COMP EXCLUSIVITY: Mental injuries sustained by store employee in assault by customer related to physical injuries (“physical-mental”), negligence claims barred by exclusivity… case now limited to intentional tort claims for alleged conduct and injuries sustained after the assault… Molloy.
Savanna Everett was assaulted 6/14/20 at 2:30 a.m. by customer Tonnisha Triplett while working at the Higgins Ave. Holiday Stationstore in Missoula. A few hours into her shift Triplett entered and loitered without purchasing anything. After 45 minutes Everett asked her to make her purchase and leave and Triplett said she did not have any money. Everett again asked her to leave and said police would be called if she did not do so. Triplett began yelling and entered the “employee only” area, hit and punched Everett in the head, slammed her head on the counter, bit her finger, struck her repeatedly with a metal stool, and stabbed her in the head & face multiple times with the jagged end of a broken broom handle. The attack lasted 50 seconds. Police arrived and arrested Triplett who was charged with felony assault with a weapon and criminal mischief.
Everett was taken to the ER and treated for a bite, lacerations, and a concussion. On 6/22 she went to Partnership Health where she reported “no anxiety, flashbacks, or Hypervigilance following event” and indicated being “bored” and “excited to go back to work,” which she did 10 days later. On 8/26 she returned to Partnership and was placed on medication for PTSD. She reported daily headaches, memory problems, and confusion and appeared anxious, thin, and tearful. Although appearing healthier in terms of weight and mood at an appointment in 4/21, she continues to have issues associated with a concussion and PTSD. Her head injury has caused persistent cognitive problems with retaining information, difficultly speaking, and visual & auditory hallucinations. On 8/31 and 9/7/20 she saw LCSW Ronald Barker with PTSD, anxiety, and depression based on childhood trauma that was “exacerbated” by the attack. She began seeing Barker weekly in 9/20 and continuing to the present. He has recommended inpatient PTSD treatment.
In 11/20 Everett underwent a neuropsychological evaluation by Jacqueline Day, who agreed with Barker’s “assessment of pre-morbid PTSD symptoms being exacerbated by the brutal assault.” In 2022 Holiday had her evaluated by psychiatrist William Stratford who also found that she had “pre-existing PTSD from physical and emotional trauma” as well as depression and anxiety.
Everett filed a comp claim and received benefits. Although she has not paid out-of-pocket for any post-assault care, the parties dispute whether it has all been covered or will be covered by Holiday’s comp insurer. For example, comp paid for Day’s evaluation and has not indicated if it will pay for certain future care including in-patient PTSD treatment. However, comp has covered all costs associated with her physical injuries and weekly sessions with Barker.
In 9/21 Everett sued Holiday in State Court alleging negligence, NIED, IIED, and punitives. Holiday removed to this Court and in 11/21 sought judgment on the pleadings on the bases that her negligence claims were barred by comp exclusivity and her intentional tort claims were inadequately pled. Following a hearing its motion was granted as to her intentional tort claims to the extent that she sought to recover for injuries sustained before 6/14/20 and denied on all other grounds including Holiday’s argument that her negligence claims were barred by comp exclusivity as a matter of law. The Court concluded that “while Everett may fail to carry the burden of showing a factual dispute later, the pleadings are sufficient to maintain a negligence claim at this point.” Holiday filed the present motion for summary judgment 6/6/22.
The primary dispute is whether Everett’s psychological injuries fall within the Workers’ Compensation Act, which defines “injury” as “internal or external physical harm to the body that is established by objective medical findings.” MCA 39-71-119(1)(a). “Injury does not mean a physical or mental condition arising from emotional or mental stress.” §119(3)(a). Maney (Mont. 2000) therefore held that “because an emotional injury resulting from work-related mental or emotional stress — known as a ‘mental-mental’ injury — is not an ‘injury’ as defined in §39-71-119 and is not compensable under the Act, the exclusive remedy provision does not apply.” As a result, “a plaintiff with a work-related ‘mental-mental’ injury may bring a tort action against his or her employer to recover damages.” Maney; Stratemeyer (Mont. 1996).
Likewise, “mental-physical” injuries — which also result from work-related emotional or mental stress — do not fall within the WCA’s exclusive remedy provision. Maney; Kleinhesselink (Mont. 1996). But if an employee suffers a compensable physical injury that results in mental injury — a “physical-mental” injury — such injury generally falls within the purview of the Act. Stratemeyer; Onstad (Mont. 2000). Accordingly, the question is whether the alleged mental injuries “arise from,” Yarborough (Mont. 1997), have “some rational nexus” to, Maney, or are “a result of,” Onstad, a compensable physical injury.
Holiday requests summary judgment on the basis that Everett seeks to recover negligence-related damages for injuries covered under the WCA and for which its comp carrier has assumed liability and paid benefits. It argues that her injuries are “physical-mental.” It argues that because Everett’s negligence-based claims arise out of the same factual nexus as the physical injuries they are barred by the WCA’s plain language, Holiday has presented objective medical evidence that her emotional distress is a result of its covered physical injuries, and Everett received the WCA’s quid pro quo benefit and is therefore bound by its limitations. Because Holiday’s 2nd argument is persuasive, summary judgment is granted in its favor.
I. Factual Nexus
Holiday first argues that “exclusivity bars emotional distress claims that arise out of the same facts that caused the employee’s covered injury.” This argument was rejected at the motion-to-dismiss stage: “The presence of both physical and mental injuries does not, by itself, doom Everett’s claims.
II. Objective Medical Evidence
Holiday further argues that the objective medical evidence shows that Everett’s emotional distress is directly related to her physical injuries, making it “physical-mental.” Everett responds that the record demonstrates that her current PTSD is the result of emotional and mental stress incurred during the assault, which would make her injury “mental-mental.” Holiday’s position is supported by the undisputed record.
Everett is correct that the Montana Supreme Court has held that comp exclusivity is not triggered in the absence of medical evidence connecting an employee’s mental & physical injuries. For example, in Yarborough a firefighter suffered 1st- and 2nd-degree burns on his hands & face when a home exploded. He was also diagnosed with PTSD “as a result of the accident.” His comp claim based on his PTSD was denied because Judge McCarter determined that his PTSD arose from “emotional or mental stress.” The Montana Supreme Court agreed, concluding that “although Yarborough did suffer burns to his face and hands, no medical expert testified that Yarborough’s PTSD directly resulted from those physical injuries. Rather, the medical testimony linked Yarborough’s PTSD only to the house-fire explosion itself.” His injury was therefore “mental-mental,” placing it outside the comp regime.
Similarly in Onstad an employee was sexually assaulted by a customer while working at a shoe store. Although she was thrown to the floor and ejaculated upon, her only physical injury was “a visibly reddened neck where Luplow grabbed her.” Comparing the case to Yarborough, the Court noted that while there was testimony that her trauma would not have been as bad if she had not been physically touched, “none of the evidence in the record connects Onstad’s posttraumatic stress to the post-assault red marks on her neck. Instead, the evidence clearly indicated that her trauma arose from the mental stress of contending with the attack. Payless simply did not produce any evidence that Onstad’s mental condition was the result of a physical injury during her attack.”
Unlike in Yarborough and Onstad, the undisputed medical evidence connects Everett’s mental condition to the covered physical injuries. Barker found that her PTSD was the direct result of being “hit repeatedly with a metal stool.” And when asked if the criteria for PTSD was net because she was physically assaulted, he confirmed that “with a metal — yes.” Moreover, while he recognized her pre-existing trauma he could not identify a “separate” injury aside from her physical injuries that caused the resurgence of her PTSD. More specifically, he stated that the triggering event was Everett being struck by the stool: “In my best judgment, and that’s all it is, is a hypothesis, when the PTSD was triggered was the initial blow.” Thus her own provider connects her mental and physical trauma. Likewise, Stratford’s independent conclusion was that “it is not possible to sort out the emotional trauma from the physical trauma of this incident.”
Everett’s deposition emphasizes the role that the physical injuries played in her mental health. For example, she admitted to being accustomed to being yelled at by customers but it was the actual physical attack and that she was unable to prevent physical injury that made this incident unique. Asked “at what point did you initially begin to fear for your life?” she said, “As soon as [Triplett] hit me with the stool.” She also testified: “I definitely did not want to die from being stabbed with a broom handle.” Finally, she voiced a fear that Triplett might have transmitted HIV by biting her and that she might have permanent brain damage from being hit by the stool. That her own testimony intertwines the mental and physical injuries indicates that they are “physical-mental” and subject to comp exclusivity.
Everett’s responding arguments and evidence are insufficient to raise a genuine dispute. She seems to argue that because the incident resulted in both physical and mental trauma, exclusivity attaches only to the former. But the dispositive inquiry is whether the record connects the mental trauma to the physical trauma and whether there is evidence that her “mental condition is a result of a physical injury sustained during the attack.” Onstad. Such evidence exists here. The inability to separate the mental trauma from the physical trauma cuts in favor of finding that they are interrelated, not the alternative.
Holiday’s motion for summary judgment is granted as to Everett’s negligence-based claims. The case is now limited to its intentional tort claims for alleged conduct and injuries sustained after 6/14/20.
Everett v. Holiday Stationstores, 44 MFR 277, 8/1/22.
Kathleen Molsberry & Matthew Lowy (Lowy Law), Missoula, for Everett; Bryan Spoon (Spoon Gordon), Missoula, for Holiday.