Cornelson v. Industrial Commission

17 P.3d 114, 199 Ariz. 269, 343 Ariz. Adv. Rep. 32, 2001 Ariz. App. LEXIS 5
CourtCourt of Appeals of Arizona
DecidedJanuary 23, 2001
DocketNo. 1 CA-IC 00-0001
StatusPublished
Cited by5 cases

This text of 17 P.3d 114 (Cornelson 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
Cornelson v. Industrial Commission, 17 P.3d 114, 199 Ariz. 269, 343 Ariz. Adv. Rep. 32, 2001 Ariz. App. LEXIS 5 (Ark. Ct. App. 2001).

Opinion

OPINION

NOYES, Judge.

¶ 1 This is a Rule 10 special action review of a consolidated Industrial Commission of Arizona award and decision upon review denying petitions to reopen 1987 and 1989 claims for right knee injuries. We discuss and decide two issues: (1) whether the clo[270]*270sure of the 1989 claim with a scheduled disability was void under Roseberry v. Industrial Commission, 113 Ariz. 66, 546 P.2d 802 (1976), and (2) whether, when petitioning to reopen after uncontested denials of prior petitions to reopen, proof of actual post-denial change of condition is required under Phoenix Cotton Pickery v. Industrial Commission, 120 Ariz. 137, 584 P.2d 601 (App.1978). Concluding that closure of the 1989 claim was valid and that proof of post-denial change was required, we affirm the award and decision upon review.

I.

¶2 While working for Respondent Employer (“Southwest Gas”), Petitioner Employee (“Claimant”) injured his right knee in 1987 and again in 1989. Respondent Carrier, the State Compensation Fund (“SCF”), was responsible for the 1987 claim; Southwest Gas was self-insured for the 1989 claim. In 1995, Claimant injured his right knee while at home.

¶ 3 The 1987 injury required arthroscopic surgery, which revealed undamaged menesci and chondromalacia of the patella. The patella was shaved and Claimant was discharged with a 10% permanent impairment, a full range of motion, and no work restrictions. He returned to work, although he experienced occasional soreness in his knee. The SCF closed the 1987 claim with the recommended impairment compensated as a scheduled disability.

¶ 4 The 1989 injury required two arthroscopic surgeries resulting in a subtotal medial menisectomy. Claimant was discharged without work restrictions but with a 23% permanent impairment for the surgeries and lost range of motion. Claimant returned to work, although he suffered some ongoing tenderness and swelling in his right knee.

¶ 5 On July 17,1990, Southwest Gas issued a Notice of Claim Status closing the 1989 claim with “permanent disability,” and it also issued a Notice of Permanent Disability acknowledging a 23% impairment of the right lower extremity. Southwest Gas, although noting that the SCF had previously paid for a 10% impairment to this extremity, compensated the additional 13% impairment as a scheduled disability. Claimant did not timely protest either of these notices. See Ariz.Rev. Stat.Ann. (“A.R.S.”) § 23-947 (1995).

¶ 6 The 1995 at-home injury to Claimant’s right knee required arthroscopic surgery in February 1996, which was covered privately. Claimant returned to regular work, but he had increasing difficulties because of his knee, and in August 1996, he filed petitions to reopen the 1987 and 1989 claims. The petitions were denied. The SCF denial gave no reasons; the Southwest Gas denial stated, “[mjedical information does not indicate any relationship to [1989] industrial injury.”

¶ 7 Claimant did not protest either denial. He did, however, within the protest period, file a new injury claim, and he later timely protested Southwest Gas’s denial of that claim. During the hearing process, Southwest Gas referred Claimant for an independent medical examination by Glen R. Bair, M.D., who reported that the surgical findings in 1995 were natural consequences of Claimant’s prior surgeries and primarily related to the 1987 injury. Claimant then filed a letter withdrawing his hearing request and stating that he intended to file a petition to reopen the 1987 claim.

¶ 8 Subsequently, Claimant filed a second petition to reopen the 1987 claim, and when SCF denied it, he timely requested a hearing. Claimant then retained current counsel, who filed- a petition to reopen the 1989 claim. When Southwest Gas denied this petition, Claimant timely requested a hearing. All pending matters were consolidated for hearing.

¶ 9 After hearings at which Claimant and three medical experts appeared, the Administrative Law Judge (“ALJ”) issued an award denying both petitions to reopen. The ALJ found that the Notice of Claim Status closing the 1989 claim with permanent disability and the medical report discharging Claimant with additional impairment from the 1989 injury were consistent and, therefore, that the notice was valid. She also found that Claimant had failed to prove a new, additional, or previously undiscovered condition compared to his condition when his first petitions to reopen both claims were denied in 1996. The [271]*271ALJ also found that the medical evidence failed to establish any causal link between the 1987 injury and Claimant’s condition in or after 1995. (The ALJ made no finding for or against the alleged causal link between the 1989 injury and Claimant’s condition in or after 1995.)

¶ 10 After the award was affirmed on administrative review, Claimant filed a timely Rule 10 petition for special action. We have jurisdiction under A.R.S. sections 12 120.21(A)(2) (1992) and 23-951(A) (1995), and Arizona Rules of Procedure for Special Actions 10 (Supp.2000). We deferentially review reasonably supported factual findings and independently review legal conclusions. See, e.g., PFS v. Indus. Comm’n, 191 Ariz. 274, 277, 955 P.2d 30, 33 (App.1997).

II.

A. Closure of the 1989 Claim

¶ 11 Claimant asserts that closure of his 1989 claim was void under Roseberry. We disagree.

¶ 12 The carrier in Roseberry, basing its decision on a medical report stating that the claimant’s condition was not stationary, closed the claim-that is, found that the claimant’s condition was stationary. 113 Ariz. at 67, 546 P.2d at 803; cf. Home Ins. Co. v. Indus. Comm’n, 23 Ariz.App. 90, 92-95, 530 P.2d 1123, 1125-28 (1975) (discussing closure of claim when condition is “stationary”). Because the decision was contrary to the medical evidence on which it was based, the supreme court concluded that the closure notice was void on its face, that the claim remained open and, therefore, that the claimant did not have to petition to reopen the claim. See Roseberry, 113 Ariz. at 68, 546 P.2d at 804.

¶ 13 The present case is unlike Rose-berry. Here, Claimant does not argue that the medical evidence failed to support closure of the claim. Claimant in fact concedes that the medical evidence does support the Notice of Claim Status closing the claim with “permanent disability.” Claimant instead argues that the Notice of Permanent Disability was void because successive industrially related scheduled disabilities are unscheduled as a matter of law and the notice compensated the 1989 disability as scheduled, while acknowledging a prior award for a scheduled disability. See Ronquillo v. Indus. Comm’n, 107 Ariz. 542, 543-44, 490 P.2d 423, 424-25 (1971). This Notice, however, and the clear error in it, concerned compensation of the 1989 disability; it did not concern closure of the 1989 claim, which is the relevant issue here and in Roseberry.

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

Related

Nolan v. Joseph painting/continental
Court of Appeals of Arizona, 2020
Ayon v. hyatt/broadspire
Court of Appeals of Arizona, 2018
Drake v. Az Cardinals
Court of Appeals of Arizona, 2016
highway/arch v. Quiroz
Court of Appeals of Arizona, 2015

Cite This Page — Counsel Stack

Bluebook (online)
17 P.3d 114, 199 Ariz. 269, 343 Ariz. Adv. Rep. 32, 2001 Ariz. App. LEXIS 5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cornelson-v-industrial-commission-arizctapp-2001.