as to time, even though these future medical expenses involved the same cause of action and same parties. Id. at 267, 425 S.E.2d at 704.\nWe note that following Hyler, the General Assembly significantly amended our statutes:\nHyler overruled a seventeen-year old court of appeals [sic] decision that interpreted section 97-47 of the North Carolina General Statutes to apply a two-year statute of limitations to claims for medical compensation resulting from traumatic injuries.\nHyler and those similarly situated were entitled to request compensation for ongoing medical expenses more than two years after their last payments. Employers and insurers justifiably became concerned that this new interpretation of the law exposed them to significantly increased liability. Insurers responded by raising rates, ostensibly to establish reserves to cover this new liability.\nNew section 97-25.1 at least partially reverses Hyler by reimposing a two-year statute of limitations on reopening claims for medical compensation.\nJohn Richard Owen, The North Carolina Workers\u2019 Compensation Act of 1994: A Step in the Direction of Restoring Balance, 73 N.C. L. Rev. 2502, 2506, 2509-2510 (1995). N.C. Gen. Stat. \u00a7 97-25.1 became effective upon ratification on 5 July 1994, and provides that the right to medical expenses terminates two years after the last payment to plaintiff, unless plaintiff applies for additional medical benefits within that period. 1993 N.C. Sess. Laws ch. 679, \u00a7 11.1.\nIn 2001, plaintiff requested Hyler benefits for medical treatment for his back injury, which occurred on 9 June 1991, prior to the ratification of N.C. Gen. Stat. \u00a7 97-25.1. Because of the date of the injury, Hyler applies here. Hyler benefits were not at issue during the 1999 hearing. The award section of the opinion and award does not mention medical expenses, but instead refers to and denies \u201cadditional benefits.\u201d Plaintiff\u2019s request filed with the Commission in 2001 involves the issue of \u201cmedical expenses\u201d for an admittedly com-pensable injury. While res judicata might bar relitigation of compensation for other loss, Hyler allows plaintiff to recover for \u201cnew or additional medical expenses, even if there has been no material change in the employee\u2019s condition or in available medical treatments.\u201d Hyler, 333 N.C. at 267, 425 S.E.2d at 704. This assignment of error is overruled.\nIV. Conclusion\nThe Commission did not err in denying Wellman\u2019s motion to dismiss. Res judicata does not bar plaintiff from seeking medical expenses arising out of the compensable injury on 9 June 1991. The Commission\u2019s opinion and award is affirmed.\nAffirmed.\nJudges HUDSON and STEELMAN concur.", "type": "majority", "author": "TYSON, Judge." } ], "attorneys": [ "Law Offices of Kathleen G. Sumner, by Kathleen G. Sumner, for plaintiff-appellee.", "Jane C. Jackson and W. Mark Peck, for defendant-appellant." ], "corrections": "", "head_matter": "ROGER D. McALLISTER, SR., Employee, Plaintiff v. WELLMAN, INC., Employer, SELF INSURED (SEDGWICK OF THE CAROLINAS, INC., Administrator), Defendant\nNo. COA03-310\n(Filed 6 January 2004)\nWorkers\u2019 Compensation\u2014 payment of medical treatment\u2014 Hyler benefits \u2014 res judicata\nThe Industrial Commission did not err in a workers\u2019 compensation case by denying defendant employer\u2019s motion to dismiss and by concluding that res judicata did not bar plaintiff\u2019s claims for additional medical benefits under Hyler v. GTE Products Co., 333 N.C. 258 (1993), because while res judicata might bar relitigation of compensation for other loss, Hyler allows plaintiff to recover for new or additional medical expenses even if there has been no material change in the employee\u2019s condition or in available medical treatments.\nAppeal by defendant from opinion and award of the North Carolina Industrial Commission entered 19 November 2002 by Commissioner Laura Kranifeld Mavretic. Heard in the Court of Appeals 20 November 2003.\nLaw Offices of Kathleen G. Sumner, by Kathleen G. Sumner, for plaintiff-appellee.\nJane C. Jackson and W. Mark Peck, for defendant-appellant." }, "file_name": "0146-01", "first_page_order": 174, "last_page_order": 178 }