Halteman Swim Club v. Duguid

757 N.E.2d 1017, 2001 Ind. App. LEXIS 1851, 2001 WL 1299129
CourtIndiana Court of Appeals
DecidedOctober 26, 2001
Docket93A02-0106-EX-381
StatusPublished
Cited by11 cases

This text of 757 N.E.2d 1017 (Halteman Swim Club v. Duguid) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Halteman Swim Club v. Duguid, 757 N.E.2d 1017, 2001 Ind. App. LEXIS 1851, 2001 WL 1299129 (Ind. Ct. App. 2001).

Opinion

OPINION

RILEY, Judge.

STATEMENT OF THE CASE

Appellant Defendant, Halteman Swim Club (Halteman), appeals the decision of the Indiana Worker's Compensation Board (Board) denying its motion to dismiss an application for additional medical treatment filed by Appellee-Plaintiff, Tonya Marie Duguid (Duguid). We reverse.

ISSUES

Halteman raises one issue for our review, which we restate as: whether the one-year limitation for modifying permanent partial impairment (PPI) awards, as set forth in Ind.Code § 22-8-3-27, also applies to applications for post-PPI medical expenses under Ind.Code § 22-3-3-4(c).

FACTS AND PROCEDURAL HISTORY

The following facts, as stipulated by the parties, were found by the Single Hearing Member and adopted by the Board. On June 29, 1996, Duguid suffered an injury while employed at the Halteman Village Pool as a lifeguard and swim instructor. Duguid underwent treatment and physical therapy, including a debridement, in August 1996. Halteman's worker's compensation carrier paid all expenses associated with this treatment. In June 1997, an MRI revealed a total tear to the anterior cruciate ligament (ACL) in Duguid's left knee. On July 22, 1997, Duguid underwent a procedure including an ACL reconstruction, a lateral release on the patella, and removal of sear tissue. The worker's compensation carrier paid all expenses associated with the surgery. During the surgery, two serrated staples were placed in Duguid's femur to secure the ligament graft.

Duguid's average weekly wage was $168.30 at the time of the original injury, with the temporary total disability (TTD) rate of $112.20. Halteman last paid TTD benefits on January 1, 1998. Duguid settled her original worker's compensation claim on April 23, 1998, on the basis of 17% PPI of the leg, totaling $3,825.00.

In October 1999, Duguid noticed pain in her left leg that was determined to be caused by the staples in her femur. On October 18, 1999, Duguid filed an Application for Adjustment (Application), alleging the need for payment of additional medical treatment. On December 13, 1999, Halte-man moved to dismiss Duguid's Application as untimely and barred by the applicable statute of limitations. In December 1999, Duguid underwent surgery to remove the staples and a cyclops lesion of her ACL. Her medical providers submitted the medical expenses to Cincinnati Insurance Company, the worker's compensation carrier for Halteman, but the carrier declined to pay.

The parties submitted these facts, along with legal memoranda, to the Board for ruling on Halteman's motion to dismiss. In an order dated September 28, 2000 that incorporated the parties' stipulated facts, a Single Hearing Member denied Halte-man's motion and granted Duguid's Application. Halteman timely filed its Request for Review by the Full Board.

On January 23, 2001, a hearing was held before the Board. By its Order of May 8, 2001, the Board adopted the Single Hearing Member's decision with the following modifications:

ADDITIONAL FINDINGS

*1019 1. Following her July '97 surgery, Plaintiff had no pain or symptoms until October 1999. She immediately sought medical care and thereafter promptly filed an Application for Adjustment of Claim, and notified Defendant of the situation, after learning it was due to the staples in her leg.
2. Both the last payment of temporary total disability, and the settlement payment of PPI benefits were made less than two (2) years before Plaintiff filed her Application for Adjustment of Claim on October 18, 1999.
CONCLUSIONS
1. But for the fact Plaintiff suffered the work-related injury on June 29, 1996, she would not have had the staples surgically implanted in her femur in July of '97, or removed in December of '99.
2. According to Indiana Code, Section 22-3-3-27, this Board has continuing jurisdiction over Worker's Compensation applications, and it may modify or change the Award on account of a change in conditions. The statute gives a party up to two (2) years from the last date for which compensation was paid under the original Award to file for a modification. The statute, specifically, makes an exception for applications for increased PPI, which are barred unless filed within one (1) year from the last day for which compensation was paid.
3. Plaintiffs Application does not seek increased PPI. Rather, Plaintiff is making a claim for the medical expenses related to the second surgery, as well as any termporary [sic] total disability that may be due to her.
4. Indiana Code, Section 22-8-3-4(c) provides that after an employee's injury has been adjudicated, this Board may "within the statutory period for review as provided in Section 27 of this chapter, on a proper application of either party, require that treatment by that physician * * * be furnished by and on behalf of the employer", as the Board may deem necessary to limit or reduce the amount and extent of the employee's impairment.
5. Defendant's argument [sic] the Court of Appeals in Gregg v. Sun Oil Co., [180 Ind.App. 379] 388 N.E.2d 588 (1979), (rehearing denied) held that claims for post-PPI medical treatments must be filed within one (1) year from the last compensation paid, is rejected. To read (Gregg, supra, to so limit an injured employee's claim for additional medical care, would contradiet the intent of the Act.
AWARD
IT IS, THEREFORE, CONSIDERED, ORDERED AND ADJUDGED by the Worker's Compensation Board of Indiana, that Defendant's Motion to Dismiss, based on IC 22-8-8-27, filed with the Board on December 14, 1999, is hereby denied.
FURTHER, that Plaintiffs Application due to Change of Conditions, requesting additional medical care, is upheld and that Defendant shall provide Plaintiff with further medical care.

(Appellant's Appendix at 7 & 8). man now appeals. Halte-

DISCUSSION AND DECISION

Halteman argues that the Board erred as a matter of law in concluding that Halteman remained liable for Duguid's continued medical expenses beyond the one-year period referenced in Ind.Code § 22-3-8-27(c). Halteman contends that the benefits sought by Duguid constitute an increase in her PPI award, which action the statute specifically bars unless requested within one year from the date of the initial award. Duguid counters, and the Board so held, that the award she *1020 seel« constitutes continued medical expenses and not an increase in her PPI award; hence, the two-year statute of limitation applies. When presented with an alleged error of law, our review is de novo. See Murray v.

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Bluebook (online)
757 N.E.2d 1017, 2001 Ind. App. LEXIS 1851, 2001 WL 1299129, Counsel Stack Legal Research, https://law.counselstack.com/opinion/halteman-swim-club-v-duguid-indctapp-2001.