Bragg v. State Workmen's Compensation Commissioner

166 S.E.2d 162, 152 W. Va. 706, 1969 W. Va. LEXIS 220
CourtWest Virginia Supreme Court
DecidedMarch 11, 1969
DocketNo. 12774
StatusPublished
Cited by29 cases

This text of 166 S.E.2d 162 (Bragg v. State Workmen's 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
Bragg v. State Workmen's Compensation Commissioner, 166 S.E.2d 162, 152 W. Va. 706, 1969 W. Va. LEXIS 220 (W. Va. 1969).

Opinion

Caplan, Judge:

This is an appeal by the claimant, Jack Bragg, from an order of the Workmen’s Compensation Appeal Board, dated [708]*708July 9, 1968, wherein the board affirmed an order of the Workmen’s Compensation Commissioner holding that the claimant had not made a proper showing for a reopening of his claim.

During his employment with Omar Mining Company, the claimant, on July 23, 1958, suffered an injury to his back. He reported that at the time of the injury he felt a sudden sharp pain in his lower back for which he was treated temporarily by the company doctor. Subsequently, when his back injury failed to respond to treatment, he was hospitalized on two occasions for a total confinement of four weeks. During this hospitalization he received conservative treatment. Thereafter he returned to work for Omar Mining Company but was laid off as a result of a reduction in the employer’s labor force.

In April, 1959 the claimant went to Cleveland, Ohio, where he obtained employment with Republic Steel Company. He testified that he worked as a bundler of steel bands which was light work and required no heavy lifting. He continued in this employment until November, 1962, although he underwent disc surgery on October 13, 1959. Mr. Bragg has not worked since November, 1962 and has been receiving social security disability benefits since September, 1963.

The claimant was granted a 50% permanent partial disability award on December 19, 1961 and an additional 10% award on July 17, 1963. Subsequently, on April 30, 1964, the claimant applied for a further adjustment of his claim, supporting his application by a report of examination by Dr. F. M. Viscuse, wherein it was recommended that an award of total permanent disability be made. After reopening the claim the Commissioner ruled that the claimant had been fully compensated. Upon protest of that ruling, medical evidence was received, including reports of Dr. C. W. Stallard and Dr. E. R. Chillag, recommending a total permanent disability award. The Commissioner, on April 21, 1966, granted such award, but it was set aside by the Appeal Board on August 23, 1966, the board granting an additional 10% permanent partial disability. That ruling [709]*709was appealed to this Court but the application for appeal was refused.

On September 30, 1967 the claimant again sought to re-1 open this claim. Accompanying his application was a report of an examination of the claimant by Dr. Cesar J. Lesaca. Upon receiving this application, the Commissioner refused to reopen the claim and by order dated July 9, 1968, the Workmen’s Compensation Appeal Board affirmed the Commissioner’s ruling. It is from this order that the claimant prosecutes this appeal.

The obvious issue here is whether the claimant made a. showing which warranted a reopening of his claim. This determination can be made only after examining the provisions of the pertinent statutes and the evidence presented by the claimant. Code, 1931, 23-5-la, as amended, provides: “* * * where an injured employee makes application in writing for a further adjustment of his claim * * * and such application discloses cause for a further adjustment thereof, the commissioner shall, after due notice to the employer, make such modifications or changes with respect to former findings * * * as may be justified * * It is therein further provided that if either party be dissatisfied with any modification he may object and shall be entitled to a hearing.

Section lb of the above statute provides the conditions under which the Commissioner will be justified in reopening the claim for further adjustment. It reads, in part, as follows: “If, however, in any case in which application for further adjustment of a claim is filed under the next preceding section [§23-5-la], it shall appear to the commissioner that such application fails to disclose a progression or aggravation in the claimant’s condition, or some other fact or facts which were not theretofore considered by the commissioner in his former findings, and which would entitle such claimant to greater benefits than he has already received, the commissioner shall, within sixty days from the receipt of such application, notify the claimant and the employer that such application fails to establish a prima facie cause for reopening the claim.”

[710]*710The claimant, of course, takes the position that his petition and the report of examination submitted therewith show a progression in his condition which satisfies the requirements set out in Section lb and warrants a reopening of his claim. The employer, on the other hand, contends that the showing made by the claimant does not satisfy the requirements of the statute. It asserts that in order to justify a further adjustment of the claim the claimant must show not only a progression or aggravation in the claimant’s condition which would entitle such claimant to greater benefits than he has already received, but he must also show that any further physical impairment reduces his ability to work. Only if his ability to work were reduced, says the employer, would the claimant be entitled to greater benefits than he has already received.

We reject the employer’s theory in this case for the reason that, in our opinion, its acceptance would necessitate our reading an additional requirement into the statute. The claimant would be obligated to show not only that his condition has worsened but by some means would have to prove to the satisfaction of the Commissioner that his ability to work has been reduced. This, the legislature did not require when enacting this statute, although it easily could have done so if it had so intended.

The right to workmen’s compensation benefits is wholly statutory. Haines v. Workmen’s Compensation Commissioner, 151 W. Va. 152, 150 S. E. 2d 883; Dunlap v. State Compensation Director, 149 W. Va. 266, 140 S. E. 2d 448. Therefore, claims, awards, reopening of claims and all such matters must be considered and determined in accordance with the provisions of the appropriate compensation statute. Such statutes, where plain and unambiguous, will not be construed but will be applied by the courts to accomplish what the legislature clearly intended to do. Dunlap v. State Compensation Director, 149 W. Va. 266, 140 S. E. 2d 448. See also Owens-Illinois Glass Co. v. Battle, 151 W. Va. 655, 154 S. E. 2d 854 and Moore v. Hardesty, State Tax Commissioner, 147 W. Va. 611, 129 S. E. 2d 722.

[711]*711By its enactment of Code, 1931, 23-4-16, as amended, the legislature clearly provided and intended that a claim, under proper proof and within certain limitations of time, can be reopened. Section la of Code, 1931, 23-5, as amended, provides that the Commissioner, upon a proper showing, may make a further adjustment of an employee’s claim. Section lb of said chapter and article provides that an application for reopening must disclose a progression or aggravation in the claimant’s condition or some fact not theretofore considered by the commissioner “which would entitle such claimant to greater benefits than he has already received.” It is the foregoing quoted portion of the statute which the employer would interpret “and which further reduces the ability of the claimant to work.” This the legislature did not say and we will not so construe the statute.

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

Related

Louise Moran v. Rosciti Construction Co., LLC
815 S.E.2d 503 (West Virginia Supreme Court, 2018)
Gary E. Hammons v. W. Va. Ofc. of Insurance Comm./A & R Transport, etc.
775 S.E.2d 458 (West Virginia Supreme Court, 2015)
Davies v. Wv Office of the Insurance Commission, 35550 (w.va. 4-1-2011)
708 S.E.2d 524 (West Virginia Supreme Court, 2011)
Davies v. WVA OFFICE OF INS. COM'R
708 S.E.2d 524 (West Virginia Supreme Court, 2011)
Bevins v. OFFICE OF INS. COM'R
708 S.E.2d 509 (West Virginia Supreme Court, 2010)
Bevins v. West Virginia Office of Insurance Commissioner
708 S.E.2d 509 (West Virginia Supreme Court, 2010)
Casdorph v. West Virginia Office Insurance Commissioner
690 S.E.2d 102 (West Virginia Supreme Court, 2009)
Bowers v. West Virginia Office of the Insurance Commissioner
686 S.E.2d 49 (West Virginia Supreme Court, 2009)
State Ex Rel. ACF Industries, Inc. v. Vieweg
514 S.E.2d 176 (West Virginia Supreme Court, 1999)
Mitchell v. State Workmen's Compensation
256 S.E.2d 1 (West Virginia Supreme Court, 1979)
Mitchell v. State Workmen's Compensation Commissioner
256 S.E.2d 1 (West Virginia Supreme Court, 1979)
Spaulding v. State Workmen's Compensation Commissioner
205 S.E.2d 130 (West Virginia Supreme Court, 1974)
Spaulding v. STATE WORKMEN'S COMPENSATION COM'R
205 S.E.2d 130 (West Virginia Supreme Court, 1974)
Posey v. State Workmen's Compensation Commissioner
201 S.E.2d 102 (West Virginia Supreme Court, 1973)
Posey v. STATE WORKMEN'S COMPENSATION COM'R
201 S.E.2d 102 (West Virginia Supreme Court, 1973)
Hughes v. State Workmen's Compensation Commissioner
191 S.E.2d 606 (West Virginia Supreme Court, 1972)
Hughes v. STATE WORKMEN'S COMPENSATION COM'R
191 S.E.2d 606 (West Virginia Supreme Court, 1972)
Sowder v. State Workmen's Compensation Commissioner
189 S.E.2d 674 (West Virginia Supreme Court, 1972)
Sowder v. STATE WORKMEN'S COMP. COMMISSIONER
189 S.E.2d 674 (West Virginia Supreme Court, 1972)
Johnson v. STATE WORKMEN'S COMPENSATION COM'R
186 S.E.2d 771 (West Virginia Supreme Court, 1972)

Cite This Page — Counsel Stack

Bluebook (online)
166 S.E.2d 162, 152 W. Va. 706, 1969 W. Va. LEXIS 220, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bragg-v-state-workmens-compensation-commissioner-wva-1969.