TERRY ORRIS, Petitioner-Appellant, vs. KINZE MANUFACTURING, INC., and FEDERATED INSURANCE, Respondents-Appellees.
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IN THE COURT OF APPEALS OF IOWA
No. 7-371 / 06-1800
Filed October 24, 2007
TERRY ORRIS,
Petitioner-Appellant,
vs.
KINZE MANUFACTURING, INC., and
FEDERATED INSURANCE,
Respondents-Appellees.
________________________________________________________________
Appeal from the Iowa District Court for Linn County, Robert E. Sosalla,
Judge.
Terry Orris appeals from the denial of his petition for judicial review.
AFFIRMED IN PART, REVERSED IN PART, AND REMANDED.
Matthew Dake and Thomas Wertz of the Wertz Law Firm, P.C., Cedar
Rapids, for appellant.
Brian Yung of the Klass Law Firm, L.L.P., Sioux City, for appellees.
Considered by Sackett, C.J., and Huitink and Vogel, JJ.
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VOGEL, J.
Workers’ compensation claimant Terry Orris appeals from the denial of his
petition for judicial review. The commissioner determined Orris was not an oddlot employee, and the district court affirmed this ruling. We affirm that decision,
but reverse in part on the issue of penalty benefits and remand.
Background Facts and Proceedings.
On May 16, 2001, while working at Kinze Manufacturing, Inc., Orris was
seriously injured when a nearly 300-pound wheel rim came off a lift and struck
him in the face and legs. After transport to the University of Iowa Hospitals and
Clinics, he was diagnosed with, among other things, bilateral nose bone fractures
and a nasal septum fracture. He was hospitalized and surgery was performed
two days later. Soon after the incident, Orris began experiencing debilitating
headaches that reportedly occurred approximately once per week.
On December 14, 2001, Orris was returned to work with light duty
restrictions of four hours per day and a twenty-pound lifting restriction. However,
due to his headache complaints, he was taken off work in March of 2002, but
returned in November of 2002 with his only restriction being no work in loud
noise areas.
Following a June 2003 meeting between Orris and his Kinze
employers during which they discussed possible accommodations that would
allow his continued employment, the parties mutually agreed to terminate his
employment.
Following this termination, Orris was unemployed for six months. He then
began working as an independent contractor, installing cable for Logan
Communications, a firm owned by friends of Orris. This work requires travel
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throughout the United States, but allows Orris flexibility to turn down or extend
jobs depending on his headache pain. If Logan’s business continues to grow as
anticipated, Orris anticipates he can earn in the range of $40,000 per year in this
position within the next couple of years.
On November 6, 2003, Orris filed a workers’ compensation petition
against Kinze and its insurance carrier. Following a hearing, the deputy workers’
compensation commissioner issued an arbitration decision in which he
concluded Orris sustained a twenty-five percent permanent partial industrial
disability due to his need to avoid noise exposure. He denied Orris’s request for
an award of penalty benefits.
Orris appealed to the workers’ compensation
commissioner, who affirmed the deputy’s decision on all issues except adding
recovery on a claim for medical benefits. The district court affirmed the agency
action and Orris appeals.
Standard of Review.
Our review is governed by the Iowa Administrative Procedure Act. Iowa
Code ch. 17A (2005); Acquity Ins. v. Foreman, 684 N.W.2d 212, 216 (Iowa
2004).
We review the district court’s decision by applying the standards of
section 17A.19 to the agency action to determine if our conclusions are the same
as those reached by the district court. University of Iowa Hosps. & Clinics v.
Waters, 674 N.W.2d 92, 95 (Iowa 2004). It is the commissioner’s duty as the
trier of fact to . . . weigh the evidence, and decide the facts in issue.” Arndt v.
City of Le Claire, 728 N.W.2d 389, 394-95 (Iowa 2007). We may not “improperly
weigh[ ] the evidence to overrule the commissioner’s findings.” Id. We shall
reverse if the ruling in question prejudices the substantial rights of a party and is
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based “on an erroneous interpretation of a provision of law whose interpretation
has not clearly been vested by a provision of law in the discretion of the agency.”
Iowa Code § 17A.19(10)(c).
Odd-Lot Doctrine.
Orris generally contends the “court erred in finding [he] did not establish a
prima facie odd-lot case” and that a determination of total disability is warranted
on the record. While largely adopting the decision of the deputy which rejected
these claims, the commissioner did add the following on this issue:
I do not find any evidence that purports to be a prima facie showing
of total disability to be credible. The fact that claimant continued to
be employed in the competitive labor market on the date of the
hearing is strong evidence that he is not totally disabled and would
effectively rebut any purported showing of total disability that might
arguably trigger the odd-lot doctrine.
An employee is considered an odd-lot employee if an injury makes the
worker incapable of obtaining employment in any well-known branch of the labor
market. Michael Eberhart Constr. v. Curtin, 674 N.W.2d 123, 125 (Iowa 2004).
An employee is considered totally disabled under the odd-lot doctrine if the only
jobs the employee could perform are “so limited in quality, dependability, or
quality that a reasonably stable market for them does not exist . . . .” Guyton v.
Irving Jensen Co., 373 N.W.2d 101, 105 (Iowa 1985) (citation omitted). A person
who has no reasonable prospect of steady employment is considered to have no
earning capacity. Id.
In order to come within the odd-lot doctrine, an employee must meet the
burden of production of evidence to make a prima facie case of total disability by
producing substantial evidence that the employee is not employable in the
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competitive labor market. Second Injury Fund v. Nelson, 544 N.W.2d 258, 267
(Iowa 1995). An employee can meet this burden by demonstrating a reasonable,
but unsuccessful, effort to secure employment. Guyton, 373 N.W.2d at 105.
Alternatively, an employee can introduce substantial evidence of no reasonable
prospects of steady employment. Nelson, 544 N.W .2d at 267. Important factors
in determining whether an employee comes within the odd-lot doctrine are the
employee’s physical impairment, intelligence, education, training, ability to be
retrained, and age. Id. at 268.
“Under the odd-lot doctrine, once the claimant establishes a prima facie
case of entitlement, the burden of going forward with evidence that jobs are
available, shifts to the employer.” Michael Eberhart Constr., 674 N.W.2d at 127.
If the employer fails to produce evidence jobs are available for the employee, the
worker is entitled to a finding of total disability. Guyton, 373 N.W.2d at 106.
We first conclude the agency did not commit error in applying a wrong
legal analysis regarding the odd-lot doctrine. See Iowa Code § 17A.19(10)(c).
As noted, the first step in this analysis is to determine whether Orris made a
prima facie case of total disability “by producing substantial evidence that [he] is
not employable in the competitive labor market.” Guyton, 373 N.W.2d at 106.
Only if that prima facie case is made, does the burden shift to the employer.
Here, the commissioner started his analysis by determining Orris had not made
that required prima facie showing because, “claimant continued to be employed
in the competitive labor market.” By this finding, its odd-lot analysis necessarily
was at an end and it need not have gone any further.
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We further conclude substantial evidence supports the commissioner’s
determination that Orris is not an odd-lot employee.
See Iowa Code §
17A.19(10)(f). Here, Orris is employed in a position in which he expects to earn
approximately $40,000 per year within a short period of time. His own testimony
reflected his present ability to earn a living. See Thilges v. Snap-On Tools Corp.,
528 N.W.2d 614, 617 (Iowa 1995).
This position requires him to travel to
different locations throughout the United States and uses power tools in order to
install cable in hotels.
This is not a situation whereby Orris could only be
employed by friends sympathetic to his frequent headaches.
Rather the
evidence supports that Orris has various job skills and is not “incapable of
obtaining employment in any well-known branch of the labor market.”
See
Michael Eberhart Constr., 674 N.W.2d at 125.
In addition, there was substantial evidence that Orris was not totally
disabled, and that he was capable of more demanding work. For example, Dr.
Charles Buck opined that Orris “is able to perform normal manufacturing
activities,” but that his “recovery may be aggravated by his attitude toward his
injury [because] [h]e is angry about the injury, income loss, disability and his
belief that the injury should have been prevented.” Also, as we have noted, a
claimant’s intelligence, education, training, and ability to be retrained are factors
to consider. Nelson, 544 N.W.2d at 267. The deputy considered Orris’s varied
work history and resume reflecting his ability to work in any number of positions
that would fit within his work restrictions.
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Finally, the deputy commissioner, whose decision the commissioner
largely adopted, found Orris’s credibility to be lacking.
Stressing that Orris’s
complaints were almost totally of a subjective nature, the deputy stated
The credibility of the claimant is perhaps even more important in a
determination of industrial disability herein than in the average
case. And the claimant’s credibility is suspect. His demeanor at
hearing was below average. His facial expressions were at times
inappropriate. His answers at times provided less than the whole
truth and had to be expanded via multiple questions on crossexamination for a complete picture to appear.
We give deference to credibility determinations made by the agency. Clark v.
Iowa Dep’t of Revenue & Fin., 644 N.W.2d 310, 315 (Iowa 2002). We also
concur in the assessment that credibility is a key factor in determining the level of
industrial disability in this case in which subjective complaints are the primary
method of proving that disability. We affirm the commissioner’s determination
that Orris is not totally disabled, and thus, that the odd-lot doctrine is not
triggered.
Penalty Benefits.
Orris maintains he submitted three separate and distinct grounds with
respect to the assessment of penalties: Kinze’s failure to (1) provide proper
notice; (2) timely pay benefits; and (3) pay an amount that reasonably reflects his
loss of earning capacity. He faults the commissioner and district court for only
ruling on the later ground.
We conclude the agency correctly denied Orris
penalty benefits on grounds (1) and (3), but that it erred in failing to explain why
penalty benefits should not be awarded based on the late payments of several
weekly benefits.
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First, no penalty was appropriate based upon the amount of industrial
disability voluntarily paid. Although the agency eventually found Orris to have a
twenty-five percent industrial disability, Kinze had voluntarily paid temporary total
and later permanent partial disability payments calculated on a fifteen percent
body as a whole disability. Those payments were reasonable given the twelve
percent whole body impairment rating given by Dr. Buck.
Furthermore, the
subjective nature of Orris’s headache complaints lent themselves to uncertainty
as to the appropriate level of industrial disability. See Gibson v. ITT Hartford Ins.
Co., 621 N.W.2d 388, 396 (Iowa 2001) (stating a reasonable basis for denying
insurance benefits exists if the claim is “fairly debatable”).
Second, Orris was not entitled to penalty benefits based on any
inadequacy of the notices provided. Auxier v. Woodward State Hospital-School,
266 N.W.2d 139, 142 (Iowa 1978), clarified that workers’ compensation claimants
are entitled to notice which, among other things, states the contemplated time of
the termination of benefits, which shall occur not less than thirty days following
the notice, and that the claimant has the right to contest this proposed action.
Kinze asserts that the November 2, 2002 notice, of which Orris complains, did
not terminate benefits, and the December 16, 2003 notice, of which he also
complains, advised Orris he would be receiving an additional period of benefits
from that previously offered.
As such, Kinze argues they were not “Auxier
notices.” Regardless of how they were formally designated, these notices did
provide Orris with knowledge his benefits would terminate with greater than thirty
days of advance notice.
Moreover, Orris had already filed his workers’
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compensation petition with the commissioner prior to the time of the December
2003 notice. Accordingly, no penalty was warranted on this ground.
However, we do conclude some measure of penalty benefit should have
been addressed based on the possible untimeliness of several payments. An
employee “is entitled to penalty benefits if there has been a delay in payment
unless the employer provides a reasonable cause or excuse.” Mycogen Seeds
v. Sands, 686 N.W.2d 457, 469 (Iowa 2004). In the absence of a reasonable
excuse for a delay, penalty benefits are mandatory. Christensen v. Snap-On
Tools Corp., 554 N.W.2d 254, 261 (Iowa 1996). Weekly compensation payments
are due at the end of the compensation week, Robbennolt v. Snap-On Tools
Corp., 555 N.W.2d 229, 235 (Iowa 1996), and are “made” when mailed or
personally delivered to the claimant.
Meyers v. Holiday Express Corp., 557
N.W.2d 502, 504 (Iowa 1996). If a weekly benefit payment is not made on or
before its due date, a penalty will be imposed pursuant to Iowa Code section
86.13 unless the employer provides a reasonable excuse for failing to do so and
“conveys that reason to the employee contemporaneously with the beginning of
the delay.” Id.
Here, Kinze’s record of payments indicates seven payments were not
made in a timely fashion. Because Kinze has not offered an excuse and can
only state on appeal that the payments were made “at or near the time benefits
were to be paid,” we conclude the issue must be remanded to the agency to
determine and specifically address whether some measure of penalty benefits is
mandated. See Christensen, 554 N.W.2d at 261. We therefore reverse on this
limited issue, and remand to the agency for proper findings as to the due date of
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each payment, the date each payment was made, and a determination of the
amount of the penalty, if any, consistent with such findings.
Sufficiency of Agency’s Explanation.
Finally, Orris asserts that the commissioner’s determination that he
suffered a twenty-five percent disability is not sufficiently explained so as to allow
for adequate judicial review. “While it is true that the commissioner’s decision
must be sufficiently detailed to show the path he has taken through conflicting
evidence, the law does not require the commissioner to discuss each and every
fact in the record and explain why or why not he has rejected it.” Terwilliger v.
Snap-On Tools, 529 N.W.2d 267, 274 (Iowa 1995) (internal quotations and
citation omitted). We conclude the agency decision contains at least minimally
sufficient detail and adequately provides the basis for its outcome.
Costs of this matter are assessed two-thirds to Orris and one-third to
Kinze.
AFFIRMED IN PART, REVERSED IN PART, AND REMANDED.
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