Klein v. Independent Wholesale Associated Grocers & State Insurance Fund

538 P.2d 1358, 167 Mont. 341, 1975 Mont. LEXIS 565
CourtMontana Supreme Court
DecidedJuly 21, 1975
Docket12902
StatusPublished
Cited by10 cases

This text of 538 P.2d 1358 (Klein v. Independent Wholesale Associated Grocers & State Insurance Fund) 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
Klein v. Independent Wholesale Associated Grocers & State Insurance Fund, 538 P.2d 1358, 167 Mont. 341, 1975 Mont. LEXIS 565 (Mo. 1975).

Opinions

MR. JUSTICE CASTLES

delivered the Opinion of the Court.

This is an appeal from a judgment entered in the district court, Yellowstone County, reversing a decision of the Workmen’s Compensation Division and entering judgment for payment of workmen’s compensation benefits.

After a hearing before the Workmen’s Compensation Division (hereinafter referred to as the Division) on September 12, 1973, wherein claimant Abe Klein sought workmen’s compen[343]*343sation based upon Ms claim filed with tbe Division some three-years and seven months after the date of his accident, the Division found claimant entitled to compensation; set the award; and then demed the compensation for failure to submit his; claim within the statutory one year period set forth in section 92-601, K.C.M.1947.

The district court reversed the Division’s order and awarded compensation at the rate of Q2y2% of the claimant’s wage loss up to a statutory maximum of $46 per week and remanded the case to the Division for a determination of claimant’s, actual wage loss.

On or about June 23, 1967, while in the employ of Independent Wholesale Associated Grocers as a mechanic, claimant suffered an on the job injury. The employer was insured under Plan III of the Montana Workmen’s Compensation Act, the insurer was the State Insurance Fund. Claimant has an eleventh grade education. His work experience is in the area of heavy duty mechanics and evidence at the hearing revealed claimant is now unable to do this type of work.

After Ms injury claimant continued to work at his job-as a mechanic, losing only two or three days of work, until his employment was terminated on February 28, 1970.

The Division received at its office in Helena, four days-following the accident, the attending physician’s first report sent in by Dr. Gary V. Dols, a chiropractor, describing claimant’s injury as a “lumbar sacral strain” and giving the date and details of the accident. Dr. Dols also sent in periodic medical reports and medical bills. A file number was assigned to claimant’s case. Dr. Dols indicated claimant would lose-three to five days of work and there would be no permanent, disability. Within 30 days of the accident the Division also received the employer’s first report of injury in greater detail with respect to the type of accident and injury and the-wages earned by claimant at the time of the accident.

[344]*344On October 30, 1967, tbe Division sent this letter to claimant:

“October 30, 1967
“Re: Accident — 8944-0-52—Abe Klein
“Abe Klein
1204 Harney Drive
Billings, Montana
“Dear Sir:
“Notice has been given that you have had an injury covered by the Workmen’s Compensation Act. If this is true, yon may protect your rights by using the enclosed blank to make a claim for compensation.
“PLEASE FOLLOW THESE INSTRUCTIONS CAREFULLY.
“1. Write plainly with ink or typewriter.
“2. Give the facts with particular care to describe the accident itself fully.
“3. State exactly the days physically disabled and the amount of wages — in figures — lost for each of these days.
“4. Be sure to enter the birthdates (month, day, year) of dependent children, sign the claim and show your correct mailing address.
“5. The law provides that you must file your claim within ONE YEAR after the accidental injury. Failure to do so will bar you from receiving compensation.
“6. Under the law, you are entitled to hospital and medical benefits and if you lose wages, compensation payable every two weeks. For further information you may write to the Board at any time.
“Very truly yours,
“INDUSTRIAL ACCIDENT BOARD “/s/ Margaret Condon, Secretary.”

A Form 54 was enclosed, the form used by the Division for 'the employee to make a claim for compensation.

[345]*345Claimant on December 28, 1967, on tbe back of the letter sent by the Division, responded to the Division:

“12-28-67
“Gentlemen: I was off work 4 days due to accident mentioned. If I’m applicable for Compensation please notify, and I will fill out form received.
“Thank you,
“/s/ Abe Klein
1204 Harney Dr.
File #8944-C-52.”
In response to claimant’s letter of December 28, 1967, the Division sent this correspondence to claimant:
“January 9, 1968
“Re: Accident 8944-C-52 — Abe Klein
“Mr. Abe Klein
1204 Harney Drive
Billings, Montana
“Dear Mr. Klein:
“Regarding your recent note in response to our mailing of a claim for Compensation for your completion you should be advised that was merely sent to you for protection in the event that you may incur later problems as a result of your June 23 injury. As you are aware Dr. Dols has referred you to Dr. Perry Berg and indicated in reports to us that he feels' that you may have a disc involvement which could eventually cause disability and we therefore feel that you should complete this form at your convenience and return although no compensation benefits would be due at this time.
“If you desire any further clarification in this regard I suggest you call our Field Representative who lives in Billings,, Mr. Harold Winfield.”

The letter was signed by J. J. Carden, Claims Manager for-the Division.

Claimant did not fill in Form 54. He did, however, contact'Mr. Winfield, who visited the claimant on May 14, 1968, and [346]*346.authorized a 30 day treatment period with Dr. Dols. Subsequently, on or about June 15, 1968, about eight days before the •expiration of the claim filing period, Mr. Winfield again contacted claimant and gave him another Form 54 and explained that such form had to be filed within one year of the accident. He cautioned claimant that the filing period was ■about to expire; and advised claimant to file the form in order to protect his right to compensation in the event his ■condition worsened.

On January 19, 1971, claimant filed for compensation. The State Insurance Fund paid medical benefits totaling $174, which represents all medical bills submitted on the claim which were incurred within three years of the accident.

On September 12, 1973, hearing was held to determine claimant’s right to compensation. On January 21, 1974, the Division adopted findings of fact and conclusions of law that established the claimant suffered a compensable “lumbar sacral strain”; that due to his wage loss claimant was entitled “to maximum temporary benefits of 62y2% of his wages or a statutory maximum of $46 per week, and permanent partial •disability compensation benefits of

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Bluebook (online)
538 P.2d 1358, 167 Mont. 341, 1975 Mont. LEXIS 565, Counsel Stack Legal Research, https://law.counselstack.com/opinion/klein-v-independent-wholesale-associated-grocers-state-insurance-fund-mont-1975.