ohn Kuykendall
requested additional workers compensation benefits from the Subsequent
Injuries Fund (SIF). Mr. Kuykendall was subsequently awarded SIF benefits,
but those benefits were to be reduced by the extent of any monetary
payments received by the employee, from any source whatsoever, for or on
account of [a] pre-existing disability . . . provided by Labor Code
§4753.
The administrating agency who was State Compensation Insurance Fund (SCIF)
for SIF. SCIF wrote Mr. Kuykendall informing him that it would not be paying
any SIF benefits because of excessive credits and debit
accumulations. Worksheets attached to the letter indicated that the
agency was claiming an offset for the disability retirement compensation
paid by Los Angeles County Employees Retirement Agency (LACERA).
The issue was disputed. It went to trial on the date of May 19, 1998. The
worksheet in a letter from LACERA dated 1996 was entered into evidence. However,
the applicant testified that when he had stopped working January 10, 1992,
that it was due to neck pain, severe headaches, and right shoulder pain.
Bear in mind, Mr. Kuykendalls application for the SIF benefits was
on the basis of his back and knee injuries. Mr. Kuykendall stated that he
was not sure what body parts he listed on the disability retirement application
he submitted to LACERA.
After the trial, the WCJ gave the parties additional time to file briefs
after which time the matter was to stand submitted.
In his post-trial brief, the applicant argued that he was not granted disability
retirement because of his prior back injury. Rather, the disability retirement
was because of his neck and shoulder injuries as well as his headaches. In
response SCIF provided copies of documents from LACERA which showed that
the disability retirement was in fact granted in part due to the
applicants back problems.
The WCJ then ruled that a credit equal to 25% of the applicants SCIF
benefits were to be deducted. Thereafter, the applicant filed a Petition
for Reconsideration. The applicant argued that the WCJ rendered a decision
based upon inadmissible documents. The WCJ rescinded his order and filed
a new findings and award providing no credit because it was his belief that
he had reviewed inadmissible evidence.
This time SCIF filed a Petition for Reconsideration. The petition was granted
by the Board. They reversed the WCJ. The Board stated that because the applicant
testified that he did not remember what body parts he had put on the application,
and because this was critical as to what credit was to be given, the WCJ
had a duty to develop the record. The Board reinstated the original decision
allowing a 25% credit of benefits being paid. The applicant then filed another
Petition for Reconsideration.
The Board denied the Petition for Reconsideration. The applicant then filed
a Petition for Writ of Review.
The Court of Appeal noted that the applicant argued that their supporting
authority came from the cases of County of Sacramento vs. WCAB (Estrada)
and San Bernardino Community Hospital vs. WCAB. However, both of those cases
were distinguished. In the present case, the need for additional evidence
only became apparent after the applicant testified that he did not remember
what body parts he had listed on his application for disability retirement.
In order to rebut unanticipated testimony, due process requires protection
of a parties substantial rights. If an unaddressed an determinative
issue arises during trial, it is proper for the WCJ to develop the record.
The Court of Appeal remanded the matter to the Board with instructions to
allow the applicant additional testimony to offer in explanation to the
information received from LACERA.
John Kuykendall vs. WCAB 65 CCC 264
This is a very important case for not only defendants, but for applicants.
This stands for the proposition that some justice can be allowed at time
of trial. The WCJ does have some discretion to allow due process. It was
obvious in this case that the applicant was trying to take advantage of the
situation. The WCJs first instincts were not to allow this. He only
changed his decision when he felt constrained by existing case law. The Court
of Appeal makes it clear that he was not so constrained.
The key is to first determine that the testimony given was unanticipated.
The WCJ next needs to determine whether additional information is required
for the protection of the due process rights of the parties. |