887 S.E.2d 223
W. Va.2023Background
- Clifford Marenko filed a second occupational pneumoconiosis (OP) claim received July 7, 2017, listing last exposure as December 31, 2013 and attaching a Physician’s Report dated January 31, 2017 with handwritten answers indicating OP and work impairment; the signature on the report was illegible.
- Argus’s claims representative denied the claim as untimely under W. Va. Code § 23-4-15(b) (three-year limits). Marenko protested and the Office of Judges (OOJ) reversed, concluding he had not been diagnosed with impairment (because a prior impairment diagnosis had been reversed) and thus was not time-barred.
- The Occupational Pneumoconiosis Board later recommended a 10% impairment. The Board of Review (BOR) affirmed the OOJ’s timeliness ruling, reasoning that the Physician’s Report indicated impairment under Pennington.
- Argus appealed to the West Virginia Supreme Court. In its brief Argus argued the Physician’s Report did not show a diagnosed impairment; at oral argument Argus shifted to contend the report was not proved to be signed by a physician (raising a jurisdictional challenge).
- The Supreme Court held §23-4-15(b) is jurisdictional, allowed consideration of the jurisdictional argument raised at oral argument, but found the BOR’s factual finding that the Physician’s Report (signed by a medical provider) indicated impairment was not clearly erroneous and affirmed the BOR.
Issues
| Issue | Plaintiff's Argument (Marenko) | Defendant's Argument (Argus) | Held |
|---|---|---|---|
| Timeliness under W. Va. Code § 23-4-15(b): whether the claim was filed within three years of a physician informing the claimant of an impairment | The Physician’s Report dated Jan. 31, 2017 shows a physician diagnosed OP-related impairment, so the claim was timely under the "diagnosed impairment" time limit | Initially: the Report did not diagnose impairment; at oral argument: the signer was not proven to be a physician, so there was no physician-made diagnosis within three years | The BOR’s finding that the Physician’s Report (a physician form signed by a medical provider) indicated impairment was not clearly erroneous; claim is timely; BOR affirmed |
| Raising new signature/physician-authentication argument at oral argument | Waiver: issues must be raised in briefs and below; otherwise waived | Subject-matter jurisdiction can be raised at any time, including at oral argument | Court allowed consideration because §23-4-15(b) is jurisdictional; nevertheless Argus’s factual challenge failed on the merits |
Key Cases Cited
- Moran v. Rosciti Constr. Co., LLC, 240 W. Va. 692, 815 S.E.2d 503 (W. Va. 2018) (standard of review for Board of Review factual findings and legal conclusions)
- Pennington v. W. Va. Office of the Ins. Comm’r, 241 W. Va. 180, 820 S.E.2d 626 (W. Va. 2018) (explains § 23-4-15(b)’s two three-year time limits and Physician’s Report requirement)
- Musacchio v. United States, 577 U.S. 237 (U.S. 2016) (statutes of limitations are ordinarily nonjurisdictional unless Congress clearly states otherwise)
- In re Tiffany Marie S., 196 W. Va. 223, 470 S.E.2d 177 (W. Va. 1996) (definition of "clearly erroneous" standard)
- Brown v. Gobble, 196 W. Va. 559, 474 S.E.2d 489 (W. Va. 1996) (illustration of the rigorous clearly erroneous standard)
