Zurich Insurance Co. v. Robinson

192 S.E.2d 533, 127 Ga. App. 113, 1972 Ga. App. LEXIS 807
CourtCourt of Appeals of Georgia
DecidedSeptember 6, 1972
Docket47264, 47265
StatusPublished
Cited by13 cases

This text of 192 S.E.2d 533 (Zurich Insurance Co. v. Robinson) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zurich Insurance Co. v. Robinson, 192 S.E.2d 533, 127 Ga. App. 113, 1972 Ga. App. LEXIS 807 (Ga. Ct. App. 1972).

Opinion

Clark, Judge.

This workmen’s compensation case was here previously in Zurich Ins. Co. v. Robinson, 123 Ga. App. 582 (181 SE2d 923). Its origination is upon the employee’s application based on change of condition under Code Ann. § 114-709. At that time compensation was being paid claimant (as he will hereafter be referred to as this is the term used by his attorney) on a 15% loss of use of the leg resulting from a knee injury. After hearing evidence the board ruled as stated in our opinion on the previous appeal at page 582 that "no change in condition has been shown which would entitle claimant to additional compensation. That claimant is not totally disabled and without some medical to substantiate a higher disability rating, it is impossible to determine whether the disability was increased or decreased.”

In that first appeal the superior court determined the board was in error in its conclusion of law that it could not decide the case without some expert medical testimony and remanded the case to the board. The Court of Appeals affirmed that ruling of the superior court, holding at page 583 that "The board being the finder of the facts must determine the issue made on the evidence before it and may not decline to rule due to the absence of expert testimony. The superior court correctly sustained the appeal and remanded the case to the board for further proceedings.”

After return of the case to the board the employer and its insurer requested permission to secure the testimony of a medical expert should the board desire it. Claimant objected, taking the position that the record had been closed and that the board must make its decision based upon the record as it initially existed as of the time of the first appeal. The board nevertheless set a hearing before a deputy director for the purpose of taking "additional medical evidence *115 on behalf of the full board” and, in addition, responded to claimant’s objection, stating, "While we agree that it is not mandatory that the board have before it medical testimony as to the extent of disability, in this case which is based upon a change in condition upon the claimant’s motion, testimony in the record at this time is insufficient for the board to arrive at a determination of the extent of the change in condition claimed by the claimant.”

The hearing was held. Claimant testified again. Over claimant’s objections the record was held open for the purpose of allowing a medical examination of claimant and deposition testimony of the doctors to be submitted. The employer and its insurer submitted the deposition of Dr. Warner Wood. Claimant, preserving his objections, submitted the deposition of Dr. Calvin Sandison.

The board thereafter entered its findings and award to the effect that there was no change in claimant’s condition. Claimant again appealed to the superior court. The superior court entered an order to remand with directions. Both parties have taken appeals from this order with enumerations of error by each which we will consider hereafter.

1. The central issue made by the main appeal, the cross appeal and the briefs can be stated as follows: Where the Court of Appeals in affirming the superior court has stated that the Board of Workmen’s Compensation may not decline to rule due to the absence of medical testimony in a change of condition case, is the board in undertaking to make a ruling pursuant to such remand limited to a decision on the record as it first stood prior to remand or may the board open the record for the purpose of receiving additional evidence it believes pertinent to the decision to be made as to the claim of change of condition?

We start with the clarification that this court on the prior appeal did not rule such action would be improper on remand. In the first appeal the board had said it could not determine the case without expert medical testimony. We held, as the superior court had also then ruled, that the board must make a determination; it cannot decline to *116 decide merely because there is an absence of expert testimony.

There having been a reversal and remand for further proceedings the case once again became one pending for disposition before the full board. As such the board was authorized to proceed in accordance with Code Ann. § 114-708, which provides: "All of the members may remand to a single director any case before them for review for the purpose of taking additional evidence; said evidence shall be delivered to all of the members and it shall be taken into account before rendering any decision or award in such case.” Whether it will do so is a matter discretionary with the board. Cameron v. American Can Co., 120 Ga. App. 236 (1) (170 SE2d 267). It is true that once a finding of fact and an award of the full board has been entered, the record can not be reopened for the taking of additional evidence except upon change of condition, fraud, or newly discovered evidence. Howard v. Murdock, 83 Ga. App. 536, 538 (64 SE2d 221); Ideal Mut. Ins. Co. v. Ray, 94 Ga. App. 785, 788 (96 SE2d 377). In the present case there was no "award” in existence when the additional testimony was sought; the finding of no change of condition had been erased because of the erroneous theory applied in making its decision that medical testimony has to be presented. We therefore conclude that it became discretionary with the board to seek medical evidence. Cf. Hartford Acc. &c. Co. v. Cox, 191 Ga. 143 (11 SE2d 661); St. Paul Fire &c. Ins. Co. v. Horton, 103 Ga. App. 171 (118 SE2d 597); American Mut. &c. Ins. Co. v. Gore, 95 Ga. App. 885 (99 SE2d 238); Chambers v. Powell, 126 Ga. App. 393 (190 SE2d 823); Hartford Acc. &c. Co. v. Snyder, 126 Ga. App. 31 (189 SE2d 919).

2. In connection with claimant’s enumeration of errors on the cross appeal he argues that the "first record” required a finding and award of 100% disability based on the claimant’s testimony concomitant with the presumption codified as Code § 38-119 arising from the failure of an adversary to produce rebuttal evidence. He contends the superior court erred in not going far enough in the remand order. We *117 understand the contention to be that the superior court should have remanded to the board with direction that a 100% disability award be entered.

First, as pointed out in Division 1, the reversal and remand by the superior court was erroneous. In any event a superior court is without authority to give direction as to what the board should find as fact or conclude from the evidence before it. "Upon review of an award, the superior court only has the authority to affirm, reverse or in some cases remand to the board. American Cas. Co. v. Harris, 96 Ga. App. 720, 723 (101 SE2d 618).” Fulton Cotton Mills v. Lashley, 123 Ga. App. 528, 531 (182 SE2d 180).

3. The right to compensation for specific body member disability under Code Ann. § 114-406 is based not upon permanent industrial handicap but solely upon the loss of function of the member itself. Reliance Ins. Co. v. Oliver, 114 Ga. App.

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Bluebook (online)
192 S.E.2d 533, 127 Ga. App. 113, 1972 Ga. App. LEXIS 807, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zurich-insurance-co-v-robinson-gactapp-1972.