Aрpellant Laurie Cleek initiated this workers’ compensation case after she slipped and fell on her employer Great Southern Metals’ premises on March 22, 1994. Although Great Southern later controverted Cleek’s claim as being not compensable, it paid her medical expenses incurred in the sum of $2,339.25, commencing after March 24, 1994, and continuing until February 21, 1996, whеn she was discharged from further treatment by Dr. W. C. Kendrick. Great Southern refused to pay for Cleek’s final visit to Kendrick, so she paid fоr that visit in the amount of $35.00. Cleek subsequently filed her workers’ compensation claim, and requested that her claim be determined compensable and controverted and that she be awarded attorney’s fees based upon the full amount of thе medical expenses.
On June 17, 1996, the administrative law judge found Great Southern controverted Cleek’s compensable claim beginning after March 24, 1994 (her first medical visit), and he specifically determined Dr. Kendrick’s services were reasonably necessary. However, because Great Southern had paid all of Cleek’s medical expenses except for $35.00, and was not seeking reimbursement of its payments, the administrative law judge limited his award of attorney’s fees based only on the unpаid $35.00 amount. The commission affirmed the law judge’s decision although one commissioner dissented, stating his opinion was that Cleek hаd failed to show a compensable injury. 1
Cleek appealed to the court of appeals where she сontended that she was entitled to attorney’s fees based on all medical expenses because her entire claim had been controverted. The court of appeals disagreed in a three-three decision. Cleek v. Greаt Southern Metals,
On appeal of a workers’ compensation case from the court of appeals to this court, we view the evidеnce in the light most favorable to the commission’s decision and affirm that decision if it is supported by substantial evidence. Plante v. Tyson Foods, Inc.,
In thе instant case, the commission adopted the law judge’s findings and decision as being factually and legally correct. In doing sо, the commission found, as previously stated above, that Great Southern had controverted Cleek’s medical care after March 24, 1994, and further found the medical treatment and services rendered by Dr. Kendrick in connection with Cleek’s compensable injury were reasonably necessary. However, the commission ruled that, because Great Southern had alrеady paid all medical expenses incurred by Cleek except one bill in the amount of $35.00, she was only entitled to attorney’s fees based on the $35.00 amount Great Southern refused to pay.
The commission’s attorney’s fees award was given pursuаnt to Ark. Code Ann. § 11-9-715(a)(2)(B)(ii) (Repl. 1996), which provides that fees shall be allowed only on the amount of compensation controverted and awarded. The commission’s and the court of appeals’ prevailing opinion accepted Great Southern’s argument that the only amount controverted and awarded in this case was the $35.00 amount that Cleek had paid аnd Great Southern had refused to pay. In other words, Great Southern claimed that the commission could not award the $2,339.25 in mediсal expenses because Great Southern had previously paid them and did not seek their reimbursement.
While it is true that Great Southern did not request reimbursement of its payments totalling $2,339.25, it did ask the commission to allow Great Southern “credit” for such paymеnts, if the commission determined Great Southern owed the medical expenses it had already paid. In fact, the commission found Great Southern had controverted Cleek’s entire claim, determined the medical expenses were reasоnably necessary, and gave Great Southern the credit it requested. Having done so, we agree with the dissenting judges in the court оf appeals’ Cleek decision that the commission effectively confirmed and awarded Cleek all of her medical expenses.
In conclusion, this court has long recognized that making an employer hable for attorney’s fees serves legitimate social purposes such as discouraging oppressive delay in recognition of liability, deterring arbitrаry or capricious denial of claims, and insuring the ability of necessitous claimants to obtain adequate and competent legal representation. Aluminum Co. of America v. Henning,
We reverse the commission’s and the court of appеals’ decisions to the extent that they hold Cleek is entitled only to attorney’s fees based upon a recovery of $35.00. We remand to the commission to award attorney’s fees based upon the full amount of the medical expenses.
Notes
A second commissioner concurred and joined in awarding attorney’s fees, but she would have awarded fees based on the full amount of medical expenses.
