Pierson v. City of Topeka

424 P.3d 549
CourtCourt of Appeals of Kansas
DecidedJune 15, 2018
Docket117987
StatusPublished
Cited by1 cases

This text of 424 P.3d 549 (Pierson v. City of Topeka) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pierson v. City of Topeka, 424 P.3d 549 (kanctapp 2018).

Opinion

Schroeder, J.:

*553 The City of Topeka (Topeka) appeals and Damon L. Pierson cross-appeals the decision of the Workers Compensation Board (the Board). We find Topeka prematurely appealed the Board's remand for the administrative law judge (ALJ) to determine whether Pierson's preaward medical expenses were reasonably necessary to cure and relieve his work-related injuries. Since the remand is a nonfinal agency action, we have no jurisdiction to address the issue, and that portion of Topeka's appeal is dismissed. The remaining issues on appeal involve whether Pierson is entitled to payment of his postaward medical expenses; his entitlement to penalties for the nonpayment of his postaward medical expenses; attorney fees for the prosecution of the case for postaward medical expenses; and attorney fees on appeal.

We find the request for payment of postaward medical expenses should be effective as of February 11, 2016, six months before Pierson filed his motion for penalties on August 11, 2016. The request for penalties is denied because Pierson failed to set out his demand letter with particularity as to what postaward medical expenses needed to be paid. We determine the Board failed to properly apply K.S.A. 2017 Supp. 44-536(g) when assessing attorney fees, and we must remand for the Board to consider the reasonable and customary fees charged in the locality while considering the guidance of Kansas Rule of Professional Conduct (KPRC) 1.5(a) (2018 Kan. S. Ct. R. 294). Finally, we determine Pierson is not entitled to attorney fees on appeal as Supreme Court Rule 7.07(b)(1) (2018 Kan. S. Ct. R. 50) does not allow attorney fees on appeal from a Workers Compensation Board decision.

We affirm in part, reverse in part, dismiss in part, and remand with directions.

FACTS

Pierson, an employee of Topeka, was injured while working in September 2012. Pierson immediately began medical treatment with his own doctor and provided notice of the work-related injury to Topeka on October 8, 2012. Topeka denied the workers compensation claim and did not pay or provide medical services. On July 14, 2014, the ALJ found Pierson's work was the prevailing factor of his injury, and he had a 15 percent permanent partial impairment rating. The ALJ noted he was "unaware of any additional medical expense requested by the claimant. Nevertheless, all medical care necessary to cure and relieve the effects of claimant's injury be [ sic ] repetitive trauma is ordered paid by the self-insured respondent." The ALJ also found Pierson was entitled to future medical care. Topeka appealed.

The Board found Pierson's work was the prevailing factor of his injury and affirmed the permanent partial impairment rating of 15 percent. The Board further found any medical treatment Pierson received before October 8, 2012, was unauthorized. The Board ordered Topeka to pay "all medical expenses incurred by claimant commencing October 8, 2012, necessary to cure and relieve the effects of his work injuries." The Board concluded Pierson was "entitled to future medical benefits upon proper application and approval."

On February 11, 2015, Topeka appealed to this court, arguing the Board lacked sufficient evidence to conclude Pierson's permanent partial impairment was 15 percent and that Pierson's work was the prevailing factor to his injury. Our court affirmed the Board in *554 an opinion issued February 19, 2016. Pierson v. City of Topeka , No. 113247, 2016 WL 687726 , at *3-5 (Kan. App. 2016) (unpublished opinion). Topeka did not petition for review.

On April 7, 2015 (while the first appeal was pending), Pierson filed an application for modification of medical benefits. The form utilized has an option for the applicant to request postaward medical termination or modification of medical benefits. Here, Pierson marked the box to apply for postaward medical, termination, or modification of medical benefits authorized on July 14, 2014 (the date of the ALJ's order). Additionally, he wrote: "Claimant continues to have symptoms from the work-related injury, and is currently in treatment with Dr. Sankoorikal. Claimant requests that Dr. Sankoorikal be authorized." The application does not include any other specific requests or comments.

On March 3, 2016, Pierson sent a demand letter to Topeka stating, "[A]ll compensation ordered and awarded by the Appeals Board is now due and owing, and [Pierson] is entitled to immediate payment of the same." Pierson did not include a list of various medical expenses or supporting documentation. The record is silent on how Topeka responded to the demand letter.

On August 11, 2016, Pierson moved for a penalty hearing with the ALJ because Topeka had not paid Pierson's preaward or postaward medical expenses as demanded in the March 3, 2016 letter. A copy of the demand letter was attached as an exhibit. A payment ledger detailing Pierson's medical expenses was also attached as an exhibit. This is the first time any medical bills or accounting of such bills appears in the record on appeal.

Pierson also requested penalties for Topeka's failure to pay the medical expenses, and in a later motion, attorney fees of $225 per hour for 16.6 hours, or $3,735. Pierson argued he was entitled to recover fees at the rate of $225 per hour based on his attorney's experience as well as the time and labor involved in representing Pierson in the postaward proceedings.

On April 10, 2017, the ALJ entered his postaward order finding he did not have jurisdiction to order payment for the preaward medical expenses because his authority was limited to addressing postaward issues per Pierson's application for modification of medical benefits dated April 7, 2015. The ALJ also found K.S.A. 2017 Supp. 44-510k only allowed Pierson to recover for postaward medical expenses going back six months from the date of his motion for penalty hearing. Although Pierson's application for modification of medical benefits was filed on April 7, 2015, the ALJ disregarded this date because there was no previous hearing or judgment on the application. The ALJ treated Pierson's motion for penalty hearing, filed on August 11, 2016, as a new application for postaward medical expenses, and the ALJ ordered Topeka to pay Pierson for medical expenses starting February 11, 2016 (six months before the motion for penalty hearing was filed).

The ALJ denied penalties, reasoning Pierson was still being treated by physicians unapproved by Topeka but neither he nor Topeka had attempted to remedy this issue. Finally, the ALJ awarded attorney fees, but at a reduced rate of $175 per hour, or $2,905, because of the past practice and allowance of attorney fees approved in Bradley v. Havens Steel Company , No. 137873, 2015 WL 996907 (Kan. WCAB February 19, 2015).

Both Pierson and Topeka appealed the ALJ's postaward order to the Board which entered its order on June 23, 2017.

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424 P.3d 549, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pierson-v-city-of-topeka-kanctapp-2018.