Dominguez v. Francisco Dominguez Masonry

CourtCourt of Appeals of North Carolina
DecidedJuly 5, 2022
Docket21-641
StatusPublished

This text of Dominguez v. Francisco Dominguez Masonry (Dominguez v. Francisco Dominguez Masonry) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dominguez v. Francisco Dominguez Masonry, (N.C. Ct. App. 2022).

Opinion

IN THE COURT OF APPEALS OF NORTH CAROLINA

2022-NCCOA-447

No. COA21-641

Filed 5 July 2022

North Carolina Industrial Commission, I.C. No. 499636

MELCHOR ZAPATA DOMINGUEZ, Employee, Plaintiff,

v.

FRANCISCO DOMINGUEZ MASONRY, INC., Employer, BUILDERS MUTUAL INSURANCE CO., Carrier, Defendants.

Appeal by defendants from opinion and award entered 10 June 2021 by the

North Carolina Industrial Commission. Heard in the Court of Appeals 5 April 2022.

The Bricio Law Firm, P.L.L.C., by Francisco J. Bricio, for plaintiff-appellee.

Lewis & Roberts, PLLC, by Jeffrey A. Misenheimer and Brian R. Taylor, for defendants-appellants.

ZACHARY, Judge.

¶1 Francisco Dominguez Masonry, Inc., and Builders Mutual Insurance Co.

(“Builders Mutual” and collectively, “Defendants”) appeal from an Opinion and

Award of the North Carolina Industrial Commission granting Plaintiff Melchor

Zapata Dominguez’s claim for additional medical compensation for his right knee

conditions. After careful review, we affirm the Commission’s Opinion and Award.

Background

¶2 Plaintiff began his employment as a brick mason with Francisco Dominguez DOMINGUEZ V. FRANCISCO DOMINGUEZ MASONRY, INC.

Opinion of the Court

Masonry, Inc., in 2004. His job required him to regularly “bend his knees, squat, kneel

and do heavy lifting.” On 20 December 2004, Plaintiff began experiencing pain and

swelling in his right knee, and on 22 February 2005, he was diagnosed with two

occupational diseases of his right knee.

¶3 On 31 January 2005, Defendants began providing medical compensation to

Plaintiff. By Opinion and Award entered 14 May 2007, the Full Commission awarded

Plaintiff treatment for his right knee conditions and indemnity compensation for his

medical expenses. Defendants issued indemnity compensation for Plaintiff’s right

knee conditions through 13 December 2013 and medical compensation for Plaintiff’s

right knee conditions through 5 June 2015.

¶4 Upon determining that an indemnity check for $329.24 payable to Plaintiff and

dated 14 July 2011 remained uncashed and outstanding, Builders Mutual contacted

Plaintiff by letter dated 18 August 2017 to inquire whether “these funds [were] still

due.” Builders Mutual further informed Plaintiff that if he did not reply by 18 October

2017, the unclaimed funds would be escheated to the State of North Carolina. On or

about 28 August 2017, Plaintiff requested via the enclosed response form that

Builders Mutual issue a replacement check because he never received the original;

Builders Mutual issued a replacement check dated 19 September 2017.

¶5 On 12 February 2018, Plaintiff filed a Form 33 requesting a hearing on the

issue of additional medical compensation for his right knee conditions. Defendants DOMINGUEZ V. FRANCISCO DOMINGUEZ MASONRY, INC.

denied treatment and moved to dismiss the claim, asserting that Plaintiff’s request

was time-barred by N.C. Gen. Stat. §§ 97-25.1 and 97-47. In an interlocutory Opinion

and Award entered 26 September 2018, the deputy commissioner denied Defendants’

motion to dismiss, concluding that the 19 September 2017 replacement check

constituted a payment pursuant to § 97-25.1, which rendered Plaintiff’s claim for

additional medical compensation timely.

¶6 On 17 December 2019, the deputy commissioner issued an Opinion and Award

ordering Defendants to authorize and pay for the ongoing medical treatment of

Plaintiff’s compensable right knee conditions. Defendants appealed to the Full

Commission, which affirmed the deputy commissioner’s decision by Opinion and

Award entered 10 June 2021. Defendants timely appealed from the Full

Commission’s Opinion and Award.

Discussion

¶7 On appeal, Defendants argue that the Full Commission erred by concluding

that Plaintiff’s claim for additional medical compensation was not time-barred

pursuant to N.C. Gen. Stat. § 97-25.1 (2021).

I. Standard of Review

¶8 “The standard of review in workers’ compensation cases has been firmly

established by the General Assembly and by numerous decisions of this Court.”

Richardson v. Maxim Healthcare/Allegis Grp., 362 N.C. 657, 660, 669 S.E.2d 582, DOMINGUEZ V. FRANCISCO DOMINGUEZ MASONRY, INC.

584 (2008), reh’g denied, 363 N.C. 260, 676 S.E.2d 472 (2009). “[O]n appeal from an

award of the Industrial Commission, review is limited to consideration of whether

competent evidence supports the Commission’s findings of fact and whether the

findings support the Commission’s conclusions of law.” Id.

¶9 The Commission’s findings of fact “are conclusive upon appeal when supported

by competent evidence, even when there is evidence to support a finding to the

contrary. . . . Where no exception is taken to a finding of fact, the finding is presumed

to be supported by competent evidence and is binding on appeal.” Workman v.

Rutherford Elec. Membership Corp., 170 N.C. App. 481, 485–86, 613 S.E.2d 243, 247

(2005) (citation omitted). The Commission’s conclusions of law, however, are reviewed

de novo. Walker v. K&W Cafeterias, 375 N.C. 254, 258, 846 S.E.2d 679, 682 (2020).

II. Analysis

¶ 10 Defendants maintain that the Full Commission erred by determining that N.C.

Gen. Stat. § 97-25.1 did not bar Plaintiff’s claim for additional medical compensation,

in that “the replacement check d[id] not constitute payment of compensation”

pursuant to N.C. Gen. Stat. § 97-25.1, and therefore its issuance “did not ‘restart’ the

limitations period[.]” We disagree.

¶ 11 Section 97-25.1 provides, in relevant part:

The right to medical compensation shall terminate two years after the employer’s last payment of medical or indemnity compensation unless, prior to the expiration of DOMINGUEZ V. FRANCISCO DOMINGUEZ MASONRY, INC.

this period, either: (i) the employee files with the Commission an application for additional medical compensation which is thereafter approved by the Commission, or (ii) the Commission on its own motion orders additional medical compensation.

N.C. Gen. Stat. § 97-25.1 (emphasis added).

¶ 12 In the present case, the Commission made the following unchallenged findings

of fact:

4. The most recent payment that [Builders Mutual] has made for medical treatment for Plaintiff’s compensable right knee conditions was on June 5, 2015. Defendants also paid weekly temporary total disability (“TTD”) compensation to Plaintiff in this claim, beginning with his right knee surgery on February 1, 2010.

....

6. The latest period for which Defendants paid Plaintiff TTD compensation was for November 28, 2013 through December 4, 2013, via a check dated December 3, 2013.

7. On August 18, 2017, [Builders Mutual] sent Plaintiff a letter stating that [Builders Mutual]’s review of its records revealed that a TTD check dated July 14, 2011 had never been cashed and was still outstanding. The letter asked Plaintiff to review his records and determine “if these funds are still due.” On or about August 28, 2017, Plaintiff returned the letter to [Builders Mutual], checking the box for “The original check was never received; please reissue.”

8.

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