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What's Hot in Workers' Comp

Delaware Superior Court reverses Industrial Accident Board decision, holding the Board erred as a matter of law and abused its discretion when it awarded compensation to a claimant whose intoxication proximately caused a motor vehicle accident.

United Parcel Service v. Willis, 2024 WL 5039034 (Del. Super. Ct. Dec. 6, 2024)

January 1, 2025

by Benjamin K. Durstein

On June 8, 2021, at approximately 4 a.m., Mr. Willis was involved in single-vehicle accident when his work truck struck a guardrail. The accident occurred in Maryland, although he had left Delaware and had been driving for a while at the time it happened. 

Police officers found the claimant wedged between the driver and passenger seats of his semi-truck. He needed assistance getting out. When approaching the truck, the officers witnessed the claimant throw three cans of light beer out the truck window, two of which were empty and one was one quarter full. They were cool to the touch. There was an unopened can of beer in a cooler in the cab. The claimant had defecated on himself, and he could not remember how he got in the accident when he spoke to the officers. 

He later told the medical providers he had swerved to avoid a deer. The claimant admitted he had consumed three light beers while in the truck. He reported that he usually packs a cooler to celebrate the end of his shift and drinks the beers on the way home, after finishing his work. On this day, he started drinking beer early. 

The claimant refused to undergo a field sobriety test and was arrested on suspicion of DUI. He pled “not guilty, agree statement of facts” and was sentenced to probation before judgment. There was an audio recording of the conversation between the claimant, counsel and the judge when he entered the plea deal. 

The claimant filed a Petition to Determine Compensation Due alleging the motor vehicle accident was a compensable work accident. At the hearing, the employer argued Mr. Willis was not within the course and scope of his employment because he violated the employer’s drug alcohol policy, which said one cannot drink at work. The employer also claimed Mr. Willis forfeited his right to benefits based on Section 2353(b) because the injury was due to his intoxication and/or reckless indifference to danger. 

Part of the evidence presented at the hearing was the entirety of the police body camera footage, which was over 90 minutes long; however, there were audio issues that cut the sound out for portions of the footage. The employer wanted to also admit the audio recording of the criminal plea hearing, but this was denied based on a hearsay objection. The employer wanted to admit results from a breathalyzer test taken hours after the accident, which were signed by both an alcohol technician and the claimant. However, the Industrial Accident Board excluded the breathalyzer test results because they were not properly authenticated by a witness to explain what the test is, how it is performed and what the results mean—despite the toxicology.

After consideration of the evidence, the Board granted the claimant’s petition in part and reject the employer’s course and scope and forfeiture arguments. 

The Board cited Larson’s treatise for the proposition that violating the employer’s drug alcohol policy did not take the accident outside the course and scope of employer. 

Next, the Board held the employer failed to meet its burden to prove the claimant was intoxicated or that the intoxication was the proximate cause of the accident. The Board reasoned the brand of light beer consumed by the claimant had a low alcohol content, no one saw the claimant drink the beers and the drive was two hours long. Therefore, the Board was unable to determine when Mr. Willis drank the beers and over how long a duration. No expert linked alcohol consumption to an inability to function. The police body camera footage did not correlate with the officers’ testimony about apparent intoxication. The employer’s own witnesses testified about the difficulty of driving the truck, and the claimant was driving for some time when the accident occurred, which, according to the Board, was evidence he was not intoxicated. 

The Board similarly held the employer did not carry its burden to prove the claimant’s reckless indifference to danger.

The employer appealed this decision to the Delaware Superior Court and advanced multiple arguments. The court first held the Board did not abuse its discretion when it excluded the breathalyzer test results and the related testimony regarding the toxicology report from evidence because there was no witness presented to authenticate the evidence. The court further reasoned someone needed to testify that the alcohol technician followed standard procedures in administering the test in order to establish the evidentiary foundation for admissibility. The court did note, if admitted, the test results from several hours after the accident would show BACs of .19 and .181—more than twice Delaware’s legal limit.

However, the court next held the Board abused its discretion by refusing to allow cross-examination of Mr. Willis by using an audio recording of prior statements he made during the Maryland proceeding. The court explained the Board’s decision to sustain the claimant’s hearsay objection was incorrect as Mr. Willis’ own statements, as an opposing party, are not hearsay. The court emphasized the significant probative value of the evidence as it pertained to issues such as the claimant’s physical state, level of intoxication and causation—whether he said anything about a deer causing him to swerve. 

Next, the court held the Board erred as a matter of law in finding that Mr. Willis was acting within the course and scope of his employment. A deviation from company policy does not remove an employee from the course and scope on its own, but the Board had taken that general rule and expanded it too far in this situation. The court cited the Larson’s workers’ compensation treatise to emphasize that voluntary intoxication that renders an employee incapable of performing work is a departure from the course of employment. Mr. Willis’ conduct was not just a violation of the employer’s drug and alcohol policy, it was manifestly unreasonable and unexpected for him to drink and drive while operating a semi-truck on a public highway. The court held this constituted reckless indifference to danger and was the epitome of the “I don’t care attitude” that is part and parcel of that analysis.

The court next addressed the section 2353(b) forfeiture contentions of reckless indifference, including the requirement that the injury was proximately caused by the intoxication. The court explained, the burden of proof for this forfeiture is a preponderance of the evidence, and the Board held the employer to a higher burden of proof when it required the employer to “clearly establish that actual intoxication caused the accident.” This was an error of law.

The court next held that substantial evidence established the employer proved both intoxication and that Mr. Willis acted deliberately and recklessly. The court described “overwhelming evidence” to support the fact that the claimant’s intoxication and reckless indifference to danger proximately caused the accident. 

The Board had already rejected the argument that a concussion accounted for Mr. Willis’ presentation in proceedings below, and that intoxication was the best explanation for the lack of use of Mr. Willis’ physical and mental faculties. The court criticized the Board’s decision to speculate about light beer’s impact on intoxication. The Board disregarded trained police officers’ account of their first-hand experience with the claimant and, instead, relied upon their own view of the video with incomplete audio. The court held there was an abuse of discretion because a reasonable mind would not have concluded that Mr. Willis was sober at the time of the accident or that his conduct was not recklessly indifferent.

Lastly, the court held the Board abused its discretion by applying the wrong causation standard and inserting its own speculative theory regarding the cause of the crash. The Board had reasoned that if Mr. Willis swerved the truck to avoid hitting deer, it would have resulted in an accident regardless of intoxication. This was the wrong analysis because (1) it implicitly required intoxication to be the exclusive cause rather than the proximate cause and (2) the factual speculation did not outweigh substantial evidence to the contrary in the record. 

Ultimately, the court determined the Board’s decision exceeded the bounds of reason in view of the circumstances. The Board erroneously relied on its own speculation instead of the substantial evidence in the record. It applied the wrong burden of proof. It abused its discretion by finding that no causation was established. According to the court, the Board’s decision would set a dangerous precedent, that employees can get away with driving impaired on the job—”as long as it’s light beer”—despite overwhelming evidence to the contrary. 


 

What’s Hot in Workers’ Comp, Vol. 29, No. 1, January 2025 is prepared by Marshall Dennehey to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. We would be pleased to provide such legal assistance as you require on these and other subjects when called upon. ATTORNEY ADVERTISING pursuant to New York RPC 7.1 Copyright © 2025 Marshall Dennehey, all rights reserved. No part of this publication may be reprinted without the express written permission of our firm. For reprints or inquiries, or if you wish to be removed from this mailing list, contact tamontemuro@mdwcg.com.

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Thought Leadership

Supreme Court of Pennsylvania Holds That Public Policy Does Not Prevent Insurance Coverage for Sex Trafficking Claims

On July 21, 2026, the Supreme Court of Pennsylvania issued an opinion emphasizing the limited circumstances in which courts may invoke public policy to bar insurance coverage, holding in Samsung Fire & Marine Insurance Co., Ltd. (U.S. Branch) v. RI Settlement Trust that Pennsylvania public policy does not preclude coverage for claims alleging that insureds enabled or profited from human sex trafficking. The decision rejects a line of federal district court decisions predicting otherwise and reinforces that Pennsylvania courts will invoke the public policy doctrine only in the clearest of circumstances. RI Settlement is particularly significant because it arose on certified questions from the United States Court of Appeals for the Third Circuit, giving the Supreme Court the opportunity to resolve an issue on which federal courts had predicted Pennsylvania law differently. RI Settlement arose out of four separate civil complaints in which the underlying plaintiffs alleged that, as minors, they were the victims of human sex trafficking at various hotels in Philadelphia. The plaintiffs claimed that the hotel owners were negligent in failing to stop the sex trafficking from happening at their hotels. After the filing of the lawsuits, the hotel owners sought coverage under their Commercial General Liability policies. The insurers initially defended the hotels under Reservation of Rights letters, though the carriers later filed Declaratory Judgment actions seeking declarations that they did not owe a duty to defend or indemnify. In short, the insurers argued in the alternative that they did not owe any obligation to provide coverage based upon Pennsylvania public policy (because the claims violated the Human Trafficking Law – 18 Pa.C.S. § 3011) and the terms and conditions of the policy. On motions for judgment on the pleadings, the District Court found for the insurers on the basis of public policy: There is no duty to defend or indemnify against actions arising out of an insured's criminal conduct related to the sex trafficking of minors. The Court appreciates that it may make public policy the basis of a judicial decision only in “the clearest of cases.” See Minnesota Fire & Cas. Co. v. Greenfield, 589 A.2d 854, 868 (Pa. 2004) (quoting Hall v. Amica Mut. Ins. Co., 648 A.2d 755, 760 (Pa. 1994)). Yet, the Court strains to imagine a clearer case than the one presented here in which the facts alleged indicate that Policyholders engaged in criminal conduct in violation of Pennsylvania's Human Trafficking Law. The hotel owners appealed the matter to the Third Circuit, which petitioned the Supreme Court of Pennsylvania to grant review of two certified questions of law: (1) whether Pennsylvania law had an “overriding public policy” against sex trafficking, such that an insurer’s duty to defend and/or indemnify is abrogated when an insured is alleged to have enabled or profited from such trafficking; and (2) if yes, is that duty abrogated whenever the insured’s alleged conduct would constitute a violation of the Pennsylvania Human Trafficking statute. Importantly, the certified questions did not ask the Supreme Court to determine whether the policies afforded coverage under their terms. Rather, the court was asked only whether Pennsylvania public policy independently barred coverage. As a result, the court assumed for purposes of answering the certified questions that the insurers otherwise owed a duty to defend and addressed only the public policy issue, leaving all policy-based coverage defenses for further proceedings. Because the court concluded that the answer to the first certified question was “no”, it did not reach the second issue. In reaching its determination that Pennsylvania public policy does not prohibit insurance coverage for sex trafficking claims, the court limited the impact of its decision in Minnesota Fire & Cas. Co. v. Greenfield, 855 A. 2d 854, 855 (Pa. 2004), which the RI Settlement opinion emphasized as having been an “Opinion Announcing Judgment of the Court” – or a plurality opinion. In Greenfield, the insured homeowner was sued by the estate of his houseguest who overdosed from heroin that he sold to her. The matter wound its way to the Supreme Court, which determined that the insurer did not owe a duty to defend or indemnify based upon Pennsylvania public policy, which criminalized the sale and use of heroin as a Schedule I narcotic. In RI Settlement, the court “decline[d] the invitation” to extend the rationale of the three-justice plurality in Greenfield beyond cases involving Schedule I controlled substances. In so holding, the justices in RI Settlement refused to “divine an overriding public policy pronouncement by the General Assembly by virtue of its enactment of the Human Trafficking Law.” The opinion further states that it is not “within the purview of this Court to rank the magnitude of the public policy underlying the various crimes defined in the Crimes Code. It is sufficient for the work of the courts to know that the General Assembly has identified conduct it deems harmful and dangerous to the maintenance of an orderly society and criminalized it.” While the court declined to declare that Pennsylvania public policy prohibits coverage for sex trafficking claims, the opinion in RI Settlement expressly states that insurers are free to include appropriate exclusionary language for such causes of actions in their policies if they desire to do so. It will certainly be interesting to see whether the insurance industry accepts the court’s invitation, or perhaps whether the Pennsylvania legislature steps in to clarify that sex trafficking claims are indeed of the type or magnitude that they should not be covered by insurance. In any event, we will, of course, continue to monitor this and other insurance coverage issues that arise before courts in Pennsylvania, New Jersey and throughout our firm’s geographic footprint and around the country.

Thought Leadership

New Jersey Appellate Division Affirms Exclusion of Legal Malpractice Expert as Impermissible Net Opinion

Jack Slimm and Jeremy Zacharias obtained a favorable decision on behalf of their client in a case centering on the admissibility of expert testimony in legal malpractice actions. In Martin v. Loury, the New Jersey Appellate Division affirmed the exclusion of a plaintiff's legal malpractice expert, holding that the expert's opinions on causation and damages were too speculative to support the malpractice claim. The legal malpractice action arose from an underlying employment dispute involving claims for damages stemming from the breach of an employment agreement. The plaintiff alleged that defense counsel committed malpractice during a second trial by failing to recall the plaintiff as a rebuttal witness after the employer's CEO testified. According to the plaintiff's expert, additional rebuttal testimony would have bolstered the plaintiff's damages claims and led to a more favorable result. Both the trial court and the Appellate Division rejected that theory. The courts found that the expert could not explain how the proposed rebuttal testimony would have altered the outcome of the underlying case or resulted in any additional recoverable damages. Notably, the trial judge in the underlying employment matter had already rejected the CEO's testimony as not credible and had accepted the damages analysis advanced by the plaintiff. The court had also determined that the amount of damages was not genuinely disputed. As a result, the expert's opinion that additional rebuttal testimony would have produced a better outcome was unsupported by the record and based on speculation rather than evidence. The Appellate Division agreed that neither the plaintiff nor the expert could identify any actual damages attributable to the alleged malpractice or demonstrate the required element of proximate causation. The court further upheld the trial court's application of New Jersey's net opinion doctrine, finding that the expert failed to provide the necessary "why and wherefore" supporting his conclusion that the attorney's conduct caused a compensable loss. Because the opinions rested on unquantified possibilities rather than demonstrable facts, they were inadmissible. Key Takeaway for Legal Malpractice Defendants For attorneys and firms defending legal malpractice claims, Martin v. Loury underscores the importance of closely scrutinizing an opponent's expert report on the critical elements of proximate causation and damages. The decision demonstrates that a malpractice claim cannot survive where an expert merely speculates that different litigation tactics might have produced a better result. Instead, the plaintiff must present admissible expert testimony grounded in the record that explains how the alleged attorney error probably changed the outcome of the underlying matter and resulted in measurable damages.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict. 

Thought Leadership

Court Allows Recklessness and Punitive Damages Claims to Proceed After Work‑Zone Crash

In a case where a defendant filed preliminary objections against allegations of recklessness and punitive damages, the Susquehanna County Court of Common Pleas denied these preliminary objections. This case stems from a motor vehicle accident, where the defendants car struck the plaintiffs car after the defendant allegedly fell asleep at the wheel, going at a high rate of speed, through a construction work zone. Defendant first objected to the general allegations throughout the plaintiff’s complaint pertaining to “reckless” conduct contending that there were insufficient factual allegations to support the claim of reckless conduct. Defendant next objected to the plaintiffs claim for punitive damages, as punitive damages may only be assessed against a motorist for falling asleep while driving if there is further evidence to prove driver was aware of their drowsiness and risk of falling asleep. Lastly, defendant objected to plaintiffs complaint, claiming it lacked specificity. The court here found that the plaintiff had included in the complaint specific allegations related to the defendant’s alleged recklessness, including allegations regarding speeding in a work zone, almost striking the flagger, falling asleep at the wheel, and striking the plaintiffs vehicle which was stopped. Additionally, the court noted that falling asleep does not come without warning. The court found that these allegations were sufficient to support an allegation of recklessness at the pleadings stage.