Please E-mail suggested additions, comments and/or corrections to Kent@MoreLaw.Com.

Help support the publication of case reports on MoreLaw

Date: 10-17-2015

Case Style: PREMIUM TRANSPORTATION STAFFING, INC. and DALLAS NATIONAL INSURANCE CO. vs. ALAN BOWERS

Case Number: 15-0378

Judge: Michael R. Mullins

Court: IN THE COURT OF APPEALS OF IOWA

Plaintiff's Attorney: Sasha L. Monthei

Defendant's Attorney: Matthew D. Dake

Description: Premium Transportation Staffing, Inc. (employer) and Dallas National
Insurance Co. (insurer) appeal from an adverse ruling on their petition for judicial
review of a final agency decision by the Iowa Workers’ Compensation
Commissioner that awarded permanent and total disability benefits to Alan
Bowers. The appellants challenge the agency determinations (1) finding Bowers
sustained a permanent injury; (2) finding Bowers is permanently and totally
disabled; and (3) including a portion of Bowers’s per diem payments in the
calculation of the weekly benefit rate.
It must first be noted that our review of final agency action is “severely
circumscribed.” See Greenwood Manor v. Iowa Dep’t of Pub. Health, 641
N.W.2d 823, 839 (Iowa 2002); Sellers v. Emp’t Appeal Bd., 531 N.W.2d 645, 646
(Iowa Ct. App. 1995). Nearly all disputes are won or lost at the agency level; the
cardinal rule of administrative law is that judgment calls are within the province of
the administrative tribunal, not the courts. See id.
In the realm of workers’ compensation proceedings, it is the workers’
compensation commissioner, not the court, who weighs the evidence and
measures the credibility of witnesses. See Cedar Rapids Cmty. Sch. Dist. v.
Pease, 807 N.W.2d 839, 845 (Iowa 2011). This includes the “determination of
whether to accept or reject an expert opinion,” as well as the weight to give the
expert testimony. Id. Medical causation is a question of fact vested in the
commissioner’s discretion. See id. at 844. “Because these determinations
remain within the agency’s exclusive domain and the ‘peculiar province’ of the
commissioner, we cannot reassess the weight of the evidence.” See id.; see
3
also Robbennolt v. Snap-On Tools Corp., 555 N.W.2d 229, 234 (Iowa 1996). In
fact, “we are obliged to apply those findings broadly and liberally to uphold rather
than defeat the commissioner’s decision.” Pirelli-Armstrong Tire Co. v. Reynolds,
562 N.W.2d 433, 436 (Iowa 1997) (citation and internal quotation marks omitted).
“We are bound by the commissioner’s factual determinations if they are
supported by substantial evidence in the record before the court when that record
is viewed as a whole.” Mike Brooks, Inc. v. House, 843 N.W.2d 885, 889 (2014)
(citation and internal quotation marks omitted). “Substantial evidence” is “the
quantity and quality of evidence that would be deemed sufficient by a neutral,
detached, and reasonable person, to establish the fact at issue when the
consequences resulting from the establishment of that fact are understood to be
serious and of great importance.” Iowa Code § 17A.19(10)(f)(1) (2013). When
we conduct a substantial evidence review of an agency decision, it is not for us to
make “a determination as to whether evidence ‘trumps’ other evidence or
whether one piece of evidence is ‘qualitatively weaker’ than another piece of
evidence.” Arndt v. City of Le Claire, 728 N.W.2d 389, 394 (Iowa 2007). “On
appeal, our task ‘is not to determine whether the evidence supports a different
finding; rather, our task is to determine whether substantial
evidence . . . supports the findings actually made.’” House, 843 N.W.2d at 889
(quoting Pease, 807 N.W.2d at 845).
In an arbitration decision, the deputy commissioner found Bowers carried
his burden of proving he sustained a permanent injury to his low back as a result
of a work injury in 2011 and that he was permanently and totally disabled. The
deputy specifically gave greater weight to the opinions of Dr. Sedlacek, a treating
4
physician, and Dr. Mathew, an examining physician. The deputy concluded “the
greater weight of the medical evidence indicates claimant’s work injury of
October 17, 2011, caused claimant’s current low back and coccyx pain, and
resulted in permanent impairment.” Again, giving greater weight to the opinions
of Drs. Sedlacek and Mathew, the deputy concluded the “[c]laimant’s credible
testimony also clearly demonstrates ongoing permanent disability.”
The deputy noted that Bowers’s testimony “that he spent only $12.00 per
day for food and expenses and kept the remainder of the $52.00 per diem as
compensation is uncontroverted in the record.” The deputy concluded Bowers
showed by a preponderance of the evidence that only a portion of his per diem
was reimbursement for expenses, and that the appellants did not carry their
burden of proof to show otherwise. Finding that $12.00 of Bowers’s per diem
payment was an expense allowance under Iowa Code section 85.61(3), the
deputy commissioner included the remaining $40.00 of the per diem payment in
calculating the weekly rate. On intra-agency appeal, the commissioner adopted
and affirmed the arbitration decision without additional comment.
The appellants filed a petition for judicial review. They asserted the
commissioner’s findings with respect to whether or not Bowers sustained a
permanent injury to his low back, whether Bowers was permanently and totally
disabled, and whether the per diem payment should have been included in
Bowers’s weekly benefit rate were not supported by substantial evidence in the
record and involved an application of law to fact that was irrational, illogical, or
wholly unjustifiable. The district court affirmed the commissioner’s decision.
Appellants now appeal.
5
On appeal, the employer and its insurer raise the same arguments to us
as proffered to the district court. We have carefully reviewed the record, the
briefs of the parties, and the district court’s thorough and well-reasoned ruling.
The district court’s ruling identifies and considers all the issues presented. In
applying the above standard-of-review precepts, and in giving the due deference
we are statutorily obligated to afford the commissioner’s findings of fact, we
approve of the reasons and conclusions in the district court’s ruling. Further
discussion of the issues would be of no value. See Iowa Ct. R. 21.26(1)(b), (d),
and (e).

Outcome: Accordingly, we affirm the district court’s decision affirming the Iowa
Workers’ Compensation Commissioner’s decision.
AFFIRMED.

Plaintiff's Experts:

Defendant's Experts:

Comments:



Find a Lawyer

Subject:
City:
State:
 

Find a Case

Subject:
County:
State: