Schleiss v. SAIF Corp.
317 P.3d 244
Or.2013Background
- Claimant (Schleiss) injured his low back at work in April 2008; SAIF accepted a lumbar strain and closed the claim after an evaluating physician found no significant MRI abnormalities and no PPD award.
- Claimant sought reconsideration and a medical arbiter; the arbiter found moderate impairment and apportioned 33% to the work injury and 67% to preexisting mild degenerative changes and smoking-related accelerated aging.
- The Appellate Review Unit (ARU) and then the Workers’ Compensation Board (WCB) awarded 5% whole-person PPD after apportioning impairment under OAR 436-035-0013(1) to exclude the portion not "due to" the compensable injury.
- Claimant challenged the rule-based apportionment as inconsistent with ORS 656.214, arguing that "due to" means "caused in material part by," so the compensable contribution entitles him to the full impairment rating unless a statutory combined-condition apportionment applies.
- The Court of Appeals affirmed the Board; the Oregon Supreme Court granted review to decide whether OAR 436-035-0013 is consistent with the statutes governing PPD and combined conditions.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether OAR 436-035-0013(1) permissibly allows apportionment of PPD awards to exclude impairment not "due to" the compensable injury | "Due to" means "caused in material part by"—if compensable injury materially contributed, all impairment is compensable unless a statutory combined-condition apportionment applies | Rule reasonably implements statutes by apportioning the percentage of total impairment attributable to non-compensable causes; claimant could have pursued a combined-condition claim if appropriate | The rule conflicts with ORS 656.214 as applied here because the non‑work causes the Board relied on were not legally cognizable preexisting conditions; all claimant's impairment was "due to" the compensable injury for purposes of ORS 656.214 |
Key Cases Cited
- Barrett v. D & H Drywall, 300 Or 325 (holding impairment triggered by a compensable injury that makes a preexisting asymptomatic condition symptomatic may be compensable)
- Barrett v. D & H Drywall (on reconsideration), 300 Or 553 (clarifying that compensable injury triggering symptoms can make resulting impairment "due to" the compensable injury)
- Olson v. State Ind. Acc. Com., 222 Or 407 (defining "arising out of" as work being a material contributing cause)
- Smothers v. Gresham Transfer Inc., 332 Or 83 (discussing major contributing cause standard for consequential and combined conditions)
- State v. Gaines, 346 Or 160 (statutory construction methodology)
- Hopkins v. SAIF, 349 Or 348 (defining "arthritis"/"arthritic condition" and evidentiary requirements for preexisting arthritic conditions)
