Andrew T. Galle v. Director, Office Of Workers' Compensation Programs

246 F.3d 440
CourtCourt of Appeals for the Fifth Circuit
DecidedMarch 26, 2001
Docket00-60075
StatusPublished

This text of 246 F.3d 440 (Andrew T. Galle v. Director, Office Of Workers' Compensation Programs) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Andrew T. Galle v. Director, Office Of Workers' Compensation Programs, 246 F.3d 440 (5th Cir. 2001).

Opinion

246 F.3d 440 (5th Cir. 2001)

ANDREW T. GALLE, deceased, Petitioner - Cross-Respondent,
v.
DIRECTOR, OFFICE OF WORKERS' COMPENSATION PROGRAMS, U.S. DEPARTMENT OF LABOR, Respondent,
INGALLS SHIPBUILDING, INC.; AETNA CASUALTY & SURETY COMPANY, Respondents - Cross-Petitioners.

No. 00-60075

UNITED STATES COURT OF APPEALS, Fifth Circuit

March 26, 2001

Petition for Review of an Order of the Benefits Review Board

Before REAVLEY, SMITH, and DeMOSS, Circuit Judges.

DeMOSS, Circuit Judge:

The Court is asked to review final decisions of the Benefits Review Board determining that Galle's notice of appeal to the Board was timely and awarding a limited amount of compensation benefits under the Longshore and Harbor Worker's Compensation Act ("LHWCA"), 33 U.S.C. 901 et seq. Plaintiff Andrew T. Galle appeals the Board's decision on the merits of his claim for disability benefits. Galle argues that the Board properly held that his notice of appeal from the ALJ's decision was timely, but that the Board erroneously limited his benefits by finding only a permanent partial disability, rather than a permanent total disability, by excluding certain medical services, and by refusing to award fees to Galle's representative. Defendant-employer Ingalls Shipbuilding, Inc. ("Ingalls") and Aetna Casualty and Surety Company ("Aetna"), which is Ingalls' LHWCA carrier, cross-appeal, arguing that the Board erroneously determined that Galle's notice of appeal to the Board was timely, but that the Board properly limited Galle's benefits. The Director of the Office of Workers' Compensation Programs ("OWCP") filed a brief limited to the question of whether Galle filed a timely notice of appeal to the Board. The Director construes the relevant federal rules and regulations to require the conclusion that Galle's notice of appeal was timely. We agree, and affirm the Board's determination that Galle filed a timely appeal with the Board. We likewise affirm the Board's decision on the merits of Galle's claim for disability benefits.

I. BACKGROUND

In November 1984, Galle was injured on the job when he tripped over debris left by other workers, and fell hard on his knee and right shoulder. Galle filed this claim for compensation benefits under the LHWCA in 1988. See 33 U.S.C. 919. In June 1989, the ALJ held an evidentiary hearing on Galle's claim. On March 23, 1990, the ALJ issued a decision ordering Ingalls and Aetna to pay Galle temporary total disability benefits from November 1984 until October 1985, and permanent partial disability benefits from October 1985 forward. The ALJ excluded benefits for certain medical expenses claimed by Galle, see 33 U.S.C. 907, and ordered the defendants to pay certain penalties, see 33 U.S.C. 914(e). The decision was filed in the deputy commissioner's office on April 19, 1990. See 33 U.S.C. 921 (a) (compensation orders become effective when filed in the office of the deputy commissioner). Galle moved for reconsideration, which was denied. See 20 C.F.R. 802.206(b)(1) (permitting motions for reconsideration of an ALJ's benefit determination). Galle filed a timely appeal to the Board. See 20 C.F.R. 802.205.

In July 1992, the Board affirmed the ALJ's decision, as modified to include additional benefits for medical services. On August 25, 1992, Galle moved for reconsideration of the Board's decision. See 20 C.F.R. 802.219(i). Shortly thereafter, in January 1993, Galle unexpectedly died. Galle's counsel withdrew and his widow, Margaret Galle, continued as his "representative." In April 1993, Galle, represented pro se by his widow, filed a second motion for reconsideration of the Board's decision. In November 1993, the Board issued an order granting Galle's motion for reconsideration in part by changing the date upon which total temporary disability ended and permanent partial disability began from October 1985 to June 18, 1987, thus affording Galle an additional twenty months of benefits for total disability. In January 1994, Galle filed a petition for review of the Board's decision with this Court, see 33 U.S.C. 921(c), thus ending the first complete round of administrative review.

In January 1994, and while the petition for review was pending in this Court, the defendants filed a motion to alter or amend the November 12, 1993 Board decision. The defendants' motion was based upon new information indicating that Galle may have sought pre-authorization for certain medical services, as to which compensation had been denied on the theory that he had not sought such pre-authorization. In October 1994, the Board granted that motion, remanding the case to the ALJ with instructions to receive evidence on the pre-authorization issue and to re-evaluate whether the challenged medical expenses were compensable on the basis of that evidence. In November 1994, this Court dismissed the pending petition for review on the basis of the Board's remand order. Between February 1995 and November 1995, Galle filed several motions for reconsideration of certain aspects of the Board's October 1994 remand order. In December 1995, the Board issued an order stating that no further filings would be accepted by the Board because the case was on remand to the ALJ.

On remand, the ALJ received evidence on the pre-authorization issue. On June 5, 1998, the ALJ issued an order expanding the award in Galle's favor by including some of the previously excluded medical expenses requested by Galle. Ingalls and Aetna were ordered to pay interest on the additional amount. The ALJ also awarded Galle $220 for travel expenses associated with receiving medical care, and denied Mrs. Galle's request for fees, which was based upon the premise that she was Galle's legal representative. On June 19, 1998, the decision was filed in the deputy commissioner's office.

On July 1, 1998, Galle filed a motion for reconsideration of the June 19, 1998, decision. The LHWCA regulations recognizing the right to file a motion for reconsideration of an ALJ's benefits determination provide that the motion must be "filed not later than ten days from the date the [ALJ's] decision or order was filed in the Office of the Deputy Commissioner." 20 C.F.R. 802.206(b)(1). The issue to be decided in this case is whether parties should exclude or include weekends and holidays when calculating that ten- day time period.

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246 F.3d 440, Counsel Stack Legal Research, https://law.counselstack.com/opinion/andrew-t-galle-v-director-office-of-workers-compensation-programs-ca5-2001.