Argonaut Insurance v. Industrial Accident Commission

189 Cal. App. 2d 23, 10 Cal. Rptr. 745, 1961 Cal. App. LEXIS 2143
CourtCalifornia Court of Appeal
DecidedFebruary 8, 1961
DocketCiv. 24855, 24856
StatusPublished
Cited by6 cases

This text of 189 Cal. App. 2d 23 (Argonaut Insurance v. Industrial Accident Commission) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Argonaut Insurance v. Industrial Accident Commission, 189 Cal. App. 2d 23, 10 Cal. Rptr. 745, 1961 Cal. App. LEXIS 2143 (Cal. Ct. App. 1961).

Opinion

NOURSE, J. pro tem. *

Argonaut Insurance Company, as compensation carrier for an employer of one Shelton, seeks annulment of two decisions of the Industrial Accident Commission. The proceedings which resulted in the two awards under review here were, by the commission, consolidated for the purpose of hearing and disposition and we have consolidated them here for the purpose of decision.

The Relevant Facts

The applicant sustained three industrial injuries; the first one on August 7, 1958; the second on November 25, 1958; and the third on June 17,1959. At the time of the first two injuries applicant was employed by an employer for whom petitioner was the compensation carrier. He sustained the third injury while in the employ of a different employer for whom Industrial Indemnity Company was the compensation carrier.

Applicant filed separate applications for compensation benefits 1 as to each of the three injuries and as we have said, respondent commission consolidated all matters for the purpose of hearing and determination by the commission but after its final decision entered separate awards in each matter.

The applicant received medical care from petitioner for the first two injuries but he sustained very short periods of disability by reason of those injuries. The third injury resulted in prolonged disability and in a series of major surgical procedures which were performed by a surgeon of applicant’s own choice.

After hearing, the trial referee on January 29, 1960, issued findings of fact and an award by which he determined in *26 essence that the employee's temporary disability which had followed the third injury, should be apportioned equally to each of the three injuries and that likewise one-third of the employee’s medical and hospital expense and future medical treatment expense should be apportioned to each of the three injuries and by the awards petitioner was ordered to pay two-thirds of the disability indemnity and two-thirds of employee's self-incurred medical and hospital expense and two-thirds of any future medical expense.

Argonaut petitioned for reconsideration in proceedings Numbers 59 SBR 2781 and 59 SBR 3327. The commission granted this petition and of its own motion granted reconsideration of the award as to Industrial.

Upon reconsideration the commission set aside the findings of fact and awards made by the referee and found that the sole cause of employee’s temporary disability and his need for the self-incurred and future medical treatment was the injury of June 17, 1959, and in proceeding Number 59 SBR 2782, entered its award placing the entire liability for disability indemnity, self-incurred medical and hospital expense and future medical treatment upon Industrial; and in proceedings Numbers 59 SBR 2781 and 59 SBR 3327 entered its award that applicant take nothing as against Argonaut. The decisions and awards just mentioned were filed on April 25, 1960. Industrial promptly petitioned for reconsideration. Although it is not clear from the record here, it is apparent that it addressed its petition for reconsideration to the award made against it in proceeding Number 59 SBR 2782. The commission on June 9,1960, of its own motion granted reconsideration in the other two proceedings and on the same day entered its decision after reconsideration and findings of fact and awards.

By this decision on reconsideration, the commission determined that the temporary disability from which applicant was suffering was due entirely to the third accident and that Industrial should bear the full burden of the disability payments on account thereof. It determined, however, that the necessity for the self-incurred medical and hospital expense and any future medical expense was caused by injuries received in each of the three accidents and that therefore petitioner should bear two-thirds of those expenses and Industrial one-third. Pursuant to its decision it entered awards against petitioner in proceedings Numbers 59 SBR 2781 and 59 SBR 3327, requiring by each award that petitioner bear one-third of the applicant’s self-incurred medical and hospital expense *27 and any future expense. It is these two awards that we have under review here.

Petitioner attacks the awards on three grounds: (1) The Industrial Accident Commission exceeded its powers in making a second decision after reconsideration of the same claim; (2) there is no substantial evidence to support the Industrial Accident Commission’s finding that the employee’s injuries in the first two accidents each caused one-third of his needs for medical treatment; (3) that the Industrial Accident Commission’s award to applicant of expense incurred by him for self-procured medical treatment is not supported by substantial evidence insofar as it awards applicant reimbursement for expense incurred by him prior to October 1, 1959.

The commission did have power to grant the second reconsideration. The first point made by petitioner is wholly without merit. In the first place the three matters having been consolidated for hearing and disposition, Industrial was an adverse party to petitioner upon petitioner’s application for reconsideration and when the commission, by its first decision upon reconsideration, imposed the entire obligation for compensation upon Industrial contrary to the original award, Industrial had the right to petition for reconsideration (Goodrich v. Industrial Acc. Com., 22 Cal.2d 604, 611 [140 P.2d 405]) and as the three proceedings before the commission were interdependent, Industrial’s application for reconsideration of the award placing the entire liability for compensation upon it, necessarily brought before the commission the awards in the other two consolidated proceedings. In the second place the commission had the right to, as it did, grant reconsideration of its own decision in the two consolidated matters in which petitioner was the defendant. (Lab. Code, §§ 5911, 5900; Argonaut Ins. Exchange v. Industrial Acc. Com., 49 Cal.2d 706, 711 [321 P.2d 460].) The decision rendered by the commission on April 25, 1960, was the first decision made by the commission, as distinguished from the award made by the referee, 2 and it had the clear right at any time within 60 days after the entry of that decision to review it of its own motion. This is not a case, as claimed by petitioner, where the commission is exceeding its jurisdiction by attempting to change its decision after having exhausted its jurisdiction by once having reviewed its own decision.

*28

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Bluebook (online)
189 Cal. App. 2d 23, 10 Cal. Rptr. 745, 1961 Cal. App. LEXIS 2143, Counsel Stack Legal Research, https://law.counselstack.com/opinion/argonaut-insurance-v-industrial-accident-commission-calctapp-1961.