Harpaz v. Laidlaw Transit, Inc.Harpaz v. Laidlaw Transit, Inc.
Opinion
The dispositive issue in this workers’ compensation appeal is whether an employer that is deemed “conclusively presumed to have accepted the compensability of the alleged injury” under
The commissioner’s decision reflects the following findings of fact and procedural history. On November 7, 2001, the plaintiff, who then was employed by the defendant as a bus driver, was involved in a motor vehicle accident while fulfilling the responsibilities of his job. The plaintiff did not seek medical treatment for the November, 2001 accident until June, 2002. On July 24, 2002, the plaintiff underwent the first of two surgeries on his lumbar spine. On October 31, 2002, the plaintiff filed a notice of claim alleging a back injury as a result of the November, 2001 accident. On March 15, 2003, the defendant filed a notice contesting the extent of the plaintiffs disability and his need for sur
gery. On May 15, 2003, the defendant filed another notice contesting the compensability of the alleged injuries. Thereafter, the plaintiff filed a motion to
Thereafter, at the hearing before the commissioner, the plaintiff contended that the conclusive presumption barring the defendant from contesting compensability under
The plaintiff appealed from the commissioner’s decision to the board, which affirmed the decision. The board found the present case indistinguishable from its decision in
Tucker
v.
Connecticut Winpump, Inc.,
No. 4492, CRB-5-02-2 (February 21, 2003), wherein it had determined that an employer’s failure to file a timely denial of liability for an employee’s claim of lung injury for workplace exposure to chemicals did not preclude the employer from contesting whether the employee’s chronic pulmonary obstructive disease had been caused by the exposure to chemicals. The board noted that, in
Tucker,
the case had “turned on whether the preclusion related to the inhalation of workplace chemicals served to bar evaluation of whatever ailments he claimed were sequelae of the compensable injury.” The board explained that it had rejected that claim because of the distinction recognized in the statute and case law between the right to contest liability and the right to contest the extent of disability. The board further explained that its holding in
Tucker
had relied on the fact that “[
On appeal, the plaintiff contends that the 1993 amendment to
Under our well established standard of review, “[w]e have recognized that [a]n agency’s factual and discretionary determinations are to be accorded considerable weight by the courts. . . . Cases that present pure questions of law, however, invoke a broader standard of review than is ordinarily involved in deciding whether, in light of the evidence, the agency has acted unreasonably, arbitrarily, illegally or in abuse of its discretion. . . . We have determined, therefore, that . . . deference ... to an agency’s interpretation of a statu
tory term is unwarranted when the construction of a statute . . . has not previously been subjected to judicial scrutiny [or to] ... a governmental agency’s time-tested interpretation . . . .” (Internal quotation marks omitted.)
Pasquariello
v.
Stop & Shop Cos.,
Our appellate courts have not examined the conclusive presumption under
“When construing a statute, [o]ur fundamental objective is to ascertain and give effect to the apparent intent of the legislature. ... In other words, we seek to determine, in a reasoned manner, the meaning of the statutory language as applied to the facts of [the] case, including
We begin with the text of
The plaintiff relies on the language in the third sentence of
On the other hand, however, the third sentence of the statute expressly preserves the employer’s right to contest the extent of disability, up to one year, only
if
it timely commences payment. The limited preservation of that right raises the question of whether, by negative implication, an employer who fails to preserve that right by its timely payment of compensation (or who fails timely to contest the claim) is barred from asserting such a defense. In other words, although the fifth sentence of
The genesis of the conclusive presumption is Public Acts 1967, No. 842, § 7. Prior to that public act,
In this court’s first opinion addressing the conclusive presumption,
Menzies
v.
Fisher,
supra,
In
Adzima
v.
UAC/Norden Division,
Thereafter,
in DeAlmeida v. M.C.M. Stamping Corp.,
supra,
These cases indicate that, under the revision of
In 1990, the legislature added the following proviso to the preclusion of defense language in
There is additional evidence that the legislature at this time considered the preclusion language to encompass a bar on contesting the extent of disability. The 1990 substitute bill originally reported out of committee had proposed to amend
Thus, P.A. 90-116 simply added a notice requirement regarding the conclusive presumption, leaving intact the existing conclusive presumption and its attendant effects—a bar on any defenses, including those challenging the extent of disability. The legislature presumably was fully cognizant that the effect of the conclusive presumption was harsh, but ensured through P.A. 90-116 that employers would be warned of the consequences of their untimely response to a notice of claim.
See
Black
v.
London & Egazarian Associates, Inc.,
The following year, the legislature deleted subsections (a) and (b) from
In 1993, the legislature undertook comprehensive reforms to the Workers’ Compensation Act. Although this court often has focused on the principal goal of that act—cutting costs for employers and insurers; see, e.g.,
Rayhall
v.
Akim Co.,
Initially, these reforms did not include any changes to
Apparently in response to these concerns, the bill reported out of the labor and public employees commit
tee, Substitute House Bill No. 7172, § 9,
14
proposed to amend
Thereafter, the office of legislative research raised the following concern in its bill analysis: “Although the bill specifies that an employer is precluded from contesting a claim if he does not do so within one year of receiving the notice of claim, it does not say what happens when an employer neither files a notice of intent to contest within the first [twenty-eight] days nor begins paying compensation before the [twenty-eight] days are up. The bill appears to give an employer who does not begin payments up to one year to contest a claim.”
15
Office of Legislative Research, Amended Bill Analysis for Substitute House Bill No. 7172, p. 85. Evidently, to address this omission and the unintended benefit such omission might provide to noncomplying employers, approximately one week later, the legislature adopted an amendment to Substitute House Bill No. 7172. It mandated that the employee’s notice of claim contain two warnings: (1) if the employer commenced payment within twenty-eight days of receiving a claim, it would have a one year period to contest liability; and (2) if the employer neither commenced
payment nor filed a notice contesting liability within that twenty-eight day period, it would be “conclusively presumed to have accepted the compensability of the alleged injury or death . . . .” Substitute House Bill No. 7172, as amended by Amendment A.
16
The amend
ment also
Thus, just like its predecessors,
It is significant that the legislature added the final sentence prescribing the conclusive presumption to address problems that arose as a result of language that appeared to extend the one year period to contest liability—either the right to compensation on any ground or the extent of disability—not only to employers who timely had commenced payment, but also to
employers who had failed to comply with the statutory mandates. The legislature’s responsive, contemporaneous action strongly suggests that it specifically intended the final sentence of
Comments during legislative debate on the amended bill support this distinction. During debate in the House of Representatives on Substitute House Bill No. 7172, as amended by Amendment A, Representative Michael Lawlor summar ized the effect of the 1993 amendment on
Indeed, there is not a single indication in the vast legislative history of Public Act 93-228, including the concerns raised by the business representatives that prompted the legislature to amend
Undoubtedly, the vast nature of the 1993 reforms could explain why proponents of the bill would not have mentioned every aspect of those reforms. It seems counterintuitive, however, that a change to the law that had been in effect for the preceding twenty-seven years—from 1967 to 1993—prescribing a conclusive presumption that barred employers from asserting any defenses to “liability or extent of liability”;
Menzies
v. Fisher, supra,
In sum, the genealogy and the legislative history of
We therefore conclude that, under
It is clear, however, that the legislature prescribed the conclusive presumption for the purpose of protecting employees with “bona fide claims.”
Menzies
v.
Fisher,
supra,
In the present case, the commissioner stated that, preclusion aside, the plaintiff would need to establish the compensability of his injury, or more specifically, the causal connection between his need for surgery and his compensable injury. Because the commissioner expressly credited the defendant’s expert over the plaintiffs expert, the commissioner concluded that the plaintiff had failed to sustain his burden. There is nothing, however, to suggest that the commissioner would have made the same determination in the absence of the expert testimony presented by the defendant. Accordingly, because the defendant neither commenced payment to the plaintiff nor filed a notice contesting liability within the prescribed twenty-eight day period, under
The decision of the board is reversed and the case is remanded to the board with direction to reverse the commissioner’s decision and to remand the case to the commissioner for further proceedings consistent with this opinion.
In this opinion the other justices concurred.
Notes
The plaintiff appealed from the board’s decision to the Appellate Court pursuant to
The plaintiff’s proposed finding and award indicates that he had sought compensation for the two surgeries, for total and partial incapacity for periods following the surgeries and for a 37.3 percent permanent partial disability of his back. It appears from the transcript of the hearing before the commissioner that the defendant successfully sought to limit the decision to the issue of the compensability of the surgeries, because compensability of the other benefits hinged on whether the surgeries were compensable.
It is not entirely clear from the commissioner’s decision whether he was addressing the 2002 surgery only, the 2004 surgery only or both surgeries. The expert testimony to which the commissioner referred opined only as to whether the 2002 surgery was related to the bus accident, but the commissioner expressly referred to the plaintiffs “need for surgery in 2004” and “his surgeries of 2004.” Because the plaintiff sought compensation for both surgeries and it appears from the record that both surgeries treated the same injury, we presume that the commissioner dismissed the plaintiffs claim for compensation for both the 2002 and 2004 surgeries.
In the alternative, the plaintiff contends that, even if an employer may contest the extent of a claimant’s disability, the defendant is contesting the
causation
of his medical condition, not the extent of his disability. The plaintiff contends that, under
DeAlmeida
v.
M.C.M. Stamping Corp.,
supra,
We note that, although the board relied on its previous decision in
Tucker
v.
Connecticut Winpump, Inc.,
supra, No. 4492, CRB-5-02-2, as precedent for its conclusion in the present case that the 1993 amendment to
Although the term “compensation” was not defined by statute until 1991; see
Schiano
v.
Bliss Exterminating Co.,
In
Adzima
v.
UAC/Norden Division,
supra,
The statute applicable in
DeAlmeida
was the 1987 revision of
Although initially, the Appellate Court had construed the conclusive presumption to bar an employer even from asserting jurisdictional defenses to a claim;
LaVogue
v.
Cincinnati, Inc.,
Public Acts 1989, No. 89-31, extended the time period from twenty days to twenty-eight days for an employer to give notice that it was contesting a claim for any iiyury sustained on or after October 1, 1989.
Por example, one reform in 993 imposed a 20 percent penalty,
in addition to other interest or penalties,
on late payment of compensation due under an award, a voluntary agreement or from the second injury fund. See Public Acts 1993, No. 93-228, § 14, now codified at
Substitute House Bill No. 7172, § 9, proposed the following changes to
We note that the summaries prepared by the office of legislative research expressly provide: “ 'The following fiscal impact statement and bill analysis are prepared for the benefit of members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either house thereof for any purpose.’ ” Office of Legislative Research, Bill Analysis for Substitute House Bill No. 7172; Office of Legislative Research, Amended Bill Analysis for Substitute House Bill No. 7172, as amended by House Amendment A. Although the comments of the office of legislative research are not, in and of themselves, evidence of legislative intent, they properly may bear on the legislature’s knowledge of interpretive problems that could arise from a bill. See, e.g.,
State
v.
George J.,
Substitute House Bill No. 7172, § 8, as amended by Amendment A, proposed the following changes to
Indeed, although the defendant views the “extent of disability” language in
We are mindful that, as a practical matter, as long as an employee pursued his claim with the commissioner, the employer would not have had an unlimited time to contest compensability because, at the hearing before the commissioner, the employer would have to contest or concede liability. See