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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.

Firm Highlights

Thought Leadership

What’s Hot in Workers’ Comp - News and Results*

RESULTS* Ben Durstein (Wilmington) obtained a favorable decision involving a claimant who fractured his patella in a work accident requiring two surgeries. The IAB rejected the claimant’s medical expert’s opinion that he sustained a 25% permanent impairment to the right lower extremity. Instead, the board accepted the opinion of the employer’s medical expert that the appropriate permanency was 13% utilizing the 6th Edition of the AMA Guides to the Evaluation of Permanent Impairment. Tony Natale III (King of Prussia) successfully had a claim petition alleging new injuries and periods of disability dismissed based on full recovery. The claimant was injured when his skid loader was struck by another loader in the process of baling hay. Original injuries were accepted and the claimant returned to work. Thereafter, the claimant abandoned work and filed a claim petition to assert new injuries and extended disability. Cross examination of the claimant’s medical expert stunningly revealed his failure to review claimant testimony, his lack of awareness of a social security disability decision detailing the existence of claimant’s alleged work-related conditions prior to the date of work injury, and his failure to understand that the claimant admitted to full recovery of injuries for which he was continuing to treat. Tony Natale III (King of Prussia) successfully obtained a defense verdict in a Medicare conditional payment lien third level appeal. The United States government alleged a Medicare conditional lien payment was due and owing in the upper six-figure range based on an auto accident and PIP policy for which the government conditionally became the primary carrier. The government argued that our client, the PIP carrier, was the primary payer and, under federal law, must reimburse the government for its conditional lien payment. At the third-level appeal hearing, the government’s position was refuted by the revelation that the date of injury tied to the medical bills associated with the lien was glaringly and chronologically prior to the insurer’s PIP policy date. The court held that based on this evidence and argument, the government could not meet its requirements to assert a lien against our client. A. Judd Woytek (King of Prussia) and John Abda (Scranton) successfully had a workers’ compensation claim petition granted for medical benefits only for a closed period with no wage loss awarded. The claimant alleged multiple injuries as the result of a very minor motor vehicle incident where a co-worker’s delivery van rolled down an incline of approximately six feet, and bumped into the rear of the claimant’s delivery van. He claimed he was thrown forward and suffered head and neck injuries, along with aggravating a pre-existing ankle injury. The claimant was also terminated following the accident for having a large hunting knife in his van, which was against the employer’s workplace violence policy. The judge granted the claim for a mild concussion and an ankle contusion, but terminated medical benefits as of the date of our IME’s. The judge found that no wage loss benefits were payable as the claimant was terminated for cause and work remained available to him. The judge found our medical experts to be more credible than the claimant’s, along with finding our four employer witnesses to all be credible. The trial team was assisted by paralegal Bonnie Zemek (King of Prussia). Eric Scott Thompson (Wilmington) was successful in a workers’ compensation matter in Delaware. On October 15, 2024, the claimant was injured while performing fire training in a multistory building when he tripped over a fire line, injuring his right knee. The claimant received regular and consistent treatment for the right knee through August 29, 2025, when he presented with left knee complaints for the first time. His treating orthopedist diagnosed a hamstring strain. The claimant was next seen October 15, 2025, with continued left knee complaints, and was referred to a total knee doctor within the practice. He was then diagnosed with a posterior root tear of the medial meniscus. Our expert testified that it was not plausible for a lateral hamstring strain to progress to a meniscal tear in two months. The claimant required a total knee replacement that was ultimately performed in February 2026. In the six months between the time of initial presentation with left knee complaints and the total knee replacement, conservative care consisted of a single injection. Our expert testified that posterior root media meniscal tears can respond to conservative care, and it was not known if it would with the claimant because it was not adequately explored. The Industrial Accident Board agreed with our expert and determined that the claimant failed to meet the burden of establishing more likely than not that the left knee complaints were caused by overloading/overuse as a result of the compensable injury to the right knee. They also agreed that the claimant was able to return to work in a sedentary capacity as opined by his physicians and our expert prior to the left total knee replacement and that there were employment opportunities available within his restrictions and capabilities as presented by the vocational expert. As a result, the claimant was no longer entitled to total disability benefits and will receive partial disability benefits for which he is limited to 300 weeks. Michele Punturi (Philadelphia) and Alana Staniszewski (Pittsburgh) had a termination petition granted in a Pennsylvania workers’ compensation case. The petition involved an echocardiography technologist with long-term employment at a local hospital who sustained a right shoulder injury resulting in surgery in January 2024. Following surgery, the claimant was diagnosed with a frozen shoulder and underwent additional surgery in June 2024, with a recommendation for a third surgery. The opinions of the defense medical expert, a Board-certified orthopedic surgeon, were found credible, persuasive, and competent based upon the extensive history he obtained from the claimant, analysis of the mechanism of injury, and review of records, along with comparison of MRIs from October 2023, February 11, 2024, and January 6, 2025, which failed to reveal any causal relationship other than a strain/sprain of the right shoulder. This evidence supported that the claimant had fully recovered, and was not in need of any ongoing medical treatment and/or restrictions. In particular, despite allegations of injuries beyond a sprain/strain, the defense medical expert identified that those allegations were not consistent with what was found at the time of surgery, and elements of the surgery were to treat a chronic and degenerative condition. Additionally there were no ongoing issues or problems with the subscapularis, which was intact, consistent with the follow-up MRI of February 11, 2024, and the claimant did not have evidence of a frozen shoulder. In fact, the MRIs and mechanism of injury, he opined, did not support any injury causing tendonitis or inflammatory conditions within the bicep tendon. Furthermore, multiple days of surveillance footage demonstrated the claimant’s normal use, with the ability to sweep and shovel snow, operate her vehicle, raise her arms above shoulder level, and use a broom – all without any observable difficulty, which challenged the claimant’s credibility of a disability and further established a lack of causation. As a result of this favorable decision, supersedeas fund reimbursement will be obtained for both wage loss and medical benefits through the supersedeas fund recovery process. *Prior Results Do Not Guarantee a Similar Outcome NEWS Heather Carbone (Jacksonville) was a panelist for a webinar hosted by The Workers’ Compensation Claims Professionals (WCCP) Association. As part of the “Meet the Experts” Series, the speakers addressed “Afterthoughts that Undermine a Successful Mediation,” highlighting the pitfalls and challenges of underprepared or unprepared mediation participants. The discussion included appropriate pre-mediation communications, setting of expectations, management of expectations, and working through the unexpected or unprepared. Attendees gained ideas about how and when to prepare, best practices, and the potential for non-parties (spouse, significant other, risk owners-insurers) to have differing perspectives or concerns than the actual employee and employer. On May 21-22, 2026, A. Judd Woytek, (King of Prussia) joined a panel at the CLM Alliance (Claims and Litigation Management Alliance) Work Comp Conference in Nashville to present "We See You: How Employee Engagement Enhances Work Comp Outcomes." Judd and his fellow panelists discussed the positive impact of employee engagement on claim outcomes, return-to-work timelines, and overall claim costs.

Thought Leadership

NJ Workers' Compensation Legislation Update

A couple more bills were introduced for the 2026-27 session. Any updates since February have been highlighted in bold. A1023 | S3984 Medical use of cannabis under certain circumstances This requires workers’ compensation, PIP, and health insurance coverage for the medical use of cannabis under certain circumstances. It was introduced on January 13, 2026 and referred to the Assembly Financial Institutions and Insurance Committee. It was also introduced on March 19, 2026 and referred to the Senate Commerce Committee. A1045 Certain injuries to volunteer and professional public safety and law enforcement personnel This revises workers’ compensation coverage for certain injuries to volunteer and professional public safety and law enforcement personnel. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. A3724 Personal liability to employer officers for failure to pay for coverage This provides personal liability for owner, executive officer, or executive director of employer for failure to pay for workers' compensation coverage. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly Judiciary Committee. A4617 Certain workers' compensation supplemental benefits and funding method This concerns certain workers' compensation supplemental benefits and funding method. For a permanently and totally disabled worker or surviving dependents after December 31, 1979, with some exceptions, this bill provides for an annual cost of living adjustment in the weekly workers’ compensation benefit rate. It was introduced on March 10, 2026, and referred to the Assembly Labor Committee. S241 Inclusion in database of appointed officials This requires that workers’ compensation judges and administrative law judges be included in database of appointed officials. It was introduced on January 13, 2026 to the Senate, Referred to Senate State Government, Wagering, Tourism & Historic Preservation Committee. A1870 | S1379 Workers' compensation benefits for certain workers due to September 11, 2001, terrorist attacks This provides workers’ compensation benefits for certain public safety workers who developed illness or injury as result of responding to September 11, 2001 terrorist attacks. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. It was also introduced on the same day and referred to the Senate Labor Committee. On February 5, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. A2779 | S1521 Excludes Certain Illegal Aliens This excludes certain illegal aliens from workers’ compensation and temporary disability benefits. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A2792 | S1555 Prevent Intoxicated Employees from Workers’ Compensation This prevents intoxicated employees from receiving workers’ compensation. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. S2290 Increase Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 72. It was introduced on January 13, 2026, and referred to the Senate Judiciary Committee. A3167 | S2372 Workers’ compensation insurance requirements for certain corporations and partnerships. This concerns workers’ compensation insurance requirements for certain corporations and partnerships. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A1384 | S2757 Reduce Statute of Limitations in Medical Fee Disputes This reduces statute of limitations from six years to two years in medical fee disputes in workers’ compensation matters. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. S3144 Testimony in Workers’ Compensation This concerns submission of testimony in workers’ compensation claims. It was introduced on January 13, 2026, and referred to the Senate Labor Committee. S3342 Increase Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 75. It was introduced on February 5, 2026, and referred to the Senate Judiciary Committee. A3548 | S3571 Maximum benefits for certain volunteers This provides certain volunteer and other workers with maximum compensation benefit for workers' compensation claim regardless of outside employment.. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. On March 2, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly State and Local Government Committee.

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.