Lorenzo Thomas v. Department Of Labor And Industries

CourtCourt of Appeals of Washington
DecidedFebruary 16, 2016
Docket72646-3
StatusUnpublished

This text of Lorenzo Thomas v. Department Of Labor And Industries (Lorenzo Thomas v. Department Of Labor And Industries) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lorenzo Thomas v. Department Of Labor And Industries, (Wash. Ct. App. 2016).

Opinion

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IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION ONE

LORENZO THOMAS, No. 72646-3-

Appellant,

v. UNPUBLISHED OPINION

DEPARTMENT OF LABOR AND INDUSTRIES,

Respondent. FILED: February 16, 2016 Schindler, J. — Under the Industrial Insurance Act, Title 51 RCW, a worker can

file an application to reopen a disability claim 60 days after the Department of Labor and

Industries (Department) closes the claim and the award becomes a final order. In 2001,

Lorenzo Thomas filed an application to reopen his 1995 disability claim. On February

28, 2002, the Department issued a decision to reopen the claim and awarded disability

benefits. Thomas did not appeal the order to reopen. In 2012, Thomas filed another

application to reopen his disability claim. Because the application to reopen was not

"made within seven years from the date [of] the first closing order," the Department

limited the claim to medical treatment.1 On summary judgment, the superior court

dismissed his appeal of the 2012 order on the grounds that res judicata barred Thomas

RCW51.32.160(1)(a). No. 72646-3-1/2

from arguing he did not receive the notice in 1996 that the Department closed his

disability claim. We affirm dismissal of the appeal.

FACTS2

1995 Disability Claim

In October 1995, Lorenzo Thomas injured his back while working at Brandrud

Furniture Inc. On October 19, 1995, Thomas filed a claim for disability benefits. On

November 2, 1995, the Department of Labor and Industries (Department) issued a

notice of decision that "the claim for injury sustained on 10-17-95 be allowed as an

industrial injury."

On December 18, 1996, the Department issued an order closing the claim and

awarded Thomas total benefits of $6,257.88 for category 2 "permanent dorso-lumbar

and/or lumbosacral impairments." The order states that it "WILL BECOME FINAL 60

DAYS AFTER YOU RECEIVE IT UNLESS YOU FILE A WRITTEN REQUEST FOR

RECONSIDERATION OR AN APPEAL." After deducting a support enforcement lien,

the Department issued a check for $3,128.94.

The envelope containing the order closing the claim and the check for $3,128.94

was returned to the Department. The Department mailed the order and the check in an

envelope to a prior address for Thomas. The envelope was not returned.

2001 Application To Reopen

On May 11, 2001, Thomas filed an "Application to Reopen Claim Due to

Worsening of Condition." The application states, in pertinent part, "NOTE: Persons

making false statements in obtaining industrial insurance benefits are subject to civil

and criminal penalties. I declare that these statement [sic] are true to the best of my

2 The material facts are not in dispute. No. 72646-3-1/3

knowledge and belief." Thomas signed the application "declaring] that these

statements] are true to the best of my knowledge and belief."

The application to reopen the claim for aggravation or worsening of a condition

states that in order to file an application to reopen, the claim must have been closed for

more than 60 days: "Important: Only use this form if your medical condition has

worsened, and your claim has been closed for more than 60 days."3

In the application to reopen, Thomas states the "fdlate claim closed" was

"12/ /96."4 Thomas states the "[d]ate condition became worse after claim closure" was

"01/01/98."5 In response to the question that asks, "Have you had any new injuries or

illnesses since the date of claim closure," Thomas states, "Same but worse."6 In

response to the question, "Have you received any medical treatment for this condition

since claim closure," Thomas states, "No."7

On February 28, 2002, the Department issued a decision to reopen his claim for

medical treatment and disability benefits, "This claim is reopened effective 05/11/2001

for authorized medical treatment and benefits as appropriate under the industrial

insurance laws." The February 28, 2002 notice of decision states that ifThomas

3 (Emphasis added.) The application form states: Important: Only use this form if your medical condition has worsened, and yourclaim has been closed for more than 60 days. Iftime loss benefits are paid before a decision about reopening is made and your claim is not reopened, vou will be required to repay those benefits. Please write your claim number above. You will receive information about your reopening application within 90 days of the Department's receipt of the reopening application. If you have had a new injury at work, complete a new Report of Industrial Injury or Occupational Disease form in lieu of this application. (Emphasis in original.) 4 Emphasis added. 5 Emphasis added. 6 Emphasis added. 7 Emphasis added. No. 72646-3-1/4

disagrees with the order, he must file a request for reconsideration or an appeal.

YOUR LEGAL RIGHTS IF YOU DISAGREE WITH THIS ORDER: THIS ORDER BECOMES FINAL 60 DAYS FROM THE DATE IT IS COMMUNICATED TO YOU UNLESS YOU DO ONE OF THE FOLLOWING. YOU CAN EITHER FILE A WRITTEN REQUEST FOR RECONSIDERATION WITH THE DEPARTMENT OR FILE A WRITTEN APPEAL WITH THE BOARD OF INDUSTRIAL INSURANCE APPEALS.

Thomas did not file a request for reconsideration or an appeal.

On March 24, 2006, the Department issued an order closing the claim and

awarding Thomas total benefits of $18,773.61 for category 4 "permanent dorso-lumbar

and/or lumbosacral impairments." After deductions, the Department issued a check for

$3,880.26. The March 24, 2006 order states:

YOUR LEGAL RIGHTS IF YOU DISAGREE WITH THIS ORDER: THIS ORDER BECOMES FINAL 60 DAYS FROM THE DATE IT IS COMMUNICATED TO YOU UNLESS YOU DO ONE OF THE FOLLOWING. YOU CAN EITHER FILE A WRITTEN REQUEST FOR RECONSIDERATION WITH THE DEPARTMENT OR FILE A WRITTEN APPEAL WITH THE BOARD OF INDUSTRIAL INSURANCE APPEALS.

Thomas did not file a request for reconsideration or an appeal.

2006 Application To Reopen

On April 2, 2006, Thomas filed another Application to Reopen Claim Due to

Worsening of Condition. On September 11, 2006, the Department denied his

application to reopen. The notice of decision states:

The Department of Labor and Industries received an application to reopen this claim. The medical record shows the conditions caused by the injury have not worsened since the final claim closure.

The application to reopen your claim is denied and the claim will remain closed. No. 72646-3-1/5

The September 11, 2006 notice of decision states:

YOUR LEGAL RIGHTS IF YOU DISAGREE WITH THIS ORDER: THIS ORDER BECOMES FINAL 60 DAYS FROM THE DATE IT IS COMMUNICATED TO YOU UNLESS YOU DO ONE OF THE FOLLOWING. YOU CAN EITHER FILE A WRITTEN REQUEST FOR RECONSIDERATION WITH THE DEPARTMENT OR FILE A WRITTEN APPEAL WITH THE BOARD OF INDUSTRIAL INSURANCE APPEALS.

Thomas filed a written request for reconsideration. On November 9, 2006, the

Department denied his request to reconsider. The notice of decision states, "The

Department of Labor and Industries has reconsidered the order of 09/11/2006. The

department has determined the order is correct and it is affirmed." The notice of

decision states, "ANY APPEAL FROM THIS ORDER MUST BE MADE IN WRITING TO

THE BOARD OF INDUSTRIAL INSURANCE APPEALS . . . WITHIN 60 DAYS ... OR

THE SAME SHALL BECOME FINAL." Thomas did not file an appeal.

2012 Application To Reopen

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