                                                                                                           FILED
                                                                                                       September 10,2015
                                                                                                        ThCOURTOF
                                                                                                    WORKERS' CO:MPE::>."SATIO:-i
                                                                                                           CLAD!lS

                                                                                                           Time : 1:29 P:\'1




              IN THE COURT OF WORKERS' COMPENSATION CLAIMS
                               AT MEMPHIS

Christopher Bennett,                                     )    Docket No.: 2015-08-0160
            Claimant,                                    )
v.                                                       )    State File No.: 23206-2015
                                                         )
Thermal Corrosion Solutions,                             )    Date of Injury: March 23, 2015
Riverport Insurance Co., and                             )
Berkley Assigned Risk Services,                          )    Judge: Jim Umsted
             Respondents.                                )


                                  EXPEDITED HEARING ORDER


        THIS CAUSE came before the undersigned Workers' Compensation Judge on
August 5 2015 , upon the Request for Expedited Hearing (REH) filed by Christo]Jber
Bennett, the Claimant, on July 7, 2015, 1 pursuant to Tennessee Code Annotated section
50-6-239 (2014). At the Expedited Hearing, the parties asked the Court to determine if
Mr. Bennett is an employee, as defined by Tennessee Code Annotated section 50-6-
102(11) (2014), of Thermal Corrosion Solutions (TCS). Considering the positions ofthe
parties, the applicable law, and all of the evidence submitted, the Court concludes that
Mr. Bennett is an employee as defined by the Workers' Compensation Law.

                                                 ANALYSIS

                                                     Issues

       The parties marked numerous issues on the Dispute Certification Notice
(DCN). However, at the Expedited Hearing, the parties, by agreement, specifically
defined the issues as those set out in the Statement of Issues marked as Exhibit 18. These
issues are: 2

1
  The date stamp on the Request for Expedited Hearing indicates that Mr. Bennett filed it on July 7, 2015. However,
the Certification of Service shows that Mr. Bennett's attorney actually signed the request on July 8, 2015.
2
  During the Expedited Hearing, the Court questioned the parties regarding the preservation of the presented issues
on the DCN. Upon closer review of the DCN, the Court finds that a notation on the first page, which reads,
"Coverage-Employee is a partner & did not elect to be covered," preserves both issues set forth in the parties'

                                                        J
         1. Whether Mr. Bennett is an employee of TCS, as defined by the Tennessee
            Workers' Compensation Law.

         2. Whether the policy in effect at the time of the injury covered Mr. Bennett as a
            member of the LLC.

TCS, along with its workers' compensation insurance carrier, Riverport Insurance Co.
(Riverport), and third-party administrator, Berkley Assigned Risk Services (Berkley),
(collectively, the Respondents) also raised a due process challenge.

                                       Evidence Submitted

        The Court received the following documentation and information submitted by the
parties. However, the Court marked exhibits 1-5 and 14-18 for identification only and did
not admit them into evidence. The Court admitted exhibits 6-13 by agreement of the
parties.

                  Exhibit Number:

                       1.  Petition for Benefit Determination (PBD), filed May 26, 2015
                       2.  DCN, filed July 8, 2015
                       3.  REH, filed July 7, 2015
                       4.  Respondents' Position Statement, dated June 9, 2015
                       5.  Mr. Bennett's Pre-Hearing Brief, filed August 3, 2015
                       6.  Affidavit of Mr. Bennett, dated July 7, 2015
                       7.  Deposition of Mr. Bennett, dated July 16, 2015
                       8. Deposition of Curtis Allen Hoover (Mr. Hoover), dated July 16,
                           2015
                       9. Deposition ofMillissa Hilliard (Ms. Hilliard), dated July 31, 2015
                       10. Form C20-Employer's First Report of Work Injury
                       11. Form C41-Wage Statement
                       12. TCS's workers' compensation insurance policy, filed July 29, 2015
                       13. Mr. Bennett's Job Description
                       14. Prescription information, Walgreens, dated April29, 2015
                       15. Medical bills
                              • Semmes-Murphey Clinic, dated April 22, 2015, and May 20,
                                  2015
                              • Regional One Health, dated June 2, 2015
                       16. Medical records
                              • UT Medical Group, Inc., dated June 2, 2015

Statement of Issues.

                                                2
                         • Regional Medical Center, dated March 23, 2015; March 28,
                           2015; March 30, 2015; and April21, 2015
                        • Regional Medical Center Rehab Hospital, dated April 24,
                           2015, and April29, 2015
                        • Regional One Health OPC Orthopedics, dated May 14, 2015
                        • Regional One Health OPC General/Trauma Surgery, dated
                           May 14, 2015
                        • Regional One Health OPC ENT, dated May 18, 2015
                 17. Medical bills, Memphis Med Ctr Air Amb (Memp), dated July 9,
                    2015
                 18. Statement of issues

       The Court designates the following as the technical record (T.R.):

          •   PBD, filed May 26, 2015;
          •   DCN, filed July 8, 2015;
          •   REH, filed July 7, 2015;
          •   Respondents' Post-Hearing Brief, August 10, 2015;
          •   Mr. Bennett's Post-Hearing Brief, August 11, 2015; and
          •   Notice of Filing Court Transcript and Court Transcript (C. Tr.), August 10,
              2015.

      The Court did not consider attachments to the above filings unless admitted into
evidence during the Expedited Hearing. The Court considered factual statements in the
above filings or any attachments thereto as allegations unless established by the evidence.

      The following witnesses provided in-person testimony:

          •   Mr. Bennett;
          •   Mr. Hoover, co-owner ofTCS; and
          •   Ms. Hilliard, corporate representative for Berkley.

                               Stipulations of the Parties

      The parties stipulated the following to be correct:

   1. On March 23, 2015, Mr. Bennett fell through a skylight while working on a roof in
      Olive Branch, Mississippi and sustained multiple injuries;
   2. Mr. Bennett was working on the roofthat day in furtherance ofTCS's interests;
   3. TCS is a Tennessee limited liability company;
   4. TCS became a limited liability company in April2014;
   5. Mr. Bennett is a member of the limited liability company;

                                             3
    6. Mr. Bennett is not a resident of Tennessee; and
    7. Mr. Bennett's weekly Compensation Rate (CR) is $932.80, the maximum CR for
       temporary disability benefits allowed by law at the time of his injury.

                                     History of Claim

       At the time of the Expedited Hearing, Mr. Bennett, a forty-eight-year-old resident
of Guy, Arkansas, was a thirty-percent member of TCS, a Tennessee limited liability
company formed in April2014. (Ex. 7 at 5; Ex. 8 at 7-8, 17; C. Tr. at 38, 40, 52.) Prior to
April 2014, TCS was a partnership established by Mr. Bennett and Mr. Hoover in
approximately 2003. (Ex. 8 at 8-9.) Mr. Bennett's contract of hire was formed in
Tennessee. (C. Tr. at 18.) Between 2003 and April 2014, Mr. Bennett and Mr. Hoover
each held a fifty-percent interest in the company. (Ex. 8 at 16.) Mr. Hoover handled the
administrative side of the business while Mr. Bennett performed the physical labor. (Ex.
7 at 20; Ex. 8 at 11.) During the hearing, the parties agreed that Mr. Bennett is a
construction service provider (CSP) as defined by Tennessee Code Annotated section 50-
6-901(5) (2014). (C. Tr. at 18, 40, 65, 109.)

      In September 2013, TCS obtained a workers' compensation insurance policy from
Riverport, which Berkley administered. (C. Tr. at 73, 77.) TCS renewed this policy on
September 13, 2014. (Ex. 12 at 1; C. Tr. at 77-78.) The policy was to remain in effect
from September 13, 2014, to September 13, 2015. (Ex. 12 at 1.)

        On March 23, 2015, Mr. Bennett fell through a skylight while working on a roof at
Economy Rentals in Olive Branch, Mississippi. (C. Tr. at 15, 41, 59.) He sustained
multiple, serious injuries due to the fall and remained hospitalized for over a month. (C.
Tr. at 15, 42-43.) At the time of the fall, Mr. Bennett was preparing the roof for work that
TCS had contracted to do for Duane Sell, the owner of Economy Rentals. (Ex. 7 at 56-57;
C. Tr. at 41, 59-60.) Mr. Bennett timely reported his fall to TCS, and TCS filed a claim
with Berkley. (Ex. 10.) Berkley ultimately denied Mr. Bennett's claim. (Ex. 9 at 16.)

       Mr. Bennett filed a PBD on May 26, 2015, seeking medical and temporary
disability benefits. (Ex. 1.) The parties did not resolve the disputed issues through
mediation, and the Mediation Specialist filed the DCN on July 8, 2015. (Ex. 2.) At the
evidentiary hearing, which took place on August 5, 2015, the undersigned allowed the
parties to submit post-hearing briefs no later than August 11, 2015. (C. Tr. at 28.) The
Respondents filed a post-hearing brief along with a transcript of the hearing on August
10, 2015. (T.R.) Mr. Bennett filed his post-hearing brief on August 11, 2015. (T.R.)

                               Mr. Bennett's Contentions

       Mr. Bennett admits that he never filed an election with the Bureau as a "sole
proprietor" or a "partner" to be included within the definition of "employee" pursuant to

                                             4
Tennessee Code Annotated section 50-6-102(11)(B) (2014). (Ex. 7 at 50; C. Tr. at 58.)
He contends, however, that he is an employee of TCS pursuant to Tennessee Code
Annotated section 50-6-102(11) even without making such an election. He argues that
Tennessee Code Annotated section 50-6-102(11)(B) does not apply to him, as he is a
member of a limited liability company and not a sole proprietor or a partner. He points to
Tennessee Code Annotated section 50-6-104(f) (2014) and Tennessee Code Annotated
section 50-6-903(a) (2014) to show that the legislature specifically differentiated between
partnerships and limited liability companies in the statute. He also asserts that the
legislature adopted an "opt out" system for persons who fall within the classification of a
CSP as defined by Tennessee Code Annotated section 50-6.:901(5) (2014). He maintains
that the exclusion found in Tennessee Code Annotated section 50-6-1 02(11 )(E) does not
apply to him, as he is not listed on the exemption registry established for CSPs. He,
therefore, claims entitlement to benefits afforded employees under the Workers'
Compensation Law without making an election of coverage.

        Mr. Bennett further states that, even if Tennessee Code Annotated section 50-6-
102(11)(B) applies to him, it is a directory provision rather than a mandatory provision.
He asserts that the Tennessee Supreme Court has held that statutory provisions relating to
the mode or time of doing an act are ordinarily directory in nature and only require
substantial compliance. Mr. Bennett cites to Shaw v. Aetna Life & Cas. Ins. Co., No.
02S01-9406-CH-00034, 1995 WL 866413 (Tenn. Jan. 24, 1995), and Presley v. Bennett,
860 S.W.2d 857 (Tenn. 1993), to show that an implicit agreement between the parties
regarding coverage under workers' compensation has been found to constitute substantial
compliance with the election requirement. While Mr. Bennett recognizes that these cases
were decided prior to July 1, 2014, he submits that the outcome would not change under
the current statutory construction.

       Finally, Mr. Bennett suggests that the Court of Workers' Compensation Claims is
not the appropriate forum for addressing issues regarding coverage under the workers'
compensation insurance policy, and he argues that the Respondents did not properly
preserve this issue on the DCN. According to Mr. Bennett, Tennessee Code Annotated
section 50-6-238(a)(3) (2014) defines the duties of a workers' compensation judge, which
include hearing and determining claims for compensation; approving settlements of
claims for compensation; conducting hearings; and making orders, decisions, and
determinations. Mr. Bennett avers that interpreting a contract of insurance oversteps the
bounds of the statute. Mr. Bennett alleges that the Court's sole duty is to determine
whether an employer-employee relationship exists and whether the employee suffered a
compensable injury under the Act. He also claims that the DCN's mention of "coverage"
referred to coverage in a statutory sense rather than coverage under the policy.
Consequently, he asks the Court to decline the Respondents' request to address this issue.




                                            5
                               Respondents' Contentions

       The Respondents argue that Mr. Bennett is not an employee as defined by the
Tennessee Workers' Compensation Law, as he failed to file an election in accordance
with Tennessee Code Annotated section 50-6-102(11)(B). According to the Respondents,
Mr. Bennett shared TCS's profits and losses with Mr. Hoover since approximately 2003.
The Respondents suggest that this sharing of profits and losses characterizes the natural
and ordinary meaning of the term "partner." The Respondents also assert that Tennessee
Code Annotated section 50-6-104(f) and Tennessee Code Annotated section 50-6-903(a)
were enacted well after Tennessee Code Annotated section 50-6-102(11)(B), so they have
no bearing on an interpretation of Tennessee Code Annotated section 50-6-102(11)(B).
Based on the foregoing, the Respondents contend that Mr. Bennett is a partner in
accordance with Tennessee Code Annotated section 50-6-102(11)(B) and that the
election provision of that section would require him to file an election before he could be
deemed an employee.

       The Respondents further question the applicability of the substantial compliance
standard established in the Shaw and Presley cases cited by Mr. Bennett, which were
decided under old law. While the Respondents reject the suggestion that these cases
would apply to claims arising after July 1, 2014, they maintain that, even if substantial
compliance were sufficient, Mr. Bennett made no effort to comply with the election
requirement. The Respondents allege that Mr. Bennett simply assumed he was covered
but never specifically spoke to anyone, reviewed the policy, or took any action to comply
with the election provision.

        Moreover, the Respondents claim that Mr. Bennett was not required to be covered
under Part 9 of the Tennessee Workers' Compensation Law and, in fact, was not covered
under the workers' compensation insurance policy at the time of his injury. The
Respondents note that Tennessee Code Annotated section 50-6-902(a) (2014) requires a
CSP to carry workers' compensation insurance on himself unless an exception applies.
The Respondents suggest that the exception in Tennessee Code Annotated section 50-6-
902(b )(4) applies to Mr. Bennett because he was performing work directly for the owner
of the property, Duane Sell, at the time of his injury and was not acting as a general or
intermediate contractor on the job. The Respondents point out that Tennessee Code
Annotated section 50-6-902(b)(4) does not require a CSP to file with the registry
established by Tennessee Code Annotated section 50-6-905 (2014) (Exemption Registry).
Furthermore, the Respondents refer to the testimony of Ms. Hilliard and to the workers'
compensation insurance policy in effect at the time of Mr. Bennett's injury to show that
the policy did not include Mr. Bennett as a covered owner. The Respondents blame the
insurance agent, Clay & Land, for any problems with the policy and indicate that a
separate action must be filed to address that issue. Nevertheless, the Respondents state it
is clear that Mr. Bennett was not covered under the policy.


                                            6
      Lastly, the Respondents raise a due process challenge based on the limited time
provided by the statute and rules to prepare for and participate in an evidentiary hearing.
They also support their due process challenge by pointing to their lack of recourse,
should they be ordered in the course of this interlocutory process to pay benefits for
which they may later be found not liable.

                       Findings of Fact and Conclusions of Law

                                    Standard Applied

       The Workers' Compensation Law shall not be remedially or liberally construed in
favor of either party but shall be construed fairly, impartially and in accordance with
basic principles of statutory construction favoring neither the employee nor employer.
Tenn. Code Ann. § 50-6-116 (2014). An employee need not prove every element of his or
her claim by a preponderance of the evidence in order to obtain relief at an expedited
hearing. McCord v. Advantage Human Resourcing, No. 2014-06-0063, 2015 1N Wrk.
Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers' Comp. App. Bd. Mar. 27, 2015).
At an expedited hearing, an employee has the burden to come forward with sufficient
evidence from which the trial court can determine that the employee is likely to prevail at
a hearing on the merits. !d.

                                    Factual Findings

       The Court finds that on March 23, 2015, Mr. Bennett was working on the roof of
Economy Rentals in Olive Branch, Mississippi, in furtherance of TCS's interests, when
he fell approximately twenty feet, sustaining multiple, serious injuries. Mr. Bennett
timely reported his fall to TCS. Prior to his injury, however, Mr. Bennett did not file an
election with the Bureau to be included in the definition of "employee" under the
Workers' Compensation Law. Consequently, the Respondents denied Mr. Bennett's
claim. Mr. Bennett's contract of hire was formed in Tennessee in approximately 2003. At
the time of Mr. Bennett's fall, TCS was a Tennessee limited liability company of which
Mr. Bennett was a thirty-percent member. Furthermore, Mr. Bennett is a CSP as defined
by the Tennessee Code Annotated section 50-6-901(5).

                               Application ofLaw to Facts

       1.   Whether Mr. Bennett is an employee of TCS, as defined by the Tennessee
       Workers' Compensation Law.

       Tennessee Code Annotated section 50-6-102(11) defines the term "employee."
Pursuant to this section, an "employee" includes "every person ... in the service of an
employer as defined in subdivision (12), under any contract of hire or apprenticeship,
written or implied." This definition also includes "a sole proprietor or a partner who

                                            7
    devotes full time to the proprietorship or partnership and elects to be included in the
    definition of employee by filing written notice with the [Bureau] at least thirty (30) days
    before the occurrence of any injury or death." Tenn. Code Ann. § 50-6-102(11)(B)
    (2014). However, the definition does not include a CSP if the CSP is:

          (i)     Listed on the registry established pursuant to part 9 of this chapter as
                  having a workers' compensation exemption and is working in the
                  service of the business entity through which the provider obtained
                  such an exemption;
          (ii)    Not covered under a policy of workers' compensation insurance
                  maintained by the person or entity for whom the provider is
                  providing services; and
          (iii)   Rendering services on a construction project that:
                  (a) Is not a commercial construction project, as defined in § 50-6-
                      901; or
                  (b) Is a commercial construction project, as defined in §50-6-901,
                      and the general contractor for whom the [CSP] renders
                      construction services complies with§ 50-6-914(b)(2)[.]

Tenn. Code Ann.§ 50-6-102(11)(E) (2014) (emphasis added).

        The Respondents ask this Court to find that Mr. Bennett is not an employee of
TCS based on his failure to file an election with the Bureau pursuant to Tennessee Code
Annotated section 50-6-102(11)(B). Citing Black's Law Dictionary, the Respondents
claim that the natural and ordinary meaning of the term "partner" encompasses "[o]ne
who shares or takes part with another, esp. in a venture with shared benefits and shared
risks." Partner, Black's Law Dictionary (7th ed. 1999) (emphasis added). They argue that
Mr. Bennett is a "partner," as he has shared TCS's profits and losses with Mr. Hoover
since approximately 2003 and must, therefore, elect to be included in the definition of
"employee." He failed to do so. "'ven assuming that Mr. Bennett is a' partner" pursuant
to this provision, 3 however, the Respondents argument fails to take into account Mr.
Bennett's status as a CSP under part nine of the Tennessee Code's fiftieth chapter (Part
9).

       Part 9 defines a CSP as "any person or entity engaged in the construction
industry.'' Tenn. Code Ann. § 50-6-901(5) (2014). While the language of Part 9 neither
expands nor changes the definition of "employee" set forth in Tennessee Code Annotated
section 50-6-102(11), it requires CSPs who are not on the Exemption Registry, or who
are not specifically excepted from the coverage requirement, to carry workers'
compensation insurance. A CSP who is also a partner, or member of a limited liability

3
 As the Respondents' attorney noted during the hearing, the Bureau has treated members of limited liability
companies as partners for purposes of Tennessee Code Annotated section 50-6-102(11)(8) as a matter of policy.

                                                       8
company, can apply for exemption under Tennessee Code Annotated section 50-6-903(a),
and thus "opt out" of coverage, if the partner or member owns at least twenty percent of
the company. The question becomes whether such a CSP who chooses not to file for
exemption also needs to file an election pursuant to Tennessee Code Annotated section
50-6-102(11)(B).

       The guiding principle of statutory interpretation is to "ascertain and give effect to
the legislature's intent without unduly restricting or expanding a statute's coverage
beyond its intended scope." Lyons v. Rasar, 872 S.W.2d 895, 897 (Tenn. 1994). When
one or more statutory provisions relates to the same subject matter or form part of a
comprehensive statutory scheme, then a court must construe those provisions together
and harmonize them where possible. See id. To give effect to the entire statute, this Court
finds that Tennessee Code Annotated section 50-6-102(11)(B) only applies to sole
proprietors and partners who are not involved in the construction industry. Accordingly,
this Court concludes that the election requirement found in Tennessee Code Annotated
section 50-6-1 02( 11 )(B) is inapplicable to CSPs.

        In the present case, the Respondents have not raised any issue regarding TCS's
status as an employer as defined by Tennessee Code Annotated section 50-6-102(12). In
addition, the parties have stipulated that Mr. Bennett was working in furtherance of
TCS's interests on the date of his injury and have agreed that Mr. Bennett's contract of
hire was formed in Tennessee in 2003. (C. Tr. at 18.) As such, Mr. Bennett meets the
definition of"employee" in Tennessee Code Annotated section 50-6-102(11)(A).

       The parties further agree that Mr. Bennett is a CSP as defined by Tennessee Code
Annotated section 50-6-901(5). (C. Tr. at 18, 40, 65, 109.) Consequently, the election
requirement of Tennessee Code Annotated section 50-6-102(11)(B) would not apply to
him. Furthermore, there has been no proof presented to show that Mr. Bennett is listed on
the Exemption Registry so as to exclude him from the definition of "employee" under
Tennessee Code Annotated section 50-6-102(11)(E). Therefore, Mr. Bennett is an
employee as defined by the Tennessee Workers' Compensation Law.

       2.   Whether the policy in effect at the time of the injury covered Mr. Bennett as
       a member of the LLC.

        With regard to the issue of coverage, this Court disagrees with the Respondents'
contention that Tennessee Code Annotated section 50-6-902(b)(4) applies to Mr. Bennett.
This section provides that CSPs who perform work directly for the owner of the property
and are not acting as a general or intermediate contractor on the job are exempt from
carrying workers' compensation insurance on themselves without any requirement to file
with the exemption registry. Tenn. Code Ann. § 50-6-902(b)(4) (2014). The Respondents
suggest that Mr. Bennett was working directly for the owner of Economy Rentals, Duane
Sell, at the time of his injury. However, no evidence has been presented to prove that Mr.

                                             9
Sell was, in fact, the property owner. Furthermore, the parties have stipulated that Mr.
Bennett, a member of TCS, was working on the roof at Economy Rentals on March 23,
2015, in furtherance ofTCS's interests. As such, the Court finds that he was not working
directly for Mr. Sell but for TCS at the time of his injury. Therefore, the exception laid
out in Tennessee Code Annotated section 50-6-902(b)(4) would not apply to Mr. Bennett,
and he would be required to carry workers' compensation insurance on himself pursuant
to Tennessee Code Annotated section 50-6-902(a).

       Having so found, however, the undersigned finds that this Court is not the
appropriate forum for deciding the issue of coverage pursuant to the workers'
compensation insurance policy in effect at the time of Mr. Bennett's injury. Deciding this
issue would require the Court to overstep its statutory authority. Consequently, this Court
declines to address the issue.

       3.      Whether the timeframes and lack of recourse under the Workers'
       Compensation Law and applicable rules violate the Respondents' due process
       rights.

       This Court also declines to address the Respondents' due process challenge. The
Respondents did not raise the due process issue on the DCN. Citing to Tennessee Code
Annotated section 50-6-239(b) (2014), the Tennessee Workers' Compensation Appeals
Board has held that "issues not listed on the DCN may not be presented for adjudication
unless the trial court makes express findings that the parties did not have knowledge of
the issue prior to the issuance of the DCN; that the parties could not have known of the
issue despite reasonable investigation; and that prohibiting presentation of the issue
would result in substantial injustice to the petitioning party." Dorsey v. Amazon. com, Inc.,
No. 2015-01-0017, 2015 TN Wrk. Comp. App. Bd. LEXIS 13, at *8-9 (Tenn. Workers'
Comp. App. Bd. May 14, 20 15). As the Court cannot make these requisite findings, it
will not address the merits of the due process challenge.

      Based on the foregoing, Mr. Bennett has come forward with sufficient evidence
from which this Court concludes that he is likely to prevail at a hearing on the merits in
proving that he is an employee as defined by the Tennessee Workers' Compensation
Law.

 IT IS, THEREFORE, ORDERED as follows:

   1. Mr. Bennett is an employee as defined by the Tennessee Workers' Compensation
      Law.

   2. No specific benefits are ordered at this time as no evidence was presented at the
      Expedited Hearing regarding medical or temporary disability benefits. If
      necessary, the parties may request further review of these issues at a later hearing.

                                             10
   3. This matter is set for Initial Hearing on October 28, 2015, at 10:00 a.m. central
      time.

       ENTERED this the 10" da< : : : : J, 2~


                                  Judge Jim Umsted
                                  Court of Workers' Compensation Claims

Initial Hearing:

       A Scheduling Hearing has been set with Judge Jim Umsted, Court of Workers'
Compensation Claims. You must call 615-532-9550 or toll free at 866-943-0014 to
participate in the Initial Hearing.

       Please Note: You must call in on the scheduled date/time to
participate. Failure to call in may result in a determination of the issues without
your further participation. All conferences are set using Central Time (CT).


Right to Appeal:

       Tennessee Law allows any party who disagrees with this Expedited Hearing Order
to appeal the decision to the Workers' Compensation Appeals Board. To file a Notice of
Appeal, you must:

   1. Complete the enclosed form entitled: "Expedited Hearing Notice of Appeal."

   2. File the completed form with the Court Clerk within seven business days of the
      date the Workers' Compensation Judge entered the Expedited Hearing Order.

   3. Serve a copy of the Expedited Hearing Notice of Appeal upon the opposing party.

   4. The appealing party is responsible for payment of a filing fee in the amount of
      $75.00. Within ten calendar days after the filing of a notice of appeal, payment
      must be received by check, money order, or credit card payment. Payments can be
      made in person at any Bureau office or by United States mail, hand-delivery, or
      other delivery service. In the alternative, the appealing party may file an Affidavit
      of Indigency, on a form prescribed by the Bureau, seeking a waiver of the filing
      fee. The Affidavit of Indigency may be filed contemporaneously with the Notice
      of Appeal or must be filed within ten calendar days thereafter. The Appeals Board
      will consider the Affidavit of Indigency and issue an Order granting or denying

                                            11
       the request for a waiver of the filing fee as soon thereafter as is
       practicable. Failure to timely pay tbe filing fee or file the Affidavit of
       Indigency in accordance with this section s.han result in dismissal of the
       appeal.

   5. The parties, having the responsibility of ensuring a complete record on appeal,
      may request, from the Court Clerk, the audio recording of the hearing for the
      purpose of having a transcript prepared by a licensed court reporter and filing it
      with the Court Clerk within ten calendar days of the filing of the Expedited
      Hearing Notice of Appeal. Alternatively, the parties may file a joint statement of
      the evidence within ten calendar days of the filing of the Expedited Hearing
      Notice of Appeal. The statement of evidence must convey a complete and accurate
      account of what transpired in the Court of Workers' Compensation Claims and
      must be approved by the workers' compensation judge before the record is
      submitted to the Clerk of the Appeals Board.

   6. If the appellant elects to file a position statement in support of the interlocutory
      appeal, the appealing party shall file such position statement with the Court Clerk
      within three business days of the filing of the Expedited Hearing Notice of Appeal,
      specifying the issues presented for review and including any argument in support
      thereof. If the appellee elects to file a response in opposition to the interlocutory
      appeal, appellee shall do so within three business days of the filing of the
      appellant's position statement.

                            CERTIFICATE OF SERVICE

       I hereby certify that a true and correct copy of the Expedited Hearing Order was
sent to the following recipients by the following methods of ervice on this the 101h day
of September, 2015.


Name                      Certified    Via         Via    Service sent to:
                           Mail        Fax        Email
Frank B. Thacher, Esq.                             X      fthacher@bRilaw.com

Chad M. Jackson, Esq.                              X      cj ackson@morganakins.com




                                             k~ ))uUft--'
                                         P~nny g rum, Clerk of Court
                                         Court Workers' Com pensation Claims
                                         WC.CourtClerk@tn.gov

                                             12
