Hall v. Hospitality Resources, Inc.

276 S.W.3d 775, 2008 Ky. LEXIS 288, 2008 WL 5046769
CourtKentucky Supreme Court
DecidedNovember 26, 2008
Docket2007-SC-000153-WC
StatusPublished
Cited by53 cases

This text of 276 S.W.3d 775 (Hall v. Hospitality Resources, Inc.) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hall v. Hospitality Resources, Inc., 276 S.W.3d 775, 2008 Ky. LEXIS 288, 2008 WL 5046769 (Ky. 2008).

Opinions

Opinion of the Court by

Justice SCOTT.

This is an appeal from a Court of Appeals’ opinion affirming the decision of the Workers’ Compensation Board, both of which are based on the underlying premise that the KRS 342.125(3) four year statute of limitation for motions to reopen in is to be calculated from the date of the original award only; this notwithstanding, that the Appellant/Claimant, Mrs. Hall (Hall), at the time the limitation allegedly ran, was (1) receiving temporary total disability (TTD) benefits under an order granted subsequent to the original award and (2) had not reached maximum medical improvement (MMI), a necessary prerequisite for a successful motion to reopen. For reasons that such construction of KRS 342.125(3) ignores its full statutory language, we disagree.

KRS 342.125(3) states the four year limitation shall be calculated from “the date of the original award or order granting or denying benefits.” (emphasis added). Thus, where an order is subsequently entered granting or denying benefits, as was the case here, the four year statute of limitation is to be calculated from the later date, rather than the earlier.

Thus, for reasons as are more fully explained hereinafter, we reverse the decision of the Court of Appeals and remand this matter to the Workers’ Compensation Board for such further proceedings as are necessary and appropriate.1

[778]*778I. Facts

Appellant, Hall, suffered a work related injury to her lower back and cervical spine on April 9, 1995, and filed a timely claim for Workers’ Compensation benefits. As part of her treatment, a lumbar laminecto-my was performed on May 1, 1996. On July 22, 1997, the claim was resolved by settlement, with both parties agreeing to benefits based upon a sixty percent (60%) permanent partial disability.

Hall, thereafter, remained under the care of Dr. Weinsweig, and on December 7, 2000, Dr. Weinsweig performed an additional surgical procedure, fusing two of her cervical disc levels. This subsequent surgery necessitated Hall’s January 10, 2001, motion to reinstate TTD benefits, which was sustained on February 14, 2001, by the Chief Administrative Law Judge (CALJ) who ordered, “that the plaintiffs TTD benefits will be reinstated beginning on December 7, 2000, and continuing until the plaintiff has reached maximum medical recovery.”

As required, periodic reports regarding her recovery were submitted to the CALJ. Hall, however, continued to struggle to recover, continued to be compensated for TTD and continued to await maximum medical improvement (MMI) for a period of more than seventeen (17) months. Significantly, the four year statute of limitation for reopening, if calculated from the “date of the original award,” expired on July 22, 2001, six (6) months following the entry of the order awarding TTD benefits and almost eleven (11) months before Hall reached MMI. Hall did not reach MMI until just prior to the order terminating the benefits on June 7, 2002.

After gathering medical opinions necessary to show both a “change of medical condition” and “occupational disability,” Hall filed a motion to reopen on November 7, 2003, seeking an increase in her disability award. The motion was filed within two years and nine months of the February 14, 2001, order granting benefits, but more than four years from the “original award” of July 22,1997.

Appellee then responded that the motion to reopen was barred by the KRS 342.125(3) four year statute of limitation. The CALJ agreed, denying the motion to reopen by order of December 30, 2003. Appellant, thereafter, filed a petition for reconsideration, adding additional arguments to the effect that the claim had been “automatically” reopened by the CALJ’s order granting TTD benefits on February 14, 2001. The motion for reconsideration was then granted, finding the reopening date to have been February 14, 2001, and the matter proceeded to proof and decision in front of an Administrative Law Judge (ALJ).2

Following proof, the ALJ issued an “Opinion and Award” finding Appellant had shown (1) the necessary “change of medical condition” and “occupational disability;” and, (2) that she is now permanently totally disabled. As to the question of limitation, the ALJ held:

The Chief Administrative Law Judge has already determined that the motion to re-open was filed as of February 14, 2001. This was within four years of the original settlement approved on July 22, [779]*7791997. Thus, it is within the time allowed by KRS 342.125. The settlement was approved on July 22, 1997. Mrs. Hall underwent additional surgery on December 7, 2000. On January 11, 2001, [she] filed a motion to reopen styled Motion to Reinstate TTD Benefits. The employer responded to this motion as a Motion to Re-open. After the period of TTD, the plaintiff requested additional income benefits. The Chief Administrative Law Judge appropriately determined that the motion to reopen related back to the motion to reinstate TTD benefits. The substance of the motion clearly related to a request for such benefits as were then ascertainable based upon a change of condition. TTD benefits were payable well into 2002. Arguably, the four-year time period for reopening expired on July 22, 2001. To hold that the motion to reinstate TTD benefits was not a motion to reopen, to hold that no motion to reopen was filed until some document entitled “Motion to Reopen” was filed, and to rule that the time period for requesting additional income benefits expired during the time that income benefits were being paid at the maximum rate, all would be to place form over substance. The Chief Administrative Law Judge appropriately determined that the motion to reopen was timely filed.

Following a denial of Appellee’s petition for reconsideration, Appellee filed an appeal to the Workers’ Compensation Board. The Board thereafter reversed, holding that (1) the four year statute of limitation is to be calculated from the date of the original award only; and, (2) as the matter was not “automatically” reopened for consideration of total disability benefits as a result of the motion for TTD benefits, the motion to reopen was untimely. The matter was then appealed to the Court of Appeals, which affirmed the Workers’ Compensation Board. It comes to this Court as a matter of right. Vessels v. Brown-Forman Distillers Corp., 793 S.W.2d 795 (Ky.1990). “The function of further review in our Court is to address new or novel questions of statutory construction, or to reconsider precedent when such appears necessary, or to review a question of constitutional magnitude.” Western Baptist Hosp. v. Kelly, 827 S.W.2d 685, 688 (Ky.1992).

We now address the issue we consider central to the proper resolution of this case, i.e., the beginning time of the KRS 342.125(3) four year statute of limitation.

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Bluebook (online)
276 S.W.3d 775, 2008 Ky. LEXIS 288, 2008 WL 5046769, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hall-v-hospitality-resources-inc-ky-2008.