Hormel Foods Corp. v. Tamayo-Perez

CourtCourt of Appeals of Iowa
DecidedDecember 20, 2023
Docket23-0212
StatusPublished

This text of Hormel Foods Corp. v. Tamayo-Perez (Hormel Foods Corp. v. Tamayo-Perez) is published on Counsel Stack Legal Research, covering Court of Appeals of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Hormel Foods Corp. v. Tamayo-Perez, (iowactapp 2023).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 23-0212 Filed December 20, 2023

HORMEL FOODS CORP., Plaintiff-Appellant/Cross-Appellee,

vs.

YUNIOR TAMAYO-PEREZ, Defendant-Appellee/Cross-Appellant. ________________________________________________________________

Appeal from the Iowa District Court for Polk County, Robert B. Hanson,

Judge.

Parties appeal and cross-appeal a ruling on judicial review of agency action.

AFFIRMED ON APPEAL; REVERSED ON CROSS-APPEAL.

Abigail A. Wenninghoff of Kuper, Wenninghoff & Block, PC, LLO, Omaha,

Nebraska (until withdrawal), and Alison E. Stewart and Jordan R. Gehlhaar of

Peddicord Wharton, LLP, West Des Moines for appellant/cross-appellee.

Jennifer M. Zupp of Zupp and Zupp Law Firm, P.C., Denison, for

appellee/cross-appellant.

Heard by Tabor, P.J., and Badding and Chicchelly, JJ. 2

BADDING, Judge.

In this procedurally confusing case that has eschewed a basic tenet of our

workers’ compensation system—“to provide prompt compensation to employees

who receive a work injury”—we are asked to decide issues mostly focused on the

commission’s “subject matter jurisdiction and statutory authority” in alternate-

medical-care proceedings under Iowa Code section 85.27(4) (2021). See Bell

Bros. Heating & Air Conditioning v. Gwinn, 779 N.W.2d 193, 202 (Iowa 2010).

The employer, Hormel Foods Corp., claims that once employee Yunior

Tamayo-Perez’s application for alternate medical care was dismissed by the

agency without prejudice, he could not file other applications requesting the same

treatment. The district court rejected this claim, as do we. Hormel alternatively

claims the court erred in concluding judicial estoppel applied, declining to stay

agency action, and proceeding with entry of judgment. We reach the same

conclusion as the court on each of these issues. Finally, we agree with Tamayo-

Perez on his cross-appeal that the court erred in concluding the agency lacked

authority to rule on a new application for alternate care filed while the judicial review

proceedings were pending.

I. Background Facts and Proceedings

In December 2019, Tamayo-Perez sustained an injury to his lower back

while working at Hormel. Hormel agreed the injury was work-related and

authorized treatment for the back condition. In July 2021, Tamayo-Perez applied

for alternate medical care under Iowa Code section 85.27(4) for his “[l]ow back,

with radiculopathy to legs,” seeking spinal-cord-stimulation treatment that he

alleged Hormel was delaying. The application noted that Dr. Allen Eckhoff, the 3

authorized treatment provider, mentioned this treatment as an option in February

and formally recommended it in May. Hormel filed a form answer, checking the

box to “admit liability for the claim” but noting that it “has now authorized requested

treatment.” Tamayo-Perez voluntarily dismissed the petition without prejudice the

next day.

Tamayo-Perez filed a second application for alternate care in September,

alleging—as to the spinal-cord-stimulation treatment—that Hormel’s third-party

administrator and case manager “have been actively interfering with treatment

recommendations and not scheduling care in a timely manner.” As with the first

application, this one identified the affected body part as “[l]ow back with

radiculopathy,” which “caused need for care to” the “T and L spine.” In its answer,

Hormel again admitted liability for the claim relating to the “back/spine” but

submitted it tried to schedule the necessary appointments,1 with any delays being

due to Dr. Eckhoff. Following a hearing on October 11, a deputy commissioner

granted Tamayo-Perez’s application and ordered Hormel to “promptly authorize

any and all treatment recommended by the authorized treating physicians, Dr.

Eckhoff and Dr. Kopp, for his work-related condition, including but not limited to his

scheduled MRIs and his psychological evaluation.”

Shortly after the deputy’s ruling, Tamayo-Perez filed a third petition for

alternate care, asking to see a different physician for his psychological evaluation

because she could conduct it sooner. For the third time, Hormel admitted liability

for the claim relating to the “back/spine” but denied that an order for alternate care

1 Undergoing MRIs of the lumbar and thoracic spine and a psychological evaluation were prerequisites to receiving spinal cord stimulation. 4

was necessary. While the deputy granted the application, it found Tamayo-Perez’s

counsel “may have jumped the gun to some degree” by filing before Hormel’s

counsel had a chance to discuss the request with her client.

Despite these efforts to secure the spinal-cord-stimulation treatment, the

record discloses that Tamayo-Perez ultimately decided not to pursue it. Instead,

on April 27, 2022, Tamayo-Perez filed a fourth application for alternate medical

care. He alleged that Dr. Eckhoff recommended additional care on April 18—

including physical therapy; treatment from a pain management physician; “and an

evaluation with a physical medicine and rehabilitation provider, to consider

osteopathic manipulative therapy”—but Hormel denied further care based on a

stale opinion by orthopedic spine and trauma surgeon Dr. Todd Harbach. This

time, in its answer filed the next day, Hormel checked the box to “den[y] liability for

the claim,” specifying in the space provided on the form that it “den[ied] any

additional treatment for the back as unrelated to the work injury per the attached

medical opinions.”

The attached medical opinions started with one from Dr. Harbach on

January 28, 2021, that stated Tamayo-Perez did not need “any further supervised

treatment” for his “degenerative back, which may flare up and give him troubles

from time to time.” That opinion was followed by another from Dr. Harbach in June,

containing the following diagnosis based on his one-time examination of Tamayo-

Perez: “The patient aggravated a pre-existing degenerative condition and L4-L5

and L3-L4. Work will not cause degeneration of the discs, but it can aggravate it

and this aggravation is temporary in nature.” Dr. Harbach did not “believe that

aggravation of a pre-existing degenerative condition warrants an impairment” and 5

placed Tamayo-Perez at maximum medical improvement on “the date I saw him

[on] January 28, 2021.” The last opinion from Dr. Harbach came in February 2022,

after Hormel asked him to review more medical records for Tamayo-Perez. After

doing so, Dr. Harbach stated:

The records I have reviewed today did not change my opinions that I have previously written. I believe the records I reviewed today are not unexpected as a slow progression in the treatment of patient’s lumbar spine that is degenerating over time and continues to give him difficulties. All the treatment that has been done and treatment that is being recommended is all reasonable.

On May 6, the deputy dismissed the application “without prejudice” because

of Hormel’s “denial of liability,” citing R.R. Donnelly & Sons v. Barnett, 670

N.W.2d 190, 197 n.2 (Iowa 2003) (noting commissioner has no ability to decide

alternate-care claim unless compensability of the injury is conceded). The deputy

explained Tamayo-Perez could obtain reasonable medical care from the provider

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