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Court of Appeals Summarily Affirms Award of Benefits and Penalty

In KAS Investment v. Buehlmann , No. 19-1085 (Iowa App. May 13, 2020), the court addressed a decision of the commissioner finding claimant eligible for benefits and awarding penalty.  The court finds that substantial evidence supported the decision of the commissioner and that the commissioner’s actions were not an abuse of discretion.  Because the issues in the case involved the application of well-settled law, the case was affirmed by memorandum opinion under Iowa Court Rule 21.26.

Supreme Court Concludes District Court Service by Fax is Substantial Compliance with 17A.19(2)

In Logan v. The Bon Ton Stores, Inc. , No. 19-0608 (Iowa May 1, 2020), the court addressed a recurring question of service of judicial review petitions in workers' compensation actions.  The statute, 17A.19(2), requires personal service or service by mail within ten days.  Earlier cases, including Ortiz v. Loyd Roling Construction , 928 N.W.2d 651 (Iowa 2019) had found that substantial compliance with the statute was sufficient to confer jurisdiction. In Ortiz, service had been by email and this was found to substantially comply with the statute.  The court describes  Logan  as a codicil to Ortiz . Claimant appeared pro so in this case, filed her petition for judicial review and sent the petition to opposing counsel by fax.  The court noted that defendants were not prejudiced by receipt by fax, since this was received by counsel well within the ten day limit.  Although the court noted that the golden age of faxes was well in the past (and thus unl...

Supreme Court Holding Denies Cumulative Injury Alleged in Review Reopening Action Following Initial Acute Injury

As presented by the Supreme Court in Gumm v. Easter Seal Society of Iowa, Inc. , No. 18-1051 (Iowa May 1,  2020), the issue before the court was "whether a workers' compensation claimant who receives disability benefits for a traumatic injury can later recover disability benefits on a separate disability claim if the cumulative injury is based solely on aggravation of the earlier traumatic injury."  The court unanimously concluded that Ms. Gumm could not recover. Claimant initially suffered a fracture of her right ankle, for which she was paid WC benefits following surgery.  The last payment of benefits for the injury was on May 10, 2010.  Claimant continued to suffer from right ankle pain and in January of 2012 returned to the treating physician.  The physician believed that this could have been from a coincidence or from compensating for her right ankle pain. On April 11, 2012, she underwent another surgery, returning to full-duty work on May 3.  Cla...

Court of Appeals Affirms District Court, Affirms Dismissal of Petition for Judicial Review

In Bruss v. Grout Scouts, Inc ., No. 19-0943 (Iowa App. April 15, 2020), the court addressed a petition for judicial review that had been filed in a timely fashion but had not been served according to Chapter 17A.  The employee argued that there was an agreement between counsel to accept service of the petition.  Defendants' counsel agreed to accept service, but after several weeks, defendants' counsel indicated she had not received the PJR.  The employee's counsel immediately send the petition but defendants' counsel sought dismissal.  Claimant urged that the employer should be estopped from asserting that the petition had not been properly served.  The Court of Appeals affirmed. On appeal, the employee argued that she had substantially complied with chapter 17A, which requires service by mail within 10 days.  The employee also argued that the employer should be estopped since defendants' counsel had agreed to accept service.  Because the petitio...

Court of Appeals Affirms Initial Denial of Penalty Benefits, But Remands for Consideration of Post-Hearing Penalty Benefits

In True v. Heritage Care and Rehabilitation , No. 18-0818 (Iowa App. April 1, 2020), the court addressed two penalty issues brought by claimant. Claimant initially filed a medical only claim, but moved to amend the action 3 days before the statute of limitations filed to allege eligibility for temporary and permanency benefits as well as penalty. At hearing on the motion to amend, claimant listed permanent partial disability and alternate care, but not penalty benefits.  The deputy concluded the amended petition was timely and directed claimant to refile her petition.  When claimant refiled, penalty was not listed as issue, although the earlier petition had alleged penalty.  The deputy concluded on the merits that the earlier petition was the one to be considered and this was affirmed by the COA in an earlier decision on the case.  Benefits were ultimately paid to claimant in 2015.  After benefits were paid, claimant filed another action alleging penalty be...

Court of Appeals Remands Alternate Medical Care Proceeding to Agency, Citing Lack of Transcript on Which to Make an Informed Decision

In Lovan v. Broadlawns Medical Center , No. 19-0511 (Iowa App. April 1, 2020), the agency denied claimant's application for alternate medical care following a telephonic hearing. On judicial review, the district court found that the decision of the treating physician was so contrary to all previous medical testimony that it rises to the level of the employer choosing improper care for the employee. On appeal, the court notes that although exhibits were present in the record, there was no transcript or recording of the AMC hearing provided to either the district court or court of appeals.  The court concludes that since claimant's own words as to the reason for dissatisfaction with the care provided was essential, the court could not adequately review the record.  The court rejected a claim that it was standard practice not to provide the transcript, finding that other AMC cases before the courts had apparently produced a transcript or record of the hearing.  With no ...

Court of Appeals Holds That a First Injury Against the Second Injury Fund Can Be Substantiated Despite the Lack of Medical Records to Document the Injury

In Huffey v. Second Injury Fund and Mail Contractors of America, No. 18-2055 (Iowa App. April 2, 2020), the court held, among other things, that claimant did not need to produce medical records concerning the first injury in order to establish a loss or loss of use under section 85.64 in SIF cases.  This action affirmed the decision of the district court, which had reversed the action of the agency. Claimant brought an initial action against the employer.  The commissioner found that claimant had established a 2% injury to the right knee in 2011, but denied that claimant had a sequela injury to the left knee as a result of the right knee injury.  Claimant subsequently filed an action for a 2012 for a left knee injury.  The deputy awarded a 50% impairment for the left knee, which was reversed by the commissioner.  Claimant's SIF claim was for a right arm injury in 1999 and right knee injury in 2011.  Despite these allegations, the agency treated the ri...