Visalia School District v. Workers' Compensation Appeals Board

40 Cal. App. 4th 1211, 47 Cal. Rptr. 2d 696, 60 Cal. Comp. Cases 1158, 95 Daily Journal DAR 16241, 95 Cal. Daily Op. Serv. 9353, 1995 Cal. App. LEXIS 1189, 1995 WL 722900
CourtCalifornia Court of Appeal
DecidedDecember 7, 1995
DocketF023534
StatusPublished
Cited by1 cases

This text of 40 Cal. App. 4th 1211 (Visalia School District v. Workers' Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Visalia School District v. Workers' Compensation Appeals Board, 40 Cal. App. 4th 1211, 47 Cal. Rptr. 2d 696, 60 Cal. Comp. Cases 1158, 95 Daily Journal DAR 16241, 95 Cal. Daily Op. Serv. 9353, 1995 Cal. App. LEXIS 1189, 1995 WL 722900 (Cal. Ct. App. 1995).

Opinion

Opinion

ARDAIZ, P. J.

Introduction

The issue in this case is the meaning of the word “request” in Labor Code section 5405.5. 1 That section states: “Except as otherwise provided in Section 5410, the period within which an employee may request vocational rehabilitation benefits provided by Section 139.5 is one year from the date of the last finding of permanent disability by the appeals board, or one year from the date the appeals board approved a compromise and release of other issues.”

Respondent/applicant Lupe Hernandez telephoned the claims administrator of petitioner/employer Visalia School District and requested vocational rehabilitation benefits. Respondent made this telephone call on February 22, 1994, which was within one year of the March 1, 1993, last finding of permanent disability by the Workers’ Compensation Appeals Board (board). The board found that respondent’s telephonic request to petitioner’s administrator was a “request” for vocational rehabilitation benefits within the meaning of section 5405.5, and was therefore timely. Petitioner disagrees and contends that the phrase “the period within which an employee may request vocational rehabilitation benefits” means “the period within which an employee may initiate proceedings, pertaining to a dispute about eligibility for vocational rehabilitation benefits, before the board or before the rehabilitation unit of the Division of Workers’ Compensation of the Department of Industrial Relations.” Petitioner argues that the telephone call was not a “request” within the meaning of the statute, and that respondent therefore did not make a timely request for vocational rehabilitation benefits. As we shall explain, we agree with the board and will affirm the board’s order denying petitioner’s petition for reconsideration.

*1214 Facts and Procedural History

A detailed account of the factual and procedural scenario leading up to respondent’s February 22, 1994, telephonic request for vocational rehabilitation benefits is not, strictly speaking, essential to our ensuing discussion of the meaning of section 5405.5. The truly essential facts have been set forth above in the Introduction. Nevertheless, because the workers’ compensation bar might wish to see respondent’s February 22, 1994, telephone call placed into context, so to speak, we provide here a slightly more detailed account of this case’s factual and procedural history.

During the period September 11, 1983, through September 11, 1984, respondent was employed by petitioner as a janitor. Petitioner was permissibly self-insured for workers’ compensation liability.

On October 28, 1987, respondent’s attorney sent a letter to petitioner’s claims administrator. That letter stated in part that:

“We are at this time filing or have in the recent past filed an application regarding the above-captioned matter.
“Based upon information received from the applicant and/or a review of medical reports together with our understanding of the applicant’s job duties prior to the injury, it appears there may be a need for rehabilitation benefits herein.
“We would request at this time that you file all medical reports in your possession to clarify the rehabilitation issue.
“We also request that this case be referred to an appropriate rehabilitation vendor, so that necessary interviews and job analysis to determine Qualified Injured Worker status may be performed.
“Notice is hereby given that a reasonable attorney’s fee will be required upon order of the Board.
“In the event a feasibility study is not performed within 30 days from receipt of this letter, applicant will take the initiative and utilize an independent vendor or the State Department of Rehabilitation for this study.”

On October 30, 1987, respondent filed an application for adjudication of claim with the Santa Barbara office of the board. He alleged in that application that he had sustained a cumulative injury to his psyche arising out of *1215 and occurring in the course of his employment by petitioner as a janitor during the period September 11, 1983, through September 11, 1984.

Respondent stated in paragraph 9 of his application that: “This Application is filed because of a disagreement regarding liability for: . . . Rehabilitation.”

On November 25, 1987, petitioner filed an answer to respondent’s application and denied respondent’s allegation that he was in need of vocational rehabilitation. Petitioner specifically noted in its answer that the rehabilitation issue had been “Raised by Application.”

On May 1, 1989, following medical discovery by the parties, petitioner filed a declaration of readiness to proceed requesting a trial hearing. Petitioner listed rehabilitation as one of the issues that it wished to address at that hearing.

On June 13, 1989, the parties attended a trial hearing and stipulated that the correct dates of alleged injury were September 11, 1983, through September 11, 1984. Respondent’s claim then proceeded to trial on the issues of statute of limitations, whether the injury arose out of the employment and was sustained in the course of the employment (injury AOE/COE), temporary disability, permanent disability, apportionment, self-procured medical treatment, medical-legal costs, further medical treatment, and attorney fees. The issue of vocational rehabilitation was not raised as an issue.

On October 26, 1989, following the submission of written argument, workers’ compensation judge Bruce Lang issued his findings and award and orders. He found in favor of the respondent on the issues of statute of limitations, injury AOE/COE, temporary disability, further medical treatment, self-procured medical treatment, and medical-legal expenses. He deferred the issues of permanent disability and apportionment pending further development of the record.

On November 20, 1989, petitioner filed a petition for reconsideration challenging Judge Lang’s findings on the threshold issues of statute of limitations and injury AOE/COE.

On January 19, 1990, the board granted reconsideration to further study the issues. On April 19, 1990, the board denied the petition and affirmed Judge Lang’s October 26, 1989, findings and award and orders.

*1216 On August 15, 1991, respondent and petitioner filed stipulations with request for award. Those stipulations basically affirmed the findings that had been made by Judge Lang.

The parties also agreed in the stipulations that respondent had been temporarily totally disabled from September 11, 1984, through July 19, 1989, and from January 24, 1991, onwards pending receipt of a report from James Wells, M. D., whom the parties had selected as an agreed medical examiner in the field of psychiatry. The parties deferred the issues of permanent disability and further medical treatment pending receipt of Dr. Wells’s report. The stipulations did not address the issue of vocational rehabilitation.

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Related

Martinez v. Workers' Compensation Appeals Board
101 Cal. Rptr. 2d 406 (California Court of Appeal, 2000)

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40 Cal. App. 4th 1211, 47 Cal. Rptr. 2d 696, 60 Cal. Comp. Cases 1158, 95 Daily Journal DAR 16241, 95 Cal. Daily Op. Serv. 9353, 1995 Cal. App. LEXIS 1189, 1995 WL 722900, Counsel Stack Legal Research, https://law.counselstack.com/opinion/visalia-school-district-v-workers-compensation-appeals-board-calctapp-1995.