Shawn L. Robbins v. Dept. of Labor & Industries

CourtCourt of Appeals of Washington
DecidedApril 21, 2015
Docket32237-8
StatusPublished

This text of Shawn L. Robbins v. Dept. of Labor & Industries (Shawn L. Robbins v. Dept. of Labor & Industries) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shawn L. Robbins v. Dept. of Labor & Industries, (Wash. Ct. App. 2015).

Opinion

FILED

APRIL 21, 2015

In the Office of the Clerk of Court

W A State Court of Appeals, Division III

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION THREE

SHA WN L. ROBBINS, ) ) No. 32237-8-111 Appellant, ) ) v. ) ) DEPARTMENT OF LABOR & ) PUBLISHED OPINION INDUSTRIES, ) ) Respondent. )

FEARlNG, J. - We address whether, under RCW 51.32.160, a second copy of an

application to reopen a worker's compensation claim, which copy attaches fresh medical

records, constitutes a new application that requires a response from the Department of

Labor & Industries (Department). We answer the question no. We affirm the

Department and the Superior Court's ruling that the Department did not suffer a default

by failing to respond to the second copy of the application.

FACTS AND PROCEDURE

On September 27, 2002, Shawn Robbins injured his right arm while working as an

HVAC installer. Robbins went to an emergency room, which diagnosed Robbins with a

distal biceps tendon rupture. He filed a claim for worker's compensation, which the

Department allowed. Robbins returned to work on December 1, 2002. In the meantime, No. 32237~8-III

Robbins v. Dep't ofLabor & Indus.

the Department paid Robbins' medical bills and compensation for lost work. The

Department closed Robbins' claim on September 29,2003.

On November 30,2006, Shawn Robbins applied to reopen his worker's

compensation claim. The Department denied this application on December 26, 2006.

Robbins protested, but the Department affirmed its denial of Robbins' application to

reopen. Robbins appealed to the Board of Industrial Insurance Appeals (BIIA) on August

6,2007. On April 24, 2008, at Robbins' request, BIIA dismissed the appeal.

On June 17,2008, Dr. Thomas Gritzka evaluated Shawn Robbins. Dr. Gritzka

then wrote a thirteen-page medical report outlining Robbins' medical history and the

results of the physical evaluation. Dr. Gritzka opined that Robbins suffered from a

worsening ofthe 2002 industrial injury, writing:

[Robbins] has slightly greater impairment due to right elbow flexion contracture, a previously non-described ulnar deviation, and impaired radial deviation of the right wrist, and in my opinion, also has a low-grade cubital tunnel syndrome, which is consistent with having had an injury to the right elbow. When an individual ruptures the biceps tendon, there is bleeding that occurs in and around the elbow. There certainly is potential for this bleeding and edema to result in scarring within the cubital tunneL

Clerk's Papers (CP) at 174.

On July 22,2008, Shawn Robbins signed and completed another two-page

"APPLICATION TO REOPEN CLAIM," with the subtitle "DUE TO WORSENING OF

CONDITION."· CP at 158. The worker completes the first page of this form, and the

doctor finishes the second page. On the first page of his July application to reopen,

No. 32237-8-111

Robbins v. Dep 'f ofLabor & Indus.

Robbins listed a right arm injury, which worsened on June 17,2008, the date Dr. Gritzka

evaluated him. Robbins left the second page blank. Robbins attached Dr. Gritzka's

medical report with the application rather than asking Dr. Gritzka to complete the second

page.

On July 24, 2008, Shawn Robbins' attorney sent the July 22 application to reopen

to the Department. The attorney mailed a letter with the application. The letter stated a

reapplication was enclosed and asked the Department to issue an order reopening

Robbins' worker's compensation claim.

On August 21,2008, the Department denied Shawn Robbins' July 2008

application to reopen his claim. The order read, in part, "The medical record shows the

conditions caused by the injury have not worsened since the final claim closure." CP at

160. Robbins appealed to the BIIA on October 20,2008, and the BIIA granted review on

October 28.

Also on October 28, 2008, Physician Assistant Robert Barber evaluated Shawn

Robbins. Barber completed page two of an "APPLICATION TO REOPEN CLAIM"

form. CP at 178-79. On this page, Barber listed Robbins' current symptoms by writing:

"Pain, mm spasm ® UE. Muscle Loss ® forearm. Pain wi fine manip. ® Hand. wi

[illegible] mm spasm ® upper arm [and] Elbow. [illegible] ® forehandlHand." CP at

179. The form asks the medical provider to list the medical findings that support a

measurable worsening of the industrial injury. Barber wrote: "[illegible] muscle ®

Robbins v. Dep '( ofLabor & Indus.

Bicep. l Ext. strength ® elbow. Sis. mm Atrophy ® forearm, 1 Grip ® Hand." CP at 179.

On November 3, 2008, Shawn Robbins filed, with the Department, another

"APPLICATION TO REOPEN CLAIM" form that included the second page completed

by Robert Barber. CP at 178. The first page of that form, however, was a photocopy of

the July 2008 application's first page completed by Shawn Robbins. Like the July 2008

application, the first page of the November 2008 filing indicated that the injury affected

Robbins' right arm and the condition worsened on June 17,2008. The November

application also contained Shawn Robbins' July 22,2008 signature used for the July

application. The November 2008 filing was not accompanied with a letter from Robbins'

attorney. The Department never responded to Robbins' November 2008 application to

reopen.

On March 23,2009, the BIIA conducted a conference on Shawn Robbins' July

2008 application to reopen his 2002 claim. During the conference, Robbins and the

Department stipulated that, if called to testify, Dr. Thomas Gritzka would opine, on a

more-probable-than-not basis, that Robbins' right arm condition caused by the industrial

injury worsened between June 15,2007 and August 21, 2008, as shown by objective

medical findings. On that basis, Robbins and the Department agreed that Robbins, as of

August 21, 2008, suffered a permanent partial impairment consistent with four percent of

the amputation value of the right arm at or above the deltoid insertion or by

No. 32237-8-II1

disarticulation at the shoulder. On July 6, 2009, the BIIA reversed the August 21, 2008

denial to reopen and instructed the Department to award Robbins a permanent partial

disability consistent with four percent of the amputation value of the right arm at or

above the deltoid insertion or by disarticulation at the shoulder, less one percent

previously paid, and then to close the claim.

On December 13,2010, Shawn Robbins once again applied to reopen his 2002

right arm injury claim. On April 25, 2011, the Department denied the December 2010

application on the ground that Robbins' condition had not worsened since the claim

closure in July 2009. The Department reaffirmed this denial on September 23,2011.

We return to Shawn Robbins' November 2008 application to reopen his worker's

compensation claim, which application's first page was a copy of the July 2008

application. On Apri125, 2012, an adroit Shawn Robbins moved the BIIA to grant him

summary judgment on his November 2008 application. Robbins argued that his

November 2008 filing constituted an application to reopen and the Department's failure

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