Marcott v. Louisiana Pacific Corp.

911 P.2d 1129, 275 Mont. 197, 53 State Rptr. 106, 1996 Mont. LEXIS 24, 1996 WL 63209
CourtMontana Supreme Court
DecidedFebruary 14, 1996
Docket95-015
StatusPublished
Cited by7 cases

This text of 911 P.2d 1129 (Marcott v. Louisiana Pacific Corp.) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marcott v. Louisiana Pacific Corp., 911 P.2d 1129, 275 Mont. 197, 53 State Rptr. 106, 1996 Mont. LEXIS 24, 1996 WL 63209 (Mo. 1996).

Opinions

JUSTICE GRAY

delivered the Opinion of the Court.

Bruce Marcott appeals from the portion of the judgment entered by the Workers’ Compensation Court which denied his request for the statutory penalty and attorney fees. We affirm.

We address the following issues on appeal:

1. Does substantial evidence support the Workers’ Compensation Court’s finding that Louisiana Pacific Corporation’s denial of Marcott’s claim was reasonable?

2. Did the Workers’ Compensation Court err as a matter of law in refusing to apply “the Holton rule”?

FACTUAL AND PROCEDURAL BACKGROUND

Bruce Marcott worked for Louisiana Pacific Corporation (LP) as head mechanic at its Belgrade, Montana, plant. LP is self-insured under Plan No. 1 of the Montana Workers’ Compensation Act (the Act).

On February 17,1994, Marcott and another mechanic, Gene Quillen, were performing repairs on a disabled LP forklift. The job required them to use a second forklift to lift the cab off of the disabled one. Using the operative forklift, Marcott lifted the cab, then dismounted. After dismounting, Marcott was walking behind the forklift when he heard a loud snap and felt pain in his left calf.

Quillen transported Marcott to the LP plant office. When Quillen asked what had happened, Marcott responded that his leg had “gone out.” Matt Harris, Marcott’s supervisor, asked what had happened and whether Marcott had tripped, slipped, or been running. Marcott answered that he was “coming around the back [of the forklift] when it went out on me.” In responding to questions by other supervisory personnel and Dr. Robert Jackson, the attending physician at the [201]*201Gallatin Valley Family Clinic, Marcott indicated that he was just walking at the time of the injury. During his transport to the clinic and his subsequent examination by nine different doctors, Marcott did not inform anyone that he was doing anything other than walking. At the clinic, Dr. Jackson diagnosed Marcott’s injury as a torn muscle in his left calf.

LP personnel and safety director John Mikkelson, whose duties include advising LP whether workers’ compensation claims are compensable, examined information provided by supervisory personnel and medical records provided by Marcott’s physicians. Mikkelson also obtained legal advice regarding the compensability of an injury sustained while walking at work. After evaluating the information, Mikkelson notified Marcott by letter dated March 21, 1994, that LP was denying his claim. The letter also informed Marcott that LP would reevaluate his claim if he provided any additional information.

LP first learned of Marcott’s assertion that he was walking briskly and turning sharply at the time of his injury in a letter from Marcott’s counsel dated April 29,1994. In light of this information, LP personnel reviewed Marcott’s medical records, including information provided by another physician, Dr. David King. Dr. King indicated that Marcott’s injury was not caused by any unusual demands placed on Marcott by his employment. Mikkelson considered Dr. King’s information to be consistent with his legal understanding that the injury was not compensable. LP continued to deny liability for Marcott’s claim.

Marcott petitioned the Workers’ Compensation Court for a determination that his injury was compensable under the Act and that he was entitled to temporary total disability benefits. He also contended that LP was unreasonable in refusing to accept liability for his injury and sought the statutory penalty and attorney fees. LP responded, contending that factual and legal disputes regarding the compensability of Marcott’s injury required resolution by the court and that it had not unreasonably denied Marcott’s claim.

At trial, Marcott testified that his injury occurred while he was walking “pretty fast,” turning on his left leg and just coming down on his right foot. He admitted that he told his supervisors and attending physicians only that he was walking, but attributed the lack of further detail to the significant pain he was experiencing and the absence of follow-up questions by both LP and the physicians. Marcott also provided substantial medical evidence in support of his testimony regarding how the injury occurred. Dr. John Campbell, Mar[202]*202cott’s orthopedic surgeon, opined that it was more probable than not that an unusual strain caused Marcott’s injury. Dr. King, a family practitioner, testified that merely walking across a floor would not provide an adequate explanation for Marcott’s injury.

LP relied on Marcott’s original statements to LP personnel and his physicians regarding how the injury occurred and on June 1994, correspondence from Dr. King describing walking briskly and turning sharply as relatively benign activities. Dr. King also opined in the letter that, while Marcott’s injury occurred at work, it was “not specifically caused by any unusual demands placed on him by his employment.”

LP also relied on the testimony of Dr. Donald Harrell, an orthopedic surgeon it retained after denying Marcott’s claim and receiving Marcott’s “walking briskly and turning sharply” information. Dr. Harrell opined on direct examination that walking briskly while turning sharply places no unusual increase in stress on the calf structure. In Dr. Harrell’s view, the fact that the injury occurred at work was coincidental, because Marcott’s work activities placed him at no greater risk of injury than that faced by any individual of his age in normal daily life. On cross-examination, however, Dr. Harrell agreed that some unusual force generally is required to cause a muscular rupture and, therefore, that Marcott’s injury was an unusual result given his activity at the time of the injury.

The Workers’ Compensation Court concluded that Marcott’s injury was compensable. It also concluded, however, that Marcott was not entitled to the statutory penalty or attorney fees. Marcott appeals.

DISCUSSION

In addition to substantive workers’ compensation benefits, the Act authorizes a 20% increase in the full amount of benefits, and an award of attorney fees, when an insurer denies liability for a claim later adjudged compensable and the Workers’ Compensation Court determines that the insurer’s denial was unreasonable. Sections 39-71-2907 and 39-71-611, MCA. The penalty set forth in § 39-71-2907, MCA, was not intended to eliminate an insurer’s assertion of a legitimate defense to liability. Paulson v. Bozeman Deaconess Foundation Hosp. (1984), 207 Mont. 440, 444, 673 P.2d 1281, 1283 (citation omitted).

In this case, the Workers’ Compensation Court concluded that Marcott’s injury was compensable based on its determination that Marcott was walking rapidly and turning sharply when the injury [203]*203occurred; thus, according to the court, the injury was caused by an unusual strain under § 39-71-119(2)(a), MCA. This conclusion satisfies the threshold factor for an award of both the penalty and attorney fees against LP — denial of liability for a claim later adjudged compensable. The court found, however, that LP’s denial of Marcott’s claim was reasonable and, on that basis, declined to award Marcott the statutory penalty or attorney fees.

Marcott challenges the court’s “reasonableness” finding and each of the several bases on which the court relied for its finding. Reasonableness is a question of fact.

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Marcott v. Louisiana Pacific Corp.
911 P.2d 1129 (Montana Supreme Court, 1996)

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Bluebook (online)
911 P.2d 1129, 275 Mont. 197, 53 State Rptr. 106, 1996 Mont. LEXIS 24, 1996 WL 63209, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marcott-v-louisiana-pacific-corp-mont-1996.