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Independent Life c. Ins. Co. v. Craton

Court of Appeals of Georgia
Jun 20, 1960
115 S.E.2d 636 (Ga. Ct. App. 1960)

Opinion

38288.

DECIDED JUNE 20, 1960. REHEARING DENIED JULY 12, 1960.

Workmen's compensation. DeKalb Superior Court. Before Judge Guess. February 12, 1960.

Mitchell, Clarke, Pate Anderson, William M. Pate, for plaintiff in error.

Cook, Llop Long, Nick Long, Jr., Robert M. Sparks, contra.


This court will not disturb an award made by the State Board of Workmen's Compensation upon issues of fact where there is evidence to support the findings made by the board.

DECIDED JUNE 20, 1960 — REHEARING DENIED JULY 12, 1960.


This is an appeal from an award of the full board of the State Board of Workmen's Compensation for total disability.

The record shows that the claimant suffered an accidental injury which arose out of and in the course of his employment; the injury caused claimant to be hospitalized for a period of 29 days during which time a spinal graft operation was made. Subsequently to the claimant's injuries the parties entered into an agreement to pay compensation until terminated according to the provisions of the Workmen's Compensation law of Georgia and this agreement was approved by the board. Pursuant to this agreement, compensation was paid the claimant until the employer discontinued the payment in November, 1958. No further payments were made after that time and in August, 1959, the claimant filed with the State Board of Workmen's Compensation a request for a hearing. The matter was heard before a single director and an award made for total disability. From this award the Independent Life Accident Insurance Company brought the matter before the full board which adopted the award of the single member of the board. The award of the full board was then appealed to the superior court, where the matter was considered, and the award of the full board was affirmed. From that decision of the superior court the matter has been appealed to this court.


The findings of fact, which have run the gamut from the individual board member, to the full board, to the superior court, show that the injury arose out of and in the course of the employment of the claimant. Although the claimant had a series of accidents both prior and subsequently to the injury involved in the course of this employment, any disability the claimant suffered from any accident he might have received prior to this compensable one had ceased, and the injuries sustained subsequently to that time were not to that part of the body which went to the disability involved in this compensation award. Although the doctors' reports were conflicting as to the extent of the disability, there was sufficient evidence for the fact finders to accept the record of the doctor which establishes permanent disability. The claimant did attempt other types of work after the disability involved in this case, but such attempts do not fix firmly that the disability had ceased.

The insurer appealed from the various stages of the award and to this court on the usual statutory grounds ( Code § 114-710), but after a careful examination of the record, it is clear that the members acted within the scope of their powers; that the facts found by the members support the order or decree; and that the order or decree is not contrary to law.

This court has established that it will not upset the findings of fact or conclusions of the full board of workmen's compensation except upon the clear statutory grounds set forth in Code § 114-710. Recently in Baynes v. Liberty Mutual Ins. Co., 101 Ga. App. 85, 87 ( 112 S.E.2d 826) Judge Gardner summarized and emphasized this court's attitude. The court will not disturb an award made by the State Board of Workmen's Compensation on issues of fact where there is evidence to support these findings. Since there is evidence authorizing the award of the single director as affirmed by the full board and by the superior court, it will be sustained here.

It must be stated in this case, however, that the insurer alleges that the order or decree was procured by fraud which, if established, provides grounds for reversing the award of the board as set out in Code § 114-710 (2). Yet the only evidence of fraud shown by the record is some misstatements made when the claimant applied for employment. Notwithstanding this, the record discloses that the Workmen's Compensation Board was fully aware of the facts in relation to this evidence, and yet found that there was no fraud in procuring the order or decree, although there may have been some misstatements with respect to the employment itself. The award therefore must be affirmed as there is no basis for a finding by this court that the order or decree was procured by fraud. The order of the superior court affirming the award of the full Board of Workmen's Compensation based upon the award of the single director is affirmed.

Judgment affirmed. Felton, C. J., and Nichols, J., concur.

ON MOTION FOR REHEARING

Counsel for the plaintiff in error earnestly contend that the claimant's refusal to authorize the release of hospital and medical records of the Veteran's Administration pertaining to the claimant's hospitalization from an accident occurring some three years after the injury for which he received workmen's compensation, raises a conclusive presumption that such records, if produced, would have been adverse to the claimant's position here. Counsel argues that this refusal brought into effect Code § 38-119. While we accept the pertinency of the statute here, we cannot agree with the contention of counsel, since the statute states that the presumption may be rebutted. Thus, the statute itself clearly negates the possibility of a conclusive presumption under these circumstances. Furthermore, as this statute has been interpreted, the presumption under the Code section is one of fact and not of law. Brothers v. Horne, 140 Ga. 617, 618 (3) ( 79 S.E. 468). This interpretation results in the presumption being one for the triors of fact to determine, which, in this instance, is the State Board of Workmen's Compensation. Here the board has resolved this issue and this court cannot reverse its findings of fact in the absence of the grounds authorized in Code § 114-710. Obviously, since the rebuttal of this presumption is one of fact, it is exclusively for the finders of the fact to resolve.

Another ground earnestly urged in the motion is based on a claimed error in placing the burden of proof regarding a change in condition on the employer rather than on the employee. In this instance, regardless of which party has the burden of proof, the finding of fact by the board was that as a matter of fact there was a change of condition, and this finding, the record reveals, was supported by a sufficiency of evidence.

Rehearing denied.


Summaries of

Independent Life c. Ins. Co. v. Craton

Court of Appeals of Georgia
Jun 20, 1960
115 S.E.2d 636 (Ga. Ct. App. 1960)
Case details for

Independent Life c. Ins. Co. v. Craton

Case Details

Full title:INDEPENDENT LIFE ACCIDENT INSURANCE COMPANY v. CRATON

Court:Court of Appeals of Georgia

Date published: Jun 20, 1960

Citations

115 S.E.2d 636 (Ga. Ct. App. 1960)
115 S.E.2d 636

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