42 Conn. App. 147 | Conn. App. Ct. | 1996
On October 3, 1989, the plaintiff, Paolo Soares, suffered a back injury that arose out of and in the course of his employment by the defendant, Max Services, Inc. Max Services, Inc., had, theretofore, insured its potential liability under the Workers’ Compensation Act (act), General Statutes § 31-275 et seq., with the defendant Commercial Union Insurance Companies. The plaintiff had suffered a prior injury that
On November 29, 1990, the defendants sent the fund a written notice of their intention to seek to transfer liability to the fund. Attached to that notice were documents supporting their claim. A copy of the voluntary agreement as to benefits payable to the plaintiff was not furnished by the defendants to the fund before July 5, 1991. By letter dated December 4, 1990, the fund
Thereafter, by letter dated January 18, 1991, the fund wrote to the defendants’ attorney, indicating that the defendants’ notice to the fund was incomplete because it “lackjed] current medical information (less than three months old)” and that it “lackfed] necessary approved voluntary agreement or award.” By letter dated March 7, 1991,
By March 18, 1991, the parties had signed the voluntary agreement. The workers’ compensation commissioner (commissioner) approved that agreement on October 28, 1991. It was not, however, until February 10, 1992, that the defendants provided the fund with a copy of the approved voluntary agreement. February 10, 1992, was 219 days after the ninety day statutory period had expired.
On March 17,1992, Yinxia Long, a paralegal specialist for the fund, wrote to the attorney for the defendants,
The commissioner decided that the defendants, “having failed to follow the directives of the statute [§ 31-
Thereafter, the defendants petitioned the compensation review board (board) for review of the decision of the commissioner. In that appeal, they claimed that the commissioner improperly (1) interpreted § 31-349 in finding that the defendants had failed to comply with the requirements of that statute and (2) failed to find that the fund had either waived its right to contest liability or had become estopped from denying liability.
The board affirmed the decision of the commissioner. In doing so, it held that the commissioner did not misinterpret the ninety day provision of § 31-349 (a) in requiring that a copy of the voluntary agreement be supplied to the custodian of the fund within that time limit. It relied on Kramer v. General Electric Co., supra, 37 Conn. Sup. 742, which in turn had relied on Plesz v. United Technologies Corp., 174 Conn. 181, 384 A.2d 363 (1978), as well as on two of its own recent decisions.
Similarly, the board rejected the claim that the fund should be estopped from denying acceptance of the case and, in doing so, did not agree with the defendants’ claim that the fund was not a governmental agency for the purposes of estoppel. Rather, it chose to follow its own decision in Dos Santos v. F. D. Rich Construction Co., 12 Conn. Workers’ Comp. Rev. Op. 64 (1994), because of the limits on the fund’s representatives to circumvent statutory requirements. Noting that, as to estoppel, the defendants would have to prove detrimental reliance on the alleged action of the fund’s representatives, the board did not accept the estoppel claim. It gave two reasons for denying that claim: the inability of the fund representatives to waive jurisdictional requirements and the statement by fund representatives
On appeal, the defendants first claim that the notice provisions of § 31-349 do not preclude the transfer of the plaintiffs claim to the fund. Included within that claim are the defendants’ arguments that the board applied the wrong standard to this claim, that the board improperly interpreted the notice provision of § 31-349 in saying that it required that the fund be given a voluntary agreement by a specific date, that their construction of the statute satisfies the purposes of the notice requirement and that they did satisfy the notice requirements of § 31-349. Second, they claim that the fund is estopped from denying liability for the plaintiffs claim and that the fund is not a governmental agency. Third, they claim that the fund has waived any defense of improper notice pursuant to § 31-349.
On the other hand, the fund claims, first, that the board correctly found that the defendants’ notice of claim for transfer was not timely filed as required by § 31-349 and that it, therefore, properly denied their claim for transfer to the fund. Second, it claims that the defendants cannot invoke estoppel because the elements of estoppel are lacking in this case. Third, it claims that there has been no waiver.
I
In arguing that the notice provisions of § 31-349 do not preclude the transfer of liability to the fund, the defendants claim that the board applied “the wrong legal standard.” They maintain that the board improperly relied on its own decision in Dos Santos v. F. D. Rich Construction Co., supra, 12 Conn. Workers’ Comp. Rev. Op. 64, in which the defendants contend that the
The defendants claim the statute “does not require that the Fund be given a voluntary agreement by a specific date.” They contend that the statute imposes three requirements: “First, the employer or insurance carrier shall, ninety days prior to the expiration of the one hundred four weeks of disability, notify the fund of the pending case. Second, the employer or insurance carrier shall furnish the Fund with a copy of the voluntary agreement or award with documentation supporting the claim. Third, the employer or insurance carrier shall make available to the Fund any medical records that are requested.” They claim that “while the statute contains a specific time period within which to give notice, there is no time period within which to provide the voluntary agreement or award, the supporting documentation and the medical records.” All that the statute requires, they argue, is that the other materials be furnished.
The defendants then argue that it is significant that the legislature, in its 1971 amendment, Public Acts 1971, No. 447, § 1, inserted the phrase “ninety days prior to the expiration of the one-hundred-four-week period” between “must” and “notify the custodian of the second injury fund of the pending case” in the first part of the statute and set it off by commas. They argue that the language “ninety days prior to the expiration of the one-hundred-four-week period . . . was not, however, repeated at all in connection with ‘shall furnish to said custodian a copy of the agreement or award’ or ‘shall make available to the custodian all medical reports as the custodian shall desire’ ” in the latter part of the statute. They note, however, that the legislature did include the word “shall” in each case, thereby making “the provision of each category of document mandatory,” whereas, they stress, the ninety day provision is not repeated. The effect of this, they contend, is to make the provision of information mandatory, but to place a time requirement only upon notification of the pendency of the case to the fund. They contend that, therefore, it must be presumed that the ninety day time period applies only to “[notifying] the custodian of the second injury fund of the pending case.” We do not agree.
In Vachon, this court addressed § 31-297 (b),
In Vachon, however, the statute involved was structured differently from § 31-349. There, the question was whether the statute required an employer desiring to contest liability to send the statutorily prescribed notice “on or before the twentieth day after he has received a written notice of [employee’s] claim” to the employee
The grammatical structure of § 31-349, however, is quite different from that of § 31-297 (b). The statutory language in Vachon sought to be connected with the twenty day limit in § 31-297 (b) was so remotely located that the permissible reach of the notice requirement had been exceeded. To have decided otherwise would have gone beyond the legislative intent. That is not at all so in the notice requirement of § 31-349.
While urging that Vachon supports their interpretation, the defendants have not fully analyzed certain language of significance in the 1971 amendment that is a crucial part of this statute. That language is: “As a condition precedent to the liability of the second injury fund, the employer or his insurance carrier shall . . . .” (Emphasis added.) This clause is key to what follows.
In like fashion, we are not persuaded by the citation of State v. Dennis, supra, 150 Conn. 245, in support of their interpretation. In that case, the interpretation of General Statutes (Rev. to 1958) § 53-21
In Dennis, the court laid great stress on the use of the disjunctive “or” between the two parts of the statute as indicating “a clear legislative intent of separability.” See State v. Dennis, supra, 150 Conn. 248. After rejecting the defendant’s punctuation argument and stressing the effect of the disjunctive “or” in separating the statute into two parts, the court examined the statutory history to demonstrate that changes in its wording and in the tense of operative verbs were not to be considered as altering the meaning and effect of the statute. Id., 249.
In the case before us, the defendants argue that the Dennis court found it significant that the phrase “wilfully or unlawfully” was inserted between “shall” and “cause or permit” in the first part of the statute, but was not repeated at all in connection with “does any
Next, the defendants claim that their interpretation of § 31-349 finds further support in its legislative history. They point out that at one time § 31-349 provided in part: “[Njinety days prior to the expiration of the one-hundred-four week period, the employer or his insurance carrier shall notify the custodian of the second injury fund of the pending case and shall furnish to said custodian a copy of the agreement or award, and shall make available to the custodian such medical reports as the custodian shall desire.” They indicate, however, that in 1971 that language was amended and the phrase “ninety days prior to the expiration of the one-hundred-four-week period” was moved from its original position as the opening part of the sentence and inserted between the verb “must” and the phrase “notify the custodian of the second injury fund of the pending case.” Public Acts 1971, No. 447, § 1. In urging this legislative history as support for their interpretation, the defendants refer to certain tenets of statutory construction, such as that when the legislature changes a statute, there is a presumption that there is a purpose for it, and that, when a statute is amended, it is presumed that the legislature intended to change the meaning of the statute. They then assert that “if, as the court stated in Plesz v. United Technologies Corp., [supra, 174
In discussing the changes in § 31-349 wrought by the 1971 amendment, the defendants, contrary to accepted tenets of statutory construction, do not fully analyze certain new language that the legislature inserted at the beginning of the very sentence in which they stress the movement of the words “[n]inety days prior to the expiration of the one hundred four week period.” A court must interpret the statute as written and it is to be considered as a whole and is not to treat any word as superfluous. Orticelli v. Powers, 197 Conn. 9, 14, 495 A.2d 1023 (1985); Peck v. Jacquemin, 196 Conn. 53, 66, 491 A.2d 1043 (1985). We are primarily concerned here with the language, “As a condition precedent to the liability of the second injury fund” vis-a-vis the remaining language of the sentence. This sentence begins with language that demonstrates clearly that compliance is required with that which is set out later in that sentence. It declares what the legislature intended that the employer or its insurance carrier must do precedent to the liability of the second injury fund. In determining what action is incumbent on the defendants in the context of the statutory scheme, the court “searchfes] for an effective construction that reason
Even where statutory language is susceptible to more than one plausible inteipretation, the court looks to the statute’s legislative history and the purpose the statute is to serve in order to ascertain and to give effect to the intent of the legislature. Davis v. Norwich, supra, 232 Conn. 319. Our Supreme Court in Davis, in addressing the 1971 amendment adding the present notice provision, quoting with approval Vaillancourt v. New Britain Machine/Litton, supra, 224 Conn. 392, stated: “The object of the ninety-day statutory notice is to enable the fund to be apprised promptly of such a claim being made, to obtain a copy of the agreement or award and to have immediate access to all medical reports. Such information is essential to enable the fund to assess promptly its alleged liability and to establish immediately its financial reserves. A further objective is to give the fund a reasonable period of time within which to investigate the claim and to prepare to meet it.” (Emphasis added; internal quotation marks omitted.) Davis v. Norwich, supra, 321. It is well settled that notice provisions under the act should be strictly construed. Vaillancourt v. New Britain Machine/Litton, supra, 395, and cases there cited; Kiernan v. Roadway Express, Inc., supra, 15 Conn. App. 630; see Kramer v. General Electric Co., supra, 37 Conn. Sup. 742. We note that this same language from Davis was originally used in Plesz, again quoted in Vaillancourt and later in Davis.
In addition, the defendants attack Kramer’s reference to the legislative history of the 1971 amendment, which that court maintains “reveals no intention on the part of the legislature to make the requirements that the employer must fulfill less strict.” Kramer v. General
The defendants do agree, however, in their brief, that “the [legislative] history reveals an intent that the Second Injury Fund not accept liability for payment until the claim has been fully documented,” but they suggest “that the statute and its history also reveal an intent to eliminate the time requirements for submitting the voluntary agreement and the medical records.” They point out: “In fact, in his statement regarding the purpose of the bill, Senator [Wilbur] Smith stated ‘that the custodian of the Second Injury Fund shall accept liability for payment after the case has been completely documented as to injuries sustained and benefits paid and the liability of the Fund is demonstrated.’ ” See 14 5. Proc., Pt. 6, 1971 Sess., pp. 2561-62. The defendants claim, however, that there is “no statement that the Fund would accept liability only if the case was completely documented ninety days prior to the expiration of the one hundred four weeks of disability.” The statement just quoted is, however, the second paragraph of Senator Smith’s remarks on that occasion; an examination of the first paragraph of his two paragraph statement, we submit, suggests that more is required than the notification “of the pending case” within the ninety days. The first paragraph states: “Section 31-349 of the 69 Supplement to our General Statutes is amended. Second Injury Fund will accept liability for compensation to an injured employee, when his employer or insurer, ninety days prior to the expiration of the 104 week period, applies
We cannot accept the defendants’ claims that their interpretation of the statute satisfies the purpose of the notice requirement and that they satisfied the notice requirement. They claim that it is undisputed that the fund received timely notice of the pending claim; that much is correct. They also say that the fund received all of the medical reports and that it received the voluntary agreement after it had been approved. They, therefore, claim that the fund had “all of the information it needed to assess its liability and to establish its financial reserves.”
As stated previously, it is agreed that July 5, 1991, was the ninetieth day prior to the expiration of the 104 week period. Although the parties had signed the voluntary agreement by March 18,1991, well before the July 5, 1991 cutoff date, it was not until February 10, 1992, 219 days after July 5, 1991, that the defendants furnished a copy of that agreement to the fund. This occurred after three letters from the fund calling to the
We cannot subscribe to a result of open-ended, unlimited time “compliance” suggested by the defendants, which we believe would thwart the intent of the notice provision. See Stamford Ridgeway Associates v. Board of Representatives, 214 Conn. 407, 426, 572 A.2d 951 (1990); Evening Sentinel v. National Organization for Women, 168 Conn. 26, 31, 357 A.2d 498 (1975). In rejecting this result, we keep in mind that our Supreme Court has said: “We conclude that the giving of timely notice is the condition precedent to an effective transfer of liability to the Fund under § 31-349.” (Emphasis in original.) Vaillancourt v. New Britain Machine/Litton, supra, 224 Conn. 396. There can, of course, be no “effective transfer of liability to the Fund under § 31-349” until all those materials specified in that statute have been furnished to the fund, and not just notification of the pendency of the case.
We have decided that § 31-349 does require sending an “agreement,” as the Supreme Court has defined “agreement” in Dos Santos v. F. D. Rich Construction Co., 233 Conn. 14, 22-23, 658 A.2d 83 (1995), to the fund within that ninety day period. That, however, does not avail the defendants, as they sent no agreement of any sort to the fund within that period. The defendants did not satisfy the notice provision of § 31-349.
II
The defendants also claim that the fund is estopped from denying liability for the plaintiffs claim. For the purpose of examining the defendants’ claim of estoppel, we assume, without deciding, that the doctrine of estoppel may be asserted against the fund. In maintaining that estoppel applies, the defendants first point out that in November, 1990, approximately fifty-eight weeks
on those facts, thereby incurring some injury. Bozzi v. Bozzi, 177 Conn. 232, 242, 413 A.2d 834 (1979); Dupuis v. Submarine Base Credit Union, Inc., [170 Conn. 344, 353, 365 A.2d 1093 (1976)]; Pet Car Products, Inc. v. Barnett, 150 Conn. 42, 53-54, 184 A.2d 797 (1962).” Zoning Commissioner. Lescynski, [188 Conn. 724, 731, 453 A.2d 1144 (1982)].’ Kimberly-Clark Corporation v. Dubno, 204 Conn. 137, 148, 527 A.2d 679 (1987)." Novella v. Hartford Accident & Indemnity Co., 163 Conn. 552, 563, 316 A.2d 394 (1972); Palumbo v. Papadopoulos, 36 Conn. App. 799, 801, 653 A.2d 834 (1995). Estoppel requires proof of misleading conduct by one party resulting in detrimental reliance by the one claiming estoppel. Hunt v. Friedman, 6 Conn. App. 720, 722, 507 A.2d 498 (1986); Latimer Point Management Corp. v. Anderson, 1 Conn. App. 310, 313, 471 A.2d 670 (1984). The party claiming estoppel has the burden of proof, and whether that burden has been satisfied in a particular case is a question of fact. Middlesex Mutual Assurance Co. v. Walsh, 218 Conn. 681, 689, 590 A.2d 957 (1991); Palumbo v. Papadopoulos, supra, 801.
As stated previously, the defendants maintain that the fund “consistently misled”
We begin with a definition of “mislead.” Webster defines it as meaning “to lead in a wrong direction or into a mistaken action or belief.” Webster’s Third New International Dictionary. Black defines “misleading” as “Delusion; calculated to lead astray or to lead into error.” Black’s Law Dictionary (6th Ed. 1990). We do not agree that the defendants were “consistently misled” as claimed.
There is no question that the three so-called “reminder letters” from the fund to the defendants of December 4, 1990, January 8, 1991, and March 17, 1991 each stated: “Your notice to the Fund is incomplete as of this date because it: Lacks necessary approved voluntary agreement or award. ...” (Emphasis in original.) These letters were all well in advance of the July 5, 1991 cut-off date under § 31-349. More to the point, these letters predate, by several years, our Supreme Court’s decision in Dos Santos. In addition, the state of our decisional law was the same, not only at the time the board decided the defendants’ appeal, but also through the time that the defendants took their appeal to this court. It was not until the Supreme Court’s decision in Dos Santos that the term “agreement” in the notice provision of § 31-349 was defined in the manner that the defendants now claim. We note that in that case, the agreement, although not approved and not signed by the claimant, was presented to the fund within the ninety day statutory period. Moreover, administra
We now turn to the defendants’ claim that the fund, by its letter of March 17, 1992,
The defendants claim, however, not only that the fund’s letter of March 17, 1992, misled them into believing that it accepted the plaintiffs claim, but that the fund also agreed “to accept the case at an informal hearing on June 5, 1992.” For this latter claim, the defendants refer to the board’s opinion, which states in part: “On March 17, 1992, a representative of the Fund wrote to [defendants’] counsel informing him that the claimant’s injury ‘qualifies for transfer to the Fund.’ A representative of the Fund confirmed the agreement to accept the case at an informal hearing held on June 5,1992.” The trial commissioner, who is the fact finder, made no such finding concerning any informal hearing of June 5,1992, and, actually, did not say anything about any informal hearing at all. There is no admission in the record that the fund “confirmed” this “agreement,” there is nothing in the record concerning this “informal hearing”
We conclude, therefore, that the defendants have not demonstrated that the fund “consistently misled” them as claimed. Specifically, they have not proven their detrimental reliance on representations of the representatives of the fund. See Hunt v. Friedman, supra, 6 Conn. App. 722; Latimer Point Management Corp. v. Anderson, supra, 1 Conn. App. 313.
Ill
We now turn to the defendants’ claim of waiver. They argue that “it is clear that the Fund waived any defense of improper notice under Section 31-349. The Fund has consistently taken the position that proper notice under Section 31-349 required an approved voluntary
Waiver is the intentional abandonment of a known right. Brown v. Employer’s Reinsurance Corp., 206 Conn. 668, 675, 539 A.2d 138 (1988); see Novella v. Hartford Accident Indemnity Co., supra, 163 Conn. 562. “Waiver is the voluntary relinquishment of a known right. It involves the idea of assent, and assent is an act of understanding. . . . Intention to relinquish must appear, but acts and conduct inconsistent with intention to [relinquish] . . . are sufficient.” MacKay v. Aetna Life Ins. Co., 118 Conn. 538, 547-48, 173 A. 783 (1934); see Phoenix Mutual Life Ins. Co. v. Brenckman, 148 Conn. 391, 396, 171 A.2d 194 (1961). Waiver is a question of fact for the trier. Brauer v. Freccia, 159 Conn. 289, 295, 268 A.2d 645 (1970). At bottom, there must be a “right” that is capable of being waived. As a general matter, rights granted by statute may be waived unless the statute is intended to protect the general rights of the public rather than private rights. 28 Am. Jur. 2d, Estoppel and Waiver, § 164. Rights conferred by constitutions or statute may be waived provided such rights and privileges rest in the individual and are intended for his sole benefit. See 92 C.J.S. Waiver, p. 1066; Eleven Eleven Book Center, Inc. v. Ribaudo, 86 Misc. 2d 17, 19-20, 381 N.Y.2d 643 (1976). Where there
It is clear that the fund, through its representatives, had the statutory duty to accept the transfer of a claim only after the receipt by it of the required information, which includes a copy of the agreement, within ninety days before the expiration of the 104 weeks disability-It is also clear that no agreement of any sort was furnished to the fund by the defendants within that period. Moreover, the failure of the defendants to do so was not the result of any action or conduct on the part of the fund or any of its representatives. On this matter of waiver, the defendants also have not demonstrated that there was even a “right” existing on the part of the fund or its representatives to waive its statutory obligation, as public employees acting pursuant to § 31-349, to require compliance with the notice requirement before they accepted the transfer of a claim to the fund. We, therefore, conclude that no waiver has been demonstrated.
Given our conclusions on the issues of estoppel and waiver, the ends of justice do not, therefore, even suggest, let alone demand, that the case be remanded to the board or the commission for consideration in the light of the Supreme Court’s decision in Dos Santos.
The decision of the compensation review board is affirmed.
In this opinion the other judges concurred.
General Statutes (Rev. to 1989) § 31-349 provides in pertinent part: “Compensation for second disability. Payment of insurance coverage, (a) The fact that an employee has suffered previous disability, or received compensation therefor, shall not preclude him from compensation for a later ii\jury, nor preclude compensation for death resulting therefrom. If an employee who has previously incurred, by accidental injury, disease or congenital causes, total or partial loss of, or loss of use of, one hand, one arm, one foot or one eye, or who has other permanent physical impairment, incurs a second disability by accident or disease arising out of and in the course of his employment, resulting in a permanent disability caused by both conditions which is materially and substantially greater than that which would have resulted from the second ipjury alone, he shall receive compensation for the entire amount of disability, including total disability, less any compensation benefits payable or paid with respect to the previous disability, and necessary medical care, as elsewhere provided in this chapter, notwithstanding the fact that part of such disability was due to prior accidental injury, disease or congenital causes. The employer by whom the employee is employed at the time of the injury, or his insurance carrier, shall in the first instance pay all awards of compensation and all medical expenses provided by this chapter for the first one hundred four weeks of disability. As a condition precedent to the liability of the second injury fund, the employer or his insurance carrier shall, ninety days prior to the expiration of the one-hundred-four-week period, notify the custodian of the second injury fund of the pending case and shall furnish to said custodian a copy of the agreement or award together with all information purporting to support his claim as to the liability of the second injury fund, and shall make available to the custodian all medical reports as the custodian shall desire. Failure on the part of the employer or the carrier to comply does not relieve the employer or carrier of its obligation to continue furnishing benefits under the provisions of this chapter. In the event the custodian shall reject the claim of the employer and its insurer, the question shall be submitted to the commissioner having jurisdiction, as promptly as possible, and the employer or carrier shall continue furnishing benefits until the outcome is finally decided, and if the employer or carrier prevails all payments made beyond the one-hundred-four-week period shall be reimbursed to the employer or carrier by the second injury fund. After the employer or its insurer has completed the payment for the one-hundred-four-week period, he shall file with the commissioner having jurisdiction, and with the custodian of the second injury fund, a form indicating that all compensation and medical bills have been paid for the one-hundred-four-week period, and indicating
The fund’s letters of December 4, 1990, January 18, 1991, and March 7, 1991, each contained the following statement in bold type at the bottom: “Nothing in this letter is to be construed as an acceptance of the claim by the Fund on the merits or a concession that notice is timely.”
In their brief the defendants maintain that there were “several informal hearings,” and notice of each was given to the fund, including those of June 11, 1990, and March 4, 1991. The defendants indicate that at those hearings they “agreed to the nature and amount of voluntary benefits which would be paid to Mrs. Soares.” They acknowledge, however, that because these
The fund’s letter of July 22, 1992, stated in full:
“Re: Paulo Soares vs. Max Services
Dear Attorney LaBella:
Per our phone conversation of 6/14/92,1 am returning the proposed transfer agreements in this matter. The fund will not voluntarily accept transfer under § 31-349 as the voluntary agreement was not received by the Fund within the statutory period.
C.G.S. § 31-349 states in part:
‘As a condition precedent to the liability of the second injury fund, the employer or his insurance carrier shall, ninety days prior to the expiration of the one-hundred-four-week period, notify the custodian of the second injury fund of the pending case and shall furnish to said custodian a copy of the agreement or award. . . .’
According to the voluntary agreement, the 104th week of disability benefits expired on 10/1/91 and said voluntary agreement was not approved until 10/28/91. A further review of the voluntary agreement indicates all parties had signed the agreement by 3/18/91 and said agreement could have been approved and sent to the Fund within the statutory period.
The commissioner’s memorandum of decision states in part: “It is not disputed that the insurer did not furnish a copy of the Voluntary Agreement prior to 90 days before the expiration of the 104th week.”
Reising v. General Dynamics/Electric Boat Division, 13 Conn. Workers’ Comp. Rev. Op. 40 (1994), and Dos Santos v. F .D. Rich Construction Co., 12 Conn. Workers’ Comp. Rev. Op. 64 (1994).
In making this claim, the defendants cite the board’s opinion. In doing so, they do not mention that the board’s opinion cites the Dos Santos and Reising opinions as “two recent decisions” that followed Kramer v. General Electric Co., supra, 37 Conn. Sup. 742.
They also claim that the Supreme Court’s decision in Dos Santos v. F.D. Rich Construction Co., 233 Conn. 14, 658 A.2d 83 (1995), “erodes the basis of the [board’s] decision here” and later say “the [board’s] decision, whose basis has been destroyed, at a minimum should be reversed and the case remanded for reconsideration of the [defendants’] claim in light of the Supreme Court’s recent statement of the law.” This latter global assertion, i.e., that the “basis” of the board’s decision has been “destroyed,” is not quite the case, as we discuss later in this opinion.
The applicable notice provision of General Statutes (Rev. to 1989) § 31-349 (a) provides: “As a condition precedent to the liability of the second irqury fund, the employer or his insurance carrier shall, ninety days prior to the expiration of the one-hundred-four-week period, notify the custodian of the second injury fund of the pending case and shall furnish to said custodian a copy of the agreement or award together with all information purporting to support his claim as to the liability of the second injury fund,
General Statutes (Rev. to 1991) § 31-297 (b) provides: “Except as provided in subsection (c) of this section, whenever liability to pay compensation is contested by the employer, he shall file with the compensation commissioner, on or before the twentieth day after he has received a written notice of claim, a notice in accord with a form prescribed by the commissioners stating that the right to compensation is contested, the name of the claimant, the name of the employer, the date of the alleged injury or death and the specific grounds on which the right to compensation is contested, and a copy thereof shall be sent to the employee. If the employer or his legal representative fails to file the notice contesting liability within the time prescribed herein, the employer shall be conclusively presumed to have accepted the compensability of such alleged injury or death and shall have no right thereafter to contest the employee’s right to receive compensation on any grounds or the extent of his disability, provided the employer shall not be conclusively presumed to have accepted compensability when the written notice of claim has not been properly served in accordance with section 31-321 or when the written notice of claim fails to include a warning that the employer shall be precluded from contesting liability unless a notice contesting liability is filed within the time period set forth in this section.”
General Statutes (Rev. to 1958) § 53-21 provides: “Any person who wilfully or unlawfully causes or permits any child under the age of sixteen years to be placed in such a situation that its life, or limb is endangered, or its health is likely to be injured, or its morals likely to be impaired, or does any act likely to impair the health or morals of any such child, shall
The 1969 statute, which was operative in the Plesz case, provides: “Ninety days prior to the expiration of the one-hundred-four-week period, the employer or his insurance carrier shall notify the custodian of the second injury fund of the pending case and shall furnish to said custodian a copy of the agreement or award, and shall make available to the custodian such medical reports as the custodian shall desire.”
Although Davis involved the appellant widow’s claim for death benefits under the act, the Supreme Court in that case did discuss the 1971 amendment to § 31-349 adding the present notice provision. Davis v. Norwich, supra, 232 Conn. 321. In doing so, it specifically discussed No. 447, § 1, of the Public Acts of 1971, which is the section we are construing. Id.; Plesz v. United, Technologies Corp., supra, 174 Conn. 186.
We note that the Davis court quoted this language from Vaillancourt, which in turn had quoted the identical language set out in Plesz v. United
Although the word “applies” is the word that appears in 14 S. Proc., Pt. 6, 1971 Session, p. 2561, it is fair to assume from the context that there is
In the decision that is the subject of this appeal, the board, in its analysis, relied on its own decision in Dos Santos v. F. D. Rich Construction Co., supra, 12 Conn. Workers’ Comp. Rev. Op. 64, which was appealed to our Supreme Court. In the Supreme Court’s subsequent decision in that case, the court reversed the board’s decision and ordered further proceedings. The Supreme Court did not reach the issue of estoppel, which the board had reached and decided in its decision.
In its brief, the fund states: “At no time during the initial proceeding did the [defendants] offer any evidence by testimony or exhibits, that its non-submission of the voluntary agreement by July 15,1991 [sic], was influenced by the Fund’s alleged acceptance statements in 1992.”
The body of that letter states: “This is a follow-up to our discussion of the case on February 10,1992. The October 3,1989 injury qualifies fortransfer to the Fund. Please kindly forward transfer agreement and accounting for review;
We note that there is a statutory vehicle concerning informal hearings that does concern agreements between parties.
General Statutes § 31-297a, entitled “Informal hearings,” provides: “In any informal hearing held by the commissioner or chairman of the workers’ compensation commission in regard to compensation under the provisions of this chapter, any recommendations made by the commissioner or chairman at the informal hearing shall be reduced to writing and, if the parties accept such recommendations, the recommendations shall be as binding upon both parties as an award by the commissioner or chairman. The commissioner or chairman shall not postpone any such informal hearing if one party fails to attend unless both parties agree to the postponement.” See A. Sevarino, Connecticut Workers’ Compensation after Reforms (1994), p. 25 et seq.