Brocuglio v. Thompsonville Fire District 2 ( 2019 )


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    THOMAS J. BROCUGLIO, SR. v. THOMPSONVILLE
    FIRE DISTRICT #2
    (AC 41237)
    DiPentima, C. J., and Lavine and Harper, Js.
    Syllabus
    The defendant employer appealed to this court from the decision of the
    Compensation Review Board, which affirmed the decision of the Work-
    ers’ Compensation Commissioner that the plaintiff employee’s claim for
    benefits as a result of heart disease was compensable under the Heart
    and Hypertension Act (§ 7-433c). The defendant claimed that the board
    improperly affirmed the commissioner’s award because the plaintiff’s
    notice of claim, which was for mitral valve replacement and coronary
    artery disease, was not timely filed pursuant to statute (§ 31-294c [a])
    and § 7-433c (a) does not allow a claimant to file more than one claim
    for heart disease. The plaintiff had been informed by his cardiologist
    almost thirteen years prior to the claim at issue that he suffered from
    pericarditis, a form of heart disease. The plaintiff did not file a notice
    of claim, as required by § 31-294c (a), within one year of when he was
    informed that he had pericarditis. The commissioner determined, on
    the basis of a report by a cardiologist who had examined the plaintiff, that
    mitral valve replacement and coronary artery disease was a condition
    separate and distinct from the plaintiff’s pericarditis. The commissioner,
    thus, concluded that the mitral valve replacement and coronary artery
    disease were new injuries, and that the plaintiff’s failure to file a timely
    notice of claim relative to the pericarditis did not bar his subsequent
    claim for mitral valve replacement and coronary artery disease. Held
    that the board improperly affirmed the commissioner’s award, as the
    commissioner lacked jurisdiction to consider the plaintiff’s claim for
    benefits pursuant to § 7-433c because he failed to file the notice of claim
    required by § 31-294c (a) within one year of when he was informed by
    his cardiologist that he suffered from pericarditis; although a variety of
    maladies may be diagnosed as heart disease, as the commissioner found
    here, § 7-433c makes no provision for the filing of multiple claims for
    different forms of heart disease, and a claimant who forgoes the filing
    of a notice of claim within one year of being informed by a medical
    professional that he or she has a heart disease, and who later files a
    claim for a different heart disease, is precluded from receiving benefits
    under § 7-433c.
    Argued March 6—officially released June 25, 2019
    Procedural History
    Appeal from the decision of the Workers’ Compensa-
    tion Commissioner for the First District finding that
    the plaintiff had sustained a compensable injury and
    awarding, inter alia, temporary total disability benefits;
    thereafter, the commissioner denied the defendant’s
    motion to correct and issued an articulation of her
    decision; subsequently, the defendant appealed to the
    Compensation Review Board, which affirmed the com-
    missioner’s decision, and the defendant appealed to this
    court. Reversed; decision directed.
    Joseph W. McQuade, for the appellant (defendant).
    Eric W. Chester, for the appellee (plaintiff).
    Opinion
    LAVINE, J. The defendant, the Thompsonville Fire
    District #2, appeals from the decision of the Compensa-
    tion Review Board (board) affirming the finding and
    award (award) of the Workers’ Compensation Commis-
    sioner for the First District (commissioner) with respect
    to the 2013 claim filed by the plaintiff, Thomas J. Bro-
    cuglio, Sr., pursuant to General Statutes § 7-433c, ‘‘com-
    monly referred to as the Heart and Hypertension Act.’’1
    The defendant claims that the board improperly
    affirmed the commissioner’s award because the plain-
    tiff’s heart disease claim was not timely filed pursuant
    to General Statutes § 31-294c (a), and § 7-433c (a) does
    not allow a claimant to file more than one claim for
    heart disease. We conclude that because the plaintiff
    failed to file a claim in 2000 when he was first informed
    by a medical professional that he had heart disease, the
    claim he filed for heart disease in 2013 is jurisdictionally
    barred. We, therefore, reverse the decision of the board.
    The present appeal may be summarized as follows.
    The plaintiff, a qualified firefighter employed by the
    defendant, filed a claim for heart disease under § 7-
    433c (a)2 following surgery for heart disease that took
    place in 2013. Prior to the heart surgery that is the
    subject of the present appeal, in 2000, the plaintiff was
    hospitalized, treated, and informed that he suffered
    from heart disease in the form of pericarditis. The com-
    missioner determined that the plaintiff did not file a
    § 7-433c claim for heart disease within one year of being
    informed that he had pericarditis. The defendant, there-
    fore, argues that because the plaintiff did not file a
    claim for pericarditis within one year of being informed
    of the heart disease in 2000, the claim for heart disease
    he filed in 2013 is jurisdictionally barred by § 31-294c
    (a).3 On the basis of our plenary review, we conclude
    that because the plaintiff did not timely file a claim for
    heart disease in 2000, he failed to meet the jurisdictional
    prerequisite entitling him to an award for his 2013 claim
    for heart disease.
    The following relevant facts were set out in the com-
    missioner’s award issued subsequent to a formal hear-
    ing that she held on October 1 and 29, 2015. The plaintiff
    has been a full-time firefighter employed by the defen-
    dant since September 3, 1987. Prior to his employment
    with the defendant, the plaintiff passed a preemploy-
    ment physical examination that was a condition of his
    employment. On or about June 19, 2013, the plaintiff
    felt weak, tired, out of breath, and had difficulty walking
    up stairs. He consulted his primary care physician,
    Melissa A. Hession, who later issued a report stating
    that ‘‘[o]n June 11, 2013, [the plaintiff] presented to my
    office with a lingering cough and new heart murmur
    on exam. He was sent for an echocardiogram on June
    19, 2013, which revealed severe mitral regurgitation
    with a flail posterior mitral valve leaflet. He subse-
    quently underwent emergency surgery to repair the
    damaged heart valve.’’
    When William Martinez, a cardiothoracic surgeon,
    performed surgery on the plaintiff on July 3, 2013, he
    replaced the mitral valve and performed a single coro-
    nary bypass procedure. The plaintiff was discharged
    from Saint Francis Hospital and Medical Center in Hart-
    ford and next treated at the Hospital for Special Care
    in New Britain for postsurgical care from July 15 to 31,
    2013. John I. Baron, the plaintiff’s cardiologist, treated
    the plaintiff for postoperative complications related to
    the surgery and diagnosed the plaintiff as totally dis-
    abled until April 21, 2014, when he released the plaintiff
    to return to work. Despite Baron’s having released the
    plaintiff to work, the defendant required the plaintiff
    to be seen by its own physician for a ‘‘ ‘fitness for duty
    examination.’ ’’
    The commissioner also found that the plaintiff com-
    pleted a form 30C4 and delivered it to the defendant on
    September 10, 2013, the date the defendant first was
    notified of the plaintiff’s heart disease claim. The defen-
    dant filed two form 43s denying the plaintiff’s claim.5
    Although the plaintiff claimed that the defendant failed
    to timely file form 43, the commissioner found that the
    defendant had timely contested the plaintiff’s 2013
    claim.6
    The commissioner found that the plaintiff, in dis-
    cussing his medical history at the formal hearing, testi-
    fied that he had been diagnosed with ‘‘constrictive
    pericarditis’’7 in November, 2000, for which he was
    treated by James B. Kirchhoffer, a cardiologist.
    According to the plaintiff, he was out of work for a few
    days, but he could not remember how many days. He
    was released to return to full-duty work, but before he
    was able to return to work, the defendant required that
    he undergo a fitness for duty examination. The plaintiff
    used his sick days to cover the time he was out of
    work. The plaintiff sought a second opinion about his
    pericarditis and treatment from Baron in September,
    2001.8 Baron was still the plaintiff’s cardiologist at the
    time of the formal hearing.
    The plaintiff testified that he delivered a form 30C
    for the pericarditis to the defendant’s then fire chief,
    but he could not recall the chief’s name. He did not
    request a hearing on his alleged pericarditis claim. He
    further testified that he never discussed it again with
    the chief, and that he did not keep a copy of the form
    30C for his records. The commissioner found that there
    is no record in the workers’ compensation system of a
    claim filed by the plaintiff for an injury to his heart in
    or about November, 2000.9 Acting Fire Chief William
    Provencher testified that he had searched the defen-
    dant’s personnel and workers’ compensation records,
    but that he could find no form 30C for pericarditis
    filed by the plaintiff. The commissioner found that the
    plaintiff did not testify credibly or persuasively that he
    had filed a form 30C for pericarditis in 2000.
    Kevin J. Tally, a cardiologist, examined the plaintiff
    on behalf of the commissioner on January 21, 2015, and
    submitted a report. Tally diagnosed the plaintiff with
    a distant history of pericarditis, with one recurrence,
    healed and of historical interest only as of 2013; acute
    posterior leaflet mitral valve prolapse with resultant
    pulmonary edema status postmitral valve replacement
    with bioprosthesis, July 3, 2013, currently with normal
    valve function; nonischemic cardiomyopathy postopen-
    heart surgery, ‘‘LVEF of 45 percent,’’ currently out of
    congestive heart; postpericardiotomy syndrome,
    resolved; sternal wound pain, chronic; and coronary
    artery disease, among other heart issues.
    Tally also wrote: ‘‘The cause of [the plaintiff’s] mitral
    valve deterioration is presumably on the basis of an
    inherent weakness in the mitral valve. It is somewhat
    spontaneous and unpredictable. The patient’s single
    vessel moderate coronary artery disease has a causative
    [input:] his hypertension, occasional smoking, obesity
    and lack of regular exercise. The distant history of peri-
    carditis is most likely from a viral illness of some sort.
    This pericarditis represents a completely separate epi-
    sode of heart disease.’’ (Emphasis added.) On the basis
    of Tally’s report, the commissioner found that the plain-
    tiff ‘‘suffered a completely different type of heart dis-
    ease in 2013. The mitral valve replacement and the
    coronary artery bypass are different medical problems
    from the distant and resolved pericarditis of 2000.’’
    (Internal quotation marks omitted.)
    At the hearing, the defendant’s counsel argued that
    § 7-433c grants benefits for either hypertension or heart
    disease. In 2000, the plaintiff suffered a distinct heart
    disease, pericarditis, for which he did not file a claim
    within one year of November, 2000. The plaintiff, there-
    fore, cannot file a claim for another type of heart dis-
    ease, in this case, mitral valve replacement and
    coronary artery disease, in 2013. The defendant argued
    that the plaintiff had one opportunity to make a claim
    for heart disease, which he failed to do in 2000, and,
    thus, the plaintiff’s attempt to make a claim for a 2013
    heart disease was jurisdictionally barred.
    On the basis of her findings, the commissioner con-
    cluded that Tally’s report of January 21, 2015, was per-
    suasive, in particular his opinion that pericarditis was
    a completely separate episode of heart disease and that
    the plaintiff had not suffered from pericarditis in several
    years. Hypertension and heart disease are two separate
    and distinct conditions. According to Tally, pericarditis,
    and mitral valve replacement and coronary artery dis-
    ease, are separate and distinct conditions. The commis-
    sioner found, therefore, that the plaintiff had suffered
    an injury to his heart and had made a claim for benefits
    pursuant to § 7-433c. The commissioner ultimately con-
    cluded that the plaintiff’s claim for benefits due to his
    heart injury of June 19, 2013, is compensable pursuant
    to § 7-433c.
    The defendant filed a motion to correct, seeking to
    have the commissioner add a conclusion that the plain-
    tiff was told by his cardiologist that he had heart disease
    in the form of pericarditis in or around November, 2000.
    It also requested that the commissioner delete certain
    of her findings and substitute, ‘‘I find that the [plaintiff’s]
    claim for workers’ compensation benefits due to his
    injury of June 19, 2013, is time barred under § 31-294c
    because he did not file a claim for compensation within
    one year of being told that he had heart disease in
    November, 2000. The [plaintiff’s] claim is dismissed.’’
    The commissioner denied the motion to correct.
    On June 10, 2016, the defendant filed a motion for
    articulation, seeking to have the commissioner articu-
    late the authority for the proposition that § 7-433c, as
    interpreted by the board and Connecticut courts, per-
    mits a claimant to recover for multiple diagnoses of
    heart disease. The defendant pointed out that the com-
    missioner found that the plaintiff had suffered from
    pericarditis for which he was treated by two cardiolo-
    gists, missed time from work, was required to take
    medication, and underwent a fitness for duty examina-
    tion. In addition, the defendant noted that the commis-
    sioner credited Tally’s opinion that pericarditis was an
    episode of heart disease that is separate from mitral
    valve replacement and coronary artery disease. The
    defendant further noted that a claimant may file sepa-
    rate claims for hypertension and for heart disease, but
    neither party cited any authority for the proposition
    that § 7-433c, as construed by the board or Connecticut
    courts, permits a claimant to recover for multiple
    instances or diagnoses of heart disease, even different
    kinds of heart disease. The defendant asserted that the
    commissioner’s award failed to address the defendant’s
    central argument that the plaintiff’s failure to comply
    with § 31-294c (a) by filing a claim in or around 2000
    precluded a heart disease claim in 2013.
    In her articulation, the commissioner stated in rele-
    vant part: ‘‘In McNerney v. New Haven, [15 Conn. Work-
    ers’ Comp. Rev. Op. 330, 2098 CRB-3-94-7 (June 25,
    1996)],10 the [board] affirmed the . . . commissioner’s
    finding that [the plaintiff], having been cured of his
    hypertension diagnosed in 1975, was entitled to file a
    new claim for hypertension in 1991. The . . . commis-
    sioner had found [that] the claimant had cured his 1975
    hypertension through diet and lifestyle changes. The
    . . . commissioner further found the 1991 hypertension
    to be a new injury and not a recurrence. . . .
    ‘‘[In the present case, the commissioner] found that
    [the plaintiff’s] mitral valve replacement and coronary
    artery bypass were new injuries based on . . . Tally’s
    report. Therefore, the fact that the [plaintiff] had not
    filed a timely claim for his distant and resolved and
    healed pericarditis did not bar a new claim for mitral
    valve prolapse and coronary artery disease.’’ (Internal
    quotation marks omitted.)
    Thereafter, the defendant appealed to the board,
    which affirmed the commissioner’s finding in a decision
    dated December 21, 2017. The board stated that the
    gravamen of the defendant’s appeal was the commis-
    sioner’s finding that the plaintiff’s claim was timely
    pursuant to § 31-294c (a), as the plaintiff’s prior episode
    of pericarditis mandated that he seek heart benefits at
    that time and that his failure to do so rendered his
    current claim of mitral valve failure jurisdictionally
    invalid. The plaintiff responded that the commissioner’s
    award is predicated on probative medical evidence and
    is in accord with our Supreme Court’s decision in Hol-
    ston v. New Haven Police Dept., 
    323 Conn. 607
    , 
    149 A.3d 165
    (2016). The board found the plaintiff’s position
    more persuasive and, therefore, affirmed the commis-
    sioner’s award.
    The board recognized the defendant’s claim that
    McNerney is no longer good law subsequent to our
    Supreme Court’s decision in Ciarlelli v. Hamden, 
    299 Conn. 265
    , 296–98, 
    8 A.3d 1093
    (2010). The board, how-
    ever, concluded that Ciarlelli and Malchik v. Division
    of Criminal Justice, 
    266 Conn. 728
    , 733, 
    835 A.2d 940
    (2003) (determining whether claimant presented suffi-
    cient evidence that his coronary artery disease was
    occupational disease), a case on which the plaintiff
    relied, were distinguishable from the present case. The
    board concluded that under Holston, the commissioner
    properly concluded that the plaintiff’s 2013 claim for
    heart disease was timely filed because the mitral valve
    ailment was separate from and unrelated to the plain-
    tiff’s prior pericarditis heart disease. More specifically,
    the board stated that it is the role of the ‘‘commissioner
    to determine whether an ailment is or is not ‘heart
    disease.’ We extend this reasoning to the role of a trial
    commissioner in determining whether a ‘new’ heart dis-
    ease is similar to or different from a prior heart disease.
    If the new heart disease can be distinguished from the
    prior disease, then the holding of Holston [v. New
    
    Haven, supra
    , 
    323 Conn. 607
    ], renders the subsequent
    claim jurisdictionally valid.’’ This is because, the board
    reasoned, the undisputed medical evidence supported
    the commissioner’s determination that the mitral valve
    ailment was a new injury. The defendant appealed from
    the board’s decision affirming the commissioner’s find-
    ing that the plaintiff’s § 7-433c (a) claim was timely filed
    in 2013.
    The question presented in the present case is whether
    the plaintiff failed to meet the jurisdictional prerequisite
    for his 2013 claim for heart disease because he failed
    to file a claim within one year of being told by a medical
    professional that he suffered from pericarditis in 2000,
    which is unrelated to the mitral valve failure and coro-
    nary heart disease he suffered in 2013. Our research
    has not disclosed a case that has decided the question,
    and the parties have not brought any case concerning
    multiple instances or different forms of heart disease
    to our attention.11 ‘‘Where . . . [a workers’ compensa-
    tion] appeal involves an issue of statutory construction
    that has not yet been subjected to judicial scrutiny, this
    court has plenary power to review the administrative
    decision.’’ (Internal quotation marks omitted.) Dowling
    v. Slotnik, 
    244 Conn. 781
    , 798, 
    712 A.2d 396
    , cert. denied
    sub nom. Slotnik v. Considine, 
    525 U.S. 1017
    , 119 S.
    Ct. 542, 
    142 L. Ed. 2d 451
    (1998).
    Our Supreme Court has stated that an ‘‘agency’s rea-
    sonable interpretation of an ambiguous statute is enti-
    tled to deference only when that interpretation has been
    subjected to judicial review or the agency interpretation
    is both reasonable and time-tested.’’ Vincent v. New
    Haven, 
    285 Conn. 778
    , 784 n.8, 
    941 A.2d 932
    (2008). ‘‘To
    satisfy the time-tested requirement of the rule according
    deference to an agency’s interpretation of a statute, that
    interpretation must formally have been articulated and
    applied over a long period of time . . . .’’ (Internal
    quotation marks omitted.) 
    Id. Our Supreme
    Court has
    concluded that ‘‘§ 7-433c is not ambiguous, [and] the
    board’s interpretation would not be entitled to defer-
    ence in any event.’’ Holston v. New Haven Police 
    Dept., supra
    , 
    323 Conn. 612
    n.6. We, therefore, undertake a
    plenary review of the defendant’s claim.
    We, of course, are ‘‘mindful of the principles underly-
    ing Connecticut practice in [workers’] compensation
    cases: that the legislation is remedial in nature . . .
    and that it should be broadly construed to accomplish
    its humanitarian purpose.’’ (Citation omitted; internal
    quotation marks omitted.) Suprenant v. New Britain,
    
    28 Conn. App. 754
    , 759, 
    611 A.2d 941
    (1992). Nonethe-
    less, we also are aware that our construction of a statute
    is constrained by General Statutes § 1-2z and that we
    may not read language into a statute that is not there
    to reach a particular result. See State v. George J., 
    280 Conn. 551
    , 570, 
    910 A.2d 931
    (2006) (‘‘As a general
    matter, this court does not read language into a statute.
    . . . [W]e are bound to interpret legislative intent by
    referring to what the legislative text contains, not by
    what it might have contained.’’ [Citation omitted; inter-
    nal quotation marks omitted.]), cert. denied, 
    549 U.S. 1326
    , 
    127 S. Ct. 1919
    , 
    167 L. Ed. 2d 573
    (2007). A review
    of the historical underpinnings of § 7-433c, therefore,
    is warranted.
    ‘‘The statute concerning heart disease and hyperten-
    sion was originally drafted as part of the Workers’ Com-
    pensation Act [act] [General Statutes § 31-275 et seq.]
    and provided police officers and firefighters with a
    rebuttable presumption that heart disease and hyper-
    tension were causally connected to their occupations.
    . . . In 1969, this rebuttable presumption was made
    conclusive and the statute was soon declared unconsti-
    tutional . . . . In response to that problem, § 7-433c
    was enacted in its present form in 1977 as legislation
    separate and distinct from the [act].
    ‘‘[Section] 7-433c gives a special compensation to
    those who qualify, in the sense that they have no burden
    of proof that the disease resulted from the employee’s
    occupation or that it occurred in the course of employ-
    ment. The mere fact that the employee has hypertension
    or heart disease and dies or is disabled because of it
    is all that is necessary. The employee does not need to
    prove that his heart disease is causally connected to
    his employment. . . . In order to collect the benefits
    provided by § 7-433c, a claimant need show only that
    he or she is a uniformed member of a paid fire depart-
    ment or a regular member of a paid police department,
    whose preemployment physical examination revealed
    no evidence of hypertension or heart disease, who now
    suffers a condition or an impairment of health caused
    by hypertension or heart disease that has resulted in
    death or disability, and has suffered a resultant eco-
    nomic loss. . . . [O]nce the conditions of § 7-433c are
    met, benefits must be paid by the municipality in accor-
    dance with the [act]. . . .
    ‘‘Nevertheless, [our Supreme Court] has stated on
    many occasions that [t]he procedure for determining
    recovery under § 7-433c is the same as that outlined
    in chapter 568 [of the act], presumably because the
    legislature saw fit to limit the procedural avenue for
    bringing claims under § 7-433c to that already existing
    under chapter 568 rather than require the duplication
    of the administrative machinery available [under the
    act] and further burden the courts and the municipali-
    ties [with additional litigation from claims by (firefight-
    ers) and (police officers) pursuant to this legislation].
    ‘‘[A] claimant for workers’ compensation benefits
    must provide both notice of injury; General Statutes
    § 31-294b . . . and notice of a claim. General Statutes
    § 31-294c . . . . Funaioli v. New London, 52 Conn.
    App. 194, 195, 
    726 A.2d 626
    (1999) (first report of injury
    together with letter from claimant’s lawyer stating that
    claimant not requesting hearing at this time sufficient
    to satisfy notice of claim requirement of § 31-294c).
    [T]he written notice intended is one which will reason-
    ably inform the employer that the employee is claiming
    or proposes to claim compensation under the [act].
    . . . The purpose of § 31-29412 [notice of injury and of
    claim for compensation], in particular, is to alert the
    employer to the fact that a person has sustained an
    injury that may be compensable . . . and that such
    person is claiming or proposes to claim compensation
    under the [a]ct.’’ (Citations omitted; footnotes added
    and footnotes omitted; internal quotation marks omit-
    ted.) Pearce v. New Haven, 
    76 Conn. App. 441
    , 446–49,
    
    819 A.2d 878
    (overruled in part on other grounds by
    Ciarlelli v. Hamden, 
    299 Conn. 265
    , 296, 
    8 A.3d 1093
    [2010]), cert. denied, 
    264 Conn. 913
    , 
    826 A.2d 1155
    (2003). Our Supreme Court has explained ‘‘that the one
    year limitation period for claims under § 7-433c begins
    to run only when an employee is informed by a medical
    professional that he or she has been diagnosed with
    hypertension [or heart disease]. In many respects, this
    simply represents a return to the standard that the board
    applied prior to Pearce, which, in our view, more faith-
    fully adhered to the statutory definition of accidental
    injury in view of the fact that, as a general matter, a
    formal diagnosis of hypertension [or heart disease] can
    be definitely located in time and place.’’ Ciarlelli v.
    
    Hamden, supra
    , 
    299 Conn. 300
    –301.
    ‘‘Thus, § 7-433c directs claimants to the provisions
    of the [act] to determine how to proceed with a claim
    for benefits. Since § 31-29413 states that [n]o proceed-
    ings for compensation . . . shall be maintained unless
    a written notice of claim for compensation is given
    within one year from the date of the accident . . . we
    conclude that compliance with this section is also a
    prerequisite to entitlement to benefits under § 7-433c.
    . . .
    ‘‘Giving notice of the claim and the time of filing are
    essential to maintaining a right of action against an
    employer. Where a statutory right of action sets a time
    within which that right must be carried out, a limitation
    on the action is created and must be strictly enforced.
    . . . Not being merely a procedural matter, the doctrine
    of waiver upon which the claimant relies, cannot avail,
    since jurisdiction cannot be waived, nor can it be con-
    ferred by agreement.’’ (Citations omitted; footnote
    added; internal quotation marks omitted.) Cuccuro v.
    West Haven, 
    6 Conn. App. 265
    , 267–68, 
    505 A.2d 1
    , cert.
    denied, 
    199 Conn. 804
    , 
    508 A.2d 31
    (1986).
    ‘‘Although a claimant need not prove that his heart
    disease is causally connected to his employment in
    order to qualify for benefits pursuant to § 7-433c, he
    must prove that he satisfies the jurisdictional threshold
    set forth in § 31-294c (a), which requires that a claimant
    provide his employer a written notice of claim for com-
    pensation . . . within one year from the date of the
    accident . . . which caused the personal injury
    . . . .’’ (Internal quotation marks omitted.) Carter v.
    Clinton, 
    304 Conn. 571
    , 578–79, 
    41 A.3d 296
    (2012).
    ‘‘[C]ompliance with [§ 31-294c] is essential to main-
    taining a claim for compensation under chapter 568 and
    therefore under . . . § 7-433c . . . because timely
    notice is a jurisdictional requirement that cannot be
    waived . . . .’’ (Internal quotation marks omitted.)
    
    Id., 579. First,
    we set forth the standard of review applicable
    to workers’ compensation appeals. ‘‘The principles that
    govern our standard of review in workers’ compensa-
    tion appeals are well established. The conclusions
    drawn by [the commissioner] from the facts found must
    stand unless they result from an incorrect application
    of the law to the subordinate facts or from an inference
    illegally or unreasonably drawn from them. . . .
    [Moreover, it] is well established that [a]lthough not
    dispositive, we accord great weight to the construction
    given to the workers’ compensation statutes by the
    commissioner and [the] board. . . . Cases that present
    pure questions of law, however, invoke a broader stan-
    dard of review than is ordinarily involved in deciding
    whether, in light of the evidence, the agency has acted
    unreasonably, arbitrarily, illegally or in abuse of its dis-
    cretion. . . . We have determined, therefore, that the
    traditional deference accorded to an agency’s interpre-
    tation of a statutory term is unwarranted when the
    construction of a statute . . . has not previously been
    subjected to judicial scrutiny [or to] . . . a governmen-
    tal agency’s time-tested interpretation . . . .’’ (Foot-
    note omitted; internal quotation marks omitted.)
    Holston v. New Haven Police 
    Dept., supra
    , 
    323 Conn. 611
    –13.
    ‘‘[Our Supreme Court has] stated: [T]he power and
    duty of determining the facts rests on the commissioner,
    the trier of facts. . . . The conclusions drawn by him
    from the facts found must stand unless they result from
    an incorrect application of the law to the subordinate
    facts or from an inference illegally or unreasonably
    drawn from them.’’ (Internal quotation marks omitted.)
    Pearce v. New 
    Haven, supra
    , 
    76 Conn. App. 445
    .
    ‘‘It matters not that the basic facts from which the
    [commissioner] draws this inference are undisputed
    rather than controverted. . . . It is likewise immaterial
    that the facts permit the drawing of diverse inferences.
    The [commissioner] alone is charged with the duty of
    initially selecting the inference which seems most rea-
    sonable and his choice, if otherwise sustainable, may
    not be disturbed by a reviewing court.’’ (Internal quota-
    tion marks omitted.) 
    Id., 445–46. The
    defendant’s claim raises a question of statutory
    construction. ‘‘When interpreting the statutory provi-
    sions at issue in the present case, we are mindful of the
    proposition that all workers’ compensation legislation,
    because of its remedial nature, should be broadly con-
    strued in favor of disabled employees. . . . This propo-
    sition applies as well to the provisions of [§] 7-433c
    . . . because the measurement of the benefits to which
    a § 7-433c claimant is entitled is identical to the benefits
    that may be awarded to a [claimant] under . . . [the
    act]. . . . We also recognize, however, that the filing
    of a timely notice of claim is a condition precedent to
    liability and a jurisdictional requirement that cannot be
    waived.’’ (Citation omitted; internal quotation marks
    omitted.) Ciarlelli v. 
    Hamden, supra
    , 
    299 Conn. 277
    –78.
    ‘‘When construing a statute, [o]ur fundamental objec-
    tive is to ascertain and give effect to the apparent intent
    of the legislature. . . . In other words, we seek to
    determine, in a reasoned manner, the meaning of the
    statutory language as applied to the facts of [the] case,
    including the question of whether the language actually
    does apply. . . . In seeking to determine that meaning,
    General Statutes § 1-2z directs us first to consider the
    text of the statute itself and its relationship to other
    statutes. If, after examining such text and considering
    such relationship, the meaning of such text is plan and
    unambiguous and does not yield absurd or unworkable
    results, extratextual evidence of the meaning of the
    statute shall not be considered. . . . When a statute is
    not plain and unambiguous, we also look for interpre-
    tive guidance to the legislative history and circum-
    stances surrounding its enactment, to the legislative
    policy it was designed to implement, and to its relation-
    ship to existing legislation and common law principles
    governing the same general subject matter . . . .’’
    (Footnote omitted; internal quotation marks omitted.)
    Vincent v. New 
    Haven, supra
    , 
    285 Conn. 784
    –85.
    On appeal, the defendant claims that the plaintiff is
    jurisdictionally barred from submitting a claim for heart
    disease in 2013 because he failed to file a § 7-433c claim
    for pericarditis in 2000, when he was first told by a
    medical professional that he had heart disease. See
    Ciarlelli v. 
    Hamden, supra
    , 
    299 Conn. 298
    –99. The prin-
    cipal facts are not in dispute: the plaintiff suffered peri-
    carditis in 2000; pericarditis is a form of heart disease;
    the plaintiff was informed by his cardiologist that he
    had pericarditis in 2000; the plaintiff continued to be
    under the care of a cardiologist until he underwent
    heart surgery in 2013; in 2013 the plaintiff was informed
    that he had a mitral valve failure and coronary artery
    disease; mitral valve failure and coronary artery disease
    are diseases of the heart; pericarditis, mitral valve fail-
    ure, and coronary artery disease are distinct forms of
    heart disease; there is no record that the plaintiff filed
    a claim for heart disease in 2000; he did file a claim for
    heart disease in 2013.
    The defendant’s claim is controlled by § 7-433c (a),
    which provides in relevant part that ‘‘in the event a
    uniformed member of a paid municipal fire department
    . . . who . . . passed a physical examination on entry
    into such service, which examination failed to reveal
    any evidence of hypertension or heart disease, suffers
    either off duty or on duty any condition or impairment
    of health caused by hypertension or heart disease
    resulting in his death or his temporary or permanent,
    total or partial disability, he . . . shall receive from his
    municipal employer compensation and medical care in
    the same amount and the same manner as that provided
    under chapter 568 . . . .’’
    The plain language of § 7-433c (a); see footnote 2 of
    this opinion; ‘‘demonstrates that a uniformed member
    of a paid municipal fire department . . . is entitled to
    benefits under the statute when the officer meets the
    following requirements: (1) has passed a preemploy-
    ment physical; (2) the preemployment physical failed
    to reveal any evidence of . . . heart disease; (3) suffers
    either off duty or on duty any condition or impairment
    of health; (4) the condition or impairment of health was
    caused by . . . heart disease; and (5) the condition or
    impairment results in his death or his temporary or
    permanent, total or partial disability. The statute con-
    tains no other requirements to qualify for its benefits.’’
    Holston v. New Haven Police 
    Dept., supra
    , 
    323 Conn. 616
    –17.
    ‘‘[B]ecause . . . § 7-433c (a) does not set forth a limi-
    tation period for filing a claim but provides for the
    administration of benefits in the same amount and the
    same manner as that provided under [the act] if such
    death or disability was caused by a personal injury
    which arose out of and in the course of his employment,
    the one year limitation period of . . . 31-294c (a) gov-
    erns claims filed under § 7-433c.’’ (Internal quotation
    marks omitted.) Ciarlelli v. 
    Hamden, supra
    , 
    299 Conn. 278
    .
    In Ciarlelli, our Supreme Court defined the rule to
    determine when a uniformed municipal firefighter’s
    timely claim for hypertension or heart disease must be
    filed. 
    Id., 265. Because
    § 7-433c (a) ‘‘provides for an
    award of benefits to an otherwise eligible claimant who
    suffers . . . any condition or impairment of health
    caused by hypertension or heart disease resulting in
    his death or his . . . disability, it stands to reason that
    a formal diagnosis of hypertension or heart disease,
    communicated to an employee by his or her physician
    constitutes the injury that triggers the running of the
    limitation period of § 31-294c. Indeed, under § 7-433c,
    a claimant may recover benefits for hypertension only
    if he suffers from that condition; a claimant is not enti-
    tled to benefits merely because he exhibits symptoms
    consistent with hypertension, such as elevated blood
    pressure, from time to time. Furthermore, requiring that
    an employee file a notice of claim for hypertension
    benefits only after he has been informed by a medical
    professional that he is suffering from that condition,
    and not merely from its symptoms, is consistent with
    the principle that, as a remedial statute . . . § 7-433c
    must be liberally construed in favor of the claimant.’’
    (Citation omitted; emphasis added; internal quotation
    marks omitted.) 
    Id., 298–99. We
    conclude that, given
    our Supreme Court’s construction of the statute, includ-
    ing the phrase ‘‘hypertension or heart disease,’’ the
    notice provision pertains to a diagnosis of heart disease
    as well as to a diagnosis of hypertension.
    In the present case, the defendant claims that because
    the plaintiff was diagnosed with pericarditis in 2000
    and did not file a form 30C at that time when his cardiol-
    ogist told him that he had heart disease, his 2013 form
    30C filing for heart disease was untimely and the com-
    missioner lacked jurisdiction to consider the claim. The
    plaintiff does not dispute that he was informed by a
    cardiologist in 2000 that he suffered from pericarditis,
    that he was unable to work for a period of time, was
    required to take medicine for the condition, and was
    required to undergo a physical examination to deter-
    mine whether he was fit to return to work. He also
    acknowledges that he had a recurrence of pericarditis
    in 2001 and continued to take 800 milligrams of ibupro-
    fen for a number of years. The plaintiff’s argument is
    not that he did not suffer from heart disease in 2000,
    but rather that because Tally testified, and the commis-
    sioner found, that his pericarditis had healed, and that
    pericarditis and mitral valve failure and coronary artery
    disease are separate and distinct heart diseases, he
    should be permitted to file a claim for the heart disease
    with which he was diagnosed in 2013. We agree with
    the defendant. Pursuant to Ciarlelli, the plaintiff was
    required to file a form 30c notice of claim under § 7-
    433c within one year of being advised by his cardiologist
    that he suffered from pericarditis.
    The defendant also argues that the language of § 7-
    433c is clear and permits a municipal firefighter to file
    only one claim for heart disease and only one claim
    for hypertension, if any.14 Although the commissioner
    found, on the basis of Tally’s testimony, that pericarditis
    and mitral valve failure and coronary artery disease are
    separate and distinct forms of heart disease, a fact the
    defendant does not dispute, the defendant argues that
    in order for the plaintiff to receive benefits for heart
    disease, he was required to file a notice of claim within
    one year of first being told he had heart disease, i.e.,
    pericarditis. There is no dispute that the plaintiff was
    informed that he had pericarditis in 2000 and was under
    the care of a cardiologist thereafter. Although the plain-
    tiff testified that he filed a form 30C in 2000, the commis-
    sioner found that the testimony was not credible.15
    ‘‘The process of statutory interpretation involves a
    reasoned search for the intention of the legislature.
    . . . In other words, we seek to determine, in a rea-
    soned manner, the meaning of the statutory language as
    applied to the facts of this case, including the question
    of whether the language actually does apply.’’ (Citation
    omitted.) United Illuminating Co. v. New Haven, 
    240 Conn. 422
    , 431, 
    692 A.2d 742
    (1997). ‘‘Where the lan-
    guage of the statute is clear and unambiguous, it is
    assumed that the words themselves express the intent
    of the legislature and there is no need for statutory
    construction or a review of the legislative history.’’
    (Internal quotation marks omitted.) Haesche v. Kissner,
    
    229 Conn. 213
    , 223, 
    640 A.2d 89
    (1994). Our Supreme
    Court has determined that § 7-433c (a) is not ambigu-
    ous. This court, therefore, is not free to consider extra-
    textual evidence of the meaning of the statute. See
    General Statutes § 1-2z. ‘‘Where statutory language is
    clearly expressed, as here, courts must apply the legisla-
    tive enactment according to the plain terms and cannot
    read into the terms of a statute something which mani-
    festly is not there in order to reach what the court
    thinks would be a just result.’’ (Internal quotation marks
    omitted.) Hammond v. Commissioner of Correction,
    
    54 Conn. App. 11
    , 17–18, 
    734 A.2d 571
    (1999), aff’d, 
    259 Conn. 855
    , 
    792 A.2d 774
    (2002).
    Tally’s report states that pericarditis, and mitral valve
    failure and coronary artery disease, are separate and
    distinct forms of heart disease. The defendant does not
    dispute his expert opinion. It argues that a claimant
    seeking heart disease benefits is required to file a claim
    for the first diagnosis of heart disease. We acknowledge
    that there are a variety of maladies that may be diag-
    nosed as heart disease, but the statute does not take
    that fact into account and makes no provision for the
    filing of multiple claims for different forms of heart
    disease a firefighter may suffer during his or her term
    of employment.
    Our Supreme Court has stated that ‘‘[t]he plain lan-
    guage of § 7-433c demonstrates that a uniformed mem-
    ber of a paid municipal fire department . . . is entitled
    to benefits under the statute when the officer meets
    the following requirements: (1) has passed a preemploy-
    ment physical; (2) the preemployment physical failed
    to reveal any evidence of hypertension or heart disease;
    (3) suffers either off duty or on duty any condition or
    impairment of health; (4) the condition or impairment
    of health was caused by hypertension or heart disease;
    and (5) the condition or impairment results in his death
    or his temporary or permanent, total or partial disabil-
    ity. The statute contains no other requirements to qual-
    ify for its benefits.’’ Holston v. New Haven Police 
    Dept., supra
    , 
    323 Conn. 616
    –17. Requirements (3) and (4) are
    controlling of the defendant’s claim. The condition or
    impairment of health is written in the singular, not the
    plural. It contains no modifier of heart disease such as
    first instance of or second form of heart disease. The
    statute does not include language or suggest that the
    firefighter may file multiple claims for heart disease or
    claims for different forms of heart disease.
    The plaintiff argues on the basis of Holston v. New
    Haven Police 
    Dept., supra
    , 
    323 Conn. 615
    , that because
    our Supreme Court has determined that hypertension
    and heart disease are separate and distinct forms of
    disease, the separate and distinct language analysis
    should apply to all forms of heart disease, as well as to
    the difference between hypertension and heart disease.
    We disagree. In Holston, a municipal police department
    appealed from the award of heart disease benefits,
    claiming that the commissioner had improperly deter-
    mined that the police officer’s ‘‘hypertension and heart
    disease were separate diseases, each with its own one
    year limitation period for filing a claim for benefits.’’
    
    Id., 610. In
    construing the statute, our Supreme Court
    stated that § 7-433c ‘‘uses the phrase hypertension or
    heart disease repeatedly. We have held that the use of
    the word or in a statute indicates a clear legislative
    intent of separability. . . . Thus because § 7-433c is
    written in the disjunctive, we conclude that a plaintiff
    can file a claim for benefits related to either hyperten-
    sion or heart disease. Furthermore, the use of the dis-
    junctive term or in § 7-433c indicates that the legislature
    intended for hypertension and heart disease to be
    treated as two separate diseases for the purposes of
    § 7-433c.’’ (Citation omitted; emphasis added; internal
    quotation marks omitted.) 
    Id., 615-16. There
    is no lan-
    guage in §7-433c or Holston or Ciarlelli that permits a
    paid municipal firefighter to file more than one claim
    for heart disease.
    In conclusion, a claimant who forgoes filing a claim
    within one year of being informed by a medical profes-
    sional that he or she has a heart disease and who later
    files a claim for a different heart disease is precluded
    from receiving benefits under § 7-433c. We, therefore,
    reverse the decision of the board and remand the case
    to the board with direction to remand the case to the
    commissioner with direction to dismiss the plaintiff’s
    claim. We recognize the seeming harshness of our deci-
    sion and the humanitarian purpose of the statute, but
    we are constrained by the language of the statute, the
    dictates of § 1-2z, and the decisions of our Supreme
    Court.16
    For the foregoing reasons, we conclude that the com-
    missioner lacked jurisdiction to consider the plaintiff’s
    2013 claim for § 7-433c benefits for heart disease. We
    also conclude that the board improperly affirmed the
    commissioner’s award.
    The decision of the Compensation Review Board is
    reversed and the case is remanded to the board with
    direction to remand the case to the Workers’ Compensa-
    tion Commissioner with direction to dismiss the plain-
    tiff’s claim.
    In this opinion the other judges concurred.
    1
    See Pearce v. New Haven, 
    76 Conn. App. 441
    , 443–44, 
    819 A.2d 878
    (overruled in part by Ciarlelli v. Hamden, 
    299 Conn. 265
    , 296, 
    8 A.3d 1093
    [2010]), cert. denied, 
    264 Conn. 913
    , 
    826 A.2d 1155
    (2003).
    2
    General Statutes § 7-433c (a) provides in relevant part: ‘‘Notwithstanding
    any provision of chapter 568 [the Workers’ Compensation Act, General
    Statutes § 31-275 et seq.] or any other general statute . . . in the event a
    uniformed member of a paid municipal fire department . . . who success-
    fully passed a physical examination on entry to such service, which examina-
    tion failed to reveal any evidence of hypertension or heart disease, suffers
    either off duty or on duty any condition or impairment of health caused by
    hypertension or heart disease resulting in his death or his temporary or
    permanent, total or partial disability, he . . . shall receive from his munici-
    pal employer compensation and medical care in the same amount and the
    same manner as provided under chapter 568 . . . .’’
    Section 7-433c (a) was the subject of technical amendments in 2014. See
    Public Acts 2014, No. 14-122, § 72. Those amendments have no bearing on
    the merits of this appeal. In the interest of simplicity, we refer to the current
    revision of the statute.
    3
    General Statutes § 31-294c (a) provides in relevant part: ‘‘No proceedings
    for compensation under the provisions of this chapter shall be maintained
    unless a written notice of claim for compensation is given within one year
    from the date of the accident . . . which caused the personal injury . . . .’’
    (Emphasis added.)
    4
    A form 30C is the document prescribed by the Workers’ Compensation
    Commission to be used when filing a notice of claim pursuant to the Workers’
    Compensation Act, General Statutes § 31-275 et seq.
    The commissioner found that form 30C contains the following instruc-
    tions: ‘‘This notice must be served upon the commissioner and [e]mployer
    by personal presentation or by registered or certified mail. For the protection
    of both parties, the employer should note the date when this notice was
    received and the claimant should keep a copy of this notice with the date
    it was served.’’ (Internal quotation marks omitted.)
    5
    Form 43 is titled: ‘‘Notice to Compensation Commissioner and Employee
    of Intention to Contest Employee’s Right to Compensation Benefits.’’ It is
    used by an employer to contest liability to pay compensation to an employee
    for a claimed injury. Dubrosky v. Boehringer Ingelheim Corp., 145 Conn.
    App. 261, 265 n.6, 
    76 A.3d 657
    , cert. denied, 
    310 Conn. 935
    , 
    78 A.3d 859
    (2013).
    6
    The timeliness of the defendant’s filing of form 43 is not an issue on
    appeal.
    7
    The pericardium is the ‘‘fibroserous membrane . . . covering the heart
    and beginning of the great vessels.’’ Stedman’s Medical Dictionary (28th Ed.
    2006) p. 1457. ‘‘Constrictive pericarditis’’ is ‘‘postinflammatory thickening
    and scarring of the membrane producing constriction of the cardiac cham-
    bers . . . .’’ 
    Id. 8 At
    the formal hearing, the plaintiff testified in part on cross-examination
    that he was admitted to the hospital on November 8, 2000, where he remained
    for a few days and was told that he had constrictive pericarditis; that upon
    discharge he was not to work until cleared by Kirchhoffer. He was readmitted
    on June 22, 2001, and discharged with a diagnosis of recurrent pericarditis.
    He was permitted to return to work after one week. The plaintiff’s wife
    encouraged him to seek a second opinion, and the plaintiff consulted Baron.
    Baron’s records, which were admitted into evidence, state in part: ‘‘[The
    plaintiff], a [forty-two] year old gentleman . . . is seen today in an initial
    evaluation of chest pain. . . . [C]hest discomfort which . . . [w]as similar
    to his earlier symptoms related to pericarditis. He has an extensive history
    dealing with pericarditis, starting in November 2000, for which he was
    evaluated at Baystate [Medical Center in Springfield, Massachusetts] and
    treated with nonsteroidals. He had a second flare of the symptoms in the
    summer [of] 2001 and was treated with Prednisone, Pulse therapy with
    improvement. He has been treated with a brief course of nonsteroidals
    after his Pulse treatment.’’ The plaintiff continued to take 800 milligrams
    of ibuprofen for a number of years.
    9
    The commissioner, however, found that the plaintiff filed a form 30C
    for a work-related knee injury he suffered in 1999, a claim for hypertension
    on July 14, 2007, and a claim for a back injury on August 11, 2008.
    10
    The issue in McNerney was whether the claimant timely filed a notice
    of claim for hypertension. Although the claimant previously had suffered
    from hypertension, the commissioner found that the claimant’s March, 1991
    hypertension was a new injury and that his notice of claim filed on May 27,
    1993, was timely. In its decision, the board addressed § 31-294c (a), which
    requires a claimant to file a written notice of claim ‘‘within one year from
    the date of the accident or within three years from the first manifestation
    of a symptom of the occupational disease . . . .’’ The board noted that this
    court had held that a claim for hypertension pursuant to § 7-433c is not
    presumed to be an occupational disease. See Zaleta v. Fairfield, 38 Conn.
    App. 1, 7, 
    658 A.2d 166
    , cert. denied, 
    234 Conn. 917
    , 
    661 A.2d 98
    (1995).
    ‘‘Without evidence establishing that the claimant’s injury is a result of an
    occupational disease, the one year statute of limitations applies.’’ 
    Id., 6. The
    board stated that there was no evidence that the claimant’s hypertension
    constituted an occupational disease and remanded the case to the commis-
    sioner solely for the purpose of determining whether the claimant’s hyperten-
    sion constituted an occupational disease. See McNerney v. New 
    Haven, supra
    , 15 Conn. Workers’ Comp. Rev. Op. 333.
    McNerney was not appealed to this court or otherwise subjected to judicial
    scrutiny. We, therefore, accord it no precedential value. See Holston v. New
    Haven Police Dept., 
    323 Conn. 607
    , 612, 
    149 A.3d 165
    (2016) (traditional
    deference accorded agency’s interpretation of statute unwarranted when
    construction of statute has not previously been subject to judicial scrutiny).
    Moreover, McNerney is procedurally and factually distinct from the pre-
    sent appeal.
    11
    Throughout the litigation, the parties have cited cases concerning when
    a claimant with a history of periodic high blood pressure readings should
    know that he or she has hypertension and must file a claim. See, e.g., Arborio
    v. Windham Police Dept., 
    103 Conn. App. 172
    , 
    928 A.2d 616
    (2007), overruled
    in part on other grounds by Ciarlelli v. Hamden, 
    299 Conn. 265
    , 296, 
    8 A.3d 1093
    (2010); Pearce v. New Haven, 
    76 Conn. App. 441
    , 
    819 A.2d 878
    (overruled
    in part on other grounds by Ciarlelli v. Hamden, 
    299 Conn. 265
    , 296, 
    8 A.3d 1093
    [2010]), cert. denied, 
    264 Conn. 913
    , 
    826 A.2d 1155
    (2003). Our Supreme
    Court has held that the legislature intended for hypertension and heart
    disease to be treated as two separate diseases for the purposes of § 7-433c.
    See Holston v. New Haven Police 
    Dept., supra
    , 
    323 Conn. 616
    .
    12
    We note that § 31-294 was repealed by No. 91-32 of the 1991 Public Acts
    and that its subject matter was transferred to General Statutes §§ 31-294b
    and 31-294c.
    13
    See footnote 12 of this opinion.
    14
    In fact, the plaintiff filed a § 7-433c claim for hypertension in 2007. See
    footnote 9 of this opinion.
    15
    The plaintiff does not dispute the commissioner’s finding on appeal.
    16
    As the facts of this case demonstrate, there are multiple forms of heart
    disease. Whether a firefighter or police officer may file a claim for each
    instance of a distinct and separate heart disease is a public policy question
    to be determined by the legislature, not this court. It is also for the legislature
    to determine whether a firefighter may forgo filing a claim for one form of
    heart disease and later file a claim for a different and perhaps more serious
    form of heart disease.
    

Document Info

Docket Number: AC41237

Judges: Dipentima, Lavine, Harper

Filed Date: 6/25/2019

Precedential Status: Precedential

Modified Date: 10/19/2024