SMITH, KENDRA V. REGARD RECOVERY JP, LLC
Citation
2025 TN WC 52
Court
Tennessee Court of Workers' Compensation Claims
Decided
August 5, 2025
Jurisdiction
SS
Importance
45%
Case Summary
FILED Aug 05, 2025 02:18 PM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT NASHVILLE KENDRA SMITH, ) Docket Nos. 2025-60-3038 Employee, ) 2025-60-3037 v. ) REGARD RECOVERY JP, LLC, ) Employer, ) TECHNOLOGY INSURANCE CO., ) Carrier. ) State File Nos. 40527-2024 ) 860132-2025 And, ) TROY HALEY AS ) ADMINSTRATION OF THE ) SUBSEQUENT INJURY AND ) VOCATIONAL RECOVERY FUND ) Judge Joshua D. Baker FOR THE STATE OF TENNESSEE. ) ) ) EXPEDITED HEARING ORDER At a July 23 expedited hearing, Ms. Smith requested a pulmonology panel, medical treatment, and continued temporary disability benefits for an alleged work-related aggravation of her preexisting asthma.1 For the reasons below, the Court holds she is likely to prevail at a final hearing on a pulmonology referral. Further, because she has workplace restrictions that Regard Recovery did not accommodate, she is also likely to prevail in proving entitlement to temporary disability benefits. However, without expert medical evidence establishing the reasonableness and necessity of the specific medical treatment she sought, that request is denied at this time. 1 Regard Recovery filed a motion to consolidate these claims, which Ms. Smith opposed. At the trial’s outset, the Court consolidated the claims for the purpose of this hearing because Ms. Smith was seeking the same benefits in both claims. 1 Claim History Ms. Smith was exposed to vape smoke at work twice within a week, once on May 22 and again on June 1, 2024. She alleged the exposures aggravated her preexisting asthma, and Regard Recovery initially accepted her claim. Within three days of her last exposure, an adjuster emailed Ms. Smith a choice of three walk-in clinics listed in the body of an email but omitting any physicians’ names. Ms. Smith responded to the email with her choice of clinic. At the clinic, a nurse recommended on June 6 that Ms. Smith see a pulmonologist. Her recommendation read, “Follow up with pulmonologist as recommended to evaluate the extent of the potential damage to your lungs that vaping smoke may be contributing to.” A doctor at the same clinic also signed a pulmonology referral about a week later, on June 14. Additionally, Ms. Smith received restrictions that Regard Recovery did not accommodate, leaving her unemployed. Christopher Broderick, who supervised adjusters on Ms. Smith’s claim, signed a declaration detailing the efforts made to find three pulmonologists until the claim’s denial “as not a compensable incident” on January 17, 2025. Mr. Broderick explained, “Despite these efforts, no panel of three pulmonologists could be assembled in compliance with Tennessee workers’ compensation requirements.” Regard Recovery gave no proof explaining why the claim was denied at that time. Four months after the denial, Dr. Margaret Ikard, Ms. Smith’s primary care doctor, signed a letter explaining Ms. Smith saw “pulmonology for asthma and sleep apnea” before the work exposures but “did not require oxygenation during the day.” Since then, she continued, “The patient has reported worsening . . . symptoms with exposure to smoking, vaping, and air pollutants. To my knowledge, patient’s respiratory status has progressively declined, to now requiring oxygen.” A day later, and nearly a year after the pulmonology referral, Regard Recovery offered Ms. Smith a panel of two pulmonologists. But Ms. Smith declined to choose one since the panel limited her choice to only two physicians.
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Status
Decided
Date Decided
August 5, 2025
Jurisdiction
SS
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federal
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FILED Aug 05, 2025 02:18 PM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT NASHVILLE
KENDRA SMITH, ) Docket Nos. 2025-60-3038
Employee, ) 2025-60-3037
v. )
REGARD RECOVERY JP, LLC, )
Employer, )
TECHNOLOGY INSURANCE CO., )
Carrier. ) State File Nos. 40527-2024
) 860132-2025
And, )
TROY HALEY AS )
ADMINSTRATION OF THE )
SUBSEQUENT INJURY AND )
VOCATIONAL RECOVERY FUND ) Judge Joshua D. Baker
FOR THE STATE OF TENNESSEE. )
)
)
EXPEDITED HEARING ORDER
At a July 23 expedited hearing, Ms. Smith requested a pulmonology panel, medical
treatment, and continued temporary disability benefits for an alleged work-related aggravation of her preexisting asthma.1 For the reasons below, the Court holds she is likely to prevail at a final hearing on a pulmonology referral. Further, because she has workplace restrictions that Regard Recovery did not accommodate, she is also likely to prevail in proving entitlement to temporary disability benefits. However, without expert medical evidence establishing the reasonableness and necessity of the specific medical treatment she sought, that request is denied at this time.
1 Regard Recovery filed a motion to consolidate these claims, which Ms. Smith opposed. At the trial’s outset, the Court consolidated the claims for the purpose of this hearing because Ms. Smith was seeking the same benefits in both claims.
1
Claim History
Ms. Smith was exposed to vape smoke at work twice within a week, once on May
22 and again on June 1, 2024. She alleged the exposures aggravated her preexisting asthma, and Regard Recovery initially accepted her claim.
Within three days of her last exposure, an adjuster emailed Ms. Smith a choice of
three walk-in clinics listed in the body of an email but omitting any physicians’ names. Ms. Smith responded to the email with her choice of clinic.
At the clinic, a nurse recommended on June 6 that Ms. Smith see a pulmonologist.
Her recommendation read, “Follow up with pulmonologist as recommended to evaluate the extent of the potential damage to your lungs that vaping smoke may be contributing to.” A doctor at the same clinic also signed a pulmonology referral about a week later, on June 14. Additionally, Ms. Smith received restrictions that Regard Recovery did not accommodate, leaving her unemployed.
Christopher Broderick, who supervised adjusters on Ms. Smith’s claim, signed a
declaration detailing the efforts made to find three pulmonologists until the claim’s denial “as not a compensable incident” on January 17, 2025. Mr. Broderick explained, “Despite these efforts, no panel of three pulmonologists could be assembled in compliance with Tennessee workers’ compensation requirements.” Regard Recovery gave no proof explaining why the claim was denied at that time.
Four months after the denial, Dr. Margaret Ikard, Ms. Smith’s primary care doctor,
signed a letter explaining Ms. Smith saw “pulmonology for asthma and sleep apnea” before the work exposures but “did not require oxygenation during the day.” Since then, she continued, “The patient has reported worsening . . . symptoms with exposure to smoking, vaping, and air pollutants. To my knowledge, patient’s respiratory status has progressively declined, to now requiring oxygen.”
A day later, and nearly a year after the pulmonology referral, Regard Recovery
offered Ms. Smith a panel of two pulmonologists. But Ms. Smith declined to choose one since the panel limited her choice to only two physicians.
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Status
Decided
Date Decided
August 5, 2025
Jurisdiction
SS
Court Type
federal
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Metadata
Additional information
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