Tam v. Kaiser Permanente

17 P.3d 219, 94 Haw. 487, 2001 Haw. LEXIS 52
CourtHawaii Supreme Court
DecidedFebruary 8, 2001
Docket22838
StatusPublished
Cited by21 cases

This text of 17 P.3d 219 (Tam v. Kaiser Permanente) is published on Counsel Stack Legal Research, covering Hawaii Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tam v. Kaiser Permanente, 17 P.3d 219, 94 Haw. 487, 2001 Haw. LEXIS 52 (haw 2001).

Opinion

Opinion of the Court by

LEVINSON, J.

The claimant-appellant Colleen D. Tam appeals from the decision and order of the State of Hawai'i Labor and Industrial Relations Appeals Board (LIRAB), filed on September 3, 1999, affirming the September 19, 1996 decision of the director of labor and industrial relations (“the Director”) suspending Tam’s workers’ compensation benefits until she complies with the Director’s order to submit to a medical examination requested by the employer-appellee Kaiser Permanente. On appeal, Tam argues that the LIR-AB erred in: (1) affirming the validity of the Director’s “medical examination order” because (a) Kaiser failed to comply with the statutory and regulatory requirements for requesting an independent medical examination embodied in Hawai'i Revised Statutes (HRS) § 386-79 (1993 & Supp.1999) 1 and *490 Hawaii Administrative Rules (HAR) Rule 12-10-75 2 and (b) the record before the Director did not warrant the issuance of a medical examination order; (2) ruling that the June 29, 1995 amendment to HRS § 386-79, see supra note 1, did not affect the enforceability of the Director’s order; (3) affirming the Director’s decision to suspend Tam’s benefits, inasmuch as the medical examination order was constitutionally defective and, therefore, unenforceable, in that HAR § 12-10-75(e), see supra note 2, precluded her from contesting the validity of the medical examination order before she was required to submit to the examination in violation of her right to due process of law; and (4) denying her request for a subpoena, inasmuch as the fact of an ex parte communication from the Director to Kaiser entitled her to investigate the possibility of other communications of the same sort.

We hold: (1) that the LIRAB’s finding that Kaiser sufficiently complied with the requirements of HAR § 12—10—75(b) is consistent -with the language of the regulation and is entitled to our deference as the agency’s interpretation of its own rule, see Camara v. Agsalud, 67 Haw. 212, 216, 685 P.2d 794, 797 (1984); (2) that, although the LIRAB did not expressly find that the medical examination ordered by the Director “would assist in an expedient disposition of the case,” such a finding is implied in its conclusion that the facts in the file on April 13, 1995 supported the issuance of the medical examination order “to obtain a permanent rating so as to address the issue of permanent disability” and that Tam failed to carry her burden of convincingly demonstrating that the Director’s order violated HAR § 12-10-75(c), see In Re Gray Line Hawai‘i Ltd., 93 Hawai'i 45, 53, 995 P.2d 776, 784 (2000) (“a presumption of validity is accorded to decisions of administrative bodies acting within their sphere of expertise and one seeking to upset the order bears the heavy burden of making a convincing showing that it is invalid because it is unjust and unreasonable in its consequences”) (quoting In Re Application of Puhi Sewer & Water Co., Inc., 83 Hawai'i 132, 137, 925 P.2d 302, 307 (1996)) (citation and internal quotation signals omitted); (3) that the order to undergo a medical examination did not deprive Tam of any property interest in worker’s compensation benefits protected by the right to due process, see Findley v. Workers’ Compensation Appeal Board, 707 A.2d 1220, 1223 (Pa.Commw.Ct.1998), and that the agency hearing conducted prior to the suspension of her benefits afforded her procedural safeguards adequate to satisfy the requisites of constitutional due process, cf. Sauceda v. Department of Labor & Industries of the State of Washington, 917 F.2d 1216, 1219 (9th Cir.1990); Carr v. SAIF Corp., 65 Or.App. 110, 670 P.2d 1037, 1046 (1983); (4) that Tam’s assertion of possible undisclosed ex parte communications between Kaiser and the agency is speculative and that the LIRAB’s decision to deny her requested subpoena was not arbitrary and was supported by the rec *491 ord, see Bank of Hawaii v. Shaw, 83 Hawai'i 50, 59, 924 P.2d 544, 553 (App.1996) (“On review, the action of a trial court in enforcing or quashing the subpoena will be disturbed only if plainly arbitrary and without support in the record.”) (Citations omitted.); and (5) that, even though the LIRAB erred in failing to give retrospective effect to the June 29, 1995 amendment to HRS § 386-79, see supra note 1, the error was harmless, inasmuch as the reasons given by the Director for ordering the repeated medical examination were related to “the medical progress of [Tam’s] treatment.” Accordingly, we affirm the LIRAB’s decision and order.

I. BACKGROUND

On December 14,1990, Tam was employed as a registered nurse in the inpatient nursing department of Kaiser Foundation Hospital. 3 On that day, Tam sustained a lower back injury at work when she slipped and almost fell off a high stool. Initially, the symptoms did not appear to be serious, but within a few days the pain in Tam’s lower back and right leg became severe. Tam first saw a Kaiser physician in connection with her injury on December 22, 1990. She was off work commencing January 1, 1991 and continued to receive medieai treatment, first from Kaiser physicians and later from an independent physician.

Kaiser accepted liability for Tam’s injury in its “Employer’s Report of Industrial Injury,” Department of Labor and Industrial Relations (DLIR) Form WC-1, filed on January 22,1991. Tam began receiving physical therapy on March 28, 1991. She returned to work on May 26, 1991, but the activity of pushing and pulling cribs, which entailed frequent bending, aggravated her condition, and she was off work again by the end of July 1991. On August 28, 1991, she attempted working as a quality assurance nurse, but the prolonged sitting required by that position aggravated her symptoms. The progress of Tam’s physical therapy and treatment was slow and, in a letter to Kaiser dated March 30, 1992, Tam’s physician opined that she would not be able to return to her previous job.

On June 3,1992, Kaiser informed Tam that it wished to exercise its prerogative, pursuant to HRS § 386-79 (1993), see supra note 1, to have her examined by a physician of its choice.

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Bluebook (online)
17 P.3d 219, 94 Haw. 487, 2001 Haw. LEXIS 52, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tam-v-kaiser-permanente-haw-2001.