Birrueta v. Dep't of Labor & Indus.

Washington Supreme Court·Decided September 15, 2016·No. 92215-2·Published

Opinion

This opinion was filed for record FILE at f{OO lUIII o~~ t? 2 Pllp 1 IN CLERK'S OFFICE

c:&s~ SUPREME COURT. STATE OF WASHlNGTON

LSON . Supreme Court Clerk

IN THE SUPREME COURT OF THE STATE OF WASHINGTON ) JOSE L. BIRRUETA, ) ) Respondent, ) No. 92215-2 ) v. ) ) ENBANC DEPARTMENT OF LABOR AND ) INDUSTRIES OF THE STATE ) If\ "- II :- "'1~,.~,.,

OF WASHINGTON, ) Filed: __~_JF_J)_i_:J_·_e_u_w_ ___ ) Petitioner. ) ______________________)

YU, l - After the Department of Labor and Industries (Department) learned

it had been overpaying respondent Jose Birrueta's industrial insurance benefits for

years, it issued two orders, one assessing an overpayment and another changing

Birrueta's status from married to unmarried for compensation purposes. Because

Birrueta was overpaid due solely to an innocent misrepresentation about his marital

status made on his behalf, we hold the Department's orders were timely and

authorized in accordance with RCW 51.32.240(1 )(a). We therefore reverse the

Court of Appeals and reinstate the ruling of the Board ofindustrial Insurance

Appeals (Board) upholding the Department's orders. Birrueta v. Dep't of Labor & Indus., No. 92215-2

FACTS AND PROCEDURAL HISTORY

Birrueta was injured at work on August 31, 2004, and was totally disabled

by his injury. While he was receiving medical treatment immediately following

his injury, "an unknown person assisted Mr. Birrueta in completing a report of

industrial injury." Certified Bd. R. (CBR) at 27. Birrueta acknowledges that the

report bears his signature below the statement, "I declare that these statements are

true to the best of my knowledge and belief," id. at 84, although he does not

specifically remember signing it. The report states that at the time of his injury,

Birrueta was married with one child.

In fact, at the time of his injury, Birrueta was unmarried and had no

children-the report of industrial injury inaccurately lists his sister as his wife and

his niece as his child. It is undisputed that the reason for these errors was a

miscommunication between Birrueta and the person who filled out his industrial

injury report, attributable to a language barrier and the fact that Birrueta was "in

and out of consciousness" at the time the report was filled out on his behalf. Tr. of

Telephone Hr'g (Mar. 21, 2012) at 5; see also CBR at 80-81.

Between 2004 and 2008, the Department issued multiple compensation

orders, each of which stated that Birrueta was married with no children at the time

2 Birrueta v. Dep 't of Labor & Indus., No. 92215-2

of his injury. 1 The last of these orders "became final on or about May 4, 2009."

CBR at 28. Birrueta raised several challenges to the Department's orders over the

years, both pro se and with the assistance of counsel, but there is no indication that

he ever attempted to correct the Department's mistaken belief that he was married

at the time of his injury.

In early 2011, the Department determined that Birrueta was permanently and

totally disabled and thus entitled to a pension. With the aid of a legal assistant in

his attorney's office, Birrueta filled out the required pension benefits questionnaire,

accurately stating that he was unmarried at the time of injury. It is undisputed that

the Department did not know that Birrueta was unmarried until it received his

completed pension benefits questionnaire.

After learning Birrueta's true marital status, the Department issued two

orders, both of which are now at issue. The first order assessed an overpayment

against Birrueta of $100.86 based on the amount Birrueta was overpaid between

the time Department learned his true marital status and the time he was placed on a

pension. The second order changed Birrueta's marital status for compensation

purposes from married to unmarried effective the day after the Department learned

Birrueta's true marital status.

1 It is not clear how the Department determined that Birrueta had no children but continued to believe he was married. See CBR at 24 n.2.

3 Birrueta v. Dep't ofLabor & Indus., No. 92215-2

Birrueta appealed the Department's orders to the Board, contending that the

Department's prior orders stating that Birrueta was married at the time of injury

were "final and binding on all parties, which includes the Department." I d. at 31.

Both parties sought summary judgment. An Industrial Appeals Judge (IAJ) issued

a proposed decision and order granting summary judgment to the Department,

finding that there were no disputed material facts, that Birrueta innocently

misrepresented his marital status when he applied for industrial insurance benefits,

and that the Department's orders were authorized by RCW 51.32.240(1 ). The

Board adopted the IAJ's proposed decision and order as the Board's final decision.

Birrueta then sought review in superior court.

The superior court adopted the Board's unchallenged factual findings but

agreed with Birrueta that as a matter oflaw, the Department was "without

authority" to issue the recoupment order or to change his marital status for

compensation purposes. Clerk's Papers at 13. The court thus ordered the

Department to set aside those orders as "null and void." Id. The Court of Appeals

affirmed in a tmanimous, published opinion, and we granted the Department's

petition for review. Birrueta v. Dep't ofLabor & Indus., 188 Wn. App. 831,355

P.3d 320 (2015), review granted, 184 Wn.2d 1033, _ P.3d _ (2016).

ISSUES

A. Was the Department statutorily authorized to issue the orders assessing an overpayment against Birrueta and changing his marital status for

4 Birrueta v. Dep't of Labor & Indus., No. 92215-2

compensation purposes even though the Department's binding determination setting his compensation rate was final?

B. Is Birrueta entitled to attorney fees on review?

STANDARD OF REVIEW

The facts are undisputed. The resolution ofthis case depends entirely on

statutory interpretation, a matter of law which we review de novo. Gorre v. City of

Tacoma, 184 Wn.2d 30, 36, 357 P.3d 625 (2015). "Our ultimate task, of course, is

to ascertain and carry out the legislature's intent." I d. at 37 (citing Dep 't of

Ecology v. Campbell & Gwinn, LLC, 146 Wn.2d 1, 9, 43 P.3d 4 (2002)).

ANALYSIS

The purpose of the Industrial Insurance Act (IIA), Title 51 RCW, is to

provide "sure and certain relief for workers, injured in their work ... regardless of

questions of fault and to the exclusion of every other remedy, proceeding or

compensation." RCW 51.04.010. To effectuate this purpose, the IIA sets forth in

detail when an injured worker is entitled to compensation and the amount of

compensation the worker is entitled to receive. Ch. 51.32 RCW. There is no

dispute that Birrueta is statutorily entitled to compensation at a rate equal to 60

percent of his wages at the time of injury.

Free access — add to your briefcase to read the full text and ask questions with AI

Birrueta v. Dep't of Labor & Indus., (Wash. 2016).

Birrueta v. Dep't of Labor & Indus. (Birrueta v. Dep't of Labor & Indus.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Kingery v. Dept. of Labor and Industries
937 P.2d 565 (Washington Supreme Court, 1997)
Marley v. Department of Labor & Industries
886 P.2d 189 (Washington Supreme Court, 1994)
Deal v. Department of Labor & Industries
477 P.2d 175 (Washington Supreme Court, 1970)
Stuckey v. Dept. of Labor & Indus.
916 P.2d 399 (Washington Supreme Court, 1996)
Shafer v. Department
213 P.3d 591 (Washington Supreme Court, 2009)
State, Dept. of Ecology v. Campbell & Gwinn
43 P.3d 4 (Washington Supreme Court, 2002)
Cockle v. Dept. of Labor and Industries
16 P.3d 583 (Washington Supreme Court, 2001)
Gallo v. Department of Labor and Industries
120 P.3d 564 (Washington Supreme Court, 2005)
State Ex Rel. Dunbar v. Olson
20 P.2d 850 (Washington Supreme Court, 1933)
Stuckey v. Department of Labor & Industries
129 Wash. 2d 289 (Washington Supreme Court, 1996)
Kingery v. Department of Labor & Industries
132 Wash. 2d 162 (Washington Supreme Court, 1997)
Cockle v. Department of Labor & Industries
142 Wash. 2d 801 (Washington Supreme Court, 2001)
Department of Ecology v. Campbell & Gwinn, L.L.C.
146 Wash. 2d 1 (Washington Supreme Court, 2002)
Gallo v. Department of Labor & Industries
155 Wash. 2d 470 (Washington Supreme Court, 2005)
Shafer v. Department of Labor & Industries
166 Wash. 2d 710 (Washington Supreme Court, 2009)
State v. A.G.S.
340 P.3d 830 (Washington Supreme Court, 2014)
Gorre v. City of Tacoma
357 P.3d 625 (Washington Supreme Court, 2015)
Leuluaialii v. Department of Labor & Industries
279 P.3d 515 (Court of Appeals of Washington, 2012)
Department of Labor & Industries v. Shirley
288 P.3d 390 (Court of Appeals of Washington, 2012)
Birrueta v. Department of Labor & Industries
355 P.3d 320 (Court of Appeals of Washington, 2015)