Romans v. Elder Beerman Stores, Unpublished Decision (12-10-2002)
Romans v. Elder Beerman Stores, Unpublished Decision (12-10-2002)
Opinion of the Court
{¶ 2} This matter was referred to a magistrate of this court, pursuant to Civ.R. 53(C) and Loc.R. 12(M) of the Tenth District Court of Appeals. The magistrate issued a decision, including findings of fact and conclusions of law, and recommended that this court grant a limited writ returning this matter to the commission to vacate the order of the staff hearing officer ("SHO"), to set a new hearing on the merits, and to issue an order granting or denying the application for PPD compensation on its merits. (Attached as Appendix A.) The commission and The Elder Beerman Stores Corp. (sometimes referred to individually as "Elder Beerman"), respondents, have filed objections. We will address the objections together.
{¶ 3} Respondents first argue that relator has an adequate remedy at law, and, thus, mandamus relief is not appropriate. Specifically, respondents assert that a decision by the commission barring a claim pursuant to the statute of limitations found in R.C.
{¶ 4} If a claimant does establish her right to participate, the claimant may then attempt to establish the "extent of the disability," which becomes a question of how much the fund must pay. Zavatsky v. Stringer (1978),
{¶ 5} In the present case, we must examine the progression of events. Relator sustained an industrial injury and filed a workers' compensation claim with Elder Beerman on November 24, 1992. Elder Beerman recognized the claim in 1992, made medical payments up to and including 1999, and later specifically indicated to the commission in February 1999 that it had certified the claim. Thus, Elder Beerman granted relator's right to participate in the State Insurance Fund based upon this claim. Elder Beerman never contested relator's ability to participate in the fund; Elder Beerman contested only relator's March 1999 application for determination of percentage of PPD, which the SHO concluded was barred by the statute of limitations. In other words, the SHO's determination was not on a right-to-participate issue because relator's right to participate for his industrial injury had already been finally determined. Instead, any allowance of compensation for PPD or determination of percentage of PPD, which was derived from the already allowed claim, concerned the amount of recovery to which relator was entitled. There was no dispute that relator's injury occurred in the course of and arose out of his employment, and there was no request for any new allowance. See Liposchak, supra. Thus, the appeal was based upon an "extent of disability" decision by the commission. Consequently, the common pleas court would not have jurisdiction to consider the present action pursuant to R.C.
{¶ 6} Elder Beerman argues that the Ohio Supreme Court's decision in State ex rel. Hinds v. Indus. Comm. (1999),
{¶ 7} Respondents next argue that the magistrate erred in finding that the commission abused its discretion in applying the statute of limitations contained in the former version of R.C.
{¶ 8} H.B. No. 107 required that its amendments be applied to all workers' compensation claims filed on or after its effective date and to all claims "pending" on the effective date. We believe that the word "pending" refers to workers' compensation cases that had not yet been completely terminated and extinguished. In the present case, there had been no final resolution of relator's workers' compensation claim. He continued to receive medical benefits well past the effective date of H.B. No. 107 in 1993. Because his allowed claim was continuing and still open to further benefits and compensation at the time of the effective date of the H.B. No. 107 amendments, we agree with the magistrate that his claim was still "pending" at the time of the amendment, and the commission should have applied the post-H.B. No. 107 version of R.C.
{¶ 9} We find State ex rel. Kilbane v. Indus. Comm. (2001),
{¶ 10} The same analysis can be used with regard to the statute of limitations at issue in the present case. Like the settlement-hearing provisions at issue in Kilbane, statutes of limitations are regarded as "procedural," non-substantive in nature, and "remedial." See Gregory v. Flowers (1972),
{¶ 11} Elder Beerman cites Ellis v. General Elec. Co. (Sept. 29, 2000), Hamilton App. No. C-990775. In Ellis, the Hamilton County Court of Appeals applied the statute of limitations contained in former R.C.
{¶ 12} After an examination of the magistrate's decision, an independent review of the record pursuant to Civ.R. 53, and due consideration of the commission's and Elder Beerman's objections, we overrule the objections and find that the magistrate sufficiently discussed and determined the issues raised. Accordingly, we adopt the magistrate's decision as our own, including the findings of fact and conclusions of law contained in it, and grant a limited writ of mandamus returning this matter to the commission to vacate the order of the SHO, to set a new hearing on the merits, and to issue an order granting or denying the application for PPD compensation on its merits.
Objections overruled; limited writ granted.
PETREE, J., concurs.
DESHLER, J., concurs in judgment only.
Findings of Fact:
{¶ 14} On November 17, 1992, Steve Romans ("claimant") sustained an industrial injury. On November 24, 1992, he filed a workers' compensation claim with his self-insured employer.
{¶ 15} The employer recognized the claim and made yearly payments for claimant's medical care, to and including 1998.
{¶ 16} In December 1998, claimant filed a request with the Bureau of Workers' Compensation to assign a claim number to his workers' compensation claim.
{¶ 17} In January 1999, the bureau assigned claim number 92-303441, and sent a letter to the employer inquiring whether it recognized the claim. The employer responded in February 1999, stating that it certified the claim.
{¶ 18} In March 1999, claimant applied for determination of percentage of PPD.
{¶ 19} In May 1999, the employer sent a letter to claimant's counsel explaining that the claim had been recognized for "723.30 Cervicobrachial syndrome, 846.0 lumbosacral sprain/strain, 839 Dislocation, thoracic vertebra; closed, and 724.2 Lumbago."
{¶ 20} Three medical reports were filed: Dr. Nancy Renneker assessed 13% impairment; Dr. Mark Weaver assessed 5% impairment; and Dr. Michael Lefkowitz assessed a 6% impairment on behalf of the employer.
{¶ 21} In August 1999, the matter was heard by a district hearing officer, who found 9% PPD and awarded compensation.
{¶ 22} On reconsideration in September 1999, a staff hearing officer concluded that claimant's request for PPD compensation was barred by the statute of limitations:
*** [C]laimant's application for determination of percentage of permanent partial disability filed March 19, 1999, is dismissed for the reason the Industrial Commission has lost continuing jurisdiction to consider it or any other application for co[mpens]ation filed after November 17, 1998 by operation of the language of Revised Code Section
4123.52 as it read on the date of claimant's injury. No compensation has ever been paid in this claim. Over six years have passed since the date of injury.
Conclusions of Law:
{¶ 23} The issues before this court are purely legal. Claimant questions whether the commission lawfully applied former R.C.
{¶ 24} In regard to the first issue, the magistrate concludes that the commission abused its discretion in its application of R.C.
No *** finding or award in respect of any claim shall be made with respect to disability, compensation, dependency, or benefits, after six years from the date of injury in the absence of the payment of medical benefits under this chapter, in which event the *** finding, or award shall be made within six years after the payment of medical benefits.
{¶ 25} In H.B. 107 (the bill amending various workers' compensation statutes in 1993 including R.C.
{¶ 26} The specific question presented is whether the commission abused its discretion in applying former R.C.
No *** findings or award in respect of any claim shall be made with respect to disability, compensation, dependency, or benefits after six years from the date of injury in the absence of the payment of compensation for total disability under section
4123.56 of the Revised Code, or wages in lieu of compensation ***.
{¶ 27} The Ohio Supreme Court and this court have concluded, in a variety of contexts, that other 1993 amendments in H.B. 107 apply to motions for compensation filed after October 20, 1993, and also apply to awards granted after October 20, 1993, even where the date of injury was prior to the effective date of the statute. See, generally, State ex rel. Kilbane v. Indus. Comm. (2001),
{¶ 28} Here, claimant filed his PPD application in 1999, long after the 1993 amendment took effect. Based on all the facts, the magistrate finds no basis for the commission to apply the former statute in effect on the date of injury. A limitations period is a procedural bar that is unrelated to the merits of the compensation request and does not govern the amount or type of disability compensation that may be awarded. The amendment of R.C.
{¶ 29} In short, under these circumstances, the magistrate concludes that the commission was required to apply R.C.
{¶ 30} Next, the magistrate addresses respondents' argument. Based on two lines of reasoning, the magistrate rejects the argument that this court lacks jurisdiction in mandamus to review the denial of PPD compensation. First, the commission's decision involved a denial of disability compensation and did not serve to finalize the allowance or disallowance of a claim to participate for a particular allowed condition. Second, the magistrate focuses on the employer's payments of medical benefits each year following the accident and, more importantly, on the employer's formal certification of the claim to the bureau in 1999.
{¶ 31} In Felty v. ATT Technologies, Inc. (1992),
*** A decision by the commission determines the employee's right to participate if it finalizes the allowance or disallowance of an employee's `claim.' The only action by the commission that is appealable under R.C.
4123.519 [now R.C.4123.512 ] is this essential decision to grant, to deny, or to determine the employee's participation or continued participation in the system. (Id. at 239.)
Therefore, where the commission allowed or disallowed a medical condition, or where it completely extinguished (or refused to extinguish) a claim that had previously been recognized, the commission's decision may be appealed under R.C.
{¶ 32} In the present action, however, the commission's order on its face did not purport to extinguish the claim or negate claimant's right to participate. In its order, the commission specifically ruled that PPD compensation was barred, and it also reached out to note that any other type of disability compensation was barred as well. Specifically, the commission stated that it had no jurisdiction to consider PPD or any other application for compensation. Having reached out to identify the issues that were also precluded, the commission notably omitted any reference to medical care. The order plainly left open the question of payments for medical benefits. Thus, the order was not viewed by the commission (rightly or wrongly) as completely extinguishing the claim.
{¶ 33} In sum, the order essentially states that any future requests for determination of extent of disability is barred, but it does not purport to determine that the claim as a whole was extinguished. Accordingly, the order was not appealable under R.C.
{¶ 34} In the alternative, the magistrate concludes that the facts and procedural history in this action distinguish it from the cases cited by respondents in which a limitations period was found to extinguish completely a claimant's right to participate for a particular medical condition. Here, the self-insured employer paid medical benefits yearly, indicating that the claim remained active, but more importantly, the employer formally certified the claim in February 1999. The 1999 certification fairly constituted a formal recognition that the claim was active and/or constituted an agreement by the self-insured employer to re-activate the claim. See, generally, State ex rel. Baker Material Handling Corp v. Indus. Comm. (1994),
{¶ 35} The magistrate recommends that the court grant a limited writ returning this matter to the commission to vacate the order of the staff hearing officer, to set a new hearing on the merits, and to issue an order granting or denying the application for PPD compensation on its merits.
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