Jaenish v. Super 8 Motel

812 P.2d 1241, 248 Mont. 383, 48 State Rptr. 474, 1991 Mont. LEXIS 136
CourtMontana Supreme Court
DecidedMay 30, 1991
Docket90-518
StatusPublished
Cited by2 cases

This text of 812 P.2d 1241 (Jaenish v. Super 8 Motel) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jaenish v. Super 8 Motel, 812 P.2d 1241, 248 Mont. 383, 48 State Rptr. 474, 1991 Mont. LEXIS 136 (Mo. 1991).

Opinion

JUSTICE HARRISON

delivered the Opinion of the Court.

Dolores Jaenish and EBI/Orion Group appeal from a July 20,1990, judgment of the Montana Workers’ Compensation Court ordering EBI/Orion Group to pay Jaenish 300 weeks of permanent partial disability benefits. We affirm.

The parties present the following issues:

1. Was the court’s determination of Jaenish’s permanent partial disability entitlement supported by substantial credible evidence?
2. Did the Workers’ Compensation Court err in denying Jaenish’s request to impose a twenty per cent penalty on EBI/Orion Group pursuant to § 39-71-2907, MCA?
3. Did the Workers’ Compensation Court abuse its discretion in reversing its assessment of costs and attorney’s fees related to the continuation of the first trial after stipulation by the parties?

Dolores Jaenish strained her back on January 24, 1985, while working as a maid and housekeeper for Super 8 Motel in Bozeman, Montana. She experienced severe back pain between her shoulder *386 blades. Jaenish had received a back injury in an automobile accident in 1976 which aggravated a childhood arthritic condition.

Jaenish testified that since her injury in 1985 she had not worked and continued to experience chronic back pain and headaches related to her back condition. She took medications for pain, for stomach discomfort, and to help her sleep. Jaenish said that she had difficulty sleeping because the back pain would cause her to wake up during the night. Jaenish also testified that because of back pain she had trouble doing certain household chores, such as laundry and vacuuming, and could not sit for long periods of time.

Testimony was received from several physicians. Apanel of doctors concluded that Jaenish had upper back pain of a muscular ligamentous nature. The physicians reported minimmn findings of degenerative changes in Jaenish’s thoracic spine and determined that Jaenish had reached maximum medical healing from the episode of January 24, 1985. The panel also concluded that Jaenish had a zero impairment rating based on the guidelines of the American Medical Association.

EBI/Orion Group accepted liability for Jaenish’s injury and paid medical benefits and permanent partial disability benefits. Prior to the hearings, Jaenish had also received lump sum advances totaling $6,500. Jaenish claimed that EBI/Orion should be penalized for unreasonable delay in acting on her requests for lump sum advances.

Ahearing was held September 19,1988, with Jaenish representing herself. At Jaenish’s request, the trial was continued in order for Jaenish to obtain counsel. The court advised Jaenish that if a continuance were granted, “the Court is going to consider imposition [on Jaenish] of the costs of the defendant and his witness being here today

A second hearing was held on September 5, 1989, with Jaenish represented by counsel. The hearing examiner heard testimony from Jaenish and from a vocational consultant and evaluator who had been retained by EBI/Orion.

Based on the evidence, the Workers’ Compensation Court concluded that Jaenish was 60 per cent permanently partially disabled, and had reached maximum healing. The court ordered the insurer to pay 300 weeks of permanent partial benefits at the stipulated rate of $101.14 per week. The court awarded attorney’s fees to Jaenish for the amount recovered above the insurer’s settlement offer of $25,285. The court also concluded that Jaenish was not entitled to a penalty *387 since EBI/Orion’s delay in paying advances to Jaenish was reasonable.

From the judgment of the Workers’ Compensation Court, both parties appeal.

I.

Was the court’s determination of Jaenish’s permanent partial disability entitlement supported by substantial credible evidence?

Jaenish contends that the evidence supports a determination that she is permanently totally disabled, rather than permanently partially disabled. Jaenish also disputes the court’s finding that she had reached maximum healing. EBI/Orion agrees with the court’s conclusion that Jaenish is permanently partially disabled, but argues that the evidence was insufficient to support the court’s finding of 60 per cent disability.

The standard of review in workers’ compensation cases is whether the court’s findings and conclusions are supported by substantial, credible evidence. Gaumer v. Montana Department of Highways (1990), 243 Mont. 414, 418, 795 P.2d 77, 79. We cannot substitute our judgment for that of the Workers’ Compensation Court concerning the weight of the evidence on questions of fact. When substantial evidence supports the findings of the Workers’ Compensation Court, the decision cannot be overturned. Wood v. Consolidated Freightways, Inc. (Mont. 1991), [248 Mont. 26,] 808 P.2d 502, 504, 48 St.Rep. 306, 306-07.

As a preliminary matter, we note that no dispute exists about the sufficiency of the evidence supporting the court’s finding that Jaenish is “as far restored as the permanent character of her injuries will permit,” since at the second hearing her counsel stipulated to maximum healing having been reached. Maximum healing triggers a reevaluation of the claimant’s disability status as either permanently totally disabled or permanently partially disabled. Wood, 808 P.2d at 504, 48 St.Rep. at 307.

Jaenish contends the evidence supported a determination that she is permanently totally disabled, rather than permanently partially disabled. Permanent total disability is defined as:

“[A] condition resulting from injury as defined in this chapter that results in the loss of actual earnings or earning capability that exists after the injured worker is as far restored as the permanent character of the injuries will permit and which results in the worker having no *388 reasonable prospect of finding regular employment of any kind in the normal labor market.”

Section 39-71-116(13), MCA (1983). To establish “no reasonable prospect of finding regular employment of any kind in the normal labor market” the claimant must “ ‘introduce substantial credible evidence of (1) what jobs constitute his normal labor market, and (2) a complete inability to perform the employment and duties associated with those jobs because of his work-related injury.’ ” Metzger v. Chemetron Corporation (1984), 212 Mont. 351, 355, 687 P.2d 1033, 1035 (quoting Spooner v. Action Sales, Inc. (1983) III Workers’ Compensation Court Decisions No. 85). Once a claimant presents evidence demonstrating that no reasonable prospect of employment in his normal labor market exists, the burden of proof shifts to the insurer to show that suitable work is available. Wood, 808 P.2d at 504, 48 St.Rep. at 307.

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Bluebook (online)
812 P.2d 1241, 248 Mont. 383, 48 State Rptr. 474, 1991 Mont. LEXIS 136, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jaenish-v-super-8-motel-mont-1991.