STATE of West Virginia ex rel. City of Martinsburg, a Municipal Corporation, Petitioner, v. Honorable David H. SANDERS, Judge of the Berkeley County Circuit Court; Christopher W. Beard, Mark Stroop, Steven T. Canby, Scott W. Stroop, Daniel M. Thomas, Donna Harmison, Derrick Crawford, Michael A. Johnson, Fred Pearrell, R.A. Talbott, Jr., Anthony Sirna, John Glen Holben, Jonathan Fink, Jason Gochenour and Jason E. Hoover, Respondents, 219 W. Va. 228

ALBRIGHT, Justice. City of Martinsburg (hereinafter referred to as “Martinsburg”) invokes this Court’s original jurisdiction by seeking a writ of prohibition to bar the Circuit Court of Berkeley County from conducting further proceedings in an action based on a negligence claim seeking award of medical monitoring expenses brought against Martinsburg by current and former firefighters (hereinafter referred to as “Respondents”) employed by the city.

Martinsburg maintains that the lower court committed clear legal error by denying its motion for judgment on the pleadings, thereby requiring Martinsburg to proceed with litigating the case, despite the statutory immunity afforded it by the provisions of the Governmental Tort Claims and Insurance Reform Act (hereinafter referred to as “Governmental Tort Claims Act”), West Virginia Code

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Article 12A. After careful consideration of this matter, we grant the writ as requested for the reasons stated below. I. Factual and Procedural Background The action for which Martinsburg sought dismissal below was brought by Respondents as employee firefighters of the city who claimed that significant exposure to diesel exhaust from fire engines and/or emergency vehicles stored at Martinsburg’s central fire station increased their risk of cancer, respiratory difficulties, heart disease and hearing loss.

The object of Respondents’ negligence suit is to obtain medical monitoring damages, although none of Respondents claim present physical injury due to the exposure to the exhaust fumes at their workplace. On June 10, 2005, Martinsburg filed a motion for judgment on the pleadings, pursuant to Rule 12(

c) of the West Virginia Rules of Civil Procedure, asserting governmental immunity. On August 4, 2005, the lower court denied Martinsburg’s motion finding that the city had failed to meet its burden to establish its right to immunity under West Virginia Code § 29-12A-5(a)(ll), a provision of the Governmental Tort Claims Act. Thereafter, Martinsburg petitioned this Court for a writ of prohibition for which we issued a rule to show cause on October 6, 2005. II.

Standard of Review This Court has used prudence in granting relief through prohibition because “[p]rohibition lies only to restrain inferior courts from proceeding in causes over which they have no jurisdiction, or, in which, having jurisdiction, they are exceeding their legitimate powers_” Syl. Pt. 1, in part, Crawford v. Taylor, 138 W.Va. 207, 75 S.E.2d 370 (1953). In the matter now pending, no question is raised about the lower court acting outside its authority; Martinsburg instead maintains that the court below exceeded its legitimate powers by denying its motion on the pleadings.

Where a circuit court is acting within its jurisdiction, this Court has traditionally examined the following five factors to determine whether a writ of prohibition should issue: (1) whether the party seeking the writ has no other adequate means, such as direct appeal, to obtain the desired relief; (2) whether the petitioner will be damaged or prejudiced in a way that is not correctable on appeal; (3) whether the lower tribunal’s order is clearly erroneous as a matter of law; (4) whether the lower tribunal’s order is an oft repeated error or manifests persistent disregard for either procedural or substantive law; and (5) whether the lower tribunal’s order raises new and important problems or issues of law of first impression.

Syl. Pt. 4, in part, State ex rel. Hoover v. Berger, 199 W.Va. 12, 483 S.E.2d 12 (1996). We have further noted that “[tjhese factors are general guidelines that serve as a useful starting point” in our deliberations of a petition for writ of prohibition, and “[although all five factors need not be satisfied, ... the existence of clear error as a matter of law[ ] should be given substantia] weight.” Id. It is with these principles in mind that we consider the merits of the petition. III.

Discussion The fundamental question raised in this case is whether a claim of simple negligence, without injury, against a political subdivision employer for allegedly failing to maintain a reasonably safe workplace for its employees is actionable in light of the immunity provisions of the Governmental Tort Claims Act. W.Va.Code § 29A-12-5(a)(ll) (1986) (Repl.Vol.2004).

The immunity provision relied upon by Martinsburg states that “[a] political subdivision is immune from liability if a loss or claim results from: ... (ll)[a]ny claim covered by any workers’ compensation law or any employer’s liability law.” Respondents successfully argued below that Martinsburg failed to satisfy its burden as set forth in Marlin v. Bill Rich Construction, Inc., 198 W.Va. 635, 482 S.E.2d 620 (1996). The lower court’s order denying Martinsburg’s motion for judgment on the pleadings concluded as follows: The Court further finds that the defendant has failed to meet the burden set forth in Marlin v.

Bill Rich Construction, Inc., 198 W.Va. 635, 482 S.E.2d 620 (1996)[,] to establish to the satisfaction of the Court that each plaintiff has or could bring a claim covered by the West Virginia workers compensation law or some other employer liability law. The Court finds that the plaintiffs’ claims for medical monitoring are based upon the increased risk of contracting future diseases and not upon any present injury that would be covered under any workers compensation law or other employer liability law.

The Court further finds that ... under the plain language of W.Va.Code § 29-12A-5(a)(ll) the statutory immunity only applies to claims covered by workers’ compensation law or other employer’s liability law. The Court cannot conclude on the record before it, that the plaintiffs have, in fact and presently, contracted any occupational disease by reason of the inhalation of minute par-tides of diesel exhaust over a period of time or that they have suffered a perceptible aggravation of a previously existing occupational disease.

Accordingly, it cannot be said that, as a matter of law, plaintiffs may successfully maintain a workers’ compensation claim for “injury” by reason of any occupational disease. The Court further finds that plaintiffs’ claims for fear of contracting lung cancer or heart disease also would not meet the statutory requirements necessary to establish a claim com-pensable under workers compensation. The Court finds that the defendant has failed to meet its burden to establish its right to immunity under W.Va.Code § 29-12A-5(a)(ll) ... [and] DENIES the defendant’s motion for judgment on the pleadings.

In Marlin, the question before this Court was whether a board of education had governmental immunity under West Virginia Code § 29-12A-5(a)(ll) from claims of construction workers not employed by the board but performing services at a school through an independent contract. The workers alleged that they were exposed to asbestos fibers at the worksite, but they claimed no physical injury. The board argued in Marlin that the construction workers’ claims against it were barred under West Virginia Code § 29-12A-5(a)(ll) because the claims were covered by this state’s Workers’ Compensation law.

The issue addressed in Marlin was “whether the claims ... [were] ‘covered’ at all by workers’ compensation.” 198 W.Va. at 641 n. 3, 482 S.E.2d at 626 n. 3.

We concluded in syllabus point three of Marlin that: If the claims asserted by appellants would result in no benefits under any workers’ compensation law or any employer’s liability law, that is to say, if there is no recovery of benefits under such laws in lieu of damages recoverable in a civil action, then notwithstanding W.Va.Code § 29-12A-5(a)(ll), such claims are not “covered” within the meaning of the immunity statute and may be asserted in the courts of this State against a political subdivision which is not their employer, and such recovery had as may be proved under a recognized cause of action. 198 W.Va. at 638, 482 S.E.2d at 623 (emphasis added).

The facts in the case at hand are critically different from those on which Marlin was decided. Unlike the political subdivision in Marlin, Martinsburg is the employer of the workers. As the above-cited syllabus point makes clear, Marlin does not address a cause of action between an employer and employee and thus is inapplicable to the facts presented herein. The lower court’s reliance on Marlin, therefore, was misplaced. Respondents have alleged a negligence claim against their employer seeking an award for medical monitoring.

In order to sustain a claim to support an award of medical monitoring expenses in this state, a plaintiff must prove the following: (1) significant exposure; (2) to a proven hazardous substance; (3) through the tortious conduct of the defendant; (4) which proximately caused an increased risk of plaintiff contracting serious latent disease; (5) with the increased risk making it reasonably necessary for the plaintiff to undergo periodic diagnostic testing; and (6) early detection of a disease is possible through existing monitoring procedures. Syl. Pt. 3, Bower v. Westinghouse Elec.

Corp., 206 W.Va. 133, 522 S.E.2d 424 (1999). All six elements must be proven before recovery is available to any plaintiff. In re Tobacco Litigation, 215 W.Va. 476, 480, 600 S.E.2d 188, 192 (2004). Of the six areas of proof required according to Bower, the “tortious conduct of the defendant” element is central to oar decision of the matter now pending. Expounding on the meaning of the tortious conduct element, this Court stated in Bower: 3. Tortious Conduct. Liability for medical monitoring is predicated upon the defendant being legally responsible for exposing the plaintiff to a particular hazardous substance.

Legal responsibility is established through application of existing theories of tort liability. ‘Recognition that a defendant’s conduct has created the need for future medical monitoring does not create a new tort. It is simply a compensable item of damage when liability is established under traditional theories of tort recovex*y.’ ...

This is not to say that a plaintiff may not, as a matter of pleading, assert a separate cause of action based upon medical monitoring; rather, it means that underlying liability must be established based upon a recognized tort — e.g., negligence, strict liability, trespass, intentional conduct, etc. 206 W.Va. at 142, 522 S.E.2d at 433 (emphasis added) (internal citations omitted). Hence, it is necessary to examine whether or not Respondents’ claim based on the recognized tort of negligence is a legally sufficient independent cause of action within the context of an employer/employee relationship.

Respondents in this case claim no present injury and on that basis contend that their claim falls outside of the provisions of the Workers’ Compensation law. In support of this position, Respondents direct us to this Court’s decision in Jones v. Rinehart & Dennis Co., 113 W.Va. 414, 168 S.E. 482 (1933), wherein it was held that employers are not exempt from liability when a disease caused by the negligence of an employer is noncom-pensable under Workers’ Compensation. Id. at Syl. Pt. 4. We do not believe that the Jones decision has bearing on the instant case.

At the time Jones was decided, the only occupational diseases covered by Workers’ Compensation were those specifically enumerated in the statute, West Virginia Code § 23-4-1 (1931). By amendment in 1949, the Legislature expanded Workers’ Compensation coverage to any occupational disease proven to be incurred in the course of and resulting from employment. Powell v. State Workmen’s Compensation Comm’r, 166 W.Va. 327, 273 S.E.2d 832 (1980).

Accordingly, the type of potential harm Respondents allege falls within the definition of occupational disease contemplated by the Legislature as within the scope of Workers’ Compensation and to which the employer immunity provision of the Workers’ Compensation Act may apply. The employer immunity provision of the Workers’ Compensation law appears in West Virginia Code § 23-2-6 (2003) (Repl.Vol. 2005), which states in relevant part: [a]ny employer subject to this

chapter who subscribes and pays into the workers’ compensation fund the premiums provided by this

chapter or who elects to make direct payments of compensation as provided by this

section is not liable to respond in damages at common law or by statute for the injury or death of any employee, however occurring, after so subscribing or electing.... The sole exception to the immunity provision in the Workers’ Compensation statutes is discussed in West Virginia Code § 23-4-2 (2005) (Repl.Vol.2005), where the intent of the Legislature regarding employer liability is set forth as follows: (d)(l)It is declared that enactment of this

chapter and the establishment of the workers’ compensation system in this

chapter was and is intended to remove from the common law tort system all disputes between or among employers and employees regarding the compensation to be received for injury or death to an employee except as expressly provided in this

chapter and to establish a system which compensates even though the injury or death of an employee may be caused by his or her own fault or the fault of a coemploy-ee; that the immunity established in sections six [§ 23-2-6] and six-a [§ 23-2-6a],

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chapter is an essential aspect of this workers compensation system; that the intent of the Legislature in providing immunity from common lawsuit was and is to protect those immunized from litigation outside the workers’ compensation system except as expressly provided in this chapter; that, in enacting the immunity provisions of this chapter, the Legislature intended to create a legislative standard for loss of that immunity of more narrow application and containing more specific mandatory elements than the common law tort system concept and standard of willful, wanton and reckless misconduct; and that it was and is the legislative intent to promote prompt judicial resolution of the question of whether a suit prosecuted under the asserted authority of this

section is or is not prohibited by the immunity granted under this chapter.

(2) The immunity from suit provided under this

section and under sections six [§ 23-2-6] and six-a [§ 23-2-6a],

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chapter may be lost only if the employer or person against whom liability is asserted acted with “deliberate intention” _ We adhered to these statutory principles in O’Dell v. Town of Gauley Bridge, 188 W.Va. 596, 603, 425 S.E.2d 551, 558 (1992), when we explained that “persons covered by workers’ compensation forfeit their common law tort remedies against their employers, absent willful injury.” In O’Dell, the constitutionality of West Virginia Code § 29-12A-5(a)(ll) was examined and upheld.

In the course of that discussion we stated that “W.Va.Code, 29-12A-5(a)(ll), provides immunity to a political subdivision for all damages arising from a tortious injury, not merely for those compensated by workers’ compensation.” 188 W.Va. at 610, 425 S.E.2d at 565. The plaintiffs in O’Dell argued that, by using the phrase “[a]ny claim covered by any workers’ compensation law” in West Virginia Code § 29-12A-5(a)(ll), the Legislature intended to provide immunity only to the extent that plaintiffs are or could be compensated for their injuries by the Workers’ Compensation benefits received.

The O’Dell plaintiffs interpreted the word “claim” to mean a claim for Workers’ Compensation and asserted on this premise that political subdivisions have no immunity from liability for elements of damages not compensated by such benefits. In rejecting such limited meaning of the term “claim,” this Court said in O’Dell that “it must be remembered that a claim is not based on negligence. It encompasses a variety of statutory monetary benefits ... some of which are included in the normal tort claim.” 188 W.Va. 596, 610, 425 S.E.2d 551, 565.

We then concluded that West Virginia Code § 29-12A-5(a)(ll) extends immunity to a political subdivision for all damages in tort, not merely those compensated by Workers’ Compensation. In the case before us, Respondents in essence also urge a narrow reading of the term “claim” by arguing that since there is no present injury, a Workers’ Compensation claim may not be maintained. We again refuse to assign such a limited meaning to the word “claim” in light of the Legislature’s expressed intention regarding employer immunity from suit.

The potential injury Respondents fear falls within the ambit of the Workers’ Compensation system as an occupational disease arising out of and during the course of employment for which negligence actions against the employer are barred by the immunity provisions of the Workers’ Compensation law. The immunity from liability afforded all employers participating in the Workers’ Compensation system through West Virginia Code § 23-2-6 protects employers, including a political subdivision such as Martinsburg, against awards of medical monitoring damages based on common law tort theories.

Syllabus point three of Bowers by its terms indicates that medical monitoring is only a compensable item of damage when liability is established under traditional theories of recovery. Traditional theories of recovery are simply not available in this instance since Workers’ Compensation is intended to insulate Martinsburg as a participating employer from incurring liability based upon common law grounds with regal'd to occupational disease claims.

Insofar as Respondents try to raise claims against the employer for negligent conduct, emotional distress or the like, Martinsburg is protected by the statutory remedy available through the Workers’ Compensation system. Accordingly, the immunity provision of the Governmental Tort Claims Act, granting immunity to political subdivisions for “any claim covered by any workers’ compensation law or any employer’s liability law” demands dismissal of this suit. W.Va. Code § 29-12A-5(a)(ll).

Since the lower court’s denial of the motion for judgment on the pleadings represents a clear legal error, the writ of prohibition requested by Martinsburg is granted. IV. Conclusion Finding that Martinsburg is immune from suit, the writ of prohibition barring implementation of the August 4, 2005, order of the Circuit Court of Berkeley County, so as to curtail further proceedings in this matter, is granted. Writ of prohibition granted. . See W.Va. Constitution Art. VIII § 3; W.Va. Code § 51-1-3 and Ch. 53 Art. 1 (Repl.VoI.2000). .

"Political subdivision" as defined in West Virginia Code § 29-12A-3(c) (1986) (Repl.Vol.2004) includes municipalities such as Martinsburg. . Subsequent to our decision in O’Dell, we found political subdivisions to be immune from liability for “deliberate intent” causes of action expressly allowed to be brought against employers generally under the statutory Workers' Compensation scheme. Syl. Pt. 4, Michael v. Marion County Bd. of Educ., 198 W.Va. 523, 482 S.E.2d 140 (1996). .

We express no opinion as to whether the medical monitoring sought by Respondents may constitute a medical benefit under the Workers' Compensation Act. .It should be noted that the Court has applied this statutory immunity to all employers, not just political subdivisions, as announced in the recently released case of Bias v. Eastern Associated Coal Corporation, No. 32778,-W.Va.-,-S.E.2d-, 2005 WL 4076760 (2006), in which the author of this opinion has dissented.