State Ex Rel. Oberlin v. Industrial Commission

This is an appeal from the granting of a writ of mandamus against the Industrial Commission on an occupational disease claim. A careful statement of the facts is important to the issues raised.

Appellee-claimant filed a claim based on alleged mercury poisoning arising from her employment between November 1949 and May 1952. The claim was filed January 9, 1956. The regional board reversed the order of the administrator, and on August 21, 1956, entered an order allowing the claim. The employer appealed to the commission, and on December 31, 1956, the commission entered an order denying the appeal. On January 8, 1957, the employer filed a motion. In this motion, the employer stated "that in view of the excellence of the medical proof which was submitted" and that there was no right to a *Page 136 court review, it felt it should have a special hearing. The motion requested that the matter be referred to the commission "for special hearing on the employer's application for reconsideration." It requested further that the claim be referred to a medical advisory board. The motion stated further that it was submitted on the "proof of record." The attorney-examiner's report on the motion refers to it as a "motion for hearing on denial of claim."

On March 25, 1957, the commission entered an order referring the matter to a medical advisory board "for consideration of the medical issues in the claim," and ordered that the employer's motion of January 8 be granted to that extent. On May 1, the medical board reported that there seemed to be some evidence of exposure to and symptoms of mercury poisoning, but that no definite diagnosis was available. It recommended:

(1) An examination by an internist.

(2) Requested a Dr. Hann to furnish information on the "original disability," and

(3) The obtaining of any additional health records from the employer.

The file was referred to an internist, but, without examining the claimant, he reported that it would be futile for him to attempt to diagnose mercury poisoning at that time. No further report from Dr. Hann appears in the record (other than the one already in the record before the commission at the time the appeal was denied on December 31, 1956). The employer reported it had no further information. The medical board then made a second recommendation that the "claim be disallowed."

There is an attorney-examiner's report to the commission reviewing the case since the second medical board recommendation. Interestingly enough, the examiner's report now referred to the employer's motion as "further consideration of appeal by the employer." The examiner recommended that "the appeal" be granted and the claim disallowed. On March 27, 1958, the commission revoked its order of December 31, 1956, revoked the regional board's order allowing the claim, granted the "appeal," and disallowed the claim.

The various labels which were attached to the employer's motion are reminiscent of a "bootstrap" adage. An order denying an appeal by the employer is a substantive order. The *Page 137 commission's power to modify or vacate it is controlled by its own rules, the statutes, and general doctrines of law. The osmosis by which a motion for a hearing on an appeal which no longer exists can become a "further consideration" of a nonexistent appeal obviously does not add to the commission's authority to act.

The applicable commission rule is Rule 24. Under its provisions, if a claim is disallowed or compensation denied, aclaimant may file for rehearing within thirty days. Aclaimant may also request a review by a medical board. No such rights are granted an employer. An employer may obtain reconsideration, review, or modification of orders of a board ofclaims, but not of commission orders. The employer's motion of January 8, 1957, did not, under the commission's rules, provide any basis for the action taken on March 25, 1957, or March 27, 1958.

Authority for the commission's actions must rest on Section4123.52, Revised Code (formerly Section 1465-86, General Code). See State, ex rel. Timken Roller Bearing Co., v. IndustrialCommission (1939), 136 Ohio St. 148. The pertinent portion of that section reads:

"The jurisdiction of the Industrial Commission over each case shall be continuing, and the commission may make such modification or change with respect to former findings or orders with respect thereto, as, in its opinion is justified. No such modification or change nor any finding or award in respect of any claim shall be made with respect to disability, compensation, dependency, or benefits, after ten years from the last payment theretofore made of compensation or benefits awarded on account of injury or death, or ten years after the injury in cases in which no compensation ever has been awarded and the commission shall not make any such modification, change, finding, or award which shall award compensation for a back period in excess of two years prior to the date of filing application therefor."

It would seem apparent that that statute must be read in the context of the entire act and of the Anglo-American legal system. It has been so interpreted repeatedly. The leading case is probably State, ex rel. Griffey, v. Industrial Commission (1932), 125 Ohio St. 27. The syllabus states:

"1. The continuing jurisdiction of the Industrial Commission, *Page 138 under authority of Section 1465-86, General Code, applies only to new and changed conditions occurring after an original award.

"2. An application for modification of an award can be made at any time, upon a showing of new and changed conditions after an original award, but if employed as an application for a rehearing upon an order of the commission, must be made within the time limited for such application for rehearing, viz., within thirty days after the date of the entry of such order."

In its opinion, discussing the statute, the court stated:

"This enactment could not have been intended to take away all finality to the orders and findings of the commission. Such an interpretation would render an application for rehearing a vain thing.

"An application for modification of an award cannot be made the occasion of a complete review of a claim, with the introduction of additional evidence, to determine whether the commission was in error in making the original award. * * * The `modification or change' under the continuing jurisdiction given by Section 1465-86, General Code, necessarily relates tomodified and changed conditions occurring after the originalaward. It should not under any circumstances be employed as an attempt to introduce additional evidence of facts which had previously been presented to, and passed upon by, the commission." (Emphasis added.)

Additional background information can be obtained inClendenen v. Industrial Commission (1942), 140 Ohio St. 414.

If, after any final order of the commission, the claimant's physical condition, as it existed at the time of the order, should change, that new condition can be considered under the statute. See, for example, State, ex rel. Weinberger, v.Industrial Commission (1941), 139 Ohio St. 92. New evidence of the physical condition at the time of the order is not, under the Griffey case, a ground for modification or vacation. We are not concerned on the record in this case with the authority of the commission to act where there is a showing of fraud or imposition. See State, ex rel. Kilgore, v. IndustrialCommission (1930), 123 Ohio St. 164.

The case of State, ex rel. New Idea, Inc., v. Blake et al.,Industrial Commission (1945), 145 Ohio St. 209, appeared to *Page 139 raise some question of the authority of the commission to act on the basis of mere new evidence of a previously determined fact without a change in condition. In that case, the claimant, after an initial award, filed for additional compensation. It seems clear from the facts in the report that he allegedly contracted a new condition which did not exist at the time of the original award. That application was, therefore, clearly within theGriffey case. However, an order dismissing the additional claim became final on May 14, 1941. In August of 1941, the claimant asked for further consideration. At this point, the facts before the Supreme Court are unclear. The order of the commission recited that it had "other proof" on file of a condition known as "Parkinsonionism." But, it is impossible to tell whether this was the condition relied upon in the application for additional compensation or whether the commission found that this was a condition which arose after the final order of May 14, 1941. If the former be assumed, then the New Idea case represented a very substantial broadening of the Griffey case doctrine. If the latter be assumed, the case is a common-place application of that doctrine.

The case of State v. Ohio Stove Co. (1950), 154 Ohio St. 27, clarifies the question raised by the New Idea case. In theOhio Stove case there was an application for an additional award based on violation of a safety requirement. An order denying the additional award became final on January 6, 1939. On March 7, 1939, the claimant filed for "reconsideration," and on December 18, 1940, the commission vacated the earlier orders and granted an award. The stipulated facts state that this was "without the submission of new and additional proof and without the submission of any additional testimony or evidence."

It must be noted that on the facts there was not only a failure to show a changed condition, but a failure to submit new evidence as well. Thus the Ohio Stove case cannot be considered as a holding on the power of the commission where only new evidence of a previously-determined fact is submitted. However, the careful analysis in the opinion and the unequivocable syllabus supports the interpretation that the New Idea case was not intended as a departure from the Griffey case. Paragraph three of the syllabus states:

"Under Section 1465-86, General Code, the continuing jurisdiction *Page 140 of the Industrial Commission applies only to new and changed conditions subsequent to an original award, and does not extend to a review of such original award or its order denying such award, after it has become final, by a reconsideration only of the evidence on which the original order was made and without any evidence of new or changed conditions * * *." (Emphasis added.)

In his opinion, Judge Matthias quoted from and reaffirmed the syllabus of the Griffey case. He quoted from the opinion in theGriffey case where that court emphatically stated that the statute "should not under any circumstances be employed as an attempt to introduce additional evidence of facts which had previously been presented to, and passed upon by, the commission." He further specifically disapproved State, ex rel.Moore, v. Industrial Commission (1935), 129 Ohio St. 195, insofar as it indicated a power to vacate an award without new and changed conditions subsequent to the original award. Finally, the judge discussed the New Idea case, pointing out that that case merely made it clear that there was no limitation (other than the ten-year period) "with respect to new developments and changes in the physical condition of an injured employee," and stated that new and changed conditions were present in the New Idea case.

A more recent case is that of State, ex rel. S. S. KresgeCo., v. Industrial Commission (1952), 157 Ohio St. 62. As with the New Idea case, the difficulty is in the facts rather than the holding. After the original award, the claimant filed for additional compensation. It is apparent that she alleged a change in her physical condition arising subsequent to the original award. The commission denied the application, denied reconsideration, and then "dismissed" the application for rehearing. However, in the order of dismissal, the commissionalso referred the claimant to a psychiatrist for examination and opinion "as to the nature and extent of the claimant's disability and its probable relation to the injury." The commission, by its subsequent actions, indicated that it was considering the granting of an award, and the employer brought a prohibition action. The writ was refused.

If the order of "dismissal" be considered as final, it is difficult to understand the holding. It does not appear that the *Page 141 claimant was alleging another change in her physical condition arising after the "dismissal" order. The medical report would seem clearly to be new evidence of the existence of the first alleged change. Under the Griffey and Ohio Stove cases, such new evidence on a previously-determined fact is insufficient to authorize modification of a final order.

However, if this peculiar "dismissal" order be considered, as in legal effect, a continuance of the hearing on the application for rehearing (with a referral for additional evidence), then it is not a final order. The power to act could then be based on the change in the physical condition which was alleged in the application for further compensation. We believe that the Kresgecase must be so interpreted. To hold otherwise would (as pointed out in the Griffey case) mean that innumerable applications for further compensation, all based on the same alleged change in physical condition, can be filed during the ten-year period. A determination that a particular alleged change did not exist, or was not related to the original injuries, would not be capable of finality until the ten years had expired.

It might be noted that the same statute on continuing jurisdiction applies to cases involving further compensation, occupational disease, and safety requirements. We do not believe the Supreme Court intended to create different interpretations of the statute depending on the type of case.

In the present case, the employer did not allege any change of condition, nor is it easy to conceive how there could be a change of condition where the issue was, as here, the existence of the original injury and its relation to employment. Nor did the employer submit additional evidence on the original injury. The motion is clearly a request for a hearing on the determination of the existence of the original injury based on the record available on the appeal, and which appeal had already been denied. The only new matters before the commission after December 31, 1956, were the reports of the internist and the medical board, neither of which the employer had a right to under Rule 24. Both of these are expressions of opinion which reflect on the sufficiency of the proof offered to support the original claim. They do not in any sense purport to rest on a changed condition arising subsequent to the order of December 31, 1956. It is very dubious whether they can even be considered as "new evidence" *Page 142 of the existence of the original injury. The record on the appeal contained statements by two medical experts of the employer. These statements expressed essentially the same medical opinion as that of the internist, i. e., that in 1956 and 1957positive diagnosis of mercury poisoning was chemically impossible. This is also the position of the medical board report. Thus, the new matters were merely cumulative of evidence already in the record.

It might be commented here that if the history of this particular employer's operation, and of the poisoning of fellow employees, be considered, an inference on the existence of the disease and its probably causal relation might be made, even without a positive medical diagnosis.

The order of December 31, 1956, was final. The commission lacked jurisdiction to refer the matter to the medical board under its order of March 25, 1958, and to make the order of March 27, 1958.

The judgment of the Common Pleas Court is, therefore, affirmed.

Judgment affirmed.

BRYANT and DUFFY, JJ., concur. *Page 143