Wetch v. Midcontinent Media, Inc.

2026 S.D. 34
South Dakota Supreme Court·Decided May 27, 2026·No. 31059, 31060·Published

Opinion

#31059, #31060-vacate & dismiss-MES 2026 S.D. 34

IN THE SUPREME COURT

OF THE

STATE OF SOUTH DAKOTA

DAVID V. WETCH, Claimant and Appellant, v.

MIDCONTINENT MEDIA, INC. and CRUM & FORSTER COMMERCIAL INSURANCE, Employer/Insurer and Appellees.

APPEAL FROM THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT HUGHES COUNTY, SOUTH DAKOTA

THE HONORABLE MARGO NORTHRUP Judge

NATHAN R. OVIATT G. VERNE GOODSELL SAMUEL J. STROMMEN of Goodsell Oviatt, LLP Rapid City, South Dakota Attorneys for claimant and appellant.

THOMAS J. VON WALD of Boyce Law Firm, LLP Sioux Falls, South Dakota

BARTHOLOMEW L. MCLEAY SUZANNE M. SHEHAN-AMES of Kutak Rock LLP Omaha, Nebraska Attorneys for employer/insurer and appellees.

ARGUED

FEBRUARY 10, 2026

OPINION FILED 05/27/26

SALTER, Justice [¶1.] David Wetch sustained a compensable work-related injury in 1991 and received ongoing medical benefits as a result of a stipulated settlement that the Department of Labor (Department) had approved. Wetch fell down a set of stairs at his apartment in 2010, which resulted in an increased need for medical care. After learning of the fall years later, his original employer and its workers’ compensation carrier asked the Department to review Wetch’s medical payments, alleging Wetch had experienced a change in condition and that the 2010 fall—not the 1991 work- related injury—accounted for his need for treatment. The Department agreed and concluded that Wetch’s change in condition warranted termination or reduction in his workers’ compensation benefits, but it did not determine which one. The circuit court affirmed the Department, and Wetch has again appealed. [¶2.] Following oral argument, we ordered supplemental briefing on whether the Department’s order was final. We now conclude it was not and dismiss the appeal and vacate the circuit court’s order.

Factual and Procedural Background [¶3.] In July 1991, Wetch sustained a serious spinal cord injury while working for Midcontinent Media, Inc., which was enrolled for workers’ compensation insurance through Crum & Forster Commercial Insurance (collectively, the Insurer). After receiving medical treatment, including a spinal fusion operation, Wetch petitioned the Department for workers’ compensation benefits. He later entered into a stipulated agreement with the Insurer under which the parties agreed Wetch was permanently and totally disabled. The

Department approved the agreement in 1994, and despite setbacks, Wetch’s need for medical treatment abated considerably over the years that followed. In fact, between late 2006 through 2010, Wetch did not submit any claims for reimbursement of medical expenses to the Insurer. [¶4.] Then, in 2010, Wetch fell down a set of stairs at his apartment building and sustained head and neck injuries. He did not advise the Insurer of this fall. Wetch’s requests for medical benefits increased noticeably after the 2010 fall, and his related efforts to obtain them ultimately led him to file another petition with the Department in 2014. [¶5.] The Department ordered certain medical payments for Wetch’s care in a series of four partial summary judgment orders entered from 2015 to 2018. The lengthy procedural record reveals multiple efforts by Wetch seeking to enforce these orders, including contempt proceedings before a circuit court judge in 2016 and 2018, both of which were ultimately dismissed as moot after the Insurer agreed to pay medical benefits. [¶6.] The Insurer became aware of Wetch’s 2010 fall years later during the course of discovery in a bad faith civil action commenced by Wetch in federal court. But the Insurer did not, on its own volition, seek to avoid liability for the benefits paid after the 2010 fall by seeking a review under SDCL 62-7-33, which authorizes the Department to review workers’ compensation payments “made or to be made” and end, diminish, increase, or award payments “if the department finds that a change in the condition of the employee warrants such action.”

[¶7.] Instead, the federal district court ordered the Insurer to return to the Department and seek relief under SDCL 62-7-33 and SDCL 62-4-47, which allows workers’ compensation payors to avoid liability when an employee has acted fraudulently. The district court stayed the bad faith action “until defendants obtain a final decision on Mr. Wetch’s benefits from the [Department] and state courts have exercised their powers of appellate review.” Wetch v. Crum & Forster Com. Ins., 17-CV-5033, 2020 WL 898357, *28 (D.S.D. Feb. 25, 2020). In the district court’s view, the Insurer had “been avoiding returning to the [Department] and seeking to reopen Mr. Wetch’s earlier claims . . . either as fraudulent (for failing to disclose the 2010 fall) under § 62-4-47 or as neither reasonable nor necessary medical care (because of the intervening 2010 fall) under § 62-7-33.” Id. at *27. [¶8.] The Insurer complied by filing a March 2020 written request with the Department in the same file designated for Wetch’s 2014 petition. Its request stated that it “has reason to believe the April 2010 fall, and not [Claimant’s] 1991 work injury, caused a change of condition and was the cause of Claimant’s need for subsequent neurosurgical treatment, physical neuromuscular deterioration, and progressive neuromuscular decline on and after April 2010.” In what was essentially a prayer for relief, the Insurer concluded by “requesting the Department grant its request to review medical care/payments pursuant to SDCL 62-7-33 and for an investigation and hearing pursuant to SDCL 62-4-[4]7 and 62-4-48.” For reasons that are not clear in the record, the Department subsequently assigned the Insurer’s request a new 2020 file number.

[¶9.] The Department conducted a four-day evidentiary hearing on the Insurer’s written request and issued a decision and corresponding order in April 2024. The Department determined that Wetch did not commit fraud by failing to disclose the 2010 fall, but concluded a “change in condition . . . has occurred warranting this determination by the Department that payment(s) made for the benefit of Wetch should be ended or diminished pursuant to SDCL 62-7-33.” Critically, however, the Department’s order did not actually determine whether Wetch’s benefits should either be ended or diminished, and if the latter, by what amount. [¶10.] Nevertheless, the Insurer filed a motion for vacatur in Wetch’s 2014 Department file, invoking the Department’s favorable (but seemingly incomplete) determination that Wetch had experienced a change in condition. The Insurer sought to vacate the earlier partial summary judgment orders, which it described as interlocutory. If successful in vacating the partial summary judgment orders, the Insurer further asked the Department to “dismiss with prejudice [Wetch’s] petition for hearing filed on March 25, 2014.” [¶11.] Wetch appealed the Department’s April 2010 change-in-condition order to the circuit court, which entered an order staying the Insurer’s pending vacatur motion and later affirmed the Department under a modified analysis. In its memorandum decision, the court determined that the 2010 fall caused both an aggravation of Wetch’s prior injuries and also caused new and distinct injuries. The court’s order stated, “the Department properly found that there is a change in condition warranting a determination by the Department that payment(s) for the

benefit of Wetch should be ended or diminished pursuant to SDCL 62-7-33.” But, as with the Department’s order, the circuit court did not address whether Wetch’s benefits should be ended or diminished—it referenced both scenarios without selecting one. [¶12.] In this appeal, Wetch again seeks review of the Department’s change- in-condition decision, and at oral argument, we inquired about the finality of the Department’s order. We subsequently ordered supplemental briefing on the following discrete question that focused on the text of SDCL 62-7-33:

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