November 12 2009
DA 09-0037
IN THE SUPREME COURT OF THE STATE OF MONTANA
2009 MT 386
LIBERTY NORTHWEST INSURANCE CORPORATION ,
Petitioner and Appellant,
v.
MONTANA STATE FUND,
Respondent and Appellee,
IN RE: CLAIM OF GARY MITCHELL,
Claimant/Intervenor and Appellee.
APPEAL FROM: Montana Workers’ Compensation Court, WCC No. 2007-1827
Honorable James Jeremiah Shea, Presiding Judge
COUNSEL OF RECORD:
For Appellant:
Larry W. Jones, Law Offices of Larry W. Jones, Missoula, Montana
For Appellee Montana State Fund:
Daniel B. McGregor, Montana State Fund, Helena, Montana
For Intervenor and Appellee Gary Mitchell:
Steven S. Carey, David T. Lighthall, Carey Law Firm, P.C.,
Missoula, Montana
Submitted on Briefs: August 5, 2009
Decided: November 12, 2009
Filed:
__________________________________________
Clerk
Justice Patricia O. Cotter delivered the Opinion of the Court.
¶1 Liberty Northwest Insurance Corporation (Liberty) appeals from a decision of the
Workers’ Compensation Court (WCC) finding it liable for the low-back condition of
Gary Mitchell (Mitchell). We affirm.
FACTUAL AND PROCEDURAL BACKGROUND
¶2 On September 2, 1994, Mitchell suffered an industrial injury to his low back in the
course of his employment with Washington Construction Company in Missoula,
Montana. Montana State Fund (State Fund) accepted liability for Mitchell’s industrial
injury and paid appropriate medical and wage-loss benefits. On or about January 6,
2006, Mitchell filed a claim with Liberty, alleging that he had suffered an occupational
disease (OD) involving his low back while working for Industrial Services, Inc.
(Industrial), of Missoula. Industrial was enrolled in Compensation Plan No. 2 of the
Workers’ Compensation Act (Act) at the time of the alleged injury and was insured by
Liberty. Liberty denied liability for Mitchell’s claim on February 6 and March 29, 2006.
¶3 In May 2006, Mitchell filed a claim with State Fund alleging he had suffered an
OD to his low back in 2002 while employed with Environmental Contractors, LLC
(Environmental), in Missoula. At the time of the alleged OD exposure, Environmental
was enrolled under Compensation Plan No. 3 of the Act and insured by State Fund. State
Fund denied liability as well. Both Liberty and State Fund then continued to deny
liability for Mitchell’s claim, although Liberty paid benefits to Mitchell under a
reservation of rights in accordance with Belton v. Carlson Transp., 202 Mont. 384, 658
2
P.2d 405 (1983), superseded by statute on other grounds as recognized in In Re Abfalder,
2003 MT 180, ¶ 14, 316 Mont. 415, 75 P.3d 1246.
¶4 After the denial of his claims, Mitchell filed a claim with the WCC. Mitchell
contended that he suffered an OD while working for Industrial and that Liberty was
responsible for his workers’ compensation claim. The WCC held a trial on July 29, 2008.
The WCC received testimony from Mitchell and found him to be a credible witness. The
WCC also received sworn statements, depositions, and medical evidence from two
doctors who examined Mitchell, Dr. John C. Schumpert (Dr. Schumpert) and Dr. Randale
C. Sechrest (Dr. Sechrest).
¶5 Mitchell has worked in heavy labor employment his entire life, starting with the
logging industry in his teens. Mitchell also worked as a general laborer for several years
before becoming an asbestos abatement worker. Mitchell performed abatement work
from 1996 through 2005. In 2002, Mitchell worked for Environmental on a job in
Virginia. The work involved standing and stooping in awkward positions while applying
a liner to the top of a tank. Mitchell’s back pain worsened in 2002 and he never
recovered to pre-2002 levels. However, he did continue to work.
¶6 Mitchell worked as a laborer for Industrial from August 10, 2005, to October 11,
2005. He did not miss a day of work during this time, and worked on a suspension bridge
project in Missoula. Mitchell carried lumber, performed concrete work, repaired fences,
and performed security duties. Mitchell later testified to the WCC that his back condition
worsened during the time he was employed by Industrial from August to October 2005,
and he was subsequently unable to work.
3
¶7 Dr. Schumpert performed an independent medical examination (IME) on Mitchell
at Liberty’s request on February 27, 2006. In his report, Dr. Schumpert concluded that
Mitchell’s employment with Industrial was not the major contributing cause of Mitchell’s
low-back condition, but that it was instead attributable to accumulation over 30 years of
heavy labor. The objective medical findings upon which Dr. Schumpert based this
conclusion included tenderness to palpation over the right posterior and superior iliac
spine, right para-lumbar muscles, right gluteal muscles, and spinous processes. Dr.
Schumpert also concluded that Mitchell showed evidence of mild-to-moderate loss of
range of motion and had a positive Patrick’s test on the right with cramping in the gluteal
muscles. Dr. Schumpert testified he could “theoretically” assign at least 1% causation of
Mitchell’s low back to his work at Industrial from August to October of 2005, because he
performed heavy-labor job duties. However, Dr. Schumpert could not state to a
reasonable degree of medical certainty the exact percentage of causation to assign to
Mitchell’s employment at Industrial, and further opined that it would be difficult to say
which portion of Mitchell’s employment history was the primary cause of his low-back
condition. Dr. Schumpert did, however, opine that Mitchell’s lifetime of employment
would be the major contributing cause of his OD.
¶8 Dr. Sechrest was Mitchell’s treating physician. On August 9, 2007, Dr. Sechrest
sent a letter to Mitchell’s attorney, opining that Mitchell suffers from an OD because his
low-back condition substantially changed during his work with Environmental in 2002.
Based on his evaluation of Mitchell’s medical history and records, Dr. Sechrest opined
that Mitchell’s on-going employment from 2002 through October 2005, contributed to
4
some degree to the development of his OD. Dr. Sechrest further opined that Mitchell’s
employment from August to October 2005 with Industrial contributed, though not very
much, to his low-back condition.
¶9 In its conclusions of law, the WCC determined that the 2005 version of the Act
would apply since both Drs. Sechrest and Schumpert agreed that his work at Industrial in
2005 contributed to his current low-back condition. See Fleming v. Intl. Paper Co., 2008
MT 327, ¶ 27, 346 Mont. 141, 194 P.3d 77. The WCC then considered whether Mitchell
was suffering from an OD and the major contributing cause of the OD. The WCC noted
that an OD is defined as “harm, damage, or death arising out of or contracted in the
course and scope of employment caused by events occurring on more than a single day or
work shift.” Section 39-71-116(20), MCA (2005). An OD must be established by
objective medical findings that the events occurring on more than a single day or work
shift are the major contributing cause of the OD in relation to other factors that may
contribute to an OD. Section 39-71-407(9)(a) and (b), MCA (2005). A “major
contributing cause” is defined as “a cause that is the leading cause contributing to the
result when compared to all other contributing causes.” Section 39-71-407(13), MCA
(2005). Under this standard and in light of the objective medical evidence, the WCC
concluded that Mitchell suffered from an OD whose major contributing cause was
Mitchell’s lifetime of heavy-labor employment.
¶10 The WCC then turned to the question of which employer was liable for Mitchell’s
low-back condition. Under § 39-71-407(10), MCA (2005), “[w]hen compensation is
payable for an occupational disease, the only employer liable is the employer in whose
5
employment the employee was last injuriously exposed to the hazard of the disease.”
The WCC applied this statute to the evidence before it as follows:
While employed by Liberty Northwest’s insured from August
through October 2005, Mitchell carried lumber, performed concrete work,
repaired fences, and performed security duties. Mitchell testified that his
back condition worsened during this time. Drs. Sechrest and Schumpert
agreed that Mitchell’s employment with Liberty Northwest’s insured
contributed to some degree to his present low-back condition. I therefore
conclude that Mitchell was last injuriously exposed to the hazard of his OD
at the time of his employment with Liberty Northwest’s insured. Pursuant
t o § 3 9-71-407(10), MCA, therefore, Liberty Northwest is liable for
Mitchell’s low-back condition.
¶11 Liberty now appeals from the WCC’s decision. Liberty asserts that the WCC
incorrectly interpreted the applicable workers’ compensation statutes, and that there was
not substantial credible evidence to support the conclusion that Mitchell was last
injuriously exposed to the hazard of his OD while working for Industrial. Both State
Fund and Mitchell urge us to affirm. We state the issue presented by this appeal as
follows:
¶12 Did the WCC apply the correct legal standard in determining when Mitchell
suffered his last injurious exposure to the hazard of his occupational disease, and was the
WCC’s decision supported by substantial credible evidence?
STANDARD OF REVIEW
¶13 We review the WCC’s findings of fact to determine whether they are supported by
substantial credible evidence and its conclusions of law to determine whether they are
correct. Lanes v. Mont. State Fund, 2008 MT 306, ¶ 16, 346 Mont. 10, 192 P.3d 1145.
Substantial credible evidence is evidence that a reasonable mind might accept as adequate
6
to support a conclusion; it consists of more than a mere scintilla of evidence but may be
somewhat less than a preponderance. Lanes, ¶ 16.
DISCUSSION
¶14 Liberty argues the WCC incorrectly interpreted and applied the 2005 version of
the Act in concluding it was liable for Mitchell’s OD claim. Liberty contends that the
last employer in a series of employers is liable for an OD only if the last employment
materially or substantially contributed to the OD. Liberty argues that the WCC
erroneously concluded the “last injurious exposure rule” required only proof of “some
degree” of OD causation during the claimant’s last employment—however miniscule—
and that the standard utilized by the WCC is not supported by case law under the 2005
Act. Liberty asserts that under the prior decisions of Caekaert v. State Compensation
Mut. Ins. Fund, 268 Mont. 105, 885 P.2d 495 (1994) and Lanes, the last injurious
exposure will trigger liability for an OD claim only if objective medical findings establish
that the employment materially or substantially contributed to the claimant’s condition.
When the correct legal standard is applied, Liberty argues that the determination of
liability is not supported by substantial credible evidence because the objective evidence
does not establish that Mitchell’s OD exposure while working for Industrial materially or
substantially contributed to his condition. Instead, Liberty argues that State Fund’s
insured Environmental is liable for Mitchell’s condition. Accordingly, Liberty asks this
Court to reverse the WCC’s decision and find that State Fund is liable for Mitchell’s OD
claim.
7
¶15 State Fund and Mitchell urge us to affirm. State Fund argues that the WCC did
not err in concluding that Mitchell had suffered an OD, and correctly determined that
Mitchell’s last injurious exposure to the hazard of the OD occurred while he was working
for Industrial. In this connection, State Fund argues Caekaert and Lanes do not address
the standard for evaluating the “last injurious exposure” rule in the present context,
because these cases concerned “recurrent disabilities”—i.e., situations in which a pre-
existing OD claim had been accepted by a prior insurer, and the question was whether a
subsequent employment gave rise to a second OD claim. In this case, however, State
Fund notes that Mitchell’s OD was undiagnosed and developed throughout his
employment with Industrial and Environmental, and that no OD claim had previously
been filed. State Fund asserts that this Court has not in fact clarified the requisite
exposure for application of the “last injurious exposure” to the circumstances at bar.
State Fund urges this Court to conclude that a last injurious exposure has occurred when
it is “permanent” in nature. In this case, State Fund argues this standard was satisfied
because after Mitchell’s exposure at Industrial he was no longer able to work due to his
OD.
¶16 Mitchell more or less presents the same argument as State Fund. Mitchell does
not, however, argue for a standard under the last injurious exposure rule which requires
that exposure be permanent in nature. Instead, Mitchell argues that the WCC’s reliance
on a standard that he was exposed “to some degree” is sufficient to constitute an
exposure. Mitchell argues this standard was articulated in a previous WCC decision,
8
Fleming v. Intl. Paper Co., 2005 MTWCC 34, and is also consistent with treatises
covering the area of workers’ compensation law.
¶17 We agree with State Fund that Caekaert and Lanes do not cover the situation at
bar. In Caekaert, a claimant (Caekaert) suffered the work-related OD of carpal tunnel
syndrome and filed a workers’ compensation claim. Liability was accepted by the insurer
(State Fund), and Caekaert had surgery for the condition. After surgery, Caekaert worked
for other employers. Years later, Caekaert’s carpal tunnel syndrome returned and he
underwent surgery a second time. Caekaert submitted his medical expenses to State
Fund, which denied liability. The question before the Court in that case was whether the
return of Caekaert’s carpal tunnel syndrome was a recurrence of the original OD for
which State Fund had accepted liability, or whether the onset of these symptoms was due
to his subsequent work. Caekaert, 268 Mont. at 111, 885 P.2d at 499. Although we
considered the “last injurious exposure” rule in determining whether State Fund or a
subsequent insurer was liable for Caekaert’s condition, it was in a context wholly
distinguishable from that presented here. We held in Caekaert that for the last injurious
exposure rule to apply there must be evidence of a second injury or injurious exposure
that materially or substantially contributed to Caekaert’s second set of carpal tunnel
symptoms. Caekaert, 268 Mont. at 111-12, 885 P.2d at 499. This holding was limited to
the situation where a compensable OD has already been established with respect to an
insurer, because an original insurer remains liable for an OD “if it is a direct and natural
result of a compensable primary injury, and not the result of an independent intervening
cause attributable to the claimant.” Caekaert, 268 Mont. at 112, 885 P.2d at 499. In
9
other words, once causation and liability for an OD has already been established, only an
intervening cause will break the chain of liability with respect to the original insurer.
Here, by contrast, original liability for Mitchell’s OD was first established by the WCC in
this case and the initial assignment of liability is the question before the Court. Thus,
Caekaert provides no guidance.
¶18 Lanes is inapplicable for largely the same reasons. In that case, claimant Lanes
had suffered an OD to his knee while working as an electrician. State Fund had accepted
liability for the claim and paid for knee surgery. Lanes, ¶ 3. After surgery, Lanes began
working as a minister and claimed to develop further knee problems. The question was
whether the aggravation was attributable to Lanes’ work as a minister, or was instead
attributable to the original knee condition for which State Fund had already accepted
liability. Lanes, ¶¶ 10-12. The WCC concluded that Lanes’ duties as a minister only
constituted a “temporary” aggravation of his knee condition, and did not constitute an
injurious exposure. Lanes, ¶ 29. Our analysis in Lanes was predicated upon the
existence of an underlying OD which had already been diagnosed. See Lanes, ¶ 36.
Again, this case concerns the determination of initial liability for Mitchell’s OD claim.
Because Mitchell does not have an underlying OD claim for which liability has already
been established, Lanes provides no guidance.
¶19 The question currently before the Court is a matter of first impression in Montana.
We have not yet considered the quantum of proof required under the “last injurious
exposure” rule to establish initial liability for an OD claim when a claimant has worked
10
for successive employers, and was arguably exposed to the hazard of the OD during each
employment. However, the WCC has previously addressed this issue.
¶20 In Fleming, the WCC was confronted with an issue very similar to the one now
before the Court. Claimant Fleming had been diagnosed with an OD related to asbestos
exposure after his retirement. Fleming had arguably been exposed to the hazard of his
OD during two different employments. The question was which employment constituted
his last injurious exposure. Fleming, ¶ 47 (WCC decision). The WCC used the
following standard to evaluate this issue:
“Traditionally, courts applying the last injurious exposure rule have not
gone on past the original finding of some exposure to weigh the relative
amount or duration of exposure under various carriers and employers. As
long as there was some exposure of a kind that could have caused the
disease, the last insurer at risk is liable for all disability from that disease.
Thus, insurers or employers who have been at risk for relatively brief
periods have nevertheless been charged with full liability for a condition
that could only have developed over a number of years. In one instance,
the carrier had the misfortune to assume coverage at midnight during the
last 11:00 P.M. to 7:00 A.M. shift worked by an employee who
subsequently filed a claim for disability caused by anthracosilicosis. The
insurer was held liable for the entire amount of the claimant’s benefits
despite its only being on the risk for seven hours.
In contrast to this traditional rule, however, are decisions such as that
in Busse v. Quality Insulation, [322 N.W.2d 206 (Minn. 1982),] in which
the Minnesota Supreme Court took notice of medical testimony to the
effect that there is a “lag time” of five to ten years between exposure to
asbestos and the development of asbestosis. The court accepted this
testimony in support of a conclusion that the claimant’s exposure under the
last insurer, who had been at risk for only two months, was not a
“substantial contributing cause” of death. Other courts have also held that
in order to impose liability on the insurer who was last at risk, the exposure
during its period of risk must have been of such length or degree that it
could have actually caused the disease.”
11
Fleming, ¶ 51 (WCC decision) (quoting 9 Arthur Larson and Lex K. Larson, Larson’s
Workers’ Compensation Law, § 153.02 [7][a], 153-19-20 (2004) (footnotes omitted in
quotation)).
¶21 Based on this standard, the WCC in Fleming denied a motion for summary
judgment filed by one of the insurers because the extent of exposure would be an issue of
fact to be determined at trial. Fleming, ¶ 53 (WCC decision). This Court affirmed the
WCC’s decision, but did not pass judgment on whether the standard articulated in
Larson’s was the correct one for evaluating a last injurious exposure among a succession
of employments in order to attribute liability for the initial onset of an OD. See Fleming
v. Intl. Paper Co., 2008 MT 327, ¶ 30, 346 Mont. 141, 194 P.3d 77.
¶22 As the citation from Larson’s indicates, jurisdictions differ on the application of
the last injurious exposure rule. As noted above, some courts require that the exposure be
a substantial contributing cause of the OD before liability can be assigned to an employer
under the last injurious exposure rule. See e.g. Fluor Alaska, Inc. v. Peter Kiewit Sons’
Co., 614 P.2d 310, 312-13 (Alaska 1980); Polaschek v. Asbestos Products, Inc., 361
N.W.2d 37, 39 (Minn. 1985). Other jurisdictions require a lower degree of causation.
The North Carolina Supreme Court, for instance, has interpreted “last injurious exposure”
to mean “ ‘an exposure which proximately augmented the disease to any extent, however
slight.’ ” Rutledge v. Tultex Corp., 301 S.E.2d 359, 362-63 (N.C. 1983) (quoting Haynes
v. Feldspar Producing Co., 22 S.E.2d 275, 277 (N.C. 1942)). The South Dakota
Supreme Court expressed its last injurious exposure rule as follows:
12
“When a disability develops gradually, or when it comes as the result of a
succession of accidents, the insurance carrier covering the risk at the time
of the most recent injury or exposure bearing a causal relation to the
disability is usually liable for the entire compensation.”
Baier v. Dean Kurtz Const., Inc., 761 N.W.2d 601, 606-07 (S.D. 2009) (quoting Paulson
v. Black Hills Packing Co., 554 N.W.2d 194, 196 (S.D. 1996)).
¶23 By contrast, other jurisdictions do not require a claimant to prove an actual causal
connection between the exposure and the OD, but rather require him or her to simply
demonstrate that the exposure was of a kind which could have caused the OD. In SAIF
Corp. v. Hoffman, 91 P.3d 812 (Or. App. 2004), the Oregon Court of Appeals explained
that the “last injurious exposure” rule is a both a rule of proof and rule of assignment of
responsibility which “allows a claimant to prove the compensability of a condition by
proving that the condition resulted from employment without having to prove the degree,
if any, to which exposure to disability-causing conditions at a particular employment
actually caused the claimant’s condition.” SAIF Corp., 91 P.3d at 813. If a claimant
chooses to rely upon this rule, “full responsibility falls presumptively to the last employer
(before the onset of disability or treatment) that exposed the claimant to working
conditions of the kind that could cause the disability.” SAIF Corp., 91 P.3d at 813-14;
see also Wood v. Harry Harmon Insulation, 511 So.2d 690, 693 (Fla. 1 Dist. App. 1987);
Olivotto v. DeMarco Bros. Co., 732 N.W.2d 354, 365 (Neb. 2007); Reese v. CCI Const.
Co., 514 S.E.2d 144, 146 (S.C. App. 1999). This approach is sometimes referred to as
the “potentially causal” standard. See New Portland Meadows v. Dieringer, 973 P.2d
352, 353 (Or. App. 1998).
13
¶24 In sum, the application of the last injurious exposure rule in the present context
runs the gamut from a requirement that the exposure was a “substantial contributing
cause” of the OD to a presumption that the exposure gives rise to liability for the OD so
long as the working conditions at the time of the exposure were of the kind which could
cause the OD. We conclude that the “potentially causal” standard is consistent with
§ 39-71-407(10), MCA (2005), and will be applied in this and future cases in Montana.
Under this approach, the claimant who has sustained an OD and was arguably exposed to
the hazard of an OD among two or more employers is not required to prove the degree to
which working conditions with each given employer have actually caused the OD in
order to attribute initial liability. Instead, the claimant must present objective medical
evidence demonstrating that he has an OD and that the working conditions during the
employment at which the last injurious exposure was alleged to occur, were the type and
kind of conditions which could have caused the OD. As the Nebraska Supreme Court
recognized in Olivotto, proving that an exposure is of a type which could cause the OD
does demonstrate, in a certain sense, that the exposure bears a casual relationship to the
onset of the OD. See Olivotto, 732 N.W.2d at 365 (discussing Mathis v. State Accident
Insurance Fund, 499 P.2d 1331 (Or. App. 1972)). This rule applies, of course, only in
those situations where an OD is being diagnosed for the first time, as in the case at bar
and the WCC’s decision in Fleming. In cases where an OD has already been diagnosed,
liability for the OD has been determined, and the question is whether a recurrence of the
OD condition is attributable to the original employer or is attributable to a second
14
employer based on an intervening exposure to the hazard of the OD, the Caekaert and
Lanes approach will continue to apply.
¶25 Because Mitchell demonstrated that he had an OD and that the working conditions
at Industrial were the same type and kind of heavy-duty labor which led to the
development and diagnosis of his OD, this exposure provided a basis upon which liability
could be assessed against Liberty pursuant to § 39-71-407(10), MCA (2005). Indeed, the
WCC’s determination that Mitchell’s exposure at Industrial contributed “to some degree”
to his OD was simply another way of stating that this exposure was of the type and kind
that could have caused the OD. Accordingly, the WCC’s determination of liability based
on Mitchell’s exposure while working for Industrial was supported by substantial
credible evidence. The objective medical evidence established that while Mitchell’s
work with Industrial was not the major contributing cause of his OD, it was of the same
type and kind which led to the development and eventual diagnosis of that OD. See
Opinion, ¶¶ 7-8, 10. Thus, this exposure could have caused Mitchell’s OD. Under our
application of the last injurious exposure rule, this evidence is sufficient to support the
WCC’s determination that Mitchell’s last injurious exposure to the hazard of the OD
occurred during his employment with Industrial.
CONCLUSION
¶26 We affirm the WCC. We further hold that for purposes of the initial liability
determination of an OD where two or more employers are potentially liable, the “last
injurious exposure” to the hazard of the OD occurs during the last employment at which
15
the claimant was exposed to working conditions of the same type and kind which gave
rise to the OD.
/S/ PATRICIA O. COTTER
We concur:
/S/ MIKE McGRATH
/S/ W. WILLIAM LEAPHART
/S/ BRIAN MORRIS
Justice Jim Rice, concurring.
¶27 I concur with the Court’s determination to affirm the judgment of the Workers’
Compensation Court, but would adopt a different standard for application of § 39-71-
407(10), MCA (2005), the “last injurious exposure” provision.
¶28 In cases where a worker has developed an occupational disease (OD) while
working for multiple employers, the Court concludes that the “last injuriously exposed”
requirement is satisfied by use of a “potentially casual” standard. Opinion, ¶ 24. Under
this standard, objective medical evidence of an OD need only be accompanied by proof
that “the working conditions during the employment at which the last injurious exposure
was alleged to occur, were the type and kind of conditions which could have caused an
OD.” Opinion, ¶ 24 (emphasis added).
¶29 I believe the “potentially casual” standard fails to sufficiently account for and
apply the word “injuriously” within the “last injuriously exposed” statutory requirement.
16
See Section 39-71-407(10), MCA. Under the “potentially causal” standard, there is no
requirement to show that the last exposure actually resulted in injury. The standard
effectively reads out the word “injuriously” from the statute by only requiring proof that
the “type and kind of [working] conditions” of the last employment “could have caused”
the worker’s OD. Opinion, ¶ 24 (emphasis added). “Anything could happen” is a
common testimonial comment, but is usually meaningless. Yet, that appears to be the
sufficiency of the evidence necessary to establish a last injurious exposure under this
standard.
¶30 The facts of Ertz v. Glen Nan, Inc., 371 A.2d 533 (Pa. Commw. 1977), provide a
good example. Ertz worked as an anthracite coal miner for Glen Nan, Inc. (Glen). Ertz,
371 A.2d at 534. On February 21, 1974, Ertz began work for Glen at 11 p.m. and ended
work at 7 a.m., February 22, 1974. Ertz, 371 A.2d at 534. During Ertz’s shift, Glen’s
insurance coverage with Rockwood Insurance Company ended at 12:01 a.m., February
22, and shifted to The State Workmen’s Insurance Fund (Pennsylvania Fund). Ertz, 371
A.2d at 534. After completing his shift on the morning of February 22, Ertz claimed an
OD of anthracosilicosis. Ertz, 371 A.2d at 534.
¶31 Applying the “potentially causal” standard to the facts of Ertz, the Pennsylvania
Fund’s coverage for seven hours of Ertz’s employment would result in liability for Ertz’s
OD claim, irrespective of whether the seven hours had caused any further injury to Ertz.
Ertz performed the same job, thereby satisfying the “type and kind” requirement for
working conditions, with only the requirement that the seven hour shift “could have
17
caused” his OD. The lower causal standard under the “potentially causal” standard
necessarily shifts a disproportionate burden to the last insurer.
¶32 I recognize that courts have reached differing conclusions when wrestling with
this issue, and that there may not be an approach which is clearly superior. However, it is
important to note that the question here is not whether the worker should receive OD
benefits. That is governed by § 39-71-407(9), MCA, under which the worker is provided
benefits upon establishing that he suffers from a work-related disease. Rather, the
question here is which insurer should pay. In that regard, I recognize that the “last
injurious exposure” rule is itself a liability-shifting device which will bring “harsh
result[s] in a particular case,” in exchange for rough equity among insurers when the
system is considered as a whole. 82 Am. Jur. 2d Workers’ Compensation § 200 (2003).
However, I believe the “potentially causal” standard stretches that policy too far.
¶33 I would adopt the proposal offered by Appellee State Fund, that liability under the
“last injuriously exposed” rule not pass to the subsequent insurer unless a permanent
aggravation or contribution to the OD is established. I believe this is consistent with the
plain meaning of the word “injurious” in the statute. See Shelby Distributors, LLC v.
Mont. Dept. of Revenue, 2009 MT 80, ¶ 18, 349 Mont. 489, 206 P.3d 899 (When
interpreting statutes, we use the “plain meaning” of the language.). In its definition of
“injurious exposure,” Black’s Law Dictionary 789 (Bryan A. Garner ed., 7th ed., West
1999), offers that “[a]n employer may be found liable for harm resulting from injurious
exposure.” Here, the concept of “harm” is similar to the concept of an “injurious”
exposure. Such a rule would also be consistent with the manner in which we have
18
applied the “last injurious exposure” rule in the context of recurrent disabilities. See
Lanes v. Mont. State Fund, 2008 MT 306, ¶ 38, 346 Mont. 10, 192 P.3d 1145 (rejecting
an argument that a “temporary aggravation” establishes a “last injurious exposure” within
the context of recurrent disabilities).
/S/ JIM RICE
19