Court Opinion

ID: 3153814
Source: CourtListenerOpinion
Date Created: 2015-11-10 23:07:02.565394+00
Date Added: 2024-06-11T12:01:53.945509
License: Public Domain

November 10 2015

                                          DA 15-0013
                                                                                     Case Number: DA 15-0013

                 IN THE SUPREME COURT OF THE STATE OF MONTANA

                                          2015 MT 317

NICK NEWLON,

              Petitioner and Appellee,

         v.

TECK AMERICAN, INC.,
(formerly Cominco),

              Respondent and Appellant.

APPEAL FROM:           Montana Workers’ Compensation Court, WCC No. 2012-2947
                       Honorable James Jeremiah Shea, Presiding Judge

COUNSEL OF RECORD:

               For Appellant:

                       Larry W. Jones, Wills Law Firm; Missoula, Montana

               For Appellee:

                       Margaret Dufrechou, Dufrechou Law Firm; Helena, Montana

                                                  Submitted on Briefs: July 22, 2015
                                                             Decided: November 10, 2015

Filed:

                       __________________________________________
                                         Clerk
Justice Michael E Wheat delivered the Opinion of the Court.

¶1     Teck American Incorporated (Teck) appeals from the Findings of Fact,

Conclusions of Law, and Judgment of the Montana Workers’ Compensation Court

(WCC), finding that Nick Newlon was entitled to medical benefits related to injuries

sustained while working for Teck, that Newlon’s claim was not barred due to a

superseding intervening cause, that Teck was estopped from asserting the 60-month time

bar under § 39-71-704(1)(d), MCA (1991), and that Newlon’s claim was not barred by a

statute of limitations or statue of repose. We affirm.

                                         ISSUES

¶2     We have restated the dispositive issues as follows:

       1. Did Teck and Newlon form an enforceable contract when both parties agreed
          to close several of Newlon’s claims in exchange for a lump sum payment and
          lifetime health benefits for his knee and back?

       2. If Teck and Newlon formed an enforceable contract, can Teck assert the
          60-month rule under § 39-71-704(1)(d), MCA (1991), to avoid liability for
          payment of Newlon’s benefits?

                 FACTUAL AND PROCEDURAL BACKGROUND

¶3     Teck is a mining and resource extraction corporation that acquired Cominco

American (hereinafter referred to as “Teck” for clarity) in its entirety in 2001. Nick

Newlon worked for Teck as a miner for over 20 years. Originally hired in 1972, he

worked for Teck until the mine closed in 1993. During his years working at the mine,

Newlon was injured on the job in several incidents including at least three separate

injuries involving his left knee. Newlon also reported numerous other work-related

injuries over the years because Teck’s safety policy required employees to report injuries,

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no matter how minor. While the record reflects some confusion regarding the timing of

the knee injuries, Newlon’s initial knee injury appears to have occurred sometime in

1974, with a subsequent injury in 1978, and another injury on October 3, 1991. After the

October 3, 1991 injury Newlon’s left knee problems continued to get worse. Ultimately,

Newlon had corrective surgeries on the knee in 1993 and 1996. Despite the surgeries, the

symptoms and problems persisted.

¶4     In 1996, Newlon was approached by Teck’s assistant manager, Hugh Moore, to

discuss settlement of all Newlon’s existing Workers’ Compensation claims. During their

settlement negotiations Newlon’s goal was to secure health coverage for his left knee and

back conditions because his medical providers had warned him that he would probably

need future treatment for the injuries. After discussions with Moore, Newlon, acting

without legal representation, agreed to settle all of his outstanding injury claims against

Teck for a lump sum of $25,000 and lifetime medical care for his left knee and back.

Newlon agreed to the settlement because he understood that he would be fully covered

the rest of his life. Under the agreement, Teck gained the benefit of closure of all of

Newlon’s other injury claims previously suffered by Newlon.             Teck prepared the

settlement documents and Newlon signed the agreement.               Moore forwarded the

documents to the Montana Department of Labor and Industry (DOLI) with an enclosed

note stating, “[t]he special provisions are that the medical is retained by the claimant or

left open in the two cases indicated but closed in all others.” The DOLI agreement does

not list the injury dates of the claims settled; it lists the two open claim numbers noting

that one claim is for “lower back” and the other for the “left knee.”

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¶5    After the 1996 left knee surgery and the settlement, Newlon did not obtain medical

treatment for the knee until 2000.   Newlon sought treatment in 2000 because his knee

continued to swell, give out unexpectedly, and lock up after kneeling. After treatment in

2000, Newlon did not seek medical treatment for his knee until 2007. Teck authorized

benefits and paid for Newlon’s left knee treatment from the inception of his injuries

through September 2010. Newlon still has problems with his knee, including swelling,

pain, and inability to stand and put weight on the left knee after kneeling. In 2012, his

doctors recommended a total left knee replacement. On December 21, 2011, Teck’s

counsel informed Newlon’s counsel that Teck believed it was not liable for further

medical care under § 39-71-704(1)(d), MCA (1991).           Teck agreed to pay medical

benefits under a reservation of rights while working toward a resolution.

¶6    In anticipation of Teck’s change of position regarding his medical coverage,

Newlon filed a Petition for Hearing in the WCC on September 2, 2011, asking the court

to order Teck or the Montana State Fund to pay medical benefits based on his left knee

claim. The Montana State Fund was subsequently dismissed from the suit and Newlon

filed a second Petition for Hearing on May 17, 2013, asking the WCC to order Teck to

continue to provide medical coverage for Newlon’s left knee injury including costs,

penalties, and attorney fees. The parties prepared for trial. On October 9, 2013, the

parties filed a joint pretrial order with the WCC and the case was tried in Helena. On

May 8, 2014, the WCC issued its Findings of Fact, Conclusions of Law, and Judgment in

the case. The court found that the dispute is governed by the 1991 Montana Workers’

Compensation Act. The court also found that Newlon’s claim was not barred due to a

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superseding intervening cause, and that Teck was equitably estopped from denying

medical benefits on Newlon’s claim on the basis of § 39-71-704(1)(d), MCA (1991).

Finally, the court determined that Teck’s statute of limitations and statute of repose

defenses were moot, and Newlon’s claim was not barred by estoppel or laches.

                              STANDARD OF REVIEW

¶7    We conduct de novo review of the WCC’s conclusions of law, including

determinations of jurisdiction, to determine whether they are correct. Thompson v. State,

2007 MT 185, ¶ 14, 338 Mont. 511, 167 P.3d 867; Gamble v. Sears, 2007 MT 131, ¶ 20,

337 Mont. 354, 160 P.3d 537. This Court accords substantial deference to the WCC’s

findings of facts and we review those findings to determine whether they are supported

by substantial credible evidence. Gamble, ¶ 20.

                                     DISCUSSION

¶8     1. Did Teck and Newlon form an enforceable contract when both parties agreed
to close several of Newlon’s claims in exchange for a lump sum payment and lifetime
health benefits for his knee and back?

¶9    The parties have argued extensively regarding the conclusions in the WCC’s

judgment and order including disputes over equitable jurisdiction, equitable estoppel, and

the 60-month rule, § 39-71-704(1)(d), MCA (1991). We find that we do not need to

address these issues as argued because the issues are resolved under contract law. In our

view, this is a case in which a promise was made between two parties, a promise that this

Court will uphold.

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¶10    The parties made three arguments and we briefly mention these arguments prior to

our analysis of the contract formed in this case.        First, Teck disputes the WCC

jurisdiction in this case arguing that the court does not have the authority to exercise

equitable jurisdiction in Workers’ Compensation cases. Because this argument has no

bearing on the contract issue we will not address it.      Second, we find that Teck’s

argument regarding the second element of equitable estoppel is a new theory raised on

appeal. This argument was not made at the WCC and we will not reach arguments the

WCC did not have the opportunity to address. (See In re T.E., 2002 MT 195, ¶ 20,

311 Mont. 148, 54 P.3d 38). Finally, we review the 60-month rule argument as part of

the second issue of this opinion.

¶11    Under § 28-2-102, MCA, four elements must exist for a valid contract to be

formed: the parties must have legal capacity, they must consent to the agreement, the

agreement must be a lawful object, and the parties must give consideration. On review of

the record of this case, we find all of the necessary elements required for an enforceable

contract between Newlon and Teck, a fact neither party disputes in this case. Both

parties agree that each consented to the provisions of the settlement agreement

memorialized with the DOLI. Second, there is no question that a settlement agreement

between employers and employees is a lawful objective of a contract. We have reviewed

numerous cases involving similar settlement agreements and have found that Workers’

Compensation settlement agreements are enforceable contracts. Gamble, ¶ 24. Finally,

both parties provided proper consideration as part of their agreements in the contract.

Newlon agreed to close thirteen of his fifteen open claims in exchange for a lump-sum

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payment and lifetime coverage for his knee and back. Teck provided consideration by

paying the settlement amount and agreeing to keep the two claims open. We conclude,

based on the record, that a proper contract was formed between the parties and duly

memorialized by the DOLI on a standard “Petition for Compromise and Release

Settlement” fill-in-the-blank form.

¶12    A specific review of the WCC findings of fact regarding the promises exchanged

between these parties further aids our determination regarding the enforceability of this

contract. In its findings, the WCC found Newlon to be a credible witness and we rely in

part on his testimony from the record to determine the parties’ positions at the time of

contracting. The WCC found that Moore, Teck’s agent at the time, contacted Newlon to

discuss the settlement of all of his outstanding Workers’ Compensation claims. Moore

promised to pay Newlon $25,000 and agreed that future medical care for his knee and his

back would be covered by the mining company’s insurer.            Newlon discussed this

arrangement with Moore and asked for coverage for life on his knee and back. Moore

agreed to these conditions. Moore drafted the documents and attached a note to the

settlement papers from the parties to the Montana Department of Labor and Industry

stating: “[t]he special provisions are that the medical is retained by the claimant or left

open in the two cases indicated but closed in all others.”

¶13    The subsequent actions of the parties under the contract further illustrate the

understanding of the parties. The WCC found that from the formation of the settlement

agreement with Teck in 1996 until December 21, 2011, Teck paid Newlon’s medical

benefits and left open his treatment with no reference to the 60-month rule. From the

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beginning, Teck, through its representative Moore, represented to Newlon that he would

enjoy medical benefits for life. We find that the WCC’s findings regarding the contract

are supported by substantial credible evidence. As a result, we find that in 1996, Moore

and Newlon agreed that Newlon would have coverage on his knee and back injuries for

life as part of this settlement. We also find that the settlement is a valid and enforceable

contract.

¶14 2. If Teck and Newlon formed an enforceable contract where Teck promised
Newlon benefits for life, can Teck still assert the 60-month rule under § 39-71-704(1)(d),
MCA (1991), to avoid liability for payment of Newlon’s benefits?

¶15    A fundamental tenet of contract law is freedom of contract; parties are free to

mutually agree to terms governing their private conduct as long as those terms do not

conflict with public laws. Winter v. State Farm Mut. Auto Ins. Co., 2014 MT 168, ¶ 26,

375 Mont. 351, 328 P.3d 665 (citing Arrowhead Sch. Dist. No. 75 v. Klyap, 2003 MT
294, ¶ 20, 318 Mont. 103, 79 P.3d 250). We note that in Wiard we held that the laws

existing at the time a contract is formed are part of the contract. Wiard v. Liberty

Northwest Ins. Corp., 2003 MT 295, ¶¶ 20-21, 318 Mont. 132, 79 P.3d 281 (citing Earls

v. Chase Bank of Texas, N.A., 2002 MT 249, ¶ 12, 312 Mont. 147, 59 P.3d 364).

¶16    The WCC concluded that the law in effect at the time of the settlement was the

1991 Montana Code Annotated, and that § 39-71-704(1)(d), MCA (1991), is the law

governing the settlement agreement. We agree with the WCC conclusions on governing

law. In this case however, the governing law (60-month rule) is not dispositive. On

review of the relevant Workers’ Compensation statutes, we find no provision preventing

an employer from contracting around the statute, or specifically, preventing an employer

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from promising more than is provided in the statute. Because there is no conflict with the

relevant statutes, we do not find that the promise of lifetime care is an illegal objective

that invalidates the contract. Just the opposite, the facts surrounding Newlon’s settlement

agreement reflect a promise made that effectively extends the coverage beyond the

statutory rule because ultimately, under a legal contract, a deal is a deal.

¶17    Teck also argues that this case is identical to our decision in Wiard and that we

must conclude similarly that Newlon is barred from his benefits. We disagree. In Wiard,

we determined that Wiard was barred by § 39-71-704(1)(d), MCA (1991), from further

benefits under his settlement agreement with his insurer because he failed to access those

benefits for more than 60 months. Wiard, ¶ 39. However, unlike Newlon, Wiard did not

have a specific promise from his employer similar to that made in this case. Wiard,

¶¶ 8-12, 14-18. While Wiard entered into a settlement agreement with his employer

closing benefits and keeping some health claims open, the facts of the case do not

indicate a specific lifetime coverage promise. Wiard, ¶¶ 8-12, 14-18. Teck’s promise to

Newlon distinguishes this case from Wiard, and we cannot reach the same conclusion

because the promise must be enforced.

¶18    We find that the tenet of freedom to contract allows a party to a settlement

agreement to make a promise that is durable even beyond the limits of the 60-month rule

found in § 39-71-704(1)(d), MCA (1991). A specific promise was made in this case to

Newlon, promising Newlon benefits for life. This tenet is based on the notion that the

parties are in the best position to decide the contractual provisions based on their own

interests. Here, in our interpretation of the contract, we “simply [give] effect to the

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agreement between the parties in order to enforce the private law of the contract.”

Arrowhead, ¶ 20 (citing Ophus v. Fritz, 2000 MT 251, ¶ 23, 301 Mont. 447, 11 P.3d
1192).

¶19      Thus, the 60-month rule does not apply because Teck effectively contracted away

this right when the parties made the agreement. While we reach our conclusion on

different grounds than the WCC, we find the same result as the court that Teck cannot

deny Newlon’s health benefits.       We conclude that the WCC did not err in its

determination that Teck cannot deny medical benefits under Newlon’s claims on the basis

of § 39-71-704(1)(d), MCA (1991).

                                     CONCLUSION

¶20      We decline to address Teck’s arguments that the WCC lacks the authority to

employ equitable remedies. We find Teck’s argument regarding the second element of

equitable estoppel is newly raised on appeal and we will not reach arguments the WCC

did not have the opportunity to address. We find that Moore and Newlon created an

enforceable contract granting Newlon lifetime coverage for his knee and back injuries.

We simply give effect to a lawful agreement made between the parties. The WCC did

not err in its conclusion that Teck cannot deny medical benefits to Newlon on the basis of

§ 39-71-704(1)(d), MCA (1991).

¶21      Affirmed.

                                                 /S/ MICHAEL E WHEAT

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We Concur:

/S/ MIKE McGRATH
/S/ LAURIE McKINNON
/S/ PATRICIA COTTER
/S/ JIM RICE

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