El Asali v. caveo/american ( 2022 )


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  •                       NOTICE: NOT FOR OFFICIAL PUBLICATION.
    UNDER ARIZONA RULE OF THE SUPREME COURT 111(c), THIS DECISION IS NOT PRECEDENTIAL
    AND MAY BE CITED ONLY AS AUTHORIZED BY RULE.
    IN THE
    ARIZONA COURT OF APPEALS
    DIVISION ONE
    SUE ELLEN EL ASALI, Petitioner Employee,
    v.
    THE INDUSTRIAL COMMISSION OF ARIZONA, Respondent,
    CAVEO SVC, Respondent Employer,
    AMERICAN LIBERTY INSURANCE CO, Respondent Insurance Carrier.
    No. 1 CA-IC 21-0050
    FILED 11-10-2022
    Special Action - Industrial Commission
    ICA Claim No. 20180640038
    Carrier Claim No. 6671077
    The Honorable Michelle Bodi, Administrative Law Judge
    AFFIRMED
    COUNSEL
    Sue Ellen El Asali, Phoenix
    Petitioner
    Industrial Commission of Arizona, Phoenix
    By Gaetano J. Testini
    Counsel for Respondent
    Norton & Brozina PC, Phoenix
    By Kevin E. Karges
    Counsel for Respondent Employer and Insurance Carrier
    MEMORANDUM DECISION
    Judge James B. Morse Jr. delivered the decision of the Court, in which
    Presiding Judge Jennifer M. Perkins and Judge Michael J. Brown joined.
    M O R S E, Judge:
    ¶1              This case presents the question of whether Sue Ellen El Asali
    ("El Asali") filed a timely request for administrative review of the Industrial
    Commission of Arizona's ("ICA") decision that she was not excused for
    filing a late request for hearing. The administrative law judge ("ALJ") found
    that she did not have reasonable cause for missing the deadline for filing
    for review. Because the record supports that finding, we affirm.
    FACTS AND PROCEDURAL BACKGROUND
    ¶2             El Asali was injured in 2017 while working for Caveo
    Services, LLC, whose workers are insured by American Liberty Insurance
    Company. She filed a claim and received benefits. On March 28, 2019,
    American issued a Notice of Claim closing the claim with no permanent
    disability. Over 580 days later, on October 28, 2020, El Asali filed a request
    for a hearing challenging the closure of her claim. American raised the
    affirmative defense of untimely filing, and the ICA held a hearing solely on
    the issue of the cause for El Asali's untimely filing.
    ¶3            At the hearing, El Asali agreed that the closure notice had
    been sent to the correct mailing address but noted that she was not living
    at that address at that time. El Asali testified that her hearing request was
    filed beyond the 90-day deadline because she was experiencing severe
    health problems during that time. From March 2019 until October 2020, she
    did not check her mail at the address to which the notice was sent. She
    learned of the closure of her claim for the first time when she checked her
    mail in October 2020. She admitted that she had prioritized her health
    concerns and neglected other personal duties during that time. As soon as
    she learned of the closure in October 2020, she filed her hearing request.
    2
    EL ASALI v. CAVEO/AMERICAN
    Decision of the Court
    ¶4             The ALJ issued an award finding that El Asali failed to prove
    any of the three reasons for excusal under A.R.S. § 23-947(B), which include
    reliance on a statement from the ICA that causes a late filing, mental
    incapacity or legal incompetence at the time the notice is issued, and lack of
    receipt of the notice. Therefore, the ALJ did not excuse her from the 90-day
    deadline. The ALJ made no findings regarding A.R.S. § 23-947(C), which
    requires a worker seeking excusal of a deadline under any of the three
    statutory excuses to show that she exercised reasonable care and diligence.
    The award found that the closure notice was final. The award notified El
    Asali that she had 30 days from when the award was mailed to file a request
    for administrative review. The award was mailed on July 2, 2021.
    ¶5             El Asali filed a request for review on September 23, 2021,
    stating that the "letter" she received said that she had 90 days to seek review.
    Upon review of the award, the ALJ affirmed her decision because she found
    that El Asali had missed the deadline for filing a timely request for review
    and did not have reasonable cause for doing so. The ALJ found that the
    award had notified El Asali that she needed to file any review request
    within 30 days, not 90 days. El Asali then filed a timely statutory special
    action petition for review with this Court.
    DISCUSSION
    ¶6             An ICA award is final unless one of the parties files a request
    for review within 30 days of service of the award. A.R.S. § 23-942(D). Here,
    the award was served to the parties by mail on July 2, 2021, giving El Asali
    until August 2, 2021, to file a review request. She did not do so. Instead, El
    Asali filed a request for review on September 23, 2021. Knowing it might
    be considered late, she stated in the request her belief that she had 90 days
    to file it.
    ¶7            When a request for review is filed beyond the statutory
    deadline, the ICA must determine whether (1) the filer "appears to have a
    meritorious position," (2) the delay was excessive, and (3) the delay
    prejudiced the other party in some way. Janis v. Indus. Comm'n, 
    111 Ariz. 362
    , 363 (1974).1 If all three of these factors are present, the untimeliness
    should be waived. 
    Id.
    1      The ALJ's finding that she "ha[d] no jurisdiction to consider the late-
    filed Request for Review" is inconsistent with the Arizona Supreme Court's
    3
    EL ASALI v. CAVEO/AMERICAN
    Decision of the Court
    ¶8           The record supports the ALJ's conclusion that a waiver of the
    30-day deadline was inappropriate. Although the delay was not excessive,
    and there was no apparent prejudice against the carrier, El Asali's position
    had no obvious merit. She had received clear notice of the 30-day deadline
    in the award. El Asali's mistaken belief that she had 90 days to file for
    review does not provide a meritorious foundation for a waiver in this
    circumstance.2 Accordingly, the ALJ correctly affirmed the award.
    ¶9            Although we conclude that the record supports the ALJ's
    finding that El Asali's request for review was filed past the 30-day deadline
    without excuse, we note that if the person who missed a deadline
    nevertheless failed to act with reasonable care and diligence, the inquiry is
    over, and no review of the three statutory reasons for excusal is necessary.
    See A.R.S. § 23-947.
    ¶10          Following a Notice of Claim Status, a claimant has 90 days to
    request a hearing. A.R.S. § 23-947(A). Upon failure to file a timely request,
    the notice becomes final. A.R.S. § 23-947(B). The statute provides three
    excuses for missing the 90-day deadline: (1) the claimant justifiably relied
    on a statement from the employer, carrier, or ICA; (2) the claimant suffered
    from insanity or legal incompetence or incapacity, including minority,
    when the notice was issued; or (3) the claimant did not receive the notice,
    proven by clear and convincing evidence. A.R.S. § 23-947(B)(1)-(3).
    However, none of these excuses apply if the claimant did not exercise
    reasonable care and diligence such that she would have known about the
    notice during the 90 days. A.R.S. § 23-947(C).
    ¶11          Although the ALJ did not make findings, uncontested
    evidence supports the ALJ's conclusion that El Asali did not act with
    reasonable care and diligence during the 90 days following the closure
    notice. Accordingly, she was not excused from the 90-day time limit.
    decision in Janis in which it rejected the ICA's belief that it lacked
    jurisdiction over a late-filed "protest" of an award. 111 Ariz. at 363.
    2     Neither was there any reason to hold further hearing on the cause of
    the delay because El Asali stated that the delay was caused by her
    misunderstanding of the timeframe.
    4
    EL ASALI v. CAVEO/AMERICAN
    Decision of the Court
    CONCLUSION
    ¶12          Because El Asali did not file a timely request for review, the
    ICA award finding her hearing request untimely became final.
    Accordingly, we affirm the award.
    AMY M. WOOD • Clerk of the Court
    FILED: AA
    5
    

Document Info

Docket Number: 1 CA-IC 21-0050

Filed Date: 11/10/2022

Precedential Status: Non-Precedential

Modified Date: 11/10/2022