In the Matter of the Worker's Compensation Claim of Mario Arellano, an Employee of L & L Enterprises: L & L Enterprises

2015 WY 21, 344 P.3d 249, 2015 Wyo. LEXIS 23, 2015 WL 675147
CourtWyoming Supreme Court
DecidedFebruary 18, 2015
DocketS-14-0164
StatusPublished
Cited by13 cases

This text of 2015 WY 21 (In the Matter of the Worker's Compensation Claim of Mario Arellano, an Employee of L & L Enterprises: L & L Enterprises) is published on Counsel Stack Legal Research, covering Wyoming Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In the Matter of the Worker's Compensation Claim of Mario Arellano, an Employee of L & L Enterprises: L & L Enterprises, 2015 WY 21, 344 P.3d 249, 2015 Wyo. LEXIS 23, 2015 WL 675147 (Wyo. 2015).

Opinion

DAVIS, Justice.

[T1] Appellant L & L Enterprises challenges a district court order requiring the Wyoming Division of Workers' Compensation to award benefits to its former employee, Appellee Mario Arellano. After he was injured on the job and made a worker's compensation claim, Mr. Arellano turned out to be an alien who was not authorized to be or work in the United States. L & L urges us to find that the Office of Administrative Hearings (OAH) was correct in denying him benefits, asserting that he is not an "employee" as defined by Wyo. Stat. Ann. § 27-14-102(a)(vii) (LexisNexis Supp. 2014) and that he is not entitled to benefits because he fraudulently obtained his employment by providing false documentation.

[12] We find that the district court was correct in concluding the OAH's action was not in accordance with the law and in awarding benefits. We therefore affirm.

ISSUES

[13] 1. Was the OAH's order denying worker's compensation benefits for Arellano, because he did not meet the definition of "employee" under the Wyoming Workers' Compensation Act, in accordance with the law?

2. Do Arellano's misrepresentations in providing false documentation and information to secure employment vitiate any right to receive benefits under the Act?

FACTS

[14] Arellano sought employment with L & L, which required him to complete a Form I-9 and provide two forms of identification. 1 *251 Arellano filled out the employee portion of the I-9, attesting under penalty of perjury that he was a citizen or national of the United States. 2 He also provided a New Mexico driver's license and a social security card that L & L examined to confirm his identity and citizenship.

[15] After being employed for roughly four months, Arellano hurt his lower back on the job, and soon thereafter completed a Wyoming Report of Injury. The Wyoming Division of Workers' Compensation issued a Final Determination Regarding Compensa-bility in which it denied Arellano's claim for coverage, determining that it could not approve payment of the claimed benefits because: (1) it had not received requested medical documentation to support the claim that a work-related injury had occurred; (2) the incident did not meet the definition of an injury in the workers' compensation statutes; and (8) it had not received requested information to prove residency and authorization to work in the United States.

[16] Arellano challenged the Division's decision by appealing to the Office of Administrative Hearings. A contested case hearing was held, and Arellano admitted that his social security card was a fake he bought on the street from someone. He also admitted that the information on the Form I-9 was therefore false, that he was a citizen of Mexico, and that he "didn't know" if he had permission to work in the United States.

[T7] After a hearing, the OAH hearing examiner assigned to the case issued his Findings of Fact, Conclusions of Law, and Order, in which he held that Arellano met his burden of establishing that he suffered a low back injury during the course and seope of his employment. However, the examiner held that he had failed to establish that he was a covered "employee" as defined under Wyoming's workers' compensation statutes. The examiner found that L & L did in fact reasonably believe that Arellano was a citizen who could lawfully work in this country. Nonetheless, he found "it hard to believe the Wyoming Legislature intended to provide coverage when fraud has been committed" and that "an employer's 'reasonable belief must be based upon valid information...." He therefore denied benefits.

[18] Arellano petitioned the district court for review of the OAH decision. The court reversed the OAH, finding that its denial of Arellano's claim for "workers' compensation benefits was arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law." It reasoned that the workers' compensation statute's definition of a covered employee, "by its clear and unambiguous terms, requires only that an employer reasonably believe that, based upon the documents in its possession at the date of hire and at the date of the injury, the employee is authorized to work in the United States." Applying this interpretation to the OAH findings of fact, the district court determined that Arellano had met his burden of proving each of the elements of his worker's compensation claim, and particularly that he was in fact an employee for workers' compensation purposes.

[19] L & L timely perfected this appeal.

STANDARD OF REVIEW

"On appeal from a district court order on petition for review of an administrative agency ruling, we review the case as though it came directly to this Court from the agency and give no deference to the district court's decision." In re Hartmann, 2015 WY 1, ¶ 19, 842 P.3d 377, 382 (Wyo. 2015). This Court's review of agency action is governed by Wyo. Stat. Ann. § 16-8-114(c) (LexisNexis 2013), which provides in pertinent part:

(c) To the extent necessary to make a decision and when presented, the reviewing court shall decide all relevant questions of law, interpret constitutional and statutory provisions, and determine the meaning *252 or applicability of the terms of an agency action. In making the following determinations, the court shall review the whole « record or those parts of it cited by a party and due account shall be taken of the rule of prejudicial error. The reviewing court shall:
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(ii) Hold unlawful and set aside agency action, findings and conclusions found to be: -
(A) Arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law;. ...

We review questions of law, including statutory interpretation, de novo. In re Hartmann, 119, 342 P.3d at 382; State ex rel. Dep't of Workforce Servs. v. Clements, 2014 WY 68, ¶ 7, 326 P.3d 177, 179 (Wyo.2014).

DISCUSSION

[T11] L & L's primary argument tracks the OAH examiner's reasoning that the statutory definition of "employee" for workers' compensation benefits does not encompass illegal aliens who submit false documents and information to secure employment. L & L contends that a fake social security card does not qualify as a "document," and that its belief that Arellano was entitled to work in this country cannot be reasonable because it was based on admittedly false information.

[112] L & L also argues that Arellano's fraudulent conduct is an independent basis to deprive him of benefits. It claims that the fraud not only led it to hire him, but that any award of benefits was also the result of that fraud, because if it had not employed him, he would have had no arguable claim for workers' compensation benefits.

"Employee" within the meaning of the Wyoming Workers' Compensation Act

[1183] We must interpret § 27-14-102(a)(vii) to determine whether Arellano is a covered "employee" as defined by that statute. Rodriguez v.

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2015 WY 21, 344 P.3d 249, 2015 Wyo. LEXIS 23, 2015 WL 675147, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-the-matter-of-the-workers-compensation-claim-of-mario-arellano-an-wyo-2015.