# Petition for Writ of Certiorari — Aviado v. Industrial Claim Appeals Office

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Petition for Writ of Certiorari
- **Published:** January 1, 2010
- **Citation:** 562 U.S. 892

## Text

Supreme C
1) p me ourt US.
Ne... 9-34 JUL § - 2010

~~ OFFICE OF THE CLERK
In The

Supreme Court of the United States

ROSARIO AVIADO,

) wat
[ CULTLOTLE ‘ ~

INDUSTRIAL CLAIM APPEALS OFFICE, e? adZ.,
Respondents

‘climactic —

On Petition For A Writ For Certiorari
To The Colorado Court Of Appeals

ies WN eeaeeticeenemensamed
CHRIS FORSYTH RALPH OGDEN*
CHRIS FORSYTH LAW WILCOX & OGDEN, P.C.
OFFICE, LLC 1750 Gilpin Street
1675 Broadway, Suite 1400 Denver, Colorado
Denver, Colorado 80202 80218-1206
Phone: 303-892-3894 Phone: 303-399-5005

pqih : irisheorky@aol.com
‘Counsel of Record

Attorneys for Petitioner

COCKLE LAW BRIEF PRINTING CO. (800) 225-6964
OR CALL COLLECT (402) 342-2831

QUESTIONS PRESENTED

:

When Colorado’s judicial branch politically
opposes a bill that would place the state’s workers’
compensation judges in the judicial branch, in
addition to other actions aimed at keeping workers’
compensation judges out of the judicial branch, and
then a case is heard in Colorado’s judicial branch
wherein a party alleges that the federal and state
constitutions require that the state’s workers’
compensation judges be in the judicial branch, is a
fair and impartial forum provided in Colorado’s
judicial branch as required by the due process clause
of the Fourteenth Amendment to the United States
Constitution?

»)

and «

Has Colorado, which follows federal law
regarding separation of powers, violated this Court’s
ruling in Northern Pipeline Construction Co. v.
Marathon Pipe Line Co., 458 U.S. 50 (1982) by ruling
that litigation regarding workplace injuries can take
place in the executive branch when Northern Pipeline
requires suits that existed at common law, such as
suits regarding workplace injuries, be heard in the

judicial branch?

QUESTIONS PRESENTED ~ Continued

aw

Is there a rational basis, for the purposes of an
equal protection analysis, for depriving workers’
compensation litigants of judicial branch judges when
all other injured parties and litigants in Colorado

have their cases heard in the judicial branch?

11]
PARTIES TO THE PROCEEDINGS
A list of all parties to the proceedings in the court

whose judgment is subject of the petition is as

follows:
Clairmant-Appellant and Petitioner: Rosario Aviado

Respondents-Appellees and Respondents: Industrial
Claim Appeals Office, Ensicon Corporation and Wasau
Insurance Corporation

TABLE OF CONTENTS

QUESTIONS PRESENTED

PARTIES TO THE PROCEEDINGS
TABLE OF CONTENTS

TABLE OF AUTHORITIES

PETITION FORA WRIT OF CERTIORARI
OPINIONS BELOW

JURISDICTION..

CONSTITUTIONAL AND STATUTORY
PROVISIONS INVOLVED

STATEMENT OF THE CASE
REASONS FOR GRANTING THE PETITION

A. ‘This case has not been heard by a fair

and impartial tribunal

8. Colorado relies on federal law regarding
separation of powers but issued = an
opinion contrary to the rulings of this
Court

C Aviado is not receiving equal protection
of the laws.

CONCLUSION.

APPENDIX

Colorado Court of Appeals’ Order dated April

L]

ay. i ae es een ESE sedeisaxess SU 2

TABLE OF CONTENTS — Continued

Page
Order of the Industrial Claim Appeals Office
EU FIRE, BG, BI vi vivcivecscsesccssssccescccavescrcsscdes &G
Full Findings of Fact, Conclusions of Law and
Order by the Office of Administrative Courts
Gated November 6, 2007 ......cccccsscessseseseessseess App. 33
Colorado Court of Appeals’ Order denying
Motion to Disqualify Judges dated February
LO, ZOOS ...scccccess renhindnanaeks taseseanassaserecasayeeeeete ae
Colorado Court of Appeals’ Order denying
reconsideration of Motion to Disqualify
Judges dated April 16, 2009 .......................... App. 70
Denial of Petition for Rehearing by the Colorado
Court cf Appeals dated May 14, 2009........... App. 72
Denial of Petition for Writ of Certiorari by
the Colorado Supreme Court dated April 5,
BE cidacavioces acethen see pentane uashuhsedaarideonevonierideintameeeenee
Colo. Rev. Stat. § 8-1-102 (2008) ....................... App. 74
Colo. Rev. Stat. § 8-40-1022 (2008) ................. ... App. 75
Colo. Rev. Stat. § 8-43-201 (2008) ..... savveteseneesene ee
Colo. Rev. Stat. § 8-43-301 (2008) ..................... App. 76
Colo. Rev. Stat. § 8-43-308 (2008) ..................... App. 82
Colo. Rev. Stat. § 8-47-101 (2008) ..................... App. 82
Colo. Rev. Stat. § 24-30-1001 (2008) ................. App. 85
Colo. Rev. Stat. § 24-30-1003 (2008) ...........0..... App. 87
Ce he, WR Bie Fe ice Sac ennevscsbinssocivenenrninrerhs App. 90

CGI TN OUR WE cede csictssccesarsnuivesssrvaspeprne App.

TABLE OF CONTENTS — Continued

Page

Colo. Const. art. VI, §9........ See ee
Colo. Const. art. VI, § 20............. sateen App. 91
| Ee App. 92
Fa SM TAG, MENOTN, FEV, © Y ciciecscsciccssscsnesccssosees App. 94
i ee OE DE cscs cag ensgiss dcannstiessvereseusencuaes ..... App. 94
Motion for Disqualification of Judges filed May
Want as Sickel ban seaisek sipenesdaenaues ectecsiaeas vas App. 96

TABLE OF AUTHORITIES
Page
CASE LAw

American Trucking Assoc., Inc. v. Smith, 496

ee, Sr ae Ir iss ca capes dwepastereubakedeenbesetaueandetncastoens 19
Bracy v. Gramley, 520 U.S. 899 (1997).................... 13
Caldwell v. Mississippi, 472 U.S. 320 (1985) ............ 17
Caperton v. A.T: Massey Coal Co., Inc., 556 U.S.

5 Ee ty Abs BE LENGE sxssersenacccceastiaxessesserne 11,13

Celebrity Custom Builders v. Industrial Claim
Appeals Office, 916 P.2d 539 (Colo. App.

I ities ulecace Liekaundesineienesdddant oben cxhaiauneutlsuadlanmenatwieasess 7

College Sav. Bank v. Flor. Prepaid Postsecondary

Ed. Expense Bd., 527 U.S. 666 (1999).................02. 28
Commodity Futures Trading Comm’n v. Schor,

re ee ee RE kava deine sceunconasacanseiesevs eee 26
Crowell v. Benson, 285 U.S. 22 (1932) ........0.0.... passim
Dee Enterprises v. ICAO, 89 P.3d 430 (Colo.

Se EIEN k cscs lice. tiani segs arevdsuveseuadumunseacaneadieres passim
Dewey v. Des Moines, 173 U.S. 193 (1899).................382
Fitzgerald v. Racing Ass’n of Central Iowa, 539

Ooooh cccdac dundveasunswasntaxonss 19, 20, 32
Florida v. Powell, ___ U.S. ___, 180 S. Ct. 1195

RE E RRELEPRR E a EO eons MODE MONE errr eee 17
Granfinanctera v. Nordberg, 492 U.S. 33 (1989)....... 29

Gubiensio-Ortiz v. Kanahele, 857 F.2d 1245
BR aR as ar RN Sera inion AR Ae ee SA RT DE 15

Vill

TABLE OF AUTHORITIES — Continued
Page

Holt Civic Club v. City of Tuscaloosa, 439 U.S.
ia eh ae Cues ocaekal eo eauavivesanesivediet 33

Huizar v. Allstate Ins. Co., 952 P.2d 342 (Colo.

In re Murchison, 349 U.S. 133 (1955)..................c2eee.

Johnson v. District Court In and For Jefferson
County, 674 P.2d 952 (Colo. 1984)

Kadrmas v. Dickinson Public Schools, 487 U.S.
(1 NERA AROS Rae AR Er asiatccoume

MGM Supply Co. v. Industrial Claim Appeals
Office, 62 P.3d 1001 (Colo. App. 2002)

Michigan v. Long, 463 U.S. 1032 (1983)...........0..02.... 19

Moore v. Roemer, 560 So.2d 927 (La.App. 1 Cir.
i990)

Northern Pipeline Construction Co. v. Marathon
Pipe Line Co., 458 U.S. 50 (1982) passim

People v. Hall, 107 P.3d 1073 (Colo. App. 2004) 16
People v. James, 117 P.3d 91 (Colo. App. 2004)

Premier Elec. Const. Co. v. Nat'l Elec. Contractor’s
Ass’n, Inc., 814 F.2d 358 (7th Cir. 1987)

Sigman v. Seafood Ltd. P’ship I, 817 P.2d 527
(Colo. 1991)

State of Wyomingv. Halstead, 795 P.2d 760
ee eels cincdsveciuiasseciaviniaessessssl &
Tassain v. People, 731 P.2d 672
(Colo. 1987) 12. 31, 33

1X

TABLE OF AUTHORITIES — Continued

Page
Thomas v. Union Carbide Agricultural Products
Co., 473 Ute, Beier Ree kun ersscsssccessccccccscccess 19, 24, 25
Three Affiliate Tribes v. World Engineering
PoC, , SE i Nay iitl aes ccsccsescsccccccsscsecsse: 10
Ulster County Court v. Allien, 442 U.S. 140
(O78) .cccsvnssecueeE Gr kiesessescsccncscsccccesscces 17
U.S. 0. ADGL, GO Vite ee ED cess vccecccvccscesccscccscccscess 16
STATUTES
Colo. Rev, Stat. 3 G-L-20Z (ZOGS) ..........ccsccscccccccccceees 4,6
Colo. Rev. Stat. § 8-40-102 (2008) .....................008. 4,12
Colo. Rev. Stat. § 8-43-201 (2008) ...................... passim
Colo. Rev. Stat. $ 8-43-301 (2008) .....................00..s008. 25
Colo. Rev. Stat. § 8-43-B3O7(Z) ...........ccccscecccesccescece 29, 30
Colo. Rev. Stat. § 8-43-308 (2008) .............................. 25
Colo. Rev. Gib. © tera mere Cat ccncscsccccccccccccccscscces 4,6
Colo. Rev. Stat. § 24-30-1001 (2008) .................. 4, 6, 33
Colo. Rev. Stat. § 24-30-1003 (2008) .................. 4 6,33

UNITED STATES CONSTITUTION
U.S. Comet. Gi meee aia csciccccsccscseceeecdd, BO, 29
U.S. Comsat. Gi@enth, FREY secccscscscccececces.:. 4, 13, 14, 17, $1

TABLE OF AUTHORITIES — Continued

COLORADO CONSTITUTION

Colo. Const. art. II, § 25............ a eens
CFO SII. BIG, Be icasivcescxcscocvcesxscessis rcuideoaveabesecuseuea ee
Cee ON WE hs se eacnesubeetesdacssaeeeaeee
Ee OO ee gsacvsaciavinecieaias 3, 20
Cee, Cee, Oe re ee, vs ccosacecenessbuasannsactwanadens 4.6
ee, ee ee cataclunawedaahis 4,6, 20
RULES

ee ee GP Ss ccunbcunsbaveusumeiceiasabeneen ao, 22

OTHER AUTHORITIES

Alabama Code of 1975 § 25-5-88......... Ses or

Tex. Lab. Code Ann. § 410.304...... a cee

PETITION FOR A WRIT OF CERTIORARI

Rosario Aviado respectfully petitions for a writ of
certiorari to review the published opinion of the
Colorado Court of Appeals which was denied
certiorari by the Colorado Supreme Court.

—_--- +

OPINIONS BELOW

The panel opinion of the Colorado Court of
Appeals is officially reported at 228 P.3d 177 (Colo.
App. 2009) and is reproduced at App. 1-15.

The order of the Industrial Claim Appeals Office
in W.C. 4-648-693 affirming the order of the Office of
Administrative Courts is reproduced at App. 16-32.

The order of the Office of Administrative Courts
in W.C. 4-648-693 is reproduced at App. 33-66.

The en banc opinion of the Colorado Supreme Court

denying certiorari is reproduced at App. 73.

Oe

JURISDICTION

The judgment of the Colorado Court of Appeals
sought to be reviewed was entered on April 16, 2009.
A petition for rehearing was denied on May 14, 2009.
The order denying certiorari by the Colorado

Supreme Court was entered on April 5, 2010. This
petition is timely under 28 U.S.C. § 2101 (c), 28 U.S.C.
§ 2104 and Supreme Court Rule 13.1 because it is

being filed within 90 days after the denial of
certiorari by the Colorado Supreme Court. This Court
has jurisdiction to review the state court judgment
from Colorado pursuant to 28 U.S.C. § 1257.

*

CONSTITUTIONAL AND
STATUTORY PROVISIONS INVOLVED

The relevant statutory provision at issue is Colo
Rev. Stat. § 8-43-201 (2008), which states as follows:

The director and administrative law judges
employed by the office of administrative
courts in the department of personnel shall
have original jurisdiction to hear and decide
all matters arising under articles 40 to 47 of
this title; except that the following principles
Shall apply: A claimant in = a_- workers’
compensation claim shall have the burden of
proving entitlement to benefits by a
preponderance of the evidence; the facts in a
workers’ compensation case shall not be
interpreted liberally in favor of either the
rights of the injured worker or the rights of
the employer; a workers’ compensation case
shall be decided on its merits; and a party
seeking to modify an issue determined by a
general or final admission, a summary order,
or a ful! order shall bear the burden of proof
for any such modification

Aviado alleges that the above statute violates the

separation of powers doctrine which has its basis in

Article III of the United States Constitution, which
provides:

The judicial Power of the United States,
shall be vested in one supreme Court, and in
such inferior Courts as the Congress may
from time to time ordain and establish. The
Judges, both of the supreme and inferior
Courts, shall hold their Offices during good
Behaviour, and shall, at stated Times,
receive for their Services, a Compensation,
which shall not be diminished during their
Continuance in Office.

Colorado follows federal law regarding the

separation of powers and also has its own

constitutional provision, Article III, setting forth the
separation of powers as follows:

The powers of the government of this
state are divided into three distinct depart-
ments, — the legislative, executive and ju-
dicial; and no person or collection of persons
charged with the exercise of powers properly
belonging to one of these departments shall
exercise any power properly belonging to
either of the others, except as in this con-
stitution expressly directed or permitted.

Another constitutional provision in Colorado that
is relevant is §9 of Article VI, which provides as
follows:

(1) The district courts shall be trial courts

of record with general jurisdiction, and shall
have original jurisdiction in all civil, probate,

and criminal cases, except as otherwise pro-
vided herein, and shall have such appellate
jurisdiction as may be prescribed by law.

Section 20 and § 25 of Article VI of the Colorado
Constitution are also relevant and the full text of
those provisions is in the appendix.

Due process and equal protection are also at
issue in this case. The relevant United States
Constitution provision is § 1 of Amendment Fourteen,
which provides as follows:

All persons born or naturalized in the United
States and subject to the jurisdiction thereof,
are citizens of the United States and of the
State wherein they reside. No State shall
make or enforce any law which shall abridge
the privileges or immunities of citizens of the
United States; nor shall any State deprive
any person of life, liberty, or property,
without due process of law; nor deny to any
person within its jurisdiction the equal
protection of the laws.

The relevant provision of the Colorado Consti-
tution is § 25 of Article II, which provides as follows:
No person shall be deprived of life, liberty or

property, without due process of law.

The following statutes from the Colorado Revised
Statutes are involved in this case and are fully set out
in the Appendix: Colo. Rev. Stat. §§ 8-1-102, 8-40-102,
8-47-101, 24-30-1001, and 24-30-1003 (2008).

o

STATEMENT OF THE CASE

This is a workers’ compensation case from the
state of Colorado. Rosario Aviado worked as an
assembler for Ensicon Corporation. She was diag-
nosed with work-related bilateral carpal tunnel syn-
drome. Ensicon and its insurance company, Wausau,
admitted the injury was work-related. Aviado re-
ceived medical and temporary wage loss benefits that
were paid by Wausau.

Due to concerns that surgery would not be
successful, Aviado declined surgery. Her physician
placed her medical condition at maximum medical

improvement. Her temporary wage loss benefits

ended and she was paid permanent partial disability
benefits in the amount of $5,020.33.

Due to the permanent work restrictions from the
injury, an expert determined that Aviado was unable
to earn a wage. Aviado applied for a_ hearing
regarding permanent total disability benefits. If she
succeeded in her claim for permanent total disability,
she would receive monetary benefits and medical care
for her injury for the remainder of her life absent a
change in her condition. The present value of the
lifetime monetary benefits is more than $150,000.00.

As required by Colorado law, Aviado’s application
for hearing for permanent total disability was filed
in the Office of Administrative Courts, which is in
the executive branch of Colorado’s government. Colo.
Rev. Stat. § 8-43-201 (2008). The Office of Adminis-
trative Courts is not in the Division of Workers’

6

Compensation, which is a separate executive branch
agency. Colo. Rev. Stat. § 8-47-101 (2008); Colo. Rev.
Stat. § 24-30-1001 (2008). Judges in the Office of
Administrative Courts are hired by the Executive
Director of the Department of Personnel. Colo. Rev.
Stat. § 24-30-1003 (2008). The judges are not subject
to the selection and retention provisions of the Colo-
rado Constitution to which judicial branch judges are
subject. Colo. Const. art. VI, §§ 20, 25. The judges in
the Office of Administrative Courts are subject to per-
formance reviews. Colo. Rev. Stat. § 24-30-1003(4)(a)
(2008).

The parties proceeded to hearing. Ensicon did not
plead the affirmative defense of unreasonable refusal

of medical treatment. No questions were asked at
hearing regarding the affirmative defense that was
not pled. Ensicon argued in a position statement after
the evidence had been submitted that Aviado had
unreasonably refused medical treatment. Aviado
objected. The administrative law judge (ALJ) issued
an order denying Aviado’s request for permanent
benefits. In doing so, the ALJ relied on the affir-
mative defense that was not pled by Ensicon.

Aviado appealed to the Industrial Claim Appeals
Office (ICAO). The ICAO is another executive branch
agency. Colo. Rev. Stat. § 8-1-102 (2008). Among other
things, Aviado argued the reliance on an affirmative
defense that was not timely pled was reversible error.
The ICAO ruled that the ALJ’s error was harmless
and affirmed the ruling. Aviado timely filed a notice
of appeal with the court of appeals.

At this point Aviado exited the executive branch
and entered the judicial branch. Aviado could now
raise constitutional issues because neither the ALJ
nor the ICAO has jurisdiction over constitutional
issues. Celebrity Custom Builders v. Industrial Claim
Appeals Office, 916 P.2d 539 (Colo. App. 1995).

Aviado challenged the jurisdiction of the
executive branch judges based on the separation of
powers doctrine and equal protection of the laws
citing the Colorado and United States Constitutions.
Aviado alleged that the constitutions required that
judicial branch judges must hear and determine
workers’ compensation cases. Aviado cited many
federal cases including Northern Pipeline Construction
Co. v. Marathon Pipe Line Co., 458 U.S. 50 (1982).
Colorado follows federal law regarding separation of
powers. Dee Enterprises v. ICAO, 89 P.3d 430 (Colo.
App. 2003). The federal question regarding separa-
tion of powers was timely raised at this point in the

proceedings.

The Colorado judicial branch, however, has a
history of political activism aimed at keeping workers’
compensation judges out of the judicial branch. The
following history was placed in an affidavit to the
court of appeals and accepted as true by the court of
appeals.

Legislative transcripts from 1996 document that
the judicial branch lobbied against having workers’
compensation judges in the judicial branch when a
bill before the legislature would have required such

8

judges to be placed in the judicial branch. The judicial

branch went on the record at a legislative committee
hearing stating, “we don’t want the work.” Although
the bill passed through the committee over the
objection of the judicial branch, the judicial branch
enticed the legislator proposing the bill to restructure
the bill so it would drive a fiscal note. The judicial
branch knew a fiscal note would kill the bill. The
judicial branch used an effective political strategy
that worked.

In 2001, a legislative task force convened to
address civil justice reform. The Director of the
Division of Administrative Hearings, which is now
called the Office of Administrative Courts, testified
that, “I know the judicial branch has been offered the
administrative hearings’ function a number of times
over the years and they’ve resisted that.”

Then a case went through the Colorado appellate
courts challenging the jurisdiction of executive
branch judges who hear workers’ compensation
matters. Dee Enterprises v. ICAO, 89 P.3d 430 (Colo.
App. 2003). The chief justice of the Colorado Supreme
Court selected the judges who heard the Dee
Enterprises case which is shown by the asterisks next
to the judges’ names in the published opinion. Jd.

The Dee Enterprises court ruled the grant of jur-
isdiction to executive branch judges to hear workers’
compensation claims was not unconstitutional. Dee
Enterprises v. ICAO, 89 P.3d 430 (Colo. App. 2003). In
doing so, the court relied on federal law, making the

9

issue a federal question. Jd. The Dee Enterprises court
ruled workers’ compensation proceedings involve
public rights. Jd. at 435-437. This ts directly contrary
to this Court’s holding that workers’ compensation
proceedings involve private rights. Crowell v. Benson,
285 U.S. 22, 51 (1932). Because workers could sue
employers for injuries at common law, the Dee
Enterprises opinion is directly contrary to this Court’s
holding that actions available at common law must be
tried in the judicial branch. Northern Pipeline
Construction Co. v. Marathon Pipe Line Co., 458 U.S.
50 (1982).

The above-related facts, among others, were set
forth in a motion for disqualification of judges that
was filed in this case at the court of appeals. App. 96-
114. Aviado requested that the court acknowledge the
facts showing the partiality of the judicial branch and
invoke the rule of necessity to hear the case. Aviado
moved for the disqualification based on Canon 3 of
the Colorado Code of Judicial] Conduct and Rule 97 of
the Colorado Rules of Civil Procedure. The court of

appeals accepted the facts put forth as true, yet
denied the motion stating:

The fact, if it is one, that the judicial branch
has opposed the transfer of Administrative
Law Judges into the judiciary is not a basis
to conclude that the judges of this court,
including the division now assigned to the
case, cannot be impartial.

App. 67.

10

Aviado filed a motion for reconsideration to which
the court responded:

Claimant asserts the court did not employ
the appropriate standard in denying the
motion for disqualification. The court
disagrees. The statement in the previous
order that “The fact, if it is one” was meant
to convey that the court accepted that the
asserted fact was true. Even assuming that
fact to be true, the court perceived and
continues to perceive no appearance of
impropriety that would require disqualli-
fication.

App. 70.

The court of appeals then issued a published
opinion wherein it did not mention the motion
regarding judicial bias or that it had denied such
motion. App. 1-15. The court of appeals ruled that the
Dee Enterprises opinion was persuasive and did not
directly confront Aviado’s arguments regarding the
errors in the Dee Enterprises opinion. App. 9-10.
Because the court below relied on the Dee Enterprises
opinion which includes an in-depth analysis of federal
law and a reliance on such law, there is a federal
question in this case. Three Affiliate Tribes v. World
Engineering P.C., 467 U.S. 138 (1984). The court of
appeals failed to rule on the equal protection argu-
ment that was raised.

Aviado filed a petition for rehearing. The petition

included the equal protection argument that the court
had failed to rule on and cited the United States

1]

Constitution to support the equal protection claim.
The petition argued that it was error for the court not
to address the recusal issue or the alleged errors in
the Dee Enterprises opinion in the published opinion.
The petition for rehearing was denied.

Aviado filed a petition for certiorari with the
Colorado Supreme Court. The petition stated that the
motion for disqualification applied to the supreme
court and the motion was attached to the petition. A
federal basis for the motion for disqualification was
not cited, however, until the reply regarding the
petition was filed. In the reply a due process violation
of the United States Constitution was alleged along
with a citation to this Court’s opinion in Caperton v.
A.T: Massey Coal Co., Inc., 556 U.S. __, 129 S. Ct.
2252 (2009).

It is the law in Colorado that a judge must rule
on a recusal motion before ruling on anything else.
Colo. R. Civ. Pro. Rule 97; Jehnson v. District Court
In and For Jefferson County, 674 P.2d 952, 955 (Colo.
1984). Nevertheless, without ruling on the motion for

disqualification, the Colorado Supreme Court denied

certiorari.

REASONS FOR GRANTING THE PETITION

This Court has not issued an opinion regarding
the effect of a judicial branch entering the political
arena in an attempt to evade duties that are histor-
ically and constitutionally delegated to such branch.

12

Does the political agenda of Colorado’s judicial branch
create a constitutionally intolerable probability of
actual bias in violation of the Fourteenth Amendment
of the United States Constitution when a party
argues before the branch that it is constitutionally
required to do what it has lobbied against? Does the
fact that the judges in this case issued a published
opinion without disclosing the motion for disqualifica-

tion or any of the facts supporting it affect the
decision regarding bias? This Court needs to address
what happens to fairness and impartiality when a
judicial branch takes a political turn. This is an

important federal question.

Colorado adheres to federal law regarding sepa-
ration of powers. Dee Enterprises v. ICAO, 89 P.3d
430, 435-438 (Colo. App. 2003). An employee could
sue an employer at common law for a work injury.
Colo. Rev. Stat. § 8-40-102 (2008). Therefore, Aviado
is entitled to a judicial branch judge in her workers’
compensation case. Northern Pipeline Construction
Co. v. Marathon Pipe Line Co., 458 U.S. 50 (1982). By
forcing workers’ compensation litigants to have their
cases heard in the executive branch, Colorado’s
judicial branch has violated the separation of powers
doctrine. This is an important federal question.

A judicial branch’s lack of desire for work should
not trump constitutional rights. There is no rational
basis for overcoming an equal protection challenge in
this matter. Colorado follows federal law regarding
equal protection. Tassian v. People, 731 P.2d 672, 674
(Colo.1987). This is an important federal question.

13

This Court should hear this case to ensure a fair and
impartial decision is rendered and to ensure that
federal] law has been correctly followed.

A. This case has not been heard by a fair and
impartial tribunal.

The Due Process Clause in the Fourteenth
Amendment to the United States Constitution guar-
antees a fair and impartial tribunal. /n re Murchison,
349 U.S. 133, 186 (1955); Bracy v. Gramley, 520 U.S.
899, 904-05 (1997). Objective standards must be used
regarding the recusal. Caperton v. A.T:! Massey, 556
U.S. __, 129 S. Ct. 2232, 2263 (2009). The question
to be answered is whether there is a constitutionally
intolerable probability of actual bias. /d.

The following facts, among others, were accepted
to be true by the Colorado Court of Appeals in this
matter: The Colorado judicial branch 1) publicly op
posed a bill that would have placed workers’ compen-
sation judges in the judicial branch, 2) convinced the

sponsor of the bill to change it so it required a fiscal
note which killed the bill in the appropriations com-
mittee, 3) resisted other attempts at putting workers’

compensation judges in the judicial branch, and
4) selected a panel of judges who heard the issues in a
previous case. Although the court of appeals accepted
these facts as true, the court denied a motion for
disqualification and issued a published opinion with-
out revealing in the opinion that any such motion was
ever made. These are not the actions of the fair and

14

impartial forum that is required by the due process
clause of the Fourteenth Amendment to the United

States Constitution.

The actions of the Colorado judicial branch lead
to a conclusion that there is a_ constitutionally
intolerable probability of actual bias in the Colorado
judicial branch and the opinion below must be

reversed.

“|PJublic confidence in the judiciary is indis-
pensable to the operation of the rule of law;
yet this quality is placed in risk whenever
judges step outside the courtroom into the
vortex of political activity. ...

Concern with the entanglement of the judi-

cial and executive power of the United States
is no passing phenomenon: The Framers

themselves feared consolidation of such au-
thority in the hands of individuals. Madison,
quoting Montesquieu, warned that “‘were
the power of judging joined with the legis-
lative, the life and liberty of the subject
would be exposed to arbitrary control, for the
judge would then be the legislator. Were it
joined to the executive power, the judge
might behave with all the violence of an
oppressor.” The Federalist No. 47, at 303
(Mentor ed. 1961) (emphasis original). Ham-
ilton reiterated that “liberty ... would have
everything to fear from [the judiciary’s]
union with either of the other departments.”
The Federalist No. 78, at 466; see Note,
Constitutional Infirmities, 96 Yale L.J. at
1383-84.

L5

The aura of judicial impartiality must be
conserved for the judiciary’s core function,
the resolution of cases or controversies.
Because “confidence in the disinterestedness
of [its] judicatory functions” is central to the
judiciary’s effectiveness, judges must remain
free of external influences and thereby be
allowed to act and be perceived as acting in a
neutral and impartial manner. Frankfurter,
Advisory Opinions, in 1 Encyclopedia of the
Social Sciences 475, 478 (1930). For this
reason, political involvement by judges is
severely limited.

Gubiensto-Ortiz v. Kanahele. 857 F.2d 1245. 1262
1263 (9th Cir. 1988).

The judicial branch is intended to implement the
policies that the political branches create. Premier
KHlec. Const. Co. v. Nat'l klec. Contractor’s Ass’n, Ine
814 F.2d 358, 375 (7th Cir. 1987). The judicial branch
is not to be a political entity but is to refrain from
political activity so it can be perceived as fair and

impartial. /d.; Gubiensio, supra

The phrase used by Colorado’s judicial branch in
the legislative committee hearing where a bill would
have required workers’ compensation judges to be in
the judicial branch was, “WE don’t WANT the work.”
(emphasis added). This is a statement of desire; not a
statement of a properly thought out legal conclusion.
The other statement in a legislative hearing was, “1
know the JUDICIAL BRANCH has been offered the

administrative hearings’ function a number of times

16

over the years and THEY'VE RESISTED that

(emphasis added). The statement shows again that
the judicial branch is acting as an organization that
is resisting having workers’ compensation judge:
being placed in the judicial branch. This case is
different from other cases that have previously come
before this Court because this case involves a judicial
branch’s improper desire. In other words, this case
involves the Colorado judicial branch’s publicly stated
partiality toward keeping workers’ compensation

judges out of the judicial branch

The judges in this case did not perceive an
appearance of impropricty in the fact that they were
members of the Colorado judicial branch, which is the
organization that had lobbied against having workers’
compensition judges in the judicial branch. App. 70
Evidence of membership in an organization, however,
is relevant on the issue of bias. Mere evidence of
membership in an organization, even without proof
that the person has adopted the organization’s tenets,
is probative of bias. U.S. v. Abel, 469 U.S. 45 (1984)
(evidence of membership in prison gang probative of
witness’ bias toward defendant). The state of Colo
rado agrees the membership in an organization ts
probative of bias. People v. James, 117 P.3d 91, 94
(Colo. App. 2004) (evidence regarding gang affil
lations admissible to show motive); People v. Hall,
107 P.3d 1073, 1077 (Colo. App. 2004) (citing U.S. vo
Abel, 469 U.S. 45 (1984)). Therefore, membership in
the judicial branch is probative of bias in this in

stance because the judicial branch lobbied as an

organization against workers’ compensation judges
being in the judicial branch.

The bias issue is a federal question. The court
below did not rely on an independent state ground for
its failure to recuse. It ruled that there was not an
appearance of impropriety, which is simply a more
stringent standard than is required by the federal
constitution as opposed to a completely independent
standard. The merits of a federal question have been
reached in this case because a fair and impartial tri-
bunal is constitutionally required. See Ulster County
Court v. Allen, 442 U.S. 140, 154 (1979) Gf state court
does not indicate state bar to federal constitutional
claim, then this Court does not disrespect the state by
entertaining the claim); Caldwell v. Mississippi, 472
U.S. 320, 327 (1985) (Supreme Court will not assume
state court decision rests on adequate and _ inde-
pendent state grounds); Florida v. Powell, __ U.S.
__, 180 S.Ct. 1195 (2010) (because state court
opinion did not indicate clearly and expressly that it
was alternatively based on bona fide separate,
adequate and independent state grounds, Supreme
Court has jurisdiction). Furthermore, the motion for
disqualification of judges was also addressed to the
Colorado Supreme Court with the citation to the
Fourteenth Amendment to the United States Con-
stitution in the argument. The Colorado Supreme
Court’s improper failure to rule on the motion should
not prohibit a federal question in this matter.

There is a constitutionally intolerable probability
of actual bias in the opinion below. If a handgun ban

18

was at issue and the tribunal hearing the issue was
the National Rifle Association, there would be a
constitutionally intolerable probability of actual bias
because the organization hearing the matter favors
guns. If segregation was at issue and the tribunal
hearing the issue was the Ku Klux Klan, there would
be a constitutionally intolerable probability of actual
bias because the organization hearing the matter
favors white supremacy. Likewise, there is a
constitutionally intolerable probability of actual bias
in this case because the judges below are part of the
organization that has publicly resisted workers’
compensation judges being placed in the _ judicial
branch. Furthermore, the judges below did not take
actions to distance themselves from the actions of the
judicial branch or take any steps to try to reduce the
appearance of impropriety. The judges below issued a
published opinion that makes it look like the motion
was never made. Furthermore, the published opinion
does not even address all of the arguments that were
made by Aviado.

This Court should vacate the result below and
hear this case on the constitutional issues that have
been presented. Even if this Court does not choose to
hear the disqualification issue, the separation of
powers issue in this matter is an independent federal
question that should be heard by this Court.

19

B. Colorado relies on federal law regarding
separation of powers but issued an opinion
contrary to the rulings of this Court.

Colorado relies on federal law regarding separa-
tion of powers. Dee Enterprises v. ICAO, 89 P.3d 430,
435-437 (Colo. App. 2003). Colorado’s reliance on fed-
eral law regarding separation of powers is sufficient
to support jurisdiction of this Court. Fitzgerald uv.
Racing Ass’n of Central Towa, 539 U.S. 103, 106
(2003). Colorado ruled that this Court’s decision in
Thomas v. Union Carbide Agricultural Products Co.,
473 U.S. 568 (1985) compelled its result in the Dee
Enterprises case regarding separation of powers. Dee
Enterprises, 89 P.3d at 436-437. Because a federal
case is compelling the result of the state court, this
Court has jurisdiction. Michigan v. Long, 463 U.S.
1032, 1044 (1983). Whether a state court correctly
applies opinions of this Court is a federal question.
American Trucking Assoc., Inc. v. Smith, 496 U.S.
167, 177 (1990). Therefore, the separation of powers
issue in this case is a federal question and this Court
has jurisdiction to hear the issue.

Workers’ compensation proceedings involve private
rights. Crowell v. Benson, 285 U.S. 22, 51 (1932). In
direct contradiction to this Court, Colorado has ruled
that workers’ compensation matters regard public
rights. Dee Enterprises, 89 P.3d at 436-437. Suits that
arose at common law regarding private mghts must
be heard before a judicial branch judge. Northern
Pipeline Construction Co. v. Marathon Pipe Line Co.,
458 U.S. 50 (1982). In direct contradiction to this

20

Court, Colorado has determined that workers’ com-
pensation proceedings, which arose at common law
and regard private rights, may be adjudicated by
executive branch judges who are not subject to de
novo review. Dee Enterprises, 89 P.3d at 437. This
Court needs to correct Colorado’s erroneous inter-
pretation of federal law.

A state may distribute its powers as it desires.
Crowell, 285 U.S. at 295. Article III of the United
States Constitution and Article III of the Colorado
Constitution are similar and Colorado relies on
federal law fer a resolution of separation of powers
issues. Dee Enterprises, 89 P.3d at 435. The similarity
of the constitutional provisions plus the reliance by
the state on federal law interpreting the provisions
means a federal question is at issue. Fitzgerald v.
Racing Ass’n of Central Iowa, 539 U.S. 103, 106
(2003) (Supreme Court had jurisdiction where state
court noted similarity of equal protection and relied
on federal law in interpreting equal protection).

It should be noted, however, that the Colorado
Constitution addresses the separation of powers in
two separate provisions. Article III of the Colorado
Constitution provides that there are three distinct
departments and no powers belonging to one can be
exercised by either of the others except when the
constitution expressly directs or permits. Colo. Const.
art. III. Section 9 of Article VI provides that the
district court shall be the trial court with general
jurisdiction over all civil cases except as otherwise

provided in the constitution. Colo. Const. art. VI,

21]
§ 25. Both provisions provide that any exception to
the separation of powers needs to be in the constitu-
tion. Nowhere in the Colorado Constitution is there a
provision allowing workers’ compensation proceedings
to be heard in the executive branch. Nevertheless, the
Colorado judicial branch has determined that an
analysis of federal law allows for workers’ compensa-
tion proceedings to be heard in the executive branch.
Dee Enterprises, 89 P.3d at 435-438. The analysis,

however, is flawed.

The analysis begins with Crowell v. Benson, 285
U.S. 22 (1932). Crowell involved a workers’ compen-
sation proceeding in maritime jurisdiction. An executive
branch agency determined a worker, Knudsen, was in
the employ of Benson at the time of an injury.
Crowell, 285 U.S. at 37. Using the procedure provided
in the Longshoremen’s and Harbor Workers’ Compen-
sation Act, Benson sought an injunction in federal
district court. The district court held a trial de novo
and determined Knudsen was not in the employ of
Benson at the time of the injury. Crowell, 285 U.S. at
37.

The Crowell Court determined that workers’
compensation proceedings involved private rights as
opposed to public rights. Crowell, 285 U.S. at 51. The
Crowell Court determined that the judge did not err
in permitting a trial de novo on the issue of employ-
ment. Crowell, 285 U.S. at 65. Specifically, the Court
stated:

‘ye
a a

We think that the essential independence of
the exercise of the judicial power of the
United States, in the enforcement of consti-
tutional rights requires that the federal
court should determine such an issue upon
its own record and the facts elicited before it.

Crowell, 285 U.S. at 64.

The public vs. private right distinction was again
addressed in Northern Pipeline Construction Co. v.
Marathon Pipe Line Co., 458 U.S. 50 (1982). The
Northern Pipeline Court determined that executive
branch bankruptcy judges violated Article III because
the jurisdiction of the judges extended to private
rights suits that existed at common law that were
included as part of the bankruptcy act. Northern
Pipeline, 458 U.S. at 84. The Court held that Congress
cannot withdraw any matter from judicial branch
judges if that matter from its nature is subject of a
suit at common law. Northern Pipeline, 458 U.S. at
67. The Court stated:

The distinction between public rights and
private rights has not been definitively
explained in our precedents.” Nor is it
necessary to do so in the present cases, for it
suffices to observe that a matter of public
rights must, at a minimum, arise “between
the government and others.” Ex parte
Bakelite Corp., supra, at 451." In contrast,
“the liability of one individual to another
under the law as defined,” Crowell v. Benson,
supra, at 51, is a matter of private rights.
Our precedents clearly establish that only

23

controversies in the former category may be
removed from Art. III courts and delegated to
legislative courts or administrative agencies
for their determination. See Atlas Roofing
Co. v. Occupational Safety and Health Review
Comm’n, 4380 U.S. 442, 450, n.7 (1977);
Crowell v. Benson, supra, at 501. See also
Katz, Federal Legislative Courts, 43
Harv.L.Rev. 894, 917-918 (1930).'" Private
rights disputes, on the other hand, lie at the
core of the historically recognized judicial
power.

Northern Pipeline, 458 U.S. at 69-70 (footnotes
omitted).

It was argued that Crowell stood for the
proposition that U.S. Const. Article III was satisfied as
long as some degree of appellate review was provided.
The Northern Pipeline Court did not agree. The Court
stated:

Our precedents make it clear that the
constitutional requirements for the exercise
of the judicial power must be met at all
stages of adjudication, and not only on
appeal, where the court is restricted to
considerations of law, as well as the nature of
the case as it has been shaped at the trial
level. The Court responded to a similar
suggestion in Crowell by stating that to
accept such a regime, “would be to sap the
judicial power as it exists under the Federal
Constitution, and to establish a government
of bureaucratic character alien to our system,
wherever fundamental rights depend, as not

24

infrequently they do depend, upon the facts,
and finality as to facts becomes in effect
finality in law.”

Northern Pipeline, 458 U.S. at n. 39 (citation omitted).

The definitions of public rights and private rights
was revised somewhat a few years after Northern
Pipeline. This Court addressed a statutory scheme
under the Environmental Protection Agency in 1985
that allowed litigation in the executive’ branch.
Thomas v. Union Carbide Agricultural Products Co.,
473 U.S. 568 (1985). Because the statutory scheme
did not replace rights that were available at common
law, the Court held the Northern Pipeline case was
not applicable. Thomas held that non Article III
adjudication was appropriate because a public right
that was statutorily created was at issue even though
the statutory right was created between two parties.
Id.

Colorado determined that the Thomas case was
persuasive regarding workers’ compensation actions
being public as opposed to private rights. Dee
Enterprises, 89 P.3d at 437. Thomas did not overrule
Crowell, however, and in fact the Thomas Court
maintained the holding in Crowell regarding workers’
compensation proceedings, but ditferentiated Crowell
from the facts at issue in Thomas.

In assessing the degree of judicial involve-
ment required by Article III in this case, we
note that the statute considered in Crowell is
different from FIFRA in significant respects.

29

Most importantly, the statute in Crowell
displaced a traditional cause of action and
affected a pre-existing relationship based on
a common-law contract for hire. Thus it
clearly fell within the range of matters
reserved to Article III courts under the
holding of Northern Pipeline.

Thomas, 473 U.S. at 587. Therefore, Thomas ex-
pressly did not overturn the holding in Crowell that
workers’ compensation matters involved private
rights. The contention in the Dee Enterprises case
that workers’ compensation matters involve public
rights is clearly erroneous. Dee Enterprises, 89 P.3d at

437.

Based on the erroneous conclusion that workers’
compensation matters involve public rights, Dee
Enterprises determined that de novo review by a
judicial branch judge was no longer required. Jd. This
is clearly erroneous because workers’ compensation
involves private rights. Crowell, 285 U.S. at 51.
Workers’ compensation judges are not subject to de
novo review in Colorado. Colo. Rev. Stat. §§ 8-43-301,
8-43-308 (2008). Workers’ compensation judges in
Colorado are subject to performance reviews in the
executive branch. Colo. Rev. Stat. § 24-30-1003(4)
(2008). Workers’ compensation litigants in Colorado
are entitled to have a judicial branch judge determine
their cases. Northern Pipeline, supra; Crowell, supra.

Furthermore, it must be noted that a citation by
the Dee Enterprises court regarding de novo review is

not accurate. On page 437 of the Dee Enterprises case,

26

the court cites the following: “cf Huizar v. Allstate
Ins. Co., 952 P.2d 342 (Colo. 1998) (de novo review of
workers’ compensation claims not required).” Dee
Enterprises, 89 P.3d at 437. The Huizar case, how-
ever, is not a workers’ compensation case. The Huizar
case regards a trial de novo clause in an uninsured
motorist provision of an automobile insurance policy.
The case has nothing to do with workers’ compen-
sation. Huizar v. Allstate Ins. Co., 952 P.2d 342 (Colo.
1998).

In 1986, this Court addressed the issue of
availability of a procedure without an Article III
judge. Commodity Futures Trading Comm’n v. Schor,
478 U.S. 833 (1986). The Schor case involves
reparations proceedings that injured persons may
take part in if they were injured by a commodity
broker’s violation of the Commodity Exchange Act.
The proceedings were voluntary and not required.
The Schor Court held that by electing to proceed
before the commission that the parties willingly
submitted limited jurisdiction of state law claims as a
necessary incident to the adjudication of federal
claims. Id. It is key to the Schor Court’s analysis that
the parties were not forced into the procedure. /d.
There is no such election in workers’ compensation
proceedings in Colorado as the parties are forced to
have their cases heard in the executive branch. Colo.
Rev. Stat. § 8-43-201 (2008).

Colorado has held that workers’ compensation
litigants have waived their right to a judicial branch
judge because the Workers’ Compensation Act states

27

that the parties have expressly surrendered their
common law rights. MGM Supply Co. v. Industrial
Claim Appeals Office, 62 P.3d 1001 (Colo. App. 2002);
Dee Enterprises, 89 P.3d at 439. It is erroneous to
conclude that Aviado waived her right to a judicial
branch judge. This Court envisioned a scenario such
as the one presented here. In a case regarding
sovereign immunity, Justice Scalia, who wrote the
opinion for the Court, stated the following:

Indeed, Parden-style waivers are simply
unheard of in the context of other con-
stitutionally protected privileges. As we said
in Edelman, “(clonstructive consent is not a
doctrine commonly associated with the
surrender of constitutional rights.” 415 U. S.,
at 673. For example, imagine if Congress
amended the securities laws to provide with
unmistakable clarity that anyone committing
fraud in connection with the buying or selling
of securities in interstate commerce would not
be entitled to a jury in any federal criminal
prosecution of such fraud. Would persons en-
gaging in securities fraud after the adoption
of such an amendment be deemed to have
“constructively waived” their constitutionally
protected rights to trial by jury in criminal
cases? After all, the trading of securities is
not so vital an activity that any one person’s
decision to trade cannot be regarded as a
voluntary choice. The answer, of course, is no.
The classic description of an effective waiver
of a constitutional right is the “intentional
relinqguishment or abandonment of a known
right or privilege.” Johnson v. Zerbst, 304

28

U.S. 458, 464 (1938). “|Clourts indulge every
reasonable presumption against waiver” of
fundamental constitutional rights. Aetna Jns.
Co. v. Kennedy ex rel. Bogash, 301 U. S. 389,
393 (1937). See also Ohio Bell Telephone Co.
v. Public Util. Comm’n of Ohio, 301 U.S. 292,
307 (1937) (we “do not presume acquiescence
in the loss of fundamental rights”). State sov-
ereign immunity, no less than the right to
trial by jury in criminal cases, is constitu
tionally protected. Great Northern supra at
51; Pennhurst, 465 U. S., at 98. And in the
context of federal sovereign immunity
obviously the closest analogy to the present
case — it is well established that waivers are
not implied. See, e.g., United States v. King,
395 U.S. 1, 4 (1969) (describing the “settled
propositio[n]” that the United States waiver
of sovereign immunity “cannot be implied
but must be unequivocally expressed”). We
see no reason why the rule should be
different with respect to state sovereign
immunity.

College Sav. Bank v. Flor. Prepaid Postsecondary Ed.
Expense Bd., 527 U.S. 666, 681-682 (1999). Aviado
has never expressly waived anything. Aviado’s right
to a district court trial at common law is equivalent to
a criminal defendant’s right to a jury trial. Aviado’s
action at common law would have been a civil action.
The legislature cannot take away the right to appear
in district court that existed at common law by
relabeling the action and placing exclusive juris-

diction of the action in an administrative agency. See

2Y

Granfinanciera v. Nordberg, 492 U.S. 33 (1989)
(“Congress cannot eliminate a_e party's Seventh
Amendment right to a jury trial merely by relabeling
the cause of action to which it attaches and placing
exclusive jurisdiction in an administrative agency or
a specialized court of equity.” p. 61). Colo. Rev. Stat
§ 8-43-2011 is unconstitutional because it eliminates
Aviado’s constitutional right to a tmal in district

court.

Hlow workers’ compensation cases are heard
varies from state to state. In 1990 a case was heard in
Louisiana where a challenge was made to an
executive branch agency that was to determine such
cases. Moore v. Roemer, 560 So.2d 927 (La.App. 1 Cir.
1990). The court determined that workers’ compen
sation matters were civil in nature and therefore had
to be heard in the district court. /d. A similar
challenge was made in Colorado, but the Colorado
Court of Appeals determined that workers’ compen-
sation cases are not civil matters under the Colorado
constitution. MGM Supply Co. v. Industrial Claim
Appeals Office, 62 P.3d 1001 (Colo. App. 2002). The
matter was addressed in the Dee Enterprises case as
well. The Dee Enterprises court stated that it was not
aware of any intent by the General Assembly to
regard workers’ compensation matters as civil
proceedings. Dee Enterprises, 89 P.3d at 439. The
statutory language in Colorado, however, is very
similar to the statutory language in Louisiana that
convinced the Louisiana court that workers’ compen

sation is a civil matter. Colo. Rev. Stat. § 8-43-307(2)

is part of the enabling statute allowing the court of
the appeals to hear workers’ compensation appeal

The statute states that, “such actions shall be tried
and determined by the court of appeals in the manner
provided for other civil actions.” Colo. Rev. Stat. § &
43-307(2). Louisiana interpreted “other civil” matter:
to mean workers’ compensation was a civil matter
Moore v. Roemer, 560 So.2d 927 (La.App. 1 Cir. 1990)
Therefore, Colorado has almost the identical situation
as Louisiana yet the two tates determined § the

matter differently

Alabama recognizes that workers’ compensation
cases are filed, “in the circuit court of the county
which would have jurisdiction of an action between
the same parties arising out of tort.” Alabama Code of
1975 § 25-5-88. And some states have jury trials. Se
Tex. Lab. Code Ann. § 410.304. In Wyoming, worker:
compensation is determined in the executive branch,
but a judge wrote a concurring opinion that ad
dressed separation of powers and subsidiary fun

tions of an apency

In this instance, if the hearing examiner }
part of the Workers’ Compensation Division,
as the agency, she 1s acting incidental a
subsidiary to the function of the agency
(making her recommendations to the agency
for agency action as required by W.S. 16-3
112), and the separation of powers provision
of the constitution is not violated. However
if the office of hearing examiner is) an
“agency within itself, then, since its only

function is judicial, and with the hearing

31

examiner’s action not being incidental or
subsidiary to any other function of the
agency, 1.e., the hearing examiner, a violation
of the separation of powers provision of the
constitution would result.

State of Wyoming v. Halstead, 795 P.2d 760, 770-771
(Wyo. 1990) (Justice Rooney specially concurring in
part and dissenting in part).

The scenario addressed by Justice Rooney in
Wyoming is the current status in Colorado. The Office
of Administrative Courts is an agency with solely a
judicial function. As Justice Rooney stated, the result
is a violation of the separation of powers.

C. Aviado is not receiving equal protection of
the laws.

Pursuant to the Fourteenth Amendment of the
United States Constitution, no state may deny any
person the equal protection of the laws. Article II,
Section 25 of the Colorado Constitution also guaran-

tees the right to equal protection. Sigman v. Seafood
Ltd. P’ship I, 817 P.2d 527, 532 (Colo. 1991). Equal
protection guarantees assure that people who are

similarly situated will receive similar treatment
under the law. Jd. Colorado follows the United States
Supreme Court in construing equal protection under
the Colorado Constitution. Tassian v. People, 731 P.2d
672, 674 (Colo. 1987). The similarity of the consti-
tutional provisions plus the reliance by the state on

federal law interpreting the provisions means a

32

federal question is at issue. Fitzgerald v. Racing Ass’n
of Central Iowa, 539 U.S. 103, 106 (2003) (Supreme
Court had jurisdiction where state court noted
similarity of equal protection and relied on federal
law in interpreting equal protection).

An equal protection challenge was raised below
but the court of appeals failed to rule on the
argument. The argument was also made to the
supreme court which denied certiorari. Because the
argument was made, the court’s failure to rule on the
argument below does not deprive this Court of
jurisdiction. Dewey v. Des Moines, 173 U.S. 193, 200
(1899) (if the court below did not in terms deny such
argument, if the necessary effect of its judgment was
to deny it, then it would be enough to provide
jurisdiction).

Colo. Rev. Stat. § 8-43-201 violates equal protection
of the laws because it provides the executive branch the
authority to determine workers’ compensation matters.
All other litigants and injured people in Colorado
have their claims determined in the judicial branch
where the judges are subject to the selection and
retention provisions in Article VI of the Colorado
Constitution. Workers’ compensation litigants are
similarly situated to these other litigants. Colo. Rev.
Stat. § 8-43-201 discriminates against workers’ com-
pensation litigants by denying them judges subject to
the selection and retention provisions. Judges who
hear workers’ compensation cases are hired by the
Director of the Department of Personnel and are

33

subject to performance reviews in the executive
branch. Colo. Rev. Stat. § 24-30-1003 (2008).

No argument is made for a heightened standard
under equal protection. Therefore, the test is whether
there is a rational basis for the statute at issue.
Kadrmas v. Dickinson Public Schools, 487 U.S. 450,
457-458 (1988); Tassain, 731 P.2d at 675.

The Fourteenth Amendment does not pro-
hibit legislation merely because it is special,
or limited in its application to a particular
geographical or political subdivision of the
state. Rather, the Equal Protection Clause is
offended only if the statute’s classification
“rests on grounds wholly irrelevant to the
achievement of the State’s objective.”

Holt Civie Club v. City of Tuscaloosa, 439 U.S. 60, 70-
71 (1978) (citations omitted). Administrative con-
venience is not a legitimate governmental purpose.
See Tassian, 731 P.2d at 676.

The Office of Administrative Courts is a separate
agency from the Division of Workers’ Compensation
in Colorado’s executive branch. Colo. Rev. Stat. §§ 8-
43-201, 24-30-1001 (2008). The judges in the Office of
Administrative Courts work solely as judges. There is
no rational basis for this court to be in the executive
branch as opposed to the judicial branch. If the
objective of the court is to provide the quick and
efficient delivery of benefits, then the placement of
the court in the executive branch is wholly irrelevant
to the achievement of the state’s objective. See Holt

Civic Club, 439 U.

S. at 70-71. If the court were in the
judicial branch it

would operate as quickly and
effectively as it does in the executive branch.

Colorado’s placement of the Office of Admin-
istrative Courts in the executive branch violates
workers’ compensation litigants’ mght to equal
protection of the laws.

CONCLUSION

For all the reasons set forth above, the petition
for a writ of certiorari should be granted.

Respectfully submitted,

CHRIS FORSYTH RALPH OGDEN*

CHRIS FORSYTH LAW WILCOX & OGDEN, P.C.
OFFICE, LLC 1750 Gilpin Street

1675 Broadway, Suite 1400 Denver, Colorado

Denver, Colorado 80202 80218-1206

Phone: 303-892-3894 Phone: 303-399-5005

sel of Record irishcorky@aol.com
, oc

Attorneys for Petitioner

App. l

COLORADO COURT OF APPEALS

Court of Appeals No.: O8CA0923

Industrial Claim Appeals Office of the
State of Colorado

WC No.: 4-685-483

Rosario Aviado,
Petitioner,
v.

Industrial Claim Appeals Office of the
State of Colorado, Ensicon Corporation,
and Wausau Insurance Corporation,

Respondents.

ORDER AFFIRMED

Division II
Opinion by: JUDGE CASEBOLT
Roy and Connelly, JJ., concur

Announced: April 16, 2009

Chris Forsyth Law Office, LLC, Chris Forsyth,
Denver, Colorado, for Petitioner

No Appearance for Respondent Industrial Claim
Appeals Office

Moseley, Busser & Appleton, P.C., Scott M. Busser,
Denver, Colorado, for Respondents Ensicon Corpora-

tion and Wausau Insurance Corporation

App. 2

In this workers’ compensation proceeding,
Rosario Aviado (claimant) seeks review of that part of
the final order issued by the Industrial Claim Appeals
Office (Panel) that denied her claim for permanent
total disability (PTD) benefits. We affirm.

I. Background

Claimant sustained an admitted injury to her
bilateral upper extremities and suffers from bilateral
carpal tunnel syndrome. She underwent a division-
sponsored independent medical examination (DIME).
The DIME physician opined that claimant’s impair-
ment did not extend beyond her extremities and rated
the right arm at seven percent impairment and the
left arm at four percent impairment. Ensicon Corpor-
ation and its insurer, Wausau Insurance Corporation
(collectively employer), filed a final admission of lia-
bility (FAL) for a scheduled injury based on the DIME

rating.

Claimant contested the FAL and sought PTD
benefits. Following an evidentiary hearing, the
administrative law judge (ALJ) concluded that claim-
ant had failed to meet her burden of proving that she
was permanently and totally disabled and awarded
benefits consistent with employer’s FAL. The Panel
affirmed on review.

Il. Surgery Refusal

Claimant first contends that the ALJ erred by
denying PTD benefits based on her refusal to undergo

App. 3

surgery, which the ALJ also found to be unreasonable.
She asserts that surgery refusal is an affirmative
defense that employer did not endorse for hearing.
We perceive no reversible error.

Section 8-40-201(16.5)(a), C.R.S. 2008, defines
PTD as the claimant’s inability “to earn any wages in
the same or other employment.” Section 8-43-404(3),
C.R.S. 2008, permits compensation to be reduced or
suspended if the claimant refuses to submit to medi-
cal or surgical treatment that is reasonably essential
to promote recovery.

Here, the ALJ concluded that claimant’s refusal
was a bar to her PTD claim. However, the order also
contains extensive evidentiary findings supporting
the ALJ’s additional determination that claimant had
failed to prove she has no ability to earn wages. The
ALJ correctly described the legal standard for deter-
mining PTD, and recognized the necessity of con-
sidering the various human factors pertinent to
whether claimant is able to earn wages and whether
suitable employment is reasonably available in the
competitive job market. The ALJ found that claimant
retains the ability to perform several jobs in the sed-
entary category that are reasonably available and
require no significant accommodation, and the medi-
cal and vocational evidence, albeit conflicting, sub-
stantially supports the ALJ’s finding. Thus, the
findings and conclusions regarding claimant’s refusal
to undergo surgery were neither essential nor inte-
gral to the ALJ’s finding that she did not carry her
burden of proof.

App. 4

Because claimant did not sustain her burden of
proof, it is unnecessary for us to decide whether
claimant’s refusal to undergo surgery constituted an
affirmative defense and, if so, whether employer
waived it by failing to plead, endorse, or otherwise
affirmatively raise it. Instead, even if we assume the
ALJ erred by determining that claimant’s refusal
barred the award of any PTD benefits, such error was
harmless. See § 8-43-310, C.R.S. 2008 (appellate court
shall disregard any irregularity or error that does not
affirmatively appear to have damaged the com-
plaining party).

Ill. Evidentiary Error

Claimant next contends that the ALJ erred by
excluding her testimony regarding whether a return
visit with her treating physician was authorized after
employer had a functional capacity evaluation (FCE)
prepared. The ALJ sustained employer’s objection,
finding that the testimony was irrelevant. We per-
ceive no error.

Evidence is relevant if it has any tendency to
make the existence of a consequential fact more or
less probable. CRE 401. The ALJ has discretion to
determine the relevancy of evidence. See §§ 8-43-
207(1)(c) (ALJs are empowered to make evidentiary
rulings), 8-43-210 (Colorado Rules of Evidence apply
in all hearings), C.R.S. 2008; One Hour Cleaners uv.
Indus. Claim Appeals Office, 914 P.2d 501, 506 (Colo.
App. 1995) (ALJ has broad discretion to determine

App. 5

the admissibility of expert testimony, and appellate
courts may not overturn a ruling unless it is mani-
festly erroneous).

Claimant urges that the testimony was relevant
because employer’s vocational expert relied on the
FCE and the ALJ adopted both the treating phy-
sician’s restrictions and the recommendations of the
FCE, finding that they were consistent. Claimant fur-
ther asserts that employer’s objection to the testi-
mony estopped it from later seeking to have the ALJ
consider the FCE. However, the ALJ did not limit
questioning regarding the FCE and the only offer of
proof was claimant’s explanation that the testimony
would show that employer would not authorize a
follow-up visit to the treating physician.

Under these circumstances, we fail to perceive
how the question made it more or less likely that the
treating physician did or did not agree with the
recommendation of the FCE. Therefore, we are
satisfied that the ALJ acted within his discretion in
sustaining employer’s objection to the question on the
grounds of relevance and determining that employer
was not estopped from seeking consideration of the

FCE.

IV. Right to a District Court Hearing

Claimant next contends that she did not ex-
pressly waive or surrender her common law rights
and was entitled to bring a claim in the district court.

App. 6

She also contends that portions of the Workers’ Com-
pensation Act are unconstitutional. We disagree.

An injured worker’s exclusive remedy for injuries
that arise out of or in the course of employment is
recovery under the workers’ compensation statutes.
§ 8-41-102, C.R.S 2008; Pizza Hut of Am., Inc. v.
Keefe, 900 P.2d 97, 100 (Colo. 1995). The Act, and
specifically its compulsory elimination of common law
rights, has been repeatedly held constitutional. Kandt
v. Evans, 645 P.2d 1300, 1306 (Colo. 1982) (citing

cases).

Thus, section 8-41-104, C.R.S. 2008, which
creates a conclusive statutory presumption of an
employee’s acceptance of coverage, has been upheld
against constitutional attack, see Ryan v. Centennial
Race Track, Inc., 196 Colo. 30, 32, 580 P.2d 794, 795-
96 (1978), and it is not required that a claimant be
given the option of consenting to a hearing and adju-
dication by an ALJ. See Dee Enters. v. Indus. Claim
Appeals Office, 89 P.3d 430, 438 (Colo. App. 2003).

A.

Claimant nevertheless asserts that, at common
law, she had the fundamental constitutional right toa
hearing in district court under Colorado Constitution
article VI, section 9. She asserts that, because district
courts have “original jurisdiction in all civil . . . cases,
except as provided [in the constitution],” her right to
such a hearing cannot be abrogated by a mere
statute, but must be abrogated by another provision

App. 7

of the constitution itself or by an amendment thereto.

We disagree.

Claimant is correct that, under the cited con-
stitutional provision, the district court has original
jurisdiction in civil cases. However, the constitution
does not define the term “civil case.” Instead, that
term is left for the General Assembly to define. See
People ex rel. Terrell v. Dist. Court, 164 Colo. 437, 443,
435 P.2d 763, 766 (1967) (the constitution does not
define the phrase “criminal cases” in article VI, sec-
tion 9; hence, the legislature has the power to define
crimes); see also People v. Gilliland, 769 P.2d 477, 480
(Colo. 1989) (while district courts have general juris-
diction over criminal cases, it is the constitutional
prerogative of the legislature to define crimes).

A civil action is a judicial proceeding to enforce a
private right. See Hernandez v. Downing, 154 P.3d
1068, 1070 (Colo. 2007) (“a proceeding on the part of
one person, as actor, against another, for the infringe
ment of some right of the first, before a court of jus-
tice, in the manner prescribed by the court or law”
(quoting Clough v. Clough, 10 Colo. App. 433, 439, 51
P. 513, 515 (1897), aff’d, 27 Colo. 97, 59 P. 736
(1899))).

Here, the General Assembly essentially has
determined that workers’ compensation cases are not
civil cases that must be heard in a judicial court. See
Whiteside v. Smith, 67 P.3d 1240, 1248 (Colo. 2003)
(workers’ compensation claimants cannot litigate
their injury claims in civil proceedings); Barron ov.

App. 8

Kerr-McGee Rocky Mountain Corp., 181 P.3d 348, 348
(Colo. App. 2007) (an employer that complies with the
provisions of the Workers’ Compensation Act is
immune from all civil actions that may be brought by
an employee for a work-related injury); cf. Colorado
Ins. Guar. Ass’n v. Menor, 166 P.3d 205, 210-11 (Colo.
App. 2007) (under statute providing for nondu-
plication of benefits, Colorado Insurance Guaranty
Association had a private civil remedy enforceable in
the district court, outside Workers’ Compensation Act,
to seek offset that would reduce employee's workers’
compensation benefits based on employee’s uninsured
motorist settlement); Jorgensen v. Colo. Comp. Ins
Auth., 967 P.2d 172 (Colo. App. 1998), aff’d, 992 P.2d
1156 (Colo. 2000) Gurisdiction to apportion tort settle-
ment proceeds between economic and noneconomic
damages so as to determine amount of workers’ com-
pensation insurance carrier’s right of subrogation lies
in the district court; apportionment case is a separate
cause of action, not an ancillary proceeding to the
workers’ compensation case); Dee Enters., 89 P.3d at
439 (no statutory or other provision indicates an
intent by legislature to make workers’ compensation
matters civil proceedings); MGM Supply Co. vu.
Industrial Claim Appeals Office, 62 P.3d 1001, 1004
(Colo. App. 2002) (workers’ compensation cases are
not civil disputes). The General Assembly has the
right and power to so determine. See Terrell, 164
Colo. at 443, 435 P.2d at 766.

Accordingly, claimant has no right to proceed

against employer in the district court, and an express

App 9

waiver or surrender of any common law rights wa

not necessary

Claimant also contends that the Act is uncon
stitutional because ALJs, who have original juri:
diction under section 8-43-201, C.R.S. 2008, to hear
and decide all workers’ compensation matters, are
employed by the executive branch rather than the
judicial branch. She claims that such an arrangement
conflicts with the original jurisdiction that is vested
in the judiciary under the Colorado Constitution to

adjudicate all civil actions. We are not persuaded

This specific contention was addressed and
rejected in Dee Enterprises, 89 P.3d at 430, where a
division of this court held that (1) the grant of juri
diction to the ALJs did not require them to exercise
functions that were inherently judiciai; (2) the
workers’ compensation statutes create a “public
rights” case that is particularly suited to admin
istrative oversight and determination; and (3) the
essential functions of the judicial branch are suffi
ciently protected by the limits placed on the juris
diction conferred upon the ALJs and the direct appel
late review provided for under the Act. The division
concluded that the Act poses no substantial threat to
the separation of powers and is, therefore, const
tutional. /d. at 438

Similar constitutional arguments were made and
rejected in MGM Supply. In that case, the division

App. 10

distinguished workers’ compensation claims” from
ordinary civil disputes involving private parties and
private rights, which must be resolved in the court

and specifically determined that, by authorizing
direct appeal Lo this court, the Act accommodated any
right the partie may have to have their di pute

considered by judges subject to popular vote.” 62 P.4d

at 1004

Claimant asserts that Dee Knlerprises and MGM
Supply were wrongly decided We d) ive Wi regard
the analysi in each case to. he thorough well
reasoned, and complete, and we discern no indication
that either division decided issues not properly befor

it

Thus, for the ame reason tated in MGM
Supply and Dee Hnterprise we hold that claimant
has failed to prove the Act is unconstitutional. Se
Calvert v. Indus. Claim Appeals Office, 155 P.3d 474
177 (Colo. App. 2006) (the Act and its provisions are
presumed to be constitutional and claimant has the

burden to prove otherwise beyond a reasonable

doubt }

V (Common Law Action Under Section 8-43-3009

(Claimant asserts that she should be entitled lo pul
ue an action in the district court avainst hers
employer and we must remand for that purpose
because we have failed to issue a decision within
thirty days after the appeal came at issue, in contra

vention of section &-43-309. CRS. 2ZOO8. Claimant

App. 11

contends that the statute is jurisdictional, not merely
directory. We disagree.

The primary goal in construing a statute is to
determine and give effect to the intent of the General
Assembly. McKinney v. Indus. Claim Appeals Office,
894 P.2d 42, 44 (Colo. App. 1995). We must give effect
to the General Assembly’s purpose and intent as
reflected in the plain language of the statute, and we
do not depart from the plain meaning unless it leads
to an absurd result. In addition, we read and consider
the statutory scheme as a whole to give consistent,
harmonious, and sensible effect to all its parts.
Peregoy v. Indus. Claim Appeals Office, 87 P.3d 261,
263 (Colo. App. 2004).

Section 8-43-309 provides:

Actions in court tried within thirty days. Any
such action commenced in the court of
appeals to set aside or modify any order shall
be heard within thirty days after issue shall
be joined, unless continued on order of the
court for good cause shown. No continuance
shall be for longer than thirty days at one
time.

We first note that nothing in the statute defines
the phrase directing that the action “shall be heard”
within thirty days. The statute does not say whether
a decision must be rendered or, instead, whether oral
argument must be held within that time. Nor does

the statute provide a time frame for cases in which no

oral argument occurs. And, as an appellate court, we

App. 12

do not “try” cases as the heading of the statute
appears to direct. Instead we review cases in which a
trial or evidentiary hearing has already occurred.
Nevertheless, we will assume the statute requires
that some action toward resolution of the case must
be taken within thirty days following the date that
“issue shall be joined.”

Generally, a case is “at issue” in this court when
the reply brief is filed. Using that as the triggering
date, the record reveals that no action toward
deciding this case was taken within that thirty-day
period, and no orders were issued extending the
thirty-day period. Assuming, therefore, that the
statute has been violated, we then turn to whether
the statute is jurisdictional and mandatory, or,

instead, merely directive.

“There is no universal rule by which directory
provisions may, under all conditions, be distinguished
from those which are mandatory. The intention of the
legislature, however, should be _ controlling... .”
Danielson v. Castle Meadows, Inc., 791 P.2d 1106,
1113 (Colo. 1990) (quoting LA N. Singer, Sutherland
Statutory Construction § 25.03, at 441-42 (4th ed.
1984)).

Whether the General Assembly intends a
statutory provision to be directory or jurisdictional
requires consideration of “the legislative history, the

language of the statute, its subject matter, the impor-
tance of its provisions, their relation to the general
object intended to be accomplished by the act, and,

App. 13

finally, whether or not there is a public or private
right involved.” DiMarco v. Dep't of Revenue, 857 P.2d
1349, 1351-52 (Colo. App. 1993) (quoting Application
of Rosewell, 97 Ill. 2d 434, 440, 454 N.E.2d 997, 999
(1983)). Applying this analysis here, we conclude for
multiple reasons that the provision at issue was
intended by the General Assembly to be directory and
not mandatory or jurisdictional.

First, while the statute directs that an action
“shall” be heard, and “shall” generally indicates that.
a provision is mandatory, see People v. Dist. Court,
713 P.2d 918, 921 (Colo. 1986), nevertheless, courts
“have generally construed time limitations imposed
on public bodies as being directory rather than man-
datory.” DiMarco, 857 P.2d at 1352.

Second, affirmative language such as “shall be
held within” is indicative of a directory constructicn.
Id.; see Burns v. Bd. of Assessment Appeals, 820 P.2d
1175, 1177-78 (Colo. App. 1991) (requirement that a
ruling must be rendered “within” twenty days is

directory).

Third, the statute does not state that this court
loses jurisdiction after the thirty-day period expires,
and nothing in the statutory language suggests that
it is jurisdictional in nature. See Mahaffey v.
Barnhill, 855 P.2d 847, 849 (Colo. 1993) (statute
directing that court shall commence trial not more
than twenty days after joining of issue is directory,

not mandatory)

App. 14

Fourth, courts will construe a statute to limit
jurisdiction only when that limitation is explicit. See
In re Fisher, __ P.3d __, __ (Colo. No. 07SA383,
Feb. 9, 2009) (C.R.C.P. 251.19, which provides that
attorney disciplinary hearing board shall prepare an
order within sixty days after the hearing is not
jurisdictional); Jn re A. W., 637 P.2d 366, 374 (Colo.
1981) (“While jurisdiction may be limited by the
legislature, no statute will be held to so limit court
power unless the limitation is explicit.”); Langton v.
Rocky Mountain Health Care Corp., 937 P.2d 883
(Colo. App. 1996) (statute stating that ALJ “shall”
enter written summary order denying or allowing a
workers’ compensation claim within fifteen days after
conclusion of a hearing is directory, not mandatory).

Fifth, claimant’s request for a remand to a
tribunal that has never before heard the matter
would leave unresolved whether such a remand
would require the district court to allow a common
law proceeding for personal injury or instead to apply
the Workers’ Compensation Act provisions. And
remand is not a stated remedy for any violation of the
statute.

Finally, construing the pertinent time limit to be
mandatory and jurisdictional would divest this court
of authority to decide the dispute. This interpretation
would operate to deprive both claimants and
employers of the quick and efficient delivery of disa-
bility and medical benefits and a timely disposition of
their disputes. See Langton, 937 P.2d at 885-86.

App. 15

Hillebrand Construction Co. v. Worf, 780 P.2d 24
(Colo. App. 1989), is distinguishable. There, the
statute at issue provided specific consequences if an
ALJ did not enter a supplemental order within the
statutory period, a factor that the division found
determinative. Here, in contrast, nothing in the
statute indicates what should happen if the thirty-
day period is not observed.

In addition, claimant cannot point to any
prejudice resulting from the failure to comply with
the statutory provision. Her proposed remedy of
remand for a hearing in the district court would
prolong the case at significant cost to all parties,
contrary to the legislative intent to interpret the
Workers’ Compensation Act “so as to assure the quick
and efficient delivery of disability and medical
benefits to injured workers at a reasonable cost to
employers, without the necessity of any litigation.”
§ 8-40-102(1), C.R.S. 2008.

The order is affirmed.

JUDGE ROY and JUDGE CONNELLY concur.

App. 16

INDUSTRIAL CLAIM APPEALS OFFICE

W.C. No. 4-685-483
IN THE MATTER OF THE
CLAIM OF ROSARIO AVIADO,

Claimant
ENSICON CORPORATION,

FINAL ORDER
Employer, |

and

WAUSAU INSURANCE
COPRORATION,

Insurer,
Respondents.

The claimant seeks review of an order of Admin-
istrative Law Judge Feller (ALJ) dated November 6,
2007, that determined that the claimant is not per-
manently and totally disabled and that awarded
permanent partial disability benefits based upon the
respondents’ final admission of liability. We affirm.

A hearing was held on the issues of whether the
claimant is permanently and totally disabled and, if
not, whether the claimant sustained impairment
properly measured as a whole person impairment
rating. The ALJ entered an order reciting the
following procedural history. The claimant sustained
the compensable occupational disease of carpal tun-
nel syndrome with an onset of disability of April 24,
2006. The respondents filed a final admission of

App. 17

lability admitting for benefits based upon five per-
cent extremity impairment of the right arm and three
percent extremity impairment of the left. The claim-
ant objected and obtained a Division-sponsored inde-
pendent medical examination (DIME), which reported
that the claimant had sustained extremity impair-
ment equal to seven percent of the right arm and four
percent of the left. Although the claimant sought
additional impairment of her neck, the DIME
physician, Franklin Shih, MD., found no impairment
except for the extremity impairment mentioned. The
respondents filed a second final admission of liability
admitting for the impairment reported by the DIME.
The claimant filed an application for hearing endors-
ing, among other issues, permanent partial disability
benefits, and permanent total disability benefits.

The ALJ also entered extensive and thorough
findings of fact that it is unnecessary to recite in
detail here. However, for the purposes of this order
those factual findings may be summarized as follows.
The claimant sustained a compensable injury on Apri!
24, 2006, that was later diagnosed as bilateral carpal
tunnel syndrome. She was laid off from her position
as an assembler several days after her injury. The
claimant was born in the Philippines and on her
arrival in the United States in 1992 she accepted a
job as a server, cashier, and kitchen help in a food
court. She worked concurrently at a convenience
store, where she “did everything,” including cleaning,
ordering, stocking and cashiering. She subsequently
worked as a temporary filing clerk, where she became

App. 18

proficient in the Microsoft Excel system. She later
worked at a retail store processing payroll, com-
pleting various “government forms” necessary in con-
nection with the business, and managing negotiations
with the business’s landlord. Following that in
August 2005 she accepted the position with this
employer assembling pumps, which she continued
doing until April 2006. The ALJ also entered factual
findings based upon his observations of the claimant
at the hearing. He found that she was “intelligent
[and] thoughtful” and likely to be appealing to a
prospective employer. He further found that she
answered questions precisely, exhibiting a “mental
aptitude” likely to lead to her obtaining employment.
The ALJ noted that the claimant had “mastered” two
languages and that she had a relatively wide range of
job experiences making her “well suited” for further
employment despite her injury.

The ALJ also entered factual findings concerning
the course of the claimant’s medical treatment and
the physical restrictions imposed by her authorized
treating physician, Dr. Hawke, who first treated the
claimant on May 4, 2006. He interpreted the claim-
ant’s nerve conduction studies as showing a moderate
median neuropathy at the right wrist, a mild median
neuropathy at the left wrist, and no other abnor-
malities. He imposed restmctions precluding
repetitive activity, On June 16, 2006, Dr. Hawke’s
colleague, Dr. Fanning, imposed restrictions requiring
the claimant to avoid repetitive grasping or gripping,
and to avoid lifting over ten pounds, along with

App. 19

restrictions on carrying, pushing and pulling. The
claimant decided that she would not undergo surgery,
despite several recommendations that she do so. The
ALJ also entered factual findings concerning two
functional capacity evaluations undergone by the
claimant. Dr. Hawke reviewed a functional capacity
evaluation report prepared by a therapist at the
request of the claimant, Gail Gerig. Dr. Hawke
disagreed with the conclusions of that report. He also
reviewed a report prepared by HealthSouth, which
reported that the claimant could work in positions
falling within the sedentary category. The ALJ also
found that when the claimant cancelled a scheduled
surgery Dr. Hawke determined that she was at
maximum medical improvement and he assessed her
impairment at five percent of the right arm and three
percent of the left. He imposed physical restrictions
limiting lifting, carrying, pushing and pulling to ten
pounds and limiting repetitive activities to an
occasional basis. Dr. Hawke also noted that the
claimant should “rotate” to non-repetitive tasks for 40
minutes after every 20 minutes of repetitive activity.
The ALJ found that these restrictions were those
applicable to the claimant, but that the restrictions
set forth in the HealthSouth report were “consistent”
with those imposed by Dr. Hawke. As noted, a DIME
was performed, which reported that some of the
claimant’s symptoms were “rather diffuse, nonspe-
cific, and non-physiologic,” from which the ALJ
inferred that the claimant’s “self-imposed restrictions
do not support Claimant’s inability to earn wages in
the job market on as (sic) reasonably sustainable

App. 20

basis.” Full Findings of Fact, Conclusions of Law, and

Order at 9, 7 38 (hereinafter “Order”).

The ALJ also entered extensive factual findings
regarding the competing evidence and testimony from
the parties’ respective vocational rehabilitation
experts. The ALJ set forth in considerable detail
those opinions and explained in similar detail his
reasons for crediting the opinions of the respondents’
expert over those of the claimant. Having thus
weighed the expert evidence, the ALJ concluded that
the claimant failed to carry her burden of proving
that she was permanently and totally disabled. The
ALJ therefore denied those benefits. (The ALJ also
awarded permanent partial disability benefits con-
sistent with the respondents’ final admission of
liability admitting for the scheduled impairment
reported by the DIME. However, we do not under-
stand the claimant to have appealed any aspect of
that award of permanent partial disability benefits.)

The claimant appealed the ALJ’s denial of
permanent total disability benefits and presents
several arguments. First, the claimant argues that
the ALJ erred in denying permanent total disability
benefits based at least in part upon the respondents’
affirmative defense of an unreasonable refusal of
medical treatment, where the defense was neither
pleaded nor proved, and which, in addition, con-
stituted an impermissible challenge to maximum
medical improvement. The claimant also argues that
the ALJ erred in ruling that HealthSouth’s report of
the functional capacity evaluation was irrelevant and

App. 21

then relying upon it in denying permanent total
disability benefits. Finally, the claimant argues that
the ALJ abused his discretion in denying permanent
total disability benefits. We are unpersuaded that the
ALJ committed error requiring reversal of his order.

¥

The claimant argues that the respondents did not
endorse the issue of the claimant’s unreasonable
refusal of surgery until they raised that issue in their
post-hearing position statement, and that addi-
tionally no questions were put to any witness at the
hearing concerning that issue. The claimant further
notes that the denial of benefits based upon a refusal
of medical treatment, provided for in § 8-43-404(3),
C.R.S. 2007, constitutes an affirmative defense that
must be pleaded and proved, and that the ALJ erred

insofar as he stated otherwise:

While conceding the correctness of these asser
tions, we nonetheless perceive no reversible error in
this respect. Section 8-43-404(3) provides that “[ilf
any employee . . . refuses to submit to such medical or
surgical treatment ... as is reasonably essential to
promote recovery, the director shall have the dis-
cretion to reduce or suspend the compensation of any
such injured employee.” We agree that this provision
sets out an affirmative defense and, as such, it must
be pleaded and proved or the defense is waived. See
Valley Tree Service v. Jiminez, 787 P.2d 658 (Colo.

App. 22

App. 1990); Crist v. Booth Land & Livestock, W.C. No.
4-357-502 (April 9, 1999).

We assume, without deciding, that the ALJ erred
in concluding that the claimant’s unreasonable
refusal to undergo surgery “serves to bar a claim for
permanent total disability benefits.” Order at 17, { e.
However, it is unnecessary for us to determine
whether that conclusion constituted error since, in
any event, it would be harmless. It is patently evident
from the AL.J’s order that regardless of the claimant’s
refusal to undergo surgery, the ALJ weighed the
extensive expert vocational rehabilitation and medi-
cal evidence and concluded from that evidence that
the claimant was not permanently and _ totally
disabled in her present state. Indeed, directly fol-
lowing the ALJ’s statement that the claimant’s claim
for permanent total disability benefits was “barred”
by her failure to undergo surgery, he referred to the
opinions of Dr. Hawke, Dr. Fremling, and the DIME
physician, Dr. Shih, and to his having concluded that
the medical evidence did not support the claim of
total disability. The ALJ then referred to his having
“critically weighed” the competing vocational rehabil-
itation evidence and again to his having concluded
that the more persuasive of that evidence supported a
denial of the claim for permanent total disability
benefits. Order at 17, {| e. Moreover, the ALJ correctly
described the legal standard applicable to a deter
mination of the issue of permanent total disability,
noting that the proper analysis requires consideration

of the various “human factors” applicable to the

App 20

claimant’s ability to earn wages. Finally, as pre
viously noted, the ALJ entered extensive factual
findings regarding the conflicting vocational reha
bilitation testimony and evidence, and explained in
detail his resolutions of those conflicts. Had the AI.J
intended merely to dismiss or deny the claim for
permanent total disability benefits based upon § 8-43
404(3) ‘which the ALJ did not cite or mention) his
extensive factual findings, his evaluation of the

probative value of the conflicting evidence, and hi:

application of the correct legal standard would all

have been mere excess unnecessary to his resolution
of the disputed issue of permanent total disability. In
our view such a reading of the ALJ’s order would not
be reasonable. Consequently, any error regarding the
legal effect of the claimant’s failure to undergo sur

gery was necessarily harmle:

It follows from this that it is unnecessary for us to
address the claimant’s arguments that the record
contains no evidence supporting the finding that the
claimant unreasonably refused to have surgery, and
that in any event the issue was an impermissible
challenge to maximum medical improvement. Any
error in either regard would also necessarily be harm

less and therefore would be disregarded

I]

The claimant also argues that the ALJ's order
compels the conclusion that she is permanently and

totally disabled. The claimant argues that the ALJ’:

App Z |

finding that the surgery would have rendered thi
claimant capable of carning wape necessarily
implies that she presently is mol capable of doing so
Therefore, the claimant argues that permanent total
disability benefits should be awarded as a matter of

law. We disagree

In our view it is not a fair reading of the ALJ
order to infer that he “implicitly” concluded that the
claimant is unable to earn waves because she did not
consent to the recommended surgery. Rather, the ALJ
clearly concluded that she was presently able to earn
wages and in doing so he properly applied the
relevant law. In our view, having correctly applied the
legal standards, this issue on review is whether sub

Lantial evidence supports the AlL.J’s factual finding

and We COTi¢ lude that il dor

Section &-40-Z01(16.5)(a), CRS. 2007. define
permanent total disability as the claimant’s inability
to earn any wages in the same or other employ

ment.” The burden of proof to establish permanent
total disability is on the claimant. The ALJ properly
recognized that in determining whether the claimant
has sustained her burden of prool, the ALJ may con
sider those “human factors” that define the claimant
as an individual. Christie v. Coors Transportation Co
933 P.2d 1330 (Colo. 1997). These factors may include
the claimant's physical condition, mental ability, age
employment history, education and the “availability
of work” the claimant can perform. Weld County
School District Pl-12 v. Bymer, 955 P2d 550 (Colo

199%). The overall objective of this standard is to

App. 25

determine whether, in view of all of these factors,
employment is “reasonably available to the claimant
under his or her particular circumstances.” Weld
County School District RE-12 v. Bymer, 955 P.2d at

558.

Because the issue of permanent total disability is
generally factual, we must uphold the ALJ’s findings
if supported by substantial evidence in the record.
§ 8-43-301(8), C.R.S. 2007. Substantial evidence is
that quantum of probative evidence which a rational
fact finder would accept as adequate to support a con-
clusion without regard to the existence of conflicting
evidence. Metro Moving & Storage Co. v. Gussert, 914
P.2d 411 (Colo. App. 1995). This standard of review
requires that we consider the evidence in the light
most favorable to the prevailing party, and defer to
the ALJ’s credibility determinations, resolution of
conflicts in the evidence and plausible inferences
drawn from the record. Wilson v. Industrial Claim
Appeals Office, 81 P.3d 1117 (Colo. App. 2003). The
existence of evidence which, if credited, might sup-
port a determination contrary to that reached by the
ALJ does not afford us grounds to grant appellate
relief Colorado Fuel and Iron Corp. v. Industrial
Commission, 152 Colo. 25, 380 P.2d. 28 (1963).

Further, the ALJ’s assessment of the probative
value of the evidence and his credibility determin-
ations are matters solely within his province. We may
not set aside a credibility determination unless the
testimony of a particular witness, although direct and
unequivocal, is “so overwhelmingly rebutted by hard,

App. 26

certain evidence directly contrary” that a fact finder
woule err as a matter of law in believing the witness.
Halliburton Services v. Miller, 720 P.2d 571 (Colo.
1986); Johnson v. Industrial Claim Appeals Office,
973 P.2d 624 (Colo. App. 1997). Consequently, the
ALJ’s credibility determinations are binding except in
extreme circumstances. Arenas v. Industrial Claim
Appeals Office, 8 P.3d. 558 (Colo. App. 2001). We will
neither reweigh the evidence nor substitute our
judgment for that of the ALJ regarding the credibility
of the competing witnesses.

We disagree with the claimant’s argument that
here reasonable minds could draw but a single infer-
ence from the factual record. If that were the case, of
course, then the question of the claimant’s entitle-
ment to permanent total disability benefits would be
converted to one of law. See Schreiber v. Brown &
Root, Inc., 888 P.2d 274 (Colo. 1993) (a factual issue
may become one of law only if reasonable minds can
draw but one conclusion from undisputed facts). Con-
trary to the claimant’s argument, however, there is
ample evidence in this record supporting the ALJ's

findings. The testimony and reports of the respon-

dents’ vocational rehabilitation expert constitutes
substantial evidence supporting the conclusion that
the claimant is capable of employment and therefore

is able to earn wages.

App. 27

big

The claimant also argues that the ALJ committed
error in sustaining the respondents’ objection to a
question regarding the HealthSouth functional capa-
city evaluation. The claimant’s attorney asked the
claimant whether she attempted to return to Dr.
Hawke following the functional capacity evaluation
performed by HealthSouth. She replied that she
“tried to go back to him,” and at that point the
respondents interposed an objection based upon the
relevance of the inquiry. The claimant's attorney
responded that the questioning “goes to the weight of
the FCE.” Tr. at 38. The ALJ sustained the objection,
noting that Dr. Hawke had “assigned permanent
restrictions” and that whether the claimant was per-
mitted to return to him was not relevant. Tr. at 39.
The claimant notes that the ALJ relied upon the
HealthSouth functional capacity evaluation report in
denying the claimant’s claim for permanent total
disability benefits. She now argues that by precluding
the inquiry into whether she was permitted to return

to Dr. Hawke the ALJ erred because such questioning

“went to the weight of the report” and presumably
would have undermined the credibility of the
HealthSouth functional capacity evaluation. We are
not persuaded that the ALJ committed reversible

error.

The ALJ exercises “wide discretion” in conducting
evidentiary proceedings, including making eviden-
tiary rulings. See § 8-43-207(1), C.R.S. 2007 (detailing

ALJ’s authority to conduct evidentiary hearings); see

App. 28

also IPMC Transp. V. Industrial Claim Appeals
Office, 753 P.2d 803, 804 (Colo. App. 1988) (construing
predecessor statute to § 8-43-207 to provide hearing
officer with wide discretion in conduct of evidentiary
proceedings). Similarly, the ALJ is afforded wide
discretion to determine whether evidence is relevant,
and if so, whether it should be excluded under CRE
403. See Cherry Creek School District v. Voelker, 859
P.2d 805 (Colo. 1993); People v. Gutierrez, I P.38d 241
(Colo. App. 1999) (trial court’s discretion to determine
relevancy is broad). We therefore defer to the ALJ’s
evidentiary determinations unless his ruling consti-
tutes an abuse of discretion by “exceeding the bounds
of reason.” See, e.g., Rosenberg v. Board of Educ., 710
P.2d 1095, 1098-99 (Colo. 1985) (upholding adminis-
trative hearing officer’s refusal to allow depositions
based on abuse of discretion standard).

Here, in our view the claimant overstates the
case by characterizing the ALJ’s ruling as one con-
cluding that “testimony regarding the HealthSouth
FCE was not relevant.” Claimant’s Brief in Support of
Petition to Review at 13. As we read the transcript
the ALJ’s ruling was not that broad. Rather, the ALJ
merely sustained an objection to the question of

claimant’s counsel whether a return trip to Dr.

Hawke was authorized after the HealthSouth func-
tional capacity evaluation was performed. We do not
understand the ALJ’s evidentiary ruling as _ pre-
cluding other questions regarding the HealthSouth
report, or as determining that the whole of that

functional capacity evaluation was “irrelevant.” The

App. 29

ALJ’s determination precluding the attorney's inquiry
into whether the claimant was permitted to return to
Dr. Hawke was not an abuse of the ALJ’s discretion.
The ALJ apparently concluded that it was only of
limited relevance that the respondents were unwill-
ing to pay Dr. Hawke to examine the claimant and
presumably to comment upon the HealthSouth
report. The attorney’s proffered evidence might argu-
ably have permitted the inference that the respon-
dents believed that Dr. Hawke’s comments would be
detrimental to the respondents’ case. However, the
ALJ’s determination that that evidence was only of
limited relevance does not “exceed the bounds of
reason.” Under these circumstances we cannot

conclude that the ALJ abused his discretion in pre-

cluding the claimant’s attorney from inquiring into

whether the respondents were willing to authorize a
visit to Dr. Hawke.

Finally, in our view, the ALJ did not rely upon
the HealthSouth functional capacity evaluation
report as the basis for any dispositive factual finding.
In this regard, the ALJ entered somewhat sparse
factual findings regarding the conclusions of the
report, Order at 6, 4 21, and then merely found that
the HealthSouth report was “consistent” with Dr.
Hawke's restrictions and “confirmed” them. Order at
7,9, J 25, 9 40. As we read the ALJ’s order, he relied
principally upon Dr. Hawke's. restrictions § in
concluding that the claimant was not permanently
and totally disabled. Under these circumstances, any
error in precluding the claimant from testifying that

App. 30

a return visit to Dr. Hawke was not authorized was
harmless error. As such, it cannot form the basis for
relief on appeal. CRE 103(a) (error may not be
predicated on evidentiary error unless a substantial
right of the party is affected).

IV.

We have considered the claimant’s final argu-
ment that the ALJ abused his discretion in denying
permanent total disability benefits and we are not
persuaded to reach a different result. As we under-
stand the claimant's argument it is that the reports,
testimony, and opinions of the respondents’ vocational
rehabilitation expert are so fundamentally flawed as
to render them unbelievable as a matter of law. This
argument is without merit.

As previously noted, under the applicable stan-
dard of review it is the Ald’s sole prerogative to
evaluate the credibility of the witnesses and the pro-
bative value of the evidence. In this regard, it is for
the ALJ to determine the weight and credibility of
expert medical opinion, and we may not reweigh the
evidence based upon the claimant’s argument that
the respondents’ expert testimony was not credible.
Rockwell International v. Turnbull, 802 P.2d 1182
(Colo. App. 1990). We may not substitute our

judgment for that of the ALJ regarding credibility

matters unless there is such hard, certain evidence
contradicting the ALJ’s determination that it would
be error as a matter of law. See Halliburton Services

App. 31

v. Milier, 720 P.2d 571 (Cob. 1986). Contrary to the
claimant’s argument, we do not construe the record
here as admitting only of the single result sought by
the claimant. The claimant’s argument is tantamount
to one that she is permanently and totally disabled as
a matter of law and that no assessment of the evi-
dence could result in any other conclusion. In our
view the ALJ properly weighed the competing evi-
dence and evaluated its probative value prior to
drawing reasonable inferences from the record. His
decision to credit portions of the testimony of the

respondents’ expert was reasonable in light of the

record and he did not abuse his discretion in that
regard. In pointing out possible inconsistencies,
weaknesses, or internal conflicts in the expert’s
testimony, the claimant ignores the point that when
determining the credibility of a witness, the ALJ is
free to credit all, part, or none of the testimony.
Monfort, Inc. v. Rangel, 867 P.2d 122 (Colo. App.
1993). We perceive no reversible error in the All’s
order and therefore affirm.

IT IS THEREFORE ORDERED that the ALJ’s
order dated November 6, 2007, is affirmed.

INDUSTRIAL CLAIM APPEALS
PANEL
[Illegible] _

Curt Krikseiun

[Illegible]

Thomas Schrant

App. 32

NOTICE

This Order is final unless an action to
modify or vacate this Order is commenced in
the Colorado Court of Appeals, 2 East 14th
Avenue, Denver, CO 80203, by filing a petition
for review with the Court, within twenty (20)
days after the date this Order is mailed,
pursuant to § 8-43-301(10) and § 8-43-307, C.R.S.
2007. The appealing party must serve a copy of
the petition upon all other parties, including
the Industrial Claim Appeals Office, which may
be served by mail at 633 17th Street, Suite 600,
Denver CO 80202.

[Certificate Of Mailing Omitted In Printing]

App. 33

OFYICE OF ADMINISTRATIVE COURTS
STATE OF COLORADO

LAW AND ORDER

IN THE MATTER OF THE WORKERS’ COMPEN-
SATION CLAIM OF:
ROSARIO AVIADO,

Claimant,

V.

ENISICON CORPORATION.
Employer,

and

WAUSAU INSURANCE COMPANIES,

Insurer/Respondents.

Hearing in the above-captioned matter was held
before Edwin L. Fetter, Jr., Administrative Law
Judge (ALJ), on June 12, 2007 and completed on
August 20, 2007, in Denver, Colorado. The hearing
was digitally recorded (reference:6/12/07, Courtroom
1, beginning at 8:35 AM, and ending at 11:59 AM;
and, 8/20/07, Courtroom 3, beginning at 8:31 AM, and
ending at 8:40 AM).

Claimant was present in person and represented

by Chris Forsyth, Esq. Respondents were represented
by Scott M. Busser, Esq.

App. 34

Hereinafter Rosario Aviado shall be referred to as
the “Claimant.” Ensicon Corporation shall be referred
to as the “Employer.” All other parties shall be
referred to by name.

The August 20, 2007 completion hearing was
vacated because Respondents’ expert vocational
witness, Meg Turner-Elder, had a family emergency.
Consequently, the parties agreed to submit Ms.
Elder’s testimony and any rebuttal thereto by
evidentiary deposition. The ALJ ordered Ms. Turner-
Elder’s deposition to be submitted within 30-days;
and, any rebuttal depositions to be submitted within
20-days thereafter. The ALJ further ordered that
Claimant’s opening brief be submitted, electronically,
within 5-days after the filing of the last evidentiary
deposition; Respondents’ answer brief to be sub-
mitted, electronically, within 5-days after the opening
brief; and, Claimant’s reply brief to be submitted,
electronically, within 3-days of the answer brief. Ms.
Turner-Elder’s evidentiary deposition was filed on
September 19, 2007; and, the Claimant’s rebuttal
evidentiary deposition was filed an October 9, 2007.
Claimant’s opening brief was filed on October 22,
2007; Respondents’ answer brief was filed on
November 1, 2007; and, Claimant’s reply brief was
filed on November 6, 2007. The matter was deemed
submitted for decision on November 6, 2007.

App. 35

ISSUES

The issues to be determined by this decision
concern whether or not the Claimant is permanently
and totally disabled (PTD); or, in the alternative, if
the Claimant is not PTD, is the situs of her functional]

impairment in the trunk of her body as opposed to
her left (LUE) and right (RUE) upper extremities,
thus, entitling her to a whole person permanent
partial disability (PPD) award instead of scheduled
awards for both upper extremities. The Claimant has

the burden of proof, by a preponderance of the
evidence, on both issues.

PROCEDURAL HISTORY

Claimant sustained an admitted bilateral carpal!
tunnel syndrome that manifested itself on or about
April 24, 2006. Respondents first filed a Final Admis-.
sion for 5% and 3% scheduled permanent impairment
for the right and left upper extremities (RUE and
LUE), respectively, on August 18, 2006. Claimant
filed a timely objection and initiated the Division
sponsored independent medical examination (DIME)

process, seeking additional impairment for the neck

Franklin Shih, M.D., performed the DIME and
issued a report dated November 28, 2006. He agreed
with the maximum medical improvement date (MMI)
found by Jeffrey Hawke, M.D., Claimant’s authorized
treating physician (ATP), of July 31, 2006. Dr. Shih
also agreed with Dr. Hawke's bilateral extremity
ratings, although he rated the RUE and LUE as

App. 36

sustaining 7% and 4% scheduled impairment respec-
tively. Dr. Shih found no permanent impairment

beyond these extremities.

Respondents accepted the DIME report and filed
a conforming Final Admission of Liability, dated
December 29, 2006. Thereafter, Claimant filed a

hearing application, dated January 26, 2007, on the

issues of medical benefits (authorization: reasonably
necessary), disfigurement, temporary total disability
(TTD) benefits from July 30, 2006 onward, perma-
nent partial disability (PPD) benefits, situs of func-
tional impairment, overcoming the DIME as to MMI,
and permanent total disability (PTD). Respondents
filed a time response that endorsed those issues as

well as statutory offsets.

FINDINGS OF FACT

Based on the evidence presented at hearing, the
ALJ makes the following Findings of Fact

General Findings

l. Claimant is a 40-year-old woman who began
work for the Employer in 2005. She was working as
an assembler for the Employer when she suffered an
admitted work injury on April 24, 2006. She was

diagnosed with bilateral carpal tunnel syndrome

2. According to the Claimant she continued
working with pain until she was laid off from her

position with the Employer on April 28, 2006, four

App od

days after the work injury, for reasons neither the

Claimant nor the Employer clearly explained

3. Claimant was born in the Philippines and
learned English as part of her regular studies. Afte:
arriving in the United States on October 3, 1992, she
worked at a fast food court in the Tabor Center a
kitchen help, server and cashier. She also began
working at 7-11 effective February 2, 1993. She
worked continuously for 7-1L until July 30, 2006
alternating between full and part time employment
She “did everything” at 7-11 including cleaning,
ordering, stocking and cashiering. The ordering was
initially done by phone and, later, by computer. At the
hearing, the ALJ observed that Claimant presented

as fluent in English

4. After leaving the Tabor Center food court
Claimant worked as a fling clerk placed through a
temporary agency and learned how to. operate
Microsoft Ixxcel. Later, she participated in a Family
Dollar store. She processed payroll, government
forms, and handled negotiations with the landlord

De pile her efforts, the business failed a year later

9. Claimant then went to work for the Employer
herein on August 28, 2005 and continued until April
28, 2006, assembling pumps. She has not worked
since leaving that job and her concurrent employment

at 7-11. which she left on Julv 30. 2006

6. ‘loday, Claimant still performs light hous:
work and can drive for up to thirty minutes befor

experiencing some numbne

App 305

7. At the hearing, Claimant presented as an
intelligent, thoughtful) person, the type of person
likely to appeal to a prospective employer, During: the
course of the hearing, she answered questions about
prior employment and inclusive dates of employment
with a high degree of precision, causing the ALJ to
infer and find that she has a mental aptitude likely to
assist her in finding employment. She has mastered
two languayes (English and Tapyalop), a skill that
many workers do not have. She has worked in a
number of jobs, including a family busine: While
that business ultimately failed, she has a ranye of
experiences that leave her well suited for em
ployment. While she did not have a formal education
in the United States, she did complete her education
in the Philippines and has learned from the jobs held
in this country. Claimant suffered an injury that
affected her ability to perform certain jobs, not all
iobs, and as found below it is more likely than not
that she can perform several jobs in the sedentary

catleyvory

THE ATP
e. DOr Hawke first treated Clarmant on May 4
2006. He ordered nerve conduction studies which di

}

played delayed [D2-wrist/palm-wrist sensory, borde:
line distal motor delay on the right with a similar lef
reading a normal, but an abnormal D4-wrist
differential. Otherwise, the needle EMG studies were
read as normal. The studies were interpreted to show

a moderate median neuropathy at the right wrist, a

App. 39

mild median neuropathy at the left wrist, and no
other abnormalities found. Dr. Hawke imposed work
restrictions of avoiding repetitive activities and to

take a break of 15 minutes per hour.

9. In his initial evaluation report of that same
date, Dr. Hawke took a history of symptoms that were
limited to the wrists and arms with Claimant’s health
being otherwise good. Dr. Hawke diagnosed bilateral
carpal tunnel syndrome (CTS), mght Dr. Quervain’s,
and bilateral elbow pain/strain. He prescribed medi-
cation and splinting. He also discussed the possibility
of surgery, which caused Claimant to become “some-
what emotional” as she wanted to “avoid [surgery] at
all costs.”

10. Dr. Hawke saw Claimant again on May 19,
2006, and re-imposed the restriction against repeti-
tive -activity with either hand. He modified the 15-
minute break restriction to allow for non-repetitive
duties with her hands during that break. In the
subjective portion of his May 19, 2006 interim
summary, Dr. Hawke took a history of symptoms
extending to, but not beyond, the elbow level.

>

ll. The July 31, 2006, report of Dr. Hawke

states as follows:

Today the patient reports that she has pain
in the The ulnar eminence of both hands
which is sharp, 8-9/10 on the zero to 10 scale
where 10 is the worst pain imaginable. She
has numbness and tingling into bath palms
and the tips of all 5 digits. She does not

App. 40

think she can lift more than 10 pounds.
When she scans 12-packs of soda or a gallon
of milk while working her other job at Seven
Eleven she has to slide it because she cannot
lift. She does not do mopping or cleaning.
She cannot do repetitive gripping or grasping
with either hand. After 20 minutes of
repetitive hand use, she has to do her
exercises. She has not been doing repetitive
work, and does not believe she could do so
even for only a third of the time. ...

The ALJ finds that this history the Claimant gave Dr.
Hawke does not constitute an opinion of Dr. Hawke.
Indeed, she gave Dr. Hawke a history of continuing to
work at 7-11 from April 24, 2006 through July 31,
2006, without doing “repetitive” motion for more than
20 minutes. Claimant chose to leave the 7-11 job.
There is no persuasive evidence that she could not
continue there without doing repetitive work for more
than 20 minutes on an indefinite basis. There is no
persuasive evidence that the job at 7-11 was not
within Claimant’s medical restrictions.

12. Dr. Hawke’s colleague, Monica Fanning,
M.D., saw Claimant on June 16, 2006, modifying the
restrictions to avoidance of repetitive grasping or
gripping with ten pound lifting, carrying, repetitive
lifting, pushing and pulling limits. In the interim
summary of that date, Claimant reported that her
left hand was “doing fine” without symptoms beyond
the hand. Again, the subject of surgery was explained
to her and she declined. Drs. Hawke and Fanning

App. 41

planned to close her case if she declined surgery as
they had no further non-surgical options to offer.

13. When Claimant visited Dr. Hawke on June
28, 2006, she reported her pain level as “isn’t much

now” with a feeling of weakness.

14. The June 16th restrictions were repeated on
July 10, 2006. In the interim summary of that same
date, Dr. Hawke stated that Claimant was awaiting

surgery.

15. Claimant returned to Dr. Hawke on July 31,
2006. She decided not to proceed with surgery despite
the recommendations of several treating physicians.
Subjectively, Claimant reported increased pain in
both hands. She stated she could not lift more than
ten pounds. She rejected surgery because she felt that
she couldn't take time off for it and could not accept a
5-20% chance of recurrence after surgery. Claimant
was still working her second job at 7-11 and described
it as not being repetitive. Claimant took Tylenol or
Advil as she was not ‘comfortable” with prescription
medication.

16. Dr. Hawke found no impairment beyond the
wrists. He gave Claimant upper extremity impair-
ment ratings based upon lost wrist range of motion.
He then converted the ratings to whole person, as
mandated by the A.M.A. Guides to the Evaluation of
Permanent Impairment, 3rd Ed., Rev. Dr. Hawke
found impairment only to the hands and wrists as the

result of bilateral CTS. He found no impairment to a
part of the body beyond the extremities covered by

App. 42

the schedule. In this regard, his opinion is supported
by multiple nerve conduction studies that showed no

abnormalities beyond the wrists.

17. Dr. Hawke addressed permanent activity
restrictions of limiting lifting, carrying, pushing and
pulling to ten pounds. “For every 20 minutes of
repetitive tasks”, she was to rotate to non-repetitive
tasks for 40 minutes and perform stretching exercises
for 5-10 minutes. Dr. Hawke did not further
articulate what he meant by “repetitive tasks”. He
recommended no additional medical care.

18. Claimant returned to Dr. Hawke on Jan-
uary 26, 2007. Subjectively, she reported decreased
pain in her hands. The only “repetitive” task she
described performing was chopping vegetables for her
family. Claimant reported no symptoms beyond her
hands.

19. Claimant saw Dr. Hawke again on February
16, 2007. She reported waxing and waning pain in
both hands, but no other symptoms. Dr. Hawke did
not change Claimant’s restrictions, impairment
rating, or MMI date.

20. At the request of Claimant’s counsel, Dr.
Hawke reviewed a functional capacity evaluation
(FCE) report prepared by a therapist retained by
Claimant, Gail Gerig. In a letter dated April 14, 2007,
Dr. Hawke disagreed with those FCE findings, noting
that limitations on crouching, stooping or neck flexion

did not pertain to Claimant’s injury.

App. 43

21. Claimant performed a Functional Capaci-
ties Evaluation (FCE) at HealthSouth on June 4,
2007, and a maximum voluntary effort (MVE)
protocol was administered. The results demonstrated
only 4 of 10 coefficients within the 15% variable
limits, reflecting sub maximal effort. In contrast,
Claimant’s performance on the rapid exchange grip
demonstrated maximal effort. The remaining validity
tests were inconsistent. The majority of the lifting
tests were discontinued as a result of Claimant’s
failure to cooperate with the testing as opposed to an
inability to perform the tests.

22. Although Dr. Hawke imposed the above
described restrictions on Claimant’s upper extremity
use, the Functional Range of Motion (F.R.O.M) tests
involved repeated upper extremity reaching from
various positions and Ciaimant registered Methods
Time Measurement (MTM) scores of between 87%
and 110% ranked her between competitive and above
competitive.

23. The evaluators at HealthSouth placed
Claimant in the sedentary work category, concluding:

The results of this evaluation indicate that
[Claimant] demonstrated the ability to lift in
the SEDENTARY category up to 10 pounds
according to the U.S. Department of Labor
for an eight hour day, based on her manxi-
mum occasional lifts. [Claimant] terminated
all lifts secondary to reported pain in her
back and hands or stating that she had
reached her maximum safe limit. She

App. 44

demonstrated the ability to type on an
occasional basis with all other positional
tolerances performed on a frequent to con-
stant bests ... [Claimant] was consistent on
9 of 23 consistency tests which may be an
indicator of sub maximal effort . .

Subjectively, Claimant described an average day of
driving her daughter to school, shopping, running
errands, cooking, and exercising several times a week
on a treadmill or stationary bike. While using the
stationary bike, she would grip the handles and
swing her arms back and forth.

24. At the request of Claimant’s counsel, Dr.
Hawke reviewed a FCE report prepared by a ther-
apist retained by Claimant, Gail Gerig. In a letter
dated April 14, 2007, Dr. Hawke disagreed with those
FCE findings, noting that limitations on crouching,
stooping or neck flexion did not pertain to Claimant’s
InvUry.

25. Dr. Hawke gave Claimant a 10 pound
lifting, carrying, pushing and pulling restriction. The
HealthSouth FCE confirmed this restriction. Dr.
Hawke also imposed a restriction against repetitive
upper extremity use for more than 20 minutes an
hour. Dr. Hawke did not clarify what he meant by
“repetitive”. As described below, that restriction does,
to some degree, limit Claimant’s access to the open
labor market. Overall, Dr. Hawke’s opinions, par-
ticularly the rejection of Gail Gerig’s FCE, do not
support the proposition that Claimant, more likely
than not, is permanently and totally disabled.

App. 45

26. Mitchell Fremling, M.D., a specialist, saw
Claimant on referral from Dr. Hawke’s associate, Dr.
Fanning. In a note dated June 5, 2006, Dr. Fremling
diagnosed bilateral CTS (carpal tunnel syndrome)
with failed conservative management. Dr. Fremling
offered operative treatment that Claimant refused.
He noted that conservative treatment had failed and
he offered operative treatment of the CTS. Claimant
was very anxious about any operative intervention.

27. Claimant returned to Dr. Fremling on June
29, 2006. Contrary to her reports to Dr. Hawke a day
earlier, Claimant reported significant pain and
numbness. Surgery was discussed and she agreed to
proceed with a right carpal tunnel release. On that
date, Dr. Fremling noted that Claimant still had
significant pain and numbness in her hands. He
noted Claimant was afraid of operations, but she
agreed to proceed to a carpal tunnel release, after a
lengthy discussion.

28. Dr. Hawke recommended surgery and was
of the opinion that surgery would likely have led to
further improvement in her condition. Dr. Fremling
recommended a right CTS release to improve Claim-
ant’s condition. Indeed, Claimant was scheduled for
such surgery. Instead, she decided to reject the
surgery despite reporting to Dr. Manuele that she
would only have a 5-20% chance that her symptoms
could recur. The flipside of her remark is that she had
been advised that she had an 80-95% chance that the
surgery would be successful without a recurrence of
the condition.

App. 46

29. On July 10, 2006, Claimant saw Dr. Hawke
who noted Claimant was waiting for her surgery to be
scheduled. Dr. Hawke noted

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386017_2200%3A1. Public record. Not legal advice.
