Lewis v. Trimble

680 N.E.2d 1207, 79 Ohio St. 3d 231
Ohio Supreme Court·Decided July 23, 1997·No. No. 95-2427·Published·Cited by 38 cases

Opinions

Alice Robie Resnick, J.

This appeal raises two important issues under Ohio’s workers’ compensation law. The first issue involves the application and requirements of R.C. 4123.84 with regard to “flow-through” or residual medical conditions. The second issue is whether a self-insured employer who accepts a “flow-through” or residual condition as allowed, after the two-year limitations period set forth in R.C. 4123.84 has run, has conclusively granted that condition as part of the claim.

I

R.C. 1128.81 and Residual Conditions

R.C. 4123.841 provides:

[234] “(A) In all cases of injury or death, claims for compensation or benefits for the specific part or parts of the body injured shall be forever barred unless, within two years after the injury or death:

“(1) Written notice of the specific part or parts of the body claimed to have been injured has been made to the industrial commission or the bureau of workers’ compensation; (( ;jc # ^

“(3) In the event the employer is a self-insuring employer, one of the following has occurred:

“(a) Written notice of the specific part or parts of the body claimed to have been injured has been given to the commission or bureau * * *;

“(C) The commission has continuing jurisdiction as set forth in section 4123.52 of the Revised Code over a claim which meets the requirement of this section, including jurisdiction to award compensation or benefits for loss or impairment of bodily functions developing in a part or parts of the body not specified pursuant to division (A)(1) of this section, if the commission finds that the loss or impairment of bodily functions was due to and a result of or a residual of the injury to one of the parts of the body set forth in the written notice filed pursuant to division (A)(1) of this section.”

R.C. 4123.52 provides:

“No modification or change nor any finding or award in respect of any claim shall be made with respect to disability, compensation, dependency, or benefits, after six years from the date of injury * * * unless written notice of claim for the specific part or parts of the body injured or disabled has been given as provided in section 4123.84 or 4123.85 of the Revised Code, and the commission shall not [235] make any modification, change, finding, or award which shall award compensation for a back period in excess of two years prior to the date of filing application therefor. This section does not affect the right of a claimant to compensation accruing subsequent to the filing of any such application, provided the application is filed within the time limit provided in this section.”

In Clementi v. Wean United, Inc. (1988), 39 Ohio St.3d 342, 530 N.E.2d 909, this court sought to interpret the relationship between R.C. 4123.84 and 4123.52, and concluded that “[t]he 1967 amendments to R.C. 4123.84 [H.B. No. 268, 132 Ohio Laws, Part 1,1432-1433, effective December 11,1967] and 4123.52 apparently were made to expand the notice requirements and therefore the statute of limitations requirements to residual or flow-through conditions.” Id. at 346, 530 N.E.2d at 913. We held that “R.C. 4123.84 requires a claimant to file a motion for an additional allowance within two years of the time the claimant knew or should have known of the additional condition.” Id. at syllabus.

Claimant does not challenge dementi’s application of R.C. 4123.84’s notice requirements to residual or “flow-through” conditions. Instead, claimant seeks a clarification of dementi’s holding, particularly with reference to identifying those characteristics of a claimant’s residual condition and his or her knowledge thereof which will cause the statutory period to start to run.

In considering claimant’s request, it has become apparent that dementi’s holding has generated substantial confusion. In a literal sense, dementi seems to impose upon a claimant requirements that are either not imposed under R.C. 4123.84 or directly conflict with other statutory provisions and case law.

The syllabus in dementi begins with the phrase: “R.C. 4123.84 requires a claimant to file * * *.” However, R.C. 4123.84 requires only that “[w]ritten notice * * * has been made” or that “[w]ritten notice * * * has been given.” R.C. 4123.84(A)(1) and (A)(3)(a). The operative language was the same under the 1967 amendments, and has remained unchanged through five subsequent amendments. 133 Ohio Laws, Part II, 1621; 136 Ohio Laws, Part I, 1173; 137 Ohio Laws, Part II, 3960-3961; 143 Ohio Laws, Part II, 3378; 145 Ohio Laws, Part II, 3185. In focusing its attention on a number of lower court decisions, the dementi court overlooked former R.C. 4123.512(A) (now R.C. 4123.511[A]), which expressly provided that “[i]f the administrator shall receive from a person other than the claimant written information indicating that an injury * * * has occurred * * *, [t]he receipt of such information and such notice by the administrator shall be considered an application for compensation under section 4123.84 * * * of the Revised Code.” 136 Ohio Laws, Part I, 1150. Also overlooked was our prior decision in Mewhorter v. Ex-Cell-O Corp. (1986), 23 Ohio St.3d 13, 23 OBR 11, 490 N.E.2d 610. There we held that:

[236] “Pursuant to R.C. 4123.84, notice of a claim by a third party to the Bureau of Workers’ Compensation referring to a prior claim, and filed within two years of the occurrence of the injury underlying such prior claim, gives the court jurisdiction over the subsequent claim.” Id. at syllabus.

The syllabus in Clementi goes on to require a claimant to file “a motion.” As astutely observed in Fulton, Ohio Workers’ Compensation Law (1991) 93, Section 5.7:

“The use of the term ‘motion’ is unfortunate because it causes confusion. A motion, or C-86, is an intra-agency application form designed by the Bureau for parties to use in seeking a determination on any matter. As [a] notice statute[ ], R.C. * * * 4123.84 * * * merely require[s] notice of the body parts affected by a claimed residual injury. The statute does not require the giving of notice on any particular form or on any particular blank of a form [Toler v. Copeland Corp. (1983), 5 Ohio St.3d 88, 5 OBR 140, 448 N.E.2d 1386], and technical rules of procedure should not be allowed to defeat an otherwise valid claim. [State ex rel. Gatlin v. Yellow Freight Sys., Inc. (1985), 18 Ohio St.3d 246, 18 OBR 302, 480 N.E.2d 487; W.S. Tyler Co. v. Rebic (1928), 118 Ohio St. 522, 161 N.E. 790.] Clementi’s use of the word ‘motion’ does not mandate any greater specificity for notice of residual injuries than R.C. * * * 4123.84 * * * generally require[s] for the original injury.”

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

Lewis v. Trimble, 680 N.E.2d 1207, 79 Ohio St. 3d 231 (Ohio 1997).

680 N.E.2d 1207 (Lewis v. Trimble) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Shields v. Bur. of Workers' Comp.
2023 Ohio 1368 (Ohio Court of Appeals, 2023)
Ehman v. Harvey
2023 Ohio 1129 (Ohio Court of Appeals, 2023)
Draper v. N. Am. Science Assocs., Inc.
2017 Ohio 2811 (Ohio Court of Appeals, 2017)
Swaim v. Scott
2014 Ohio 419 (Ohio Court of Appeals, 2014)
Lane v. Bur. of Workers' Comp
2012 Ohio 209 (Ohio Court of Appeals, 2012)
Starkey v. Builders FirstSource Ohio Valley, L.L.C.
2011 Ohio 3278 (Ohio Supreme Court, 2011)
Starkey v. Builders Firstsource Ohio Valley, L.L.C.
931 N.E.2d 633 (Ohio Court of Appeals, 2010)
Sullivan's Case
918 N.E.2d 841 (Massachusetts Appeals Court, 2009)
Stafford v. Columbus Bonding Center
896 N.E.2d 191 (Ohio Court of Appeals, 2008)
State Ex Rel. Auto-Owners Insurance v. Wortham
893 N.E.2d 209 (Ohio Court of Appeals, 2008)
Dixon v. Conrad, Unpublished Decision (12-21-2005)
2005 Ohio 6932 (Ohio Court of Appeals, 2005)
Munday v. Southern Ohio Coal Co., Unpublished Decision (5-27-2004)
2004 Ohio 2872 (Ohio Court of Appeals, 2004)
Anders v. Powertrain Division, General Motors Corp.
813 N.E.2d 923 (Ohio Court of Appeals, 2004)
Dombelek v. Ohio Bureau of Workers' Compensation
797 N.E.2d 144 (Ohio Court of Appeals, 2003)
State ex rel. Liposchak v. Industrial Commission
737 N.E.2d 519 (Ohio Supreme Court, 2000)
State ex rel. Liposchak v. Indus. Comm.
2000 Ohio 73 (Ohio Supreme Court, 2000)