Levi v. Northern Anderson County EmsLevi v. Northern Anderson County Ems
In this workers’ compensation case, Kerry Levi appeals the dismissal of her claim by the Appellate Panel of the Workers’ Compensation Commission (Appellate Panel). She contends the single commissioner’s denial of Northern Anderson County EMS (EMS) and its carrier’s, Berkshire Hathaway Homestate Insurance Company, (collectively, Employer) motion to dismiss was not immediately appealable. Levi also argues the question of whether she settled her third-party claim is not ripe for review. We vacate the Appellate Panel’s decision and remand to the Appellate Panel for it to dismiss the appeal.
FACTS/PROCEDURAL HISTORY
Levi worked as a paramedic for EMS. On March 10, 2011, she injured her back while moving a patient. Later that month, on March 29, she was riding in an ambulance as part of her employment when another driver (the third party) rear-ended the ambulance. Levi filed workers’ compensation claims for both injuries, which Employer accepted. Levi began receiving temporary disability in May of 2011 and had back surgery in July of that year.
On September 14, 2011, Employer filed a motion to dismiss both claims. It asserted Levi had accepted a $550 check from the third party’s insurance company three weeks after the car accident. It contended this was a settlement of her third-party claim.
Levi contended she had not settled her claim against the third party. She maintained the $550 payment was limited to compensation for her pain and suffering from the accident and she had not signed a document releasing anyone from liability. She contended she had informed Employer of the $550 payment and both the owner of EMS and the worker’ compensation insurance adjuster had advised her to accept the money.
On January 20, 2012, the single commissioner denied the motion to dismiss. It found the $550 payment was for pain and suffering and ordered a hearing to determine if Levi had reached maximum medical improvement (MMI) or if she needed additional medical treatment.
Employer appealed to the Appellate Panel, which reversed the single commissioner and dismissed Levi’s claims in an order dated July 2,2012. The Appellate Panel found Levi had settled with the third party and had not notified Employer or the Commission. It determined that therefore Levi had elected her remedy. It found because Levi did not comply with the statute, she had deprived the Commission of jurisdiction of the claim. It also determined her injuries were solely due to the car accident. This appeal followed.
LAW/ANALYSIS
Levi argues this court should vacate the Appellate Panel’s decision. She maintains the single commissioner’s ruling was
“Only issues raised [to] and ruled on by the commission are cognizable on appeal.” Stone v. Roadway Express,
“An appellate court may determine the question of appealability of a decision from a lower court as a matter of law.” Ashenfelder v. City of Georgetown,
“The right to appeal is a jurisdictional matter and, even if the parties do not raise the issue of appealability, we must dismiss the appeal on our own motion if we conclude we do not have jurisdiction.” Dorothy J. Pierce Family Mineral Trust v. Jorgenson,
South Carolina, as well as other states, has made clear appellate jurisdiction can be raised by appellate courts even if none of the parties have raised it. Other states have found the concept to apply not just to supreme courts and courts of appeal but also when a district court is reviewing a real estate review board’s decision. Because appealability can be raised at any point, we can consider whether Employer could immediately appeal to the Appellate Panel the denial of its motion to dismiss.
If an application for review is made to the Commission within fourteen days from the date when notice of the award shall have been given, the Commission shall review the award and, if good grounds be shown therefor, reconsider the evidence, receive further evidence, rehear the parties or their representatives and, if proper, amend the award.
S.C.Code Ann. § 42-17-50 (Supp.2013) (emphases added). “[T]he intention of the legislature was to provide for the disposition of a claim made to the ... Commission by the orderly process of a hearing before a single commissioner ... [and] a review, by the [Appellate Panel], of the single commissioner’s award....” Janhrette v. Union Camp Paper Corp.,
The commission or any of its members shall hear the parties at issue and their representatives and witnesses and shall determine the dispute in a summary manner. The award, together with a statement of the findings of fact, rulings of law, and other matters pertinent to the questions at issue, must be filed with the record of the proceedings and a copy of the award must immediately be sent to the parties in dispute.
S.C.Code Ann. § 42-17-40(A) (Supp.2013) (emphasis added).
The Code does not define award. However, Black’s Law Dictionary defines it as “[a] final judgment or decision.” Black’s Law Dictionary 164 (10th ed.2014).
Under section l-23-380(A) of the [Administrative Procedures Act (APA) ], [a] party who has exhausted all administrative remedies available within the agency and who is aggrieved by a final decision in a contested case is entitled to judicial review. An agency decision which does not decide the merits of a contested case is not a final agency decision subject to judicial review. A preliminary, procedural, or intermediate agency action or ruling is immediately reviewable if review of the final agency decision would not provide an adequate remedy.
Bone v. U.S. Food Serv.,
Section 1-23-390 of the APA, governing further appellate review, provides: “An aggrieved party may obtain a review of a final judgment of the circuit court or the court of appeals pursuant to this article by taking an appeal in the manner provided by the South Carolina Appellate Court Rules as in other civil cases.”
Id. at 74,
Courts “cannot review a decision that has not been made.” Lee v. Bondex, Inc.,
Like the denial of a motion for summary judgment, the denial of a motion to dismiss does not establish the law of the case and the issue raised by the motion can be raised again at a later stage of the proceedings. Therefore, the denial of a motion to dismiss is not directly appealable....
McLendon v. S.C. Dep’t of Highways & Pub. Transp.,
In Allison v. W.L. Gore & Associates, an employee appealed the single commissioner’s order to the Appellate Panel two days after the fourteen-day deadline for filing an appeal.
In an unpublished North Carolina case, the deputy commissioner (similar to our single commissioner) entered an order denying a claimant’s motion to dismiss the guaranty association’s request for a final hearing. Pait v. Se. Reg’l Hosp., 196
In a New York case, “a Workers’ Compensation Law Judge [(WCLJ)] found that claimant had submitted prima facie medical evidence of an injury and set the claim down for a hearing to determine, among other things, the question of causal relationship.” Garti v. Salvation Army,
The employer sought review from the Workers’ Compensation Board, arguing that claimant had not submitted prima facie medical evidence. The Board refused to consider the employer’s application, pointing out that a finding of prima facie medical evidence after a prehearing conference “is an evidentiary determination that the case may proceed and is interlocutory and is not reviewable by the Board.”
Id. (citation omitted). The employer appealed to the Supreme Court, Appellate Division; the claimant asserted the appeal was from an interlocutory decision and must be dismissed; and the court agreed with the claimant. Id.
In another New York case, the Supreme Court, Appellate Division, noted:
The Board made no final rulings and declined review of the WCLJ’s decision based upon 12 NYCRR 300.38[ (h)(5) ](i), which provides that WCLJ “[decisions containing only orders or directions made ... in connection with the prehearing conference and expedited hearing process in controverted cases ... shall not be reviewable by the Board ...until a decision has been made by a [WCLJ] establishing or disallowing the claim.”
Gibbs v. N.Y. City Health & Hosp. Corp.,
The North Carolina Supreme Court has held, “If an appealing party has no right of appeal, an appellate court on its own motion should dismiss the appeal even though the question of appealability has not been raised by the parties themselves.” Love v. Moore,
The Idaho Supreme Court has found a district court did not have jurisdiction to hear a petition for judicial review from the Real Estate Appraiser Board’s decision to deny a motion to dismiss. Williams v. State, Bd. of Real Estate Appraisers,
The appeal from the single commissioner to the Appellate Panel was not from a final judgment and was interlocutory. The applicable statute provides for appeals from an award, which Black’s Law defines as a final decision, mandating that appeals only be from a final decision. Although the applicable regulation uses the term decision instead of award, a regulation cannot add to the statute. Therefore, an appeal must be from an award, not simply any decision.
CONCLUSION
We reverse the Appellate Panel’s order because the order from the single commissioner was not immediately appeal-able.
VACATED AND REMANDED.
Notes
. A letter from the third party's insurance company, dated April 10, 2011, stated: "I will be sending a check to you ... in the amount of $550.00 for full and final settlement o[f] your injury claim. Please understand that signing and cashing this check settles your claim from the above accident. Any medical expenses incurred by you from this loss will be presented to us from your Workman Compensation Adjuster.” On September 9, 2011, Allstate sent a letter to Employer’s attorney stating, "We have yet to receive any medical bills or reports with respect to the injury sustained by ... Levi.” On December 29, 2011, the insurance company sent a letter to Levi's attorney, which stated: "This will confirm that Allstate paid and Ms. Levi cashed a settlement check for $550.00. This was for her pain an[d] suffering only with the understanding we would pay for the reasonable and related medical bills.”
. "[T]he settlement of a third party claim without notice to the employer and carrier bars a workers’ compensation action.” Kimmer v. Murata of Am., Inc.,
. On March 5, 2013, after the filing of the Appellate Panel’s order, Levi filed a lawsuit against the third party in the court of common pleas. That suit, Levi v. Proell, 2013-CP-23-01287, is pending in Greenville County court of common pleas. It is scheduled for a roster meeting on December 8, 2014. See http://www.greenvillecounty.org/scjd/ publicindex/CaseDetails.aspx?County=23 & CourtAgency=23002 & Casenum=2013CP2301287 & CaseType=V (last visited June 17, 2014).
. In terms of appealability, the denial of a motion to dismiss is much like a denial of a motion for summary judgment. See McLendon,
. We need not determine Levi's remaining issue regarding ripeness. See Futch v. McAllister Towing of Georgetown, Inc.,