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National Farmers' Union Insurance v. Scofield

Citations: 54 Or. App. 804; 636 P.2d 970; 1981 Ore. App. LEXIS 3594Docket: WCB 78-3310, 78-7638, CA A20339

Court: Court of Appeals of Oregon; November 22, 1981; Oregon; State Appellate Court

Narrative Opinion Summary

This case involves a dispute among three insurance carriers regarding liability for a workers' compensation claim following two separate injuries sustained by a claimant employed by Lane Electric Cooperative. Initially, the Workers’ Compensation Board assigned liability to National Farmers for a 1977 injury. However, upon appeal, the court reversed this decision, reinstating the referee's determination that the claimant's disabling back condition, necessitating surgery in 1978, was attributable to a 1974 injury covered by Wausau. The claimant had previously experienced a compensable low back injury in 1973 under SAIF, which resulted in a non-disabling condition. The case hinges on whether timely notice was provided for the 1974 injury and on the causative link between the injuries. Despite procedural objections by Wausau, the court found no violation of appellate rules and upheld the referee's finding that the claimant's condition was compensable under Wausau's policy. The decision underscores the presumption of receipt of mailed notices and rejects the application of the last injurious exposure rule due to the ongoing nature of the claimant's medical issues. The case was remanded to reinstate the referee’s order, leaving SAIF without obligation as their coverage pertained to a non-disabling injury.

Legal Issues Addressed

Application of the Last Injurious Exposure Rule

Application: The last injurious exposure rule is deemed inapplicable due to the continuous nature of the claimant's condition stemming from the 1974 injury.

Reasoning: Consequently, the last injurious exposure rule is not applicable.

De Novo Review in Workers' Compensation Appeals

Application: A de novo review considers assignments of error and does not automatically require them, allowing the court to reassess the entire record.

Reasoning: In workers' compensation cases, a de novo review allows for consideration of assignments of error but does not require them.

Notice Requirement under Workers' Compensation Law

Application: The claimant's failure to provide timely notice does not bar his claim under ORS 656.265(1), as the claim pertains to chronic issues from an unprocessed original claim.

Reasoning: The claimant's failure to provide timely notice under ORS 656.265(1) does not bar his claim, nor is there a legal aggravation claim present.

Presumption of Receipt of Mailed Letters

Application: The presumption that mailed letters are received supports the claimant's assertion that the notice was provided, despite missing documents from employer records.

Reasoning: Under Oregon law, a presumption exists that mailed letters are received, and this presumption has not been disproven.

Workers' Compensation Liability Determination

Application: The court must determine which insurance carrier is liable for the claimant's ongoing medical condition resulting from workplace injuries.

Reasoning: The primary issue is determining whether Wausau or National Farmers is responsible for the claimant's disabling back condition.