Frank v. Liberty Insurance Corp.

255 S.W.3d 314, 2008 Tex. App. LEXIS 2632, 2008 WL 976913
CourtCourt of Appeals of Texas
DecidedApril 11, 2008
Docket03-06-00208-CV
StatusPublished
Cited by35 cases

This text of 255 S.W.3d 314 (Frank v. Liberty Insurance Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frank v. Liberty Insurance Corp., 255 S.W.3d 314, 2008 Tex. App. LEXIS 2632, 2008 WL 976913 (Tex. Ct. App. 2008).

Opinions

OPINION

BOB PEMBERTON, Justice.

Shelly Frank appeals from the district court’s judgment dismissing her suit for lack of subject-matter jurisdiction. Frank had obtained an adverse decision of a Texas Workers’ Compensation Commission hearing examiner and then requested review by the Commission’s appeals panel. The appeals panel concluded that Frank had failed to timely file her request for review and dismissed her administrative appeal. Frank then sued in district court for judicial review of the appeals panel’s order. The carrier, Liberty Insurance Corporation, moved to dismiss Frank’s suit for lack of subject-matter jurisdiction, urging that Frank had failed to exhaust her administrative remedies by timely seeking appeals panel review. The district court granted Liberty’s motion.

Concluding that Frank timely invoked the appeals panel’s jurisdiction, we reverse the judgment of the district court and remand for further proceedings.

[317]*317BACKGROUND

Shelly Frank’s husband, Eric Frank, had been an 11-year employee of Brinks, a security and armored vehicle provider. On June 28, 2004, Brinks requested that Eric Frank report to a “secret location.” On his way to this location, he sustained fatal injuries as a result of an automobile accident. As his beneficiary, Shelly Frank filed a claim for workers’ compensation benefits. Liberty, Brinks’s insurer for workers’ compensation coverage at the time, contested the claim on the ground that injuries or deaths occurring while traveling to and from work are not com-pensable. Frank argued that her husband’s death was compensable because the accident occurred while he was on a “special mission” within the course and scope of his employment.

Frank retained counsel to pursue her claim through the administrative processes of the Texas Workers’ Compensation Commission.1 On September 1, 2004, Frank’s counsel sent written notice to the Commission that his firm was representing Frank in connection with her pending claim.2 Frank’s counsel requested a benefit review conference. An attorney from the firm represented Frank at the benefit review conference on November 18, 2004. After the conference, which did not resolve the case, a contested case hearing before a Commission hearing examiner was held December 14, 2004. An attorney with the firm represented Frank at the hearing. On the following day, the hearing officer signed a “Decision and Order” finding that Frank was not entitled to benefits because Eric Frank had not been within the course and scope of employment at the time of his injury. The decision noted that Frank “appeared and was represented by” counsel at the hearing, identifying counsel by name.

There is no dispute that the Commission was required by its own rules to send a copy of the hearing officer’s decision to both Frank and her counsel. Rule 102.5— the Commission’s “General Rules for Written Communications to and from the Commission” — -provides in relevant part: [318]*31828 Tex. Admin. Code § 102.5(a) (2004).3 The Commission had unquestionably been “notified in writing” that Frank was represented by an attorney. “Written communications” were at relevant times defined within rule 102.5 to “include all records, reports, notices, filings, and other information contained either on paper or in an electronic format.” Id. § 102.5(g). The term therefore included hearing officer decisions, as the second sentence of rule 102.5, subsection (a), implies. See id. § 102.5(a). Consequently, the Commission was required by subsection (a) of rale 102.5 to send the hearing notice to both Frank and Frank’s counsel via “the most recent address or facsimile number supplied on either the employer’s first report of injury, any verbal or written communication from the claimant, or any claim form filed by the carrier via written notice or electronic transmission.” Id.

[317]*317After the Commission is notified in writing that a claimant is represented by an attorney or other representative, all copies of written correspondence to the claimant shall thereafter be sent to the representative as well as the claimant, unless the claimant requests delivery to the representative only. However, copies of settlements, notices setting benefit review conferences and hearings, and orders of the Commission shall always be sent to the claimant regardless of representation status. All written communications to the claimant or claimant’s representative will be sent to the most recent address or facsimile number supplied on either the employer’s first report of injury, any verbal or written communication from the claimant, or any claim form filed by the carrier via written notice or electronic transmission.

[318]*318A copy of the Commission’s letter transmitting the hearing officer’s decision reflects that, on December 22, 2004, the Commission mailed copies of the decision to Liberty’s counsel and Frank personally, and sent what it termed “information copies” to Brinks and to “Ombudsman.” The Commission did not send a copy to Frank’s counsel as required by its rule 102.5(a). Frank observes that the Commission’s sending of the decision to “Ombudsman” is consistent with its procedures for claimants who are not represented by counsel. See Act of May 12, 1993, 73rd Leg., R.S., ch. 269, § 1, sec. 409.041, 1993 Tex. Gen. Laws 987, 1196-97 (former Tex. Lab.Code § 409.041(b)(4)) (current version at Tex. Lab.Code Ann. § 404.151(b)(4) (West 2006)) (purposes of Commission’s ombudsman program include “assisting] unrepresented claimants, employers, and other parties to enable those persons to protect their rights in the workers’ compensation system”); see also Act of May 26, 1995, 74th Leg., R.S., ch. 980, § 1.31, sec. 409.041, 1995 Tex. Gen. Laws 4912, 4920 (former Tex. Lab.Code § 409.041(b)(5)) (current version at Tex. Lab.Code Ann. § 404.151(b)(5) (West 2006)) (requiring an ombudsman to “meet with an unrepresented claimant privately for a minimum of 15 minutes prior to any informal or formal hearing”) (emphasis added).

Frank’s counsel did not receive a copy of the decision or any notice that a decision had been issued until January 28, 2005, when counsel happened to call the Commission to inquire as to the status of the proceeding.4 In response to this telephone call, the Commission faxed a copy of the hearing officer’s decision to Frank’s attorney that same day. Frank’s attorney then immediately filed — on the same day — a request for review with the appeals panel.

The appeals panel held that it did not have jurisdiction to review the hearing officer’s decision because Frank’s request for review was not filed timely. The panel, relying on a long line of its decisions involving similar facts, reasoned that the Commission’s mailing of the decision to Frank personally had alone triggered her deadline for filing her administrative appeal, that this deadline had lapsed before January 28, 2005, and that “we do not [319]

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Bluebook (online)
255 S.W.3d 314, 2008 Tex. App. LEXIS 2632, 2008 WL 976913, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frank-v-liberty-insurance-corp-texapp-2008.