Hyatt v. Harvest States and National Union Fire

2001 SD 5, 621 N.W.2d 369, 2001 S.D. LEXIS 8
South Dakota Supreme Court·Decided January 10, 2001·No. None·Published·Cited by 1 cases

Opinion

MILLER, Chief Justice

[¶ 1.] In this discretionary appeal we reverse the circuit court and hold that a claimant’s petition for medical bills in an occupational disease claim was time-barred by the statute of limitations.

FACTS

[¶ 2.] Berton N. Hyatt (Claimant) worked for Harvest States Cooperative (Employer) from May 1, 1983 until May 31, 1990. Claimant’s employment with Employer exposed him to dust and various particles. The exposure caused him to develop the occupational diseases of emphysema and bronchospactic pulmonary disease. He timely filed an occupational disease notice with Employer on September 10, 1990. Employer denied Claimant benefits, and, on November 13, 1990, he timely petitioned the Department of Labor for a hearing.

[¶ 3.] After discovery, the parties reached an agreement that was incorporated into a Memorandum of Payment pursuant to SDCL 62-8-45. The Department approved the Memorandum of Payment on August 21, 1991. The approved agreement provided a commuted lump-sum payment of $30,000 for permanent partial disability based on a weekly compensation rate of $261.33. Further, the agreement contained a provision requiring Employer to pay Claimant additional compensation as is medically determined applicable if his percentage disability increased due to the disease. It also contained a provision obliging Employer to pay future medical expenses if Claimant’s occupational disease required additional medical treatment.

[¶ 4.] Claimant did receive additional medical treatment due to the occupational lung diseases in 1991, 1992, 1993 and 1994. He wrote to the Department on January 31, 1995 stating he had “a lot” of medical bills and inquiring where he should send them. The Department provided him with the address of Employer’s third party administrator for submission of his unpaid medical bills. Claimant sent the unpaid medical bills to the third party administrator, which included bills for medical treatment provided in May 1991, June 1992, January 1993, March 1993, September 1994 and December 1994. Employer’s third party administrator paid all of these medical bills.

[¶ 5.] In March 1995, Claimant discovered he suffered from heart disease and coronary artery disease. He received medical treatment for these conditions in 1995,1996 and 1997. Employer paid medical bills for such treatment until July 8, 1997 when it denied him further benefits for the heart-related medical treatments because it did not consider his heart problem work-related. Employer, however, did not make its last payment for heart-related medication until June 1998.

[¶ 6.] Claimant filed a petition for hearing before the Department on February 5, 1998. The parties agreed to bifurcate the issues to allow the Department to first decide the statute of limitation issue. The parties stipulated to the facts, as set forth above, and submitted briefs to the Department. The Department decided Claimant’s petition for hearing was barred by the statute of limitations. He appealed to the circuit court, which reversed and remanded deciding the petition was not time barred. Employer/Insurer filed for dis *371 cretionary appeal with this Court, which we granted. We reverse the circuit court.

STANDARD OF REVIEW

[¶ 7.] This appeal presents a legal question regarding statutory application. Our review of the Department’s legal conclusions is de novo and the circuit court’s decision enjoys no presumption of correctness. Thomas v. Custer State Hosp., 511 N.W.2d 576, 579 (S.D.1994).

DECISION

[¶ 8.] The sole legal question in this appeal is whether the Department correctly applied the limitations on occupational disease claims found in SDCL 62-8-32 and SDCL 62-8-44.

[¶ 9.] SDCL 62-8-32 states, “[w]here compensation payments have been made and discontinued, and further compensation is claimed, the claim for such further compensation shall be made within one year after the last payment.” SDCL 62-8-44 pertains to modification of occupational disease awards and states in pertinent part:

[a]n award ... of compensation for an occupational disease may be reviewed and compensation increased, reduced or terminated where previously awarded ... only upon proof of fraud or of change in the conditions, and then only upon application by a party in interest made not later than one year after the ... award, or, where compensation has been awarded, after the date when the last payment was made under the award....

We recognize that we must apply the South Dakota Occupational Disease Disability Law according to the plain meaning of the statutes. Heupel v. Imprimis Tech, Inc., 473 N.W.2d 464, 466 (S.D.1991) (citations omitted).

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Hyatt v. Harvest States and National Union Fire, 2001 SD 5, 621 N.W.2d 369, 2001 S.D. LEXIS 8 (S.D. 2001).

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