54 Van Natta 33 (2002). AARON R. ADEE, Claimant.
Case Date | January 14, 2002 |
Court | Oregon |
Oregon Worker Compensation
2002.
54 Van Natta 33 (2002).
AARON R. ADEE, Claimant
33In
the Matter of the Compensation of AARON R. ADEE,
ClaimantWCB
Case No. 01-02912ORDER
ON REVIEWGlen J
Lasken, Claimant AttorneysVavrosky Maccoll Olson Et Al, Defense AttorneysReviewing Panel: Members Haynes, Bock,
and Biehl. Member Biehl chose not to sign the order. The self-insured employer requests review of those portions
of Administrative Law Judge (ALJ) Tenenbaum's order
that: (1) set aside its denial of claimant's current condition; (2) awarded an
assessed fee under ORS 656.386(1); and (3) assessed
an attorney fee under ORS 656.382(1) for the employer's allegedly unreasonable
claim processing. On review, the issues are compensability and attorney fees.
We reverse in part and affirm in part. FINDINGS OF
FACT Claimant sustained a compensable low back injury
in March 1999, which the employer accepted as a disabling lumbar strain with
disc herniations at L3-4 and L4-5. After claimant underwent surgery in December
1999, the employer closed the claim in March 2000 by Notice of Closure that
awarded temporary disability and 30 percent unscheduled permanent disability.
(Ex. 40). In January 2001, Dr. Pribnow filed an
aggravation claim form. An MRI scan taken that month revealed recurrent disc
protrusions at L3-4 and L4-5 and a "persistent prominent protrusion L5-S1,
unchanged." (Ex. 46A). On February 20, 2001, the
employer issued a denial, citing receipt of the aggravation claim and reciting
that the medical records indicated that claimant's "present clinical situation
is different from what you were treated for in December of 1999." Therefore,
the employer stated that "we must respectfully deny your aggravation claim and
your current condition." The denial letter concluded by stating that claimant
was entitled to palliative care and "medical" for the accepted injury. (Ex.
50). Claimant requested a hearing from the denial. 54 Van Natta 33 (2002)34CONCLUSIONS OF LAW AND OPINION Prior to the
scheduled hearing, the parties agreed to have the matter resolved without
necessity of a hearing based on "stipulated facts" and oral arguments.1 At some
point, claimant withdrew the aggravation claim. Claimant contended, however,
that the employer's denial letter denied his then current condition. The
employer took the position that its denial...
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