Dittman v. Rapid City School District

2022 S.D. 34
CourtSouth Dakota Supreme Court
DecidedJune 15, 2022
Docket29548, 29576
StatusPublished

This text of 2022 S.D. 34 (Dittman v. Rapid City School District) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dittman v. Rapid City School District, 2022 S.D. 34 (S.D. 2022).

Opinion

#29548, #29576-aff in pt & rev in pt-SPM 2022 S.D. 34

IN THE SUPREME COURT OF THE STATE OF SOUTH DAKOTA

****

MELISSA DITTMAN, Claimant and Appellant,

v.

RAPID CITY SCHOOL DISTRICT and DAKOTA TRUCK UNDERWRITERS, Employer, Insurer, and Appellees.

APPEAL FROM THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT HUGHES COUNTY, SOUTH DAKOTA

THE HONORABLE CHRISTINA L. KLINGER Judge

JAMES D. LEACH Rapid City, South Dakota Attorney for claimant and appellant.

MICHAEL SNYDER of Davenport, Evans, Hurwitz, & Smith, LLP Sioux Falls, South Dakota Attorneys for employer, insurer, and appellees.

CONSIDERED ON BRIEFS AUGUST 23, 2021 OPINION FILED 06/15/22 #29548, #29576

MYREN, Justice

[¶1.] Rapid City School District (Employer) and Dakota Truck Underwriters

(Insurer) denied coverage for medical expenses Melissa Dittman incurred while

being treated by Dr. Donald Corenman. Dittman filed a petition for hearing with

the Department of Labor and Regulation (Department). The Department granted

Employer/Insurer’s motion for summary judgment regarding these medical

expenses. Dittman appealed to the circuit court, which affirmed the Department’s

decision. Dittman appeals. Employer/Insurer filed a notice of review regarding an

earlier ruling by the Department. We affirm in part and reverse in part.

Facts and Procedural History

[¶2.] On February 17, 2017, Dittman injured her back while working as a

special education teacher for Employer. Dittman provided Employer with timely

notice of her injury. At the time of the injury, Insurer insured the Employer.

Dittman initially sought treatment with Black Hills Orthopedic & Spine Center on

April 27, 2017, from Dr. Robert Woodruff and his physician’s assistant (P.A.), Mitch

Grieve. P.A. Grieve referred Dittman to Dr. Peter Vonderau at The Rehab Doctors

for pain treatment. Dittman attended appointments with Dr. Vonderau in 2017

and 2018. 1

[¶3.] At an August 2, 2017 appointment, Dr. Vonderau and Dittman

discussed the possibility of surgery. Dr. Vonderau referred Dittman back to Black

Hills Orthopedic & Spine Center for a surgical evaluation. On August 10, 2017,

1. In their briefing before the Department, the circuit court, and this Court, both parties treat Dr. Vonderau as Dittman’s initial treating physician under SDCL 62-4-43. -1- #29548, #29576

P.A. Grieve determined that Dittman was not a surgical candidate. Despite this

assessment, Dittman continued discussing surgery with Dr. Vonderau and

indicated that she would continue researching potential surgeons. Insurer paid

Dittman’s medical expenses related to Dr. Woodruff, Dr. Vonderau, and P.A. Grieve.

[¶4.] Dittman identified a potential surgeon, Dr. Donald Corenman in Vail,

Colorado. Dr. Vonderau had previously made successful referrals to Dr. Corenman.

On November 3, 2017, Dr. Vonderau submitted a request for a surgical consultation

with Dr. Corenman to Employer/Insurer’s case management plan provider. The

case manager handling Dittman’s claims denied this request.

[¶5.] Dittman filed a petition for hearing regarding this denial on November

28, 2017. Dittman asserted that she sustained an injury arising out of and in the

course of her employment, that Employer received notice the same day, that

Employer was insured by Insurer, that she was entitled to workers’ compensation

benefits, and that Insurer was refusing to pay expenses related to the referral from

her treating physician to Dr. Corenman.

[¶6.] On January 4, 2018, Employer/Insurer filed an answer in which they

alleged the petition failed to state a claim upon which relief could be granted and

denied “each and every allegation in the Petition unless specifically admitted or

qualified.” With respect to Dittman’s claims of work-related injury and notice to

Employer, Employer/Insurer limited its answer as follows: “[A]dmit only that on or

about February 17, 2017, Claimant reported to Employer that she claimed to have

suffered an injury to her low back arising out of and in the course of employment.”

Insurer admitted insuring Employer and asserted “that all workers’ compensation

-2- #29548, #29576

benefits to which Claimant has demonstrated entitlement and of which they are

aware have been paid.”

[¶7.] The Department entered a scheduling order which required the parties

to identify the issues to be decided by the Department. On January 16, 2018,

Dittman specified: “I believe the only relevant issue is whether the treating

physician Dr. Vonderau’s referral of Ms. Dittman to Dr. Corenman in Colorado for a

second opinion is a covered expense under worker’s compensation. The employer’s

Answer denies that Ms. Dittman sustained an injury, but I do not believe this is a

genuine issue.” Employer/Insurer identified the issue as: “Whether the evaluation

Claimant seeks with Dr. Corenman is a second opinion at her own expense

pursuant to SDCL 62-4-43.”

[¶8.] On February 9, 2018, Dittman again talked to Dr. Vonderau about her

ongoing pain and her desire for further assessment. Dr. Vonderau referred Dittman

to Dr. Corenman because conservative treatment had not provided her relief from

pain. This time, Dr. Vonderau did not seek prior approval from Insurer’s case

management plan provider. Dittman had a long-distance telephonic consultation

with Dr. Corenman on July 17, 2018. On October 2, 2018, Dittman traveled to

Colorado for an evaluation. On December 3, 2018, Dittman underwent a successful

spinal fusion surgery with Dr. Corenman.

[¶9.] On February 28, 2018, Dittman filed a motion to compel discovery

related to a request for admission she had served upon Employer/Insurer. The

request for admission asked Employer/Insurer to admit that: “On or about February

17, 2017, claimant sustained an injury arising out of and in the course of her

-3- #29548, #29576

employment.” Employer/Insurer objected to the request for admission “on the

grounds that it is irrelevant to the sole issue . . . and not likely to lead to the

discovery of admissible evidence” and because it sought a legal conclusion for which

Dittman bears the burden of proof. Reserving these objections, Employer/Insurer

then responded that Dittman “claimed she suffered an injury at work on or about

February 17, 2017, for which she has received workers’ compensation benefits, but

the Employer and Insurer expressly reserves all rights under Title 62 to continue to

investigate the claim, specifically including but not limited to whether her

employment, including any February 17, 2017 injury, remains a major contributing

cause of her condition, impairment disability, or need for treatment.” The

Department established a briefing schedule related to the motion to compel

discovery.

[¶10.] In its briefing in opposition to the motion to compel, Employer/Insurer

argued that it had not denied Dittman’s claims for benefits, except for those related

to Dr. Corenman. Employer/Insurer explained that this denial was based on an

application of SDCL 62-4-43 and not a general denial of compensability. Secondly,

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Bluebook (online)
2022 S.D. 34, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dittman-v-rapid-city-school-district-sd-2022.