Reed v. Fish Engineering Corporation

LaFEL E. OMAN, Judge, Court of Appeals

(dissenting).

I am unable to agree with the majority of the court in the disposition they make of the first point, which is that the plaintiff’s claim for workmen’s compensation benefits, aside from medical benefits, is not barred by the provisions of § 59-10-13.6, N.M.S.A. 1953.

The majority dispose of the first issue, and in particular dispose of the question of the applicability of the provisions of § 59-10-14, N.M.S.A.1953 to the facts of this case, by stating that this issue is controlled by the opinion on the first appeal, since that opinion is now the law of the case. They then quote from the opinion on the first appeal, and conclude, “Thus, on remand, the issue to be decided by the trial court was whether the facts were as claimed by the plaintiff.”

The affidavit to which they refer was made by plaintiff on April 5, 1962, and was before this court as a part of the record on the prior appeal. I am of the opinion that the matters proved on the trial fall short of establishing the facts to be as claimed by plaintiff in' his affidavit.

I am also of the opinion that the matters proved on the trial fall far short of demonstrating that plaintiff’s failure to file his claim within one year, as expressly required by the provisions of § 59-10-13.6, N.M.S.A.1953, “* * * was caused in whole or in part by the conduct of the employer or insurer [defendants] which reasonably led the person entitled to compensation [plaintiff] to believe the compensation [compensation under the New Mexico act] would be paid.” Such causal conduct on the part of defendants, and such reasonable belief on his part, is required by § 59-10-14, N.M.S.A.1953, before plaintiff can be excused from his failure to timely file his claim.

I have no argument with the principle that once this court has ruled on the applicable law in a particular case, this ruling then becomes the law»of the case, even though the ruling be wrong. Mitchell v. Allison, 54 N.M. 56, 213 P.2d 231. In my opinion the ruling of this court on the prior appeal was wrong, insofar as the same is quoted above in the majority opinion, if that ruling means what the majority now contends it means.

I cannot agree with the majority that the ruling on the prior appeal commits us here to the conclusion that the conduct of defendants, in whole or in part, reasonably led plaintiff to believe compensation under the New Mexico law would be paid to him. The payment of compensation under the Utah law, coupled with a lack of knowledge and a lack of concern on plaintiff’s part as to whether he was being paid under the Utah or the New Mexico, law, the fact that no one ever indicated to him that he would not receive compensation under the New Mexico law, and the other matters recited by the majority, do not constitute such conduct on the part of defendants.

The plaintiff’s complaint, which is the only complaint he filed and the only one before this court on both appeals, is a complaint for workmen’s compensation benefits under the New Mexico act. In his affidavit of April 5, 1962 he stated:

“ * * * - That the defendants paid to-him compensation at the rate of $37.00 per week from the date of his injury up to and including June 2, 1960, at which, time said weekly payments were discontinued ; that thereafter and on November 29, 1960, the weekly payments were again made by the defendants and continued up to and including August 7, 1961; * * ”

An affidavit filed by defendants in support of their motion for summary judgment asserted that thp compensation benefits were paid to plaintiff under the Utah compensation act, and, that no payments had ever been made to him under, the New Mexico compensation act. After remand by this court, the trial court found that the payments were made under the Utah act, and there is now no. question about this being so. The compensation acts of no states other than Utah and New Mexico are in any way involved.

Thus, the plaintiff, in stating that the defendants had paid to him compensation, could only have meant compensation under the New Mexico act. Obviously, this court so interpreted his affidavit on the prior appeal. Otherwise there could be no reason for the language in the prior decision quoted by the majority as follows:

“ * * * [T]he question which we must determine is whether a material issue of fact was present concerning whether payments were made under Utah law, * * We are clear that an issue of fact was-present, and that the affidavits before the court prior to trial could reasonably raise an inference which would have supported a finding that payments were not made or knowingly received under the Utah law so as to bar this action. * (Italics added for emphasis)

The defendants were contending by their affidavit in support of their motion for summary judgment that claim was made and compensation benefits paid to plaintiff under the Utah compensation act, and that no-payments had ever been made to plaintiff under the New Mexico compensation act. If there was an issue as to “whether payments were made under the Utah law,” and this is precisely what was held by this court in the prior opinion, then this issue of necessity had to be raised by the plaintiff’s affidavit, and the compensation, which he said be had received, of necessity had to mean ■compensation under the New Mexico act. Thus, when the trial court found that compensation had been paid under the Utah act, the contention of the defendants in this regard, and not the contention of the plaintiff, was found to be true. How, then, can the majority now correctly hold that the facts were as claimed by the plaintiff in his affidavit ?

The language of the prior opinion, suggests that if compensation had been paid under the Utah law, but plaintiff had no Tcnowledge of such, then his failure to timely file his suit was caused in whole or in part by the conduct of defendants which reasonably led him to believe compensation under New Mexico law would be paid. However, since the court in the prior opinion held there was an issue of fact as to “whether payments were made under the Utah law,” and since this issue could only have been raised by the contention of plaintiff that the payments were made under the New Mexico law, the language of the prior opinion must be viewed in the light of this stated issue.

That portion of the opinion in the prior •case, now relied upon by the majority, states in part as follows:

“We are satisfied that if the facts are as claiméd by plaintiff, [as above demonstrated this claim was that compensation had been paid under the New Mexico law] payments made and accepted could just as effectively lull claimant into a reasonable feeling of security as to his being entitled to compensation under New Mexico law as would continued voluntary payment of wages, and would accordingly be conduct excusing the filing of the claim within one year after the right to compensation arose. * * * ”

I agree that if the payments of $37.00 per week had been paid under the New Mexico law, even though he was entitled to $38.00 per week, or that the defendants had told plaintiff he was being paid under the New Mexico law, when in fact he was being paid $37.00 per week under and as provided by the Utah law, then either the actual voluntary payments of $37.00 per week under the New Mexico law, or the false representation to him that he was being paid under the New Mexico law, would have constituted conduct on the part of defendants which, in whole or in part, could reasonably have led him to believe compensation would be paid under the New Mexico law.

But the truth is he was paid compensation under the Utah law, and at no time did the defendants, or either of them, suggest to him that he was being paid under the New Mexico law. All he says is that he did not know under which law he was being paid, that he was not concerned, so long as payments of $37.00 per week were being made to him, and that there was no indication from anyone that he would not receive compensation under New Mexico law. To now hold that there was conduct on the part of defendants, which in whole or in part, reasonably led him to believe that compensation would be paid to him under the New Mexico law, is to say the defendants had the burden of expressly informing ■ the claimant that he was not being paid under the New Mexico law, even though the surrounding facts and the amount of the compensation payments clearly so indicated, and is to completely disregard the statutory requirement that he must, in whole or in part, have been reasonably led to believe that compensation would be paid to him under the New Mexico law.

A belief implies some mental conclusion or conviction arrived at by evidence received, information gained, inferences de■ducible from knowledge or information, or by some mental process, and is not consistent with a tabula rasa. Here the plaintiff’s testimony was merely that he didn’t know under what law he was being paid, he was not concerned so long as he received $37.00 per week, and no one had indicated he would not be paid under New Mexico law. This just is not consistent with a belief that he would be paid compensation under the New Mexico law, and particularly is not consistent with a reasonable belief that he would be so paid.

In distinguishing between “belief” and its synonyms, Webster’s Third New International Dictionary Unabridged states:

“Belief signifies mental acceptance of or assent to something offered as true, with or without certainty. * * * ”

See also the definitions in Bouvier’s Law Dictionary, 3rd Ed.; Black’s Law Dictionary 4th Ed.; Webster’s Third New International Dictionary Unabridged; 10 C.J.S. Belief, at 236 and Believe, at 238; Brooks v. Sessoms, 47 Ga.App. 554, 171 S.E. 222, 224; Cook v. Singer Sewing Mach. Co., 138 Cal.App. 418, 32 P.2d 430, 431; Leathers v. Sikeston Coca-Cola Bottling Co., 286 S.W. 2d 393 (Mo.App.1956); State v. Smith, 22 N.J. 59, 123 A.2d 369, 371; Boone v. Merchants’ & Farmers’ Bank, 285 F. 183, 191 (D.C.N.C.1922).

The belief which must exist subjectively in the mind of a claimant, in order to bring him within the provisions of § 59-10-14, N.M.S.A.1953, must be a mental conviction or conclusion that he will be paid compensation under the New Mexico law, and it must be gained, at least in part, by the application of reason to the conduct of the employer or insurer.

The word reasonable, although difficult of precise definition, means that which is consistent with reason, like thinking, and good judgment. See Webster’s Third New International Dictionary Unabridged; Bouvier’s Law Dictionary, 3d Ed., Vol. II; Black’s Law Dictionary, 3d Ed.; 75 C.J.S. Reasonable at 634; Anderson v. St. Louis-San Francisco Ry. Co., 367 S.W.2d 657, 660 (Mo.App.1963).

Conduct, which reasonably causes a claimant to believe compensation will be paid, must be such conduct as would induce a conclusion or conviction to this effect in the mind of an ordinarily intelligent and reasonable person. For definitions of “reasonable cause to believe” see Putnam v. United States Trust Co., 223 Mass. 199, 111 N.E. 969, 972; Carroll v. Holliman, 336 F.2d 425, 428 (10th Cir.1964), cert. denied, 380 U.S. 907, 85 S.Ct. 889, 13 L.Ed.2d 795; Woolard v. Ferrell, 26 Tenn.App. 197, 169 S.W.2d 134; Cook v. Singer Sewing Mach. Co., supra.

I find no case by this court defining “reasonable” or “reasonable belief.” A reference to the above quotation from the opinion on the prior appeal shows we did talk of a reasonable inference, and in the cases of Stambaugh v. Hayes, 44 N.M. 443, 103 P.2d 640 and Bolt v. Davis, 70 N.M. 449, 374 P.2d 648, we have defined “reasonable inference” as follows:

“A reasonable inference may be defined as a process of reasoning whereby, from facts admitted or established by the evidence, or from common knowledge or experience, a reasonable conclusion may he drawn that a further fact is established.
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“An inference is not a supposition or a conjecture, but is a logical deduction from facts proved * * * and guess work is not a substitute therefor.”

See also Posey v. Dove, 57 N.M. 200, 257 P.2d 541.

An inference is defined in Webster’s Third New International Dictionary Unabridged as follows:

“1. the act or process of inferring: the act of passing from one or more propositions, statements or judgments considered as true to another the truth of which is believed to follow from that of the former. * * * 3_ ^ premises and conclusion that represent a process of inferring or that form the determinants of a belief. * * * ”

Admittedly, the terms “belief,” “reasonable,” “reasonable cause,” and “reasonable cause to believe” are difficult of precise definition and their definitions often vary with the circumstances of their application. Considering this fact, and further considering the fact that we have repeatedly held that the workmen’s compensation act is to be liberally construed and all reasonable doubts resolved in favor of the employees, we still cannot escape the fact that the plaintiff had to show that his failure to bring his suit within one year, as provided by § 59-10-13.6, N.M.S.A.1953, was caused, in whole or in part, by conduct of the defendants which “reasonably led him to believe” that compensation under the New Mexico act would be paid. In order to succeed, the plaintiff must have had some conviction of mind, firm or otherwise, that he would receive workmen’s compensation benefits under the New Mexico act. Otherwise, he had no belief. He also had to have reasonably gained this conviction, at least in part, from conduct of the defendants. Because a belief is a subjective state of mind, the only ways of determining a person’s belief on a matter is to accept what he says, or, in the absence of an expression by him of his belief, to perhaps gain such from his conduct.

Here the plaintiff’s sworn testimony negatives any belief on his part that he would receive compensation under the New Mexico law. He just did not give the matter .a thought, until he consulted an attorney some time in 1962.

For the reasons stated herein, I would reverse the judgment of the trial court, except for the claim for medical expenses about which no issue is presented.