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Showing posts from October, 2025

Court of Appeals Agrees with District Court's Reversal of Commissioner's Denial of Benefits

  Culpepper v. CNH Industrial America LLC , No. 24-2040 (Iowa App. Oct. 29, 2025) The agency denied claimant's alleged back pain, rejecting the report of the treating physician and also finding claimant had not provided timely notice of the decision.  On judicial review, the district court reversed both findings and remanded the claim to the agency for further proceedings.  The Court of Appeals affirms the holdings of the district court. Claimant alleged that he suffered a neck injury while at work and alleged injury dates of 6/8/21, 9/3/21 and 10/29/21. Dr. Abernathey, the treating physician, provided statements concerning the injury on three occasions.  In the first two of those statements, which were referenced in the opinion of the deputy, Dr. Abernathey indicated that work activities did not "cause" the work injury.  In the third report, not discussed by the deputy, Dr. Abernathey opined "within a reasonable degree of medical certainty that [Culpepper's] wo...

Supreme Court Concludes That Once a Worker Returns to Work at the Same or Greater Pay, and Injury is to be Considered Functionally Under 85.34(2)(v)

  Den Hartog Industries v. Dungan , No. 23-1402 (Iowa Oct. 3, 2025) In this case interpreting 85.34(2)(v) of the Act, the Supreme Court concludes that an employee who returns to work at the same or greater wages following an otherwise industrial work injury is to have that injury considered functionally under 85.34(2)(v)(3). The decision reverses an earlier 2-1 decision of the Court of Appeals that had concluded the statute was unclear and was to be interpreted liberally. The court had concluded claimant's injury was to be determined industrially. Claimant suffered an injury at work and continued to work for the employer for 11 months with some work restrictions.  After returning to work, he was paid wages that equaled or exceeded the wages he had previously received. He testified that his pain caused him to miss "a fair bit of work." He left the job after 11 months to take a different job and move closer to his family.  He subsequently found work, making more than he was...

Court of Appeals Affirms Denial of Permanency Benefits on Substantial Evidence Grounds

  Hayes v. Christian Retirement Homes, Inc. , No. 24-1991 (Iowa App. Oct. 1 2025) Claimant suffered an alleged work injury.  Prior to this injury, claimant had a lengthy history of injury, which had resulted in a 20 pound lifting restriction prior to the time he began working for the employer. In his position with the employer, claimant was required to lift between 25 and 50 pounds.  Claimant tripped while at work, fell to the cemet and hit his head.  He claimed injuries to his low back, leg and right ankle.  He was diagnosed with right sided sciatic radicular pain and lumbago with sciatica.  A CT scan desmonstrated severe degenerative disc disease.  Surgery was recommended by the surgeon chosen by the employer who related the surgery to claimant's work injury. A DME found that claimant's proposed back surgery was not related to the work injury, but to claimant's underlying conditions. The DME concluded claimant had back strain, with no permanent impai...