Opinion
44844 No. 0124-84
Argued May 1, 1985
Decided September 3, 1985
(1) Workers' Compensation — Industrial Commission Awards — Judicial Review. — If the factual findings of the Industrial Commission are supported by credible evidence, they are binding on the appellate court.
(2) Workers' Compensation — Change in Condition — Limitation of Actions. — When an application for a change in condition is based upon an existing disability and is filed within two years of the date compensation was last paid, the requirements of Code Sec. 65.1-99 are met.
Ralph L. Whitt, Jr. (Sands, Anderson, Marks Miller, on briefs), for appellant.
Mr. Michael W. Heaviside (Ashcraft Gerel, on briefs), for appellee.
SUMMARY
The Industrial Commission ruled that the claimant had cured an unjustified refusal to return to the care of a treating physician, and that the employer was responsible for the costs of subsequent medical treatment causally related to the original accident.
The Court of Appeals affirmed, holding that the Commission's factual findings were based on credible evidence. The Court also held that since the claimant's application for a change of condition was filed within two years of the date compensation was last paid and that the disability continued up to the date the claimant cured his unjustified refusal to accept medical treatment, the Commission properly ruled that the employer was responsible for additional medical treatment.
Affirmed.
OPINION
This is an appeal from the Industrial Commission's decision that Paul Wallace (claimant) had cured an unjustified refusal to return to a treating physician and that he was entitled to subsequent psychiatric evaluation and treatment. It also questions whether an application for change of condition is timely if filed within two years of the last payment of benefits but while benefits have been suspended.
After receiving compensation for a work-related accident on August 7, 1981, the claimant attempted to return to work on September 21, 1981, but was unable to perform his duties and left work after approximately one hour and sought medical treatment. Nevertheless, on October 2, 1981, the Industrial Commission received an agreed statement of facts indicating the claimant had returned to work on September 21, 1981.
Some time after September 21, 1981, the employer's production manager told the claimant, who could neither read nor write, that his workmen's compensation had ended but that he could receive sick benefits from the employer's disability carrier. The claimant was then seen and treated by physicians, other than the treating physician, and received benefits from the disability carrier.
During 1983 the claimant asked to return to the treating physician for treatment, but the employer refused his request. On October 28, 1983, the employer advised him that his benefits with the disability carrier had terminated.
(1) Based on these facts, the Commission found that the claimant had cured his unjustified refusal to return to the treating physician and concluded that the employer was responsible for the cost of subsequent psychiatric evaluation and treatment causally related to his accident. Since the Commission's factual finding was based on credible evidence, it is binding on this court. Code Sec. 65.1-98.
(2) Compensation was paid to the claimant through the period ending September 21, 1981, and his application for a change of condition was filed June 16, 1982, within the two years prescribed by Code Sec. 65.1-99. However, compensation was automatically suspended until October 28, 1983, because the claimant had refused to return to the treating physician. The Commission found that his disability continued between the date compensation was last paid and the date the claimant cured his unjustified refusal to accept medical treatment. This disability was present and existing when the application was filed; therefore the application did not anticipate a future disability and did give the employer sufficient notice of the claim. Thus, the requirements of Code Sec. 65.1-99 were satisfied.
There being no error in the award appealed from, it will be affirmed.
Affirmed.
Coleman, J., and Duff, J., concurred.