Harris v. M-K Rivers
325 P.3d 510
Alaska2014Background
- Willard Harris suffered a 1976 work-related spinal cord injury leaving him paraplegic with additional medical complications.
- M-K Rivers controverted several medical benefits; Harris filed a written workers’ compensation claim in 2007 as controversies persisted.
- Board found some controversies were frivolous, unfair, or in bad faith, and imposed penalties and notified the Division of Insurance.
- The Commission reversed part of the Board’s decision, finding some issues moot and limiting penalties.
- Harris appealed the Commission’s reversal of penalties, the Board’s diabetes-related restraints, and attorney’s fees; M-K Rivers cross-appealed preservation and mootness issues.
- The Supreme Court affirmed in part, reversed in part, and remanded to the Board with instructions to remand to the Board for reconsideration of attorney’s fees and related issues.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the controversion issue was properly before the Board | Harris (through the worker) | M-K Rivers | Yes; the issue was preserved and properly before the Board. |
| Whether penalties could be imposed for bad-faith controversion of medical benefits | Harris; penalties may be imposed for bad-faith controversion even without bills paid | M-K Rivers; penalties limited if no bills presented or no compensation owing | Penalties could be imposed for bad-faith controversion, including medical benefits, and the Board’s limitation was error. |
| Whether future claims for diabetes treatment and non-medical fitness facility attendance could be foreclosed unilaterally | Harris; ongoing compensability and treatments may be challenged | M-K Rivers; stipulation limited future contestations | Board erred in broad foreclosure; limited modification required without altering the stipulation. |
| Whether attorney’s fees awards were correctly decided on remand | Harris; seeks fees awarded on appeal | M-K Rivers; seeks reversal of fees awarded | Remand with instructions to reinstate Board’s attorney’s fees award and award fees on remand for Harris’s appeal. |
Key Cases Cited
- Harp v. ARCO Alaska, Inc., 831 P.2d 352 (Alaska 1992) (good faith standard for controversion penalties; evidence-based inquiry)
- Childs v. Copper Valley Elec. Ass’n, 860 P.2d 1184 (Alaska 1993) (medical benefits within penalty scope; insurer incentives to pay promptly)
- Sumner v. Eagle Nest Hotel, 894 P.2d 628 (Alaska 1995) (penalties when controversion delays medical care)
- Summers v. Korobkin Construction, 953 P.2d 500 (Alaska 1998) (prospective determination of compensability; medical benefits included in penalties)
- Hammer v. City of Fairbanks, 814 P.2d 1369 (Alaska 1991) (PPI due when rating received; penalties for delay if controversion filed inadequately)
- Native Village of Elim v. State, 990 P.2d 1 (Alaska 1999) (statutory interpretation guiding penalties and compensation scope)
- Grimm v. Wagoner, 77 P.3d 423 (Alaska 2003) (statutory interpretation principles in workers’ compensation)
