Julie Ann Reynolds, petitioner-appellee/cross-appellant v. Algona Manor Care Center and Canon Cochran Management Services, Inc., respondents-appellants/cross-appellees.

CourtCourt of Appeals of Iowa
DecidedJuly 27, 2016
Docket15-1095
StatusPublished

This text of Julie Ann Reynolds, petitioner-appellee/cross-appellant v. Algona Manor Care Center and Canon Cochran Management Services, Inc., respondents-appellants/cross-appellees. (Julie Ann Reynolds, petitioner-appellee/cross-appellant v. Algona Manor Care Center and Canon Cochran Management Services, Inc., respondents-appellants/cross-appellees.) is published on Counsel Stack Legal Research, covering Court of Appeals of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Julie Ann Reynolds, petitioner-appellee/cross-appellant v. Algona Manor Care Center and Canon Cochran Management Services, Inc., respondents-appellants/cross-appellees., (iowactapp 2016).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 15-1095 Filed July 27, 2016

JULIE ANN REYNOLDS, Petitioner-Appellee/Cross-Appellant,

vs.

ALGONA MANOR CARE CENTER and CANON COCHRAN MANAGEMENT SERVICES, INC., Respondents-Appellants/Cross-Appellees. ________________________________________________________________

Appeal from the Iowa District Court for Polk County, Arthur E. Gamble,

Judge.

An employer appeals and an employee cross-appeals the district court’s

ruling on judicial review of a workers’ compensation award. AFFIRMED IN

PART, REVERSED IN PART, AND REMANDED WITH INSTRUCTIONS.

Joni L. Ploeger and Stephen J Brown of Cutler Law Firm, P.C., West Des

Moines, for appellants.

Mark S. Soldat of Soldat, Parrish-Sams & Gustafson, PLC, West Des

Moines, for appellee.

Heard by Vogel, P.J., and Doyle and Bower, JJ. 2

DOYLE, Judge.

An employer and its workers’ compensation administrator appeal from the

district court’s ruling on judicial review of a workers’ compensation award with

respect to the award of certain medical expenses, the interest due on temporary

benefits, and the award of penalty benefits and costs. On cross-appeal, the

claimant argues her spouse is entitled to reimbursement for wages lost while

transporting the claimant to medical appointments. Upon our review, we reverse

the portion of the judicial review ruling affirming the commissioner’s denial of

reimbursement for wages lost by the employee’s spouse while transporting the

employee to medical appointments, and we remand to the workers’

compensation commissioner for a determination of how much interest—if any—

should be assessed against the employer for any nonpayment of temporary

benefits. We affirm in all other respects.

I. Background Facts and Proceedings.

Julie Reynolds was employed by Algona Manor Care Center (Algona

Manor) when she suffered a work injury on September 1, 2011. Reynolds filed a

petition with the workers’ compensation commissioner seeking compensation for

her injury. Both Reynolds and Algona Manor1 stipulated that Reynolds had not

reached maximum medical improvement and that the issue of permanent partial

disability was not ripe for hearing.

An arbitration hearing was held to determine Reynolds’s workers’

compensation rate, her entitlement to reimbursement for disputed medical

1 Canon Cochran Management Services, Inc. provided third-party workers’ compensation administration to Algona Manor during the relevant time period and is a party to these proceedings. In the interest of brevity, we will refer only to Algona Manor. 3

expenses, interest on any past-due benefits, penalty benefits, and costs. The

deputy workers’ compensation commissioner determined that Reynolds’s weekly

compensation rate was $635.05 and ordered Algona Manor to pay all past-due

weekly benefits in a lump sum with interest. Algona Manor was also ordered to

compensate Reynolds for certain expenses she incurred to treat her injury, as

well as the cost of medical treatment for an allergic reaction Reynolds had to

medication prescribed to treat her injury. The deputy commissioner denied

Reynolds’s claim to reimburse her husband for wages he lost while driving her to

medical appointments. Finally, Algona Manor was assessed a $2500 penalty for

delayed payment of benefits and was ordered to reimburse Reynolds costs in the

amount of $113.60. The deputy commissioner denied both parties’ applications

for rehearing, and the industrial commissioner affirmed the deputy commissioner

on appeal.

Both parties sought judicial review of the agency action. After a hearing,

the district court entered an order affirming the commissioner’s decision

regarding reimbursement for unauthorized medical expenses and travel

expenses, as well as his assessment of penalty benefits and costs. The court

agreed with Algona Manor that the commissioner had made a mathematical error

in calculating Reynolds’s weekly benefit, finding the correct calculation was

$633.30. Because Algona Manor had paid Reynolds this amount of weekly

benefits, the court determined no interest was due for underpayment and

remanded the case back to the agency to determine the credit and interest

computation for any late or missing weekly benefit payments. 4

The district court denied Reynolds’s motion pursuant to Iowa Rule of Civil

Procedure 1.904(2), which sought enlarged, amended, modified, or substituted

findings. Thereafter, both parties filed a timely notice of appeal.

II. Scope and Standards of Review.

Our review of final agency action is governed by Iowa Code chapter 17A

(2013). See Des Moines Area Reg’l Transit Auth. v. Young, 867 N.W.2d 839,

841-42 (Iowa 2015). We apply the standards set forth in section 17A.19(10) to

the commissioner’s decision and decide whether the district court correctly

applied the law in exercising its judicial review function. See id. at 842. If we

reach the same conclusions as the district court, we affirm. See id. If not, we

reverse. See id.

We review the commissioner’s interpretation of workers’ compensation

statutes for the correction of errors at law. See Iowa Code § 17A.19(10)(c)

(stating the court should grant relief where the agency decision is “[b]ased upon

an erroneous interpretation of a provision of law whose interpretation has not

been clearly vested by a provision of law in the discretion of the agency”);

Ramirez-Trujillo v. Quality Egg, L.L.C., 878 N.W.2d 759, 773 (Iowa 2016)

(holding the legislature did not expressly vest the workers’ compensation

commissioner with authority to interpret the workers’ compensation statutes in

chapter 85). In so doing, we will substitute our own judgment for the

commissioner’s interpretation of chapter 85 should we conclude the

commissioner’s interpretation rests on an error at law. See Ramirez-Trujillo, 878

N.W.2d at 771. 5

Because factual determinations are clearly vested in the discretion of the

workers’ compensation commissioner, we defer to the commissioner’s findings if

they are based on “substantial evidence in the record before the court when that

record is viewed as a whole.” Larson Mfg. Co. v. Thorson, 763 N.W.2d 842, 850

(Iowa 2009) (quoting Iowa Code § 17A.19(10)(f)). Substantial evidence is “the

quantity and quality of evidence that would be deemed sufficient by a neutral,

detached, and reasonable person, to establish the fact at issue when the

consequences resulting from the establishment of that fact are understood to be

serious and of great importance.” Iowa Code § 17A.19(10)(f)(1). Rather than

questioning whether the evidence before us may support a different finding than

that made by the commissioner, we ask whether the evidence supports the

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Julie Ann Reynolds, petitioner-appellee/cross-appellant v. Algona Manor Care Center and Canon Cochran Management Services, Inc., respondents-appellants/cross-appellees., Counsel Stack Legal Research, https://law.counselstack.com/opinion/julie-ann-reynolds-petitioner-appelleecross-appellant-v-algona-manor-iowactapp-2016.