Kopping v. Workers' Compensation Appeals Board

48 Cal. Rptr. 3d 618, 142 Cal. App. 4th 1099, 2006 Daily Journal DAR 12259, 2006 Cal. Daily Op. Serv. 8559, 2006 Cal. App. LEXIS 1365
CourtCalifornia Court of Appeal
DecidedSeptember 11, 2006
DocketC051885
StatusPublished
Cited by13 cases

This text of 48 Cal. Rptr. 3d 618 (Kopping v. Workers' Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kopping v. Workers' Compensation Appeals Board, 48 Cal. Rptr. 3d 618, 142 Cal. App. 4th 1099, 2006 Daily Journal DAR 12259, 2006 Cal. Daily Op. Serv. 8559, 2006 Cal. App. LEXIS 1365 (Cal. Ct. App. 2006).

Opinion

*1103 Opinion

ROBIE, Acting P. J.

The question here is whether the presumption established by subdivision (b) of Labor Code 1 section 4664 (section 4664(b)) is conclusive or rebuttable. That statute, which is one of the workers’ compensation statutes enacted in 2004 to govern apportionment of permanent disability (Stats. 2004, ch. 34, § 35), 2 provides that “[i]f the applicant has received a prior award of permanent disability, it shall be conclusively presumed that the prior permanent disability exists at the time of any subsequent industrial injury. This presumption is a presumption affecting the burden of proof.”

Petitioner Ed Kopping contends this statute is internally inconsistent, because the second sentence means the section 4664(b) presumption is actually rebuttable, not conclusive as the first sentence says it is. Kopping contends the statute must be construed liberally in his favor and thus interpreted to create a rebuttable presumption of the continued existence of a prior permanent disability that can be rebutted by proof of medical rehabilitation prior to the subsequent industrial injury.

For reasons we will explain, we conclude the Legislature intended the section 4664(b) presumption to be conclusive, not rebuttable, notwithstanding the second sentence of the statute. That means the Workers’ Compensation Appeals Board (Board) correctly determined that Kopping is not entitled to prove he was medically rehabilitated from his prior permanent disability when he sustained a subsequent industrial injury. However, the Board incorrectly determined that Kopping has the burden of disproving overlap between his current permanent disability and his previous disability in order to establish his claim to permanent disability benefits. Instead, we conclude State Compensation Insurance Fund (State Fund), the adjusting agency for Kopping’s employer, has the burden of proving overlap between the current disability and the previous disability in order to establish its right to apportionment of Kopping’s permanent disability. Accordingly, we will annul the Board’s decision and remand the matter for further proceedings.

FACTUAL AND PROCEDURAL BACKGROUND

In 1996, Kopping injured his spine while working as a traffic officer for the California Highway Patrol (CHP). The parties stipulated that the injury *1104 caused permanent disability of 29 percent, and Kopping was awarded $20,357.50 in permanent disability benefits. At the time, the agreed medical examiner described Kopping’s factors of disability as restrictions in spinal motion and subjective complaints of intermittent-to-frequent slight-to-moderate pain.

In December 2002, Kopping sustained another back injury while working for the CHP. The parties stipulated that Kopping’s level of permanent disability is now 27 percent, based on factors of disability described by another agreed medical examiner (Dr. Barber) as “approximating halfway between a disability precluding repetitive motions of the back and a disability precluding heavy lifting.” In his report, Dr. Barber concluded there should be no apportionment of Kopping’s permanent disability to the 1996 injury “based on Mr. Kopping’s remarks that he completely recovered from this prior low back industrial injury with no ongoing physical limitations.”

State Fund, the adjusting agency for the CHP, argued that notwithstanding Kopping’s claim of rehabilitation from the prior injury, the permanent disability resulting from that injury had to be treated as still existing because of the conclusive presumption of section 4664(b). The workers’ compensation administrative law judge (WCJ) agreed and concluded that Kopping was not entitled to any permanent disability benefits for his 2002 injury because the level of disability (29 percent) resulting from the 1996 injury exceeded the level of disability (27 percent) resulting from the 2002 injury. 3

Kopping filed a petition for reconsideration with the Board challenging the WCJ’s construction of section 4664(b). Kopping also argued that even if the presumption of section 4664(b) is conclusive, the WCJ still erred in deducting the prior percentage of permanent disability from the current percentage of disability to the extent the factors of disability did not overlap.

The Board granted reconsideration. In its decision after reconsideration, the Board rescinded the WCJ’s decision and returned the matter to the trial level to allow the parties to further develop the record, if necessary, and for the WCJ to reconsider the matter in light of two recent en banc decisions by the Board on the issue of apportionment: Sanchez v. County of Los Angeles (2005) 70 Cal.Comp.Cases 1440 (Sanchez) and Strong v. City & County of San Francisco (2005) 70 Cal.Comp.Cases 1460 (Strong).

In Sanchez and Strong, the Board held that “[w]hen the [employer[ 4 ]] has established the existence of any prior permanent disability award(s) ... , the *1105 permanent disability underlying any such award(s) is conclusively presumed to still exist, i.e., the applicant is not permitted to show medical rehabilitation from the disabling effects of the earlier industrial injury or injuries.” (Sanchez, supra, 70 Cal.Comp.Cases at p. 1442; see Strong, supra, 70 Cal.Comp.Cases at p. 1462.) The Board further held that in such cases, “the percentage of permanent disability from the prior award(s) will be subtracted from the current overall percentage of permanent disability, unless the applicant disproves overlap, i.e., the applicant demonstrates that the prior permanent disability and the current permanent disability affect different abilities to compete and earn, either in whole or in part.” 5 (Sanchez, supra, 70 Cal.Comp.Cases at p. 1442.) Thus, the Board returned this case to the WCJ to determine whether Kopping had disproved (or could disprove) overlap, not to allow Kopping to prove medical rehabilitation from the disabling effects of his earlier injury.

Kopping petitioned this court for a writ of review of the Board’s decision after reconsideration, which we granted to consider the intended meaning of section 4664(b). 6

*1106 DISCUSSION

“The fundamental rule of statutory construction is to ascertain and effectuate the intent of the Legislature in enacting the statute. [Citation.] We construe the workers’ compensation scheme as a whole and consider the words used in their usual, commonsense meaning. [Citation.] We liberally construe all aspects of workers’ compensation law in favor of the injured worker.” (Henry v. Workers’ Comp. Appeals Bd.

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48 Cal. Rptr. 3d 618, 142 Cal. App. 4th 1099, 2006 Daily Journal DAR 12259, 2006 Cal. Daily Op. Serv. 8559, 2006 Cal. App. LEXIS 1365, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kopping-v-workers-compensation-appeals-board-calctapp-2006.