Hidalgo v. RIBBLE CONTRACTING

2008 NMSC 028, 184 P.3d 429, 144 N.M. 117
CourtNew Mexico Supreme Court
DecidedApril 25, 2008
Docket30,473
StatusPublished
Cited by8 cases

This text of 2008 NMSC 028 (Hidalgo v. RIBBLE CONTRACTING) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hidalgo v. RIBBLE CONTRACTING, 2008 NMSC 028, 184 P.3d 429, 144 N.M. 117 (N.M. 2008).

Opinion

OPINION

BOSSON, Justice.

{1} In this appeal, arising under the Workers’ Compensation Administration Act (WCAA), NMSA 1978, §§ 52-5-1 to -22 (1986, as amended), we review the timeliness of a party’s petition seeking modification of a binding recommended resolution that is internally inconsistent due to a clerical error. Having reviewed the relevant statutory provisions, we conclude that a party may petition a workers’ compensation judge to modify a binding recommended resolution within the two-year time period provided by statute, so long as the party’s application is based on one of the statutorily enumerated grounds.

BACKGROUND

{2} Herman Hidalgo, Worker, was injured in July 2001, while working for Ribble Contracting, Employer. Worker’s injuries occurred when he was forced to jump from the mechanical sweeper that he was driving, which began to roll downhill after the transmission failed. He filed a series of claims under the WCAA, culminating with the claim that forms the basis for this appeal, which he filed on November 28, 2006.

{3} Worker filed the November 2006 claim as a result of the following events. On July 15, 2005, Employer requested that Worker undergo an Independent Medical Evaluation (IME). Based on the results of the IME, Employer wrote Worker a letter on March 7, 2006, explaining that Employer was reducing Worker’s benefits. In that letter, Employer noted that the IME panel suggested that Worker’s disability status be changed as of November 30, 2004.

{4} On March 16, 2006, Worker filed a claim contesting the date of the status change. The claim went to mediation, which was held on May 10, 2006. During mediation, Worker argued that the date of the status change should be April 4, 2006, while Employer argued that the date should be November 30, 2004. The mediator noted that the IME panel had also determined that the change in status date should be November 30, 2004. The Recommended Resolution was filed on May 16, 2006, and was timely accepted by both parties. The Recommended Resolution ordered that benefits continue to be paid to Worker, at a rate based upon his changed status. After receiving both Worker’s and Employer’s acceptance, the Workers’ Compensation Administration filed a Notice of Completion on August 18, 2006.

{5} In November 2006, Worker stopped receiving payments. He wrote a letter to Employer on November 27, 2006, requesting that Employer continue to pay the benefits as required by the Recommended Resolution. On November 28, 2006, Employer faxed Worker a letter in response, explaining that Worker’s benefits were being terminated based on a discrepancy in the Recommended Resolution. Employer pointed out that the Recommended Resolution actually listed two different dates as the effective date for Worker’s change in disability status, November 30, 2001, and November 30, 2004.

{6} As noted above, the Recommended Resolution affirmatively states that both Employer and the IME panel determined that the change in status date should be November 30, 2004. The discrepancy arises in the section captioned “Mediator’s Recommended Resolution of Issues Raised.” In the first sentence of that Section, the Recommended Resolution states: “The maximum medical improvement date which should be used by the parties should be November 30, 2004____” However, in the first sentence of the second paragraph, the Recommended Resolution states that Worker reached maximum medical improvement on November 30, 2001.

{7} Employer chose to use the November 30, 2001 date, despite its counsel’s “own best guess that the mediator’s recommendation for November 30, 2001 ... amounts to a mistake on his part.” Having chosen 2001 as the effective date, Employer stated that it was no longer required to make payments to Employee. In fact, Employer wrote, based on the 2001 effective date, Employer had overpaid Worker. Employer offered to waive the overpayment if Worker would agree that no additional benefits were due.

{8}.After receiving Employer’s fax, Worker filed an application with the Workers’ Compensation Judge (WCJ) seeking to have the Recommended Resolution enforced. The WCJ held a hearing on December 12, 2006. During the hearing, Worker argued that the Recommended Resolution was ambiguous because of the two conflicting dates. Employer argued that the Recommended Resolution was binding, and that Worker had failed to reject it within the thirty-day period set forth by Section 52-5-5(C). Employer, relying on Medina v. Hunemuller Construction, Inc., 2005-NMCA-123, 138 N.M. 472, 122 P.3d 839, argued that the Recommended Resolution could not be modified, despite the admitted error.

{9} To place these arguments in context, we briefly discuss the relevant statutory provisions. Section 52-5-5, the statutory provision relied on by Employer, describes the process by which a complaint is initially handled. Section 52-5-5(C), the subsection at issue in this appeal, provides:

Upon receipt, every claim shall be evaluated by the director or his designee, who shall then contact all parties and attempt to informally resolve the dispute. Within sixty days after receipt of the claim, the director shall issue his recommendations for resolution and provide the parties with a copy by certified mail, return receipt requested. Within thirty days of receipt of the recommendation of the director, each party shall notify the director on a form provided by him of the acceptance or rejection of the recommendation. A party failing to notify the director waives any right to reject the recommendation and is bound conclusively by the director’s recommendation unless, upon application made to the director within thirty days after the foregoing deadline, the director finds that the party’s failure to notify was the result of excusable neglect. If either party makes a timely rejection of the director’s recommendation, the claim shall be assigned to a workers’ compensation judge for hearing.

(Emphasis added.)

{10} The second provision at issue in this appeal, Section 52-5-9, involves the procedures for modifying a compensation order. Section 52-5-9(B) provides that compensation orders are reviewable “at any time within two years after the date of the last payment or the denial of benefits.” The statute sets forth certain grounds for review, including clerical error. See § 52-5-9(B)(3). The WCJ may, after a hearing, issue a subsequent compensation order “to terminate, continue, reinstate, increase, decrease or otherwise properly affect compensation benefits ... or in any other respect ... modify any previous decision, award or action.” Section 52-5-9CA).

{11} On January 2, 2007, the WCJ entered an order granting Worker’s application pursuant to Section 52-5-9(B)(2) (mistake, inadvertence, surprise or excusable neglect) and Section 52-5-9(B)(3) (clerical error), despite Employer’s argument that Worker’s application was barred by the time limits contained within Section 52-5-5(C). The WCJ set aside the Recommended Resolution and referred the matter to mediation to resolve the inconsistency surrounding the change in status date. The WCJ further ordered that Employer was not required to pay benefits until the issue was resolved.

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Bluebook (online)
2008 NMSC 028, 184 P.3d 429, 144 N.M. 117, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hidalgo-v-ribble-contracting-nm-2008.