Court Opinion

ID: 4162934
Source: CourtListenerOpinion
Date Created: 2017-04-25 13:20:54.627031+00
Date Added: 2024-06-11T14:23:45.894153
License: Public Domain

COURT OF APPEALS OF VIRGINIA

            Present: Judges Alston, O’Brien and Senior Judge Clements
PUBLISHED

            Argued at Alexandria, Virginia

            PAULA SMITH-ADAMS
                                                                                 OPINION BY
            v.     Record No. 1620-16-4                                  JUDGE MARY GRACE O’BRIEN
                                                                                APRIL 25, 2017
            FAIRFAX COUNTY SCHOOL BOARD

                        FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION

                           Peter M. Sweeny (Peter M. Sweeny, P.C., on briefs), for appellant.

                           Michael N. Salveson (Charles F. Trowbridge; Littler Mendelson,
                           P.C., on brief), for appellee.

                   Paula Smith-Adams (“claimant”) appeals the decision of the Virginia Workers’

            Compensation Commission (“the Commission”). Claimant asserts that the Commission erred by

            enforcing a termination agreement and denying her request for benefits and penalties pursuant to a

            June 2005 award. Finding no error, we affirm the Commission’s ruling.

                                                     BACKGROUND

                   Claimant, who was employed as a guidance counselor by Fairfax County Public Schools

            (“the employer”), was injured in a compensable car accident on February 23, 2005. In an award

            entered June 17, 2005, the employer agreed to pay temporary total disability benefits during

            incapacity and lifetime medical benefits. On January 9, 2006, claimant applied for a hearing

            because the employer refused to pay for medical equipment prescribed by claimant’s doctor. The

            hearing was scheduled for June.

                   The parties filed two other documents with the Commission on January 9. On the first form,

            entitled “Supplemental Agreement to Pay Varying Temporary Partial Benefits,” the parties agreed
to modify the outstanding award to an award for temporary partial disability benefits, paid at

varying rates from May 2005 until August 2005. The second document, labeled “Termination of

Wage Loss Award,” memorialized the parties’ agreement to terminate the outstanding award

effective August 8, 2005 because claimant was able to return to her pre-injury work on August 9,

2005. Both agreements were fully endorsed by the parties and were filed and stamped “received”

by the Commission on January 12, 2006.

        Due to the pending claim for the medical equipment, the Commission failed to act on the

two agreement forms filed by the parties, although the forms were unrelated to the claim. On June

9, 2006, the parties advised the Commission that they had reached an agreement regarding payment

for the medical equipment. They subsequently submitted a stipulated order that was approved and

signed by a deputy commissioner on July 7, 2006. However, the Commission took no action on the

two agreement forms that were submitted in January.

        On April 3, 2007, the Commission sent the parties notice that there was an outstanding

award in the case and “[i]f payments have ceased, an executed Termination of Wage Loss Award or

an Employer’s Application for Hearing must be filed to end the award.” The Commission sent the

same notice on October 6, 2008. In November 2011, the Commission advised claimant that she

may be entitled to a cost of living adjustment on her award.

        Neither party took any action until October 9, 2013, when claimant sent notice that she

“withdraws her January 4, 2006 offers to enter into a Supplemental Agreement to Pay Varying

Temporary Partial Benefits and Termination of Wage Loss Award proposed by the employer and

insurer on or about November 18, 2005.” In response, the employer advised that both parties signed

an agreement to pay temporary partial disability payments and then terminate the award. The

employer’s response also noted that the signed agreements were sent to the Commission in January

2006.

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       The Commission scheduled the matter for a hearing. At the hearing, claimant testified that

she was injured in an automobile accident on February 23, 2005 and as a result, she was unable to

work until May 2, 2005. In May, she returned to work in a reduced capacity and was released to her

pre-injury employment in August 2005. Claimant acknowledged that she worked for years after

that date, first for Fairfax County Schools, and upon her retirement in 2011, for Loudoun County

Schools. Claimant, who has a Bachelor’s and two Master’s degrees, has been employed as a

teacher, school counselor, guidance counselor, curriculum writer, and substitute teacher. She did

not report to the employer that she returned to work following her retirement. At the time of the

hearing, claimant was again employed by Fairfax County Schools.

       Claimant testified that she missed work due to ongoing medical problems from the accident

and related medical appointments from 2006 until the present day. However, she also admitted that

she was injured in two other accidents, in October 2005 and May 2008. She acknowledged that she

signed the two agreements that were filed in January of 2006, providing for payment of partial

benefits and subsequently terminating the wage loss award, and that her signature indicated that she

“agreed with everything” on the documents. She also admitted that she understood that signing the

agreements meant that her compensation benefits would be terminated and, in fact, after she

returned to work on August 9, 2005, she never claimed additional wage loss benefits until she

brought the action in October 2013.

       Following the hearing, the deputy commissioner held that the award of temporary total

disability benefits was terminated effective May 1, 2005, and entered an award for temporary partial

disability benefits from May 2, 2005 through August 8, 2005, in accordance with the agreement

forms submitted by the parties in January 2006. The deputy commissioner found that the parties

“intended to abide by the fully-signed agreement forms . . . seeking termination of the outstanding

award upon the claimant’s return to work.” On review, the full Commission agreed and held that

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“the interests of justice are served by enforcing the [a]greements into which the parties voluntarily

entered.” This appeal followed.

                                   ASSIGNMENTS OF ERROR

              I.   The Virginia Workers’ Compensation Commission erred in
                   concluding that its refusal to approve proposed agreement
                   forms in 2006 was a “mistake” warranting the application of
                   the doctrine of imposition in 2013.
 
             II.   The Virginia Workers’ Compensation Commission denied the
                   employee’s right to due process by imposing upon her
                   agreements which had been revoked with the result that she has
                   been denied her property rights under Va. Code § 65.2-708 and
                   Rule 1.2(B) of the Rules of the Virginia Workers’
                   Compensation Commission.
 
            III.   The Virginia Workers’ Compensation Commission erred in
                   allowing the filing of proposed agreements to serve as the
                   equivalent to filing an employer’s application for hearing.
 
            IV.    The Virginia Workers’ Compensation Commission erred in
                   concluding that an employee under an open award has a duty to
                   act to make the employer comply with the award order.
 
             V.    The Virginia Workers’ Compensation Commission erred by
                   enforcing agreements which had been rendered void under Va.
                   Code § 65.2-701(A) and which had been revoked by the
                   employee.

                                             ANALYSIS

                                       A. Standard of Review

       This Court considers the evidence in the light most favorable to the prevailing party, in this

case, the employer. Layne v. Crist Elec. Contractor, Inc., 64 Va. App. 342, 345, 768 S.E.2d 261,

262 (2015). “If there is evidence, or reasonable inferences can be drawn from the evidence, to

support the [C]ommission’s findings, they will not be disturbed on review, even though there is

evidence in the record to support a contrary finding.” Amelia Sand Co. v. Ellyson, 43 Va. App.
406, 408, 598 S.E.2d 750, 751 (2004) (quoting Morris v. Badger Powhatan/Figgie Int’l, Inc., 3
Va. App. 276, 279, 348 S.E.2d 876, 877 (1986)). “Factual findings of the [C]ommission will not
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be disturbed on appeal unless plainly wrong or without credible evidence to support them.” Ga.

Pac. Corp. v. Dancy, 17 Va. App. 128, 135, 435 S.E.2d 898, 902 (1993). “In determining

whether credible evidence exists, the appellate court does not retry the facts, reweigh the

preponderance of the evidence, or make its own determination of the credibility of the witnesses.”

Wagner Enters., Inc. v. Brooks, 12 Va. App. 890, 894, 407 S.E.2d 32, 35 (1991). Questions of law,

however, are reviewed de novo. Montalbano v. Richmond Ford, LLC, 57 Va. App. 235, 244-45,

701 S.E.2d 72, 76 (2010).

                                  B. Assignments of Error 1 and 5

       Claimant contends that the Commission erred in concluding that its failure to approve the

agreement forms was a mistake and erred by using its equitable powers to enforce the agreements.

Claimant also asserts that the agreements were void under Code § 65.2-701.

       Code § 65.2-701(A) states, in pertinent part:

               If after injury or death, the employer and the injured employee . . .
               reach an agreement in regard to compensation or in compromise of
               a claim for compensation under this title, a memorandum of the
               agreement in the form prescribed by the Commission shall be filed
               with the Commission for approval. . . . If approved, the agreement
               shall be binding, and an award of compensation entered upon such
               agreement shall be for all purposes enforceable as provided by
               § 65.2-710. If not approved, the same agreement shall be void.
               Such agreement may be approved only when the Commission, or
               any member thereof, is clearly of the opinion that the best interests
               of the employee or his dependents will be served thereby.

This Court has held that agreements “are not binding until approved by the [C]ommission.”

Damewood v. Lanford Bros. Co., 29 Va. App. 43, 45, 509 S.E.2d 530, 531 (1999). Further, “either

party may withdraw its offer to settle before approval.” Id.

       In the case before us, the Commission held that under a strict application of Code

§ 65.2-701(A), the absence of Commission approval of the agreement forms left the June 17, 2005

award in effect. However, the Commission used its equitable power to deny the benefits accrued

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under the existing award. The Commission found that it “failed to address the [a]greements by

mistake, triggered by the filing of an unrelated medical claim on the same day as the [a]greements.”

The Commission’s determination of “mistake” is a finding of fact, and is granted deference by this

Court. Ga. Pac. Corp., 17 Va. App. at 135, 435 S.E.2d at 902 (“Factual findings of the

[C]ommission will not be disturbed on appeal unless plainly wrong or without credible evidence to

support them.”).

        Credible evidence supports the Commission’s finding that the agreement forms were not

processed due to a mistake. The Commission found that the error was the result of the filing of an

unrelated claim for medical equipment that was received on the same day as the agreement forms.

The Commission clearly found that the lack of action on the agreements was not due to the

employer’s “failure to comply with their statutory duties . . . . Rather, it is the Commission’s

oversight in failing to record the properly filed [a]greements which has allowed the claimant to

withdraw her consent many years after the fact and seek a fortune in spite of her return to work.”

The Commission found that neither party ignored their statutory duties; rather, the agreements were

not entered because of the Commission’s mistake. The Commission did not reject or disapprove the

agreements; it simply did not act upon them. Further, the Commission held that

                [t]he claimant’s ability to seek years of compensation, penalties,
                and COLA is due to the Commission having failed in its duty to
                either approve or reject the [a]greements as mandated by the Act.
                See Va. Code § 65.2-701(A). Both the claimant and the
                defendants operated for years on the belief that the award had been
                terminated.

The Commission determined that “the peculiar facts of this case are appropriate for the exercise of

[its] equitable jurisdiction to do full and complete justice.”

        The Supreme Court addressed the Commission’s equitable powers in Harris v. Diamond

Construction Co., 184 Va. 711, 720, 36 S.E.2d 573, 577 (1946), when it held that the General

Assembly “intended that [the Commission] should have jurisdiction to do full and complete justice
                                                   -6-
in each case.” The Court explicitly found that the Commission “has the implied power, incidental

to those expressly granted . . . to vacate and set aside an award procured through fraud or mistake.”

Id. at 721, 36 S.E.2d at 578; see also John Driggs Co. v. Somers, 228 Va. 729, 734, 324 S.E.2d 694,

697 (1985) (the Commission has the power to “set aside an award or agreement upon evidence of

fraud, mistake, or imposition”).

        The Commission exercised its equitable power in Lam v. Kawneer Co., 38 Va. App. 515,

566 S.E.2d 874 (2002). In Lam, an injured employee received compensation payments for six

years. Id. at 517, 566 S.E.2d at 875. The employer stopped paying benefits when it received a letter

from the employee advising that he was working for a new employer at wages greater than his

pre-injury wage. Id. However, the employer did not file with the Commission to terminate the

award. Id. at 518, 566 S.E.2d at 875. The employee also failed to respond to the insurer, who had

requested further information about the new job. Id. at 517, 566 S.E.2d at 875. In the meantime,

the Commission sent annual form letters noting an outstanding award and directing that “if

payments have ceased, an executed Agreed Statement of Fact or an Employer’s Application for

Hearing must be filed to end the Award.” Id. at 518, 566 S.E.2d at 875. The insurer did not

respond to the letters but wrote to the employee’s counsel to discuss terminating the award. Id.

        Five years after the employer ceased compensation, the Commission advised the parties that

the maximum five hundred weeks of compensation had been reached, leaving an underpayment of

$58,049. Id. The employee unsuccessfully asserted a claim for compensation in that amount. Id.

The Commission denied the claim “under its general equitable power to do full and complete

justice.” Id.

        On appeal, this Court affirmed and held that the Commission “properly exercised its

authority.” Id. The Court found that when an employee does not suffer lost wages, receipt of

benefits “would unjustly enrich the worker and result in manifest injustice. It is ‘neither logical,

                                                  -7-
reasonable, nor within the spirit of the Act’ to award benefits when a worker is not entitled to them.”

Id. at 518, 566 S.E.2d at 875-76 (quoting Collins v. Dep’t of Alcoholic Beverage Control, 21
Va. App. 671, 680, 467 S.E.2d 279, 283 (1996)). Noting that the employee did not advise his

former employer of the necessary details regarding his new job, and the fact that he sought to

enforce the award six years after he last received a compensation payment, the Court stated that the

purpose of the Act is to “compensate injured workers for lost wages, not to enrich them unjustly.”

Id. at 520, 566 S.E.2d at 876 (quoting Collins, 21 Va. App. at 678, 467 S.E.2d at 282).

       In the present case, the parties actually executed a termination agreement that was submitted

to the Commission and then proceeded for eight years acting as though the award had been

terminated. Here, the employer went beyond the actions of the employer in Lam and fully complied

with the requirements of the Act to terminate the outstanding award by filing the agreement forms.

In this case, like in Lam, enforcing the award would result in unjust enrichment for claimant, who

returned to work and did not suffer any lost wages.

       Claimant relies on Genesis Health Ventures, Inc. v. Pugh, 42 Va. App. 297, 591 S.E.2d 706

(2004). In Genesis, the employee was awarded temporary total disability benefits. Id. at 299, 591

S.E.2d at 706. After the employee returned to work, the employer did not file a request to terminate

the award within the two-year time requirement of the Commission’s rules. Id. at 299, 591 S.E.2d

at 707. The parties did not enter into an agreement to terminate benefits. This Court affirmed the

Commission’s decision to deny the employer’s claim that the claimant was unjustly enriched. Id. at

301, 591 S.E.2d at 708. The Court held that Lam was distinguishable because the employee in

Genesis returned to work for the same employer, so the employer had all of the necessary

information to file to terminate the award. Id. at 300, 591 S.E.2d at 707. Despite having access to

the information about the claimant’s return to work, the employer did not file a timely request for a

hearing. Id. at 300-01, 591 S.E.2d at 707. Here, however, the employer acted on the information

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regarding claimant’s return to work by promptly filing the fully endorsed agreement to terminate the

award.

         Significantly, the Commission found that claimant did not suffer any wage loss attributable

to the 2005 accident. Claimant does not dispute that she returned to work in 2005, and when she

returned to full capacity work she made more money than she did before the accident. It is

well-settled that “[t]he purpose of the Workers’ Compensation Act is to compensate a claimant for

lost wages and medical benefits. It is not the purpose of the Act to allow a claimant to be unjustly

enriched.” United Airlines v. Kozel, 33 Va. App. 695, 703, 536 S.E.2d 473, 477 (2000). Therefore,

the Commission properly exercised its equitable powers to deny compensation.

                                      C. Assignment of Error 2

         Claimant argues that the Commission denied her right to due process “by imposing upon her

agreements which had been revoked with the result that she has been denied her property rights”

under the Act. She relies on the general principle that “an employee becomes vested with the right

to receive workers’ compensation benefits under an award in his favor so long as the award remains

outstanding.” Uninsured Emp’rs Fund v. Peters, 43 Va. App. 731, 736, 601 S.E.2d 687, 690 (2004).

Claimant cites Washington v. United Parcel Service, 267 Va. 539, 593 S.E.2d 229 (2004), in

support of her contention that the “vested right to receive benefits under an award, in the absence of

any action by the employer to terminate the outstanding award, continues even after an employee

has returned to full duty work.” (Emphasis added). However, unlike the employer in Washington,

the employer in the present case took action to terminate the outstanding award by filing the fully

executed agreement forms. Therefore, the Commission properly exercised its equitable powers in

finding that the employer should not be penalized for the Commission’s mistake.

         Claimant’s contention that her due process rights were violated because she was not

afforded a “proper hearing” is likewise without merit. “In the context of a workers’ compensation

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proceeding, due process ‘is flexible and calls for such procedural protections as the particular

situation demands.’” Henrico Pub. Utils. v. Taylor, 34 Va. App. 233, 243, 540 S.E.2d 501,

506-07 (2001) (quoting Duncan v. ABF Freight Sys., Inc., 20 Va. App. 418, 422, 457 S.E.2d
424, 426 (1995)). “In other words, ‘the procedure utilized [need only] afford the parties minimal

due process safeguards.’” Nelson Cty. Sch. v. Woodson, 45 Va. App. 674, 679, 613 S.E.2d 480,

483 (2005) (quoting Sergio’s Pizza v. Soncini, 1 Va. App. 370, 376, 339 S.E.2d 204, 207

(1986)).

       Ten months before the hearing, the deputy commissioner advised the parties of the issues to

be resolved at the hearing, including whether claimant was entitled to payment of benefits pursuant

to the June 17, 2005 award. Claimant and the employer conducted extensive discovery, and

claimant testified and presented evidence during the hearing. Additionally, both parties had the

opportunity to present a brief and memorandum of law after the hearing.

       The employer raised equitable affirmative defenses at every stage of the proceeding.

Claimant specifically responded to the defenses in her post-hearing brief and memorandum of law.

Both the deputy commissioner and the full Commission considered claimant’s position and

ultimately rejected it. Claimant was afforded a full hearing for which she was well-prepared,

therefore, her due process rights were not violated.

                                      D. Assignment of Error 3

       Claimant contends that pursuant to Code § 65.2-708, when there is an open award, the

employer must file a change of condition application to modify or terminate the award. She asserts

that the Commission erred by failing to impose this requirement upon the employer. We disagree.

       Code § 65.2-708 provides that “upon the application of any party in interest, on the ground

of a change in condition, the Commission may review any award of compensation and on such

                                                - 10 -
review may make an award ending, diminishing or increasing the compensation previously

awarded.” However, Code § 65.2-701 states:

                 A. If after injury or death, the employer and the injured employee
                    or his dependents reach an agreement in regard to
                    compensation or in compromise of a claim for compensation
                    under this title, a memorandum of the agreement in the form
                    prescribed by the Commission shall be filed with the
                    Commission for approval.

                        ....

                 C. Nothing herein contained shall be construed so as to prevent
                    settlements made by and between the employee and employer,
                    but rather to encourage them, so long as the amount of
                    compensation and the time and manner of payment are
                    approved by the Commission. A copy of such settlement
                    agreement shall be filed with the Commission by the employer.

Further, this Court has specifically held that “Code § 65.2-708 does not require a claimant to file an

application for change of condition if she can reach a satisfactory agreement with her employer

regarding her entitlement to continuing disability benefits.” Henrico Pub. Utils. v. Taylor, 34
Va. App. 233, 240, 540 S.E.2d 501, 505 (2001). The Commission and the Court encourage such

agreements. “[C]ases before the [C]ommission are frequently expedited or disposed of by the

writings filed with it such as the notices, agreed statement of facts, supplemental memorandum of

agreement, and the like.” Avon Prods., Inc. v. Ross, 14 Va. App. 1, 8-9, 415 S.E.2d 225, 229

(1992).

          The statutes provide two possible ways to modify or terminate an award after entry: the

employer may either file an application for a hearing pursuant to Code § 65.2-708, or the employer

can submit a settlement form. The Commission’s notices sent to claimant and the employer in this

case also reflect the two options; they state that “[i]f payments have ceased, an executed

Termination of Wage Loss Award or an Employer’s Application for Hearing must be filed to end

the award.” (Emphasis added). Because the parties agreed to terminate the award at the time

                                                 - 11 -
claimant returned to work, and because the employer filed the executed agreement forms, it was not

necessary for the employer to file an application for a hearing. The employer complied with Code

§ 65.2-701 by filing the executed agreement forms.

                                       E. Assignment of Error 4

        Claimant asserts that the Commission “erred in concluding that an employee under an open

award has a duty to act to make the employer comply with the award order.” In support of her

contention, she refers to the Commission’s factual finding that “both parties proceeded as if the . . .

award had been properly terminated.” From that language she infers that the Commission assigned

her a duty to act to enforce her award.

        However, in its holding, the Commission neither explicitly nor implicitly ruled that claimant

had a duty to monitor entry of the executed agreements. The Commission held that the failure to

enter the executed agreements was due to an oversight on its part, and was not the result of either

party’s failure to comply with their statutory duties.

                                            CONCLUSION

        For the above reasons, the Commission’s ruling is affirmed.

                                                                                              Affirmed.

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