Davis v. Hammack Management, Inc.

391 P.3d 1261, 161 Idaho 791, 2017 WL 727767, 2017 Ida. LEXIS 46
CourtIdaho Supreme Court
DecidedFebruary 24, 2017
DocketDocket 43863
StatusPublished
Cited by2 cases

This text of 391 P.3d 1261 (Davis v. Hammack Management, Inc.) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Davis v. Hammack Management, Inc., 391 P.3d 1261, 161 Idaho 791, 2017 WL 727767, 2017 Ida. LEXIS 46 (Idaho 2017).

Opinions

J. JONES, Justice Pro Tem.

This is a total and permanent disability case where Gary Davis (“Claimant”), Ham-mack Management, Inc. (“Employer”), the Idaho State Insurance Fund (“Surety”), and the Idaho Industrial Special Indemnity Fund (“ISIF”) entered into a compensation agreement (“Stipulation”). The parties agreed that Claimant became totally and permanently disabled based on the combined effects of his preexisting impairments and a workplace injury that occurred in 2004. The Stipulation outlined each party’s financial obligations to Claimant, including a credit to Employer for permanent partial impairment benefits previously paid. The Idaho Industrial Commission (“Commission”) approved the Stipulation. Subsequently, this Court issued its decision in Corgatelli v. Steel West, Inc., 167 Idaho 287, 336 P.3d 1160 (2014), prohibiting such a credit. Claimant then sought a declaratory ruling that the credit in the Stipulation was void. The Commission issued an order stating that the Stipulation was binding as written and subsequently denied Claimant’s motion for reconsideration. Claimant appealed to this Court.

I.

FACTUAL AND PROCEDURAL BACKGROUND

Claimant suffered a workplace injury in 2004 in an accident that arose out of and in the course of his employment for Employer. Claimant filed a complaint against Employer, Surety, and ISIF. Between the date of the injury and the date when the parties stipulated that Claimant was totally and permanently disabled, Claimant underwent seven spine surgeries that resulted in fourteen levels of his cervical, thoracic, and lumbar spine being fused with hardware through internal fixation.

Claimant, Employer, Surety, and ISIF later entered into negotiations regarding compensation and reached the agreement contained in the Stipulation. They agreed that [793]*793Claimant was totally and permanently disabled as of October 1, 2013 (“MMI date”). Before that time, Claimant was characterized as temporarily disabled, and all parties agreed that he had been paid all benefits due through the MMI date. The parties agreed that Claimant had a preexisting 32% whole person permanent partial impairment (“PPI”) before the injury and an additional 27% whole person PPI due to the 2004 injury. Employer accepted responsibility for paying 250 weeks of total and permanent disability income benefits commencing as of Claimant’s MMI date. Surety agreed to pay those benefits “in the amount of 55% of the average weekly state wage for 2004, the year of the industrial injury, namely, $293.70 per week, subject to the credit” at issue here. The Stipulation continued:

Beginning on October 1, 2013, Claimant is entitled to be paid total and permanent disability benefits at 45% of the then prevailing average weekly state wage pursuant to Idaho Code Sections 72-408 and 72-409. Therefore, the total and permanent disability benefit rate for claimant for 2013 is $303.30 per week, and for 2014 is $307.80 per week. The difference between Surety’s obligation of $293.70 per week and Claimant’s benefit rate of 45% of the prevailing average state weekly wage shall be paid by the ISIF. Therefore, for the period of October 1, 2013 through December 31, 2013, the ISIF will pay to Claimant the sum of $9.60 per week. For the calendar year 2014, ISIF shall be obligated to pay to Claimant the differential amount of $14.10 per week. At the expiration of said 250 week period, subject to the credit discussed in paragraph 12, below, the ISIF will pay Claimant his full statutory income benefits, said amount being 45% of the then prevailing average state weekly wage, until Claimant’s death.

The credit agreed on by the parties in paragraph 12 was described as follows:

Surety has accepted aggregate permanent physical impairment ratings amounting to 27% whole person impairment for the industrial injury and paid the benefits associated with such ratings. In addition, Surety has paid Claimant benefits corresponding to 5% whole person as an advance against permanent disability. These benefits, combined, amount to a total of 160 weeks. The amount paid by Surety to Claimant for the 160 weeks based on the combined total of the 27% whole person PPI and 5% advance against permanent disability, amounts to $46,992. Notwithstanding any other provision herein, Surety is entitled to a credit of 160 weeks, or $46,992, against its obligation to pay 250 weeks of total and permanent disability benefits to Claimant beginning October 1, 2013, leaving a total of 90 weeks of benefits to be paid by Surety.

The 160 weeks are broken down into two sections: (1) 135 weeks for the 27% whole person PPI equaling $39,649.50 (“PPI credit”) and (2) a credit of 25 weeks based on the 5% disability in excess of impairment benefits that Employer had paid on a voluntary basis, equaling $7,342.50. Claimant only disputes the PPI credit of $39,649.50, conceding that Employer is entitled to the credit for the 26 weeks.

On June 26, 2014, the Commission approved the Stipulation and dismissed the complaint with prejudice. On August 25, 2014, this Court issued its opinion in Corga-telli, which invalidated credits to employers for previously paid PPI benefits. Claimant wrote to Employer, requesting that Employer pay the PPI credit or stipulate to amend the Stipulation to eliminate the PPI credit. Employer refused and stated that it would stop paying Claimant after 90 weeks. Claimant wrote to ISIF and asked that the 45% benefit be paid beginning on week 90, as he believed the credit should accelerate the start date of ISIF’s full payment obligation of 45% of the average weekly state wage from week 250 to week 90. ISIF disagreed and refused to confirm that it would begin paying Claimant his full statutory benefits 90 weeks after the stipulated MMI date. It further stated that it would begin paying Claimant on week 250.

Claimant then filed a petition for declaratory ruling with the Commission under its Judicial Rules of Practice and Procedure (“JRP”), requesting the Industrial Commission to interpret the Stipulation and declare the PPI credit granted to Employer void. Employer and Surety filed their objection [794]*794and response to Claimant’s petition for declaratory ruling. ISIF filed a limited appearance to challenge subject matter jurisdiction and service of process. The Commission considered and entered an order on the petition for declaratory ruling, but denied the substantive relief request by Claimant. Claimant filed a motion for reconsideration, which the Commission denied. Claimant filed a timely appeal and ISIF cross-appealed.

II.

ISSUES ON APPEAL

1. Whether the Commission had subject matter jurisdiction over the petition for declaratory ruling.

2. Whether the Commission erred in failing to invalidate the PPI credit.

3. Whether any party is entitled to attorney fees.

III.

STANDARD OF REVIEW

“When this Court reviews a decision from the Industrial Commission, it exercises free review over questions of law but reviews questions of fact only to determine whether substantial and competent evidence supports the Commission’s findings.” Vawter v. United Panel Serv., Inc., 155 Idaho 903, 906-07, 318 P.3d 893, 896-97 (2014).

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Cite This Page — Counsel Stack

Bluebook (online)
391 P.3d 1261, 161 Idaho 791, 2017 WL 727767, 2017 Ida. LEXIS 46, Counsel Stack Legal Research, https://law.counselstack.com/opinion/davis-v-hammack-management-inc-idaho-2017.