City of South Tucson v. Industrial Commission

753 P.2d 1199, 156 Ariz. 543, 6 Ariz. Adv. Rep. 27, 1988 Ariz. App. LEXIS 99
CourtCourt of Appeals of Arizona
DecidedApril 14, 1988
DocketNo. 1 CA-IC 3798
StatusPublished
Cited by5 cases

This text of 753 P.2d 1199 (City of South Tucson v. Industrial Commission) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
City of South Tucson v. Industrial Commission, 753 P.2d 1199, 156 Ariz. 543, 6 Ariz. Adv. Rep. 27, 1988 Ariz. App. LEXIS 99 (Ark. Ct. App. 1988).

Opinion

OPINION

CONTRERAS, Judge.

This is a special action review of an Industrial Commission award excusing a late protest and awarding workers’ compensation benefits to claimant who, when injured, was a prisoner working for a political subdivision of the state pursuant to an intergovernmental agreement between the political subdivision and the Arizona Department of Corrections (ADOC). Two issues are presented for review: (1) whether the statutory exclusion of workers’ compensation coverage to specified prisoners applies to this case; and (2) whether the late protest was unexcused as a matter of law because the notice of claim status was mailed to the last known mailing address as shown on the records of the Commission. We conclude that the statutory exclusion applies to this case and is constitutional. Accordingly, on this basis alone, we set aside the award.

The respondent employee (claimant) was incarcerated with ADOC for his second felony conviction. In approximately November 1985, the ADOC accepted the claimant’s request for work release and transferred him to the Southern Arizona Correctional Release Center (SACRC). In approximately December 1985, SACRC personnel assigned the claimant to work for the petitioner employer, the City of South Tucson (City).

The City and ADOC had previously entered into a written intergovernmental [545]*545agreement concerning work assignments of inmates to public works projects, including normal property maintenance. See generally A.R.S. §§ 11-952, 31-252, 41-1624.01. The City, in its contractual capacity as “contractor,” agreed, among other things, to supervise the work of inmates, to pay $.50 for each hour of inmate service in care of ARCOR,1 and to provide necessary first aid or hospitalization for accident or serious illness occurring while the inmate was working. The parties also agreed that the City would be liable “only for injuries resulting from its or its employees^] ordinary negligence in the oversight of recognized contractual responsibilities.”

The claimant worked for the City’s Department of Sanitation assisting a refuse truck driver on his normal collection route. On February 18, 1986, while aligning a dumpster with the truck, the claimant twisted his back. Although he was able to complete his shift without obvious difficulty, by the next morning he was in severe pain. He was unable to work, and SACRC personnel transported him to a hospital emergency room located in Tucson.

While at the hospital, the claimant partially completed the worker’s report section of a standard workers’ compensation claim form. He listed SACRC’s street address as his current address without mentioning either SACRC itself or ADOC. He listed the City as his employer. He also signed this report. Above the signature line, the report included the following notice:

BY THIS INSTRUMENT I MAKE APPLICATION FOR ALL BENEFITS TO WHICH I MAY BE ENTITLED UNDER THE LAW ... I UNDERSTAND I MUST FOLLOW THE INSTRUCTIONS OF MY DOCTOR AND MUST HAVE WRITTEN APPROVAL FROM THE INDUSTRIAL COMMISSION TO LEAVE THE STATE OF ARIZONA OR MY LOCALITY. FAILURE TO DO SO MAY CAUSE FORFEITURE OF COMPENSATION BENEFITS.

The next day, the ADOC transferred the claimant from SACRC to prison. The claimant never informed the Industrial Commission of this change of address. According to the claimant, he remained symptomatic but did not get additional medical treatment until September 1986.

The City’s compensation carrier, the State Compensation Fund (Fund), received a March 3, 1986 letter from SACRC’s administrator, which listed the claimant’s ADOC file number and stated as follows:

I am returning your Employer’s Report of Industrial Injury for ... [the claimant because he] was an inmate under the jurisdiction of the Arizona Department of Corrections when this injury occurred. [The claimant] was assigned to a work project at the City of South Tucson through an ARCOR project while assigned to this facility. As such, it is my understanding he is not eligible for workman’s [sic] compensation.

On March 12, 1986, the Fund issued a notice of claim status denying compensability because the claimant was not an employee of the City. It mailed this notice and an acknowledgement card to the claimant at the address listed on the worker’s report. Both the notice and the card were returned to the Fund with the notation “RETURNED TO SENDER/NO FORWARDING ADDRESS.” A handwritten notation on the notice indicated that “unable to remail 104 of 3-12-86 to Clt as no other address to remail it to.” From our review of the record, it appears the Fund made no further effort to locate or notify the claimant.

In September 1986, a prison medical assistant referred the claimant to Roy Richard Gettel, M.D., who eventually diagnosed [546]*546a herniated disk. An independent medical examiner subsequently confirmed the diagnosis.

In approximately October 1986, the claimant was released from prison. After being released claimant telephoned the Industrial Commission and discovered that the Fund had denied benefits. On October 29, 1986, 141 days after the protest period had expired, the claimant filed a hearing request. After a hearing was scheduled, the claimant retained his present counsel.

The initial hearing was limited to the issues of untimeliness and the claimant’s entitlement to compensation benefits. The witnesses included the claimant, the claims representative who processed the claim, the city manager of South Tucson, and the driver who worked with the claimant. Their testimony supported the history summarized above. The following additional details are relevant.

The claimant testified that he was generally familiar with workers’ compensation but had not filed a previous claim for benefits. Worker’s Compensation coverage had not been discussed when he started work for the City. He nevertheless assumed that he was covered because standard notices concerning compensation coverage were posted at work. He also testified that he did not realize that the form he had completed at the hospital was a claim for workers’ compensation benefits. Although he admitted signing the form, he explained that he had not read the printed notice which appeared on the form. He stated that at the time he was in pain and he thought it was necessary to receive treatment at the hospital. For this same reason, the claimant had not notified the Industrial Commission of his change of address. (The claimant was not asked why he contacted the Industrial Commission in October 1986 if he believed he had not filed a claim.)

The claims representative explained why she had not made a second attempt to notify the claimant even though she knew that he was in ADOC custody:

A We are only responsible to send it to the address that we have in the file.
Q Is that a State Compensation Fund internal rule of some kind?
A We mail it to the last-known address of the Claimant. Before we check the address in our claim file, it has to go to the Claimant, itself [sic]. We cannot send it to a member of his family or anyone else.
Q Even if you know where he is?
A Even though we know where he is. We mail it to the last-known address of the Claimant.

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

Related

Timmy Vuncannon v. United States
711 F.3d 536 (Fifth Circuit, 2013)
Republic-Franklin Insurance v. City of Amherst
553 N.E.2d 614 (Ohio Supreme Court, 1990)

Cite This Page — Counsel Stack

Bluebook (online)
753 P.2d 1199, 156 Ariz. 543, 6 Ariz. Adv. Rep. 27, 1988 Ariz. App. LEXIS 99, Counsel Stack Legal Research, https://law.counselstack.com/opinion/city-of-south-tucson-v-industrial-commission-arizctapp-1988.