224 Conn. 382 | Conn. | 1993
The dispositive issue in this case is whether, under General Statutes (Rev. to 1983) § 31-349,
The following facts are relevant to this appeal. On September 18,1980, the claimant sustained an injury to his back in the course of his employment with New Britain Machine. Although the injury initially did not interfere with the claimant’s ability to work, his condition subsequently worsened and, on February 22, 1982, he underwent surgery. At that time he began to receive temporary total disability payments from Travelers, New Britain Machine’s workers’ compensation insurer. On June 16,1986, the claimant’s treating physician opined that the claimant had reached maximum medical improvement. Accordingly, the Travelers’ benefit payments to the claimant were then converted from compensation for temporary total disability to compensation for a 15 percent permanent partial disability of the back.
Travelers first notified the Fund of its intent to transfer liability for the claim pursuant to § 31-349 on January 23,1984.
Litigation stemming from the claimant’s injury, however, continued. As a result of his back surgery, the claimant brought a medical malpractice suit against the surgeon who performed the operation.
The defendants appealed to the compensation review division, which affirmed the commissioner’s finding and award. The review division stated that “the ‘one-hundred-four-week period’ refers to weeks of disability, not to the net number of weeks of benefits paid calculated after credit was given for third party recovery.” The review division noted that the defendants’ interpretation of § 31-349 would impose different time requirements in different situations and would thus diminish the principle of uniformity intended by the notice provision.
On appeal to this court, the defendants claim that the compensation review division improperly affirmed the commissioner’s decision that Travelers’ notice to the
I
The defendants first claim that both the workers’ compensation commissioner and the compensation review division improperly interpreted the phrase “one-hundred-four-week period” in § 31-349 to mean one hundred four weeks of the claimant’s disability. At the time relevant to this appeal, the relevant portions of § 31-349 provided that “[t]he employer . . . shall in the first instance pay all awards of compensation and all medical expenses ... for the first one hundred four weeks of disability. As a condition precedent to the liability of the second injury fund, the employer . . . must, 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 . . . .” (Emphasis added.) See footnote 1.
The defendants contend that the “one-hundred-four-week period” in the notice provision of § 31-349 does not refer to the first one hundred four weeks of the claimant’s disability, but rather to the first one hundred four weeks of unreimbursed payments made by the employer to the claimant, that is, the amount of time it takes for the employer to pay out-of-pocket benefits equal to one hundred four weeks. Under this interpretation, the defendants argue, the $7000 recovery from the malpractice settlement extended the notice
The Fund argues that the correct construction of the notice provision of § 31-349 is that, for the notice to be timely, the employer or insurer must give notice of transfer to the Fund ninety days prior to the expiration of the first one hundred four weeks of the claimant’s disability. The Fund contends that the plain reading of the statute as a whole and the purpose of the notice requirement support its construction of the meaning of the “one-hundred-four-week period.” Moreover, the Fund argues that any uncertainty regarding the legislative intent behind the statutory notice provision was clarified by a 1991 technical amendment to the act. Public Acts 1991, No. 91-32, §§ 35, 41. We agree with the Fund’s interpretation of the notice provision of § 31-349.
“ ‘In construing any statute, we seek to ascertain and give effect to the apparent intent of the legislature.’ United Illuminating Co. v. Groppo, 220 Conn. 749, 755, 601 A.2d 1005 (1992). ‘[W]hen the language of a statute is plain and unambiguous, we need look no further than the words themselves because we assume that the language expresses the legislature’s intent.’ American Universal Ins. Co. v. DelGreco, 205 Conn. 178, 193, 530 A.2d 171 (1987). We have acknowledged, however, in
“When the language of a statute is unclear, we may ascertain the intent of the legislature by looking beyond the language to the statute’s legislative history and the purpose that the statute was intended to serve.” Id., 341. We have previously recognized that our construction of the Workers’ Compensation Act should make “ ‘every part operative and harmonious with every other part insofar as is possible . . . .’ ” Mingachos v. CBS, Inc., 196 Conn. 91, 104, 491 A.2d 368 (1985). In applying these principles, we are mindful that the legislature is presumed to have intended a just and rational result. Sanzone v. Board of Police Commissioners, 219 Conn. 179, 187, 592 A.2d 912 (1991).
It is an axiom of statutory construction that legislative intent is to be determined by an analysis of the language actually used in the legislation. Caltabiano v. Planning & Zoning Commission, 211 Conn. 662, 666, 560 A.2d 975 (1989). Reading the notice provision of § 31-349 as a whole, we are led to the conclusion that the legislature intended the “one-hundred-four-week period” to refer to the first one hundred four weeks of the claimant’s disability. The sentence immediately preceding the notice provision states that the employer shall pay all awards of compensation for “the first one hundred four weeks of disability.” The subsequent reference to “one-hundred-four-week period” logically can refer only to its antecedent; the weeks of the claimant’s disability. We note that other courts have already applied this commonsense reading of § 31-349; Kiernan v. Roadway Express, Inc., 15 Conn. App. 625, 628-29, 545 A.2d 1158, cert. denied, 210 Conn. 801,
Moreover, our interpretation of § 31-349 is consistent with the purposes of the notice provision. “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.” Plesz v. United Technologies Corporation, 174 Conn. 181, 188, 384 A.2d 363 (1978).
To accept the defendants’ interpretation of § 31-349 would frustrate this purpose. The time for notice in relation to the claimant’s disability would vary from case to case, depending on the size of the employer’s recovery, if any, in third party suits brought by claimants. The Fund would never be able to ascertain with any certainty its liability at the time notice was given, as timeliness of the notice could not be determined until potentially years later, when third party litigation was concluded.
Finally, we find the legislative intent as expressed in a 1991 amendment to the notice provision controlling. “We have previously considered subsequent enactments in order to illuminate the legislature’s intent with respect to prior legislative action.” Weinberg v. ARA Vending Co., supra, 344-45; AirKaman, Inc. v. Groppo, 221 Conn. 751, 761, 607 A.2d 410 (1992). Number 91-32, § 35 of the 1991 Public Acts amended the portion of § 31-349 at issue in this case to read: “As a condition precedent to the liability of the second injury fund, the employer . . . shall, ninety days before the expiration of the first one hundred four weeks of disability, notify the custodian of the second injury fund of the pending case.” (Emphasis added.) The substitution of “one hundred four weeks of disability” for “one-hundred-four-week period” specifically addresses the ambiguity raised by the defendants. Thus, unless the 1991 amendment reflects a substantive change in the law, the only logical conclusion this court may draw is that the phrase “one-hundred-four-week period” refers to the first one hundred four weeks of the claimant’s disability, not to the number of weeks the claimant’s employer has paid out-of-pocket benefits. Cf. Hernandez v. Gerber Group, 222 Conn. 78, 82, 608 A.2d 87 (1992).
This court has previously examined the legislative history of No. 91-32 of the 1991 Public Acts and determined that “it was intended to be a technical
We conclude that the “one-hundred-four-week period” of the notice provision of § 31-349 refers to the first one hundred four weeks of the claimant’s disability. The defendants’ February 15, 1984 notice to the Fund failed to notify the Fund ninety days prior to the expiration of this term. The compensation review division therefore properly affirmed the commissioner’s decision that the defendants’ notice was untimely and therefore dismissal of the defendants’ request to transfer the claim was proper.
II
The defendants also claim that, even if we interpret the “one-hundred-four-week period” under § 31-349 to refer to the one hundred four week period from the claimant’s disability, the transfer of the claim to the
Whether the failure to notify the Fund in accordance with the mandates of § 31-349 requires barring transfer of the claim merits little discussion.
Timely notice is specifically required as a condition precedent to the transfer of liability to the Fund. This statutory hurdle to a transfer of liability to the Fund leaves little to either interpretation or imagination. Indeed, this same argument was specifically rejected by the Appellate Court; Kiernan v. Roadway Express, Inc., supra, 631; and we find no basis for an alternative construction. See also Plesz v. United Technologies Corporation, supra, 188 (court rejects argument that failure to comply with statutory notice of § 31-349 merely postpones Fund’s obligation until proper notice is actually given).
We conclude that the giving of timely notice is the condition precedent to an effective transfer of liability to the Fund under § 31-349. Had the legislature intended to include a provision regarding the showing of prejudice, it could easily have done so.
The decision of the compensation review division is affirmed.
In this opinion the other justices concurred.
General Statutes (Rev. to 1983) § 31-349 provides in part: “The fact that an employee has suffered previous disability, or received compensation therefor, shall not preclude him from compensation for a later injury, 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 injury 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 must, 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
The defendants New Britain Machine and Travelers are the appellants herein. Although the Fund is also a defendant, it is the appellee. We refer herein, therefore, to New Britain Machine and Travelers as the defendants.
General Statutes (Rev. to 1983) § 31-349 provides some relief to an employer whose employee suffers a work-related injury if such employee had a preexisting permanent physical impairment, thus making the compensable permanent disability greater than that which would have resulted from the second injury alone. See, e.g., Lovett v. Atlas Truck Leasing, 171 Conn. 577, 578, 370 A.2d 1061 (1976). The statute provides that the employer or his insurance carrier shall “pay all awards of compensation and all medical expenses provided by [the workers’ compensation act] for the first one hundred four weeks of disability.” The employer may thereafter transfer liability for the permanent disability payments to the Fund, provided that the statutory requirements are met.
General Statutes (Rev. to 1983) § 31-349 provides in pertinent part: “As a condition precedent to the liability of the second injury fund, the employer or his insurance carrier must, 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.”
The record does not reflect when the malpractice action was commenced or when Travelers intervened in that action.
General Statutes (Rev. to 1983) § 31-293 provides in relevant part: “When any injury for which compensation is payable under the provisions of this chapter has been sustained under circumstances creating in some other person than the employer a legal liability to pay damages in respect thereto, the injured employee may claim compensation under the provisions of this chapter . . . but such injured employee may proceed at law against such person to recover damages for such injury; and any employer having paid, or having become obligated to pay, compensation under the provisions of this chapter may bring an action against such other person to recover any amount that he has paid or has become obligated to pay as compensation to such injured employee. If either such employee or such employer brings such action against such third person . . . such other may join as a party plaintiff in such action . . . .”
The commissioner reaffirmed this decision in each of two subsequent decisions on motions to correct filed by Travelers arising out of the commissioner’s original decision.
Pursuant to General Statutes § 31-306 et seq., workers’ compensation benefits are paid in terms of weekly benefits. The claimant’s basic compensation rate was $298.29, making the $7000 recovery sufficient to cover 23.5 weeks of benefits.
If the “one-hundred-four-week period” did not begin until August 6, 1982, the notice due ninety days prior to the expiration of this period would have been due no later than May 4, 1984.
The facts of this ease provide an excellent example of the uncertainty that would result from the defendants’ interpretation of General Statutes (Rev. to 1983) § 31-349. Here, the third party malpractice suit was settled over five years after the defendants gave notice to the Fund. The purpose of enabling the Fund to set reserves and investigate claims is surely frustrated when it cannot determine the timeliness of a notice until years after it is received.
The defendants argue that our interpretation of the notice provision could lead to an absurd result. They offer the example of occupational diseases, and the three year period of limitation for an employee’s notification to his employer of a claim under General Statutes (Rev. to 1983) § 31-294.
For example, during the public hearings before the committee on labor and public employees, Senator James H. Maloney, presiding chairman, introduced the impending discussions about the bill with the following: “The bill that we are going to hear today is a technical revision in affect to the existing statute. It doesn’t change substantive law, or if it does we want to hear about it.” The first speaker, then workers’ compensation commission chairman, John A. Arcudi, next stated: “So that, this is the purpose of the bill, not to change substance, but to try to simplify language and eliminate archaic language, reduce language if possible, that’s been the attempt . . . .” (Emphasis added.) Conn. Joint Standing Committee Hearings, Labor and Public Employees, Pt. 1, 1991 Sess., pp. 16-17.
Indeed, the defendants also appeared to recognize the novelty of their argument. In oral argument the defendants stated in rebuttal that “[regarding prejudice by the lack of notice, the trial brief of the attorney general’s office stated that there was no prejudice and that issue was immaterial. That wasn’t raised below and I believe that’s a correct statement.” We reach this issue, however, because it is unclear whether the defendants intended to abandon this argument by their statement.
For instance, General Statutes (Rev. to 1983) § 31-294 governs an employee’s obligation to notify his employer of any injury sustained in the course of his employment. The statute provides, if the employee fails to give such notice, that “the commissioner may reduce the award of compensation proportionately to any prejudice which he finds the employer has sustained by reason of such failure . . . .”