Carlson v. Cain

700 P.2d 607, 216 Mont. 129
CourtMontana Supreme Court
DecidedMay 23, 1985
Docket84-332
StatusPublished
Cited by26 cases

This text of 700 P.2d 607 (Carlson v. Cain) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carlson v. Cain, 700 P.2d 607, 216 Mont. 129 (Mo. 1985).

Opinion

MR. JUSTICE SHEEHY

delivered the Opinion of the Court.

In an earlier case between these same parties, Carlson v. Cain and Lee Enterprises and Hartford Accident and Indemnity Company (Mont. 1983), [204 Mont. 311,] 664 P.2d 913, 40 St.Rep. 865, we affirmed a decision of the Workers’ Compensation Court awarding benefits to Debra Carlson following injuries incurred in an automobile accident while she was delivering newspapers for her fiance, a carrier who had contracted with The Billings Gazette to deliver its newspaper. On remittitur, we remanded the case to the Workers’ Compensation Court for a determination of reasonable costs and attorney fees pursuant to section 39-71-611, MCA.

The cause returns to us on appeal by claimant Carlson from certain portions of the findings of fact, conclusions of law and judgment of the Workers’ Compensation Court, dated July 23, 1984, entered after remand from us. Carlson’s appeal raises the following issues:

1. A final judgment of the Workers’ Compensation Court upon a *132 dispute concerning past-due benefits is a judgment for money entitled to interest under section 25-9-205, MCA, and Rule 31, M.R.App.Civ.P.

2. The terms “compensation” and “compensation benefits” as used in section 39-71-2907, MCA, include medical benefits so as to entitle Carlson to the 20 percent penalty for unreasonable delay in payment of medical benefits.

3. Under section 39-71-2905, MCA, the Workers’ Compensation Court has jurisdiction to award and should have awarded a dollar amount for domiciliary care as a medical expense.

4. The out-of-pocket expenses of Edith Ebert, claimant’s mother, in the sum of $6,497.53 from June 28, 1980 to October 15, 1980 are a reasonable and necessary medical expense under section 39-71-704, MCA, to be reimbursed by Hartford.

5. An insurer liable under section 39-71-405, MCA, is not entitled to subrogation under section 39-71-414, MCA.

We will set forth the relevant facts as they pertain to each issue discussed herein.

I.

Interest on Judgments of the Workers’ Compensation Court.

On June 29, 1980, appellant was severely injured in an automobile accident and suffered severe and irreversible brain damage. Hartford denied her Workers’ Compensation claim. Within a year her medical bills approximated $70,000. Her Workers’ Compensation claim was denied by Hartford. Carlson did not qualify for disability Social Security because she lacked the necessary qualifying quarters. The case was tried to the Workers’ Compensation Court on November 20, 1981, on the issue of liability. On April 23, 1982, the Workers’ Compensation Court ruled in favor of Carlson, finding her to be entitled to temporary total disability benefits and to medical benefits. Hartford appealed. On June 8, 1983, the Montana Supreme Court affirmed the Workers’ Compensation Court in the decision referred to above, and remanded for a determination of reasonable costs and attorney fees.

After remittitur, when Hartford still hadn’t paid, claimant’s counsel threatened a proceeding before the Division of Workers’ Compensation to sell Hartford’s security bonds. A second hearing was held before the Workers’ Compensation Court on October 5, 1983. On July 3,1984, the Workers’ Compensation Court entered its judg *133 ment upon the second hearing. In conclusion of law no. 6, the Workers’ Compensation Court found Hartford’s actions to be unreasonable and subject to penalty.

On July 14, 1983, Hartford paid the past-due compensation benefits from June 28, 1980 to July 12, 1983 in the total sum of $5,267. On August 12, 1983, Hartford paid past-due medical bills of $17,067.48, and on September 16, 1983, paid additional past-due medical bills of $17,430.02. These amounts had been awarded by the April 23,1982 judgment of the Workers’ Compensation Court. Hartford, however, refused to pay interest on the April 23, 1982 judgment at the time of payment. In its conclusion of law No. 2, the Workers’ Compensation Court determined that claimant Carlson was not entitled to interest based on compensation and medical benefits awarded by its earlier judgment.

Under this issue, Carlson points to section 39-71-2904, MCA, which provides that an appeal from a final decision of the Workers’ Compensation judge shall be filed directly with the Supreme Court of Montana in the manner provided by law for appeals from the District Court in civil cases. Carlson argues that section 25-9-205, MCA, provides that interest is payable on judgments “recovered in the courts of this State” at a rate of 10 percent per annum. Further, Rule 31, M.R.App.Civ.P. provides that if a judgment for money in a civil case is affirmed, whatever interest is allowed by law shall be payable from the date of the judgment “in the District Court.”

Carlson’s position is that she is entitled to interest on the amounts contained in the judgment of the Workers’ Compensation Court of April 23, 1982, until the past due benefits were in fact paid in July, August and September 1983.

Respondents argue that the Workers’ Compensation judge was correct in adopting conclusion of law No. 2, by relying on the provision of section 39-71-2905, MCA, which includes in pertinent part:

“The penalties and assessments allowed against an insurer under chapter 71 are the exclusive penalties and assessments that can be assessed against an insurer for disputes arising under chapter 71.” (For the information of the reader, “Chapter 71” refers to Chapter 71 of Title 39 of the Montana Code Annotated, in which chapter are contained all of the statutory provisions relating to the subject of Workers’ Compensation.)

On this issue, the Workers’ Compensation Court relied on our decision in Gaffney v. Industrial Accident Board (1958), 133 Mont. 448, 324 P.2d 1063. In Gaffney, this Court said:

*134 “It should be remembered that the Workers’ Compensation Act is a special act designed solely to meet the situations and conditions therein particularly dealt with, and that the industrial accident fund is a trust fund to be administered by the board as trustees and as directed by the act. The schedule of payments set forth in the act are the maximum payments that are authorized and therefore allowable under the act.
“In the absence of a specific statute authorizing the charging of interest on accrued compensation payments against this trust fund, no interest may be assessed or charged. This is a matter that, if deemed of sufficient importance, should be called to the attention of the legislature for proper amendment. The courts may not legislate thereon.” 133 Mont, at 454, 324 P.2d at 1066.

Carlson argues that Gaffney should not apply here, because it was a case decided long before the Workers’ Compensation Court was established by legislation in 1975. Section 39-71-2901, et seq., MCA.

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Bluebook (online)
700 P.2d 607, 216 Mont. 129, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carlson-v-cain-mont-1985.