MOUNTAIN TRUCK PARTS, INC., and DODSON INSURANCE GROUP V. RONNIE GENE BRYANT; and THE WORKERS' COMPENSATION BOARD
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RENDERED: June 20, 1997; 10:00 a.m.
NOT TO BE PUBLISHED
NO. 96-CA-2596-WC
MOUNTAIN TRUCK PARTS, INC.,
and DODSON INSURANCE GROUP
V.
APPELLANTS
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-81-035223
RONNIE GENE BRYANT; and
and THE WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING IN PART and REVERSING IN PART
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BEFORE:
**
**
**
JOHNSON, KNOPF, and MILLER, Judges.
MILLER, JUDGE.
Mountain Truck Parts, Inc., and Dodson Insurance
Group (appellants) ask us to review an opinion of the Workers'
Compensation Board (board) rendered August 16, 1996.
Stat. (KRS) 342.290.
Ky. Rev.
We affirm in part and reverse in part.
As the result of a work-related injury, Ronnie Gene
Bryant, co-appellee, was found to be 38% disabled.
His employer,
Mountain Truck Parts, Inc., was held responsible for future
medical expenses related to his injury.
On November 1, 1995,
appellants filed a "Request to Resolve Medical Fee Dispute" and a
"Motion to Reopen and for Attorney Fees."
Apparently, appellants
received medical bills for Bryant's CT scan and related medicine.
Appellants disavowed responsibility for payment of these medical
bills as such were unconnected to Bryant's work-related injury
and as appellants were not obligated to pay bills generated by
one Dr. N. Roger Jurich.
Bryant failed to respond to the above
motion.
On January 2, 1996, the administrative law judge (ALJ)
granted appellants' motion and concluded that they were not
liable for payment of the contested medical bills.
The ALJ also
entered a show cause order as to why attorney fees and expenses
should not be imposed on Bryant pursuant to KRS 342.310.
On
February 20, 1996, appellants filed a motion setting forth the
amount of attorney fees and other costs that were incurred
relative to reopening the action.
On February 22, 1996, Bryant
filed a response to the motion for attorney fees arguing that he
should not be held responsible for appellants' attorney fees and
costs.
By order entered February 28, 1996, the ALJ denied
appellants' motion for attorney fees and concluded that it could
not find that Bryant individually caused the bills to be sent to
appellants.
An appeal ensued to the board, and, on August 16,
1996, the board affirmed the ALJ's decision not to assess attorney fees and costs against Bryant.
The board, however, did
assess the attorney fees and costs of the appeal against the
appellants.
This appeal followed.
-2-
Appellants contend that the ALJ erred by refusing to
impose attorney fees and costs pursuant to KRS 342.310.
That
statute states in relevant part as follows:
If any administrative law judge, the board or
any court before whom any proceedings are
brought under this chapter determines that
such proceedings have been brought, prosecuted, or defended without reasonable ground,
he or it may assess the whole cost of the
proceedings . . . .
In the case at hand, we cannot say that the ALJ abused
his discretion by not imposing attorney fees and costs against
Bryant.
As pointed out by the ALJ and the board, there is no
evidence that Bryant caused the medical bills to be submitted to
the appellants.
Moreover, it should be noted that Bryant did not
oppose the motion to reopen and never argued that appellants were
responsible for payment of the medical bills.
The board con-
cluded:
We would, furthermore, note that KRS 342.310
only authorizes the imposition of sanctions
against a party who has "brought, prosecuted,
or defended" proceedings brought under KRS
Chapter 342. Bryant filed no response to
Dodson's [co-appellant's] motion to reopen.
. . . It is difficult to ascertain the
grounds upon which Dodson relies in its request for the imposition of sanctions.
Bryant did not unreasonably defend proceedings brought under KRS 342.
We agree with the board and believe that the ALJ's
decision to impose no sanctions against Bryant should be affirmed.
-3-
Appellants also assert that the board erred in assessing attorney fees and costs against it pursuant to KRS 342.310.
The board specifically found:
Regrettably, at times, third-party payors are
going to inadvertently receive invoices for
medical expenditures not related to a work
injury and are, at times, compelled to file a
motion to reopen to relieve themselves of the
responsibility of paying that invoice. If
there had been evidence in the instant claim
that Bryant [co-appellee] had repeatedly
submitted invoices for medical expenses and
treatment not related to his injury, the
manner in which Dodson [co-appellant] proceeded in this action would not only be understandable but encouraged. However, there
is no such evidence. . . . Subsequently, an
uncontested motion to reopen relieved Dodson
of any responsibility for the invoice in
question. Regrettably, Dodson incurred costs
in accomplishing this. Its pursuant [sic] of
sanctions in this manner, however, is, in our
opinion, "without reasonable ground" and,
accordingly, under KRS 342.310, the whole
costs of the proceedings before this Board
are assessed against Dodson.
We believe the board erred in assessing attorney fees
and costs against appellants pursuant to KRS 342.310.
We believe
appellants had a "reasonable ground" for its appeal to the board.
As argued by appellants:
Failure to assess costs against Bryant
[co-appellee] leaves him in the position of
incurring no penalty for wrongfully sending
medical bills to Dodson [co-appellant] for
payment or for failing to withdraw such bills
once it is determined they are not Dodson's
responsibility. Without assessment of costs,
there is nothing to prevent this situation
from arising time and again, causing Dodson
to incur the expenses of effecting a motion
to re-open each time [emphasis added].
-4-
Even though ultimately attorney fees were not assessed
against Bryant, we do not believe appellants' argument for the
imposition for such fees is "without reasonable ground."
Thus,
we are of the opinion that the board abused its discretion in
assessing attorneys fees and costs against appellants.
For the foregoing reasons, the opinion of the board is
affirmed in part and reversed in part.
KNOPF, JUDGE, CONCURS.
JOHNSON, JUDGE, CONCURS IN PART AND DISSENTS IN PART BY
SEPARATE OPINION.
JOHNSON, JUDGE, CONCURRING IN PART AND DISSENTING IN PART:
I
concur with the Majority Opinion affirming the board's decision
to impose no sanctions against Bryant.
However, I dissent from
the Majority's reversal of the board's sanctions against appellants.
The ALJ's decision not to sanction Bryant cannot be
seriously argued as an abuse of discretion.
Accordingly, the
appellants' repeated appeals of that decision are frivolous.
-5-
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE/BRYANT:
Joseph L. Rosenbaum
Rosenbaum & Rosenbaum
Lexington, KY
John Harlan Callis III
Boehl, Stopher & Graves
Prestonsburg, KY
-6-
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