City of Madrid v. Blasnitz

742 N.W.2d 77, 2007 Iowa Sup. LEXIS 123, 2007 WL 2893640
CourtSupreme Court of Iowa
DecidedOctober 5, 2007
Docket06-0977
StatusPublished
Cited by10 cases

This text of 742 N.W.2d 77 (City of Madrid v. Blasnitz) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
City of Madrid v. Blasnitz, 742 N.W.2d 77, 2007 Iowa Sup. LEXIS 123, 2007 WL 2893640 (iowa 2007).

Opinion

TERNUS, Chief Justice.

This appeal involves a workers’ compensation insurer’s challenge to an award of penalty benefits by the workers’ compensation commissioner. The district court ruled the commissioner had applied an incorrect standard in determining the employer’s liability for penalty benefits under Iowa Code section 86.13 (2003). and concluded the case should be remanded to the commissioner for reconsideration of penalty benefits under the appropriate test. Upon the employer’s appeal, the court of appeals affirmed the district court’s remand to the commissioner.

*78 We conclude the commissioner’s award of penalty benefits was not supported by substantial evidence because the underlying workers’ compensation claim was fairly debatable as a matter of law under the record before the commissioner. Therefore, we vacate the court of appeals decision, affirm the judgment of the district court in part and reverse in part, and remand the case for entry of a judgment consistent with this opinion.

I. Background Facts and Proceedings.

On August 1, 2003, the appellee, Angela Blasnitz, filed a petition for arbitration seeking workers’ compensation benefits for a shoulder injury she was ultimately found to have sustained on January 17, 2003. Her employer, City of Madrid, Iowa, and its workers’ compensation insurer, EMC Insurance Companies, denied her claim, contending she had not sustained a shoulder injury on the date alleged. (We will refer to these parties jointly as the insurer.) An arbitration decision was eventually entered by a deputy workers’ compensation commissioner, awarding disability, medical, and penalty benefits.

On intra-agency appeal, the workers’ compensation commissioner affirmed, adopting the deputy’s decision with some “additional analysis” concerning the penalty benefits issue. Before reviewing the commissioner’s analysis of this issue, it is helpful to summarize the pertinent facts found by the commissioner, as well as the relevant documentary evidence and testimony introduced at the hearing.

In January 2003 the claimant was employed as a police officer for the City of Madrid. On January 17, 2003, she was dispatched to a call at the home of Michael and Susan Palmer to investigate a domestic disturbance. The claimant testified at her workers’ compensation hearing that she slipped and fell in the Palmer home, striking her right shoulder and elbow. At the time of the incident, the claimant was wearing a remote microphone for her patrol vehicle recording system, and she can be heard to fall on the tape. Her fall was not visible on the tape, however.

The claimant stated in answers to interrogatories that she had immediate pain in her shoulder and elbow. The patrol ear tape shows her conducting a vehicle stop after her fall, sometimes using her right arm above her shoulder. She does say “ouch” once while searching the vehicle. The claimant did not record that she sustained an injury when she completed her patrol activity report for her January 17, 2003 shift. The claimant had been injured three times while working for the city before the January 17, 2003 incident, and on each occasion, she had noted her injury in her patrol activity log on the day the injury occurred.

The claimant testified she had a discussion with the police chief the day after her fall regarding an injury to her shoulder. The chief, however, denied he had a conversation with the claimant on January 18 or January 19, as he did not work on either date.

The police chief gave the claimant a three-day suspension on February 19, 2003, for failing to follow an office directive with respect to an unrelated matter. On the final day of her suspension, February 24, 2003, the claimant sought her initial treatment for her shoulder, neck, and arm. She reported to her chiropractor on that date that she had her first symptoms after a fall on her right shoulder approximately three weeks earlier. The claimant wrote a note to her employer the next day, February 25, 2003, stating that she fell “at the 10-16” and hurt her back and shoulder. In response to this note, the insurer authorized medical care *79 with a Dr. Kirkland, who the claimant saw on March 19, 2003. The claimant reported to Dr. Kirkland that she slipped and fell on either January 17, 2003, or December 17, 2002, while responding to a call, but according to his records, she really could not remember. Also on March 19, 2003, the claimant reported to Therapeutic Associates that the injury occurred ninety days prior. On March 26, 2003, she told a physical therapist that she injured her shoulder on January 17, 2003, when responding to a domestic-dispute call. She gave the same history to a physician she consulted on May 7, 2003, who determined the claimant had a rotator cuff tear in her right shoulder. The claimant subsequently had two surgeries to repair the tear.

On three occasions in April 2003, the insurer made surveillance videos of the claimant. In one video, she can be seen bridling, leading, and grooming three horses for approximately ninety minutes, using both arms, sometimes above shoulder level. At one point, she appears to briefly shake her right arm and hold her right shoulder. On May 21, 2003, the insurer took a recorded statement from Mr. Palmer, one of the subjects of the claimant’s January 17 domestic-disturbance call. Mr. Palmer told the insurer that the claimant fell straight down on January 17, 2003, and landed on her bottom. The insurer wrote to the claimant on May 22, 2003, denying her claim.

On June 2, 2003, the claimant called Mr. Palmer and asked him to sign a statement for her because “she was having trouble with the workmen’s comp.” The next day, June 3, 2003, Mr. Palmer gave a second statement to the insurer, stating that on January 17, 2003, “he had turned slightly and he turned back around and claimant had her feet in the air and her back was against the wall.” He explained that he “just wasn’t thinking right” when he gave his first statement. Eventually, Mr. Palmer’s deposition was taken on March 12, 2004. He testified that he did not see the claimant fall on January 17, 2003, but he did offer to help her up after her fall. He further testified she said she was fine, she did not act like she had been injured, and she did not rub her right arm or shoulder. Mr. Palmer also suggested in his deposition that the parties should question his wife about the incident as she was sitting on the couch facing the door where and when the claimant slipped.

The insurer then contacted Mrs. Palmer, who gave a statement on March 17, 2004. Mrs. Palmer stated that she saw the claimant fall and did not recall that the claimant struck her right shoulder or arm in the course of her fall. Mrs. Palmer testified consistently with her statement when her deposition was subsequently taken on May 11, 2004. She testified she saw the claimant fall, but did not see her hit anything. She said the claimant fell straight down on her bottom with her feet straight out in front of her. Mrs. Palmer said her husband asked the claimant if she was okay, and the claimant said she was okay and did not act injured.

In addition to the testimony of the Palm-ers, the police chief testified at the hearing that the claimant told him in mid-2002 that she had been kicked in the right arm by her horse. The police chief said he observed a large bruise on her arm at that time.

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742 N.W.2d 77, 2007 Iowa Sup. LEXIS 123, 2007 WL 2893640, Counsel Stack Legal Research, https://law.counselstack.com/opinion/city-of-madrid-v-blasnitz-iowa-2007.