Hernandez v. SAIF Corp.

35 P.3d 1099, 178 Or. App. 82, 2001 Ore. App. LEXIS 1746
CourtCourt of Appeals of Oregon
DecidedNovember 14, 2001
Docket97-10169; A105154
StatusPublished
Cited by2 cases

This text of 35 P.3d 1099 (Hernandez v. SAIF Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hernandez v. SAIF Corp., 35 P.3d 1099, 178 Or. App. 82, 2001 Ore. App. LEXIS 1746 (Or. Ct. App. 2001).

Opinion

*84 ARMSTRONG, J.

Claimant seeks review of an order of the Workers’ Compensation Board (Board) that calculated his benefits for temporary partial disability (TPD) compensation at a rate of zero. We affirm.

On November 16, 1997, claimant compensably injured his foot while working as a Christmas tree harvester for employer. His physician authorized temporary total disability (TTD) through November 17,1997. Employer proposed a modified job for claimant as a tree tallier/tier, and claimant’s physician approved claimant for the modified job. The tree tallier/tier position had the same hours and wages as claimant’s previous job, with an average weekly wage of $270. Employer would have offered the job to claimant, except that claimant was unable to prove that he possessed a valid social security number after the validity of the number that he had presented at hire was questioned. For the purposes of this case, claimant waived the opportunity to contest that he was in violation of federal immigration laws, that is, that he was an undocumented worker for the time periods for which he sought compensation.

Insurer paid claimant TPD at the full TTD rate for November 19 and 20,1997, but has paid no other compensation since claimant was approved for modified work. Claimant has neither reached medically stationary status nor been released for regular work. He has earned no wages since the date of his compensable injury on November 16,1997.

Claimant filed a request for a hearing, seeking additional temporary disability compensation, as well as penalties for insurer’s failure to pay temporary partial disability benefits. The administrative law judge (ALJ) issued an order granting TPD in the amount of $3,060.17 to claimant for the period from November 21,1997, to March 20,1998. The ALJ reasoned that ORS 656.325(5)(c) authorizes TPD benefits for undocumented workers regardless of job availability. Thus, the ALJ found claimant’s benefits were authorized at his full TTD rate because he had no actual wages. The ALJ held that OAR 436-060-0030(7), under which TPD benefits are calculated “as if the worker had begun the employment,” exceeded *85 the director of the Workers’ Compensation Department’s rule-making authority, because that rule was inconsistent with ORS 656.325(5)(c) and ORS 656.212(2). The ALJ also held that claimant was not entitled to any penalties because insurer had a legitimate doubt as to how to calculate claimant’s TPD benefits.

Both claimant and employer requested that the Board review the AU’s order. The Board held that, while ORS 656.325(5)(c) provides that claimant is entitled to TPD benefits, claimant’s TPD rate was zero, because the wage of employer’s modified job was the same as claimant’s pre-injury job. See OAR 436-060-0030(2). The Board also held that claimant was not entitled to penalties for insurer’s failure to pay TPD benefits. Claimant now assigns error to the Board’s computation of his TPD rate and to the denial of penalties.

Employees who are compensably injured while working are generally entitled to temporary disability benefits. ORS 656.210. However, after being approved by their physician for modified work, employees have a duty to mitigate their wage loss by accepting modified jobs. Nelson v. EBI Companies, 296 Or 246, 674 P2d 596 (1984). When the disability becomes only partial, ORS 656.212(2) becomes applicable and prescribes:

“The payment of temporary total disability pursuant to ORS 656.210 shall cease and the worker shall receive that proportion of the payments provided for temporary total disability which the loss of wages bears to the wage used to calculate temporary total disability pursuant to ORS 656.210.” 1

See also OAR 436-060-0030(2).

ORS 656.325(5) addresses various situations in which a worker who is physically able to assume a modified assignment refuses or otherwise fails to do so. That statute provides, as relevant:

*86 “(a) An insurer or self-insured employer shall cease making payments pursuant to ORS 656.210 and shall commence making payment of such amounts as are due pursuant to ORS 656.212 when an injured worker refuses wage earning employment prior to claim determination and the worker’s attending physician, after being notified by the employer of the specific duties to be performed by the injured worker, agrees that the injured worker is capable of performing the employment offered.
“(b) If the worker has been terminated for violation of work rules or other disciplinary reasons, the insurer or self-insured employer shall cease payments pursuant to ORS 656.210 and commence payments pursuant to ORS 656.212 when the attending physician approves employment in a modified job that would have been offered to the worker if the worker had remained employed, provided that the employer has a written policy of offering modified work to injured workers.
“(c) If the worker is a person present in the United States in violation of federal immigration laws, the insurer or self-insured employer shall cease payments pursuant to ORS 656.210 and commence payments pursuant to ORS 656.212 when the attending physician approves employment in a modified job whether or not such a job is available.”

Claimant contends that, because he is forbidden by law from performing it, the wages attributable to modified work for purposes of the proration under ORS 656.212(2) and OAR 436-060-0030(2) are ipso facto zero. Therefore, he concludes that the TPD rate should be equal to his TTD entitlement.

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Cite This Page — Counsel Stack

Bluebook (online)
35 P.3d 1099, 178 Or. App. 82, 2001 Ore. App. LEXIS 1746, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hernandez-v-saif-corp-orctapp-2001.