Randall v. Liberty Northwest Ins. Corp.

813 P.2d 1120, 107 Or. App. 599, 1991 Ore. App. LEXIS 1012
CourtCourt of Appeals of Oregon
DecidedJune 19, 1991
DocketWCB 87-19076; CA A64057
StatusPublished
Cited by4 cases

This text of 813 P.2d 1120 (Randall v. Liberty Northwest Ins. Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Randall v. Liberty Northwest Ins. Corp., 813 P.2d 1120, 107 Or. App. 599, 1991 Ore. App. LEXIS 1012 (Or. Ct. App. 1991).

Opinion

*601 RICHARDSON, P. J.

Claimant seeks review of a Workers’ Compensation Board order that upheld the denial of her aggravation claim and refused to award her attorney fees. We affirm.

The Board found these facts:

“In 1983, claimant was working in the employer’s fish processing plant when she slipped and injured her wrist as it struck the metal edge of a table. She finished her shift and sought treatment for her wrist the following day. Approximately one month after her injury, claimant received treatment in a Seattle hospital for continuing pain in her wrist.
“Six weeks after receiving treatment in Seattle, claimant left for Alaska to work for a second employer. Eight to ten days after beginning work as a fish processor, claimant noticed a lump on her left wrist. In 1985, claimant returned from Alaska to work for her previous employer. * * * In March 1986, she began to experience tingling and numbness in her arm and fingers.
“Claimant commenced treatment with Dr. Swanson on May 14, 1987.”

Claimant’s first assignment is that the ‘.‘Board err[ed] when it accorded greater weight to the opinions of the consulting physicians in this case.” The substance of her argument is that the reason given by the Board for discounting her treating doctor’s opinion was “unreasonable and is therefore not supported by substantial evidence.” The Board explained:

“Claimant treated with several physicians immediately after her initial injury. She did not seek treatment from [the treating physician], however, until nearly four years after she first noticed the lump. Where a treating physician has not had an opportunity to personally observe claimant’s condition near the time of the critical event and then make his comparison based on firsthand knowledge, we may accord more weight to other medical opinions.”

As we said in Armstrong v. Asten-Hill Co., 90 Or App 200, 752 P2d 312 (1988), when there are medical opinions on both sides of the case, there will in all probability be substantial evidence to support the decision. The Board rationally explained why it had accepted the opinions of the consulting physicians rather than claimant’s treating doctor. There was *602 substantial evidentiary support for the decision on compensability.

The second assignment is that the Board erred by not awarding claimant attorney fees for unreasonable delay in denying the claim. Under ORS 656.262(6), an employer or its insurer has 60 days in which to deny or accept a claim for aggravation. Claimant filed her claim in May or June, 1987, and it was denied on December 9,1987, well after the 60-day period. The Board held that, “because we have decided that there is no compensable aggravation, the delay in accepting or denying the aggravation claim did not delay any compensation and is, therefore, not an unreasonable resistance to the payment of compensation.”

ORS 656.262(10) provides:

“If the insurer or self-insured employer unreasonably delays or unreasonably refuses to pay compensation, or unreasonably delays acceptance or denial of a claim, the insurer or self-insured employer shall be liable for an additional amount up to 25 percent of the amounts then due plus any attorney fees which may be assessed under ORS 656.382.”

ORS 656.382 provides, in part:

“(1) If an insurer or self-insured employer refuses to pay compensation due under an order of a referee, board or court, or otherwise unreasonably resists the payment of compensation, the employer or insurer shall pay to the claimant or the attorney of the claimant a reasonable attorney fee as provided in subsection (2) of this section. To the extent an employer has caused the insurer to be charged such fees, such employer may be charged with those fees.”

Subsection (2) provides that the fee shall be

“a reasonable attorney fee in an amount set by the referee, board or the court for legal representation by an attorney for the claimant at and prior to the hearing.”

Claimant argues that our decisions in Mischel v. Portland General Electric, 89 Or App 140, 747 P2d 410 (1987), rev den 305 Or 576, 305 Or 671 (1988), and Spivey v. SAIF, 79 Or App 568, 720 P2d 755 (1986), are directly in point and allow an award of attorney fees, even if no compensation was due. The Board’s decision was based on one of its *603 own decisions to the effect that Spivey and Mischel were effectively overruled by Ellis v. McCall Insulation, 308 Or 74, 775 P2d 316 (1989). Lloyd L. Cripe, 41 Van Natta 1774 (1989).

In Mischel v. Portland General Electric, supra, we explained our holding in Spivey v. SAIF, supra, about the relationship between ORS 656.262(10) and ORS 656.382:

“We do not read ORS 656.262(10) to say that attorney fees can be allowed under that statute only under the circumstances described in ORS 656.382. We understand it to provide that attorney fees that may be assessed under the circumstances described in ORS 656.382 may also be assessed for an unreasonable denial. ORS 656.382 does not impose additional restrictions on when attorney fees may be assessed under ORS 656.262(10). The Board could properly assess attorney fees pursuant to ORS 656.262(10) and ORS 656.382, even though no compensation was then due.” 89 Or App at 143.

After Ellis v. McCall Insulation, supra, that analysis is incorrect.

The cryptic holding regarding attorney fees in Ellis v. McCall Insulation, supra, can best be understood in the context of the facts there. We quote from the opinion:

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Cite This Page — Counsel Stack

Bluebook (online)
813 P.2d 1120, 107 Or. App. 599, 1991 Ore. App. LEXIS 1012, Counsel Stack Legal Research, https://law.counselstack.com/opinion/randall-v-liberty-northwest-ins-corp-orctapp-1991.