Lead Opinion
delivered the Opinion of the Court.
Sunny Acres Villa, Inc., the employer in the underlying action for permanent total disability benefits, sought review of the court of appeals' decision in Cooper v. Industrial Claim Appeals Office,
I.
The incident giving rise to this action occurred on May 18, 1992. It was uncontested that Respondent Charla Cooper, a nurse employed by Sunny Acres, slipped and fell while at work and sustained injuries to her head, hip, back, pelvis, foot, ankle, knee and shoulder. Cooper submitted a claim for TTD
Following a hearing on Cooper's condition, the presiding ALJ issued an order dated August 12, 1994, in which he found that Cooper had proven by a preponderance of the evidence that her condition had worsened to the point that she had again become temporarily and totally disabled as of December 8, 1998. Finding nothing in the Workers' Compensation Act to the contrary, the ALJ explained that he did not consider an independent medical exam necessary for purposes of adjudicating a claim for temporary disability benefits based on a worsened condition. Included in the order was a finding that Cooper's physical and psychological impairment had been proximately caused by the work-related injury she sustained on May 13, 1992. Aсcordingly, Sunny Acres was ordered to provide Cooper with medical and TTD benefits as of December 8, 1998.
Cooper continued to receive TTD benefits until March 4, 1996, at which time she was again found to have attained MMI. She subsequently requested a hearing to determine her entitlement to permanent total disability ("PTD") benefits.
After considering several conflicting medical opinions, a second ALJ concluded that Cooper had failed to prove by a preponderance of the evidence that the work-related injury was a significant factor contributing to her permanent total disability. Without referring specifically to either collateral estop-pel or the "law of the case" doctrine, Cooper argued that the second ALJ was bound by the first ALJ's finding regarding the causation of her injuries. In response, the ALJ characterized Cooper's contention as raising the "law of the case" doctrine, and found that the first ALJ's findings, made in connection with Cooрer's claim for TTD benefits, were not entitled to deference because they did not concern PTD benefits specifically. As such, Cooper's claim for PTD benefits was denied.
Cooper appealed the second ALJ's rulings to the Industrial Claim Appeals Office (ICAO"), which affirmed, and then to the court of appeals, which on rehearing set aside the order. Cooper v. Indus. Claim Appeals Office,
IL.
Collateral estoppel, or issue preclusion, is a judicially created, equitable doe-trine that operates to bar relitigation of an issue that has been finally decided by a court in a prior action. Bebo Constr. Co. v. Mattox & O'Brien, P.C.,
Issue preclusion bars relitigation of an issue if: (1) the issue sought to be precluded is identical to an issue actually determined in the prior proceeding; (2) the party against whom estoppel is asserted has been a party to or is in privity with a party to the prior proceeding; (3) there is a final judgment on the merits in the prior proceeding; and (4) the party against whom the doctrine is asserted had a full and fair opportunity to litigate the issue in the prior proceeding. Bebo Constr.,
-It is settled law that a full and fair opportunity to litigate an issue requires not only the availability of procedures in the earlier proceeding commensurate with those in the subsequent proceeding, Maryland Cas. Co. v. Messina,
Although the incentive to vigorously defend might be artificially created by the operation of collateral estoppel principles, augmenting a party's incentive to litigate in the first instance would undermine the very purpose behind permitting temporary orders or expedited and inexpensive adjudication of smaller claims in a number of contexts. In the analogous context of unemployment proceedings, this court in Salida recognized that:
If findings entered at an unemployment compensation hearing may be used to establish the employer's liability for unlawful discharge in a subsequent lawsuit, the employer would have a strong incentive to use its superior resources consistently to oppose a discharged employee's claim for unemployment benefits. Issues presented to the Division will be contested strongly, and the hearings will become lengthy and more detailed, and will no longer be suited to the prompt resolution of unemployment compensation claims.
Salida,
These considerations apply equally to the adjudication of workers' compensation benefits. See" Messina,
While not articulating a consistent rationale for doing so,
Because an employer always risks an award of substantially longer duration at a proceeding to determine permanent total disability than it does at a proceeding to determine temporary total disability, it never has the same incentive to vigоrously litigate issues at the latter that it does at the former. Furthermore, augmenting the stakes of the temporary disability hearing by affording collateral estoppel effect to findings made therein would contravene an important purpose of the Workers' Compensation Act served by treating temporary and permanent disability differently. Whether or not issues involving temporary and permanent injuries are properly treated as identical, the doctrine of collateral estoppel therefore does not apply.
IIL.
Accordingly, the court of appeals erred by applying collateral estoppel to preclude Sunny Acres from litigating the issue whether Cooper's permanent disability was work-related. The judgment of thе court of appeals is therefore reversed and the case is remanded for further proceedings consistent with this opinion.
Notes
. TTD benefits are received until the first occurrence of any one of several events delineated at section 8-42-105(3), 3 C.R.S. (2000), including the attainment of "maximum medical improvement," § 8-42-105(3)(a), and returning to "regular or modified employment," § 8-42-105(3)(b).
. Section 8-40-201(11.5), 3 C.R.S. (2000), defines "maximum medical improvement" as "a point in time when any medically determinable physical or mental impairment as a result of injury has become stable and when no further treatment is reasonably expected to improve the condition."
. PTD benefits continue until death but cannot be in excess of the maximum weekly benefits presсribed for injuries causing temporary total disability. § 8-42-111(1).
. Sunny Acres contends that Cooper waived any argument regarding collateral estoppel because she failed to specifically raise it in the proceedings below, having instead raised the "law of the case" doctrine. Because we conclude that the court of appeals erred by applying the doctrine of collateral estoppel, however, it is unnecessary to address whether Cooper waived her ability to assert it.
. This court granted certiorari to consider the following issues:
(1) whether the claimant waived the affirmative defense of collateral estoppel;
(2) whether the court of appeals erred in applying the doctrine of cоllateral estoppel to the present case; and
(3) whether the court of appeals erred by determining that the doctrine of collateral es-toppel barred the ALJ's determination that the claimant's injury was not a significant factor in her permanent disability.
. Whether or not the division-sponsored, independent medical exam, considered unnecessary by the first ALJ for the adjudication of temporary disability benefits based on a worsened condition but relied upon by the second ALJ in denying permanent disability benefits, amounted to a significant difference in available procedures, the absence of the same incentive to defend is sufficient to demonstrate no full and fair opportunity to litigate the issue.
. Much of this inconsistency stems frоm the fact that similar concerns related to the application of issue preclusion in this context can be expressed in terms of either the similarity between the previously litigated and presently litigated issues or the estopped party's opportunity to fully and fairly litigate the previously litigated issue. See 18 Wright, supra, § 4423, at 220 ("As with many other limitations on issue preclusion, concern with the opportunity to litigate in the first case is easily justified when it is mingled with uncertainty as to identity of the issues or actual litigation.").
Dissenting Opinion
dissenting:
In this case, two Administrative Law Judges (ALJs) disagreed as to whether the claimant's injuries were work-related. Although the ALJ at the hearing on temporary total disability (TTD) benefits found that the physical and psychological injuries suffered by Charla Sue Cooper (Cooper) were work-related, the ALJ at the subsequent hearing on permanent total disability (PTD) benefits made different credibility determinations and concluded that the injuries were not work-related. Each ALJ addressed Cooper's eligibility to receive workers' compensation benefits and decided whether her physical and psychological injuries were work-related. The only issue at the PTD hearing that was not previously resolved at the TTD hearing was the greater extent of disability required for a determination of PTD. Nonetheless, the majority finds that the identical issue of whether Cooper's injuries were work-related was not fully and fairly litigated at the temporary hearing, and declines to apply issue preclusion to bar the employer from relitigat-
As the majority explains, Cooper suffered a head injury, and other injuries, when she slipped and fell while working for Sunny Acres Villa, Inc. (Sunny Acres) as a nurse. After initially receiving TTD benefits and participating in a vocational rehabilitation program, Cooper resumed her nursing duties and TTD benefits discontinued. However, she continued to suffer psychologically. After her condition deteriorated to the point that she could no longer work, she requested a hearing on the resumption of TTD benefits. At that hearing, the first ALJ assigned to the case found that Cooper's disabling psychological impairment resulted from her occupational head injury. He held that Cooper had established by a preponderance of the evidence that her condition had worsened since the time that benefits were discontinued, and that she had become temporarily and totally disabled.
After Cooper reached Maximum Medical Improvement (MMI) with regard to her worsened condition, she requested a hearing on PTD. Following the hearing, a second ALJ denied Cooper's request for PTD benefits and medical benefits. The second ALJ determined that Cooper's industrial injury was not a significant factor in her claim for PTD benefits.
A preliminary question presented in this case is the contention of Sunny Acres that Cooper failed to raise issue рreclusion at the PTD hearing before the second ALJ. The majority finds it unnecessary to decide whether Cooper raised issue preclusion because they conclude that the doctrine does not apply to this case. However, I believe that the question of whether issue preclusion has been adequately raised must first be decided before addressing whether the doe-trine should be applied in these particular circumstances.
Addressing this preliminary question, I find that Cooper raised issue preclusion at the hearing on PTD benefits by arguing that Sunny Acres was "prohibited from relitigat-ing" that Cooper's psychological symptoms arose from a preexisting psychiatric condition. Further, the record reveals that the parties understood the argumеnt even though the terms "issue preclusion" or "collateral estoppel" were not specifically used. Thus, I conclude that issue preclusion was adequately raised. Therefore, I next discuss whether the doctrine should be applied in the cireumstances before us.
Under the doctrine of issue preclusion, the findings of an administrative agency, acting in an adjudicatory capacity, may be binding on the parties in a subsequent proceeding if the agency resolved disputed issues that the parties had an adequate opportunity to litigate. Dale v. Guar. Nat'l Ins. Co.,
Issue preclusion bars relitigation of an issue if: (1) the issue precluded is identical to an issue actually determined in the prior proceeding; (2) the party against whom es-toppel is asserted has been a party to or is in privity with a party to the prior proceedings; (8) there is a final judgment on the merits in the prior proceedings; and (4) the party against whom the doctrine is asserted has a full and fair opportunity to litigate the issue in the prior proceeding. Guar. Nat'l Ins. Co. v. Williams,
In this case, the majority opinion focuses on the fourth element of issue preclusion, whether the employer had a full and fair opportunity to litigate. Before addressing whether the employer had a full and fair opportunity to litigate, I briefly address the other elements.
In dеtermining whether the first element of issue preclusion has been satisfied, I consider the initial eligibility requirements for any benefits under the Workers' Compensation Act. Generally, a claimant is eligible for benefits under the Workers' Compensation Act only after an initial showing that: (1) both the employer and the employee were subject to the Workers' Compensation Act at the time of the injury; (2) the employee was performing services arising out of and in the course of the employee's employment; and (8) the injury or death was proximately caused by an injury or occupational disease arising out of and in the course of employee's employment and was not self-inflicted. See § 8-41-301, 3 C.R.S. (2000). This eligibility is established by a sufficient nexus between the employment and the injury. Md. Cаs. Co.,
The second element of issue preclusion is satisfied in that both Cooper and Sunny Acres were parties at the TTD and PTD hearings in this case. The third element is established because an order granting TTD benefits is a final order for purposes of applying collateral estoppel in a subsequent proceeding. See Standard Metals Corp. v. Gallegos,
The majority does not apply the doctrine of collaterаl estoppel, and instead holds that an employer does not have a full and fair opportunity to litigate the work-relatedness of an injury at a TTD hearing. Maj. op. at 45, 47-48. Specifically, the majority asserts that an employer's incentive to litigate liability is necessarily greater at a hearing for PTD benefits. Maj. op. at 49. The majority argues that an employer lacks the requisite incentive to vigorously defend itself at a TTD hearing because TTD "benefits are limited to statutorily prescribed amounts" and last only until the occurrence of certain events, while PTD benefits continue until the death of the employee. Maj. op. at 48. In my view, differences in potential recovery, and in the possi
The cases relied upon by the majority to support the argument that an employer does not have a full and fair opportunity to litigatе at a TTD hearing involve separate and unrelated proceedings with different purposes. Conversely, workers' compensation proceedings concern a series of related benefits in a single action. For example, the majority cites Salida Sch. Dist. R-32-J v. Morrison,
The majority also relies upon Ferris v. Hawkins, 135 Ariz, 329,
Because the causes of action, the nature of the proceedings, and the potential exposure of the defendants in the above discussed cases are very dissimilar, the parties are not likely to have the same incentive to litigate.
In contrast, both claims at issue in this case involve the Workers' Compensation Act, the purpose of which is to provide an employee with prompt compensation for work-related injuries. Any possible difference in incentive to litigate the work-relatedness of an injury between the TTD and PTD hearings appears to be unpredictable, and in any event, insufficient to justify the majority's position. Moreover, issue preclusion would never apply if any difference in potential liability prevented its application. Instead, whether the parties had a similar incentive to litigate is both a question of degree and an exception to be applied on a case-by-case basis. Restatement (Second) of Judgments §§ 28(5) & emt. J (1982). Here, Sunny Acres participated fully in the TTD hearing and actively opposed Cooper's claim that her injuries were work-related.
The majority also relies upon several child welfare cases.
The majority also looks for support in several cases in other jurisdictions in which courts have declined to apply issue preclusion without "articulating a clear rationale." Maj. op. at 49. However, these cases can be distinguished from the case at hand. In Betts v. Townsends, Inc.,
I am persuaded instead by cases in other jurisdictions that have specifically addressed issue preclusion in workers' compensation cases and concluded that after the initial showing of eligibility has been made, relit-igation of these issues is barred. Specifically, in Fox-Smythe Transportation Co. v. McCartney,
Finally, in deciding whether to apply the equitable doctrine of issue preclusion to a PTD hearing in a worker's compensation case, I consider the unequal effect of failing to apply the doctrine. Theoretically, issue preclusion applies equally to either party, barring whichever party is not first successful from relitigating an issue. However, in the context of TTD and PTD hearings in workers' compensation cases, only the employеr benefits from the majority's holding. As a practical matter, the Workers' Compensation Act precludes an employee from relit-igating the work-relatedness of her injuries if she is not successful in persuading an ALJ
In conclusion, I agree with the court of appeals. Therefore, I would hold that the first ALJ's determination that Cooper's psychological impairment was work-related precluded the second ALJ from determining that it was not work-related. I also agree with the court of apрeals that there are additional issues to be resolved at the PTD hearing that are not precluded. Thus, I believe the case should be remanded for the ALJ to determine whether Cooper's work-related psychological impairment rendered her permanently and totally disabled, therefore entitling her to an award of PTD benefits. Accordingly, I would affirm.
Chief Justice MULLARKEY and Justice BENDER join in this dissent.
. The second ALJ actually issued two orders. The first order, dated April 22, 1997, was set aside after the Industrial Claim Appeals Office (ICAO) determined that the ALJ had erroneously imposed a clear and convincing burden of proof on Cooper. In the second order, dated March 8, 1998, ALJ Erickson omitted the clear and convincing standard but reached the same result. The ICAO affirmed the second order.
. In re C.M.,
