Worker's Compensation Claim of Hoffman v. State ex rel. Wyoming Workers' Safety & Compensation Division
2012 WY 164
| Wyo. | 2012Background
- Hoffman injured his back in 1994 while working on a drilling rig; ensuing conservative treatment followed by three back surgeries (1995, 2001, 2004) with workers' compensation benefits.
- In 2009 Hoffman fell on ice at home, suffering back pain and undergoing a fourth back surgery; he sought workers' compensation, arguing the 2009 surgery was causally connected to the 1994 work injury.
- The Wyoming Division denied preauthorization and the Medical Commission denied benefits after a hearing, finding no causal connection between the 1994 injury and the 2009 surgery.
- Hoffman pursued district court review, which affirmed the Commission; he appealed, arguing the Commission misapplied the law and the weight of the evidence supports causation.
- The case centers on the second compensable injury rule: a subsequent injury is compensable if causally related to the initial compensable injury, with the employee bearing the burden to prove a causal connection by a preponderance of the evidence.
- The majority reverses and remands, holding the Commission misapplied Wyoming law and that the evidence from two experts supports a causal connection between the 1994 work injury and the 2009 surgery.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the denial was arbitrary due to misapplication of the second compensable injury rule. | Hoffman: work injury contributed to 2009 surgery; correct standard applied, evidence supports connection. | Division: substantial evidence supports lack of causal connection under the rule. | Reversed; misapplied standard; evidence supports connection. |
Key Cases Cited
- Davenport v. State ex rel. Wyo. Workers' Safety & Comp. Div., 268 P.3d 1038 (Wyo.2012) (standard for substantial evidence review in workers' comp)
- Judd v. State ex rel. Wyo. Workers' Safety & Comp. Div., 233 P.3d 956 (Wyo.2010) (apportionment and standard for second compensable injury guidance)
- Camilleri v. State ex rel. Wyo. Workers' Safety & Comp. Div., 244 P.3d 52 (Wyo.2010) (credibility not to be based on a missing stake inference when unsupported)
- Moss v. State ex rel. Wyo. Workers' Safety & Comp. Div., 232 P.3d 1 (Wyo.2010) (rejection of credibility based on financial stake in outcome)
- Watkins v. State ex rel. Wyo. Med. Comm., 250 P.3d 1082 (Wyo.2011) (special dissent on credibility of treating physicians with financial stake)
- Faulkner v. State ex rel. Wyo. Workers' Safety & Comp. Div., 152 P.3d 394 (Wyo.2007) (disallowed apportionment absent statute)
