Imperial Palace v. Dawson

715 P.2d 1318, 102 Nev. 88, 1986 Nev. LEXIS 1111
CourtNevada Supreme Court
DecidedMarch 18, 1986
Docket16525
StatusPublished
Cited by12 cases

This text of 715 P.2d 1318 (Imperial Palace v. Dawson) is published on Counsel Stack Legal Research, covering Nevada Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Imperial Palace v. Dawson, 715 P.2d 1318, 102 Nev. 88, 1986 Nev. LEXIS 1111 (Neb. 1986).

Opinion

*89 OPINION

By the Court,

Gunderson, J.:

The Imperial Palace, a self-insured employer, appeals a district court judgment affirming an award of workers’ compensation benefits to Isiah Dawson. 1 Dawson had received a work-related back injury, which was later aggravated by an automobile accident that occurred while he was traveling to a physical therapy treatment. Nominally, this appeal concerns the applicability of the “going-and-coming rule” to these facts. As we perceive it, however, the more significant concern raised by this appeal centers upon how Imperial Palace delayed paying Dawson his compensation benefits for longer than one and one-half years. In light of the self-insured employer’s duty to treat its workers’ compensation claimants fairly, we not only affirm the district court’s judgment but impose sanctions.

On January 18, 1984, Dawson injured his back in a fall from a stepladder while in the course of his work for the Imperial Palace. After initial diagnosis and treatment, a medical examination in early February indicated that Dawson still had back pain. Then, on February 8, 1984, he was in an automobile accident while en route to a physical therapy session. Although the accident aggravated his back pain, it did not affect the course of his treatment.

On March 21, 1984, Imperial PalaCe suspended Dawson’s compensation benefits, ostensibly because his physician had not submitted a disability extension slip. Then Imperial Palace terminated Dawson’s benefits, purportedly due to the non-industrial nature of his intervening injury. Dawson thereupon challenged these decisions before the hearing officer. Under NRS 616.5414, an employee who is dissatisfied with his employer’s decision may request the hearing officer to review his claim.

On May 2, 1984, the hearing officer rendered his decision, reversing the suspension and termination of Dawson’s benefits, and ordering the benefits reinstated. The Imperial Palace appealed this decision to an appeals officer under NRS 616.5422(1). In a November 13, 1984 order, the appeals officer — who has the ultimate right to determine facts de novo— *90 confirmed the hearing officer’s decision. The appeals officer noted that the automobile accident resulted from Dawson’s seeking treatment for his prior work-related injury; thus, injuries sustained in the accident were work-related. In addition, the appeals officer noted that Dawson’s claim had been closed without an adequate basis and that Imperial Palace continued to refuse Dawson benefits even after the hearing officer had entered his decision. From these actions, the appeals officer concluded that the Imperial Palace had been “engaging in bad faith practices in the management of this claim.”

Thereafter, Imperial Palace petitioned for judicial review. On April 2, 1985, the district court found the appeals officer’s decision to be well supported by the evidence. Also, the district court found no abuse of discretion or errors of law. Accordingly, the district court entered its judgment ordering Imperial Palace to comply with the appeals officer’s decision.

On May 10, 1985, the Imperial Palace initiated an appeal to this court and moved the district court for a stay pending appeal. Although the district court declined to grant a stay, Imperial Palace, nonetheless, continued to withhold Dawson’s benefits.

Dawson, then, sought assistance from the Department of Industrial Insurance Regulation, which directed Imperial Palace to pay his benefits, but still payment was not forthcoming. Dawson returned to the district court and moved for sanctions, and only then, in the fall of 1985, did Imperial Palace disburse approximately $17,000 of accrued benefits to Dawson and begin paying Dawson his temporary total disability compensation every other week. In this posture, Imperial Palace has presented its appeal to this court.

1. We first discuss Imperial Palace’s asserted reason for depriving Dawson of his compensation benefits for longer than a year and one-half, to-wit: that an intervening injury absolves the workers’ compensation system from liability to treat the prior injury. In particular, Imperial Palace asserts that Dawson’s benefits are precluded under the “going-and-coming rule.” As a general proposition, this rule contemplates that injuries an employee sustains while traveling to or from work are not deemed to arise out of or in the course of employment. Crank v. Nev. Indus. Comm’n, 100 Nev. 80, 81-82, 675 P.2d413 (1984). However, when an injury arises out of the course of employment, an employee may receive workers’ compensation benefits. NRS 616.515.

We note that in recovering from a work-related injury, the employee must accept reasonable medical treatment. NRS 616.565(2). If this medical care injures the employee, the work *91 ers’ compensation system pays for the treatment of the additional injury. E.g., Breen v. Caesars Palace, 102 Nev. 79, 715 P.2d 1070 (1986). In order to receive treatments, the system also requires the employee to travel to the place of his medial treatment. Thus, similarly, it has also been held the system should pay for accidental injuries sustained while traveling to or from that treatment. E.g., Laines v. Workman’s Comp. Appeals Bd., 122 Cal.Rptr. 139, 142-44 (Cal.Ct.App. 1975); Moreau v. Zayre Corp., 408 A.2d 1289, 1293 (Me. 1979); Immer & Co. v. Brosnahan, 152 S.E.2d 254, 257 (Va. 1967); see generally 1A. Larson, The Law of Workmen’s Compensation § 13.13 (1985). We agree. Both types of subsequent injuries are foreseeable consequences of a work-related injury, and we therefore believe that the workers’ compensation system should pay for the treatment of a subsequent accidental injury to an employee which occurs while traveling to receive medical care.

2. We next examine the duties of a self-insured employer such as Imperial Palace. Self-insured employers accept the duty of complying with the Nevada Industrial Insurance Act and regulations promulgated thereunder by the Department of Industrial Relations. NRS 616.272; NAC 616.156(3)(a). Among other things, these require a claimant to receive the compensation ordered by a hearing officer unless the payment of that compensation is stayed. NRS 616.5416(5), .5422(2). Another rule requires self-insured employers “to promptly report, administer and settle all claims.” NAC 616.156(3).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Vredenburg Ex Rel. Vredenburg v. Sedgwick CMS
188 P.3d 1084 (Nevada Supreme Court, 2008)
Dickinson v. American Medical Response
186 P.3d 878 (Nevada Supreme Court, 2008)
Roberts v. State Industrial Insurance System
956 P.2d 790 (Nevada Supreme Court, 1998)
Wyphoski v. Sparks Nugget, Inc.
915 P.2d 261 (Nevada Supreme Court, 1996)
Lee v. Industrial Commission
656 N.E.2d 1084 (Illinois Supreme Court, 1995)
Schepcoff v. State Industrial Insurance System
849 P.2d 271 (Nevada Supreme Court, 1993)
Falline v. GNLV CORP.
823 P.2d 888 (Nevada Supreme Court, 1991)
State Industrial Insurance System v. Wrenn
762 P.2d 884 (Nevada Supreme Court, 1988)
Georgeff v. Sahara Hotel
745 P.2d 1142 (Nevada Supreme Court, 1987)
Holiday Inn Downtown v. Barnett
732 P.2d 1376 (Nevada Supreme Court, 1987)

Cite This Page — Counsel Stack

Bluebook (online)
715 P.2d 1318, 102 Nev. 88, 1986 Nev. LEXIS 1111, Counsel Stack Legal Research, https://law.counselstack.com/opinion/imperial-palace-v-dawson-nev-1986.