Diane Anderson v. Mountain Comprehensive Health Corporation

CourtKentucky Supreme Court
DecidedMarch 24, 2021
Docket2020 SC 0133
StatusUnknown

This text of Diane Anderson v. Mountain Comprehensive Health Corporation (Diane Anderson v. Mountain Comprehensive Health Corporation) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Diane Anderson v. Mountain Comprehensive Health Corporation, (Ky. 2021).

Opinion

RENDERED MARCH 25, 2021 TO BE PUBLISHED

Supreme Court of Kentucky 2020-SC-0133-WC

DIANE ANDERSON APPELLANT

ON APPEAL FROM COURT OF APPEALS NO. 2019-CA-1414 V. WORKERS’ COMPENSATION BOARD NO. 18-WC-01444

MOUNTAIN COMPREHENSIVE HEALTH APPELLEES CORPORATION; HON. JONATHAN R. WEATHERBY, ADMINISTRATIVE LAW JUDGE; AND WORKERS’ COMPENSATION BOARD

OPINION OF THE COURT BY JUSTICE KELLER

REVERSING AND REMANDING

Administrative Law Judge (ALJ) Jonathan R. Weatherby dismissed Diane

Anderson’s (Anderson) workers’ compensation claim finding Anderson failed to

provide reasonable notice of her injury to her employer, Mountain

Comprehensive Health Corporation (MCHC). Applying the notice provisions of

KRS1 342.185(1), the ALJ found Anderson’s delay of almost two years from the

original manifestation date, based on Dr. Owen’s treatment record dated

January 23, 2017, was not timely. Both the Workers’ Compensation Board

1 Kentucky Revised Statute. (Board) and the Court of Appeals affirmed the ALJ. In reviewing the evidence,

statutes, and pertinent case law, we hold that the ALJ erred in applying KRS

342.185(1) to Anderson’s claim. As of July 14, 2018, the notice provisions of

KRS 342.185(1) do not apply to cumulative trauma injuries. The General

Assembly added KRS 342.185(3), specifically addressing a claimant’s notice

requirements for cumulative trauma injuries. We hold the ALJ applied the

incorrect provision of the statute and that under KRS 342.185(3), Diane

Anderson’s claim was timely. For this reason, we reverse and remand.

I. BACKGROUND.

Anderson worked for MCHC as a nurse for twenty-one years. Anderson

claims she suffered work-related injuries to her neck, back, and hands as a

result of her employment. Her injuries became so crippling that she resigned

from MCHC on November 17, 2017. Subsequently, Anderson filed a claim for

Social Security disability benefits. On October 3, 2018, Anderson filed a

workers’ compensation claim, Form 101, alleging she sustained cumulative

trauma injuries to her neck, back, and hands on November 17, 2017, while

working for MCHC. Her Form 101 asserts she gave MCHC notice of her

cumulative trauma, in writing, on September 26, 2018. On October 30, 2018,

MCHC filed a special answer, asserting Anderson’s claims were time-barred.

During her deposition on November 19, 2018, Anderson testified that the

first doctor to connect her pain with her work was Dr. James Owen and that

she saw Dr. Owen in “January of this year.” However, Anderson never listed

Dr. Owen on her Form 105, Chronological Medical History, accompanying her

2 claim.2 This admission prompted MCHC to request the production of Dr.

Owen’s medical records. The ALJ issued an order of compliance on December

14, 2018, but Anderson’s response to the order contained no information from

Dr. Owen. MCHC issued a request directly to Dr. Owen. Dr. Owen faxed a copy

of his handwritten treatment notes to MCHC, indicating he examined Anderson

on January 23, 2017. MCHC filed a copy of this response with the ALJ on

February 7, 2019.

A benefits review conference was held on February 12, 2019, followed by

a formal hearing on February 26, 2019. MCHC contested that Anderson

provided reasonable notice of her work-related injury under KRS 342.185.

Anderson’s brief, filed March 27, 2019, contradicted her deposition testimony

regarding the initial physician to correlate her pain with her work. In her brief,

and subsequent hearing testimony, she stated Dr. Chad Morgan first informed

her she had permanent, work-related injuries on September 25, 2018. MCHC

argued that since: (1) Anderson previously testified it was Dr. Owen who

initially diagnosed her; (2) Dr. Owen’s report was dated January 23, 2017; and

(3) she did not comply with discovery, her 618-day delay in providing notice

was untimely.

In determining the manifestation date, the ALJ noted that Dr. Owen’s

handwritten treatment note conflicted with Anderson’s testimony as to when

she saw him. Dr. Owen’s record indicated a treatment date of January 23,

2 A Chronological Medical History documents: (1) names and addresses of every physician/hospital the plaintiff saw or visited; (2) dates treatment was received; (3) the nature of the injury; and (4) whether the plaintiff is still under a doctor’s care.

3 2017, while Anderson’s testimony inferred a date in January 2018. The ALJ

chose to believe Anderson was mistaken, and that the treatment occurred in

January 2017. Based on the 618 days between treatment and notice, the ALJ

found that Anderson had not provided notice “as soon as practicable per KRS

342.185,” and dismissed her claim. Due to the dismissal, the ALJ never made

findings of fact or conclusions of law regarding whether Anderson’s injuries

were work-related cumulative trauma or to what benefits she may have been

entitled. It was in reviewing the ALJ’s opinion that Anderson first identified the

typographical error in Dr. Owen’s handwritten treatment record.

Anderson did not file a petition for reconsideration requesting the ALJ

correct the record; instead, she appealed to the Board. In her appeal, Anderson

attached, for the first time, two medical reports to her brief. The first was Dr.

Owen’s report generated for the Social Security Administration, dated January

23, 2018. The second was a statement from Dr. Owen, dated June 13, 2019,

indicating the date on his handwritten treatment note was incorrect and that

he saw Anderson on January 23, 2018, not 2017. Anderson argued she only

discovered the mistake after the ALJ’s opinion, and Dr. Owen was on vacation

at the time, leaving Anderson unable to timely file a petition for

reconsideration. The Board rejected this notion stating that for the Board to

review the “mistake,” Anderson had to have first filed a petition for

reconsideration.

4 The Board also rejected Anderson’s argument that the ALJ’s opinion

should be reversed due to newly discovered evidence.3 The Board found that

while Dr. Owen’s handwritten treatment note was misdated, the correctly dated

report did not constitute newly discovered evidence. The correct report was in

existence at the time of the hearing and could have been discovered with due

diligence on Anderson’s part. The Board also noted that if Anderson had

complied with the request for production of documents, she would have had

five months before the ALJ’s opinion was rendered, easily allowing her to

identify the typographical error or counter with the report generated for her

disability claim. Thus, the Board affirmed the ALJ’s opinion.

A unanimous Court of Appeals agreed with the Board’s logic. The Court

of Appeals said that the incorrect date could have been discovered and

corrected if Anderson had exercised due diligence in obtaining the correctly

dated report. Additionally, the court said Anderson should have been aware

that Dr.

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

Related

Whittaker v. Reeder
30 S.W.3d 138 (Kentucky Supreme Court, 2000)
Commonwealth Department of Agriculture v. Vinson
30 S.W.3d 162 (Kentucky Supreme Court, 2000)
Baker v. Fletcher
204 S.W.3d 589 (Kentucky Supreme Court, 2006)
Carnes v. Parton Bros. Contracting, Inc.
171 S.W.3d 60 (Court of Appeals of Kentucky, 2005)
Smith v. Dixie Fuel Co.
900 S.W.2d 609 (Kentucky Supreme Court, 1995)
Paramount Foods, Inc. v. Burkhardt
695 S.W.2d 418 (Kentucky Supreme Court, 1985)
Special Fund v. Francis
708 S.W.2d 641 (Kentucky Supreme Court, 1986)
Bowerman v. Black Equipment Co.
297 S.W.3d 858 (Court of Appeals of Kentucky, 2009)
Western Baptist Hospital v. Kelly
827 S.W.2d 685 (Kentucky Supreme Court, 1992)
Caudill v. Maloney's Discount Stores
560 S.W.2d 15 (Kentucky Supreme Court, 1977)
Columbus Mining Co. v. Sanders
159 S.W.2d 14 (Court of Appeals of Kentucky (pre-1976), 1942)
Stearns Coal & Lumber Co. v. Roberts
168 S.W.2d 573 (Court of Appeals of Kentucky (pre-1976), 1943)
Ford Motor Co. v. Jobe
544 S.W.3d 628 (Missouri Court of Appeals, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
Diane Anderson v. Mountain Comprehensive Health Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/diane-anderson-v-mountain-comprehensive-health-corporation-ky-2021.