LeBoeuf v. Workers' Compensation Appeals Board

666 P.2d 989, 34 Cal. 3d 234, 193 Cal. Rptr. 547, 48 Cal. Comp. Cases 587, 1983 Cal. LEXIS 214
CourtCalifornia Supreme Court
DecidedAugust 8, 1983
DocketS.F. 24479
StatusPublished
Cited by50 cases

This text of 666 P.2d 989 (LeBoeuf v. Workers' Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
LeBoeuf v. Workers' Compensation Appeals Board, 666 P.2d 989, 34 Cal. 3d 234, 193 Cal. Rptr. 547, 48 Cal. Comp. Cases 587, 1983 Cal. LEXIS 214 (Cal. 1983).

Opinions

[237]*237Opinion

BIRD, C. J.

Where an injured worker is found to be less than totally disabled and the Bureau of Rehabilitation (Bureau) subsequently finds the worker not qualified for rehabilitation benefits, does that finding constitute “good cause” to reopen the permanent disability proceeding?

I.

The facts are undisputed. Petitioner, Richard LeBoeuf, was employed as a bus driver for Alameda-Contra Costa Transit District (A.C. Transit) in 1961. On January 17, 1976, while he was on the job, he was attacked and beaten by four youths. Petitioner not only sustained multiple contusions and abrasions on his face, head and knee, but also developed an anxiety neurosis. The symptoms of this condition are claustrophobia, mental confusion and phobic reactions. As a result, petitioner was unable to return to work and on January 24, 1976, he filed a claim for workers’ compensation benefits, including permanent disability benefits. (See Lab. Code, § 4658.)1

The first hearing on petitioner’s claim, which was limited to the nature and extent of his disability, was held on March 15, 1977. Petitioner and two psychiatrists, Dr. Beaulieu and Dr. Gruberg, each offered testimony concerning various aspects of petitioner’s condition and his future employ-ability.

The testimony on petitioner’s employability was conflicting. Dr. Beaulieu testified that petitioner was not employable in any capacity because of his inability to cope with pressure, supervision, confinement and schedules. Dr. Gruberg, however, testified that petitioner was not “immobilized from the standpoint of gainful employment” and that he could possibly be employed as a “mailman” or “vaultman for A.C. Transit” or as a bus driver in a “small mountain town.”

After the hearing, the workers’ compensation judge submitted a request for a recommendation regarding petitioner’s permanent disability rating to a workers’ compensation rating specialist. The request included “instructions” regarding petitioner’s condition which reflected the testimony offered at the first hearing. The “instructions” read as follows: “Anxiety neurosis, manifested by inability to work as a motor coach operator, to be under close and frequent supervision, to work in a confined setting, or to be under a sense of obligation to do a particular thing in a particular way on a particular schedule.” On the basis of these instructions, petitioner’s age and prior [238]*238occupation, the rating specialist recommended a permanent disability rating of 60 percent.

Both petitioner and A.C. Transit objected to this recommended rating. Accordingly, a second hearing was held on March 30, 1978, to allow the parties to cross-examine the rating specialist and to offer rebuttal testimony. Petitioner offered in rebuttal the testimony of Dr. Dansker, a rehabilitation counselor. Dr. Dansker testified that in his opinion, few, if any, jobs would be open to petitioner given his condition. Petitioner also offered into evidence a letter from Dr. Dansker to petitioner’s attorney in which Dr. Dansker stated that “any individual, under the reviewed set of instructions would be effectively removed from the open labor market.”

At the judge’s direction, a final hearing was held on December 21, 1978, to determine whether Dr. Dansker qualified as an expert witness. Mr. Antonelli, a rehabilitation consultant, also testified and gave his evaluation of the rating specialist’s recommendation and of petitioner’s future employ-ability in the open labor market. Mr. Antonelli stated that “a significant number of opportunities” would be available to petitioner.

On March 22, 1979, the workers’ compensation judge issued his findings and award. The judge found that the injury petitioner sustained had occurred during the course of his employment and had precipitated an anxiety neurosis. The judge concluded that the neurosis had caused a temporary total disability from the day after the accident until February 8, 1977, the date petitioner’s mental status was evaluated by Dr. Beaulieu as permanent and stationary.2 The judge further found that the anxiety neurosis caused a 60 percent permanent disability, none of which was apportionable to any prior condition and awarded petitioner permanent disability benefits based upon this 60 percent rating.3

[239]*239On April 9, 1979, petitioner filed a petition for reconsideration of the permanent disability rating with the Workers’ Compensation Appeals Board (WCAB). The WCAB denied the petition on May 9, 1979.4

By law, an employer is required to file with the Bureau a work status report on any injured employee who is unlikely to be able to return to his or her usual occupation on a permanent basis. (Cal. Admin. Code, tit. 8, § 10004; see also § 139.5.) The Bureau then makes a determination as to whether the employee is qualified to receive vocational training benefits from the employer.5 At some point during the compensation proceedings in this case, A.C. Transit forwarded a work status report on petitioner to the Bureau.6 In addition, A.C. Transit sent the Bureau a number of medical reports on petitioner’s eligibility for rehabilitation.

On August 8, 1978, the Bureau issued an order deferring resolution of the question as to whether petitioner was qualified for vocational rehabilitation services. The Bureau stated that the materials submitted by A.C. Transit indicated that petitioner would be eligible for rehabilitation. It noted, however, that because there was a dispute as to the extent of petitioner’s disability, any decision on the need for vocational rehabilitation would be deferred until the extent of petitioner’s disability was clarified by the WCAB.

On May 3, 1979, A.C. Transit sent a letter to the Bureau advising it that the workers’ compensation judge had determined that petitioner was 60 percent permanently disabled. Also enclosed was a copy of the letter written by Dr. Dansker to petitioner’s counsel indicating that petitioner was unemployable. (See ante, p. 238.)

On January 28, 1980, the Bureau issued its decision and order on petitioner’s eligibility for rehabilitation benefits. The Bureau first stated that petitioner “is medically eligible for rehabilitation benefits under Labor Code Section 139.5 inasmuch as he is unable to return to his usual and customary occupation as a bus driver . . . .” The Bureau noted, however, that given the information provided in Dr. Dansker’s letter, its “impression” was that [240]*240petitioner would be unable to be returned to suitable gainful employment through vocational rehabilitation services. The Bureau concluded, “In that regard then, he would not be a Qualified Injured Worker . . . .’’In essence, petitioner was found not to qualify for vocational rehabilitation benefits.

On January 16, 1981, petitioner filed a petition to reopen the compensation proceedings, arguing that the prior finding of 60 percent permanent disability was erroneous. (See § 5803.7) He reasoned that the Bureau’s decision that he was totally disabled constituted the requisite “good cause” to reopen his case and increase his rating to 100 percent.

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Bluebook (online)
666 P.2d 989, 34 Cal. 3d 234, 193 Cal. Rptr. 547, 48 Cal. Comp. Cases 587, 1983 Cal. LEXIS 214, Counsel Stack Legal Research, https://law.counselstack.com/opinion/leboeuf-v-workers-compensation-appeals-board-cal-1983.