Surgery Center Partners, LLC d/b/a Timberlake Surgery v. Mondelez International, Inc., and Indemnity Insurance Company of North America

CourtMissouri Court of Appeals
DecidedMay 31, 2022
DocketED109776
StatusPublished

This text of Surgery Center Partners, LLC d/b/a Timberlake Surgery v. Mondelez International, Inc., and Indemnity Insurance Company of North America (Surgery Center Partners, LLC d/b/a Timberlake Surgery v. Mondelez International, Inc., and Indemnity Insurance Company of North America) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Surgery Center Partners, LLC d/b/a Timberlake Surgery v. Mondelez International, Inc., and Indemnity Insurance Company of North America, (Mo. Ct. App. 2022).

Opinion

In the Missouri Court of Appeals Eastern District DIVISION ONE

SURGERY CENTER PARTNERS, LLC ) No. ED109776 D/B/A TIMBERLAKE SURGERY, ) ) Respondent, ) Appeal from the Labor and ) Industrial Relations Commission vs. ) ) MONDELEZ INTERNATIONAL, INC., and ) INDEMNITY INSURANCE COMPANY OF ) NORTH AMERICA, ) ) Appellants. ) Filed: May 31, 2022

I. Introduction

Mondelēz International, Inc. and Indemnity Insurance Company of North America

(collectively, “Appellants”) appeal from a final award issued by the Labor and Industrial Relations

Commission. Appellants bring two points on appeal, but both fail to substantially comply with

Rule 84.04.1 Surgery Center Partners, LLC, doing business as Timberlake Surgery Center

(“Timberlake”), cross-appeals from the same final award, arguing that the Commission erred in

denying its demand for prejudgment interest.

We dismiss Appellants’ appeal and affirm the Commission’s final award as to

Timberlake’s cross-appeal.

1 All rule references are to Missouri Supreme Court Rules (2022). II. Factual and Procedural Background

On July 12, 2013, a Mondelēz employee suffered a work-related accident that left him with

a torn left rotator cuff. On August 11, 2014, Indemnity Insurance Company, Mondelēz’s workers’

compensation insurance carrier, authorized surgery on the employee’s rotator cuff. Timberlake

then treated the employee and repaired his torn rotator cuff on September 24, 2014.

Timberlake charged $38,986.21 for the medical services performed on the employee.

Appellants sent two checks to Timberlake for the services provided. Timberlake received the first

check, in the amount of $5,552.18, on October 28, 2014; and the second check, in the amount of

$3,147.24, on March 16, 2015. Timberlake made repeated demands for the remainder of the

amount due from Appellants. However, Appellants never responded to Timberlake’s demands or

explicitly stated they disputed the remainder of the bill, so Timberlake filed an Application for

Payment of Additional Reimbursement of Medical Fees with the Division of Workers’

Compensation on September 3, 2015. In doing so, Timberlake entered “TBD” in the section of

the application asking for the “Date Notice of Dispute Received From Employer/Insurer.”

The Division accepted the application, and an administrative law judge held a hearing on

September 21, 2020, in which the parties submitted documents without live testimony. Then, on

November 20, 2020, the administrative law judge issued an award with her findings of facts and

conclusions of law on the seven issues left for her determination. She found: (1) Timberlake’s

charges were fair, reasonable, and permissible; (2) Timberlake is not entitled to an award of

prejudgment interest; (3) Timberlake is not entitled to attorney’s fees or costs; (4) the Division has

jurisdiction and the absence of a date regarding the notice of the dispute does not deprive the

Division of that jurisdiction; (5) Timberlake did not charge more than allowed under § 287.140.32;

2 All statutory references are to RSMo Supp. 2014, unless otherwise indicated.

2 (6) Timberlake is not entitled to additional reimbursement; and (7) Appellants are not entitled to

attorney’s fees.

Both parties filed applications for review by the Labor and Industrial Relations

Commission on December 7, 2020. On June 9, 2021, the Commission issued a supplemental

opinion in which it affirmed and adopted the administrative law judge’s findings, conclusions,

decisions, and award.

This appeal follows.

III. Standard of Review

The Court of Appeals “reviews the Commission’s decision to determine if it is ‘supported

by competent and substantial evidence upon the whole record.’” Lexow v. Boeing Co., No. SC

99199, 2022 WL 791953, at *2 (Mo. banc Mar. 15, 2022) (quoting Mo. Const. art. V, § 18). The

Court will affirm the award unless: (1) the Commission acted without or beyond its powers; (2)

the decision was fraudulently procured; (3) the Commission’s findings of fact do not support the

award; or (4) there was not sufficient competent evidence to support the award. § 287.495.1;

Schoen v. Mid-Missouri Mental Health Ctr., 597 S.W.3d 657, 659 (Mo. banc 2020). The

Commission’s findings of fact are binding and conclusive and we only examine questions of law,

§ 287.495.1; Annayeva v. SAB of TSD of City of St. Louis, 597 S.W.3d 196, 198 (Mo. banc 2020),

which we review de novo, Schoen, 597 S.W.3d at 659. Questions of statutory interpretation are

similarly reviewed de novo. Lexow, 2022 WL 791953 at *2.

IV. Discussion

A. Appellants’ Points and Rule 84.04

Rule 84.04 provides the requirements for appellate briefs in Missouri. Its contents are

straightforward and simple, and compliance is mandatory. Id. at *1.

3 Rule 84.04 is not merely designed to enforce hypertechnical procedures or to burden the parties on appeal; rather, “[c]ompliance with the briefing requirements is required, not only so the appellant may give notice of the precise matters at issue, but also so that unnecessary burdens are not imposed on the appellate court and to ensure that appellate courts do not become advocates for the appellant.”

Hoock v. SLB Acquisition, LLC, 620 S.W.3d 292, 303 (Mo. App. E.D. 2021) (quoting Blanks v.

Fluor Corp., 450 S.W.3d 308, 324 n.1 (Mo. App. E.D. 2014)). Despite seeking reversal of the

Commission’s final award on an alleged failure to follow the rules, and then stressing the

importance of following rules during oral arguments, Appellants themselves fail to adequately

follow Rule 84.04, thus preserving nothing for appellate review.

First and foremost, Appellants’ points relied on fail to comply with Rule 84.04(d). This

subsection governs an appellant’s points relied on and requires him or her, in an appeal from an

administrative agency decision, to “(A) Identify the administrative ruling or action the appellant

challenges; (B) State concisely the legal reasons for the appellant’s claim of reversible error; and

(C) Explain in summary fashion why, in the context of the case, those legal reasons support the

claim of reversible error.” Rule 84.04(d)(2). The rule itself even provides a template for how to

structure a point relied on:

The point shall be in substantially the following form: “The [name of agency] erred in [identify the challenged ruling or action], because [state the legal reasons for the claim of reversible error, including the reference to the applicable statute authorizing review], in that [explain why, in the context of the case, the legal reasons support the claim of reversible error].”

Id. The rule also requires the use of separate points to challenge separate rulings or actions. Lexow,

2022 WL 791953 at *3. In addition, the rule informs the appellant that “[a]bstract statements of

law, standing alone, do not comply with this rule,” Rule 84.04(d)(4), and directs him or her to

“include a list of cases, not to exceed four, and the constitutional, statutory, and regulatory

provisions or other authority upon which that party principally relies,” Rule 84.04(d)(5). Rule

4 84.04(d) is particularly important, as points relied on are vital to an appellant’s brief. Lexow, 2022

WL 791953 at *2. Points relied on function to “give notice to the opposing party of the precise

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