Is рlaintiff’s permanent partial disability a “change in condition” within the meaning of G.S. 97-47? If so, are defendants estopped to plead the statute in bar of plaintiff’s claim for additional compensation? Answers to these questions are determinative on this appeal.
Where a claimant suffers an injury that results in temporary total disability followed by a speсific disability compensable under G.S. 97-31, compensation for the specific disability is payable in addition to that awarded for temporary total disability.
Rice v. Panel Co.,
G.S. 97-47, in pertinent part, provides: “Upon its own motion or upon the application of any party in interest on the grounds of a change of condition, the Industrial Commission may review any award, and on such review may make an award ending, diminishing, оr increasing the compensation previously
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awarded, subject to the maximum or minimum provided in this article, and shall immediately send to the parties a copy of the award. Nо such review shall affect such award as regards any moneys paid but no such review shall be made after twelve months from the date of the last payment of compensatiоn pursuant to an award under this article
. ”
The Commission’s authority under this statute is
limited to review of prior awards,
and the statute is inapplicable in instances where there has been no previous final award.
Biddix v. Rex Mills,
The term “disability,” as used in the Workmen’s Compensation Act, mеans incapacity because of injury to earn, in the same or any other employment, the wages which the employee was receiving at the time of injury. G.S. 97-2(9). If an award is madе by the Industrial Commission, payable during disability, there is a presumption that disability lasts until the employee returns to work and likewise a presumption that disability ends when the employee returns to work at wages equal to those he was receiving at the time his injury occurred.
Tucker v. Lowdermilk,
Here, plaintiff returned to work for the same employer on 2 January 1968 at the same wage he was' receiving prior to his injury. He has worked continuously since that time and lost no wages. On 18 January 1968 he received his last weekly compensation payment for the period during which hе was disabled. He signed and received a copy of Form 28B which by its terms
closed the case
(except for medical). That Form notified him that he would receive no further compensation paymеnts and that if he claimed further benefits he must notify the Commission in writing within one year from date of receipt of his last compensation check. Form 28B was duly filed with the Commission. Thus, plaintiff’s disability due to his injury presumptively ended on 18 January 1968. Nothing in the medical reports up to that time indicated any permanent partial disability. In a medical report dated 29 July 1967 (Plaintiff’s Exhibit 8), Dr.
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Hickman of Fort Wayne, Indiana, stated that plaintiff’s accident had not resulted in any permanent disability. If any of the parties anticipated at that time that plaintiff would not fully recover and that his injury wоuld result in permanent partial disability, such fact is not reflected in the medical reports or in the
Commission’s
findings of fact. Hence, the case was closed. “A closing receipt purports to be a final settlement and indicates that no further compensation will be paid unless request for hearing for change of condition is made within a year from date of the receipt.”
Pratt v. Upholstery Co., supra
(
The agreеment between the parties on Form 21, approved by the Commission on 16 June 1967, provided for payment of compensation at the rate of $37.50 per week “for necessary weeks.” This constituted an award by the Commission enforceable, if necessary, by a court decree. G.S.
97-87; Biddix v. Rex Mills, supra.
This was followed by the execution and filing of Form 28B closing the case on 18 Jаnuary 1968 when plaintiff received his last payment of compensation pursuant to that award. Seventeen months elapsed before plaintiff filed Form 33 with the Commission requesting a hearing and further award of compensation on account of his permanent partial disability. This comes too late unless defendants are estopped to pleаd the lapse of time.
Lee v. Rose’s Stores, Inc.,
We now turn to the question of estoppel. Plaintiff contends defendants are estopped to plead the lapse of time by reason of misrepresentations made to him by A. C. Hinnant, employer’s agent in charge of Workmen’s Compensation claims, at the time he signed Form 28B closing his case. Plaintiff argues that Hinnant’s statements not only induced him to sign the form but also lulled him into believing that the lapse of time following the last payment of compensation would not affect his right to receive additional compensation for permanent partial disability — “that would be left up to when the doctors released and rated me.”
“The law of estoppel applies in compensаtion proceedings as in all other cases.”
Biddix v. Rex Mills, supra.
In
McNeely v. Walters,
Actual fraud, bad faith, or an intent to mislead or deceive is not essential to invoke the equitable doctrine of
estoppel in pais. Oliver v. Fidelity Co.,
No facts were found relative to the question of estoppel. Plaintiff’s evidence on that question was sufficient to require the Industrial Commission to find the facts with respect thereto and, upon such findings, tо determine whether defendants are estop-ped to plead the lapse of time by reason of plaintiff’s reliance on the employer’s representations, “thе repudiation of which would amount to a breach of good faith.” If defendants are not estopped, the case is closed. If estopped, the Commission is required to consider the evidence in the record, and any additional pertinent evidence either party may desire to offer, and determine whether a further award is justified for changе in condition, and, if so, the amount thereof.
The decision of the Court of Appeals is reversed. The case will be remanded by that court to the North Carolina Industrial Commission for disposition in accordance with this opinion.
Reversed and remanded.
