Insurance Company of the State of Pennsylvania v. Isaac Flores
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Opinion
Affirmed and Memorandum Opinion filed April 27, 2006.
In The
Fourteenth Court of Appeals
____________
NO. 14-05-00346-CV
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA, Appellant
V.
ISAAC FLORES, Appellee
On Appeal from the 129th District Court
Harris County, Texas
Trial Court Cause No. 2004-23848
M E M O R A N D U M O P I N I O N
Appellant, the Insurance Company of the State of Pennsylvania (ICSP), filed a restricted appeal from a default judgment granted in favor of Isaac Flores, appellee, in a workers= compensation claim. In two issues, ICSP argues that error is apparent on the face of the record and that the trial court lacked jurisdiction over this case. We affirm.
Factual and Procedural Background
Flores sustained a neck injury in February 1993 while employed as a machinist. At the time of Flores=s injury, his employer was insured by ICSP. Flores consulted Dr. Mark McDonnell, an orthopedic surgeon, due to increasing pain related to his injury, and Dr. McDonnell recommended surgery. Consequently, Flores filed a claim with the Texas Workers= Compensation Commission requesting coverage of his surgery. The Commission denied Flores=s claim, and he sought review by an independent review organization (AIRO@). The IRO also denied his claim, and the Texas Workers= Compensation Commission Appeals Panel (the AAppeals Panel@) upheld the IRO=s decision.
On May 7, 2004, Flores filed a petition in the trial court appealing the Appeals Panel=s decision and naming ICSP as defendant. ICSP did not file an answer to Flores=s petition. Flores filed a motion for default judgment, and on August 16, 2004, the trial court held a hearing on Flores=s motion. ICSP neither responded to the motion nor attended the hearing. At the hearing, the trial court heard testimony from Flores and from Dr. McDonnell, who testified about Flores=s need for surgery. Based on this testimony, the trial court found that Flores=s surgery was medically necessary and vacated and reversed the Appeals Panel=s decision. The trial court signed an interlocutory default judgment in Flores=s favor on September 30, 2004 and signed a final default judgment on December 7, 2004. ICSP filed a notice of restricted appeal on March 30, 2005.
Analysis
To prevail in a restricted appeal, a party must establish that (1) it filed notice of the restricted appeal within six months after the judgment was signed, (2) it was a party to the underlying suit, (3) it did not participate in the hearing that resulted in the judgment complained of and did not timely file any post-judgment motions or requests for findings of fact and conclusions of law, and (4) error is apparent on the face of the record. See Alexander v. Lynda=s Boutique, 134 S.W.3d 845, 848 (Tex. 2004). The face of the record, for purposes of a restricted appeal, consists of all the papers on file in the appeal, including the statement of facts. Norman Commc=ns v. Tex. Eastman Co., 955 S.W.2d 269, 270 (Tex. 1997). In this case, the parties dispute only whether error is apparent on the face of the record.
The Texas Labor Code provides that A[a] party that has exhausted its administrative remedies under this subtitle and that is aggrieved by a final decision of the appeals panel may seek judicial review under this subchapter.@ Tex. Lab. Code Ann. ' 410.251 (Vernon 2006). The Code further provides that A[a] party may seek judicial review by filing suit not later than the 40th day after the date on which the decision of the appeals panel was filed with the division.@ Id. ' 410.252(a) (Vernon 2006).[1]
In its first issue, ICSP claims that in his petition, Flores misrepresented to the trial court that the forty-day filing deadline of section 410.252(a) is measured from when he received the Appeals Panel=s decision rather than when it was filed with the district. See Morales v. Employers Cas. Co., 897 S.W.2d 866, 869 (Tex. App.CSan Antonio 1995, writ denied) (A[T]here is no basis for calculating the 40 day deadline from [appellee=s] >actual notice= of the appeals panel decision.@).
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