v. Industrial Claim Appeals Office

2019 COA 146
Colorado Court of Appeals·Decided September 12, 2019·No. 18CA2308, Packard·Published

Opinion

The summaries of the Colorado Court of Appeals published opinions constitute no part of the opinion of the division but have been prepared by the division for the convenience of the reader. The summaries may not be cited or relied upon as they are not the official language of the division. Any discrepancy between the language in the summary and in the opinion should be resolved in favor of the language in the opinion.

SUMMARY

September 12, 2019

2019COA146

No. 18CA2308, Packard v. Industrial Claim Appeals Office — Limitation of Actions; Labor and Industry — Workers’ Compensation — Notices and Procedures — Notice of Injury

A division of the court of appeals holds that section 8-43-

103(2), C.R.S. 2018, is a statute of limitations applicable to the Workers’ Compensation Act of Colorado. It requires a claimant seeking disability or indemnity benefits to file a “notice claiming compensation” within two years of discovering the work-related nature of the claimant’s injuries, or within three years if the claimant can establish a reasonable excuse for late filing and the employer suffered no prejudice as a result. Id. To satisfy the statutory requirement, the “notice claiming compensation” must notify the Division of Workers’ Compensation and the opposing party of a claimant’s intent to seek compensatory benefits. Id.

Consequently, documents which do not provide this information — including an employer’s first report of injury or notice of contest, a claimant’s service of interrogatories or claimant’s counsel’s entry of appearance, or the Division’s assignment of a claim number — do not satisfy the Act’s statute of limitations for claiming compensation.

COLORADO COURT OF APPEALS 2019COA146

Court of Appeals No. 18CA2308 Industrial Claim Appeals Office of the State of Colorado WC No. 4-925-466

Joseph Packard, Petitioner, v.

Industrial Claim Appeals Office of the State of Colorado and City and County of Denver, Colorado,

Respondents.

ORDER AFFIRMED

Division IV

Opinion by JUDGE ROMÁN

J. Jones and Martinez*, JJ., concur

Announced September 12, 2019

Law Office of O’Toole and Sbarbaro, P.C., Neil D. O’Toole, Denver, Colorado, for Petitioner

Philip J. Weiser, Attorney General, Evan P. Brennan, Assistant Attorney General, Denver, Colorado, for Respondent Industrial Claim Appeals Office

Kristin M. Bronson, City Attorney, J.P. Moon, Assistant City Attorney, Stephen J. Abbott, Assistant City Attorney, Denver, Colorado, for Respondent City and County of Denver

*Sitting by assignment of the Chief Justice under provisions of Colo. Const. art. VI, § 5(3), and § 24-51-1105, C.R.S. 2019.

¶1 In this workers’ compensation action, we are asked to address whether certain documents constitute a “notice of injury” such that claimant, Joseph Packard, beat the statute of limitations of the Workers’ Compensation Act of Colorado (Act), set forth in section 8- 43-103(2), C.R.S. 2018. We agree with the Industrial Claim Appeals Office (Panel) that neither a notice of contest nor a first report of injury satisfies the statute of limitations and that to satisfy the statutory mandate a document must notify the Division of Workers’ Compensation (Division) and the opposing party that a claimant is “claiming compensation” within the meaning of the statute. We therefore affirm the Panel’s final order.

I. Background

¶2 Claimant is a firefighter for the City and County of Denver. In July 2013, he was diagnosed with melanoma of the trunk. On July 24, 2013, he advised the City of his cancer diagnosis and asserted his belief that the melanoma was related to or caused by his work as a firefighter for the City. The City filed its first report of injury with the Division on August 5, 2013. The next day, the City filed a notice of contest indicating it needed to further review the claim and claimant’s medical records.

¶3 On August 7, 2013, the Division notified claimant that a notice of contest had been filed. The Division’s form letter to claimant included the following language:

Because your claim for benefits has been denied, you may file for an expedited hearing and have an Administrative Law Judge decide if benefits should be awarded. You must file an Application for Expedited Hearing within forty-five (45) days from the date on the Notice of Contest form. If you request a hearing after this date, your hearing will be held between 80 and 100 days after a hearing date is set.

*****

If you have not filed a Workers’ Claim for Compensation, you may wish to do so.

¶4 One year after claimant’s diagnosis, Dr. Annyce Mayer, a physician with National Jewish Health Medical, concluded that claimant was at maximum medical improvement (MMI) “with a 10% whole person impairment.” She opined that there is “increasing epidemiologic evidence for increased risk of melanoma in firefighters, particularly in [claimant’s] age group.” Weighing claimant’s occupational and nonoccupational risk factors for developing melanoma, Dr. Mayer concluded that “his increased risk for melanoma due to non-occupational risk factors does not

establish the ‘cause’ for his developing malignant melanoma on a medically probable basis.”

¶5 In May 2017, Dr. Mayer followed up her initial opinion with a supplemental report. She concluded that claimant’s “melanoma meets the medical requirements of the Colorado Firefighter Presumption Statute, [section] 8-41-209, C.R.S. [2018,] . . . and that his underlying risk factors do not render it more probable that his melanoma arose from a source outside of the workplace, to a reasonable degree of medical probability.” She also opined that claimant’s melanoma remained in remission.

¶6 Claimant filed an application for hearing on October 6, 2017, seeking medical and temporary total disability benefits. The City eventually admitted compensability, but asserted a statute of limitations defense, arguing that the claim was barred because claimant filed his application more than four years after learning of his melanoma and reporting it to the City.

¶7 An administrative law judge (ALJ) concluded that the Division’s assignment of a claim number to the claim, along with the City’s filing of the first report of injury and a notice of contest,

demonstrated that the City was on notice of the claim before the running of the statute of limitations.

¶8 But the Panel rejected this conclusion and set aside the ALJ’s order. The Panel instead held that neither the first report of injury nor the notice of contest satisfied claimant’s statutory obligation to file a “notice claiming compensation.” Likewise, the Panel held, the Division’s assignment of a claim number to the case could not “substitute for the filing of a workers’ claim for compensation.” The Panel observed that none of these actions — the filing of the first report of injury, the filing of the notice of contest, or the assignment of a claim number — indicated whether “the claimant had missed any time from work, was alleging any permanent impairment, or was seeking medical treatment.” In short, the Panel held, the forms did not put the City or the Division on notice that claimant was claiming compensation for his occupational disease.

II. Statute of Limitations

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