Johnson-Chandler v. The Reed Institute ( 2022 )

15
Argued and submitted May 12, 2021, affirmed June 2, 2022
In the Matter of the Compensation of
Raymond A. Johnson-Chandler, Claimant.
Raymond A. JOHNSON-CHANDLER,
Petitioner,
v.
THE REED INSTITUTE - REED COLLEGE,
Respondent.
Workers’ Compensation Board
1800374; A172666
513 P3d 10
Claimant seeks judicial review of an order on reconsideration of the Workers’
Compensation Board (the board). That order rejected claimant’s contention that
he had “good cause,” within the meaning of ORS 656.265(4)(c), for failing to give
his employer notice of his work injury within 90 days. Held: Under the “reason-
able worker” standard adopted by the board pursuant to its delegated authority,
a worker does not have “good cause” for failing to provide notice within the 90-day
period if the worker has “sufficient knowledge to lead a reasonable worker to con-
clude that workers’ compensation liability was a reasonable possibility and that
notice to the employer was appropriate.” Estrada v. Federal Express Corp., 298 Or
App 111, 122, 445 P3d 1276, rev den, 365 Or 769 (2019). Accepting the unchal-
lenged facts found by the board and applying that “reasonable worker” standard,
the Court of Appeals concluded that the board did not err in determining that
claimant had not established good cause for his untimely notice.
Affirmed.
Jodie Anne Phillips Polich argued the cause for peti-
tioner. Also on the briefs was Law Offices of Jodie Anne
Phillips Polich, P.C.
Trisha D. Hole argued the cause and filed the brief for
respondent.
Before Ortega, Presiding Judge, and Shorr, Judge, and
Powers, Judge.
SHORR, J.
Affirmed.
16 Johnson-Chandler v. The Reed Institute
SHORR, J.
Claimant seeks judicial review of an order on recon-
sideration of the Workers’ Compensation Board rejecting
claimant’s contention that he had “good cause” within the
meaning of ORS 656.265(4)(c) for failing to give his employer
notice of his work injury within 90 days. We review the
board’s order for substantial evidence, substantial reason-
ing, and errors of law. ORS 656.298(7); ORS 183.482(7), (8).
We conclude that the board did not err and affirm.
Claimant, a campus community safety officer, injured
his thumb at work while strapping a bicycle to a roof rack.
Claimant thought that he had sprained his thumb. He expe-
rienced intense pain at the time of the injury, but the pain
subsided over several days. Claimant had had a similar
injury in the past, not work-related, that had healed on its
own. He did not report the work injury, because he expected
that it also would heal on its own without medical attention.
Claimant treated the injury with ice, heat, wrap-
ping, and soaking in hot water with Epsom salts. But claim-
ant’s symptoms worsened and, some six months after the
date of the injury, claimant sought medical treatment for
what was diagnosed as a condition requiring surgery, and
he filed this claim.
ORS 656.265 sets the time limits for giving notice
of a work injury to an employer and provides, in pertinent
part:
“(1)(a) Notice of an accident resulting in an injury or
death shall be given immediately by the worker or a bene-
ficiary of the worker to the employer, but not later than 90
days after the accident. The employer shall acknowledge
forthwith receipt of such notice.
“* * * * *
“(4) Failure to give notice as required by this section
bars a claim under this chapter unless the notice is given
within one year after the date of the accident and:
“* * * * *
Cite as 320 Or App 15 (2022) 17
“(c) The worker or beneficiaries of the worker establish
that the worker had good cause for failure to give notice
within 90 days after the accident.”
(Emphasis added.)
Employer denied claimant’s claim for the reason
that it had not received notice of the injury within 90 days
of the injury. Claimant requested a hearing. He acknowl-
edged that he had not notified employer of the injury within
90 days. But he argued that his claim was not time-barred,
because he gave employer notice within one year after the
injury and had “good cause” for failing to give the notice
within 90 days. The ALJ agreed with claimant, but the
board reversed, concluding that claimant had not estab-
lished good cause. Claimant seeks judicial review.
We provide some context for the board’s “good cause”
determination in this case. In its order in Juan Estrada,
69 Van Natta 71 (2017), on remand from our opinion in
Federal Express Corp. v. Estrada, 275 Or App 400, 364 P3d
25 (2015) (Estrada I), the board explained its understanding
of the “good cause” determination under ORS 656.265(4)(c).
To encompass the myriad of circumstances that might
constitute “good cause” for failing to provide notice within
the 90-day period allowed by ORS 656.265(1)(a), the board
adopted a “reasonable worker” standard. Estrada, 69 Van
Natta at 74. The board explained that the “reasonable
worker” standard would examine “whether the worker knew
of enough facts to lead a reasonable worker to conclude that
worker’s compensation liability was a reasonable possibility
and that notice to the employer was appropriate.” Id. That
standard might be satisfied if the worker lacked knowledge
within the 90-day period that the worker had experienced
an accident resulting in a compensable injury. Id. at 76-77.
However, the board explained that if
“the worker had sufficient knowledge to lead a reasonable
worker to conclude that workers’ compensation liability was
a reasonable possibility and that notice to the employer was
appropriate, the worker’s choice to ‘work through’ symp-
toms or to avoid professional medical treatment would not
necessarily establish that the worker was unaware of an
‘injury.’ ”
18 Johnson-Chandler v. The Reed Institute
Id. at 76. The board explained that in evaluating that issue,
it would consider “the worker’s credible testimony regarding
such knowledge, as well as the circumstances supporting
the worker’s understanding.”1 Id. at 75-76.
In Estrada v. Federal Express Corp., 298 Or App 111,
122, 445 P3d 1276, rev den, 365 Or 769 (2019) (Estrada II),
we concluded that the board’s “reasonable worker” stan-
dard for determining “good cause” in the context of ORS
656.265(4)(c) was within the range of discretion that the leg-
islature had delegated to the board:
“The standard that the board applied to determine whether
claimant had established good cause did not fall outside
the range of the board’s discretion. Although it is true that
the board had to make an individualized determination
whether claimant had good cause to give late notice of the
accident, it does not follow that the board could not apply
an objective standard. Within its delegated discretion, the
board could determine that failing to give notice of an acci-
dent within 90 days, despite knowing facts from which a
reasonable person would conclude that workers’ compensa-
tion liability was a reasonable possibility and that notice to
the employer was appropriate, is not good cause under ORS
656.265(4)(c).
“* * * * *
“Because the standard that the board applied to deter-
mine whether claimant had established ‘good cause’ for
giving late notice of the accident does not fall outside of
the statutory limits of ORS 656.265(4)(c), the board did
not abuse its discretion, and we reject claimant’s second
assignment of error. Accordingly, we affirm the board’s
order.”
Id. at 122, 124.
1
The board noted the circumstances that it would consider:
“Such circumstances may include (but will not be limited to) the nature of
the work accident and subsequent symptoms, the worker’s understanding
of the accident’s relationship with subsequent symptoms, contemporaneous
medical evidence regarding the nature or cause of a condition, alternative
explanations for symptoms, self-treatment, the degree to which the symp-
toms restricted the worker’s on- and off-work activities, the worker’s educa-
tion and occupational background, and reasonable reliance on legal or med-
ical evidence.”
Id. at 75.
Cite as 320 Or App 15 (2022) 19
Here, relying on Estrada II and the “reasonable
worker” standard, the board concluded:
“[C]laimant knew of sufficient facts to lead a reasonable
worker to conclude that workers’ compensation liability
was reasonably possible and that it was appropriate to
report the accident within the 90-day period allowed by
ORS 656.265(l)(a). In other words, we find that a reasonable
person in claimant’s situation would have known of enough
facts to be expected to give timely notice of the accident.”
In explaining that determination, the board acknowledged
claimant’s explanation that he had delayed reporting the
injury and seeking medical treatment because he thought
it was only a sprain, and because he had suffered a simi-
lar injury in the past that had resolved without treatment.
But the board reasoned that claimant’s initial belief that
the injury was not significant enough to seek medical treat-
ment did not excuse the untimely notice. The board found
that claimant had been trained to report workplace injuries
and that he knew that such injuries should be reported; that
the injury had caused claimant “excruciating” pain when it
occurred; that claimant had adjusted some of his work tasks
to avoid pain in his thumb and had self-treated; and that,
although symptoms initially improved, they became worse
again within the 90-day period to the extent that claimant
began wearing a wrist brace. Based on those findings, the
board determined that claimant had acquired sufficient
knowledge, within the 90-day period, that his injury was
one that was possibly subject to workers’ compensation lia-
bility and that should be reported. Therefore, the board con-
cluded that claimant had not established good cause for his
untimely notice.
On judicial review, claimant does not challenge the
board’s findings. Rather, claimant contends that the board
misapplied the “reasonable worker” standard to exclude
from “good cause” circumstances that the legislature explic-
itly targeted when it amended ORS 656.265(4) in 2003 to
include paragraph (c), Or Laws 2003, ch 707, § 1, providing
a “good cause” exception to the 90-day limitation. Claimant
contends that the legislative history shows that the legis-
lature intended that a worker’s decision to “work through”
an injury constitutes good cause under the statute when
20 Johnson-Chandler v. The Reed Institute
the record establishes that the worker acted reasonably in
delaying notice of the claim. Claimant suggests that under
the “reasonable worker” standard, a worker establishes
“good cause” for late notice to the employer if the worker
gave notice when the worker reasonably became aware of
the need for medical treatment.
We have reviewed the legislative history. Indeed, in
support of the amendment, a witness described the seem-
ing unfairness of circumstances like claimant’s—where a
claim is rejected as untimely because the worker, thinking
the injury will heal on its own, does not notify the employer
within the 90 days required by ORS 656.265(1)(a). See,
e.g., Tape Recording, Senate Committee on Rules, SB 932,
July 30, 2003, Tape 107, Side A (statement of Bob Shiprack).
However, as we held in Estrada II, the legislature delegated
to the board responsibility for determining the meaning of
“good cause.” 298 Or App at 121. We held in Estrada II that
we would not substitute our own judgment of “good cause”
for that of the board’s, because the board’s standard was
within the range of discretion delegated by the legislature.
Id. Under the standard adopted by the board, a worker does
not have good cause if the worker had “sufficient knowledge
to lead a reasonable worker to conclude that workers’ com-
pensation liability was a reasonable possibility and that
notice to the employer was appropriate.” Estrada, 69 Van
Natta at 76. Claimant does not contend that Estrada II was
“plainly wrong” and should be overruled under State v. Civil,
283 Or App 395, 388 P3d 1185 (2017).
The board found here that claimant had sufficient
knowledge such that a reasonable worker in his position
would have reported the injury, and therefore lacked “good
cause” for failing to provide timely notice. Although claim-
ant’s decision to “work through” his symptoms and wait to
see if the injury would heal on its own before seeking medi-
cal treatment may have been among the circumstances that
the board could consider in determining whether claim-
ant had sufficient knowledge, contrary to claimant’s argu-
ment, that circumstance did not require the board to find
that claimant lacked sufficient knowledge until he decided
to go to the doctor. As noted, claimant does not challenge
Cite as 320 Or App 15 (2022) 21
the board’s findings. We conclude that, under the standard
adopted by the board, the board did not err in determining
that claimant did not establish good cause for the untimely
notice.2
Affirmed.
2
In his reply brief, claimant asserts that “an ‘accident’ does not become an
‘injury’ requiring notice under ORS 656.265(l)(a) until it is established by medi-
cal evidence, supported by objective findings that the accident required medical
treatment or results in disability or death as required by ORS 656.005(7)(a).” We
do not address that argument, which was not made to the board.