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Willis v. Montgomery County
3 A.3d 448
Md.
2010
Check Treatment

*1 3 A.3d 448 J. WILLIS Valerie

v. COUNTY, Mаryland. MONTGOMERY Term, 138, Sept. 2009. No. Maryland. Appeals of

Court of Aug. *4 Conrad, (Chirumbole, P.C. of Gross Gross &

Douglas M. MD), brief, Petitioner. Gaithersburg, on *5 (Marc Wendy Karpel, Hansen, B. Associate Co. Atty. P. Acting Atty., Chief, Co. and Karen L. Henry, Federman Div. Rockville, MD), brief, on for Respondent. BELL, C.J., HARRELL, BATTAGLIA,

Argued before GREENE, MURPHY, BARBERA, ADKINS and JJ.

HARRELL, J. This case evolves from J. Valerie Willis’s claim for workers’ benefits, compensation Act, under Compensation the Workers’ §§ Article, 9-101—9-1201 of the Labor and Employment Ma (1999, ryland Vol.),1 Code Repl. injuries for ostensibly sustained on 20 July 2001 the course of her employment as police officer Montgomery County with the Depart Police (the ment “County”). The paid some of her treatment, medical but learned later of a non-work-related event, disclosed, previously not may have contributed to her need for treatment. The County filed with the Workers’ (the “Commission”) Compensation Commission a request for a hearing and to refer Maryland Willis’s case to the Insurance (the “Division”). Fraud Division determined, The Commission after a hearing, that nо fraud occurred and denied the Coun ty’s request. County sought judicial review in the Circuit Court for Montgomery County of the Commission’s refusal to refer the matter to the Division. The court held that Commission’s order was not an appealable decision. We are tasked with deciding whether the Commission’s refusal refer person to the Division under the Compensa Workers’ tion Act is a final administrative subject decision to a petition review.

I. FACTS July On 20 injured Willis claimed to have her left knee while participating departmental training exercise de- signed to simulate a High Columbine School terrorist situa- statutory 1. All Employment references herein are to the Labor and Article, unless otherwise indicated. from work because days actual any not miss did tion. She *6 days previously-scheduled three she used injury because She did returning duty. before recuperate off from work She did injury. for this treatment immediate medical not seek departmental formal in accordance with injury report not Lieu- orally supervisor, her advised although she procedures, to her that Hill, suggested He episode. Rodney of tenant did not act on claim. Willis compensation a workers’ she file 2001, assertedly August Willis immediately. advice this participating knee while to her left injury a second sustained did She Department. the Police exercise with shooting in a work, or treatment, from any time miss medical not seek either. her employer event to immediately this report left injury to her 2001, an sustained 31 December Willis On of a from the back jumped she knee, off-duty, when while attention. She medical immediate sought truck. She pick-up of the December only that she saw doctors told the first two thereafter consulted injury. her She as the cause of incident injuring she described Higgins, to whom Dr. David L. with December, August episode. not the but July of events that his indiсates of his visit with Willis record Higgins’s Dr. anterior cruciate from a torn that she suffered was impression in meniscus, lateral meniscus and torn medial ligament, torn January on 30 surgery Higgins performed knee. Dr. her left injuries. these repair 2002 to 2002, attorney prepared then and her 4 March Willis

On Commission, to be filed with for a claim paperwork left knee as result injury to her asserting that she sustained 2002, 14On March July on 20 training exercise his attorney, expressing letter to Willis’s Dr. sent a Higgins certainty that degree of medical a reasonable with “opinion ligament cruciate her left knee anterior tore Ms. Valerie Willis injury in twisting with a officer duty police while on as 7/01. injury.” that initial With since symptoms had continued She the claim to the hand, submitted attorney letter in her this April claim was filed on A corrected Commission. back, in to her her addition injured also stating that Willis In neither itera- exercise. knee, July training the 20 during tion of her claim did mention August Willis or December injuries. incidents or On 4 July the Commission deter mined that injury Willis sustained accidental or occupation disease/illness, 9-101,2 al as defined in arising out of and in employment July course her on 20 2001. The Commis sion determined that her weekly wage was $557.

She underwent a second surgery September which the County, through Montgomery County Self- Fund, paid. Insured In April Willis claimed temporary disability total benefits dating back to 2002. The County filed Commission, issues with the requesting a hearing referral (the Maryland Willis’s case to the Insurance Fraud Division “Division”). filed this request provided on a form by the states, Commission on its website. The part, form *7 undersigned that that alleges person “[t]he named below 9-310.2(a) violated section of the Employment Labor & Article and requests hearing a before the Commission.”3 isWillis listed as the “Person to be Referred” and the “Montgomery personal Act injury” The refers to an "accidental and defines it as 2. (1) injury an accidental that arises out of and in the course of employment; (2) injury by negligent an caused a persoir willful or act of a third against employee directed a employment covered in the course employee; of the covered or (3) naturally a disease or infection that results from an accidental injury employment, including: that arises out of and in the course of (i) disease; occupational and (ii) by frostbite or sunstroke caused a weather condition. 9—101(b). § "occupational The Act defines an disease” to mean a by employee: disease contracted a covered (1) employment; as the result of and in the course of (2) employee that causes the temporarily covered to become or permanently, partially totally incapacitated. 9—101(g). provides, part: Section 9-310.2 in relevant 3. (a) Referral of certain fraud cases to Insurance Fraud Division.—In Commission, any administrative action before the it if is established

by preponderance person knowingly a of the evidence that a affected fees, knowingly attempted payment compensation, to affect the expenses representation, under this title means of fraudulent person the Commission shall refer the case on the to the Insurance Maryland Fraud Division in the Insurance Administration. Fund,” “Party Requesting is listed as the County Self-Insured Fitzwater, the senior ad- that Joan Hearing.” appears It (the appar- Companies company for the juster Schaffer County’s ently and administered self-insured managed time), County signed Specifically, fund at the the form. that, that she County informed the alleged May Willis to her left injury July on 20 sustained a work-related compensation her workers’ County paid knee and that made a claim in 2006 for injury. for that When she benefits Cоunty temporary disability dating total back discovered, time, injurious first the non-work-related for the attor- that occurred on 31 December 2001. Claimant’s event fees, attorney costs and riposte, requesting filed issues ney, raised frivolous is- Employer/Insurer because the penalties, sues. hearing April held a on 17

The Commission her counsel prior found that neither claimant nor Commission fraud, and declined to refer the case to accordingly, committed decision, County sought the Division. From that Montgomery County. in the Court for Willis review Circuit Dismiss, arguing or to Summary Judgment filed Motion refer the to the Fraud the Commission’s refusal case final appealable Division was not because it was not a adminis motion, trative decision. The the Claimant’s opposed arguing that the order was final because it denied the right to reimbursement under 9-310.1.4 The Circuit *8 granted Court concluded that the Commission’s order neither Compensation nor denied a benefit under the Act Workers’ and, thus, Therefore, was not a final order or decision. the provides, part: 4. Section 9-310.1 in relevant (a) any Reimbursement.—In administrative action before the Com- mission, by preponderance if it is established a of the evidence that a person knowingly has obtained benefits under this to which the title entitled, person person is not the Commission shall order the to insurer, employer, Injured reimburse the self-insured the Workers' Fund, Fund, Employers’ Subsequent Insurance the Uninsured or the Injury person knowingly amount of the Fund for the all benefits that person obtained and to which the is not entitled.

532 judgment and summary motion for granted

court Willis’s judicial review. County’s petition for dismissed the to the Court of timely appeal filed a notice judgment reversed the of the Circuit Appeals, which Special Willis, Montgomery County v. reported opinion. Court (2009). 514, The intermediate A.2d 209 Md.App. 979 the that the Commission’s agreed court -with appellate final, order, the County from which appealable decision was a 538, 979 A.2d at review. Id. at judicial to right had the seek so, rejected intermediate court appellate the doing justifying appealability County’s argument § for request under L.E. 9-310.2 order on the basis “[a] for clearly request not the same as a referral to the Division is employ- obtained wrongfully of benefits reimbursement 9-310.1.” Id. at A.2d at 224. ee, § in L.E. as set forth Rather, County, aggrieved party, an the court held that review of the refusal to right petition had the to “would come the Division because the denial person refer a to in the Commission with vesting power close to unchecked Id. to matters under L.E. 9-310.2....” respect furthered holding The Court conceived its A.2d at 229. 9-310.2, §§ 9-310.1 and Legislature’s passing intent fraud, employees and to deter from discourage was “to which Compen- afforded under the abusing privileges Workers’ certiorari, 411 Act.” Id. Wе issued a writ of Md. sation (2009), to consider the upon petition, A.2d 244 Willis’s following question: raises an issue before Workers’ employer

When an seeking request for referral Compensation Commission Md. pursuant Fraud Division Maryland Insurance Ann. 9-310.2 and that Employ. Lab. & Code denied, the denial an appealable issue[?][5] the referral is is question question present- her from the she 5. Petitioner has re-worded originally petition for certiorari which read: ed in her compensation appealable What issue in workers’ constitutes compensation com- must the decision of the workers claim in that: deny appealable? grant a benefit to be mission *9 explain, judg- For the reasons that we shall we reverse the Special Appeals ment of the Court of and hold that grant County’s ‍‌‌​‌​​​‌​​‌‌​‌‌‌‌‌​‌‌‌​​‌​‌‌​​​‌​​​​​‌‌‌​​​​​‌‌‌‍request Commission’s failure to to refer to the Division not an final administra- appealable Willis was tive action.

II. ANALYSIS that, in fоr premise We start with the “basic order agency’s properly an administrative action to be before this court) (or review, any judicial generally Court for there must legislative grant right judicial be a to seek review.” Marshall, 243, 273, Harvey v. 389 Md. 884 A.2d (2005). right right “The to an not a due appeal required by is law, nor is inherent An process right. it an or inalienable is appellate right entirely statutory origin person and no may prosecute agency appeal right such an unless the is conferred Injuries Compensation statute.” Criminal Bd. Gould, (1975) (citations 486, 500, v. 273 Md. 331 A.2d omitted).6

In the context of from an appeals administrative decision of Commission, § right 9-737 confers the appeal upon party any person” other “interested “aggrieved by is case, decision of the Commission....”7 present brief, Although change re-worded in her no substantive is worked in the original question presented question focus of the for review. presented merely narrowing in her brief is refinement of broader question petition framed in her for a writ of certiorari. legal changed properly Before the nomenclature to reflect more formerly ''appeal” what was known as an from an action of a State or action, body “petition local administrative was a review” uniformly "appeal.” the older cases almost referred to the action as an effectively synonymous present analytical purposes. The terms are provides: 7. Section 9-737 employer, employee, dependent

An employee, covered of a covered any person aggrieved by other interested a decision of the Commis- sion, including Subsequent Injury Fund and the Uninsured Em- Fund, ployers’ may appeal from the decision of the Commission provided appeal days is filed within 30 after the date of the mailing by: of the Commissiоn’s order *10 in the Circuit Court of judicial review County sought § to refer the case under 9-310.2. Commission’s refusal to refusal to refer her that the Commission’s argues Willis it not decision because did appealable Division was not an is County, County and thus the deny a benefit to the grant response, §of 9-737. purposes for the “aggrieved” not it decision denied contends that the Commission’s County because, to refer by the Commission Willis requesting benefits Division, requested implicitly it also reimbursement to the her in the to County paid past, pursuant that the benefits found, to state 9-310.1, although if it failed § fraud were in its filed with the Commission. request papers this expressly explicitly this request that it did not concedes because, by request relief, that it did not have to rejoins but §to 9- pursuant a to the Division hearing a for referral ing successful, if also to 310.2, necessarily, it should be understood by wrongfully obtained Will seek reimbursement for benefits words, it request asserts that when is.8 In оther 9-310.1, it claim under to refer the fraud ed the Commission sought that it inform the Commission also did not need to to the Rather, only it need referral reimbursement. Division, provide does not itself the fact that 9-310.2 despite remedy. of back benefits as a for reimbursement rule, judicial review of an action general “As is if the administrative order only order will lie administrative County Human Rela Spas Montgomery v. Holiday final.” (1989). Comm’n, 390, 395, 1197, 554 A.2d 1199 tions 315 Md. (1) 7 with Title filing petition review in accordance Rules; Maryland (2) including petition a certificate of service attaching in the filing copy petition has verifying of the of the that on the date and to each other by mail to the Commission been sent first-class record; party of and (3) by filing, serving copies petition first- of the on the date party and each other of record. class mail on the Commission with reach conclusion in this case 8. We offer no comment and no wrong- County’s Willis оbtained benefits regard to the contention that fully. 535 “final,” the order decision must of the case dispose To be nothing all and fact leave further deciding question of law See, e.g., Montgomery body for the administrative to decide. Ward, 619, County v. 521, 528-29, A.2d 331 Md. 629 623 Graham,, Murray Freight Corp. Int’l v. (1993); 543, 315 Md. 553, 502, (1989); 396, Holiday Spas, 555 A.2d 315 Md. at 507 Co., 1200; Paolino v. McCormick & 575, 314 554 A.2d at Md. Md. Comm’n on Human 582, 868, (1989); 552 A.2d 871 Elec., Relations v. Balt. Gas and 46, 57, 296 Md. 459 A.2d Warren-Ehret, Co., (1983); 339, 345, Furley v. 195 Md. Goslin, Liggett & Tobacco v. (1950); Meyers Co. A.2d 74, 78, v. C & H Mech (1932); Griggs 163 Md. 160 A. *11 556, 564, 402, Corp., Md.App. Freder (2006); 169 905 A.2d 406 Sautter, ick Bd. County Comm’rs v. 440, Md.App. 123 445- of Havenner, 6, 685, Great Am. Ins. Co. v. (1998); A.2d 718 688 326, 332, 95, Flying Md.App. (1976); 33 “A” Serv. 364 A.2d 99 Jordan, Station v. 477, 481, 650, 17 Md.App. 302 A.2d 653 (1973). Furthermore, to constitute a final administrative ac in tion the context of review of a Compensa Workers’ See, matter, tion the e.g., grant action must a deny benefit. Paolino, (1989); Sautter, 314 Md. at 552 A.2d at 872 688; Havenner, at Md.App. 718 A.2d at Md.App. Station, Flying “A” Serv. 99; A.2d at 17 Md.App. at 480-81, 302 A.2d at 653.'

The County requested expressly the “issue” that it filed Commission, with the on the form by made available the Commission, that the Commission refer Willis to the Division §to pursuant 9-310.2 of the Labor Employment Article. 9-310.2, Sectiоn entitled “Referral of certain fraud cases to Division; Insurance Fraud reports,” provides, relevant part:

(a) Referral of certain fraud cases to Insurance Fraud any Division.—In administrative action before the Commis- sion, if it is by preponderance established a of the evidence person that a knowingly affected or knowingly attempted to payment fees, affect the compensation, of or expenses under by this title of a means fraudulent representation, the Commission shall refer the case on the person Insurance Ad- Maryland in the Fraud Division

Insurance ministration. hand, wrongfully “Benefits § 9-810.1 entitled the other

On interest,” in relevant reimbursement; provides, obtained; part: action before

(a) administrative any Reimbursement.—In Commission, by preponderance a if it is established benefits knowingly has obtained person that a the evidence entitled, is not person this titlе to which under insurer, to reimburse the person order the shall Commission Insurance Injured Workers’ employer, self-insured Fund, Subsequent or the Fund, Employers’ the Uninsured that the person of all benefits for the amount Injury Fund not entitled. person is and to which knowingly obtained a decision denied that the Commission’s argues reim- effectively it denied it benefit to because for) (or to seek reimbursement opportunity bursement for For the purposes wrongfully obtained Willis. benefits order, a benefit means administrative Compensation Workers’ Act], Compensation under [the of an award Workers’ grant “a thereto; is, something awarded something equivalent 6,n. 555 A.2d 315 Md. at 553 Murray, by the Commission.” at 506 n. 6. em hearing for referral

Whether *12 under the reimbursement request for implicit also an braces inter statutory of question Act is a Compensation Workers’ 389 and, such, legal Harvey, one. See purely is as pretation, is non- 257, Accordingly, our review A.2d at 1179. Md. at 884 Lock reviewing courts. judgment the of earlier deferential to (2010). 18, 257, 273, 27 Semsker, 987 A.2d 412 Md. v. shin ascertain and construction “is to statutory rule of The cardinal Id. Legislature.” intent of the the real and actual effectuate of the 274, language turn first to the A.2d at 28. We 987 the meaning of statute, ordinary, plain the to which we ascribe If 275, meaning A.2d at 28. the 987 words. Id. at the presume Legisla we unambiguous, and is clear language as to inquiry That ends our typically it said. ture meant what legislative apply written, intent “and we the statute as without 275, resort to other rules of construction.” Id. at 987 A.2d at 28-29. neither add nor language

“We delete so as to reflect an intent not in plain evidenced the and unambiguous statute, of language the and we do not construe a statute with ‘forced or interpretations’ subtle that limit or appli extend its 275, cation.” Id. at 987 A.2d at (quoting Lonaconing Trap Club, Env’t, 326, 339, Inc. v. Dep’t 702, the 410 Md. 978 A.2d of (2009)). Nor do we construe the language of the statute vacuum; rather, in a we languagе examine the “within the context of the statutory scheme to which it belongs, consider aim, ing purpose, the or policy of the Legislature enacting “ 276, the statute.” Id. at Furthermore, 987 A.2d at 29. ‘[w]e avoid a unreasonable, construction of the statute that is illogi ‍‌‌​‌​​​‌​​‌‌​‌‌‌‌‌​‌‌‌​​‌​‌‌​​​‌​​​​​‌‌‌​​​​​‌‌‌‍ ” cal, or inconsistent with common sense.’ Lonaconing, 410 Md. at 978 A.2d at 709 (quoting Bd. Edue. v. Zimmer- Rubert, 200, 215, (2009) (alteration 409 Md. 973 A.2d in original)). presume We Legislature intended for each section to be read harmoniously and consistently. Lock shin, 412 Md. at 987 A.2d at 29. §§

We conclude that 9-310.1 and 9-310.2 are unambiguous and that we need look no further than the plain meaning of the statutory language to discern the A Legislature’s intent. reading plain language indicates that a request for a referral to the Division does not encompass necessarily or implicitly a request by entity seeking referral for reim- bursement. Although two relevant appear sections con- Code, secutively we note thеy are separate and distinct, without internal cross-references. The County ar- gues nonetheless that it was not to file required an issue with asking Commission specifically for relief under 9-310.1 for several reasons.

First, argues that there is no regula- statute or tion that requires party to file separate issues with true, Commission. that may While be it imperative seems intuitive party that a appearing before the Commission needs *13 it is the to asking what Commission

to inform the Commission County if the wanted reimburse- Simply put, decide or do. ment, needed to ask the Commission to consider it. it §

Second, that is not County points the out 9-310.1 Commission, nor the form that it filed with the mentioned on on the website is there a form available Commission’s for bene employer may which an ask reimbursement back to, Therefore, it did County the concludes that not need fits. to file a issue ability, separate requesting not have did to Section 9-314 directs the Commission reimbursemеnt. ready for distribution and “adopt regulations provide that Com required of the forms under this section.”9 availability “[fjorms provide prepared by regulations mission 9-314, Article, § under and Employment Commission Labor mandatory are and shall be Maryland, Annotated Code claims, notices, re requests, or other filing papers used for Article, Title these Employment the Labor and quired by (2010). A party requesting COMAR 14.09.01.02 regulations.” “shall request before the Commission shall file a and hearing matters of to be clarity state and in detail facts or law with determined____” A(l). The of a 14.09.01.14 absence COMAR reimbursement, however, form does not excuse requesting for with and detail on the County’s clarity failure to state matters More form it used the facts and to be determined. over, did not County specifi mention 9-310.1 counsel cally April hearing the 17 generally or reimbursement If the to before the Commission. wanted ensure its request the Commission would consider reimbursement form, ultimately, then but was concerned that there was no it that concern to the Commission. could have mentioned regu- continues that because the Commission’s file a party not that a must provide specifically lations do 9-310.1, not here. for a under it need do so hearing earlier, party its regulations require As to state noted 9-701(1) "adopt reasonable 9. Section authorizes Commission Commission, procedures regulations govern the proper simple reasonably possible....” as and brief as which shall be *14 and with and in detail. COMAR clarity claims issues The that the know only way 14.09.01.14. Commission would hearing to hold a and County that the wanted the Commission § under 9-310.1 is to consider reimbursement of back benefits and in detail the clarity inform the Commission state with Commission, to be The we facts or matters of law considered. assume, clairvoyance not the of to know possess faculty does (or wants, notice; the nor County any party) what without hold necessarily hearing that when it is asked to appreciate Division, § for in provided to consider referral to the as 9- 310.2, being it also is asked sub silentio to consider reimburse- §in provided ment as 9-310.1. County

The relies on Dove v. Board County Montgomery of Education, (2008), 943 A.2d 662 in this Md.App. Dove, regard. the claimant filed with the Commission a for modification request of an award. The Board of Education argued that Dove’s was invalid because she did not file all of necessary request, the medical documentation with her 14.09.01.14(A)(2) required by as COMAR 14.09.01.14 and & (E). The Court of in Special Appeals nothing “read these regulations require supporting that a claimant file all documentation with a request for modification of award.” Furthermore, Id. at 943 A.2d at 669. the intermediate court it appellate adopted by found relevant that “the forms implement regulation the Commission to this ... do not filing mаndate the of medical Id. at documentation.” A.2d at 670. Dove inapposite present is to the case. It appears requested expressly that Dove a modification of an award and filed the corresponding provided by form the Dove, matter, Commission. unlike the in the instant did not expect engage guesswork Commission to gamut determine the of internalized by wishes harbored County. that, contends next because identical stan- evidence,

dard of proof, namely, preponderance appears sections, in each of the relevant statutory the same evidence and testimony could lead the Commission to find fraud or to determine that the benefits were obtained wrongfully by of causa- finding evidence that affected omitting

virtue of that, It true for several reasons. tion. This tack fails is 9-310.2, § standard applicable § under 9-310.1 and That, however, does of the evidence. proof preponderance is two are leap logic sections justify County’s not does not refer to Significantly, 9-310.2 one and same. wrong- provide nor does it for remuneration reimbursement other than referral any penalty, funds or other fully obtained does not Action the Division on referral to the Division. a claim to consideration of precedent to be a condition appear under 9-310.1. reimbursement *15 9-310.1, a may § order the Commission Under “if aby prepon reimbursement it is established person pay to knowingly a has obtained person derance of the evidence that the is not enti person under this title to which benefits ” Thus, only need party seeking tled .... the reimbursement to which knowingly that the obtained benefits person show 9-310.2, § “if it is established not entitled. Under they were knowingly that a person a of the evidence by preponderance affect the of attemptеd payment or knowingly affected fees, by under title means of a expenses or this compensation, shall refer representation, fraudulent the Commission of requires proof 9-310.2 case” to the Division. Section 9-310.1, in representation. and a Section scienter fraudulent contrast, person knowingly that obtained requires only a they Although party which were not entitled. benefits to prove required section must seeking relief under each evidence, of the the two sections by preponderance elements with the Court agree of different elements. We require proof in the opinion present when it stated its Special Appeals of correct, would County’s position that were there case “[i]f for the to enact the two distinct Legislature be no reason provisions necessarily one of the would statutory provisions; principles which is at odds with the supеrfluous, be rendered at 979 A.2d at statutory Md.App. of construction.” 187 reasons, hold that a foregoing for the we Accordingly, under 9- for a for a referral to the Division request hearing automatically, necessarily, implic- encompass 310.2 does not paid wrongfully for reimbursement for benefits itly under 9-310.1. on, alternative, if in the County presses benefit, deny did not it a it is not

Commission’s decision review, that, authorizing judicial of necessary purposes grant deny Compensa order a benefit under the Workers’ contention, of this launches support tion Act. of arguments.10 another MIRV present of in its in the Special Appeals, opinion

The Court case, Paolino, and Havenner “do not Murray, held that under the circumstances at- necessarily appeal foreclose an here, after the concerning long tendant a statute enacted ” 979 A.2d at Md.App. decisions were rendered.... the Commission’s decision not to refer Willis to 228. Because whether “fully finally question the Division resolved the showed, evidence, employer by preponderance ‘knowingly knowingly attempted affected or Willis fees, compensation, ... payment expenses affect representation!;,]....’” means of a fraudulent the Commis- Id. aggrieved. sion’s decision was final and the was (alterations in original). appellate The intermediate court it that “when the enacted L.E. Legislature deemed relevant *16 9-310.2, § § signal 9-310.1 and L.E. it did not an intent to preclude judicial by review of decisions rendered the Commis- provisions.” sion under those Id. The absence of such an § 9- Legislature intent and the fact that “the enacted L.E. fraud, § 9-310.2 to and to deter discourage 310.1 L.E. from under the employees abusing privileges afforded ... Compensation employer/in- Act and to protect Workers’ public by helping integrity surers and the to assure the of the colleagues led compensation system,” appellate workers’ our to of the Commis- preclude conclude that review War, through 10. For readers who did not live the Cold “MIRV” is the "multiple acronym independently ‍‌‌​‌​​​‌​​‌‌​‌‌‌‌‌​‌‌‌​​‌​‌‌​​​‌​​​​​‌‌‌​​​​​‌‌‌‍targetable re-entry A vehicle.” MIRV, thus, warheads, single carrying multiple usually was a missile variety. the nuclear a referral grant deny whether to sion’s decision 548-49, A.2d at 229. Id. at purposes. would thwart those appellate naturally echoes the intermediate County The course, it is true that the General Of reasoning. court’s it enacted the Labor and § enacted 9-737 when Assembly 1991, the aforementioned court Article in after Employment 9-737, however, was not rendered. Section decisions were stated, after,” Appeals of Special enacted as the Court “long Willis, Md.App. all of the decisions were rendered. See in 547, example, For we decided Paolino 979 A.2d at 228. Assembly enacted before the General only years two § 9-737. that, that the in addition to the fact

The overlooks Sautter, grant/deni- in reiterated the Special Appeals, Court of deci- requirement of Commission appealability al of benefits 9-737, § the codification of the sions since the enactment of Employment Act in the Labor and Compensation Workers’ statutory incarnation of Workers’ Article is not the first Maryland. Assembly in first Compensation law General compensation law 1914. See Md. enacted workers’ Cornblatt, 800; Maryland Theodore B. Workers’ Laws Ch. (2009). present § 1-1 Pertinent to the Compensation Manual case, § 9-737. The predecessor law contained from a decision of what was then appeals 1914 Act authorized 1914 Md. Compensation called the Workmen’s Commission. provided: § 55. That Laws Ch. section feeling ag- Any employer, employee, benefiсiary, person affecting the Commission his any decision of grieved by Act, have the reviewed may interests under this same of an and initiated in the appeal in the nature proceeding in the Law Circuit Common Courts Court City.... of Baltimore and Em- Assembly enacted the Labor

Id. When General included a Revisor’s Legislature Article ployment 9-737, 9-737 is derived from Note to which indicated *17 judicial of Commission authorizing the former statute review language It section is new de- “[t]his decisions. states and, sentence as it clause of the second rived from the first of the first appeal, the first clause authorizing related to 56(a), and, as it related to of former Art. sentence Ch. 8. sentence of 95.” 1991 Md. Laws appeals, the first judicial right to seek authorizing the statute Although Employment in the “new” Labor and review was re-codified why we see no reason slightly language, Article "with different of the Labor and cases decided before the enactment good present do not remain law for Employment Article purposes. Co., whether a

In Paolino v. McCormick & we considered appeal could from a compensation to a workers’ case party sought compensation in wholly its favor. Paolino judgment that the disability. employer argued total temporary her claim. The Commission statute of limitations barred claim, her of limitations did not bar but found that statute her claim for other reasons. Paolino rejected nevertheless Court and McCor- review the Circuit petitioned ruling cross-appeal mick from the Commission’s purported granted partial summary on The Circuit Court limitations. issue, of Paolino on the limitations but judgment favor entered in favor of McCormick. McCor- ultimately judgment raising the Special Appeals mick to the Court of appealed The intermediate court held that appellate limitations issue. Court the statute of limitations barred Paolino’s claim. This ability McCormick lacked the to the Circuit appeal held that wholly favorable to Court because Commission’s order was 579, 582, 314 Md. at 552 A.2d at 871. The McCormick. “the one denying temporary disability decision total was of the case then before disposed Commission] which [the only it.... That determination and that determination was the Id. at purposes appeal.” Commission’s final action for from a holding, language 552 A.2d at 871. so we relied on case, Havenner, that court Special Appeals Court where the two elements of a final order in the discussed essential Compensation context of a claim: Workers’ “ action,’ ‘final order’ or within ambit ‘[F]inal Law, an order or award Compensation Workmen’s means *18 544 it, in the matter then before

made the Commission necessary of law and of fact for a determining the issues presented particular pro- in that problem resolution of and grants or denies some benefit under the ceeding which Act.” (alterations

Id. at 583, in emphasis 552 A.2d at 872 and Havenner, 332, at 364 A.2d at original) (quoting Md.App. 99). the order a benefit only part granting denying of For denying temporary disability. “was the total portion that was the Commission’s decision.” Id. appeal purposes, Graham, v. Murray Freight Corp. International we collaterally considered an is from employer estopped whether relitigating employment a Commission determination of In a related separate, proceeding, status of a claimant. but determined that was the of employee the Commission Graham claim bene Murray, compensation but denied his for workers’ action in the District brought separate fits. When Graham to Maryland seeking compensation Court of recover workers’ that the had deducted from in premiums corporation pay, his (1957, of then extant Maryland Repl. violation Code Vol.), 101, 51,11Murray Art. that Gra attempted argue injury. ham at the time he sustained an employ was not its employer estopped The District Court held that was collaterally finding from the Commission’s challenging employee. Graham was an

This Court held that the determination of whether Graham was not essential to the resolution of employee was Gra- and, ham’s claim more compensation importantly pres- purposes, “Murray appealed ent International could not have ” 550, ‘judgment.’ from that 315 Md. at 555 A.2d at 505. claim, Because the Commission denied Graham’s it denied the provided, part 11. Art. in relevant agreement by employee pay any portion premium [n]o such valid, paid by employer any employer such shall be and who deducts any wages salary any portion premium such of from employee guilty entitled to the benefits of this article shall be of a misdemeanor. 315 Md. at 547 n. 555 A.2d at 503 n. 1. therefore, was, under the Act any benefits employee 552, 555 A.2d Id. at wholly employer’s in the favor. decision denial/grant Thus, Paolino and following 506. Havenner, preclu we held that issue language from benefits not have could apply employer not because the sion did 552-53, 555 Id. at decision. from the Commission’s appealed employee any benefits 506-07. “It thus denied A.2d at was, therefore, wholly employer’s Act and under the that the held further Id. at 555 A.2d at We favor.” *19 of Mur employee was an finding that Graham Commission’s in “benefit,” word was used confer a as that ray did not 6, n. 555 A.2d at 506 6. Havenner. Id. at 553 n. Paolino and 51,12 “a Commis could not enforce the Commission Because cannot, itself, confer employee of status sion determination under that Article.” Id. any benefit require- emphasized also Special Appeals Court must order of the Commission appealable that a final ment v. in Bd. Comm’rs deny a bеnefit Frederick grant Sautter, 445-46, (quoting A.2d at 688 at 718 Md.App. 872). Paolino, 583, As a threshold 314 Md. at 552 A.2d whether the matter, considered on its own initiative the court request for a denying employer’s order Commission’s 445, 718 A.2d at 688. The rehearing was a final order. Id. at it a final order Paolino and held that was upon court relied found “that the claimant sustained because the Commission employ- out of and in the course of injury arising accidental ‍‌‌​‌​​​‌​​‌‌​‌‌‌‌‌​‌‌‌​​‌​‌‌​​​‌​​​​​‌‌‌​​​​​‌‌‌‍By of benefit. virtue of such a ment to meet this definition the claim- providing becomes liable for finding, employer 446, Id. at 718 A.2d medical services and treatment.” ant with at 688. Corp., in v. C & H Mechanical recently, Griggs

More 564, 402, (2006), the Court of 905 A.2d Md.App. ap- that a final requirement considered the Special Appeals grant deny of the must pealable order Commission compensation his claim Griggs, benefit. the claimant filed supra 12. See note and, years injury,

over two after he sustained an thus fell of limitations. The employer outside stаtute raised in argument hearing timely limitations before the and after for a but the not request rehearing, Commission did address employer petitioned limitations. The review the Court, only Circuit about the complaining denying order rehearing. judgment The Circuit Court entered in favor of the employer. Griggs appealed appellate to the intermediate alia, arguing, denying court inter that the order rehearing appealable for a was not an order “because it does deny not some grant compensa- benefit under the workers’ rejected tion laws----” Id. at 905 A.2d at 406. The court at the outset it argument because was obvious that the employer appealed original from the Commission’s order which the Commission found that sustained an Griggs acciden- injury tal and was entitled to under compensation the Act. Id. The court reiterated that “both the statutes and case law make cleаr being challenged ‘decision’ on is the appeal final disposition substantive of the workers’ compensation claim.” Id. at Concededly, 905 A.2d at 406. the court did not in an engage analysis extensive of whether the Commis- benefit, granted sion’s order or denied a but that omission was *20 understandable because it was that the employer obvious petitioned judicial granting for review of the order or denying i.e., compensation injury, for the a employee’s benefit. See id. 563-64, at 905 A.2d at 406. that, County argues also even if the Commis benefit, deny

sion’s decision did not the a that is irrelevant because when “the appellate courts have referred to the need for a final order to address benefits was meant [it merely] as a means of a final distinguishing decision for purposes appeal of from an interim or finding conclusion. standard, Rather than create a new the courts have reiterated the final judgment interlocutory basic rule and disfavor of appeals.” agree that courts the need a employ We final order to or grant deny distinguishing benefits as a means of a final decision for of from an purposes appeal interlocutory acceptance interim decision. We fail to see how our of this A of the here. decision County’s cause helps principle necessarily deny a benefit grant not does that Commission immediate subject not to order or interim interlocutory an is review. judicial County did not that the determined

Because we have in its to paid benefits Willis for back reimbursement request appealable and that to the Division for referral request benefit, a deny grant order must administrative final referral to the for a is whether remaining question judicial itself, subject to a final order is, in and of Division (1) the Commis- whether Thus, must determine we review.13 Mary- present to compared the case Appeals Special The Court of Anderson, 395 Md. Planning v. Comm’n Capital Park and land-National Anderson, (2006). whether the 172, we considered 909 A.2d “MNCPPC”) (the had Planning Commission Capital Park and Md.-Nat’l hearing board judicial after an administrative right review to seek charges guilty” in an administrative finding as to of “not issued a employ- Police against one of its Park filed complaint that the MNCPPC judicial right to seek not have a MNCPPC did We held that the ees. (“LEBOR”), Rights Officer’s Bill of Enforcement under the Law review 3-101—3-113, Article, (2003), §§ which stated Safety Public Md.Code ” “ Anderson, 395 action.’ finding guilty terminates the of not '[a] (alteration original). Section 3-109 A.2d at 699 Md. at disciplin- may judicial review of a aggrieved party seek provides that an ary LEBOR. decision under review it was entitled MNCPPC contended that preclude expressly Legislature did not because the board's decision argument rejected guilty We MNCPPC’s decision. review of not findings guilty’ to be Legislature for 'not intended "[i]f held that reviewable, intention, express language to it could have included Id. at 909 A.2d stating action is terminated.” than that the rather only Legislature intended "persuaded that the We were at 703-04. Legislature made a because the 'guilty' decisions to be reviewable requirements guilt prerequisite other needed finding for the Legislature other- ripe intended for review. If render a decision wise, the same or similar certainly knew how to include then it findings guilty,' it did for the discussing of ‘not as language when Legislature expressly contrary, stated findings 'guilty.' To ” 909 A.2d guilty’ finding the action.' Id. 'terminates that a 'not at 704. *21 no present case because there is inapposite to the Anderson is providing Compensation Act for analogous section in the Workers’ any brought Act. If the case has under the of an action “termination” here, right to that there is no the conclusion relevance it bolsters decision not judicial review of the Commission’s petition for immediate 548

sion’s refusal to refer case to the granted Willis’s Division (2) denied a to the County, County “aggrieved” benefit the is (3) 9-737, § pursuant to whether the Commission’s deci- sion disposed finally case then before it. previously,

As noted the Commission’s decision did not grant or deny County. benefit to the It denied the merely request Commission’s to refer the case to the That Division. decision not equivalent to what we described in Murray was “a grant as of an award under Compensation [the Workers’ Act], thereto; is, something equivalent something Murray, awarded the Commission.” Md. at n. Sautter, 555 A.2d at 506 n. 6. See also Md.App. Sautter, A.2d at 688. the of Special Appeals Court viewed “a the finding claimant sustained an accidental injury arising out of and the course of employment to meet this By definition of benefit. virtue of such finding, employer becomes liable for providing claimant with medical ser- Id. The Commission’s decision in the vices and treatment.” present case was not in the nature of an award of such a require County benefit. The decision did not to for pay any be liable anew for treatment that Willis received. Closely related question to the of whether or granted decision denied a benefit to the is whether the County “aggrieved” by was the Commission’s decision. County argues that it is because it precluded is now from seeking reimbursement for benefits that it believes were supra, fraudulently. obtained As discussed request § referral pursuant Division 9-310.2 is not tanta mount to a for reimbursement pursuant to 9-310.1. Therefore, estopped by is not the present denial from seeking reimbursement. The Legislature enacted 9- alia, for, inter 310.2 in 2004 purpose “the requiring Commission to refer persons certain to the Insurance Fraud ” Division under certain circumstances.... 2004 Md. Laws Ch. intended, Legislature to refеr a case to the Division. If the so that, Legislature language providing expressly knew how to include

yet chose not to.

549 fraud, reports the case If the finds the Division 471. Division the Md.Code Attorney Attorney or General. to the State’s 2-405(2)(i). 2009), § There (1995, Ins. Supp. & Repl. Vol. or Compensation the Act indication in either Workers’ is no the the Commission to by that referral the Insurance Article an individual who reporting the method of Division is exclusive of a fraud in the context committed insurance Workers’ has of § 9-1106 the Labor Considering that Compensation case. subjects knowingly “who Employment person Article and of attempts] compen knowingly payment or to affect affect[s] sation, fees, under means of a this title expenses or no representation” penalties, to criminal there is fraudulent through the Com suppose process reason to that referral County get to at only is the mechanism the Willis’s mission fraud.14 could аdvise the Office alleged Attorney The Attorney’s Attorney or the State General Office of State’s A of a to it fraud has occurred. denial referral believes investigation launch of agency another state to its own employer The deci claimant “out-of-court.” hardly puts foreclose, law, any County’s not a matter did as of sion County’s or to rights ability affect the pecuniary property a claim pursue alternatively. or defense decision

Finally, present Commission’s not still may case does of claim. seek dispose § litigate to re pursuant reimbursement 9-310.1 Willis’s quest temporary disability total benefits. We note that every rights “not administrative order which determines flow, liabilities, legal is final and consequences from which final, subject Generally, review. to be judicial thus to nothing administrative order must also ‘leave further for do.’” agency Holiday Spas, to 315 Md. at A.2d at Relations, on at (quоting Md. Comm’n Human 296 Md. 211). legal 459 A.2d though consequences Even some is, person provides Section who violates the section 9-1106 conviction, upon subject penalties § of to the of 7-104 the Criminal Article, general penalties provisions and for the Law which contains (2002 2009), Supp. & Crim. Law. 7-104. offense theft. Md.Code may flow from the Commission’s decision not to refer the case Division, to the the Commission’s decision did not resolve the fraud, matter of whether Willis committed leaving nothing Therefore, ‍‌‌​‌​​​‌​​‌‌​‌‌‌‌‌​‌‌‌​​‌​‌‌​​​‌​​​​​‌‌‌​​​​​‌‌‌‍further for the Commission do. we hold that the Commission’s decision was not a final order subject judicial review and that there is no right review inherent decisions requests rendered on for referral made under 9- *23 310.2.

JUDGMENT OF THE COURT OF SPECIAL APPEALS REVERSED; CASE REMANDED TO THAT COURT WITH INSTRUCTIONS TO AFFIRM THE JUDGMENT OF THE CIRCUIT COURT FOR MONTGOMERY COUN- TY; IN COSTS AND IN THIS COURT THE COURT OF SPECIAL TO BE PAID BY APPEALS RESPONDENT.

ADKINS, J., Dissents.

ADKINS, J., dissenting.

I respectfully dissent from majority opinion for the Hollander, reasons set forth judge writing the Court of this case. See Montgomery County v. Special Appeals Willis, (2009). 187 Md.App. 979 A.2d 209 I would affirm the judgment of the Court of Special Appeals.

Case Details

Case Name: Willis v. Montgomery County
Court Name: Court of Appeals of Maryland
Date Published: Aug 25, 2010
Citation: 3 A.3d 448
Docket Number: 138, September Term, 2009
Court Abbreviation: Md.
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