Aragon v. Wilson

CourtNew Mexico Court of Appeals
DecidedJuly 15, 2019
StatusUnpublished

This text of Aragon v. Wilson (Aragon v. Wilson) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aragon v. Wilson, (N.M. Ct. App. 2019).

Opinion

This decision of the New Mexico Court of Appeals was not selected for publication in the New Mexico Appellate Reports. Refer to Rule 12-405 NMRA for restrictions on the citation of unpublished decisions. Electronic decisions may contain computer- generated errors or other deviations from the official version filed by the Court of Appeals.

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

FILIBERTO ARAGON,

Worker-Appellant,

v. No. A-1-CA-35034

WILSON & CO., INC. and ZURICH AMERICAN INSURANCE CO.,

Employer/Insurer-Appellees.

APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION Shanon S. Riley, Workers’ Compensation Judge

James Rawley Albuquerque, NM

for Appellant

Hale & Dixon, P.C. Timothy S. Hale Albuquerque, NM

for Appellees

MEMORANDUM OPINION

HANISEE, Judge.

{1} Filiberto Aragon (Worker) appeals from the Workers’ Compensation Administration’s (WCA) June 11, 2015, compensation order and from the Workers’ Compensation Judge’s (WCJ) decision that the WCA lacked jurisdiction to grant Worker a partial lump sum award to pay attorney fees following the issuance of the compensation order. On appeal, Worker claims three errors: (1) that the WCJ’s determination of Worker’s date of maximum medical improvement (MMI) was not supported by substantial evidence; (2) that the WCJ should have allowed him to present evidence in support of an impairment rating for a secondary mental impairment of depression; and (3) that the WCJ incorrectly determined that the WCA lacked jurisdiction to rule on Worker’s second petition for a partial lump sum award (Second Petition) to pay attorney fees following the June 2015 compensation order. We affirm.

BACKGROUND

{2} Worker was employed by Wilson & Company, Inc. (Employer), which was insured for workers’ compensation purposes by Zurich American Insurance Company (Insurer). On October 20, 2011, Worker suffered a work-related injury when he was knocked off a truck. Worker initially sought treatment with Drs. Gayle Riley and Carlos Esparza. Eventually, on November 20, 2012, Worker filed a petition for lump sum payment for debts (First Petition), requesting a lump sum advance of weekly compensation benefits in the amount of $9,588.63. Worker, who filed the First Petition pro se, verified that his MMI date was July 24, 2012, the date determined by Dr. Esparza.

{3} The WCJ held a hearing on the First Petition on December 19, 2012. During the hearing, the WCJ informed Worker that any lump sum he received would decrease any future indemnity that Employer/Insurer would pay him, meaning he would eventually receive less money over time. In response to Worker’s query as to whether his weekly benefits would decrease if he were to receive the partial lump sum award, the WCJ stated that Worker’s weekly benefits would stop sooner than they would have otherwise. The WCJ affirmatively confirmed with Worker that he understood that and still wanted the lump sum payment. The next day, the WCJ entered the order approving petition for lump sum payment/settlement, prepared in the form approved by the WCA. The WCJ noted in the order that the lump sum “represent[ed] 36.44 weeks of indemnity benefits[,]” and that Worker had “400.76 weeks” of indemnity benefits remaining.

{4} On July 24, 2013, Worker—by then represented by counsel—filed a complaint with the WCA seeking permanent partial disability benefits, attorney fees, benefits for a secondary mental impairment, and an independent medical examination (IME) for “severe groin pain.” Following mediation, which resulted in a recommended resolution that Worker rejected, the matter was set for a formal hearing, which was held on March 27, 2015. Worker testified at the hearing, and the depositions of Drs. Riley and Esparza, along with that of physical therapist Stella Avena, were admitted into evidence.1 Worker also underwent an independent psychological evaluation (IPE) by Dr. Birgitta Gabel, Ph.D., in November 2014, whose report was admitted into evidence as an exhibit to Dr. Riley’s deposition.

1The WCJ additionally noted possession of Worker’s Exhibits 1 through 9, and then asked Employer/Insurer if it had any objection to the admission of these exhibits. Employer/Insurer responded in the negative, but it does not appear that the WCJ said during the hearing that Worker’s Exhibits 1 through 9 were admitted into evidence. Neither party raises the argument that Worker’s exhibits were not actually admitted, and it appears to us that this was an oversight on the part of the WCJ, in part because the exhibits are reflected on Worker’s list of trial exhibits for the March 27, 2015, hearing, which was filed in front of the WCA on June 17, 2015. For these reasons, we proceed assuming that Worker’s Exhibits 1 through 9 were admitted. {5} In the July 2015 compensation order, the WCJ determined that in addition to his physical ailments, Worker suffered depressive symptoms. The WCJ also found that the treatment recommendation in Worker’s IPE for his depression was reasonable. The WCJ acknowledged that both Drs. Riley and Gabel opined that Worker was not yet at MMI because of his depression, but also found that Worker testified that his depression began the day of his accident and that “Worker failed to establish that he suffered any change in his condition of depressive symptoms between the December 20, 2012[,] order [granting Worker’s First Petition] and the date of the formal hearing.” (Emphasis added.) The WCJ also noted Dr. Gabel’s conclusion that Worker “experienc[ed] ongoing depressive symptoms[,]” as well as Dr. Gabel’s belief that Worker exhibited “signs of significant symptom magnification[.]” The WCJ affirmed Worker’s MMI date of July 24, 2012, as verified by Worker in his First Petition.

{6} In the compensation order, the WCJ concluded that Worker was “entitled to receive ongoing medical care subject to the recommendations of his authorized treating physicians[,] including the treatment recommendation contained in the IPE . . . and physical therapy.” The WCJ also concluded that Worker “met the definition for [total temporary disability] from October 21, 2011[,] through July 24, 2012[,]” and that as of July 25, 2012, Worker was entitled to receive permanent partial disability. The WCJ stated that “Worker had a 5 [percent] whole person permanent impairment for his work related injuries[,]” and that he was “entitled to receive modifier benefits in the amount of 50 [percent] for the remainder of the benefit period or until he returns to work at a wage equal to or greater than his preinjury wage.”

{7} The WCJ also stated in the compensation order that Worker’s attorney fees and costs would be determined by a separate order, and ordered Employer/Insurer to “pay all unpaid medical bills of authorized health care providers[,] if any.” The compensation order continued, “Benefits consistent with this [o]rder [are to] be paid to Worker.” In July 2015 Worker filed his motion to reconsider, arguing that the WCJ erred in determining that he was at MMI and asking that the WCJ permit him to submit evidence of an impairment rating for his depression, a request the WCJ denied. In September 2015 the WCJ found that Worker was entitled to $18,000 in attorney fees, but ordered Worker to pay 50 percent of those fees and Employer/Insurer to pay the other 50 percent. Worker timely filed his notice of appeal from the July 2015 compensation order and the order denying his motion to reconsider.

{8} In November 2015 Worker filed his Second Petition for partial lump sum payment for debts, this time requesting $9,630 to pay his portion of his attorney fees.

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Aragon v. Wilson, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aragon-v-wilson-nmctapp-2019.