4-265-034 (1998). TIMOTHY BACA.
Case Date | November 20, 1998 |
Court | Colorado |
Colorado Workers Compensation
1998.
4-265-034 (1998).
TIMOTHY BACA
INDUSTRIAL CLAIM APPEALS OFFICEIN THE MATTER OF THE CLAIM OF TIMOTHY
BACA, Claimant, v. HUMAN RESOURCE COMPANY, Employer, and LIBERTY MUTUAL
INSURANCE COMPANY, Respondent.W. C. No. 4-265-034FINAL
ORDER The respondents seeks review of an order of Administrative Law
Judge Atencio (ALJ), imposing penalties of one hundred dollars per day based on
the respondents' failure to file an admission of liability for whole person
medical impairment benefits in accordance with Rule of Procedure IV (N) (5), 7
Code Colo. Reg. 1101-3 at 6.03. The respondents argue that the rule did not
require them to file an admission of liability for whole person medical
impairment benefits because they had already filed an admission for scheduled
medical impairment benefits. We modify the order, and as modified affirm it.
In September 1994 the claimant sustained and industrial injury
which ultimately caused impairment of both knees. The claimant also suffered
depression as a result of the injury.
Dr. Schmeh, the primary treating physician, placed the claimant
at maximum medical improvement (MMI) on September 18, 1997. He also referred
the claimant to Dr. Reichhardt to rate the claimant's physical impairment, and
to Dr. Entin to rate the claimant's psychological impairment. It is undisputed
that all three physicians were authorized and level II accredited.
On August 28, 1997, Dr. Reichhardt issued a physical impairment
rating for the claimant's lower extremities and converted these ratings to an
eleven percent whole person impairment. He also and stated that "any additional
work related psych impairment would be combined with this." The
respondent-insurer (Liberty) received Dr. Reichhardt's report on September 11,
1997. Utilizing this report, Liberty filed a Final Admission of Liability on
September 24, 1997, and admitted liability for scheduled impairments of both
lower extremities.
Meanwhile, on September 22, 1997, Dr. Entin issued a report
rating the claimant as suffering a four percent whole person psychiatric
impairment. However, Dr. Entin apportioned two percent of the impairment to
what he believed were non-industrial factors. Liberty received Dr. Entin's
report on October 3, 1997.
On October 23, 1997, Dr. Schmeh issued a report stating the
claimant sustained an "11% whole body...
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