Bullock v. Pinnacle Risk Management

951 P.2d 1036, 113 Nev. 1385, 1997 Nev. LEXIS 164
CourtNevada Supreme Court
DecidedDecember 30, 1997
Docket28201
StatusPublished
Cited by7 cases

This text of 951 P.2d 1036 (Bullock v. Pinnacle Risk Management) is published on Counsel Stack Legal Research, covering Nevada Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bullock v. Pinnacle Risk Management, 951 P.2d 1036, 113 Nev. 1385, 1997 Nev. LEXIS 164 (Neb. 1997).

Opinion

*1386 OPINION

Per Curiam:

While working as a night Stocker at Smith’s Food King (“Smith’s”) on November 16, 1993, Jim Bullock attempted to pull down a case of sixty-four-ounce juice containers from a top shelf and felt a slight pain in his left arm and shoulder. Thinking that he had only pulled a muscle, Bullock did not seek immediate medical attention and was able to finish his shift. After completing his shift at the market, however, Bullock sought treatment from a chiropractor, Dr. Craig Reeves. Dr. Reeves noted pain and tenderness at the base of Bullock’s neck into his left shoulder. Dr. Reeves treated Bullock two more times, on November 17 and 18, 1993. Bullock’s condition did not improve with each visit, and he continued to experience moderate pain and tenderness in his neck and shoulder.

The pain in Bullock’s arm and shoulder increased, and on November 24, 1993, Bullock sought medical care at the Desert Springs Hospital emergency room. Emergency room doctors told Bullock that he had suffered a bad muscle strain and referred him to Dr. Richard Briggs. Dr. Briggs placed Bullock in physical therapy and issued an off-work slip dated December 17, 1993. *1387 Bullock applied for sick leave but was subsequently informed by a supervisor, Paul Swords, that sick leave would not be authorized because the injury was work-related. Bullock testified that Swords asked him if he wanted to fill out an accident report. Bullock responded that he could afford to take a couple of weeks off from work, and that he preferred to wait for a medical opinion indicating whether or not his injuries would prevent him from returning to work within this time frame.

Dr. Briggs, after concluding that Bullock’s injuries were more serious than he originally thought, referred Bullock to an ortho-paedic surgeon, Dr. Francis D’Ambrosio. Bullock returned to Desert Springs Hospital on January 13, 1994, to complete a compensation claim form (“C-4 form”). Bullock gave the completed form to Swords, who relayed the information over the telephone to Pinnacle Risk Management (“Pinnacle”), Smith’s insurance administrator. Pinnacle referred the matter for investigation to an insurance adjustor. The investigator interviewed Bullock, Bullock’s co-worker, Frank Bastida, and Bullock’s supervisor, Matt Samp, and in a written report concluded:

It appears the incident did happen as related by the employee, as it is substantiated by the co-worker. The co-worker did not actually see anything happen, but he has a clear recall of watching the employee work in pain and recalls asking the employee what happened. There apparently was no sudden trauma or violent reaction, merely a strain that caused increasing pain, with no restrictions nor impairment. As such, the employee did not deem it necessary to immediately file a formal report of an on the job injury.

In a letter dated February 3, 1994, Pinnacle denied Bullock’s claim, finding no on-the-job injury and no indication of a timely reporting. Bullock appealed to the Department of Administration, and a hearing officer reversed the insurer’s denial. Smith’s and Pinnacle (“Respondents”) appealed the hearing officer’s decision, and the appeals officer ordered the decision reversed. The appeals officer found that Bullock failed to report his injury in a timely manner as required by former NRS 616.360(1) 1 ' that Bullock had not sustained a compensable industrial injury, and that Bullock failed to provide written notice of his injury within thirty days of the accident as required by former NRS 616.500(1).

*1388 Bullock filed a petition in district court requesting judicial review of the appeals officer’s decision. The district court denied Bullock’s petition. Bullock timely appeals.

This court’s role in reviewing an administrative decision is identical to that of the district court. Titanium Metals Corp. v. Clark County, 99 Nev. 397, 399, 663 P.2d 355, 357 (1983). A reviewing court shall not substitute its judgment for that of the agency in regard to questions of fact. NRS 233B. 135(3). The standard of review is whether the agency’s decision was clearly erroneous or an arbitrary abuse of discretion. NRS 233B.135(3)(e) and (f); Collett Electric v. Dubovik, 112 Nev. 193, 196, 911 P.2d 1192, 1195 (1996). The decision of the agency will be affirmed if substantial evidence exists to support it. SIIS v. Swinney, 103 Nev. 17, 20, 731 P.2d 359, 361 (1987). Questions of law are reviewed de novo. Collett, 112 Nev. at 196, 911 P.2d at 1195. However, an “agency’s conclusions of law which are closely related to the agency’s view of the facts are entitled to deference and should not be disturbed if they are supported by substantial evidence.” SIIS v. Khweiss, 108 Nev. 123, 126, 825 P.2d 218, 219 (1992).

Whether Bullock’s failure to report his injury bars his claim

Bullock’s claim was denied, in part, because he did not file a written notice of his injury pursuant to NRS 616.500(1). 2 Bullock does not dispute that he failed to file a written claim for an industrial injury in a timely manner. Bullock argues, however, that his failure to file a written claim should have been excused. [Headnote 4]

Under NRS 616.5011, an insurer may excuse a claimant’s failure to file a notice of injury. 3 Actual notice or knowledge of an *1389 injury by the employer may also excuse timely, formal notice. See Brocas v. Mirage Hotel & Casino, 109 Nev. 579, 584-85, 854 P.2d 862, 866-67 (1993); Industrial Commission v. Adair, 67 Nev. 259, 217 P.2d 348 (1950). This court recently addressed the issue of whether a claimant’s noncompliance with NRS 616.500 should be excused. See Bally’s Grand Hotel & Casino v. Reeves, 113 Nev.

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Bluebook (online)
951 P.2d 1036, 113 Nev. 1385, 1997 Nev. LEXIS 164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bullock-v-pinnacle-risk-management-nev-1997.