CONSOL ENERGY, INC . V. DANNY M . HALL ; HON . R . SCOTT BORDERS, ADMINISTRATIVE LAW JUDGE ; WORKERS' COMPENSATION BOARD
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IMPORTANT NOTICE
NOT TO BE PUBLISHED OPINION
THIS OPINION IS DESIGNATED "NOT TO BE
PUBLISHED." PURSUANT TO THE RULES OF
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SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOT BE
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CASE INANY CO URT OF THIS STA TE.
RENDERED: September 23, 2004
NOT TO BE PUBLISHED
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CONSOL ENERGY, INC.
V.
APPELLANT
APPEAL FROM COURT OF APPEALS
2003-CA-0868-WC
WORKERS' COMPENSATION BOARD NOS . 01-1649 & 01-1650
DANNY M. HALL; HON . R. SCOTT BORDERS,
ADMINISTRATIVE LAW JUDGE ;
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
An Administrative Law Judge (ALJ) determined that the claimant learned he suffered
from coal workers' pneumoconiosis on August 25, 2000, when he received the results of an
x-ray performed at his employer's request and, on that basis, concluded that notice given on
October 25, 2000, was timely . Although the employer asserted that symptoms the claimant
reported in 1995 together with the notation "black lung" in his medical records established
that he knew he suffered from pneumoconiosis at that time, the Workers' Compensation
Board and the Court of Appeals noted that 1995 chest x-rays were negative and affirmed the
ALJ's decision . Likewise, we affirm .
Since 1976, the claimant worked primarily as an underground coal miner. In
March, 1995, he sought treatment from Dr. Yalamanchi concerning complaints of chest
pain . Dr. Yalamanchi's March 31, 1995, report noted that the claimant was a coal miner
and former smoker. A section of the report entitled "Review of Systems," listed the
following with respect to the respiratory system, "Black Lung . Bronchitis . Pneumonia .
Shortness of breath with activity." Dr. Yalamanchi testified subsequently that he had
never diagnosed black lung or treated the claimant for it. He explained that he had
made the notation as a possible diagnosis based upon the claimant's symptoms and
history of exposure to coal dust; however, an April, 1995, chest x-ray showed no
evidence of the condition or active cardiopulmonary disease . He also testified that he
had never seen a CT scan or x-ray evidence that the claimant had black lung. Dr.
Yalamanchi's assessment was angina pectoris, based upon a positive stress test;
hypertension and hypertensioe heart disease ; and hype rcholestrelemia . He
recommended an echocardiogram and cardiac catheterization and admitted the
claimant to the hospital for the latter procedure.
When cross-examined, Dr . Yalamanchi explained that many people who work in
coal mines have black lung; therefore, when such an individual reports shortness of
breath, black lung is listed in the review of systems. He stated that he did no workup for
black lung and made no attempt to diagnose the condition . His concern was evaluating
the chest pain. He stated that there was "no way to tell definitely" that the claimant had
not told him he had been diagnosed with black lung and acknowledged that it was
possible . He stated that bronchitis was listed on the report based upon the claimant's
symptoms but that pneumonia would have been listed based upon a previous history of
the condition . He reiterated that his major concern as a cardiologist was with cardiac
symptoms and shortness of breath .
The claimant began working for the defendant-employer on March 24, 1996, after
undergoing a mandatory pre-employment physical examination . The examination
included a chest x-ray, the results of which were normal. In August, 2000, the employer
directed its employees to undergo chest x-rays at the job site . The claimant did so, and
on August 25, 2000, he was informed that he suffered from pneumoconiosis. His
attorney sent a written notice to the employer on October 25, 2000 .
Dr. Jarboe, a pulmonary specialist, performed x-rays on July 12, 2001, that
revealed category 2/3 complicated pneumoconiosis. He noted that they showed a
definite progression from x-rays taken in December, 2000, which had shown category
2/2 disease . On Dr. Jarboe's recommendation, the claimant resigned in September,
2001 . He filed a Form 102 application on December 19, 2001 .
When the pneumoconiosis claim was decided, notice and limitations were among
the contested issues . Addressing them together, the ALJ stated as follows :
The first issue to be determined . . . is whether or not he gave due
and timely notice of the same and whether or not his application for
benefits was filed timely and within the [statute] of limitations . KRS
342.316(4)(a) states in part, "the right to compensation under this
chapter resulting from an occupational disease shall be forever
barred unless this claim was filed with the commissioner within
three years after the last injurious exposure to the occupational
hazard or after the employee first experiences a distinct
manifestation of the occupational disease in the form of symptoms
reasonably sufficient to apprise him that he has contracted that
disease, whichever shall last occur ." (emphasis original) .
In this case, it is clear the Plaintiff did not know he had
contracted coal workers' pneumoconiosis until he had an x-ray
done on August 25, 2000 at the request of the employer . Upon
receiving notice from the results of that x-ray that he had contracted
coal workers' pneumoconiosis Plaintiff testified he retained an
attorney who filed written notice with the Employer on October 25,
2000. The Administrative Law Judge is of the opinion that giving
the employer notice two months after discovering he had
contracted coal workers' pneumoconiosis is clearly reasonable
notice . In regard to the [statute] of limitations argument, it is
likewise clear the Plaintiff filed his Form 102 on December 19, 2001
which is well within the three year statute of limitations.
The employer's sole argument on appeal is that the ALJ erred in determining that the
claimant gave timely notice of his claim .
KRS 342 .316 (2) provides, in pertinent part, as follows :
[N]otice of claim shall be given to the employer as soon as
practicable after the employee first experiences a distinct
manifestation of an occupational disease in the form of symptoms
reasonably sufficient to apprise him that he has contracted the
disease, or a diagnosis of the disease is first communicated to him,
whichever shall first occur .
Contrary to the employer's assertion, there is no indication that the ALJ resolved
the notice issue under KRS 342 .316(4)(a) rather than KRS 342.316(2). KRS 342.316(2)
requires "notice of claim ." For that reason, it has long been established that even a
worker who has been diagnosed with an occupational disease is not required to give
notice until he is disabled and that a worker is not disabled by an occupational disease so
long as he continues to work full time for the same employer. Blue Diamond Coal Co . v .
Stepp, Ky., 445 S .W.2d 866, 868 (1969). Despite certain dicta upon which the employer
relies, the court refused to disturb the presumption of nondisability in Newberg v. Slone ,
Ky., 846 S.W.2d 694, 697 (1992). Furthermore, Slone involved a claim that arose before
KRS 342 .732 took effect . Under KRS 342.732, a worker does not have a claim until there
is x-ray evidence that he suffers from the requisite category of pneumoconiosis,
regardless of whether symptoms lead him to suspect that he does.
The employer argues that Dr. Yalamanchi's March 31, 1995, notation and the
symptoms of which the claimant complained establish that he knew he suffered from
pneumoconiosis at that time. Therefore, he was obliged to notify the defendantemployer of the condition, presumably when he was hired in 1996 . This argument is
without merit.
Dr. Yalamanchi testified that he was aware of no CT or x-ray evidence of
pneumoconiosis, and there was x-ray evidence that the claimant did not suffer from
pneumoconiosis in 1995 . Although the claimant may have experienced symptoms that
4
were consistent with pneumoconiosis in 1995 and may have suspected that he suffered
from the condition, there was no evidence to support a claim at that time. The earliest
x-ray that revealed the presence of the condition was taken in August, 2000. On that
basis, the ALJ determined that the claimant learned of his diagnosis in August, 2000,
and gave timely notice . The decision was supported by substantial evidence and made
under a correct interpretation of the law; therefore, it may not be disturbed on appeal .
Special Fund v. Francis, Ky., 708 S.W.2d 641, 643 (1986) .
The decision of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR APPELLANT :
Natalie D . Brown
Jackson & Kelly
P.O. Box 2150
Lexington, KY 40595
COUNSEL FOR APPELLEE:
Randy G . Slone
P.O . Box 787
Hindman, KY 41822
Ronnie Merel Slone
P.O. Box 909
Prestonsburg, KY 41653
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