Painter v. State ex rel. Wyoming Worker's Compensation Div.

• Decision Date: 31 January 1997
• Docket Number: No. 95-244,95-244
• Citation: 931 P.2d 953
• Parties: Donald L. PAINTER, Appellant (Respondent), and Lee Melrose, Appellant (Respondent/Employee), v. The STATE of Wyoming, ex rel. WYOMING WORKER'S COMPENSATION DIVISION, Appellee (Petitioner).
• Court: Wyoming Supreme Court

Page 953

931 P.2d 953

Donald L. PAINTER, Appellant (Respondent) and Lee Melrose, Appellant (Respondent/Employee), v. The STATE of Wyoming, ex rel. WYOMING WORKER'S COMPENSATION DIVISION, Appellee (Petitioner).

No. 95-244.

Supreme Court of Wyoming.

Jan. 31, 1997.

Donald L. Painter, Casper, for Appellants (Respondents)

William U. Hill, Attorney General; John W. Renneisen, Deputy Attorney General; Gerald W. Laska, Senior Assistant Attorney General; and Jennifer A. Evans, Assistant Attorney General, for Appellee (Petitioner).

Before TAYLOR, C.J., and THOMAS, MACY and LEHMAN, JJ., and BRACKLEY, District Judge.

LEHMAN, Justice.

The sole issue presented by this appeal is at what point an injured worker's right to appointed counsel attaches in a worker's compensation case. In this case, a hearing examiner appointed counsel for an injured worker and awarded attorney fees although no contested case was requested. The district court found that since there was no contested case, the hearing examiner lacked jurisdiction to appoint an attorney and award fees. Absent further guidance from the legislature, we hold that an injured employee is entitled to paid legal counsel when the Worker's Compensation Division issues a final determination on compensability of the injury or a claim.

We reverse the district court's order denying the hearing examiner's award of attorney fees and remand to the district court for further consideration of the payment of attorney fees incurred in responding to the Division's appeal.

ISSUES

Appellants Lee Melrose, the injured employee, and Donald Painter, his attorney, state the issues as:

1. Whether Employee-Claimant is entitled to an award of attorney's fees for services rendered by the undersigned on behalf of Employee-Claimant.

2. Whether Employee-Claimant is entitled to an award of attorney's fees incurred in District Court in defense of the attorney's fees originally incurred.

Appellee, Wyoming Worker's Compensation Division (Division), frames the issues as:

A. Whether the Office of Administrative Hearings lacked subject matter jurisdiction to enter orders appointing an attorney and awarding attorney's fees where no party had objected to the Division's final determination and the matter had not been referred to the Office of Administrative Hearings for hearing.

B. Whether the district court abused its discretion in denying the application for attorney's fees incurred in defending the order awarding attorney's fees entered by the Office of Administrative Hearings.

FACTS

On December 8, 1994, after unloading a Christmas turkey from his employer's truck, Melrose slipped on a patch of ice on his employer's property and sustained a back injury. On December 20, 1994, Melrose and his employer timely filed a report of injury. On that report, the employer took the position that the injury was not compensable because Melrose had clocked out for the evening twenty minutes prior to the accident.

The Division, in its Final Determination Regarding Coverage and Compensability, dated December 22, 1994, found the injury was covered by the Wyoming Worker's Compensation Act (Act). A claim was then filed and forwarded to the employer, who disapproved payment on January 4, 1995. The following day Melrose filed a motion for appointment of counsel. The record is silent until January 19, 1995, when Melrose filed a motion for award of attorney fees. In the meantime, the employer filed no request for a hearing, thereby withdrawing its objection to payment of the claim.

The hearing examiner granted Melrose's motion for appointment of counsel and awarded $281.24 in attorney fees. Appealing, the Division asserted that in the absence of a contested case the hearing examiner lacked jurisdiction to award attorney fees under W.S. 27-14-602(d). The district court agreed and held that under the contested case provisions of the Act, the Office of Administrative Hearings (OAH) had no authority to appoint an attorney. In addition, the district court found it improper to award attorney fees for the appeal to the district court because the only issue on appeal was the denial of previously awarded attorney fees.

DISCUSSION

Judicial review of an agency action is governed by W.S. 16-3-114, which allows any person aggrieved or adversely affected by the actions or inactions of an agency to obtain review by the district court. As the reviewing court, we are required to hold unlawful and set aside agency action found to be "[a]rbitrary, capricious, an abuse of discretion or otherwise not in accordance with law;" or "[i]n excess of statutory jurisdiction, authority or limitations or lacking statutory right." W.S. 16-3-114(c)(ii)(A), (C) (1990).

In order to resolve this case, we must interpret the Worker's Compensation Act with respect to when a worker's right to paid legal representation accrues and apply that interpretation to the facts. Statutory interpretation is a matter of law and is reviewed de novo. Chevron U.S.A., Inc. v. State Board of Equalization, 918 P.2d 980, 983 (Wyo.1996). The applicable law is that which was in effect on December 8, 1994, the date of Melrose's injury. See Matter of Worker's Compensation Claim of Jacobs, 924 P.2d 982 984 (Wyo.1996); Matter of Shapiro, 703 P.2d 1079, 1081-82 (Wyo.1985).

Section 27-14-602(d) (Supp.1994) provides the statutory authority for the appointment of counsel:

Upon request, the hearing examiner may appoint an attorney to represent the employee or claimants and may allow the appointed attorney a reasonable fee for his services at the conclusion of the proceeding. An appointed attorney shall be paid according to the order of the hearing examiner either from the worker's compensation account, from amounts awarded to the employee or claimants or from the employer.

The Act is silent as to when an employee's right to paid legal representation accrues. It is our task, then, to determine the legislature's intent in that regard.

The Division asserts that unless and until a formal request for a hearing is made, and the case is subsequently referred to the OAH by the Division, a hearing examiner has no authority to appoint an attorney or award fees. The Division's argument assumes that the hearing examiner's authority to appoint an attorney is necessarily dependent on the jurisdiction of the OAH to decide the underlying disputed claim on its merits. Clearly, a hearing examiner acquires jurisdiction to decide a disputed claim once the Division has referred the case to the OAH. The statutory language does not, however, unambiguously support the contention that a hearing examiner cannot appoint an attorney until that time. Subsection (d) simply provides that upon request, the hearing examiner may appoint an attorney to represent the employee and award attorney fees at the conclusion of the proceeding.

We have often stated the precept that the worker's compensation statutory scheme should be construed as a whole, its component parts in pari materia. Newton v. State ex rel. Workers' Compensation Div., 922 P.2d 863, 865 (Wyo.1996); Little America Refining Co. v. Witt, 854 P.2d 51, 55 (Wyo.1993). After examining the Act as a whole, looking at the component parts as well as its purposes and underlying policy considerations, we conclude that an employee is entitled to paid legal representation when the Division issues a final determination regarding compensability of an injury, whether or not a formal request for a contested case is filed.

Article 6, entitled "Contested Cases," contains provisions covering the entire claim process, from beginning to end. W.S. 27-14-601 through -616 (1991 & Supp.1994). The article describes the steps the Division must follow in reviewing an initial injury and subsequent claims for compensation, notice requirements, and review and settlement of claims, in addition to contested cases. The Act establishes a scheme whereby the Division issues final determinations on compensability. W.S. 27-14-601(a)-(d). Notice of a final determination must include a statement of reasons and a notice of the right to a hearing; any interested party may request a hearing on the final determination. W.S. 27-14-601(k)(iii), (iv).

The issuance of a final determination by the Division initiates a critical stage in the worker's compensation process during which the assistance of an attorney will likely be extremely important to the claimant. The employee has only fifteen days to request a hearing or the final determination is forever precluded from further administrative or judicial review. W.S. 27-14-601(k)(iv), (vi). Allowing an employee paid legal representation at that point will enable the employee to make an educated decision whether to agree to settlement of a claim, accept a partial award, or request a hearing.

In addition, affording legal counsel to an injured employee when the Division has issued a final determination is in accord with the stated legislative intent in creating the Act. The legislature intended "that the laws be administered by [the Division] * * * to assure the quick and efficient delivery of indemnity and medical benefits to injured and disabled workers at a reasonable cost to the employers who are subjected to the * * * Act." W.S. 27-14-101 (Supp.1994). The Act "is not remedial in any sense and is not to be given a broad liberal construction in favor of any party." Id. Both employee and employer benefit when an employee is provided legal counsel at an early stage of the proceedings. The employee benefits because he is able to make a fully-informed decision about the proper course of action to pursue. The employer benefits because settlement outside the contested case context is more likely. Denying an employee paid legal representation when the final determination is issued creates an incentive for the employee to contest the case, regardless of whether a settlement could otherwise be reached. A contested case proceeding results in greater...