Kasuske v. Farwell, Ozmun, Kirk & Co.

2006 SD 14, 710 N.W.2d 451, 2006 S.D. LEXIS 20, 2006 WL 306759
CourtSouth Dakota Supreme Court
DecidedFebruary 8, 2006
Docket23555, 23571
StatusPublished
Cited by8 cases

This text of 2006 SD 14 (Kasuske v. Farwell, Ozmun, Kirk & Co.) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kasuske v. Farwell, Ozmun, Kirk & Co., 2006 SD 14, 710 N.W.2d 451, 2006 S.D. LEXIS 20, 2006 WL 306759 (S.D. 2006).

Opinion

SABERS, Justice.

[¶ 1.] Randy Kasuske (Kasuske) petitioned the South Dakota Department of Labor (Department) to reopen his workers’ compensation claim. After a hearing, the Department issued an order dismissing Kasuske’s petition. On appeal, the circuit court affirmed the Department’s decision. Kasuske appeals. We affirm.

FACTS

[¶ 2.] Randy Kasuske was employed as a shipping clerk by Farwell, Ozmun, Kirk & Co. (Employer). In March 1983, Ka-suske injured his lower back while lifting a seventy-five pound box. Kasuske felt pain in his lower back that extended down his left leg.

[¶ 3.] It was later discovered that Ka-suske had suffered a herniated disk. Over the course of several years, Kasuske underwent multiple surgeries performed by multiple physicians. Employer, through its insurer, Great American Insurance Companies (Insurer), paid the expenses associated with Kasuske’s surgeries, physical therapy, pain medications, and other workers’ compensation benefits. Kasuske stopped working in 1987 and began receiving social security disability benefits in 1988. He later filed a petition for hearing with the Department, alleging that the injury had rendered him permanently and totally ..disabled.

[¶ 4.] In 1992, Kasuske entered into a settlement agreement with Employer and Insurer. He released Employer and Insurer from all .past, present, and future claims, including his claims for permanent and total disability benefits under the odd lot doctrine. In exchange, Employer and Insurer paid Kasuske a lump sum of $60,000, plus an additional $1,795.18 in unpaid medical expenses. The agreement permitted Kasuske to pursue future medical treatment. However, Employer and Insurer reserved the right to dispute whether the treatment was reasonable, necessary, or medically related to Ka-suske’s injury. The Department approved the agreement and dismissed Kasuske’s petition with prejudice.

[¶ 5.] Kasuske’s physical condition did not change during the four years subsequent to signing the agreement. However, in 1996, he started complaining of pain in his upper back, shoulders, arms, and hands. He also complained of extreme headaches. Kasuske sought treatment for these ailments from several physicians.

[¶ 6.] He petitioned the Department to reopen his claim based upon the claim that his condition had deteriorated by developing new and more serious features. Employer responded by arguing that Kasuske had already been compensated for his permanent and total disability and that the agreement barred him from collecting further benefits. Both parties filed motions for summary judgment on whether the settlement agreement barred Kasuske’s petition to reopen. The Department denied Employer’s motion and granted summary judgment for Kasuske, relying on our decision in Sopko v. C & R Transfer Co., Inc., *454 1998 SD 8, 575 N.W.2d 225. The matter was then scheduled for hearing.

[¶ 7.] Kasuske and his wife were the only witnesses who testified at the hearing. He introduced his medical evidence by stipulation. In addition, he introduced various letters between his attorney and his physicians. Employer introduced the deposition of its expert witness, Dr. Farn-ham, who had conducted an independent medical examination of Kasuske.

[¶ 8.] The Department concluded that Kasuske’s present condition was not causally related to the injury he sustained in 1983 and, as a result, ruled in favor of Employer. Kasuske appealed to the circuit court. The circuit court affirmed, relying on the same rationale as the Department. We address the following issue on appeal:

Whether Kasuske met his burden of proving that his present medical conditions are causally related to the 1983 injury. 1

Standard of Review

[¶ 9.] “In workers’ compensation cases, our standard of review is controlled by SDCL 1-26-37.” Kassube v. Dakota Logging, 2005 SD 102, ¶ 25, 705 N.W.2d 461, 465. The Department’s factual findings and credibility determinations involving Kasuske’s testimony are reviewed under the clearly erroneous standard. Enger v. FMC, 1997 SD 70, ¶ 10, 565 N.W.2d 79, 83 (citing Tieszen v. John Morrell & Co., 528 N.W.2d 401, 403-04 (S.D.1995)). However, the vast majority of the record in this case is comprised of documentary evidence. We review documentary evidence de novo, affording no deference to the Department’s findings or inferences. Haynes v. Ford, 2004 SD 99, ¶ 14, 686 N.W.2d 657, 661 (citing Watertown Coop. Elevator Ass’n v. S.D. Dept. of Revenue, 2001 SD 56, ¶ 10, 627 N.W.2d 167, 171).

[¶ 10.] Finally, pure questions of law and mixed questions of law and fact are fully reviewable. Enger, 1997 SD 70, ¶ 10, 565 N.W.2d at 83 (additional citations omitted). Although SDCL 1-26-37 mandates the degree of deference we give to the Department’s decision, the circuit court’s decision receives no deference. Kassube, 2005 SD 102, ¶ 25, 705 N.W.2d at 465 (“When a circuit court has reviewed an administrative agency’s decision, we review the agency’s decision unaided by any presumption that the circuit’s decision was correct.”) (internal quotations omitted).

Decision

[¶ 11.] “Ordinarily, workers’ compensation awards whether by agreement or adjudication are final unless the Department reserves jurisdiction.” Sopko, 1998 SD 8, ¶ 9, 575 N.W.2d at 229. However, the rules governing the finality of releases in workers’ compensation cases are more forbearing. Id. ¶ 10. We have continually held that a release may be set aside “when the consequences of an injury were ... discovered after the release was signed.” Id.; Mills v. Spink Electric Coop., 442 N.W.2d 243 (S.D.1989); Novak v. C.J. Grossenburg and Son, 89 S.D. 308, 232 N.W.2d 463 (1975). The Legislature codified an exception to the finality rule in workers’ compensation cases by enacting SDCL 62-7-33. That statute provides in part:

Any payment, including medical payments under § 62-4-1, and disability payments under § 62-4-3 if the earnings have substantially changed since the date of injury, made or to be made *455 under this title may be reviewed by the Department of Labor pursuant to § 62-7-12 at the written request of the employer or of the employee and on such review payments may-be ended, diminished, increased, or awarded subject to the maximum or minimum amounts provided for in this title, if the department finds that a change in the condition-of the employee warrants such action[]

(emphasis added).

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Bluebook (online)
2006 SD 14, 710 N.W.2d 451, 2006 S.D. LEXIS 20, 2006 WL 306759, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kasuske-v-farwell-ozmun-kirk-co-sd-2006.