Lon Tweeten d/b/a Tweeten Farms and Grinnell Mutual Insurance, Co. v. Corey Tweeten

CourtSupreme Court of Iowa
DecidedDecember 22, 2023
Docket22-2081
StatusPublished

This text of Lon Tweeten d/b/a Tweeten Farms and Grinnell Mutual Insurance, Co. v. Corey Tweeten (Lon Tweeten d/b/a Tweeten Farms and Grinnell Mutual Insurance, Co. v. Corey Tweeten) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Lon Tweeten d/b/a Tweeten Farms and Grinnell Mutual Insurance, Co. v. Corey Tweeten, (iowa 2023).

Opinion

IN THE SUPREME COURT OF IOWA

No. 22–2081

Submitted November 16, 2023—Filed December 22, 2023

LON TWEETEN d/b/a TWEETEN FARMS and GRINNELL MUTUAL INSURANCE CO.,

Appellants,

vs.

COREY TWEETEN,

Appellee.

Appeal from the Iowa District Court for Polk County, David Nelmark,

Judge.

An employer and workers’ compensation carrier appeal a district court or-

der denying in part their petition for judicial review of an agency order granting

workers’ compensation benefits to an employee. REVERSED AND REMANDED.

Oxley, J., delivered the opinion of the court, in which all justices joined.

Christopher S. Spencer (argued) and Stephen W. Spencer of Peddicord

Wharton, LLP, West Des Moines, for appellant. Janece M. Valentine (argued) of Valentine Law Office, P.C., Fort Dodge, for

appellee. 2

OXLEY, Justice. An employer and its workers’ compensation carrier appeal following an

award of benefits to an employee. The appeal raises issues involving three provi-

sions of Iowa Code chapter 85 (2020):

(1) Does the statutory bar under Iowa Code section 85.35(9) preclude further benefits following a compromise settlement be- tween a claimant and the Second Injury Fund?

(2) Does the discovery rule toll the statute of limitations fol- lowing amendments to Iowa Code section 85.26(1)?

(3) How do amendments to Iowa Code section 85.39(2) affect reimbursement for independent medical examinations?

As explained below, the employee’s compromise settlement with the

Second Injury Fund does not preclude the employee’s claims against his

employer, but the statute of limitations does. Because the employee has no

compensable injury, he is not entitled to reimbursement for an independent

medical examination irrespective of any amendments to section 85.39, so we do

not reach the third issue. We reverse the district court’s order affirming in part

the commissioner’s award of benefits and remand for further proceedings.

I. Background Facts and Proceedings.

Corey Tweeten worked for his dad, Lon, on the family farm, Tweeten

Farms. Corey and Lon were vacuuming grain out of a bin on July 25, 2017, when

Corey hurt his right arm. The pain persisted, and Corey sought medical treat-

ment for pain in his right elbow on August 14. He was diagnosed with right lat-

eral epicondylitis (tennis elbow) and advised to take two Aleve per day, ice the

elbow, and use a wrist splint to decrease the strain on his elbow. His elbow pain

did not subside, and he returned for further medical treatment on January 3,

2018. He was told to continue using over-the-counter pain medicine and ice for his elbow and was referred for physical therapy. 3

When physical therapy did not help, Corey returned to his local clinic pro-

vider on April 13. In addition to the elbow pain, Corey complained for the first

time about pain in his shoulder. Corey received a trigger point injection in his

right deltoid muscle on May 11 and was scheduled for an MRI. The May 22 MRI

of his shoulder revealed nothing abnormal, and another MRI was ordered to scan

the distal deltoid in his midarm, which is where Corey’s complaints centered.

That MRI showed a “significant deltoid insertional tear,” which was described as

an “unusual injury.” Dr. Bryan Warme performed surgery to repair the deltoid

tear on June 18. At his October 16 follow-up with Corey, Dr. Warme concluded

that Corey had likely overcompensated for the tennis elbow, causing the deltoid

tear. Dr. Warme believed both injuries were related to the July 2017 grain bin

incident. Lon, Corey’s father, had been submitting the medical bills to his health

insurance carrier, but he submitted the medical bills related to the surgery to

Grinnell Mutual Insurance Company (Grinnell), his workers’ compensation car-

rier for the farm.

Grinnell directed Corey to see Dr. Steven Aviles for an independent medical

examination. After his review on August 29, 2018, Dr. Aviles did not think the

right lateral elbow pain and the right deltoid injury were caused by the same event. He concluded that the tennis elbow was likely caused by chronic repetitive

stress but the distal deltoid avulsion was caused by a traumatic injury, opining

that it is not possible for that type of injury to occur from chronic repetitive

stress. In a November 12 letter, Dr. Aviles stood by his conclusion that the del-

toid tear could not result from a repetitive stress injury and was not work related,

disagreeing with Dr. Warme’s October 16 conclusion to the contrary.

On January 21, 2020, Corey filed an arbitration petition with the workers’

compensation commissioner seeking medical benefits from Tweeten Farms and 4

Grinnell1 for an upper right extremity injury, asserting an injury date of February

1, 2018. The petition included a claim against the Second Injury Fund premised

on a prior right ankle injury in 2008.

Corey sought an independent medical exam from Dr. Robin Sassman, who

agreed with Dr. Warme in a January 16, 2021 report that the deltoid tear related

to overcompensating for the tennis elbow and was therefore related to Corey’s

work injury. Dr. Sassman performed an impairment rating and concluded that

Corey’s right elbow and right shoulder injuries combined for a 5% upper extrem-

ity impairment that converted to a 3% whole person impairment. Dr. Sassman’s

bill for the examination was $4,650.

An arbitration hearing on the petition for benefits was held before a deputy

workers’ compensation commissioner on March 10, 2021. The Second Injury

Fund filed a notice on February 15 that it had reached a settlement with Corey,

which was awaiting approval by the commissioner, and that it would not be at-

tending the upcoming hearing. In its April 13 posthearing brief, Grinnell asserted

that the compromise settlement with the Second Injury Fund extinguished all of

Corey’s claims for workers’ compensation benefits pursuant to Iowa Code section

85.35(9), divesting the workers’ compensation commissioner of jurisdiction to award him additional benefits. The settlement was approved by the commis-

sioner on April 23.

The deputy found that Corey had right elbow epicondylitis and a deltoid

tear arising out of the course of his employment from the July 2017 grain bin

incident. The deputy applied the discovery rule to conclude that Corey did not

learn of the seriousness of his injury until April 2018, which meant that his

January 21, 2020 petition did not run afoul of the two-year statute of limitations

1Because their interests are aligned, we refer to Grinnell Mutual and Tweeten Farms col-

lectively as “Grinnell” through the remainder of the opinion. 5

in Iowa Code section 85.26. The deputy awarded temporary total disability and

permanency benefits as well as the costs of Dr. Sassman’s independent medical

examination.

Grinnell filed a motion for reconsideration, noting that the deputy did not

address whether the Second Injury Fund compromise settlement divested the

commissioner of jurisdiction to award additional benefits. The deputy concluded

that the statutory bar in section 85.35(9) went to the commissioner’s authority,

not his subject matter jurisdiction, and that Grinnell waived the defense by fail-

ing to assert it during the hearing or in the hearing report, raising it for the first

time in its posthearing brief.

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