SAIF v. Wild

240 P.3d 1103, 237 Or. App. 454
CourtCourt of Appeals of Oregon
DecidedSeptember 29, 2010
Docket0606848 A137352
StatusPublished

This text of 240 P.3d 1103 (SAIF v. Wild) 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
SAIF v. Wild, 240 P.3d 1103, 237 Or. App. 454 (Or. Ct. App. 2010).

Opinion

240 P.3d 1103 (2010)
237 Or. App. 454

In the Matter of the Compensation of Karl J. Wild, Deceased, Claimant.
SAIF CORPORATION and Oregon Military Department, Petitioners,
v.
Jeanette C. WILD, on behalf of Simone Wild, beneficiary of Karl J. Wild, Deceased, Respondent.

0606848; A137352.

Court of Appeals of Oregon.

Argued and Submitted July 22, 2009.
Decided September 29, 2010.

*1104 Julene Quinn argued the cause for petitioners. On the brief was Jerome P. Larkin, Special Assistant Attorney General.

Edward J. Hill, Portland, argued the cause and filed the brief for respondent.

Before SERCOMBE, Presiding Judge, and BREWER, Chief Judge, and ARMSTRONG, Judge.[*]

ARMSTRONG, J.

Karl Wild filed a claim for workers' compensation benefits, which SAIF Corporation processed for Wild's employer, the Oregon Military Department. Wild subsequently obtained counsel and challenged aspects of the administration and review of his claim; however, Wild died during the claim process. After Wild's death, SAIF accepted part of Wild's claim and issued a notice of closure. The attorney who had represented Wild then sought reconsideration by the Workers' Compensation Division (WCD) of the notice of closure, which ultimately resulted in an order awarding Wild additional temporary disability benefits. Petitioners, SAIF Corporation and the Oregon Military Department, requested a hearing on the award, which led to an order by an administrative law judge (ALJ) that vacated the award on the ground that Wild's minor daughter, as Wild's beneficiary under the Workers' Compensation Law, was the person who had to have timely requested reconsideration. Because, according to the ALJ, Wild's daughter had not done that, the WCD had lacked authority to reconsider the notice of closure. Wild's daughter then appealed the ALJ's order to the Workers' Compensation Board.

The board concluded on appeal that the reconsideration request that the attorney had submitted was a request made on behalf of Wild's daughter. The board further concluded that, even if Wild's daughter had not submitted a timely reconsideration request, the notice of closure was procedurally invalid under OAR XXX-XXX-XXXX(7)(d) (Jan. 1, 2006)[1] because the notice had not been mailed to the recipients specified in the rule.

On judicial review, petitioners assign error to both of the board's rulings. Petitioners contend that, (1) although the attorney who had represented Wild filed a reconsideration request before the statutory deadline, he did not have authority to do that on behalf of Wild's daughter and, thus, Wild's daughter did not timely request reconsideration of the notice of closure, and (2) SAIF did not violate the mailing provisions in OAR XXX-XXX-XXXX(7)(d) in issuing the notice of closure. We conclude that the board erred with respect to both issues and, accordingly, reverse and remand.

We relate the following undisputed facts that are material to our review. In May 2005, Wild filed a workers' compensation claim for an occupational disease involving his neck and left arm. SAIF denied the claim in August 2005. That same month, Wild signed a retainer agreement with counsel and requested a hearing on the denial. *1105 After hearing, an ALJ issued a January 2006 order affirming SAIF's denial, and Wild appealed that order to the board. Wild died thereafter on April 16, 2006.

In July 2006, the board affirmed the ALJ's order in part and reversed it in part, setting aside the denial of the left arm condition and remanding the claim to SAIF for further processing. On August 1, 2006, SAIF issued a notice of acceptance of left elbow lateral epicondylitis and mailed it to Wild's home address. That notice was returned to SAIF with a notation that Wild had died. Additionally, in early August 2006, SAIF received notice from Wild's attending physician of Wild's death.

SAIF closed the claim on August 16, 2006, and mailed copies of the notice of closure to Wild's "estate" at his former address and to the attorney who had represented Wild on the claim. The notice of closure explained that it could be appealed by requesting reconsideration within 60 days from the mailing date of the notice. Two days later, the attorney who had represented Wild requested reconsideration of the notice of closure. On September 6, 2006, the WCD Appellate Review Unit (ARU) issued an order on reconsideration affirming the notice of closure. Thereafter, the attorney asked the ARU to abate its order to consider additional information from Wild's attending physician. SAIF objected to the admission of the additional evidence but did not question whether the attorney had authority to pursue reconsideration. The ARU granted the request and subsequently issued an amended order on reconsideration on October 11, 2006, awarding temporary disability benefits for the period from July 2005 to January 2006.

On October 26, 2006, SAIF challenged the validity of the reconsideration request, asserting that the attorney had not had authority to request reconsideration because Wild had died before the attorney requested reconsideration and there was no indication that the attorney represented anyone who was entitled under the Workers' Compensation Law to receive Wild's workers' compensation benefits on his death. The ARU declined to abate its order, and SAIF then requested a hearing. On the date of the hearing, December 29, 2006, the attorney executed a retainer agreement with the mother of Wild's minor daughter authorizing the attorney to represent Wild's daughter regarding her rights as the statutory beneficiary on Wild's claim.

The ALJ issued an order vacating the amended order on reconsideration on the ground that the attorney had lacked authority to request reconsideration because he had not been retained to represent Wild's daughter until after the 60-day period to request reconsideration had expired. See ORS 656.268(5)(c) (2005).[2] Wild's daughter appealed the ALJ's order to the board.

On appeal, the board reversed the ALJ's order. It concluded that Wild's daughter, as the statutory beneficiary, had "timely pursued an appeal of the Notice of Closure." The board reasoned "that counsel was representing the interests of [Wild's daughter] when filing the reconsideration request regarding the Notice of Closure." The board explained that neither party had cited, nor had it found, "a WCD rule that requires an executed retainer agreement before an attorney may file a valid reconsideration request." Additionally, the board noted that "[t]he statutory scheme entitles a `beneficiary' to pursue a Notice of Closure in the place of a deceased worker." In light of those considerations, the board concluded that "counsel's August 2006 request for reconsideration was filed on behalf of [Wild's daughter] (the deceased worker's statutory beneficiary) and, as such, was valid."

We begin our analysis by addressing petitioners' assignment of error to that ruling, which we review for legal error. ORS 656.298(7); ORS 183.482(8)(a); SAIF v. Johnson, 198 Or.App. 504, 508-09, 108 P.3d 662 (2005).

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Related

Edwards v. Cherry City Electric, Inc.
919 P.2d 501 (Court of Appeals of Oregon, 1996)
Hamilton v. Hughey
588 P.2d 38 (Oregon Supreme Court, 1978)
In the Matter of Marriage of Perlenfein and Perlenfein
848 P.2d 604 (Oregon Supreme Court, 1993)
In Re Compensation of Wild
240 P.3d 1103 (Court of Appeals of Oregon, 2010)
SAIF Corp. v. Donahue-Birran
96 P.3d 1282 (Court of Appeals of Oregon, 2004)
SAIF Corp. v. Johnson
108 P.3d 662 (Court of Appeals of Oregon, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
240 P.3d 1103, 237 Or. App. 454, Counsel Stack Legal Research, https://law.counselstack.com/opinion/saif-v-wild-orctapp-2010.