Opinion

EBI Insurance v. CNA Insurance

  • 95 Or. App. 448
  • 769 P.2d 789
  • 1989 Ore. App. LEXIS 246
Court
Court of Appeals of Oregon
Filed
Mar 8, 1989
Status
Published
Author
Richardson
On the bench
Richardson, Newman, Deits
Cited by
4 cases
Authority
More cited than 72.5%

affirming board order holding that report reflecting acceptance of claim was not intended to be an acceptance

How later courts described this case

  • affirming board order holding that report reflecting acceptance of claim was not intended to be an acceptance

Written by the judges who cited it.

The opinion

*450

RICHARDSON, P. J.

Don Rasmussen BMW (Rasmussen) seeks review of an order of the Workers’ Compensation Board that affirmed the referee’s order overturning a denial of claimant’s aggravation claim. It contends that Tandy Corporation (Tandy), a subsequent employer, is responsible because it accepted claimant’s new injury claim, and its later denial is therefore barred by

Bauman v. SAIF,

295 Or 788 , 670 P2d 1027 (1983). We affirm.

Claimant sustained a compensable back injury in 1983 while employed by Rasmussen. During his subsequent employment with Tandy, he began experiencing back pain and his treating chiropractor notified Rasmussen that he had suffered an aggravation. Rasmussen denied the claim, and claimant then filed a new injury claim with Tandy, which it denied by letter. Subsequently, Tandy filed two reports with the Workers’ Compensation Division on a Form 1502. The first indicated that the claim against Tandy was denied, but the second stated “claim originally denied, now accepted.” Two days later, Tandy filed a third Form 1502 that explained that the notation on the second form was a clerical error and that the claim was in a denied status.

The referee found that claimant’s current condition is an aggravation of the 1983 injury sustained while working at Rasmussen and ordered Rasmussen to accept the claim. The Board affirmed that part of the decision.

Rasmussen does not challenge the finding that claimant’s condition is an aggravation of the original injury, but contends that Tandy is responsible, because it accepted the claim when it noted its acceptance on the Form 1502.

A witness explained that the Form 1502 is a report to the Workers’ Compensation Division of the current status of a claim. It is not a notification to a claimant that the claim is accepted or denied. The form was not intended to be a notification to claimant of anything. In

Bauman v. SAIF, supra,

the court said:

“If, as in this case, the insurer officially notifies the claimant that the claim has been accepted, the insurer may not, after the 60 days have elapsed, deny the compensability of the claim * * * ” 295 Or at 794 .

*451

Official notice of acceptance or denial is described by ORS 656.262(6) and must include certain information and advice to the claimant. We conclude that the information on the Form 1502 was not an official notice of acceptance.

Affirmed.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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