Justia Government & Administrative Law Opinion Summaries

In a workers’ compensation case, the issue presented for the Oregon Supreme Court's review centered on the scope of an employer’s obligation under ORS 656.262(7)(c) to reopen a closed claim for processing if a “condition is found compensable after claim closure.” The closed claim at issue here was claimant Randy Simi's accepted right rotator cuff tear, and the conditions giving rise to the dispute were supraspinatus and infraspinatus tendon tears, which claimant asked employer to accept as “new or omitted” conditions. Employer issued a denial specifying that the conditions were not compensable, but, without withdrawing the denial, employer later took the position that the tendon tears were “encompassed” within the originally accepted rotator cuff tear. That change of position caused an administrative law judge (ALJ) to determine that the tendon conditions were compensable and to set aside employer’s denial. According to claimant, that ALJ order triggered employer’s obligation under ORS 656.262(7)(c) to reopen the claim. Employer contended, however, that the legislature did not require reopening if the compensable condition at issue was “encompassed within” the already-accepted conditions, even if the employer also had denied that the condition was compensable. A majority of the Workers’ Compensation Board and a majority of the Court of Appeals panel agreed with employer, and the Supreme Court allowed review to consider this disputed question of statutory interpretation. Based on its examination of the statutory text and context, the Supreme Court concluded the legislature intended employers to reopen compensable claims for processing when a compensability denial was set aside after claim closure, including under the circumstances of this case. Accordingly, the Court of Appeals' decision was reversed. View "Simi v. LTI Inc. - Lynden Inc." on Justia Law

In June 2008, Scot Decker sustained work related injuries while he was working for Cyclone Drilling, Inc. in Mountrail County, North Dakota. WSI accepted liability and Decker received more than $1,250,000 in benefits from WSI. In June 2014, Decker signed a third party notice of legal representation advising WSI that he retained an attorney and planned to bring an action against a third party for the work related injuries. The notice stated Decker would act as a trustee for WSI’s subrogated interest. The notice also included a lien notice, advising that WSI had a lien in the full amount it paid in all benefits for Decker’s claim and that WSI could sue if Decker received any money related to the claim from a third party and WSI did not receive payment of its lien within 30 days of the third party’s payment to Decker. Decker brought an action against I.E. Miller Services, Inc., received a favorable verdict, and was awarded $2,045,972.60 in damages. In December 2018, WSI issued a subrogation order, finding it paid Decker for his work related injury and Decker failed to pay WSI’s subrogation interest and lien within 30 days. Decker requested a hearing before an ALJ. Decker alleged WSI incorrectly applied the law, it inappropriately included in the subrogation order benefits paid related to medical negligence which is the subject of a separate third-party action, and it did not properly determine the amount of its lien. Decker also argued WSI did not have a right to recovery of its lien before attorney’s fees and litigation expenses were paid. The ALJ ruled in favor of WSI, and Decker appealed. Decker argued the district court erred in concluding it does not have jurisdiction and dismissing his appeal. The North Dakota Supreme Court found Decker brought his appeal in Burleigh County District Court, and it was undisputed that Decker did not reside in Burleigh County and that his injuries did not occur in Burleigh County. Because N.D.C.C. 65-10-01 applied and required Decker to bring the appeal in the county where he resided or the county where the injury was inflicted, the Burleigh County district court did not have jurisdiction over the appeal. Dismissal was affirmed. View "Decker v. WSI" on Justia Law

The Supreme Court quashed the order of the district court that denied Appellant's request for attorneys' fees pursuant to R.I. Gen. Laws 28-44-57(c) after Appellant successfully appealed a denial of unemployment benefits, holding that "appeal" within section 28-44-57(c) encompasses lower court proceedings on the claimant's path to receiving benefits.Appellant in this case successfully challenged the denial of unemployment benefits by the Rhode Island Department of Labor and Training. Appellant filed a petition for counsel fees pursuant to section 28-44-57 for work performed in the appeal to the district court from the Rhode Island Department of Labor and Training (DLT). The district court denied the petition, concluding that Appellant was not entitled to attorneys' fees for work performed by his attorney in the district court. The Supreme Court quashed the district court's order and remanded the case, holding that when an attorney represents an unemployment benefits claimant in an unsuccessful appeal to the district court but subsequently prevails in the Supreme Court, section 28-44-57(c)(2)(iii) entitles the attorney to fees and costs for the proceedings in the district court. View "Beagan v. Rhode Island Department of Labor & Training, Board of Review" on Justia Law

Farrar began working for NASA in 2010. When NASA fired him five months later, he filed an administrative action alleging disability discrimination under the Rehabilitation Act, 29 U.S.C. 791 –794g. For the most part, Farrar prevailed. NASA awarded him compensatory damages, costs, and fees of about $13,000. Farrar appealed to the Equal Employment Opportunity Commission, which increased the award to about $35,000 and ordered NASA to pay Farrar within 60 days. Farrar could either accept the Commission’s disposition or file a civil action within 90 days. After NASA paid him, Farrar filed a civil action. Because Farrar accepted the money from NASA, the district court dismissed his case.The D.C. Circuit reinstated the suit, finding no statute or regulation that required Farrar to return, or offer to return, the money before filing suit. A federal employee cannot bind the government to an administrative finding of liability and then litigate only the remedy in court but that rule does not address whether a federal employee who has retained an administrative remedy must disgorge, or offer to disgorge, the award upon filing a de novo lawsuit. The Commission’s regulations show it is aware that it sometimes orders agencies to pay an employee’s damages before the employee files a civil action but nevertheless retained discretion to order payment before 120 days. View "Farrar v. Nelson" on Justia Law

The City of Grenada appealed a Circuit Court’s judgment affirming the findings of the Mississippi Department of Employment Security Board of Review (Board of Review) that a terminated police officer was entitled to unemployment benefits. The Board of Review found that Stefan Sanders failed a fitness-for-duty exam due to psychological problems and that the City of Grenada had acted reasonably by discharging Sanders. But because Sanders’s mental condition was outside his control, the Board of Review found that he was entitled to receive unemployment compensation. The Mississippi Supreme Court found that the Board of Review’s decision that Sanders was entitled to unemployment benefits was supported by substantial evidence, thus it affirmed the circuit court’s judgment affirming the Board of Review’s decision. View "City of Grenada v. Mississippi Department of Employment Security" on Justia Law

The Supreme Court quashed the decree of the Appellate Division of the Workers' Compensation Court (WCC) awarding attorneys' fees and costs to Petitioner, holding that the WCC's Appellate Division acted in excess of its statutory authority in concluding that R.I. Gen. Laws 45-21.2-9 conferred authority to award attorneys' fees in this case.Petitioner, a firefighter with the City of Woonsocket, sustained a work-related injury and applied for accidental disability retirement (ADR) benefits with Respondent, Municipal Employees' Retirement System of Rhode Island. Respondent denied Petitioner's ADR application, finding that Petitioner had failed to prove that is injury arose out of and in the course of his duties as a firefighter. On appeal, the trial judge granted Petitioner's petition seeking ADR benefits and awarded a counsel fee to Petitioner's counsel. The Appellate Division upheld the fee award and imposed an additional fee for counsel's work before the Appellate Division. The Supreme Court reversed, holding that the General Assembly has not conveyed specific statutory authority upon the WCC to award attorneys' fees and costs in successful ADR appeal claims. View "Koback v. Municipal Employees' Retirement System of R.I." on Justia Law

This appeal stemmed from a years-long dispute between Robert Elgee and the Retirement Board of the Public Employee Retirement System of Idaho (“PERSI”) regarding the payment of retirement benefits accrued during Elgee’s service as a magistrate judge. Elgee became eligible for PERSI benefits in 2010, but operating under an erroneous interpretation of the statutes it administers, PERSI maintained Elgee was not then entitled to receive benefits. Eleven years, numerous administrative determinations, and two judicial review actions later, the parties continued to disagree on issues relating to the calculation of benefits, the interest due on benefits, and whether Elgee was entitled to damages for the tax consequences of receiving a lump sum payment of retroactive benefits. After review, the Idaho Supreme Court affirmed the district court as to the applicable rate of interest, reversed as to the remaining issues, and remanded for entry of judgment. On remand the district court was directed to enter judgment that reflected: (1) the PERSI Board’s determination that Elgee was due interest at the regular rate of interest under the PERSI statutes was affirmed; (2) the PERSI Board’s determination that Elgee was due interest from 2013, rather than 2010, was set aside; (3) the PERSI Board’s determination that Elgee was due benefits under the contingent annuitant option, rather than the regular retirement option was affirmed; (4) the PERSI Board’s determination that Elgee failed to prove his tax loss claim in 2018 was set aside; and (5) the PERSI Board’s determination that tax loss damages were not available under the PERSI statutes was affirmed. View "Elgee v. Retirement Brd. of the Public Employee (PERSI)" on Justia Law

In this administrative appeal brought by the Kentucky Retirement Systems from the decision of the circuit court in two consolidated cases concerning application of Ky. Rev. Stat. 61.598 the Supreme Court held that the Retirement Systems improperly applied the statute to pay spikes to a certain extent.Section 61-598, commonly known as the pension spiking statute, identifies artificial increases in creditable compensation to public pension-member employees occurring in the last five years preceding retirement, effectively increasing the employee's retirement benefits. In both cases, the alleged spikes were partly due to a change in the Jefferson County Sheriff's office (JCSO) accounting method and partly due to the employees' accrual of overtime hours. The Retirement Systems assessed JCSO for payment increased actuarial costs attributable to the alleged pension spikes. The circuit court reversed. The Supreme Court affirmed in part and reversed in part, holding (1) an isolated transition in JCSO's new accounting method did not amount to an increase in compensation; (2) the Retirement Systems properly assessed the increased actuarial costs to the extent it was caused by regular overtime work and was not the result of a bona fide promotion or career advancement; and (3) the circuit court erred in reversing the Retirement System's original assignment of the burden of proving a bona fide promotion. View "Kentucky Retirement Systems v. Jefferson County Sheriff's Office" on Justia Law

Claimant John West appealed a Vermont Department of Labor decision concluding that the 2014 amendment to 21 V.S.A. 644(a)(6) did not apply retroactively. In March 2013, West fell fifteen to twenty feet while working in the course of his employment for North Branch Fire District. He was transported to the hospital and treated for extensive injuries. In September 2014, West relocated to Florida, and at some point thereafter, began working at the Freedom Boat Club. Between 2014 and 2016, several different physicians provided conflicting opinions on the level of West’s permanent impairment. In February 2016, Dr. Joseph Kandel conducted an independent medical examination (IME) at North Branch’s request. At a deposition in September 2018, Dr. Kandel testified that it would be accurate to say that “West suffered an injury to the skull resulting in [a] severe traumatic brain injury causing permanent and severe cognitive, physical, or psychiatric disabilities.” West filed a request for a formal hearing, asserting that he was permanently and totally disabled under section 644(a)(6). Between the date of West’s injury and his request for a formal hearing, the Vermont Legislature amended section 644(a)(6). In January 2019, North Branch filed a motion for summary judgment arguing that the pre-amendment version of 644(a)(6), which defined total and permanent disability as “an injury to the skull resulting in incurable imbecility or insanity,” applied to West’s claim because that was the law on the date of his injury in March 2013. Further, North Branch argued that the 2014 amendment did not apply retroactively because despite the Legislature’s stated purpose, the amendment created a substantive change in the law. In any event, because West was employed, North Branch maintained that he was not totally and permanently disabled under either version of 644(a)(6). West argued that, contrary to the Commissioner’s conclusion, the 2014 amendment to 644(a)(6) applied retroactively because it did not create any new substantive rights. The Vermont Supreme Court concluded the 2014 amendment applied retroactively and therefore reversed and remanded. View "West v. North Branch Fire District #1" on Justia Law

The Supreme Court reversed the judgment of the trial court upholding that decision of the Retirement Systems's Administrative Review Board affirming the decision of the Kentucky Retirement Systems applying the Ky. Rev. Stat. 61.598, the pension-spiking statute, to assess actuarial costs to the Jefferson County Sheriff's Office (JCSO), holding that the Retirement Systems did not properly apply the spiking statute in this case.The Kentucky Retirement Systems assessed the costs because it found a JCSO employee took unpaid leave for two months, causing a temporary decrease in gross compensation in that year, but then returned to his earlier pay. The circuit court agreement with the Retirement Systems, finding that section 61.598 as applied was not arbitrary, and therefore, the circuit court was bound by the Board's decision. The Supreme Court reversed, holding (1) the plain language of section 61.598 does not direct the retirement System to determine changes in compensation over a five-year period; and (2) the burden of proving a bona fide promotion was properly placed on the employer. View "Jefferson County Sheriff's Office v. Kentucky Retirement Systems" on Justia Law