Richard Cosner v. C&J Forms & Labels Co.

2021 Ark. App. 453
Court of Appeals of Arkansas·Decided November 17, 2021·Published

Opinion

Cite as 2021 Ark. App. 453 Elizabeth Perry I attest to the accuracy and ARKANSAS COURT OF APPEALS integrity of this document DIVISION IV

No. CV-21-170

2023.07.18 12:52:15 -05'00' 2023.003.20244 RICHARD COSNER OPINION DELIVERED November 17, 2021 APPELLANT

APPEAL FROM THE ARKANSAS

WORKERS’ COMPENSATION

V. COMMISSION

[NO. F200619]

C&J FORMS AND LABELS

COMPANY; AND SAFECO

PROPERTY CASUALTY

INSURANCE

APPELLEES REVERSED AND REMANDED

ROBERT J. GLADWIN, Judge

Richard Cosner appeals the January 3, 2021 opinion of the Arkansas Worker’s Compensation Commission (Commission) that affirmed and adopted the March 16, 2020 opinion of the administrative law judge (ALJ) that found that the statute of limitations had run with respect to Cosner’s claim for additional permanent partial disability (PPD) benefits in relation to his knee and/or his shoulders pursuant to Arkansas Code Annotated section 11-9-702(b) (Repl. 2012). We reverse and remand.

I. Facts & Procedural History Cosner was injured in an admittedly compensable injury occurring on December 9, 2001. At the time of the injury, he was employed as a sales representative for the respondent employer, C&J Forms and Labels Co. (C&J). While leaving a customer’s parking lot, Cosner ran into a concrete abutment, injuring, among other body parts, his right knee. On

September 9, 2002, within two years of the date of the original injury, Cosner filed a form AR-C with the Commission requesting benefits including PPD, medical expenses, and attorney fees for injuries to knees, back, and neck.

An initial hearing was held on April 10, 2003, which resulted in a July 2 opinion finding that Cosner had sustained compensable injuries, was entitled to temporary total disability (TTD) benefits from February 25 to April 9, 2003, and was entitled to temporary partial-disability benefits from April 9, 2003, to a date to be determined. The opinion did not include any adjudication regarding Cosner’s entitlement to PPD benefits.

On January 18, 2006, a prehearing order was filed including the following issues to be litigated: (1) payment of $860.36 regarding Cosner’s out-of-pocket expenses submitted on August 5, 2003; (2) payment of the difference between the $7,790 in TTD benefits requested on August 5 and the $2,752.85 in TTD benefits paid on August 25, 2003; and (3) attorney fees.

A hearing was conducted on April 13, and all issues from the prehearing order were resolved prior to the hearing. The issues litigated were the compensability of Cosner’s ulnar nerve palsy; medical treatment for Cosner’s ulnar nerve palsy; and whether the referral from Dr. Buie to Dr. William Woods was reasonable and necessary medical treatment.

On July 12, the ALJ issued an opinion finding that (1) C&J and Safeco Property and Casualty Insurance (Safeco) agreed to allow Cosner to return to Dr. Buie for medical treatment; (2) Cosner had failed to prove that his ulnar nerve palsy was a compensable consequence of his compensable right-knee injury; and (3) Cosner had proved that it was

reasonable and necessary for him to be referred to Dr. Woods in Dallas for a second opinion as to the course of treatment for his right knee.

Dr. C. Lowry Barnes, a Little Rock orthopedic surgeon, began treating Cosner for his knee in 2009, taking over his care on a referral by Dr. Buie. Dr. Buie has not treated Cosner since he referred Cosner to Dr. Barnes. Cosner underwent testing for his right knee, at which time some loosening was discovered, and as a result, Cosner had arthroplasty surgery performed by Dr. Barnes. In a report dated October 2, Dr. Barnes opined that Cosner had sustained a permanent anatomical impairment of 50 percent to his lower extremity due to his compensable right-knee injury. Cosner has continued to receive treatment from Dr. Barnes at least yearly since that time.

Since Cosner received his impairment rating in 2009, the only benefits he has received directly are for mileage to his medical visits. C&J and Safeco have paid for Cosner’s treatment directly to the medical providers.

On January 12, 2011, a form AR-4 was filed; subsequently, respondents C&J and Safeco accepted that impairment rating and paid appropriate benefits. Payment of the ninety-two weeks of PPD benefits was completed in mid-2011, and on June 9, the PPD claim was closed. Although Cosner has continued to receive medical treatment, no additional impairment benefits have been paid since.

On October 17, 2011, Cosner’s attorney sent a letter to the Commission requesting unspecified additional benefits, and receipt was acknowledged by the Commission’s operations and compliance division on October 18. Similar letters were sent dated May 12, 2015, and June 18, 2015.

Cosner later developed problems with his shoulders from his use of crutches. On April 6, 2017, a hearing was conducted on this matter. An opinion was issued on June 30 wherein a finding was made that Cosner suffered compensable bilateral shoulder injuries as a consequence of his compensable right-knee injury and that he is entitled to reasonable and necessary medical treatment of his bilateral shoulder injury. Dr. Shahryar Ahmadi performed surgery on Cosner’s right shoulder on December 14, but Cosner had not had surgery on his other shoulder due to both a protein deficiency that causes blood clotting and a family history of blood embolisms and deep vein thrombosis.

On April 10, 2018, Cosner requested additional benefits via a letter that was acknowledged as received by the Commission on the same day. On March 11, 2019, Cosner requested a hearing via letter.

On March 30, 2019, Dr. Ahmadi opined that Cosner had sustained 26 percent impairment to his body as a whole due to his shoulder impairment. Cosner was later evaluated by Dr. Keith Holder on October 8; he assessed Cosner’s compensable bilateral shoulder injuries, finding that Cosner has an anatomical impairment of 28 percent to his right shoulder and 36 percent to his left shoulder. Cosner saw Dr. Holder solely to obtain this rating.

On October 30, following a failed total-knee arthroplasty, Cosner went back to Dr.

Buie. Dr. Buie examined Cosner’s right knee and determined that it had deteriorated and that his impairment was now at least 75 percent regarding his right knee. Dr. Buie increased Cosner’s impairment rating for his knee by letter issued that day.

On December 5, the ALJ held a hearing, and the issues to be litigated were (1) the extent of permanent impairment to Cosner’s right knee, (2) the extent of permanent impairment to Cosner’s shoulders, (3) the statute-of-limitations defense, and (4) entitlement to attorney’s fees.

As a result of that hearing, the ALJ filed an opinion on March 4, 2020, and an amended opinion on March 16, finding that C&J and Safeco had proved that the statute of limitations had run with respect to Cosner’s claim for additional PPD benefits related to his right knee and/or shoulders. The ALJ noted that Cosner received an impairment rating in 2009 that was paid shortly thereafter and that Cosner had not requested or brought before the Commission any cause or issue related to indemnity benefits since that time. The ALJ further cited applicable law that the payment of medical benefits does not prohibit the statute of limitations from running on a claim for indemnity benefits. Cosner appealed that opinion to the Commission on April 2.

In the Commission’s January 5, 2021 opinion, the Commission affirmed and adopted the opinion of the ALJ. Cosner filed timely notices of appeal on February 2 and February 5 arguing that the Commission incorrectly found that his claim for additional PPD benefits is barred by the statute of limitations.

II. Standard of Review and Applicable Law Generally, this court reviews only the decision of the Commission; however, when the Commission affirms and adopts the findings of the ALJ, as it did in this case, this court considers both the ALJ’s decision and the Commission’s decision. See Jones v. Embassy Suites, Little Rock, 2021 Ark. App. 312, at 7–8.

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Richard Cosner v. C&J Forms & Labels Co., 2021 Ark. App. 453 (Ark. Ct. App. 2021).

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