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Simpson v. Travelers Insurance Co.

Court of Appeals of Georgia
Dec 5, 1967
159 S.E.2d 294 (Ga. Ct. App. 1967)

Opinion

43011.

SUBMITTED SEPTEMBER 7, 1967.

DECIDED DECEMBER 5, 1967. REHEARING DENIED DECEMBER 20, 1967.

Workmen's compensation. Richmond Superior Court. Before Judge Kennedy.

Harrison, Martin Childs, John S. Harrison, for appellant.

Hull, Towill Norman, Julian B. Willingham, for appellees.


1. The obligation to pay workmen's compensation under an approved agreement continues until, (1) full payment has been made of all compensation provided by the agreement or, (2) a subsequent award is made by the board based upon some change in the claimant's physical condition or, (3) a new agreement based upon some change in the claimant's physical condition is entered into and is approved by the board.

2. Unless a new agreement stipulates facts showing a change in condition, it is ineffective, though approved by the board, to alter or terminate the compensation payable under the original agreement.

SUBMITTED SEPTEMBER 7, 1967 — DECIDED DECEMBER 5, 1967 — REHEARING DENIED DECEMBER 20, 1967 — CERT. APPLIED FOR.


Claimant made application to Richmond Superior Court for a judgment for workmen's compensation pursuant to Code § 114-711. The record of the proceedings before the Workmen's Compensation Board, including certified copies of an agreement to pay compensation, a supplemental agreement, and a final settlement receipt, was attached to the application as an exhibit. The original agreement provided for compensation for disability resulting on April 4, 1963, from a back injury suffered by claimant on March 29, 1963, to be paid at the rate of $37 per week until terminated according to provisions of the Workmen's Compensation Act. The supplemental agreement showed that claimant returned to work on April 22, 1963, and provided that liability for temporary total disability ceased on that date. Both agreements were approved by the board. The receipt merely acknowledged payment to claimant of the sum of $51.80 in final satisfaction of all claims for compensation.

On March 29, 1967, the court rendered judgment for plaintiff based on the original agreement and reciting that good cause had been shown to the court, in the principal sum of $5,476.

The employer and carrier then filed pleadings denominated as a motion to set aside the judgment and a motion in arrest of judgment, both of which contended that the record in the case showed that no process was attached to claimant's application, that the application was not properly served on the employer and carrier, and that they had not been afforded an opportunity to answer and defend, that the application failed to state a cause of action, and that under Code Ann. § 114-709 the statute of limitation had run against the claim.

The court subsequently vacated its judgment and issued a rule nisi ordering the employer and carrier to show cause why claimant's application should not be granted. After hearing argument, the court rendered judgment denying claimant's application.


The proceeding to enforce an award of the Workmen's Compensation Board or an approved agreement pursuant to Code § 114-711 is not a separate suit but is merely a continuation of the proceeding instituted before the board. Camp v. U.S. Fidelity c. Co., 42 Ga. App. 653 (3) ( 157 S.E. 209); Durham Iron Co. v. Durham, 62 Ga. App. 361, 373 ( 7 S.E.2d 804). The Workmen's Compensation Act does not provide for process or notice to the employer and carrier or for a hearing in the proceeding to enforce the award or agreement. Taylor v. Woodall, 183 Ga. 122 (1) ( 187 S.E. 697); Fireman's Fund Indem. Co. v. Wade, 97 Ga. App. 125, 127 ( 102 S.E.2d 640).

If a hearing is held, the defenses which may be urged are limited to those enumerated in Jenkins v. Reliance Ins. Co., 113 App. 70, 72 (147 S.E.2d 343). Disputed issues of fact may be determined only by the board. Carpenter v. Newcomb Devilbiss Co., 111 Ga. App. 472 (2) ( 142 S.E.2d 381).

An approved agreement to pay compensation has the same status as an award of the board unappealed from or an award affirmed upon appeal, and is res judicata as to the obligation of the employer to pay compensation thereunder. Code § 114-705; Lumbermen's Mut. Cas. Co. v. Cook, 195 Ga. 397, 400 ( 24 S.E.2d 309). That obligation continues until, (1) full payment has been made of all compensation provided by the agreement or, (2) a subsequent award is made by the board based on some change in the claimant's physical condition or (3) a new agreement based on some change in the claimant's physical condition is entered into and is approved by the board. Taylor v. Sunnyland Packing Co., 112 Ga. App. 544, 546 ( 145 S.E.2d 587). The approval of an agreement providing for a change in the compensation payable under an original award or agreement is not authorized unless the new agreement stipulates facts showing that the claimant's condition has changed since the original award or agreement. Nationwide Mut. Ins. Co. v. Hamilton, 112 Ga. App. 452 ( 145 S.E.2d 645). Statements in the new agreement showing that claimant has returned to work on a certain date and providing that liability for total disability ceased at that time are not sufficient to show a change in the claimant's physical condition. Employers c. Assur. Corp. v. Whitlock, 111 Ga. App. 440, 442 ( 142 S.E.2d 77); Taylor v. Sunnyland Packing Co., 112 Ga. App. 544, 546, supra. Where, as here, the supplemental agreement fails to stipulate facts sufficient to show a change in condition, it follows that the new agreement, though approved by the board, is ineffective to change the compensation payable under the original award or agreement.

Aetna Cas. c. Co. v. Groover, 115 Ga. App. 418 ( 154 S.E.2d 828), relied on by the employer and carrier, is not applicable here. That case merely held that the filing of a supplemental agreement and final settlement receipt was sufficient to comply with the condition precedent prescribed in Code Ann. § 114-709 and thereby cause the two-year limitation against an application for a hearing upon a change in condition to begin running against the claimant. It did not determine the question of liability under the original agreement. Code § 114-711 does not prescribe a time limitation upon an application for judgment pursuant to that section. But see Nation v. Pacific Employers Ins. Co., 112 Ga. App. 380, 382 (4) ( 145 S.E.2d 265) and Ga. L. 1855-56, p. 234, as amended by Ga. L. 1943, p. 333 ( Code Ann. § 3-704), which provides that suits for the enforcement of rights accruing to individuals under statutes shall be brought within 20 years after the right of action shall have accrued.

Apparently the Groover case did not consider the facts that final settlement receipt, which was held to constitute final notice of the claim as required by Code Ann. § 114-709, expressly showed that only a small portion of the claim had been paid, rather than final payment of the full amount of the claim as determined by the original agreement; that the supplemental agreement there failed to stipulate facts sufficient to show a change in condition and that in Priest v. Exposition Cotton Mills, 86 Ga. App. 301 ( 71 S.E.2d 743), which Groover followed, the claimant had conceded that his application for a hearing upon a change in condition was barred in the absence of fraud in procuring the settlement agreement receipt.

The record in this case does not indicate that any application has been made for a change in the award, as represented by the original agreement. Consequently, the employer's liability for compensation payments continues, and claimant is entitled to judgment in accordance with the original agreement. The court erred in vacating its order of March 29, 1967, and in subsequently denying claimant's application. The judgment will be reversed with direction that the judgment of March 29, 1967, be reinstated.

Judgment reversed with direction. Whitman, J., concurs. Pannell, J., concurs specially.


I concur in the judgment but cannot concur in the distinction made of Aetna Cas. c. Co. v. Groover, 115 Ga. App. 418 ( 154 S.E.2d 828). That case in my opinion is in direct conflict with what we hold here and what was held in Taylor v. Sunnyland Packing Co., 112 Ga. App. 544, 546 ( 145 S.E.2d 587), and therefore should be overruled.


Summaries of

Simpson v. Travelers Insurance Co.

Court of Appeals of Georgia
Dec 5, 1967
159 S.E.2d 294 (Ga. Ct. App. 1967)
Case details for

Simpson v. Travelers Insurance Co.

Case Details

Full title:SIMPSON v. TRAVELERS INSURANCE COMPANY et al

Court:Court of Appeals of Georgia

Date published: Dec 5, 1967

Citations

159 S.E.2d 294 (Ga. Ct. App. 1967)
159 S.E.2d 294

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