Kuzara v. State Compensation Insurance Fund

928 P.2d 136, 279 Mont. 223, 53 State Rptr. 1125, 1996 Mont. LEXIS 228
CourtMontana Supreme Court
DecidedNovember 14, 1996
Docket96-016
StatusPublished
Cited by6 cases

This text of 928 P.2d 136 (Kuzara v. State Compensation 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
Kuzara v. State Compensation Insurance Fund, 928 P.2d 136, 279 Mont. 223, 53 State Rptr. 1125, 1996 Mont. LEXIS 228 (Mo. 1996).

Opinions

CHIEF JUSTICE TURNAGE

delivered the Opinion of the Court.

Elizabeth Kuzara appeals the judgment of the Workers’ Compensation Court granting a directed verdict in favor of the State Com[225]*225pensation Insurance Fund (State Fund). We reverse and remand with instructions consistent with this opinion.

The sole issue on appeal is whether the Workers’ Compensation Court erred when it granted the State Fund’s motion for a directed verdict because Elizabeth Kuzara presented insufficient proof of notice of a work-related injury as required by § 39-71-603, MCA (1993).

FACTUAL BACKGROUND

All references to the facts of this case are obtained from the sworn testimony of Elizabeth Kuzara at the trial held before the Workers’ Compensation Court. It is noted that the judge found Kuzara to be a credible witness, stating, “I can at this point and do assume that she is telling me the truth about her conversations. And indeed I don’t have any reason to disbelieve her and sitting here listening to her and observing her, she impresses me as credible up to this point.” It is further noted that the State Fund did not offer any testimony or evidence at trial rebutting or contradicting the testimony of Kuzara, although it had the opportunity and chose not to do so.

Kuzara was employed as a dragline groundsman by the Spring Creek Coal Company at an open pit coal mine near Decker, Montana. Spring Creek is insured by the State Fund. Kuzara claims that she sustained a work-related injury on July 18, 1993. While cleaning dried mud from a dragline machine shoe, Kuzara suffered intense pain in her lower back, through her hips, and down her right leg. At trial she described the pain as “enough that I had to cease what I was doing — it was like getting an electrical shock almost.” No one other than Kuzara witnessed this incident.

Kuzara worked with Ed Bebee, a dragline operator. Kuzara testified that she did not specifically tell Bebee, a co-worker, about the July 18 incident on the day that it occurred. However, the next day Kuzara could not complete her shift due to back pain. Bebee allowed her to rest inside his dragline cab for the remainder of the shift. While in the cab, Kuzara and Bebee talked about their back injuries for several hours. During that discussion Kuzara informed Bebee, “I thought I’d hurt my back.” She also testified, “I told him at that time that — as far as what led to this, that I thought I had done it when I was down cleaning on the shoe.”

Spring Creek employees participated in a gain-sharing program. Spring Creek set aside a percentage of its profits to be distributed to employees every three months. The program was based on a number [226]*226of factors, including the number of lost-time accidents reported by employees. Thus, when an employee reported an accident, lost time was subtracted from the employee’s overall gain share, and all other employees’ shares were also reduced. In the quarter immediately preceding her injury, Kuzara earned approximately $950 through Spring Creek’s gain-sharing program.

Kuzara was not scheduled to work on July 20 and 21, 1993. Because she had experienced difficulty sleeping since July 18 and was still in pain, Kuzara called Dr. Robert Wood, a neurosurgeon in Billings, Montana, and scheduled an appointment for August 5,1993. Kuzara worked for the next two weeks after the dragline incident but did not inform Spring Creek or any co-workers about her back problem.

On August 4,1993, Kuzara told her supervisor, Clark Izzard, about her August 5 doctor’s appointment but did not inform him of the reason for it. During the summer of 1993, rumors had circulated among Spring Creek employees that a layoff might occur. Kuzara feared that if she reported her injury to Spring Creek she would be targeted as an injured employee and would be laid off.

Kuzara drove to Billings, Montana, on August 5 for her appointment with Dr. Wood. Following a myelogram, Dr. Wood diagnosed Kuzara with a herniated disc. He recommended surgery to treat the herniated disc. Kuzara then realized she would have to report her injury to Spring Creek.

On August 8, 1993, Kuzara returned home to Decker, Montana. According to Kuzara, she called Izzard at home and told him that she would not be able to come into work the next day. When asked why, Kuzara explained that she had a bad disc and would require back surgery. Kuzara stated at trial that she volunteered the following information to Izzard: “[The injury] was work related, but [Izzard] was — he was asking how it happened. I told him it was from a combination of things over a period of time, but most recently from lifting several weeks earlier, meaning about three weeks earlier, two to three weeks earlier.” Kuzara did not say her injury happened at work but told Izzard that her injury was work related. She informed Izzard that she was getting sick and could not talk anymore and that, if Izzard needed more information concerning her injury, he should contact Bebee, “because [Bebee] knew more than anyone else about [the situation].”

That same evening, Kuzara also called Gene Kilpatrick, Spring Creek’s department superintendent, and told him much of the same [227]*227information she had told Izzard. At trial, Kuzara testified that she told Kilpatrick, “[The injury] was from operating equipment, from slips and falls. Told him it was mostly from lifting the power cable within the last couple of weeks, several weeks.”

On August 9, 1993, Kuzara called Don Gibboney, Human Resources Manager at Spring Creek. She called him “because I knew I needed to inform him that there was probably some kind of paperwork that needed to be done regarding this, and that they were the folks to call and they’d take care of it.” She informed Gibboney that her back problem was work related, had been determined to be a surgical condition, and was “from a combination of things over a period of time.” Gibboney advised Kuzara to take sick leave and file a claim with Aetna Life and Casualty Company (Aetna), Spring Creek’s group health insurance carrier.

When Gibboney questioned Kuzara about how much sick leave she had accrued, Kuzara responded that she did not know. Gibboney transferred Kuzara to Connie Haugen, who worked in Spring Creek’s Human Resources Department. Kuzara informed Haugen that her back injury was work related. Then, according to Kuzara, Haugen stated that “she would — they would take care of everything. They would handle it all.”

On August 10, 1993, Kuzara spoke with Kilpatrick again. She claims she told him three times that her condition was work related. Spring Creek placed Kuzara on sick leave and encouraged her to file a claim with Aetna. Spring Creek’s Aetna policy did not cover work-related injuries.

Dr. Wood performed back surgery on Kuzara on August 11, 1993, and released her on August 17,1993. By mid-September, Kuzara had not received any paperwork regarding the injury she claims that she reported to Izzard, Kilpatrick, Gibboney, and Haugen on August 8-10, 1993. Concerned that she had not heard from Spring Creek, Kuzara drove to work on September 20,1993, and informed Steve Velasquez, Spring Creek Safety Director, the details of the July 18 dragline incident. This conversation was the first time Kuzara gave specific notice to a Spring Creek supervisor of the exact time, place and nature of her injury. At trial Kuzara testified that she believed she told Velasquez that her condition “was from that incident ...

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Kuzara v. State Compensation Insurance Fund
928 P.2d 136 (Montana Supreme Court, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
928 P.2d 136, 279 Mont. 223, 53 State Rptr. 1125, 1996 Mont. LEXIS 228, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kuzara-v-state-compensation-insurance-fund-mont-1996.