Galloway v. WORKERS'COMP. APPEALS BD.

63 Cal. App. 4th 880
CourtCalifornia Court of Appeal
DecidedMay 5, 1998
DocketB117409
StatusPublished

This text of 63 Cal. App. 4th 880 (Galloway v. WORKERS'COMP. APPEALS BD.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Galloway v. WORKERS'COMP. APPEALS BD., 63 Cal. App. 4th 880 (Cal. Ct. App. 1998).

Opinion

63 Cal.App.4th 880 (1998)

MICHAEL GALLOWAY, Petitioner,
v.
WORKERS' COMPENSATION APPEALS BOARD, WASHINGTON ORNAMENTAL IRONWORKS, INC., et al., Respondents.

Docket No. B117409.

Court of Appeals of California, Second District, Division Two.

May 5, 1998.

*881 COUNSEL

Robert L. Kelley for Petitioner.

Craig D. Fuller, Richard A. Krimen, Robert W. Daneri and Louis Harris for Respondents.

*882 OPINION

NOTT, J.

Michael Galloway petitions for a writ of review following the grant of a petition for reconsideration that was decided in favor of respondent Washington Ornamental Ironworks, Inc. (Ironworks) and respondent Insurance Company of the West (Insurer).

The central question before us is whether the failure of respondents to comply with the notice provisions of the California Code of Regulations tolls the statute of limitations for an employee to file a workers' compensation claim. Under the facts presented, we hold that it does.

FACTS AND PROCEDURAL HISTORY

For a number of years, Galloway was employed as an ironworker with several employers, including Ironworks. While working for Ironworks in September of 1991, he fell and injured his elbow. He had corrective surgery and received workers' compensation benefits for that injury.

Galloway selected Dr. John Kayvanfar as the qualified medical examiner to examine him and evaluate his status following the surgery. During the examination, Galloway complained of ongoing neck pain. Dr. Kayvanfar performed a magnetic resonance imaging test on Galloway's neck. The test was positive. Dr. Kayvanfar's subsequent report in March or April of 1992 found no ongoing elbow disability, but did find a neck injury caused by continuous industrial trauma. Insurer objected to the preliminary rating report in that Galloway had made no claim for a neck injury. As a result, a rating was made by the disability evaluation unit, a copy of which was sent to Galloway.

On March 29 and April 1, 1993, Galloway, who was not represented by counsel, telephoned Insurer to discuss his status. He spoke to Claudia Carrillo, a claims representative. Carrillo's notes of those conversations show that Galloway was under the impression that his neck problems occurred at the time he hurt his elbow, and were thus part of the claim for the elbow injury. Carrillo told him that Dr. Kayvanfar said the neck pain was a result of continuous trauma. Carrillo did not respond to Galloway's question as to whether he should retain an attorney.

On April 1, 1993, Carrillo sent Galloway a letter warning him that he had not yet made a claim for any problems relative to the neck. The letter included a claim form for Galloway to fill out. On June 10, 1993, Carrillo sent a follow-up letter stating that since Galloway had not filed a claim for *883 a neck injury, there could be no compensation benefits. Neither of the two letters contained any statement relative to what time limits were involved in making a claim.

Galloway discussed this matter with an attorney after a chance meeting at an ironworkers picnic in the latter part of 1994. Galloway testified that he never saw Dr. Kayvanfar's report until meeting with that attorney in November of 1994. Until the report was explained to him, he had always thought that the increased neck pain was related to the elbow injury, and did not know it could be the basis of a separate claim. He did not recall the telephone conversations with Carrillo or receiving the April 1 letter from Insurer.[1] On November 11, 1994, Galloway filed a claim for the neck injury.

Galloway also testified that he had only a sixth grade education and could only read and comprehend basic information; that he had always had neck pain during his employment as an ironworker, but the pain was worse after the elbow injury; that he did not understand that injuries could occur as a result of cumulative trauma rather than from a specific incident; that he returned to work five months after the elbow surgery, and worked on a sporadic basis depending on the needs of the employer; and that he did not mention his worsening neck pain to his employers because he needed to complete a few more years until he could retire. Further, Galloway was represented by counsel when he filed a workers' compensation claim in 1989 for lung injuries suffered when he inhaled noxious fumes. He was in the hospital for 15 days and was off work for one year due to that event.

A hearing was eventually held before a workers' compensation judge (WCJ) on Galloway's claim for neck injury. The sole issue presented was whether the claim was barred by the one-year statute of limitations. The WCJ found that Ironworks and Insurer were estopped from asserting the statute of limitations because Galloway was not appropriately advised of his rights under the Labor Code.

Insurer filed a petition for reconsideration with the Workers' Compensation Appeals Board (WCAB). In a two-to-one decision, the WCAB found that Galloway knew or should have known of the compensable nature of his neck injury more than one year prior to the date he filed his claim, and that Insurer should not be estopped from asserting the statute of limitations as a defense. The dissent argued that there was insufficient evidence to establish that the statute of limitations commenced prior to the time Galloway filed the neck claim; and that in any event, Galloway worked for Ironworks in 1994, making his claim for cumulative injury timely.

*884 ISSUES ON APPEAL

(1a) The issues here are twofold. First, when did the statute of limitations begin to run? Second, was the statute of limitations tolled?

DISCUSSION

1. Relevant Statutes and Case Law

Under Labor Code section 5405, a claim for workers' compensation benefits must generally be filed within one year of either the date of injury or the last date that specified benefits were provided.

Labor Code section 5412 provides that "[t]he date of injury in cases of occupational diseases or cumulative injuries is that date upon which the employee first suffered disability therefrom and either knew, or in the exercise of reasonable diligence should have known, that such disability was caused by his present or prior employment."

Labor Code section 138.4 requires that rules and regulations are to be developed to provide the employee, upon the employer's notice of injury to such employee, with notice of benefits and procedures to be followed. Those rules and regulations applicable to this matter are set forth in California Code of Regulations, title 8, section 9882 (hereafter sometimes referred to as section 9882), which states, in pertinent part: "(a) Within five working days of notice or knowledge of any injury, the employer shall advise the employee of the compensation to which he or she may be entitled and the rights, benefits, and obligations under the workers' compensation law. [¶] (b) The advice shall be in writing, in non-technical terms available in both English and Spanish, and shall include the following information: [¶] (1) An explanation of an injured employee's rights to medical care and to select or change the treating physician. [¶] ... [¶] (5) An explanation of the procedures for claiming compensation, time limits for filing a claim, and methods to resolve disputes...." (Italics added.)

In the event that the employer fails to give adequate notice, the one-year statute of limitations is tolled until the employee has such notice. (Reynolds v. Workmen's Comp. Appeals Bd.

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

Related

Chambers v. Workmen's Compensation Appeals Board
446 P.2d 531 (California Supreme Court, 1968)
Kaiser Foundation Hospitals v. Workers' Compensation Appeals Board
702 P.2d 197 (California Supreme Court, 1985)
Reynolds v. Workmen's Compensation Appeals Board
527 P.2d 631 (California Supreme Court, 1974)
City of Fresno v. Workers' Compensation Appeals Board
163 Cal. App. 3d 467 (California Court of Appeal, 1985)
Galloway v. Workers' Compensation Appeals Bd. Washington Ornamental Ironworks Inc.
74 Cal. Rptr. 2d 374 (California Court of Appeal, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
63 Cal. App. 4th 880, Counsel Stack Legal Research, https://law.counselstack.com/opinion/galloway-v-workerscomp-appeals-bd-calctapp-1998.