Doe v. Kansas Department of Human Resources

90 P.3d 940, 277 Kan. 795, 2004 Kan. LEXIS 262
CourtSupreme Court of Kansas
DecidedMay 14, 2004
DocketNo. 90,124
StatusPublished
Cited by4 cases

This text of 90 P.3d 940 (Doe v. Kansas Department of Human Resources) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doe v. Kansas Department of Human Resources, 90 P.3d 940, 277 Kan. 795, 2004 Kan. LEXIS 262 (kan 2004).

Opinion

The opinion of the court was delivered by

Davis, J.:

This case presents the question whether a workers compensation claimant’s use of a false name in applying for benefits and lying under oath as to her identity in the proceeding to obtain benefits were fraudulent or abusive acts under K.S.A. 44-5,120 (1993 Furse) even though the claimant was legally entitled to the benefits she received. Jane Doe, a/k/a Victoria Acosta, a/k/a Deha Butanda, appeals from the district court order affirming the final order of the Secretary of Human Resources imposing a civil fine against Butanda for fraudulent or abusive acts under K.S.A. 44-5,120 (1993 Furse). We affirm.

FACTS:

Deha Butanda was an illegal immigrant who sought and obtained employment with National Beef Packing Company (NBP) in Dodge City using an assumed name and social security number. On September 8, 1995, Butanda was injured during the course of her employment. She filed a workers compensation action using [797]*797the name and social security number of Victoria Acosta. During the workers compensation proceedings, Butanda lied under oath about her identity on four different occasions. (March 18, 1996, November 19, 1996, January 22, 1997, and March 10, 1997) For a detailed statement of the facts involving Butanda’s workers compensation claim, see this court’s decision in Acosta v. National Beef Packing Co., 273 Kan. 385, 44 P.3d 330 (2002).

On August 17, 1999, the Workers Compensation Division’s Fraud and Abuse Unit received a referral from the Kansas Insurance Department indicating that Butanda was using a false name. On November 17,1999, Investigator Jimmy D. Huff submitted an investigation summary to the Fraud and Abuse Unit. On January 3, 2001, Director of Workers Compensation Philip S. Harness issued a summary order pursuant to K.S.A. 77-537 finding that Butanda had violated K.S.A. 44-5,120(d)(4)(A) and/or (B) (1993 Furse) by using an assumed name and social security number in her workers compensation claim. The summary order indicated that the complaint was received on August 20, 2000. Butanda was assessed a monetary fine of $2,000 pursuant to K.S.A. 44-5,120(g)(1) (1993 Furse). Butanda filed a timely request for hearing on the summary order.

On September 21, 2001, a fraud and abuse hearing was conducted before Hearing Officer Larry Kams regarding the summary order. At the hearing, Butanda admitted she had intentionally testified her name was Victoria Acosta during workers compensation hearings and depositions, but denied that such constituted fraudulent and abusive acts.

In the December 10, 2001, amended order granting penalties and costs, the hearing officer found that Butanda falsely testified under oath in three depositions (March 18, 1996, November 19, 1996, and March 10,1997), and in one hearing (January 22,1997), that her name was Victoria Acosta in connection with her attempt to obtain workers compensation benefits. Butanda also used tíre assumed name when she filed her application for workers compensation benefits.

The hearing officer concluded Butanda’s intentional failure to disclose her identity and her use of an assumed name in an attempt [798]*798to obtain benefits constituted a false and misleading statement in violation of K.S.A. 44-5,120(d)(4)(A) (1993 Furse), and the misrepresentation and concealment of her true identity was a misrepresentation and concealment of a material fact in violation of subsection 44-5,120(d)(4)(B). The hearing officer reasoned that a person’s identity was a material fact, enabling an employer to obtain and verily previous medical and wage history, which are relevant in computing permanent partial disability benefits and in the reduction of awards by the amount of preexisting functional impairment under K.S.A. 44-501(c) (1993 Furse). Butanda was ordered to pay $5,000 in penalties ($1,000 for each false and misleading statement), pursuant to K.S.A. 44-5,120(g) (1993 Furse), and $794.55 in costs.

Butanda petitioned the Secretary of the Kansas Department of Human Resources to review the amended order pursuant to K. S .A. 2003 Supp. 77-527. On May 29, 2002, the Secretary Designee, Douglas A. Hager, issued a final order affirming the amended order:

“Liability under the Fraud and Abuse section ‘rests only with persons who act willfully or intentionally.’ Excel Corp. v. Jimenez, 269 Kan. 291, 296 (2000). ‘Only those who have actually committed a fraudulent or abusive act may be liable.’ Id. It is the conclusion of the Secretary’s Designee that the presiding officer’s determination below should be affirmed. Although Petitioner’s deceit appears to have been rooted in a desire to secure employment, it is nonetheless true that she intentionally and willfully made false and misleading statements and misrepresented or concealed a material fact, by withholding her true identity, in attempting to obtain payment of workers compensation benefits. As noted in the presiding officer’s Amended Order, a claimant’s preexisting medical condition, work history and any preexisting impairments are material facts in a workers compensation proceeding because of the manner in which permanent partial disability benefits are computed and because awards are reduced by the amount of preexisting functional impairment. [Citation omitted.] At the very least, Petitioner’s repeated acts of intentionally lying under oath while attempting to obtain payment of workers compensation benefits constituted an abuse of the workers compensation system.

Butanda appealed this decision to the district court according to the provisions of the Kansas Act for Judicial Review and Civil Enforcement of Agency Actions (KJRA), K.S.A. 77-601 et seq. On December 16, 2002, the district court, in a memorandum decision, [799]*799affirmed the final order of the Department of Human Resources. Butanda appealed from the memorandum decision, and this court has jurisdiction by transfer on its own motion pursuant to K.S.A. 20-3018(c).

Butanda identifies the following five questions in her appeal: (1) Whether her actions were fraudulent or abusive under K.S.A. 44-5

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Cite This Page — Counsel Stack

Bluebook (online)
90 P.3d 940, 277 Kan. 795, 2004 Kan. LEXIS 262, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doe-v-kansas-department-of-human-resources-kan-2004.