Joel Zellmer v. Department Of Labor & Industries

CourtCourt of Appeals of Washington
DecidedSeptember 15, 2020
Docket53627-7
StatusUnpublished

This text of Joel Zellmer v. Department Of Labor & Industries (Joel Zellmer v. Department Of Labor & Industries) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joel Zellmer v. Department Of Labor & Industries, (Wash. Ct. App. 2020).

Opinion

Filed Washington State Court of Appeals Division Two

September 15, 2020

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II JOEL ZELLMER, No. 53627-7-II

Appellant,

v.

DEPARTMENT OF LABOR & INDUSTRIES, UNPUBLISHED OPINION

Respondent.

MELNICK, J. — Joel Zellmer appeals the summary judgment dismissal of his lawsuit

alleging that the Department of Labor and Industries (L&I) violated the Public Records Act (PRA),

chapter 42.56 RCW, in regard to three of his records requests. Because his complaint is time

barred pertaining to Zellmer’s first request and because L&I did not violate the PRA regarding his

other two requests, we affirm.

FACTS

Zellmer collected workers’ compensation benefits for several years due to work-related

injuries. Suspecting fraud, L&I started an investigation into Zellmer’s claims.1 In 2010, L&I

1 As background information, in 2010 a jury found Zellmer guilty of second degree murder for the drowning death of his 3 year old stepdaughter. State v. Zellmer, noted at 175 Wn. App. 1003, 2013 WL 2325665, at *3. The alleged motive of the drowning was to collect life insurance proceeds. Zellmer, 2013 WL 2325665, at *2. The State presented evidence that Zellmer had a history of fraudulent insurance claims. Zellmer, 2013 WL 2325665, at *2-3. The State also presented evidence that Zellmer was fraudulently collecting workers’ compensation benefits from L&I. Zellmer, 2013 WL 2325665, at *1. Zellmer’s former wife testified that he told her he had a doctor “in his back pocket” who would write anything Zellmer wanted to help him get L&I benefits. Zellmer, 2013 WL 2325665, at *1. 53627-7-II

requested that four doctors review Zellmer’s medical records; L&I did not request that the doctors

perform an Independent Medical Examination (IME) on Zellmer.2 Dr. Steven Fey and Dr. Dennis

Stumpp performed a records review regarding one claim, Dr. H. Berryman Edwards performed a

records review regarding another claim, and Dr. Alfred Blue performed a records review regarding

a third claim.

I. ZELLMER’S RECORDS REQUESTS

Zellmer made four records requests to L&I.

A. First Request

On July 3, 2016, Zellmer requested:

1. All order(s) for the authorization of (4) Independent Medical Examinations by: Steven G. Fey, Ph.D., H. Berryman Edwards, M.D., Alfred I. Blue, M.D., Dennis Stumpp, M.D., M.S. These IMEs would of been authorized under one of these claims possible N767257, Y154479, Y480253.

2. All billing(s), [invoice] statements by each of the providers for the IMEs as [described] above in section 1 of this request.

3. All warrants of payments for each of the IMEs as [described] above in section 1 in this request. (Copy of check sent to provider for IMEs).

Clerk’s Papers (CP) at 49. L&I sent a letter to Zellmer, seeking clarification whether his request

related to “Independent Medical Examinations” performed by the four doctors. CP at 52. Zellmer

did not respond when L&I tried to clarify what he was requesting.

Nevertheless, L&I began searching for the records. Laurel Chastain, a staff member in the

public records unit, searched for responsive records. She sent the records request to the two L&I

divisions that she determined would be most likely to have responsive records: The Insurance

2 An IME is “[a]n objective medical-legal examination requested (by the department or self- insurer) to establish medical findings, opinions, and conclusions about a worker’s physical condition.” WAC 296-23-302. IMEs “may only be conducted by department-approved examiners.” WAC 296-23-302.

2 53627-7-II

Services Claims Administration and Training Division and the Insurance Services Medical

Information and Payment System Division. Neither division could located the requested

documents. The searches showed that none of the four providers conducted IMEs in the three

claims Zellmer identified in his request.

L&I notified Zellmer on August 26, 2016, that it could not locate the records and that it

closed his request. Zellmer did not respond.

B. Second Request

On October 6, 2016, Zellmer requested copies of “each pdf[3] file . . . of each of the four

forensic investigations under claims of Joel Martin Zellmer.” CP at 60. Zellmer listed the names

of the four doctors and the PDF files he was requesting. He also requested:

[I]tems beyond this to include authorization orders for each of these IMEs listed above doctors. I would also like a copy of any payments made to each of them.

The IMEs were done as part of a[n] L&I criminal investigation. Some of the claim numbers are the following N767257, Y154479, and Y480253. These payments to each of these doctors are:

1. Fey $35,700.00 2. Edwards $3,850.00 3. Blue $5,400.00 4. Stumpp $4,200.00

I would like a copy of each payment made and the order authorizing each payment/IME.

CP at 60.

L&I again asked Zellmer to clarify that his request was for documents relating to IMEs

performed by the four doctors. Zellmer did not respond.

On December 23, 2016 L&I sent Zellmer another clarification letter, stating:

[Y]our request is being interpreted to be for paper copies of the following:

3 Portable Document Format.

3 53627-7-II

Item 1: A copy of the following PDF files provided in public record request (PRR) number 76369:

a. fey_20100804153223 .pdf b. edwards_20100804153654.pdf c. blue_20100804153836.pdf d. stumpp_20100804153259.pdf

Item 2: A copy of the following records from each Independent Medical Exam (IME) provider on your claims listed below:

a. Authorization orders b. A report of any payments made

List of IME providers: • Steven G. Fey • Berryman Edwards • Alfred Blue • Dennis Stumpp

List of your claim numbers: • N767257 • P196690 • X225608 • Yl54479 • T108247 • Y110136 • Y480253 • X464295 • P124792 • Y453494

In response to Item 1: PRR 76369 is past retention and has been destroyed per our retention schedule. We only keep these types of records for two years. In order to search for the records with the programs, please identify what kind of records each of these files are and what kind of file they are a part of. For example: a Notice of Assessment in a claim investigation.

Please note that depending on the record type, these records may also be past retention with the business programs and may no longer be available.

Please provide the requested clarification by January 10, 2017, if I have not received a response regarding this item by this date, I will assume you want to cancel your request for this item.

In response to Item 2: We require time to locate, assemble, and scan any identified records. We will also be checking these materials, pursuant to the Revised Code of Washington (RCW) 42.56, to determine whether any of the information requested is statutorily exempt from disclosure and therefore unavailable for public inspection under Washington Law.

4 53627-7-II

We expect to mail the records to you by January 27, 2017.

CP at 66-67.

Zellmer responded that he was seeking “records that demonstrate authorization (by L&I)

and payment of monies to the four Independent Medical Examiners listed in my request for public

records.” CP at 69.

Public records unit staff member Mara Osborn reviewed the request and clarifications, and

routed the request to the two divisions within L&I that she determined would be most likely to

have responsive records: The Insurance Services Claims Administration and Training Division

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