ROBERT L . WHITTAKER, DIRECTOR OF WORKERS' COMPENSATION FUNDS, SUCCESSOR TO SPECIAL FUND V CARL S . GLASS ; TOWN & COUNTRY FORD ; HON . DONNA H . TERRY, ADMINISTRATIVE LAW JUDGE ; AND WORKERS' COMPENSATION BOARD
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MODIFIED : November 26, 2003
RENDERED : October 23, 2003
NOT TO BE PUBLISHED
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Courf of ~
2003-SC-0002-WC
ROBERT L . WHITTAKER, DIRECTOR OF
WORKERS' COMPENSATION FUNDS,
SUCCESSOR TO SPECIAL FUND
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APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-1166-W C
WORKERS' COMPENSATION BOARD NO. 87-25781
CARL S . GLASS ; TOWN & COUNTRY
FORD ; HON . DONNA H . TERRY,
ADMINISTRATIVE LAW JUDGE ; AND
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
REVERSING
KRS 342 .125(8) limits the period for reopening a pre-December 12, 1996, award
to within four years of December 12, 1996. Although the Department of Workers'
Claims filed the claimant's motion to reopen his 1992 award on December 13, 2000, the
Court of Appeals and a majority of the Workers' Compensation Board (Board) have
affirmed a decision that the motion was timely under the circumstances . They have
also affirmed a decision that the claimant's motion to join the Special Fund in 2001 was
timely despite evidence of pre-existing arthritic changes in his back as early as 1988.
Appealing, the Workers' Compensation Funds (WCF) maintains that both the motion to
reopen and joinder of the Special Fund were untimely . We reverse with respect to the
first issue ; therefore, the second issue is moot.
The claimant was born in 1951 and completed high school with vocational
training in auto body repair. On June 18, 1987, he fell backward off a frame rack while
working and experienced low back pain. Although in pain, he continued working until
July 31, 1987. He has not worked since then .
Conservative treatment by Dr. Sexton was unsuccessful, and the claimant's
symptoms increased overtime . A 1988 myelogram revealed a large disc herniation at
L4-5 with a free fragment on the left side of L4-5, after which Dr. Guarnaschelli
performed surgery in 1988 and 1989 . Although the second procedure alleviated some
of the claimant's leg pain, it did not resolve all of his symptoms, nor did work hardening,
physical therapy, or epidural nerve blocks . A 1989 myelogram showed bilateral nerve
root compression and impingement and suggested a recurrent herniation. Thus, in
1990, Dr. Guarnaschelli, a neurosurgeon, and Dr. Ramsey, an orthopedic surgeon,
performed a decompressive hemilaminotomy and posterior lateral fusion at L4-5 .
At some point, the claimant sought workers' compensation benefits from his
employer. At the time, he expected to recover from his injury and to resume either his
previous work or lighter work. In an agreement that was approved on March 17, 1992,
he settled with the employer for a lump sum that represented a 70.5% occupational
disability . The claimant's condition worsened thereafter. In 1994, he was granted leave
to reopen the claim, but he later dismissed the reopening voluntarily. A second motion
to reopen was overruled in January, 1996, because the MRI report that accompanied it
was inadequate prima facie evidence of an increase in occupational disability .
With respect to the present motion, the claimant's wife testified to learning from a
friend that in order to reopen her husband's claim, a letter must be sent by December
10 or 11, 2000. Therefore, on Sunday, December 10, 2000, she faxed a letter to the
Commissioner of the Department of Workers' Claims in which she requested leave to
reopen the claim . She testified that she called the Commissioner's office on Monday,
December 11, at which time she was told that original documents were required and
that she would be receiving a letter to that effect. She stated that she received a letter
from the Commissioner's office, probably on December 12, confirming receipt of the fax
and instructing her to send the original copies. At that point, she sent the originals .
The record contains a letter from Mrs. Glass that was filed by the Department on
December 13, 2000 . Attached to the letter is a note to the Commissioner from Mrs.
Glass which indicates that she sent a fax on December 10, 2000. The letter, itself,
indicates that the claimant was dissatisfied with his legal counsel after the second
unsuccessful attempt to reopen, that he had terminated the attorney-client relationship,
and that he would obtain new counsel if reopening were permitted . Among the items
that accompanied the letter was an April, 1996, medical report from Dr. Petruska, Dr.
Guarnaschelli's partner.
The Department treated the December 13, 2000, filing as a motion to reopen,
and on January 22, 2001, an Administrative Law Judge (ALJ) passed the motion for a
period of 30 days, pending receipt of a current medical release and notification that the
motion had been served on the employer and its carrier. Mrs. Glass later testified that
she served the employer on February 14, 2001, and the carrier on February 16, 2001,
and her receipts for certified mail were made part of the record . On February 28, 2001,
an ALJ determined that the claimant had made the necessary prima facie showing,
granted the motion, and assigned the matter for further proceedings .
On March 30, 2001, having obtained new counsel, the claimant moved to join the
Special Fund . Although the motion does not indicate that it was served on the Special
Fund, it was granted on April 24, 2001 . The order gave the Special Fund 45 days in
which to take proof and indicated that the benefit review conference would be
conducted, as scheduled, on July 10, 2001 . A copy of the order was forwarded to the
Special Fund . Eventually, the claimant settled with his employer for a lump sum
payment of $10,000 .00, and only the liability of the Special Fund remained to be
decided . The evidence in that regard included a June 27, 1988, report from Dr.
Banerjee ; a November 28, 1989, note by Dr. Ramsey; and two reports from Dr.
Goldman, who examined the claimant in 2001 . Among the issues to be decided were
whether the motion to reopen was timely filed and whether joinder of the Special Fund
as a party was barred by the statute of limitations.
The ALJ determined that under the "limited and unusual circumstances," the
claimant had timely filed a pro se motion to reopen before December 12, 2000, the
applicable date of repose. Furthermore, determining that joinder was timely despite
evidence from 1988 that referred to arthritic changes in the spine, the ALJ relied upon
Dr. Goldman and concluded that the changes to which Dr. Banerjee referred were not
at L4-5 . Thus, the ALJ determined that "no evidence of record existed which would
have led a prudent party to believe that the Special Fund might have some liability in
this claim at the time of the original settlement or at the time of the 1992 reopening ."
After reviewing the lay and medical evidence, the ALJ determined that the claimant's
L4-5 injury had worsened substantially since the settlement, that it caused him to
become permanently and totally disabled, and that the Special Fund was liable for half
of the award. Thus, the Special Fund was ordered to pay the claimant $160.00 per
week for 50% of a total disability award, beginning on the date that the latest settlement
with the employer was approved .
Although a majority of the Board affirmed, a dissenting opinion expressed the
view that both the motion and joinder of the Special Fund were untimely . The Court of
Appeals affirmed the Board . This appeal by the WCF maintains, however, that neither
the motion nor joinder of the Special Fund was timely.
The initial claim was decided before December 12, 1996, and the second motion
to reopen was dismissed in January, 1996. Thus, it is undisputed that KRS 342.125(8)
required the present motion to reopen to be filed on or before December 12, 2000 . At
that time, 803 KAR 25 :010E, Section 1(5) defined the date of filing a document as "the
date a pleading, motion, or other document is received by the Commissioner at the
Department of Workers' Claims in Frankfort, Kentucky. . . ." The regulation does not
specify that a document that is transmitted to the Commissioner in electronic form is
considered to be received when the electronic transmission is received .
The claimant maintained not only that the Department received her fax but that
its receipt of the fax was sufficient for the purpose of filing a claim . In the alternative,
the claimant maintained the Department should have applied 803 KAR 25:010E, § 3 (2)
and treated the transmission that it received as an incomplete motion to reopen . 803
KAR 25 :010E, § 3(2) authorizes a 20-day period during which an injured worker may
correct a timely-filed but incomplete application for the resolution of a claim. If the
defect is cured within 20 days following the date that the incomplete application is
returned to the worker, the regulation provides that the filing will relate back to the date
when the Department first received it. Therefore, if a motion to reopen were viewed as
being the equivalent of an application for the resolution of a claim, and the receipt of the
claimant's fax were viewed as being a timely but "incomplete" filing of such an
application, then the document received on December 13, 2000, could be viewed as
relating back to the date the fax was received . We note, however, that the letter that
was received on December 13, 2000, also was an incomplete motion to reopen
because it was not accompanied by a current medical release [803 KAR 25 :010E, §
4(6)(a)] and was not served on the employer [803 KAR 25 :010E, §3(3)] . Those defects
were not cured until February, 2001, after the AU who first considered the motion
passed it for 30 days .
We begin our analysis by observing that a notation by the recipient, rather than
the testimony of an interested party, is the customary manner for establishing when a
document is received for the purpose of filing . The record in this case does not contain
a print-out from the Commissioner's fax machine or any other confirmation that the
Department actually received the alleged fax. Furthermore, it does not contain a copy
of the letter that the Commissioner allegedly sent to the claimant confirming receipt of
the fax and instructing him about the filing requirements . The sole evidence that an
electronic transmission of the letter in question was received by the Department on or
before December 12, 2000, was Mrs . Glass's testimony and her note that was attached
to the December 13, 2000, filing .
Assuming that the Department did receive a faxed transmission of Mrs. Glass's
letter on or before December 12, 2000, the Department interpreted 803 KAR 25 :010E,
§ 1(5) as requiring receipt of an actual document, rather than an electronic transmission
of the document, for the purpose of establishing the date of filing . If receipt of an
electronic transmission did not constitute receipt of the document being transmitted for
the purpose of filing it, it follows that because an electronically transmitted motion to
reopen is not filed, it could not be viewed as being timely filed but incomplete .
Therefore, even if 803 KAR 25 :010E, § 3(2) were applicable to a motion to reopen, it
would not save the motion.
The regulations set forth different procedures with respect to the processing of
an application for the resolution of a claim and the processing of a motion . For
example, the Department returns an incomplete application to the applicant, files only a
complete application, and serves named parties with an application that has been filed.
In contrast, a motion is filed without regard to whether it is complete, and the movant
certifies that service was made on all other parties. As evidenced in this case, an AU
has some discretion with respect to an incomplete motion . 803 KAR 25 :010E, § 3(2) is
specific. It refers only to the procedures for filing an "application for resolution of claim ."
We are persuaded, therefore, that it does not apply to motions .
Before December 12, 1996, a claim could be reopened at any time during the
period of the worker's award . As amended effective December 12, 1996, KRS
342.125(8) operates as a statute of limitation with respect to the period for reopening
claims that were decided before December 12, 1996. KRS 342.125(1) specifies that
the filing of a motion to reopen with the Department is the procedural device for
invoking the Department's jurisdiction over a final award .
Consistent with KRS 342 .125(1), the Department treated neither the alleged fax
nor the December 13, 2000, letter as an incomplete application for the resolution of a
claim and did not apply 803 KAR 25:010E, § 3(2). Instead, the Department filed the
document requesting reopening, as received, treating it as a motion and placing it on
the motion docket. An ALJ subsequently passed the motion for 30 days in order to give
the claimant an opportunity to submit a current medical release and certify service on
the employer and its carrier .
KRS 342 .260 vests the Commissioner of the Department of Workers' Claims
with the authority to promulgate administrative regulations for implementing Chapter
342. Therefore, after the 1996 amendments became effective, the Commissioner
promulgated regulations to govern the orderly and uniform processing of claims under
the amendments. An administrative agency's interpretation of a regulation that it has
adopted is given great weight in determining the regulation's meaning unless it is clearly
erroneous or inconsistent with the regulation. Blanton v. Lowe, Ky., 415 S.W.2d 376,
378 (1967), citing 2 Am .Jur.2d 136 Administrative Law, § 307.
Having considered the arguments of the parties, we are persuaded that the
manner in which the Department interpreted its regulations was neither clearly
erroneous nor inconsistent with the regulations . It is for the Department to decide
whether the electronic filing of documents is to be permitted and, if so, how to
implement such a procedure. If the Department concludes that it is appropriate for the
receipt of an electronic transmission to constitute a filing, then that option should be
included in the regulation and made available to all injured workers . Likewise, if the
Department concludes that the imposition of a statute of limitations on motions to
reopen warrants the implementation of a "relation back" provision, then a procedure to
that effect should be set forth in the regulations .
It is regrettable that the claimant waited for nearly five years after his second
unsuccessful attempt to reopen before acting on his dissatisfaction with counsel . The
fact remains, however, that he did not file a timely motion to reopen . Under those
circumstances, questions concerning the timeliness of Special Fund joinder were moot.
The decision of the Court of Appeals is reversed .
All concur.
COUNSEL FOR APPELLANT :
David W . Barr
Workers' Compensation Funds
1047 U .S . Hwy. 127 South, Suite 4
Frankfort, KY 40601
COUNSEL FOR APPELLEE :
Robert L. Catlett, Jr.
1900 Waterfront Plaza
325 West Main Street
Louisville, KY 40202
RENDERED: October 23, 2003
NOT TO BE PUBLISHED
,Suprmt Courf of ~mfurkg
2003-SC-0002-WC
ROBERT L. WHITTAKER, DIRECTOR OF
WORKERS' COMPENSATION FUNDS,
SUCCESSOR TO SPECIAL FUND
V
APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-1166-WC
WORKERS' COMPENSATION BOARD NO. 87-25781
CARL S . GLASS; TOWN & COUNTRY
FORD; HON . DONNA H . TERRY,
ADMINISTRATIVE LAW JUDGE ; AND
WORKERS' COMPENSATION BOARD
APPELLEES
ORDER MODIFYING OPINION ON THE COURT'S OWN MOTION
On the Court's own motion, the Opinion of the Court rendered on October 23,
2003, is modified by the substitution of a new first page, hereto attached, in lieu of page
one of the Opinion as originally rendered . Said modification does not affect the holding
of the Opinion, but is made only to correct a typographical error on page one :
"2002-CA-2266-WC" to "2002-CA-1166-WC" .
ENTERED : November 26, 2003 .
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