Larson v. State Compensation Department

445 P.2d 486, 251 Or. 478, 1968 Ore. LEXIS 481
CourtOregon Supreme Court
DecidedSeptember 25, 1968
StatusPublished
Cited by11 cases

This text of 445 P.2d 486 (Larson v. State Compensation Department) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Larson v. State Compensation Department, 445 P.2d 486, 251 Or. 478, 1968 Ore. LEXIS 481 (Or. 1968).

Opinion

MENGLER, J.

(Pro Tempore).

This is an appeal from a circuit court judgment which affirmed an order of the Workmen’s Compensation Board, hereinafter referred to as the Board, awarding to the claimant increased compensation based on aggravation of injury.

The pertinent facts are as follows: The claimant was injured on October 30,1963. His claim was closed by an order awarding 80 per cent loss of use of an arm for unscheduled disability. Thereafter, the State Compensation Department, hereinafter referred to as the Department, denied claimant’s application for increased compensation for aggravation of injury. Claim *480 ant then, in lien of the procedures available under the law on date of injury, elected to proceed under the Workmen’s Compensation Act, which became effective January 1, 1966, and filed a claim for increased compensation for aggravation. The Department filed its response in which it alleged that the claim was not supported by a written opinion of a physician, as required by ORS 656.271. The Board ordered the claim closed. Later, the Board reopened the claim to permit the claimant to file the required written opinion. Thereafter, Lawrence J. Cohen, M.D., and John Harder, M.D., each filed a medical opinion. A hearing was had before an examiner. The award was increased 1-5 per cent for aggravation, and attorney fees were allowed. The Department, under the provisions of ORS 656.295, then filed a request for review with the Board. Upon review, the Board affirmed the finding of the examiner and allowed additional attorney fees. The Department then filed notice of appeal to the circuit court. The circuit court, after hearing, affirmed and allowed additional attorney fees. The Department, under the provisions of ORS 656.301, then appealed to this court.

The questions raised here are: (1) Did the Board have jurisdiction to make an award of increased compensation on account of aggravation? (2) Did the claimant support his claim with any substantial evidence? (3) Did the Board and circuit court have authority to award reasonable attorney fees?

These questions require an interpretation of ORS 656.271:

“ (1) If subsequent to the last award or arrangement of compensation there has been an aggravation of the disability resulting from a compensable injury, the injured workman is entitled to increased *481 compensation including medical services based upon such aggravation. The claim for aggravation must be supported by a written opinion from a physician that there are reasonable grounds for the claim. In its discretion, the board may order the payment for such medical opinion by claimant or the department or the direct responsibility employer.
“(2) A request for a hearing on increased compensation for aggravation must be filed with the board within five years after the first determination made under subsection (3) of OKS 656.268.
“(3) IJpon receiving a request for a hearing for increased compensation on account of aggravation, the board shall notify in writing all parties in interest to the claim and shall, if necessary, schedule a hearing before a hearing officer within 30 days after mailing notice of the request for hearing on increased compensation. Subsequent proceedings as to hearings, review and appeal shall conform to OKS 656.010 and 656.262 to 656.382.”

This statute requires clearly that one who seeks increased compensation based upon aggravation of a compensable injury must file a claim, which is, in effect, the claimant’s pleading. The claim standing alone, however, is not a sufficient pleading. It must be supported by a physician’s written opinion alleging facts which would reasonably support the claim. The statute does not require that upon filing the claim it must be accompanied by, or have attached to it, the written opinion. Subsection (1) of the statute gives discretion to the Board to order that the required written opinion be paid for either by the claimant, the Department, or the direct responsibility employer. This, it would seem, makes it clear that the legislature contemplated the filing of an opinion separately from a claim. The statute, in subsection (3), further requires that the Board shall, upon receiving a request for a hearing on a claim for increased com *482 pensation, give notice to the necessary parties and schedule a hearing, if necessary. This section of the statute contemplates that after the filing of a claim there may remain something else to be done before the Board is required to hold a hearing. Thus, although a claim has been filed the Board has no duty to-hold a hearing unless the claim is supported by the required written opinion. The written opinion is a condition precedent to the right to have a hearing on a claim. At the time of the hearing the examiner had before him two written opinions from physicians.

The Department argues that the condition of the statute is not met by the filing of a written opinion from a physician if that opinion does not allege, as required by OBS 656.271(1), that there are reasonable grounds for the claim. Nothing would be gained by requiring the written opinion to use the exact language of the statute and say, “there are reasonable grounds for the claim.” The test is whether the written opinion does support the claim by setting. forth facts which, if true, would constitute reasonable grounds for the claim. We hold that the condition precedent to the holding of the hearing was met.

The Department further argues that there is no substantial medical evidence to support the increased award. This court held in Coday v. Willamette Tug & Barge, 250 Or 39, 440 P2d 224 (1968), that upon appeal from the circuit court to this court the parties are entitled to a de novo review on the record made in the administrative agency, and record, if any, made in the circuit court on the issues of aggravation. We need then to decide anew whether the record supports a conclusion that the claimant’s accidental injury of October 30, 1963, is a cause of his aggravated disability. This court, as a trier of - fact,; finds that *483 the record, including the written opinions of two physicians, factually supports a finding that the claimant’s accidental injury of October 30, 1963, is a cause of his aggravated condition.

We now consider whether the Board and the circuit court had authority to award attorney fees. The argument of the Department is that although claimant could elect the procedures available to him after the effective date of the amended act, he is entitled only to such attorney fees as would have been allowed prior to the effective date.

The claimant’s right to elect the procedures of the new act is found in Sec.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Garbutt v. SAIF Corp.
681 P.2d 1149 (Oregon Supreme Court, 1984)
Van Horn v. Jerry Jerzel, Inc.
674 P.2d 617 (Court of Appeals of Oregon, 1984)
Oakley v. State Accident Insurance Fund Corp.
664 P.2d 431 (Court of Appeals of Oregon, 1983)
Long v. Industrial Indemnity Co.
530 P.2d 524 (Court of Appeals of Oregon, 1975)
Dinnocenzo v. State Accident Insurance Fund
523 P.2d 1280 (Court of Appeals of Oregon, 1974)
McKinney v. G. L. Pine, Inc.
519 P.2d 1265 (Court of Appeals of Oregon, 1974)
Collins v. States Veneer, Inc.
512 P.2d 1006 (Court of Appeals of Oregon, 1973)
Hamilton v. State Accident Insurance Fund
501 P.2d 1007 (Court of Appeals of Oregon, 1972)
Larson v. State Compensation Department
462 P.2d 694 (Court of Appeals of Oregon, 1969)

Cite This Page — Counsel Stack

Bluebook (online)
445 P.2d 486, 251 Or. 478, 1968 Ore. LEXIS 481, Counsel Stack Legal Research, https://law.counselstack.com/opinion/larson-v-state-compensation-department-or-1968.