Hopfauf v. North Dakota Workers Compensation Bureau

1998 ND 40, 575 N.W.2d 436, 1998 N.D. LEXIS 28, 1998 WL 55247
CourtNorth Dakota Supreme Court
DecidedFebruary 12, 1998
DocketCivil 970269
StatusPublished
Cited by28 cases

This text of 1998 ND 40 (Hopfauf v. North Dakota Workers Compensation Bureau) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hopfauf v. North Dakota Workers Compensation Bureau, 1998 ND 40, 575 N.W.2d 436, 1998 N.D. LEXIS 28, 1998 WL 55247 (N.D. 1998).

Opinions

SANDSTROM, Justice.

[¶ 1] Donald Hopfauf appeals from a district court judgment affirming an order of the Workers Compensation Bureau forfeiting Hopfauf s future workers compensation benefits. Because we cannot determine whether the correct legal standard was applied by the [437]*437administrative law judge (ALJ), we reverse and remand.

I

[¶ 2] Donald Hopfauf suffered a work-related injury to his neck and left shoulder on June 5, 1986, while working as a carpenter. The Bureau accepted Hopfaufs claim, and Hopfauf eventually began receiving total disability benefits from the Bureau.

[¶ 3] The Bureau sent Hopfauf several letters requesting verification of his entitlement to continued benefits. On March 9, 1995, July 7, 1995, and January 16, 1996, Hopfauf checked “No” to the Bureau’s questions about whether he was employed by any employer, self-employed, or currently looking for work. Hopfauf also checked “No” to the question: “Have you performed any other work, whether on a part-time, full-time or voluntary basis?” Hopfauf completed a “return to work confirmation” card on August 25, 1995, and checked “No” to the question: “Have you returned to work?” Hopfauf completed another “return to work confirmation” card on February 15,1996, and cheeked “No” to the question: “Have you done any work?” Hopfauf also signed “false or fraudulent claim warning” notices on August 25, 1995, and September 6, 1995. In response to a Bureau letter dated December 5, 1995, Hop-fauf wrote:

“Responding to the letter I got on Dec 11th — Since my Disability this past year was the only time I did anything I did some lite work for my wife that runs a clerking service for an auction firm I help to count the money & add the sale & help balance the sale I did not get paid for it I just helped her I could only help about 1 to 1 ½ hrs with out my neck support or be able to lean back on a high back chair, or I will have a lot of pain, my wife since has closed her clerking service”

[¶ 4] The Bureau also received information indicating Hopfauf was working and engaging in various physical activities. The Bureau investigated and learned Hopfauf held an auction clerking license under the name “Don’s Clerking,” and “Don’s Clerking” had been the clerk for 42 auctions. Eyewitness reports were gathered, as well as videotape surveillance, showing Hopfaufs involvement with various auctions and other physical activities.

[¶ 5] The Bureau subsequently issued a “Notice of Intention to Discontinue/Reduce Benefits,” dated January 25,1996, and issued its order denying further benefits and ordering repayment on March 7, 1996. Hopfauf petitioned for a formal hearing, which was held on October 2, 1996. At the hearing, among the exhibits submitted to the ALJ were Hopfaufs responses to the Bureau’s letters seeking verification of his status, the “return to work confirmation” cards, and the Bureau’s December 5,1995, letter.

[¶6] The ALJ issued his recommended findings of fact, conclusions of law, and order on October 17, 1996. The ALJ reversed the portion of the Bureau’s order requiring repayment of benefits Hopfauf had already received, but found Hopfauf had made false statements, and ordered forfeiture of future benefits. The Bureau adopted the ALJ’s decision, and the district court affirmed.

[¶7] Hopfauf appeals from the June 26, 1997, memorandum decision and order and from the July 10, 1997, judgment of the Burleigh County District Court. Hopfaufs appeal to the district court was timely under N.D.C.C. § 28-32-15(1). The district court had jurisdiction under N.D. Const. Art. VI, § 8, and N.D.C.C. §§ 27-05-06, 28-32-15(3), 65-10-01. Hopfaufs appeal to this Court was timely under N.D.R.App.P. 4(a) and N.D.C.C. § 28-32-21. This Court has jurisdiction under N.D. Const. Art. VI, §§ 2 and 6, and N.D.C.C. §§ 28-27-01, -32-21.

II

[¶ 8] “We review the Bureau’s decision, not the decision of the district court, and we affirm the Bureau’s decision unless its findings of fact are not supported by a preponderance of the evidence, its conclusions of law are not supported by its findings of fact, its decision is not supported by its conclusions of law, or its decision is not in accordance with the law.” Dean v. North Dakota Workers Compensation Bureau, 1997 ND 165, ¶ 14, 567 N.W.2d 626; see N.D.C.C. §§ 28-32-19, -21. “In evaluating the Bu[438]*438reau’s findings of fact, we do not make independent findings or substitute our judgment for that of the Bureau, but we determine only whether the Bureau reasonably reached its factual conclusions from the weight of the evidence on the entire record.” Dean at ¶ 14; see Power Fuels, Inc. v. Elkin, 283 N.W.2d 214, 220 (N.D.1979).

Ill

[¶ 9] The ALJ began his conclusions of law by quoting the text of N.D.C.C. § 65-05-33, which provided:1

“Any person claiming benefits or payment for services under this title, who willfully files a false claim or makes a false statement, or willfully fails to notify the bureau as. to the receipt of income, or an increase in income, from employment, after the issuance of an order awarding benefits, in connection with any claim or application under this title is guilty of a class A misdemeanor. ...
“2. In addition to any other penalties provided by law, the person claiming benefits or payment for services in violation of this section shall reimburse the bureau for any benefits paid based upon the false claim or false statement and, if applicable, under section 65-05-29 and shall forfeit any additional benefits relative to that injury.”

(Emphasis added). In paragraph two of his conclusions, the ALJ cited this Court’s holding in F.O.E. Aerie 2337 v. North Dakota Workers Compensation Bureau, 464 N.W.2d 197 (N.D.1990), in which this Court discussed the application of N.D.C.C. § 65-05-33. The ALJ, paraphrasing F.O.E. Aerie 2337, stated “a false statement must be intentional to trigger the statutory consequences of reimbursement and forfeiture of future benefits.” The ALJ then quoted F.O.É. Aerie 2337, noting a “false statement must be intentional, not inadvertent, and material, not peripheral.” See F.O.E. Aerie 2337 at 201.

[¶ 10] In paragraph six of the conclusions of law, the ALJ defined “work” according to the definition provided in Webster’s New Collegiate Dictionary (1980): “ Work’ is defined as ‘activity in which one exerts strength or faculties to do or perform something.’” Applying this definition, the ALJ concluded Hopfaufs volunteer participation in auctions could be “fairly and reasonably ... viewed as work.” The ALJ then concluded Hopfauf had made false statements when he answered “No” to the Bureau’s questions: “Have you performed any other work, whether on a part-time, fulltime or voluntary basis?”

[¶ 11] In paragraph nine of the conclusions of law, the ALJ concluded Hopfaufs response to the Bureau’s December 5, 1995, letter contained several false statements. Paragraph nine reads:

“The greater weight of the evidence indicates that Exhibit Bll does contain several false and misleading statements. Claimant admits to participating in only one auction and that his participation consisted only of cashier duties.

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Bluebook (online)
1998 ND 40, 575 N.W.2d 436, 1998 N.D. LEXIS 28, 1998 WL 55247, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hopfauf-v-north-dakota-workers-compensation-bureau-nd-1998.