Superlite Builders & Insurance Co. of North America v. Industrial Commission

612 P.2d 507, 126 Ariz. 51, 1980 Ariz. App. LEXIS 476
CourtCourt of Appeals of Arizona
DecidedMay 29, 1980
Docket1 CA-IC 2214
StatusPublished
Cited by7 cases

This text of 612 P.2d 507 (Superlite Builders & Insurance Co. of North America v. Industrial Commission) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Superlite Builders & Insurance Co. of North America v. Industrial Commission, 612 P.2d 507, 126 Ariz. 51, 1980 Ariz. App. LEXIS 476 (Ark. Ct. App. 1980).

Opinion

OPINION

HAIRE, Judge.

The essential question raised in this review is whether permanent physical impairment resulting solely from nontraumatic recurrent hernias will support an unscheduled award.

Respondent employee Charles Chapman has a history of recurrent hernias going back as far as 1957. The medical and procedural history of the current claim is a complex one. The record indicates that respondent was injured on June 15, 1974 while working as a dock worker for petitioner employer, Superlite Builders. The injury was diagnosed as a bilateral inguinal hernia. On September 23, 1974 surgery was performed to correct the right hernia. In the course of that surgery, in order to obtain a better result in terms of strength of the fascia, the right testicle was removed. Additional surgery was undertaken on October 14, 1974 to repair the left hernia. Complications of that surgery required drainage of the incision on October 22,1974. Further complications resulted in the left testicle becoming atrophied, requiring its removal by surgery on October 31, 1974.

Respondent employee’s initial claim for benefits was accepted by petitioner carrier Insurance Company of North America by its notice of claim status on September 10, 1974. On November 15, 1974 the carrier issued a notice of claim status terminating benefits on the basis that the maximum had been paid under A.R.S. § 23-1043(2). 1 Respondent requested a hearing alleging that he had had further complications due to the hernia including infection of the surgical area, complaints of nervousness and other difficulties including leg pain, skin rash, back pain, and psychiatric disorder. A hearing was held on January 27, 1975. It resulted in an award dated February 11, 1975, continuing temporary benefits. That award became final.

Later in 1975, the claimant suffered a recurrence of both right and left hernias. They were repaired with marlex mesh by surgery on October 10, 1975 for the right hernia and November 14, 1975 for the left *53 hernia. By January of 1976, respondent’s treating physician, Jerry Wetherell, M.D., felt that successful repair of the hernia had been accomplished and released the respondent for regular work. The carrier’s notice of claim status was issued on September 27, 1977, terminating temporary benefits and finding no permanent disability, based on the physician’s January report. Respondent requested a hearing and one was held on January 24, 1978. At that time, apparently based on a new opinion from Dr. Wetherell, the carrier rescinded its September 27, 1977 notice of claim status and replaced it with a notice of claim status continuing benefits but containing the following proviso:

“Applicant is entitled to medical benefits from and after 9/27/77. Applicant is entitled to total temporary disability benefits from 9/27/77 through and including 11/27/77.
“Applicant has sustained an additional hernia which may be the result of his industrial injury herein. Without, at this time, conceding liability for such hernia as may have been found by Dr. Jerry Wetherell, M.D., the carrier agrees as follows:
“First, carrier agrees to restore the applicant to full temporary total disability status and to pay compensation appropriate to such status as of the date of the applicant’s admission to any hospital for repair of the hernia by Dr. Jerry Wetherell. “Second, the carrier agrees to continue total temporary disability compensation following such hospitalization until the condition is stationary or until medical information indicates that the applicant is able to return to some form of work. “Third, applicant is entitled to medical benefits, but no temporary disability compensation shall be payable following 11/27/77 until the date of applicant’s admission to hospital for the surgical repair of hernia above-mentioned.”

In February of 1978, respondent once again suffered a recurrence of a hernia, which was once again repaired. Then, on June 8, 1978, the carrier issued the notice of claim status out of which the instant litigation arose. That notice terminated temporary benefits and found no permanent disability. Respondent filed a request for hearing and formal hearings were held before the Industrial Commission on October 27, 1978 and January 4, 1979. The hearing officer’s award, entered January 19, 1979, found that the respondent had sustained a 20% permanent physical impairment due to the bilateral inguinal hernias and stated that the case would abide further processing for determination of loss of earning capacity. The carrier sought review of the award on the administrative level. When the award was affirmed, the petitioners sought review in this Court.

On review, petitioners argue that, where the hearing officer found that the claimant’s permanent physical impairment was due solely to his recurrent nontraumatic hernias, and no disability attributable to the removal of the claimant’s testicles or any other alleged complications, it was error to treat the injury as unscheduled and to leave open for a further determination the question of claimant’s loss of earning capacity.

The claimant’s first response is that by virtue of the February 11, 1975 award, 2 which has become final, it is res judicata that the injury in question must be treated as an unscheduled injury, and thus it is not subject to the limitations of A.R.S. § 23-1043(2). We first note that this affirmative defense was not raised by the employee until after the hearing officer entered his award, and thus was untimely. Cotton v. Industrial Commission, 26 Ariz.App. 58, 546 P.2d 35 (1976). Additionally, the defense fails on the merits. The February 11, 1975 award concerned the claimant’s entitlement *54 to additional temporary benefits due to complications which arose from the hernias and from the repair thereof prior to the time his condition became stationary. That award cannot be said to have determined with finality the effect, if any, of his temporary condition upon any future permanent impairment or disability status once that condition and the underlying injury became stationary. In our opinion the finality afforded that temporary award would not foreclose the carrier from showing at a subsequent time that the claimant’s permanent physical impairment was entirely the result of the recurrent nontraumatic hernias and therefore was compensable solely under the provisions of A.R.S. § 23-1043(2), and not under the scheduled or unscheduled provisions of A.R.S. § 23-1044 B and C.

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Bluebook (online)
612 P.2d 507, 126 Ariz. 51, 1980 Ariz. App. LEXIS 476, Counsel Stack Legal Research, https://law.counselstack.com/opinion/superlite-builders-insurance-co-of-north-america-v-industrial-arizctapp-1980.