Employers across the state of West Virginia are waiting for the West Virginia Supreme Court of Appeals to issue its decision in a case involving permanent total disability (PTD). Argued on February 14, 2017, the case involves the proper application of West Virginia Code § 23-4-6(n)(1), the West Virginia Code of State Rules § 85-20-64.1 (Rule 20), as well as the court's previous holding in Bowles v. The New West Virginia Mining Co., No. 14-1066 (July 9, 2015), as they relate to the required threshold of impairment for PTD.