Telecheck Serv's. Inc. v. Gierer ( 2015 )


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  •                  assert an offset when agreeing to reopen part of respondent's claim in
    2003.
    In 2012, after denying further requests to reopen respondent's
    claim, Sierra Nevada Administrators (SNA) notified respondent that it
    was asserting a full offset against respondent's net recovery from the 1998
    settlement and thus was ceasing any benefit payment until respondent
    demonstrated that she had exhausted her net recovery amount.
    Respondent administratively appealed that determination, arguing that
    the 14-year delay in asserting the offset barred SNA's subrogation lien.
    The appeals officer disagreed, finding that laches did not bar the lien
    because the delay was not intentional, the delay did not constitute
    acquiescence to waiving the lien, and respondent was not prejudiced by
    the delay. The district court, however, granted respondent's petition for
    judicial review and reversed the appeals officer's decision, finding that
    laches did bar the lien. Appellant Telecheck Services, Inc., respondent's
    employer at the time of injury and to whose account respondent's benefits
    were charged, appealed the district court's order. Having considered the
    parties' arguments and the appendix, we now reverse.
    An appeals officer's determination regarding the application of
    laches is a fact-based determination to which the court gives deference.
    See Modjeski v. Fed. Bakery of Winona, Inc., 
    240 N.W.2d 542
    , 546 (Minn.
    1976) (explaining that laches is primarily a factual, not legal,
    determination); see also Vredenburg v. Sedgwick CMS, 
    124 Nev. 553
    , 557,
    
    188 P.3d 1084
    , 1087 (2008) (explaining that the appeals officer's fact-based
    decisions will not be disturbed if they are supported by substantial
    evidence). SNA had the statutory right to subrogate against respondent's
    settlement proceeds, and respondent's workers' compensation benefits
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    "must be reduced by the amount of damages recovered" from the third-
    party tortfeasor. NRS 616C.215(2)(a).
    In asserting laches, assuming for the purposes of this appeal
    that it applies, see Thompson v. Workers' Comp. Appeal Bd.,        
    781 A.2d 1146
    , 1151-54 (Pa. 2001) (concluding that absent deliberate, bad faith
    conduct by the employer, the right to subrogation is automatic and
    absolute), respondent had the burden to demonstrate that she was
    prejudiced by the delay. Miller v. Burk, 
    124 Nev. 579
    , 598, 
    188 P.3d 1112
    ,
    1125 (2008) (noting that the applicability of laches depends on the facts of
    the case and explaining that the court looks at whether the delay was
    inexcusable, whether the delay constitutes acquiescence to the condition
    being challenged, and whether the inexcusable delay was prejudicial to
    others); Muir v. C.R. Bard, Inc., 
    519 S.E.2d 583
    , 599 (S.C. Ct. App. 1999)
    (noting that the person claiming laches bears the burden to show its
    applicability). Here, the record does not contain any evidence that
    respondent was prejudiced by the delay. Respondent's contention that she
    would have kept receipts for her treatment in order to apply them against
    any offset does not demonstrate prejudice because she has not shown that
    she received any treatment related to her claim that was not covered by
    her workers' compensation claim. Indeed, her lumbar reopening request
    was granted and all others were denied as not meeting the statutory
    requirements. Thus, because substantial evidence supported the appeals
    officer's decision, there was no basis for the district court to make new
    factual determinations and reverse the appeals officer's conclusion that
    laches did not apply. See Vredenburg v. Sedgwick CMS, 
    124 Nev. 553
    , 557
    & n.4, 
    188 P.3d 1084
    , 1087 & n.4 (2008) (defining substantial evidence);
    see also NRS 233B.135(3) (setting forth the standard of review); Nellis
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    Motors v. State, Dep't of Motor Vehicles, 
    124 Nev. 1263
    , 1269-70,
    197 P.3d 1061
    , 1066 (2008) (explaining that neither this court nor the district court
    will reweigh the evidence, reassess witness credibility, or substitute our
    judgment for that of the appeals officer on questions of fact). Accordingly,
    the district court erred in granting respondent's petition for judicial
    review, and we
    ORDER the judgment of the district court REVERSED
    Cf9.4        _, J.
    Parraguirre
    cc:   Hon. Jessie Elizabeth Walsh, District Judge
    Janet Trost, Settlement Judge
    Lewis Brisbois Bisgaard & Smith, LLP/Las Vegas
    Nevada Attorney for Injured Workers/Las Vegas
    Eighth District Court Clerk
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Document Info

Docket Number: 64557

Filed Date: 5/20/2015

Precedential Status: Non-Precedential

Modified Date: 4/18/2021