Giant Food Inc. and Lumbermens Mutual Casualty Company v. Joann Webb

Court of Appeals of Virginia·Decided January 11, 2005·No. 0406044·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Frank, Clements and Senior Judge Willis Argued at Alexandria, Virginia

GIANT FOOD INC. AND LUMBERMENS MUTUAL CASUALTY COMPANY MEMORANDUM OPINION* BY

v. Record No. 0406-04-4 JUDGE JEAN HARRISON CLEMENTS JANUARY 11, 2005

JOANN WEBB

FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION

Melissa A. Zeller (Jordan, Coyne & Savits, L.L.P., on briefs), for appellants.

Peter J. Jones for appellee.

Giant Food Inc. and Lumbermens Mutual Casualty Company (collectively, employer)

appeal an award by the Workers’ Compensation Commission (commission) of disability benefits and medical benefits to Joann Webb (claimant). On appeal, employer contends the commission erred in finding that claimant’s claim for benefits was not barred by the statute of limitations set forth in Code § 65.2-601. Finding no error by the commission, we affirm the award.

As the parties are fully conversant with the record in this case and because this memorandum opinion carries no precedential value, this opinion recites only those facts and incidents of the proceedings as are necessary to the parties’ understanding of the disposition of this appeal.

*

Pursuant to Code § 17.1-413, this opinion is not designated for publication.

I. BACKGROUND

The relevant facts in this case are not in dispute. On October 13, 1997, claimant suffered an injury to her lower back while working for employer. Employer accepted the injury as compensable and voluntarily paid disability benefits and medical expenses for a while. On May 21, 1998, employer filed an Employer’s First Report of Accident, notifying the commission of claimant’s work-related injury. The report listed claimant’s address as 6770 Maxwell Avenue, Gainesville, Virginia 22065. On May 28, 1998, the commission sent a notification letter to the parties, informing them that claimant’s accident had been reported to the commission. That letter also advised claimant to read “the important information” on the back of the letter and in the enclosed guidebook, which informed her, inter alia, that she was required to file a claim within two years of the date of the accident. Claimant acknowledged that she received the guidebook.

On August 31, 1998, the parties filed the following six documents with the commission:

(1) a Memorandum of Agreement reflecting employer’s agreement to pay claimant temporary total disability benefits of $340.88 per week beginning October 14, 1997, based on a pre-injury average weekly wage of $511.33; (2) an Agreed Statement of Fact acknowledging that employer paid claimant benefits in the amount of $6,768.92 for the period October 14, 1997, through March 1, 1998; (3) a Supplemental Memorandum of Agreement reflecting employer’s agreement to pay claimant temporary total disability benefits of $340.88 per week during total incapacity, beginning March 15, 1998; (4) an Agreed Statement of Fact acknowledging that employer paid claimant benefits in the amount of $3,798.31 for the period March 15, 1998, through May 31, 1998; (5) a Supplemental Memorandum of Agreement reflecting employer’s agreement to pay claimant temporary partial disability benefits of $115.44 per week during partial incapacity, beginning June 1, 1998; and (6) an Agreed Statement of Fact acknowledging that employer paid

claimant benefits of $395.82 for the period June 1, 1998, through June 24, 1998. All of the documents were fully executed by the parties. The Memorandum of Agreement provided no information regarding the time, place, cause, or nature of the accident.

By letter dated October 6, 1998, a claims examiner with the commission notified employer that the parties’ Memorandum of Agreement form was being rejected because it failed to “include the date and nature of injury or illness.” The letter further provided as follows:

The employee, by copy of this letter, is advised that if a properly completed Memorandum of Agreement is not received for his signature, benefits may be sought by completing the enclosed Claim for Benefits form. Please note that this form must be filed with the Commission within two years from the date of the accident or the claim may be barred by the statute of limitations.

The Commission will take no additional action until either the Memorandum of Agreement or Claim for Benefits are received.

Employer took no action to submit a “properly completed” Memorandum of Agreement, but continued to make voluntary periodic payments of benefits to claimant through August 25, 1999. Similarly, claimant did not respond to the commission’s October 6, 1998 letter. She testified she did not recall receiving that letter, explaining that, although she never moved, the post office changed her address on an unknown date between 1998 and 2002 from Gainesville, Virginia 22065 to Warrenton, Virginia 20187. Claimant acknowledged that, despite the address change, she continued to receive mail addressed to the Gainesville address, such as the notice of the hearing before the deputy commissioner, which was sent in February 2002. The commission’s file does not reflect that the commission’s October 6, 1998 letter was returned by the post office.

On January 4, 2002, claimant filed a Claim for Benefits, alleging a compensable injury by accident on October 13, 1997. Employer defended the claim on the ground that it was barred by the statute of limitations.

After conducting a hearing on claimant’s claim on May 21, 2002, the deputy commissioner found that claimant’s claim was time barred because no claim was filed with the commission within two years after the work-related accident, as required by Code § 65.2-601.

Claimant requested a review by the full commission. Claimant argued, inter alia, that the agreements submitted by the parties on August 31, 1998, constituted an application for benefits under Code § 65.2-601. In response, employer argued that, pursuant to Code § 65.2-701(A), the defective, rejected agreements were “null and void” and, thus, to “be given no effect.”

In its April 10, 2003 opinion, the full commission reversed the deputy commissioner’s decision, finding that the agreements executed by the parties and filed with the commission on August 31, 1998, were sufficient to constitute the filing of a claim. The commission reasoned as follows:

The purpose of an initial claim is to fairly apprise the Commission and the employer that a claim is being made. It is important because it is often the first notice that the employer and insurance carrier have of the alleged accident and the fact that benefits are being claimed. Here, the parties clearly knew about the accident and the related facts because they agreed in filings with the Commission that the accident was compensable. In fact, the agreements reflect that compensation benefits were paid for several periods. The only reason the Memorandum of Agreement was rejected was because it did not have the accident date and nature of injury on it. However, this information was known to the parties and the Commission because it was included in the [Employer’s First Report of Accident] which was filed on May 21, 1998. In this case, the parties agreed that the accident was compensable and filed multiple executed agreements, which were rejected because they had not been filled out completely, although information was known by all interested parties. In a case where fully executed agreements, which were filed within two years from the accident date as required by § 65.2-601, reveal that the parties agreed that the accident was compensable, it would place form over substance to find that those multiple agreements are not sufficient to constitute a claim.

The commission remanded the case to the deputy commissioner for a determination on the merits.

Employer filed a notice of appeal to this Court on May 9, 2003. Finding the order appealed from was interlocutory, we dismissed the appeal without prejudice on June 17, 2003.

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