COURT OF APPEALS OF VIRGINIA
Present: Judges Elder, McClanahan and Haley
Argued at Richmond, Virginia
NICOLASA A. DIAZ
OPINION BY
v. Record No. 1846-09-2 JUDGE LARRY G. ELDER
APRIL 20, 2010
WILDERNESS RESORT ASSOCIATION AND
LIBERTY MUTUAL INSURANCE COMPANY
FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
Wesley G. Marshall (Law Offices of Wesley G. Marshall PLC, on
briefs), for appellant.
Christopher R. Costabile (Law Offices of Christopher R. Costabile,
on brief), for appellees.
Nicolasa A. Diaz (claimant) appeals from a decision of the Workers’ Compensation
Commission terminating the obligation of Wilderness Resort Association and Liberty Mutual
Insurance Company (hereinafter collectively employer except where otherwise noted) to pay her
temporary disability benefits pursuant to an award and declining claimant’s request for penalties
and interest based on what she contends was employer’s late payment of those benefits. On
appeal, claimant contends the commission erroneously concluded that the application was
properly docketed, that employer and carrier properly paid all compensation due pursuant to the
award, and that claimant was not entitled to statutory penalties or interest. We hold the record
supports the commission’s conclusion that employer’s hearing application was properly
docketed. We also hold the commission erred in concluding that the wages employer paid
claimant constituted compensation for purposes of determining whether all compensation due
under the award had been paid and whether employer and carrier owed penalties and interest.
Finally, we conclude the commission erred in not awarding (a) penalties on all late paid
compensation and (b) interest on compensation delayed during the pendency of this appeal.
Thus, we affirm in part, reverse in part, and remand for further proceedings consistent with this
opinion.
I.
BACKGROUND
On February 23, 2000, while working as a housekeeper for employer, claimant sustained
a compensable injury to her back. Employer paid benefits for various periods of disability, and
in 2003, following a dispute about claimant’s entitlement to additional benefits, the commission
entered an award for temporary total disability benefits commencing July 19, 2003, and
continuing. Claimant returned to light-duty work with employer on August 1, 2004, at which
time she was paid a gross weekly wage of $415.20 or higher, which was greater than her gross
pre-injury average weekly wage of $310.93. Employer notified the carrier that claimant had
returned to work, and the carrier ceased its payments of disability compensation.
Later that month, the commission sent its standard letter to the carrier indicating its
records reflected an outstanding award and notifying the carrier that if payments had been
terminated, it was required to file an executed termination of wage loss award form or an
employer’s application for hearing to end the award. The carrier responded that claimant had
returned to work at a wage greater than her pre-injury wage and indicated that, although it had
provided claimant with an agreement to pay benefits form and a termination of wage loss award
form on two occasions, she had not signed the forms.
By letter dated November 19, 2004, the commission notified the carrier it “ha[d] been
advised that because of difficulties in obtaining an executed Termination of Wage Loss Award,
[it] ha[d] unilaterally terminated [claimant’s] compensation benefits.” The commission directed
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employer “to submit evidence that benefits have been reinstated or a basis upon which benefits
may be suspended” within two weeks. Employer thereafter submitted properly executed
termination of wage loss award forms covering six different periods of temporary partial and
total disability, including not only the period for which the award was outstanding but also for
several one- to three-day periods during 2002.
By notice dated April 20, 2005, the commission notified the carrier that it was required to
file additional forms before the commission could enter the requested orders. By letter dated
June 5, 2005, the commission again notified the carrier that it required additional forms to
terminate the outstanding award and it explained with specificity what forms were needed. It
emphasized that “[u]ntil the proper agreements are received the outstanding award is in effect.”
Employer apparently took no additional action to submit the requested paperwork, and by
letter of December 5, 2005, claimant’s attorney sought full compliance with the ongoing award
and a twenty percent penalty for non-compliance. Claimant also sought compliance with the
outstanding medical award and temporary total disability for several additional one- to three-day
periods of disability in 2005. The commission issued a show cause order commanding the
carrier to appear before the commission. The carrier filed an affidavit indicating it had
authorized payment for thirteen days of temporary total disability benefits and payment of a
twenty percent penalty, as well. The commission entered an order on February 27, 2006,
dismissing the show cause.
On March 2, 2006, the commission again sent the carrier its standard form letter
indicating the award remained outstanding and that it assumed payments under the award were
continuing. By letter dated May 3, 2006, claimant’s attorney forwarded employer’s attorney a
supplemental agreement to pay benefits form, executed by claimant, for one of the periods for
which the commission had indicated it still required such documentation, and claimant’s counsel
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asked the carrier to forward the appropriate form to the commission, which it appears the carrier
never did.
On March 1, 2007, the commission yet again sent the carrier its standard form letter
indicating an award was outstanding and that it assumed payments under the award were
continuing.
By letter to the commission dated June 23, 2008, claimant’s attorney renewed his request
for entry of an order requiring employer to comply with the outstanding award and for
assessment of a twenty percent penalty on all compensation more than 14 days past due.
Claimant’s attorney indicated that if employer disputed its obligation to pay compensation or
penalties, claimant desired an evidentiary determination or entry of an order to show cause.
Employer and carrier responded by filing an employer’s application for hearing form
dated July 8, 2008. That application, completed by the carrier’s attorney, alleged claimant had
returned to light-duty work on August 1, 2004, at her pre-injury average weekly wage. Although
the carrier had earlier terminated claimant’s temporary total disability compensation payments
upon her return to work in 2004, the carrier indicated that in conjunction with filing the 2008
application for hearing, it made a lump sum payment to claimant for temporary total disability at
the rate of $207.28 due under the award for the period from her return to work on August 1,
2004, through July 8, 2006, two years prior to the date on which it completed the application for
hearing form. The application also requested “credit for overpayment of benefits” for that same
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period. The carrier issued claimant a check for $20,551.90, which indicated it was disability
compensation for the relevant time period 1 at the lower rate of $206.68. 2
Claimant’s attorney opposed employer’s application for hearing, alleging, inter alia, that
the check should instead have been for $20,935.28. The commission’s dispute resolution
department determined that the carrier’s application was supported by probable cause and
referred it to the hearing docket. Employer defended on the ground “that the employer was
paying [wages] at or above the comp rate for all days except when the claimant was out of work
and that the payments were therefore not late.” Employer also offered evidence of the temporary
total disability compensation payments the carrier made to claimant in the course of the 2006
show cause proceeding for twelve dates in 2005, and claimant stipulated that employer made
payments to her on February 23, 2006, totaling $354.36. 3 Finally, employer offered wage
evidence showing claimant returned to light-duty employment with it in 2004 and that she had
remained employed by employer since that time, earning more than her pre-injury average
weekly wage every week during that period.
In a written decision dated December 22, 2008, the deputy held as follows:
When the employer filed its application [for hearing] on July 8,
2008, it was required by Rule 1.4(C) to pay benefits through the
alleged date of return to work [on August 1, 2004]. Rule 1.4(E)
[further] provides that no change in condition may be considered
unless filed “within two years from the date compensation was last
paid pursuant to an award.” In an effort to comply with this
section, the employer paid the claimant $20,551.90 for temporary
1
The check indicated it was for compensation through “07/08/08,” but the parties agreed
the date indicated should have been 2006 rather than 2008.
2
Claimant was initially paid temporary total disability compensation at the rate of
$206.68 under a July 18, 2002 award. In 2003, however, the parties agreed that the correct
weekly compensation rate was $207.28, and the commission entered an order to that effect.
3
These payments were erroneously based on the compensation rate of $206.68 rather
than $207.28. See supra footnote 2.
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total disability benefits for the period August 1, 2004 through July
8, 2006. However, the correct amount due the claimant was
$20,936.29. We find that the application is void ab initio.
On that basis, the deputy held claimant was entitled to “the underpayment and penalties.”
The employer and carrier filed a request for review, again alleging that because employer
paid claimant wages in excess of her compensation rate through the date of the hearing, the
application for hearing was not void ab initio. Employer conceded that when it filed its
application for hearing asking to terminate the award, it underpaid the amount of compensation
due to bring its payments under the outstanding award current to within two years of the date of
the filing of the application. 4
On review, a majority of the commission rejected the deputy’s ruling and sided with
employer, holding “employer’s application was valid.” Noting that the employer “erroneously
paid a lesser amount than the owed $20,936.29,” the commission nevertheless concluded
employer’s payment of wages to claimant for light-duty work at a rate equal to or greater than
her pre-injury average weekly wage constituted the payment of compensation under the tolling
provisions of Code § 65.2-708. It reasoned as follows:
[T]he dissent argues that [Code §] 65.2-708(C), the tolling
provision for the two-year statute of limitations . . . in [Code
§] 65.2-708(A)[,] does not apply when an employee is under an
Award. The effect of such a holding would be that [§] 65.2-708(C)
applies to employees but not to employers, since employer’s
applications seek to terminate [existing] awards. If no award
exists, then there would be no basis upon which an employer could
file a change in condition application. Indeed, the Commission
routinely dismisses employer change in condition applications
which are filed when an award is not in place.
4
Employer conceded it owed a total of $20,936.29 for the entire period between August
1, 2004, and July 8, 2006, and made a lump sum payment of only $20,551.90, which would
result in an underpayment of $384.39. In so doing, it may have overlooked the payments of
temporary total disability for various dates in 2005 it made on February 23, 2006. Under either
method of calculation, however, employer’s payment was insufficient to satisfy the
commission’s “strict interpretation of [Rule 1.4’s] provisions,” Specialty Auto Body v. Cook, 14
Va. App. 327, 331, 416 S.E.2d 233, 235 (1992), and employer does not contend otherwise.
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However, if the Virginia General Assembly intended to
preclude employers from invoking [Code §] 65.2-708(C), it could
have done so within the language of the statute. There is simply no
exception specified within the language of [Code §] 65.2-708(C)
that indicates that this provision is inapplicable to change in
condition filings by employers.
Here, the employer paid wages at a rate greater than or
equal to the pre-injury wage to an employee who was physically
unable to return to [her] pre-injury work due to a compensable
injury and who was provided work within [her] capacity. Pursuant
to the plain language of [§] 65.2-708(C), this is all that is required
for the wages to “be considered compensation.”
Accordingly, we terminate the outstanding award effective
July 8, 2006[,] as the employer properly paid compensation in
connection with the filing of its application pursuant to [Code
§] 65.2-708(C). In passing, we note that our decision on this issue
clearly works no hardship on the claimant, as [s]he has, even under
our holding, been overpaid by over $20,000 which the carrier will
not be able to recover by way of a credit or otherwise.
The commission terminated the award as of July 9, 2006, and denied claimant’s request for
penalties and interest.
Commissioner Diamond dissented, agreeing with the deputy’s ruling that employer’s
application was void ab initio. She cited Scott v. Scott, 16 Va. App. 815, 433 S.E.2d 259 (1993),
for the proposition that subsection (C) of Code § 65.2-708 extends the statutory period in
subsection (A) of that statute “‘to prevent employers from lulling partially disabled workers into
a false sense of security during this two year period by providing employees light duty work at
their pre-injury wage for two years and then terminating the employee without liability for future
disability benefits.’” She averred subsection (C) “would only apply if the employee was not
under award for compensation benefits and needed to file a change in condition application to
receive an additional award of compensation” and “does not mean we will now equate wages
[paid to an employee who has returned to work for her employer in a light-duty capacity] as
compensation which was paid pursuant to an award.”
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Commissioner Diamond relied upon the ruling in Genesis Health Ventures, Inc. v. Pugh,
42 Va. App. 297, 591 S.E.2d 706 (2004), in which the injured claimant returned to work for the
pre-injury employer, at which time the employer stopped paying compensation but failed to file
an application for hearing to terminate the disability award until a little over two years later.
Commissioner Diamond noted that the commission’s claims examiner rejected the application as
invalid under Rule 1.4 (tracking the language of Code § 65.2-708(A)); that the commission
affirmed on review; and that the Court of Appeals affirmed the rejection because, quoting Pugh,
42 Va. App. at 299-300, 591 S.E.2d at 707, ‘“the application was not “filed within two years
from the date compensation was last paid pursuant to [the] award” and . . . did not satisfy the
requirement of Rule 1.4(E).’”
Finally, Commissioner Diamond reasoned that “[t]he most logical way to address this
issue is to require the employer to file an application when the employee returns to work and if
the employer does not follow the rules, then the employer must pay the correct amount of
compensation as awarded by the Commission.” She argued that, “[o]therwise, the
[commission’s] Benefits Administration Department will not be able to determine if the
application is technically correct.”
Claimant noted this appeal.
II.
ANALYSIS
Claimant contends the commission erroneously concluded that employer’s application for
hearing was properly docketed, that employer’s payment of wages should be considered the
payment of compensation due pursuant to the outstanding award, and that those payments were
made in a timely fashion such that claimant was not entitled to statutory penalties or interest. For
the reasons that follow, we hold the commission properly concluded it had authority to consider
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employer’s application for hearing but erroneously concluded both that employer had paid all
compensation due under the award and that claimant was not entitled to penalties or interest.
A. APPLICABLE LAW AND RULES
On review on appeal, we must defer to the commission’s findings of fact if supported by
credible evidence in the record. Rusty’s Welding Serv., Inc. v. Gibson, 29 Va. App. 119, 127,
510 S.E.2d 255, 259 (1999) (en banc). “When a challenge is made to the commission’s
construction of its rules, ‘our review is limited to a determination of whether the commission’s
interpretation of its own rule was reasonable.’ We will not set aside the commission’s
interpretation of its rules unless that interpretation is arbitrary and capricious.” Boyd v. People,
Inc., 43 Va. App. 82, 86-87, 596 S.E.2d 100, 102-03 (2004) (quoting Classic Floors, Inc. v. Guy,
9 Va. App. 90, 93, 383 S.E.2d 761, 763 (1989)). As to issues of statutory construction,
[a]lthough “the practical construction given to a statute by public
officials charged with its enforcement is entitled to great weight by
the courts and in doubtful cases will be regarded as decisive,” [S.]
Spring Bed Co. v. State Corp. Comm’n, 205 Va. 272, 275, 136
S.E.2d 900, 902 (1964), “when an issue involves a pure question of
statutory interpretation, that issue does not invoke the agency’s
specialized competence but is a question of law to be decided by
the courts.” Alliance to Save the Mattaponi v. Commonwealth,
270 Va. 423, 442, 621 S.E.2d 78, 88 (2005).
Commonwealth v. Barker, 275 Va. 529, 536, 659 S.E.2d 502, 505 (2008); see Gordon v. Ford
Motor Co., 55 Va. App. 363, 370 n.5, 685 S.E.2d 880, 883 n.5 (2009) (en banc).
Pursuant to Code § 65.2-708(A), “a party may ask the commission to ‘review any award’
of benefits based upon a change of condition.” Gordon, 55 Va. App. at 369, 685 S.E.2d at 883
(quoting Code § 65.2-708(A)). That subsection provides in relevant part as follows:
Upon its own motion or upon the application of any party
in interest, on the ground of a change in condition, the Commission
may review any award and on such review may make an award
ending, diminishing or increasing the compensation previously
awarded, subject to the maximum or minimum provided in this
title . . . . No such review shall affect such award as regards any
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moneys paid except [under certain circumstances not applicable in
the instant case]. No such review shall be made after twenty-four
months from the last day for which compensation was paid,
pursuant to an award under this title, except [under certain
circumstances not applicable in the instant case].
Code § 65.2-708(A). “This section is the only statutory authority for a review on the ground of a
change in condition,” and both the claimant and the insurer or employer derive “the same” rights
“to make such application” “from the same source.” Bristol Door & Lumber Co. v. Hinkle, 157
Va. 474, 477, 161 S.E. 902, 903 (1932) (decided under § 47 of a predecessor version of the
Workers’ Compensation Act, 1918 Va. Acts. ch. 400).
We recently observed that
the twenty-four-month limitation of Code § 65.2-708(A) “is not a
statute of limitations in the ordinary sense. It does not provide that
[a party] has twenty-four months from the date the change in
condition occurred to file.” Rather subsection A provides that the
change in condition must occur within twenty-four months from
the date [for which] compensation was last paid.
Gordon, 55 Va. App. at 369, 685 S.E.2d at 883 (quoting Armstrong Furn. v. Elder, 4 Va. App.
238, 241, 356 S.E.2d 614, 615 (1987) (applying former Code § 65.1-99, now Code
§ 65.2-708(A))). It is also well settled that the time provisions of Code § 65.2-708 are not
jurisdictional and may be waived. Binswanger Glass Co. v. Wallace, 214 Va. 70, 74, 197 S.E.2d
191, 194 (1973) (decided under the predecessor statute, Code § 65.1-99).
As we also have recently observed, “Subsection [(C)] of Code § 65.2-708, in turn,
operates as a tolling provision that extends th[e] limitation [in subsection (A)]. This tolling is
effected by an expanded definition of compensation to include wages paid to a claimant for
light-duty work that are equal to or greater than his pre-injury wages . . . .” Gordon, 55 Va. App.
at 369-70, 685 S.E.2d at 883. As set out in subsection (C),
All wages paid, for a period not exceeding twenty-four
consecutive months, to an employee (i) who is physically unable to
return to his pre-injury work due to a compensable injury and
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(ii) who is provided work within his capacity at a wage equal to or
greater than his pre-injury wage, shall be considered compensation.
Code § 65.2-708(C).
Pursuant to subsection (A) of the statute, the commission has developed Rule 1.4, which
provides in relevant part that if an employer wishes to have a change-in-condition application
docketed and set for hearing, “[c]ompensation shall be paid through the date the application was
filed, unless” “[t]he application alleges the employee returned to work, in which case payment
shall be made to the date of the return.” Rule 1.4(C)(1). 5 In addition, subsection (E) of Rule 1.4,
which tracks the language in the last sentence of Code § 65.2-708(A), provides that “[n]o change
in condition application under § 65.2-708 of the Code of Virginia shall be accepted unless filed
within two years from the date compensation was last paid pursuant to an award.”
B. DOCKETING OF EMPLOYER’S APPLICATION
Neither Code § 65.2-708 nor the related commission rule, Rule 1.4, provides a time
limitation within which an employer must file a change-in-condition application after a claimant
returns to work at or above his pre-injury wage, as it must if it wishes to have the commission
terminate an outstanding award without the claimant’s consent. 6 See May v. Hartz Broadway,
5
In Sargent Electric Co. v. Woodall, 228 Va. 419, 323 S.E.2d 102 (1984), based on
language in the predecessor to present Rule 1.4, the Court, without discussion, interpreted the
rule’s “‘returned to work’” language to mean “returned to work at an average weekly wage equal
to [the employee’s] pre-injury wage.” 228 Va. at 422 n.1, 425, 323 S.E.2d at 103 n.1, 105
(quoting Rule 13 as it existed prior to the amendment effective May 1, 1979) (emphasis added).
The commission gives present Rule 1.4(C)(1) a similar construction. See Odin, Inc. v. Price, 23
Va. App. 66, 70, 474 S.E.2d 162, 163-64 (1996) (noting the commission’s holding that where a
claimant was under an outstanding award of temporary total disability and “returned to work at a
lesser wage” with the employer’s knowledge, the employer was “not entitled to unilaterally
discontinue payment of compensation” and was required to “file an Agreed Statement of Fact
[endorsed by both parties] memorializing the return to work,” along with “a Supplemental
Memorandum of Agreement for the temporary partial disability that was clearly due,” or “an
Employer’s Application for Hearing”).
6
This issue is distinct from the question of how long an employer may wait after
terminating compensation to file the related change-in-condition application. Other than the
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No. 218-80-32 (Va. Workers’ Comp. Comm’n Aug. 22, 2007). Code § 65.2-708(A) provides
instead simply that, subject to certain exceptions not applicable here, “[n]o such review shall be
made after twenty-four months from the last day for which compensation was paid.” Code
§ 65.2-708(A) (emphasis added); see also Rule 1.4(E) (providing in the commission’s rule
relating to employers’ applications for hearing that “[n]o change in condition application under
§ 65.2-708 . . . shall be accepted unless filed within two years from the date compensation was
last paid pursuant to an award”). Construed together, the statute and Rule 1.4 require that where,
as here, a claimant under an outstanding award returns to work earning a wage at or above her
pre-injury wage and the employer unilaterally ceases making payments under the award, if the
employer waits more than two years after the last date for which it paid compensation to request
a hearing to terminate the award, it must pay “compensation” as defined by the Act through a
date no less than two years prior to the date on which it files its application for hearing.
Here, claimant returned to work on August 1, 2004, at which time employer ceased
making compensation payments under the award, and employer filed its application to terminate
two-year restriction in Code § 65.2-708(A), see also Rule 1.4(E), in the case of an employee’s
return to work at or above his pre-injury wage, neither the statute nor the rule explicitly states
how long an employer may wait after terminating compensation to file the related
change-in-condition application. Compare Rule 1.4(C)(1) (providing that upon an employer’s
filing of a change-in-condition application, “[c]ompensation shall be paid through the date the
application was filed, unless . . . 1. [t]he application alleges the employee returned to work, in
which case payment shall be made to the date of the return [to work]” (emphasis added)), with
Rule 1.4(C)(2) (providing that upon an employer’s filing of a change-in-condition “application
alleg[ing] a refusal of selective employment or medical attention or examination, . . . payment
shall be made to the date of the refusal or 14 days before filing, whichever is later” (emphasis
added)), and Rule 1.2(B) (providing that upon an employee’s filing of a change-in-condition
application, “[a]dditional compensation may not be awarded more than 90 days before the filing
of the claim” (emphasis added)). For all types of change-in-condition applications other than an
employer’s application based on a return to work at or above the claimant’s pre-injury wage, the
commission’s rules contain explicit time limitations for when compensation may be terminated
in relation to when the application is filed. See Rules 1.2 & 1.4. We need not consider on these
facts whether some other legal principle might require an employer to file by a date earlier than
“twenty-four months from the last day for which compensation was paid” because claimant has
not advanced such an argument in this case.
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the award on July 8, 2008, almost four years later. Thus, in order to have its application for
hearing docketed, employer was required to pay “compensation” within the meaning of Code
§ 65.2-708 through at least July 8, 2006, the date two years prior to the filing of the application.
The commission concluded that employer’s payment of wages to claimant for light-duty
work at a rate equal to or greater than her pre-injury wage constituted the payment of
“compensation” as defined in Code § 65.2-708(C), thereby satisfying the time provisions of
Code § 65.2-708(A). Under the commission’s reasoning, per subsection (C) of Code § 65.2-708,
employer’s ongoing payment of these wages to claimant beginning on the date of her return to
work on August 1, 2004, tolled the subsection (A) statute of limitations for up to twenty-four
consecutive months, until August 1, 2006. Per subsection (A), employer then had twenty-four
months from August 1, 2006—the date the tolling ceased—to file a timely change-in-condition
application. Thus, employer’s filing on July 8, 2008—just three weeks before the expiration of
the statute of limitations on August 1, 2008—was timely.
Claimant contends, as the dissenting commissioner posited, that subsection (C) applies
only to applications submitted by claimants and not to those submitted by employers. She points
to various appellate decisions commending the commission’s promulgation of its Rule 1.4 “to
police th[e] tendency of employers and insurers to terminate first and litigate later,” Dillard v.
Commission, 416 U.S. 783, 789, 94 S. Ct. 2028, 2032, 40 L. Ed. 2d 540, 547 (1974), quoted with
approval in Speciality Auto Body v. Cook, 14 Va. App. 327, 330-31, 416 S.E.2d 233, 235
(1992). She cites the evolution of the various subsections of Code § 65.2-708 in support of her
argument.
We hold the commission properly interpreted Code § 65.2-708(C) as it applies to toll the
provisions of subsection (A). In our recent decision in Gordon, which involved a claimant’s
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application for hearing, we stated as follows without making any distinction between
applications filed by claimants and those filed by employers and carriers:
Subsection C sets forth a caveat to the operation of the subsection
A statute of limitations by providing that wages, when paid under
the prescribed circumstances, are “considered compensation.” As
a result, the payment of such wages tolls the statute of limitations
in the same manner as the payment of compensation. This caveat,
in turn, is subject to the condition that the wages will cease being
treated as compensation at the point when “a period” of such
payment of wages “exceed[s] twenty-four consecutive months.”
Gordon, 55 Va. App. at 372, 685 S.E.2d at 884 (quoting Code § 65.2-708(C) (emphasis
omitted)).
We see nothing in the language of the statute or its context within the Workers’
Compensation Act (the Act) to indicate subsection (C) applies to extend the statute of limitations
only for change-in-condition applications filed by claimants. “In construing statutes, courts are
charged with ascertaining and giving effect to the intent of the legislature.” Crown Cent.
Petroleum Corp. v. Hill, 254 Va. 88, 91, 488 S.E.2d 345, 346 (1997). “That intention is initially
found in the words of the statute itself, and if those words are clear and unambiguous, we do not
rely on rules of statutory construction or parol evidence, unless a literal application would
produce a meaningless or absurd result.” Id. “[W]here the legislature has used words of a plain
and definite import[,] the courts cannot put upon them a construction which amounts to holding
the legislature did not mean what it has actually expressed.” City of Va. Beach v. ESG Enters.,
243 Va. 149, 152-53, 413 S.E.2d 642, 644 (1992). Although the Act is “highly remedial” and
should “be liberally construed [in favor of claimants] to advance its purpose . . . [of
compensating employees] for accidental injuries resulting from the hazards of the employment,”
Henderson v. Cent. Tel. Co., 233 Va. 377, 382, 355 S.E.2d 596, 599 (1987), “‘statutory
construction may not be used to extend the rights created by the Act beyond the limitations and
purposes set out therein,’” Corp. Res. Mgmt. v. Southers, 51 Va. App. 118, 126, 655 S.E.2d 34,
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38 (2008) (en banc) (quoting Garcia v. Mantech Int’l Corp., 2 Va. App. 749, 754, 347 S.E.2d
548, 551 (1986)).
Subsection (C) provides simply that “all wages paid . . . to an employee [that meet certain
requirements] shall be considered compensation.” This subsection provides no language
indicating it applies only to claimants’ applications for hearing or only when no compensation
award is then in effect. Cf. Hinkle, 157 Va. at 477, 161 S.E. at 903 (holding that subsection
(A)’s predecessor statute provides claimants and employers with “the same” rights upon the
occurrence of a change in condition). “Had the legislature intended a different result, it could
easily have used different language.” Scott, 16 Va. App. at 819, 433 S.E.2d at 262.
We also see nothing in the history of the evolution of the statute contravening its
language and compelling the conclusion that subsection (C) does not apply to the determination
of whether an employer’s application for hearing was timely filed. 7 Claimant points to our
decisions in Greene v. Gwaltney of Smithfield, Inc., 13 Va. App. 486, 413 S.E.2d 650 (1992),
and Scott, 16 Va. App. 815, 433 S.E.2d 259, for the proposition that the legislature’s sole
purpose in enacting Code § 65.1-55.1, the predecessor to Code § 65.2-708(C), was to benefit
claimants by “‘prevent[ing] possible abuse by employers of the two year limitation period
[previously] set forth in Code § 65.1-99 [and now codified in § 65.2-708(A)].’” Scott, 16
Va. App. at 819, 433 S.E.2d at 262.
It is true we held in Greene, 13 Va. App. at 492, 413 S.E.2d at 654, that the legislature, in
enacting Code § 65.1-55.1, “recognized the problem identified by Greene”–the need “to prevent
employers from lulling partially disabled workers into a false sense of security during this two
year period by providing employees light duty work at their pre-injury wage for two years and
then terminating the employee without liability for future disability benefits,” Scott, 16 Va. App.
7
See infra Part II(C) for a more detailed analysis of the evolution of this statute.
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at 819, 433 S.E.2d at 262 (relying on Greene and stating in another context that “[the] statute was
designed to prevent possible abuses by employers of the two year limitation period set forth in
Code § 65.1-99”). Further, settled principles provide that “a statute should, if possible, be given
a reasonable construction which will effect rather than defeat a legislative purpose evident from
the history of the legislation.” Ambrogi v. Koontz, 224 Va. 381, 389, 297 S.E.2d 660, 664
(1982). Here, the statute accomplishes the purpose of protecting claimants regardless of whether
it also applies to applications submitted by employers. We did not hold in Greene or Scott that
the legislature’s only purpose in enacting the predecessor to subsection (C) of Code § 65.2-708
was to protect claimant employees. In short, the language of the statute prevails, and if the
legislature had intended for Code § 65.2-708(C) to apply only to claimants’ change-in-condition
applications, it could have said so.
Of course, to the extent Rule 1.4’s purpose of “policing th[e] tendency of employers and
insurers to terminate first and litigate later” to the detriment of the claimant might conflict with
the tolling provisions of Code § 65.2-708(C), the statute’s provisions would control. See Ashby
v. Ramar Coal Co., 47 Va. App. 8, 13, 622 S.E.2d 230, 232-33 (2005) (noting the commission
lacks power to make rules that are inconsistent with the Act and that in the case of a conflict,
“the statute must prevail”). In any event, we detect no conflict. To the contrary, we conclude the
tolling provision of Code § 65.2-708(C) ensures that injured employees are not deprived of the
financial resources to which they are entitled under the Act (disability compensation or
pre-injury wages) while simultaneously providing that, where an employee is working in
light-duty employment provided by the employer and earning at least his pre-injury average
weekly wage, the employer and carrier may have the commission docket an application
requesting the termination or adjustment of the outstanding award without being required to pay,
in addition to the claimant’s wages, compensation it may never be able to recoup. However, the
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issue of the docketing of the employer’s application for hearing is separate and distinct from the
issue of whether the employer and carrier may subsequently be found to owe additional
compensation and penalties under the ongoing award.
Employers will comply with the Act by paying compensation when due under an award
and seek immediate adjustment of an award when circumstances change that may justify
reduction or termination. An employer who fails promptly to request such action does so at its
peril. However, Code § 65.2-708 provides an employer is entitled to file its application for
hearing without bringing its compensation payments current to closer than two years to the date
of filing. 8
C. CLAIM FOR ADDITIONAL COMPENSATION AND PENALTIES
Claimant contends further, however, that the commission erroneously extended
subsection (C)’s statement that the wages of specified employees “shall be considered
compensation” under certain circumstances beyond the confines of Code § 65.2-708 to other
portions of the Act involving calculation of the amount of compensation and penalties to which
she was entitled under the outstanding award. After holding that the wages employer paid would
“be considered compensation” “[p]ursuant to the plain language of [Code §] 65.2-708(C),” the
commission concluded without further explanation that termination of the award effective July 8,
2006, two years prior to the date on which employer filed its application for hearing, was
8
Our decision in Pugh, 42 Va. App. 297, 591 S.E.2d 706, relied upon by claimant and the
dissenting commissioner, does not require the reversal of the commission’s decision to docket
employer’s application for hearing. Pugh involved a claimant who was paid wages upon return
to his full pre-injury employment, see Pugh v. Genesis Health Ventures, Inc., No. 202-16-56 (Va.
Workers’ Comp. Comm’n Jan. 23, 2003), whereas Code § 65.2-708(C)’s expanded definition of
wages expressly applies only where the claimant is “physically unable to return to his pre-injury
work due to a compensable injury” and is “provided work within his capacity at a wage equal to
or greater than his pre-injury wage,” see Nguyen v. Fairfax County Bd. of Sup’rs., 26 Va. App.
100, 103, 493 S.E.2d 391, 392 (1997). Thus, our decision in Pugh does not compel the rejection
of employer’s application for hearing.
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appropriate because “the employer properly paid compensation in connection with the filing of
its application.” The commission made no mention of the penalties and interest claimant had
requested and observed that its decision to terminate benefits without awarding any additional
payments “clearly works no hardship on the claimant, as [s]he has, even under our holding, been
overpaid by over $20,000 which the carrier will not be able to recover by way of a credit or
otherwise.” The commission, which had already found that employer did not pay temporary
total disability benefits in the amount due through July 8, 2006, therefore implicitly held that
wages “considered compensation” for purposes of Code § 65.2-708(C) would also be
“considered [timely-paid] compensation” for purposes of the outstanding award. Based on the
above principles of statutory construction and the legislative history surrounding Code
§ 65.2-708(C), we agree that the commission’s holding on this issue in this case was erroneous 9
and that claimant is entitled to unpaid compensation and penalties for late payment.
The language in present Code § 65.2-708 comprises what was once two separate code
sections, §§ 65.1-99 and -55.1. Code § 65.1-99, the predecessor to subsection (A) of Code
§ 65.2-708, provided the time limitation for filing a change-in-condition application. That statute
originally allowed the commission to review an award based on a change in condition “at any
time,” see 1918 Va. Acts. ch. 400, and evolved into the present limit of twenty-four months, see
1977 Va. Acts ch. 380. In 1989, the legislature enacted former Code § 65.1-55.1, the substance
of which is presently codified in subsection (C) of Code § 65.2-708. See 1989 Va. Acts ch. 552.
As already discussed, that enactment was based in some part upon the concern that
9
We note that, on a prior occasion, the commission reached what we hold today to be the
correct conclusion. See Peak v. McNew, No. 158-56-32 (Va. Workers’ Comp. Comm’n June 23,
1994) (“We now consider payment of regular wages to a partially impaired worker to be
‘compensation’ for the purposes of filing change in condition applications . . . because of a
recent specific statutory change extending the definition for that very limited purpose.” (citing
Code § 65.2-708) (emphasis added)).
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unless wages paid in lieu of compensation are treated as
compensation benefits paid under an award, employers will be able
to deprive employees of their full compensation benefits merely by
providing them light-duty employment at their pre-injury wage, in
lieu of paying workers’ compensation benefits, and then
terminating employees with impunity as soon as the period of
limitation provided in Code § 65.1-99 [for filing a change in
condition application] had expired.
Greene, 13 Va. App. at 492, 413 S.E.2d at 654. As enacted in 1989, former Code § 65.1-55.1
provided as follows:
All wages paid, for a period not exceeding twenty-four consecutive
months, to an employee (i) who is physically unable to return to
his pre-injury work due to a compensable injury and (ii) who is
provided work within his capacity at a wage equal to or greater
than his pre-injury wage shall, for the sole purposes of Code
§ 65.1-99, be considered compensation.
1989 Va. Acts ch. 552 (emphasis added). Thus, as originally enacted, former Code § 65.1-55.1
expressly provided that its statement of what type of wages shall “be considered compensation”
applied only to determining whether a change-in-condition application under former Code
§ 65.1-99, now Code § 65.2-708(A), had been timely filed and did not apply to calculating the
amount of compensation ultimately due under the award. See Rose v. Red’s Hitch & Trailer
Serv., Inc., 11 Va. App. 55, 59, 396 S.E.2d 392, 394 (1990).
When the legislature recodified Title 65.1 in 1991, it combined the provisions of former
Code § 65.1-99 and § 65.1-55.1 in the same statute, present Code § 65.2-708. See 1991 Va. Acts
ch. 355. Under settled principles, we presume “that a recodified statute does not make
substantive changes in the former statute unless a contrary intent plainly appears in the recodified
statute.” Waldrop v. Commonwealth, 255 Va. 210, 214, 495 S.E.2d 822, 825 (1998). Applying
these principles in this case, we presume that when the legislature combined these two statutes
and eliminated the language indicating the definition of “wages” to be “considered
compensation” applied only to applications for change in condition, the legislature did not intend
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to expand that definition of wages to other parts of the Act. Rather, we presume it intended no
change in the application of the definition and eliminated the phrase, “for the sole purpose of
Code § 65.1-99,” simply because, due to the consolidation of those provisions in a single statute,
that limitation was obvious and no longer required to be expressly stated. See Introduction to
Report of the Virginia Code Commission on the Recodification of Title 65.1 of the Code of
Virginia (1991) (indicating that many of the revisions were to “combin[e] [sections] that, while
topically related, were scattered throughout the title” and that “[d]rafting notes highlighting
significant changes . . . are provided throughout”); id. at 21 (including a drafting note indicating
that “[t]he provisions of [Code § 65.1-55.1] are incorporated into proposed § 65.2-708” and
making no mention of an intent to change the meaning of the provision by removing the
language limiting application of the “considered compensation” language); id. at 36-37
(including a drafting note indicating that due to the interrelationship of the subjects, Ҥ 65.1-55.1
is moved here to subsection C [of § 65.2-708]” and again making no mention of an intention to
change the meaning of former § 65.1-55.1 in doing so). Although we have not expressly
addressed this issue, our prior case decisions support this analysis. See Gordon, 55 Va. App. at
369-70, 685 S.E.2d at 883 (observing that “[s]ubsection [(C)] of Code § 65.2-708 . . . operates as
a tolling provision that extends th[e] limitation [in subsection (A)]” (emphasis added)); Augusta
County Sch. Bd. v. Humphreys, 53 Va. App. 355, 364 n.7, 672 S.E.2d 117, 121 n.7 (2009)
(holding that “[f]or purposes of tolling the statute of limitations on a change-in-condition
application, [Code § 65.2-708(C)] mandates [that all wages meeting certain criteria shall be
considered compensation]” (emphasis added)). Thus, we hold that by crediting employer for
wages paid to claimant following her return to work on August 1, 2004, as against the temporary
total disability compensation required to be paid under the outstanding award for purposes of
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satisfying that award, the commission erroneously concluded that employer had paid all
compensation in a timely fashion and that no additional compensation or penalties were due.
Further, contrary to the arguments advanced by employer, Virginia’s prior appellate
decisions make clear in similar contexts that an employer who fails to comply with an
outstanding award is not entitled to be excused from paying past due benefits and penalties
simply because the claimant returned to work at a wage equal to or greater than his pre-injury
wage. As the Supreme Court held in Washington v. United Parcel Service of America, 267 Va.
539, 593 S.E.2d 229 (2004),
the relevant statutes do not give an employer or carrier the
unilateral right to cease paying compensation benefits to a disabled
employee under an outstanding award, when that employee returns
to work and the employer or carrier does not file an application
[for hearing] or [a termination of wage loss award form] 10 along
with a supplemental [agreement to pay benefits form]. 11
Id. at 545, 593 S.E.2d at 232 (footnotes added).
We applied this holding in The Washington Post v. Fox, 49 Va. App. 692, 644 S.E.2d
105 (2007). In Fox, the claimant, who was receiving temporary disability benefits pursuant to an
award, returned to work with the employer in a full-duty capacity at a wage equal to or greater
than his pre-injury wage, and the employer unilaterally ceased paying benefits “without filing the
appropriate paperwork with the commission.” Id. at 694-95, 644 S.E.2d at 106. Twice prior to
the employer’s unilateral cessation of payments, the commission sent the employer’s adjuster its
standard letter stating as follows: “Our records indicate an outstanding award in this case. The
Commission assumes that payments are continuing pursuant to the award. If payments have
10
The commission has replaced the agreed statement of fact form with the termination of
wage loss award form. See Carter v. Denny’s, No. 179-91-88 (Va. Workers’ Comp. Comm’n
Dec. 8, 2000).
11
The commission has replaced the memorandum of agreement form with the agreement
to pay benefits form. See Southers, 51 Va. App. at 129 n.4, 655 S.E.2d at 39 n.4.
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ceased, an executed [Termination of Wage Loss Award form] or an Employer’s Application for
Hearing must be filed to end the award.” Id. at 695, 644 S.E.2d at 106. Between 1996 and 2003,
after the employer’s unilateral cessation of payments, the commission sent the employer’s
insurance adjusting service an additional seven letters containing the same or similar
information, but employer’s adjuster failed to file the forms necessary to have the award
terminated. Id. at 695-96, 644 S.E.2d at 106-07. The award terminated by operation of law upon
the passage of 500 weeks during which the award was outstanding. Id. at 696, 644 S.E.2d at
107. Thereafter, the claimant filed an application alleging the employer had underpaid him
because it had ceased making temporary partial disability payments when the claimant ceased to
experience a wage loss in 1996, even though the award remained outstanding for several more
years. Id. The claimant also sought interest and a 20% penalty. Id. at 698, 644 S.E.2d at 107.
The deputy “declined to award back benefits and assess interest and a penalty,” finding
that to do so “would unjustly enrich [the] claimant.” Id. at 698, 644 S.E.2d at 108. The
commission ruled the Supreme Court’s holding in Washington dictated a contrary result, and we
agreed. Fox, 49 Va. App. at 698-99, 703, 644 S.E.2d at 108, 110. We also relied on language in
Uninsured Employer’s Fund v. Peters, 43 Va. App. 731, 601 S.E.2d 687 (2004), that the
claimant’s right to compensation due under the open award had vested, and we held
no legal authority supports [the] employer’s argument that, under
the facts of this case, it should be excused from the consequences
of its decision to unilaterally stop paying [the] claimant
compensation benefits due under the March 19, 1993[,]
outstanding award, when he returned to work with employer in
April 1996, without filing the appropriate paperwork or an
employer’s application with the commission to terminate that
award.
Fox, 49 Va. App. at 700, 644 S.E.2d at 109. We cited the commission’s repeated notifications to
the employer that the award remained outstanding and the employer’s repeated failure to take
appropriate action. Id.
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Similarly, here, although the commission notified employer the award had not been
properly terminated and employer attempted to submit the paperwork necessary to terminate the
award in the fall of 2004, the commission notified employer it had failed to submit certain
additional paperwork that was required to process the termination request. Employer failed to
act in response to that notice, and the commission notified employer on two additional occasions
during 2005 that the award remained outstanding and that it assumed payments under the award
were ongoing. On one of those occasions in 2005, the commission included an itemized list of
the additional documents employer needed to submit in order to have the award terminated, but
by late 2005, employer still had failed to comply.
In 2006, claimant, by counsel, notified the commission that employer was not paying her
pursuant to the outstanding award and sought employer’s full compliance and an award of
penalties. The commission issued a show cause order, and employer responded by paying
compensation for only twelve days of disability rather than the 18 months of disability
compensation then due pursuant to the ongoing award. The deputy dismissed the show cause,
but the commission again immediately sent employer its standard letter indicating the award
remained outstanding and that it assumed payments under the award were continuing. In May
2006, claimant forwarded employer a signed supplemental agreement to pay benefits form
covering one of the periods for which the commission had requested additional paperwork, but
employer apparently took no action with respect to that form.
In 2007, the commission yet again sent the carrier its standard letter indicating the award
remained outstanding, but again employer took no action in response to that letter. In 2008,
claimant renewed her request for entry of an order requiring employer to pay past due
compensation and penalties, and claimant indicated that if employer disputed its obligation to
pay compensation or penalties, she desired an evidentiary hearing or entry of an order to show
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cause. The commission issued a second show cause order, and by submission dated July 8,
2008, employer finally requested a hearing seeking to terminate the award.
We hold the facts of this case are legally indistinguishable from Washington, Fox, and
Peters. Although employer submitted some of the forms required for termination, the
commission promptly notified employer it required certain additional forms in order to terminate
the ongoing award. Thereafter, despite repeated notifications like in Fox, employer took no
action whatever to seek termination of the open award for a period of more than three years. On
these facts, we hold the commission erred in failing to order payment of the remaining past due
compensation and penalties pursuant to Code § 65.2-524.
D. CLAIM FOR INTEREST
Claimant also requests payment of interest pursuant to Code § 65.2-707. That code
section provides that “[t]o the extent any payment due under an award is delayed beyond its due
date by reason of an appeal to the full Commission or an appellate court, payments so delayed
shall bear interest at the judgment rate as provided in § 6.1-330.54.” Code § 65.2-707 (emphases
added). Thus, on remand, the commission should determine how much compensation remains
“due [to claimant] under [the] award” within the meaning of Code § 65.2-707. Because penalties
are paid pursuant to Code § 65.2-524, they are not “payment[s] due under an award,” Code
§ 65.2-707, and thus, claimant is not entitled to interest on those sums. 12
III.
For these reasons, we hold the record supports the commission’s conclusion that
employer’s hearing application was properly docketed. We also hold the commission erred in
12
Although the commission’s decisions in other cases, like our own memorandum
opinions, are not binding on us, the commission reached this same conclusion in Kelley v.
Midway Trucking, Inc., No. 197-69-19 (Va. Workers’ Comp. Comm’n Apr. 23, 2001), aff’d per
curiam, No. 2597-03-3 (Va. Ct. App. Feb. 17, 2004).
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concluding that the wages employer paid claimant constituted compensation for purposes of
determining whether all compensation due under the award had been paid and whether employer
and carrier owed penalties and interest. Finally, we conclude the commission erred in not
awarding (a) penalties on all late paid compensation and (b) interest on compensation remaining
due during the pendency of the appeal. Thus, we affirm in part, reverse in part, and remand for
further proceedings consistent with this opinion.
Affirmed in part,
reversed in part,
and remanded.
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