Adkins v. Workers' Compensation Commissioner

330 S.E.2d 329, 175 W. Va. 7, 1985 W. Va. LEXIS 558
CourtWest Virginia Supreme Court
DecidedMay 10, 1985
DocketNo. 16364
StatusPublished

This text of 330 S.E.2d 329 (Adkins v. Workers' Compensation Commissioner) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adkins v. Workers' Compensation Commissioner, 330 S.E.2d 329, 175 W. Va. 7, 1985 W. Va. LEXIS 558 (W. Va. 1985).

Opinion

MILLER, Justice:

The principal issue on this appeal is the authority of the Workers’ Compensation Commissioner to dismiss an employee’s claim for temporary total disability benefits and require repayment of all benefits received. The employee had failed to appear at a hearing after being notified by the Commissioner to appear and did not respond to the Commissioner’s subsequent fifteen-day notice letter which requested the employee to show good cause for his nonappearance.

The Workers’ Compensation Appeal Board sustained the Commissioner’s dismissal order and its provision requiring the employee to pay back all temporary total disability benefits previously received. It distinguished our recent case of Butcher v. State Workers’ Compensation Commissioner, 173 W.Va. 306, 315 S.E.2d 563 (1983), on the ground that in this case the employer had made a timely protest to the initial compensability of the employee’s claim, whereas in Butcher the employer had not done so and was foreclosed from challenging the initial compensability ruling. Our primary holding on this issue was contained in Syllabus Point 4 of Butcher:

“Where a claimant has properly furnished medical evidence and has been awarded a series of temporary total disability benefits, the claimant may not be deprived of these benefits by the Commissioner because he failed to respond to the fifteen-day notice letters issued pursuant to Rule 17.04 of the Rules and Regulations of the West Virginia Workmen’s Compensation Fund (1982).”

A brief review of the salient facts is in order. After the employee initially filed his claim for a knee injury in March of 1981, the employer within thirty days protested the claim. The first protest hearing was set on September 24, 1981, in Charleston. The employer appeared by counsel and moved that the hearing be continued and that the matter be set on the next Montgomery docket for medical testimony. The employee did not appear.

Subsequently, the Commissioner set the claim on March 22, 1982, in Montgomery. Prior to this date, the employer’s attorney by letter moved the Commissioner to issue a subpoena for Dr. Pitsenberger, the employee's physician, to attend the March hearing. This was done and the doctor appeared and was examined by the employer’s attorney. The doctor in his testimony related how the employee had been injured at work and described the knee injury and his prognosis for recovery. At the conclusion of this hearing, the employer’s attor[9]*9ney moved that the claim be continued back to Charleston for further medical testimony.

Thereafter another hearing was scheduled by the Commissioner for August 16, 1982, in Charleston. Prior to this date, the employer obtained new counsel who wrote the Commissioner asking that a notice be sent to the employee advising him to appear at the August 16 hearing for cross-examination. Such a notice was sent, however, the employee did not appear at the hearing. On September 7, 1982, the Commissioner sent a letter to the employee in which he was informed that he had fifteen days from the date of the letter to show good cause in writing why he did not appear at the August hearing. The letter also indicated that if he did not respond or show good cause, then his claim would be dismissed.

Subsequently, on October 29,1982, in the absence of any response from the employee, the Commissioner dismissed the case and declared that all temporary total disability benefits paid to the employee must be repaid. This dismissal by the Commissioner was affirmed by the Appeal Board on the theory that Butcher was not controlling.

In Butcher, we dealt at some length with the dismissal of a claimant’s case by virtue of his failure to respond to a fifteen-day notice letter, which was sent to determine why he had failed to appear at a given hearing. We stated that we could find no statutory authority for the practice and observed:

“The only provision that we can find that appears to bear on the ‘fifteen-day letter’ is Rule 17.04 of the Rules and Regulations of the West Virginia Workmen’s Compensation Fund (1982), relating to nonappearance: ‘No case shall be decided upon the nonappearance of a claimant or an employer at a scheduled hearing until fifteen (15) days after the issuance of a letter to the nonappearing party granting leave to show cause for such nonappearance.’ Quite obviously this regulation provides a means of having a case submitted where there has been nonappearance of a party at a hearing. This regulation cannot be construed to authorize the Commissioner to require repayment of temporary total disability benefits which previously have been properly awarded.” 173 W.Va. at 314, 315 S.E.2d at 571. (Footnote omitted).

The distinction made by the Appeal Board and urged by the employer here is that Butcher dealt with an employer who had failed to timely protest the initial com-pensability ruling. As a consequence, the employer could not subsequently challenge the compensability of the claim, i.e., that it arose in the course of and resulting from covered employment. See Mitchell v. State Workmen’s Compensation Commissioner, 163 W.Va. 107, 256 S.E.2d 1 (1979). It is urged that since the employer made a timely protest to the initial compensability of the claim, he had a right to cross-examine the employee. Consequently, the employee’s failure to appear and subsequent refusal to respond to a fifteen-day notice letter should warrant dismissal of the claim.

In Butcher, we discussed and distinguished Colvin v. State Workmen’s Compensation Commissioner, 154 W.Va. 280, 175 S.E.2d 186 (1970), in which we held that a claimant who has protested a ruling of the Commissioner and then seeks repeated continuances without good cause may be denied a further continuance and the claim may be submitted on the existing record.1

The issue in the present case is not that the employer should be denied a right to cross-examine the claimant, but rather under what circumstances the employee’s claim can be dismissed when he fails to appear for cross-examination. The Commissioner has filed a brief in this case that summarizes the nature of workers’ compensation administrative procedures:

“Workers’ Compensation hearings, unlike other administrative hearings, are [10]*10conducted piecemeal. That is, there are not one or two full-blown hearings wherein each side is prepared to present its entire case on the scheduled hearing date. Instead, the hearings are more informal, with one party presenting a witness at one hearing, and the other side continuing the claim to present additional and/or rebuttal evidence. Many claims remain in the administrative litigation process, at the request of the parties, over a period of several years with many hearings scheduled and continued. As a result, it is not unusual for the parties and/or a witness to fail to attend a hearing at some point in the litigation.” (Commissioner's Brief, pp. 2-3).2

The lack of administrative regulations controlling the evidentiary development of a case at protest hearings is reflected by what occurred in this case.

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Related

Colvin v. State Workmen's Compensation Commissioner
175 S.E.2d 186 (West Virginia Supreme Court, 1970)
Honaker v. State Workmen's Compensation Commissioner
298 S.E.2d 893 (West Virginia Supreme Court, 1982)
Butcher v. State Workers' Compensation Commissioner
315 S.E.2d 563 (West Virginia Supreme Court, 1984)
Mitchell v. State Workmen's Compensation Commissioner
256 S.E.2d 1 (West Virginia Supreme Court, 1979)

Cite This Page — Counsel Stack

Bluebook (online)
330 S.E.2d 329, 175 W. Va. 7, 1985 W. Va. LEXIS 558, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adkins-v-workers-compensation-commissioner-wva-1985.