Wheeler v. Boise Cascade Corp.
Jurisdiction | Oregon |
Parties | In the Matter of the Compensation of Kevin D. Wheeler, Claimant. Kevin D. WHEELER, Petitioner-Respondent on Review, v. BOISE CASCADE CORPORATION, Respondent-Petitioner on Review. WCB 81-06963; CA A26809; SC S30467. |
Citation | 298 Or. 452,693 P.2d 632 |
Court | Oregon Supreme Court |
Decision Date | 08 January 1985 |
Michael T. Garone, Portland, argued the cause for petitioner-respondent on review. With him on the brief was Jolles, Sokol & Bernstein, P.C., Portland.
Alan M. Muir, Portland, argued the cause for respondent-petitioner on review. With him on the brief was Schwabe, Williamson, Wyatt, Moore & Roberts, Portland.
This case arises as a result of an occupational disease claim filed on April 6, 1981. The hearings referee held that the claim was compensable citing Hutcheson v. Weyerhaeuser, 288 Or. 51, 602 P.2d 268 (1979). The Workers' Compensation Board on review reversed the referee stating that the claimant did not satisfy the requirements that: (1) the work conditions caused a worsening of the underlying disease, Weller v. Union Carbide, 288 Or. 27, 602 P.2d 259 (1979); and (2) that work conditions were the major cause of the worsening, SAIF v. Gygi, 55 Or.App. 570, 639 P.2d 655 (1982).
The Court of Appeals reversed the Board by distinguishing Hutcheson and Weller. The Court of Appeals held that the record did not support the Weller and Stupfel v. Edward Hines Lumber Co., 288 Or. 39, 602 P.2d 264 (1979), requirement that there be a worsening of the underlying condition. However, it held that because the claimant had been asymptomatic and not receiving medical care for his disease until he started work that the claim was compensable under Hutcheson. We reverse.
The following facts are excerpted from the Court of Appeals opinion and the Board's record. In the fall of 1979 after graduating from high school, claimant got a job at Anderson's Plywood as a glue spreader. While there, he suffered from a rash caused by "glue poisoning." The condition cleared up with medical treatment. He was laid off because of personnel cutbacks in February 1980 and remained unemployed until June 1980 when he went to work for Boise Cascade. He worked various jobs until October 1980 when he was permanently assigned as a green chain off bearer.
During the summer of 1980, claimant got a rash but it cleared up during the winter of 1980. By March 1981 the rash was again bothering claimant and he missed four or five days of work.
On April 6, 1981, claimant filled out a claim of Occupational Injury or Disease on which he claimed to be allergic to hemlock and glue. On April 14, 1981, the claim was "accepted" by Boise Cascade and claimant went to the doctor for diagnosis and treatment. Claimant was referred to a dermatologist who diagnosed the problem as atopic dermatitis, an inherited predisposition to have sensitive skin. The dermatologist noted the following:
3) His normal living activities probably did contribute to his problem in that he was using fairly harsh body soaps and also was showering frequently because of the heavy perspiring that he does in his occupation.
On June 2, 1981, Boise Cascade, based on the information from medical reports, denied that the medical problem was compensable.
At oral argument claimant argued that as a matter of law Boise Cascade could not deny the claim once it had accepted the claim. He cited as authority Bauman v. SAIF, 295 Or. 788, 670 P.2d 1027 (1983). In Bauman, this court ruled that:
"The insurer or self-insured employer is not at liberty to accept a claim, make payments over an extended period of time, place the compensability in a holding pattern and then as an afterthought, decide to litigate the issue of compensability."
In Bauman, SAIF specifically accepted a claim as compensable and provided the claimant with an acceptance letter. SAIF then paid medical benefits for a period of three years before reversing its decision and denied compensability of the claim.
The controlling language in Bauman for this case is:
"If, as in this case, the insurer officially notifies the claimant that the claim has been accepted, the insurer may not, after the 60 days have elapsed, deny the compensability of the claim unless there is a showing of fraud, misrepresentation or other illegal activity." 295 Or. at 794, 670 P.2d 1027. (Emphasis added.)
The record in this case shows that Boise Cascade denied compensability within the 60-day time period. Therefore Bauman does not prohibit the denial of this claim.
The second issue raised is whether, in awarding compensation, the Weller criteria can be set aside because Hutcheson created its own test for claimants who were asymptomatic before beginning employment.
The Court of Appeals rationale for distinguishing Weller and Hutcheson is as follows:
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