ST. JOSEPH HOSPITAL V. PAMELA LITTLETON-GOODAN, ET AL
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2007-SC-000688-WC
APPELLANT
ST. JOSEPH HOSPITAL
V.
ON APPEAL FROM COURT OF APPEALS
2007-CA-000633-WC
WORKERS' COMPENSATION BOARD NO . 91-49311
PAMELA LITTLETON-GOODAN ;
HON . R. SCOTT BORDERS, ADMINISTRATIVE
LAW JUDGE; AND WORKERS' COMPENSATION BOARD
APPELLEES
OPINION OF THE COURT
AFFIRMING
When deciding the reopening that is the subject of this appeal, the
Administrative Law Judge (ALJ) relied on a Form 107 medical report that accompanied
the claimant's initial application for benefits although neither party designated it as
being part of the evidence at reopening . The Workers' Compensation Board (Board)
and the Court of Appeals affirmed . Both determined that 803 KAR 25 :010, § 4(6)
requires the movant to examine the record in the initial proceeding and, in good faith,
designate those portions that are relevant to the issues raised . They also determined
that an ALJ may consider any portion of the record in the original proceeding that is
relevant at reopening, regardless of whether a party designates it as evidence .
Appealing, the employer continues to assert that the regulation limits the
evidence at reopening to that which the parties designate. It argues that the disputed
Form 107 amounted to evidence outside the record and that it lacked knowledge of the
report and had no opportunity for rebuttal. We affirm .
ThBclaimant worked for the defend @nt-enlploVe[aSa phlebotomist and testified
.subsequently that she took blood samples from 30 to 75 or 80 patients per day. Her
application for ben8kS eNegBd a work-related repetitive trauma injury (bilateral carpal
tunnel syndrome and thoracic outlet syndrome) that became manifest in May 1991 .
She attached @Form 107report from Dr.AtaSOy.@hand surgeon who had treated her
since 1994. Dr. Atasoy attributed her symptoms to the effects of repetitive motion in
her work and assigned 815% permanent impairment rating . The parties settled the
claim in 1997 for @ lump sum that represented a 5% occupational disability . The
agreement noted that the employer disputed whether the condition was work-related . It
did not include a waiver of future medical expenses.
The employer continued to pay the claimant's medical expenses without protest
until April 13, 2005, when it filed a motion to reopen and medical fee dispute . The
employer asserted that the carpal tunnel syndrome and thoracic outlet syndrome were
not work-related or, in the alternative, that the ongoing treatment with Dr. Atasoy was
unreasonable and unnecessary. The motion was sustained to the extent that the
matter was assigned for further proof-taking and adjudication .
The employer submitted evidence from Drs . Pri0O0O,GOldm@n .8Dd Burgess to
show that the claimant's complaints were not work-related . The claimant relied on
medical records from Dr. /\faSoV8Dd @report from D[ BFeidenb@ch to show that they
were work-related . Relying on the claimant's experts, the
AU
determined ultimately
that the conditions were work-related and that the treatment Dr.
A1@SOV
provided was
reasonable and necessary. The decision relied not only on the medical records the
claimant submitted at reopening but also on the Form 107 that she submitted with her
initial application . The AU overruled the employer's petition for reconsideration, after
which it appealed .
803 KAR 25 :010, § 4(6)(a)6 requires a motion to reopen to be accompanied by:
[a] designation of evidence from the original record
specifically identifying the relevant items of proof which are
to be considered as part of the record during reopening.
803 KAR 25:010, § 4(6)(b)1 states that:
[a] designation of evidence made by a party shall list only
those items of evidence from the original record that are
relevant to the matters raised on reopening .
803 KAR 25 :010, § 4(6)(b)2 provides that:
[t]he burden of completeness of the record shall rest with the
parties to include so much of the original record, up to and
including the award or order on reopening, as is necessary
to permit the administrative law judge to compare the
relevant evidence that existed in the original record with all
subsequent evidence submitted by the parties.
803 KAR 25 :010, § 4(6)(c)3 provides that:
[a] response to a motion to reopen may contain a
designation .of evidence specifically identifying evidence
from the original record not already listed by the moving
party that is relevant to matters raised in a response .
The employer concedes that Dr. Atasoy's Form 107 was properly entered into
evidence in the original claim. It asserts, however, that the purpose of 803 KAR
25 :010, § 4(6) is to limit the evidence at reopening to that which the parties designate in
order to avoid a "surprise ." Otherwise, there would be no reason to require evidence to
be designated . It concludes that the parties' failure to resubmit the Form 107 or
designate it as evidence at reopening precluded the AU from considering it.
We
disagree .
The Board explained that the paper record from a workers' compensation
proceeding is destroyed after being reduced to electronic format and that the purpose
Office
of 803 KAR 25 :010, § 4(6) is practical . It limits the portions of the record that the
of Workers' Claims must reconstruct at reopening to those that are relevant . The Board
also explained that regardless of what evidence the parties designate, the Office
includes certain other documents in the record at reopening . Among them is a copy of
the initial claim, including the required medical report . The Board construed the
regulation as requiring the movant to examine the record in the initial proceeding and, in
good faith, designate those portions that are relevant to the issues raised . It
determined that the regulation did not prevent an AU from considering any portion of
the record in the original proceeding that is relevant at reopening, regardless of whether
a party designates it as evidence.
Board of Trustees of the Judicial Form Retirement System v. Attorney General of
the Commonwealth of Kentucky, 132 S .W .3d 770, 787 (Ky. 2003), explains that the
courts generally defer to an administrative agency's interpretation of its own regulations .
We find the Board's interpretation of 803 KAR 25 :010, § 4(6) to be more persuasive
that the employers . Moreover, we are not convinced that it will permit a party to be
unfairly "surprised" by evidence that its opponent failed to designate.
When a worker files a claim, the Office serves the employer with a copy,
including all attachments . Both parties must serve their opponent with all of the
evidence they submit and are charged with knowledge of that evidence if the claim is
reopened . The regulation does not limit an ALJ's authority to consider any of the
evidence, including the initial claim and attachments, It serves the practical purpose of
limiting the evidence that the Office must reconstruct at reopening to that which is
relevant . The regulation requires the movant to designate, in good faith, the evidence
relevant to the motion, and it permits the respondent to designate evidence not already
listed that is relevant to the response . The regulation prevents a party from complaining
that relevant evidence was not included in the reconstructed record by placing the
burden on the parties to assure that it is complete .
Although a medical fee contest prompted this reopening, the issues included
causation because the underlying award was a settlement . The AU did not err in
considering Dr. Atasoy's Form 107 although the parties failed to designate it. The
report was properly admitted into evidence in the initial claim, was part of the
reconstructed case file at reopening, and addressed causation .
The decision of the Court of Appeals is affirmed .
MiDton .CJ ` @Dd /\br@[DGOD .CUnOingh@rn .Noble, SchnOder ' @nd Scott, Jj . .
concur. \/eOterG ' ] .,notsitting .
COUNSEL FOR APPELLANT,
ST. JOSEPH HOSPITAL :
RONALD JUDE POHL
POHL, KISER & AUBREY, P.S .C.
167 WEST MAIN STREET
SUITE 100
LEXINGTON, KY 40507-1323
COUNSEL FOR APPELLEE,
PAMELA LITTLETON-GOODAN :
DONALD GENE SMITH
MCKINNLEY MORGAN
MORGAN, MADDEN, BRASHEAR & COLLINS
921 SOUTH MAIN STREET
LONDON, KY 40741
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