Pacific Employers Insurance Company v. Jimmy I. Brown

CourtCourt of Appeals of Texas
DecidedSeptember 17, 2002
Docket06-01-00121-CV
StatusPublished

This text of Pacific Employers Insurance Company v. Jimmy I. Brown (Pacific Employers Insurance Company v. Jimmy I. Brown) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pacific Employers Insurance Company v. Jimmy I. Brown, (Tex. Ct. App. 2002).

Opinion



In The

Court of Appeals

Sixth Appellate District of Texas at Texarkana



______________________________



No. 06-01-00121-CV



PACIFIC EMPLOYERS INSURANCE COMPANY, Appellant



V.



JIMMY I. BROWN, Appellee





On Appeal from the 5th Judicial District Court

Cass County, Texas

Trial Court No. 98-C-122





Before Grant, Ross, and Cornelius,* JJ.

Opinion by Justice Grant



______________

*William J. Cornelius, Chief Justice, Retired, Sitting by Assignment

O P I N I O N



Pacific Employers Insurance Company, the workers' compensation insurance carrier for the employer of the defendant, Jimmy I. Brown, an injured worker, appeals the trial court's judgment that Brown have and recover indemnity benefits from Pacific accruing as a result of a seventeen percent impairment rating. Pacific filed suit for the trial court to determine the limited issue of the correct impairment rating after the appeals panel affirmed the contested case hearing officer's impairment rating determined at the Texas Workers' Compensation Commission's (referred to as TWCC or the Commission) benefit review conference and contested case hearing.

Pacific contends the judgment should be reformed to conform with the thirteen percent impairment rating the trial court stated in its Findings of Facts and Conclusions of Law. Pacific contends the trial court erred as a matter of law in assigning an impairment rating of seventeen percent in its judgment. Pacific contends the preponderance of the evidence at trial supports the thirteen percent impairment rating. Pacific also contends the trial court properly disregarded the TWCC's contested case hearing officer and appeals panel's improper sixteen percent rating arrived at by adding an additional three percent to the impairment rating certified by the designated doctor.

Brown sustained a compensable back injury on November 14, 1994. After several surgical procedures, Brown's treating doctor, Dr. Jeffery T. DeHaan, referred him to Dr. Barry Green for Dr. Green to perform a certifying examination to determine if Brown had reached maximum medical improvement (MMI) and, if so, to determine his impairment rating, the percentage of permanent impairment of the whole body resulting from a compensable injury. See Tex. Lab. Code Ann. § 401.011(24) (Vernon Supp. 2002); 28 Tex. Admin. Code § 130.1 (2002).

Dr. Green performed the examination on September 17, 1996, in which he certified that Brown had reached MMI on that date, and he assigned Brown a thirteen percent impairment rating.

When Brown disputed Dr. Green's rating at a benefit review conference, Dr. Joseph Greenspan was appointed to serve as the Commission's selected designated doctor. Dr. Greenspan performed a certifying examination on October 14, 1996, and assigned Brown an impairment rating of seventeen percent.

On behalf of Pacific, Intracorp (1) reviewed Dr. Greenspan's impairment rating report and determined that he had failed to convert the impairment for sensory deficits to a whole person percentage as required by the American Medical Association (AMA) Guides and that, properly converted, the rating should have been thirteen percent. Dr. Greenspan reviewed the Intracorp report and stated in a letter to the Commission dated January 14, 1997, that he agreed the impairment rating should be thirteen, not seventeen, percent.

Dr. DeHaan commented on Dr. Greenspan's rating, at the request of the Commission, and concluded that "17% or 18% would be appropriate but certainly not 13%."

At the contested case hearing, the hearing officer focused his attention on Dr. Greenspan's invalidation of lumbar lateral flexion range of motion, which Dr. Greenspan explained in his report as having been invalidated by the result of the straight leg testing, and the officer requested clarification from Dr. Greenspan. Dr. Greenspan responded by letter dated October 20, 1997, that the invalidation was based on the deviation of greater than ten percent and five degrees. As requested, Dr. Greenspan provided that if the lumbar lateral flexion range of motion had not been invalidated, the impairment rating would be sixteen percent, but stated that he did not feel this rating was warranted. The hearing officer found that Dr. Greenspan had misapplied the AMA Guides in not awarding the additional three percent and found that the revised impairment rating of sixteen percent was not outweighed by the great weight of the other medical evidence and was entitled to presumptive weight.

The appeals panel affirmed the hearing officer's determination of sixteen percent because the panel applied a previous administrative ruling that the straight leg raising test does not invalidate lumbar lateral flexion range of motion, and it found no other basis for Dr. Greenspan's invalidation. Pacific filed for judicial review of the appeals panel's decision regarding the percentage of impairment. The trial court received evidence at trial and took the matter under advisement. The trial court then sent a letter to the parties outlining the trial court's decision and the reasoning underlying the decision, and requesting the parties to draft and submit a judgment for a seventeen percent impairment rating. Pacific prepared and the trial court, on February 26, 2001, signed a judgment stating

The Court, after hearing the evidence and arguments of counsel, is of the opinion that the Defendant is entitled to recover of and from the Plaintiff indemnity benefits accruing as a result of a 17% impairment rating.



IT IS THEREFORE ORDERED by the Court that Defendant have and recover indemnity benefits from Plaintiff accruing as a result of a 17% impairment rating.



After Pacific submitted a motion to set aside the judgment as void for not having provided the TWCC with notice of the proposed judgment, on March 19, 2001, the appropriate notice was provided. The TWCC did not intervene to contest the judgment of seventeen percent, and the trial court signed another judgment identical to the first on May 21, 2001.

On June 6, 2001, however, Pacific requested the trial court to file findings of fact and conclusions of law pursuant to Tex. R. Civ. P. 297. Pacific drafted findings and conclusions it believed the evidence supported and submitted them to the trial court. On June 19, 2001, the trial court signed the findings and conclusions submitted by Pacific, which contained a solitary sentence, "Jimmy I. Brown's impairment rating is 13%," repeated under both the headings of "Findings of Fact" and "Conclusions of Law." There were no other findings of fact or conclusions of law issued and no amended or supplemental findings of fact or conclusions of law requested.

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Pacific Employers Insurance Company v. Jimmy I. Brown, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-employers-insurance-company-v-jimmy-i-brow-texapp-2002.