Moyer v. Workmen's Compensation Appeals Board

24 Cal. App. 3d 650, 100 Cal. Rptr. 540, 37 Cal. Comp. Cases 219, 1972 Cal. App. LEXIS 1160
CourtCalifornia Court of Appeal
DecidedMarch 31, 1972
DocketCiv. 11648
StatusPublished
Cited by16 cases

This text of 24 Cal. App. 3d 650 (Moyer v. Workmen's Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moyer v. Workmen's Compensation Appeals Board, 24 Cal. App. 3d 650, 100 Cal. Rptr. 540, 37 Cal. Comp. Cases 219, 1972 Cal. App. LEXIS 1160 (Cal. Ct. App. 1972).

Opinion

Opinion

KAUFMAN, J.

Petitioner (hereinafter Applicant) seeks review of an order of the Workmen’s Compensation Appeals Board (hereinafter Board) *654 denying reconsideration' of a referee’s order denying recovery of compensation from the Subsequent Injuries Fund (hereinafter Fund).

Procedural Facts

On September 5, 1969, Applicant made application for workmen’s compensation benefits from his employer, alleging an industrial injury to his heart on October 18, 1968. On December 24, 1969, Applicant, his employer and its insurance carrier filed a compromise and release dated' December 18, 1969, proposing to settle Applicant’s claim for $12,000. The compromise and release recited that it was made “[d]ue to the contested issues herein, namely, nature, extent and duration of disability, apportionment, prejudice for lack of notice, injury AOE/COE, and in order to avoid the hazards, delays and uncertainties of further litigation . . . .” On January 12, 1970, the compromise and release was approved by order of the Board.

Meanwhile, on November 14, 1969, Applicant filed an. application for additional benefits from the Subsequent Injuries Fund pursuant to Labor Code, sections 4751 through 4755. It was alleged in substance that, prior to the industrial injury of October 18, 1968, Applicant was permanently partially disabled by virtue of “[ajrterial hypertension, enlarged heart and ischemic heart disease.”

Although the application for additional benefits alleged no preexisting hearing loss, when the parties appeared on March 2, 1970, for hearing, Applicant was referred, by agreement of the parties, to Dr. Harold V. Kahn, an ear specialist, as an independent medical examiner.

The application for additional benefits came on for hearing December 8, 1970. A report from Dr. Kahn, the ear specialist, dated May 19, 1970, was received in evidence without objection. Also received into evidence were a medical report by Dr. MacKay, an examining physician, dated October 24, 1969, a letter of correction from Dr. MacKay dated November 6, 1969, and several medical reports by Dr. Lonergan, Applicant’s treating physician. Dr. Lonergan was also cross-examined on his reports.

On April 28, 1971, the referee issued his findings and order in respect to the application for additional compensation. He found that the industrial injury on October 18, 1968, resulted in permanent disability of 100 percent; that “[tjhere is no apportionment”; and that there was no liability on the part of the Fund. Accordingly, it was ordered that Applicant take nothing.

Applicant filed a timely petition for reconsideration alleging, in substance, that the evidence established that a portion of his disability was *655 attributable to preexisting cardiovascular disease and hearing loss and that, therefore, the findings of “no apportionment” and that the Fund was not liable were erroneous and that, additionally, the referee had erred in failing to award Applicant reimbursement for medical-legal costs.

On July 2,1971, the Board made its order denying the petition for reconsideration and adopting, as its statement of the reasons and evidence relied on, the report of the referee. The report of the referee dated May 26, 1971, rejected Applicant’s several contentions. With respect to the failure to award medical-legal costs, the report points out that Applicant offered no evidence of unreimbursed medical-legal costs before the case was submitted. With respect to the hearing loss the report states: “[Tjhere was no pleading against the Subsequent Injuries Fund for hearing loss. However, since the man is totally disabled because of his heart, it is inconsistent that he can be also disabled because of a hearing loss.” With respect to the claimed preexisting disability on account of cardiovascular disease, the report, after referring to certain testimony of Applicant and of Dr. Lonergan and Dr. Lonergan’s medical report dated January 11, 1968, concludes that a preexisting permanent partial disability under Labor Code, section 4751 “must be labor disabling which means to the Referee there must be something interfering with the applicant’s ability to work, [f ] [Ajpplicant has only established that he had prior pathology and not disability.”

Under date of August 6, 1970, Applicant’s attorney had obtained a written informal advisory rating of certain of the medical reports. It showed that Dr. Lonergan’s report of July 17, 1970, would support a preexisting heart disability rated at 42 percent; that Dr. Kahn’s report of May 19, 1970, would support a preexisting hearing loss rated at 33 percent; and that the combined preexisting heart and ear conditions would rate 6AV2 percent.

Preliminary Considerations

Since the Board adopted the report of the referee in its order denying reconsideration, the evidence relied upon and the reasons for decision as stated in the report of the referee are considered those of the Board. (Lab. Code, § 5908.5; LeVesque v. Workmen’s Comp. App. Bd., 1 Cal.3d 627, 633-635 [83 Cal.Rptr. 208, 463 P.2d 432].)

Labor Code, section 4751, under which the application for additional benefits was brought, requires as a prerequisite to Fund liability that the employee be “permanently partially disabled” prior to his subsequent industrial injury. Technically speaking, therefore, the issue in this proceeding between Applicant and the Fund was whether he was “permanently partially disabled” prior to his industrial injury on October 18, 1968, not whether *656 liability for the disability resulting from, the injury of October 18, 1968, should be “apportioned.” The issue of apportionment is germane to proceedings between an employee and his employer and its insurance carrier. (See Lab. Code, § § 4663, 4750.) Technically speaking, therefore, the decision of the referee was not supported by the findings inasmuch as there was no express finding that Applicant was not “permanently partially disabled” prior to the injury of October 18, 1968. Nevertheless, in the context of claimed successive disablements, the issues of apportionment and preexisting permanent partial disability are correlative. If the employer is liable for the entire disability, the Fund should not also be liable. (See State Compensation Ins. Fund v. Industrial Acc. Com., 59 Cal.2d 45, 55 [27 Cal.Rptr. 702, 377 P.2d 902]; Ferguson v. Industrial Acc. Com., 50 Cal.2d 469, 477 [326 P.2d 145].) Furthermore, it is clear from the report of the referee adopted by the Board that, as to the claimed preexisting cardiovascular disability, the basis of decision was that there was no preexisting permanent partial disability, and the parties have apparently treated the referee’s “no apportionment” finding as a finding that there was no preexisting permanent partial disability. Therefore, so- shall we.

Preexisting Hearing Loss

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Bluebook (online)
24 Cal. App. 3d 650, 100 Cal. Rptr. 540, 37 Cal. Comp. Cases 219, 1972 Cal. App. LEXIS 1160, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moyer-v-workmens-compensation-appeals-board-calctapp-1972.