v.
City Of Everett
FILc.D COURT OF APPEALS OIV 1 ~ STATE OF WASHINGTON ~T’TF
2018 JUL 16 AM 8: 1,6
IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON MICHAEL WEAVER, ) ) DIVISION ONE Appellant, ) ) No. 76324-5-I v. ) ) PUBLISHED OPINION CITY of EVERETT and STATE of ) WASHINGTON, DEPARTMENT of ) LABOR AND INDUSTRIES, ) ) Respondents. ) FILED: July 16, 2018 _______________________________________________________________________________ ) DWYER, J. — Collateral estoppel and res judicata are common law doctrines that were, for centuries, applied solely to common law claims. The twentieth century rise of the administrative state brought with it an explosion of executive branch quasi-judicial decision-making. Eventually, the urge to apply common law principles in these otherwise statutorily-created forums proved irresistible. But the apples to oranges application of common law doctrines to statutory claims litigated in executive branch forums was—by its very nature— never guaranteed universal success. Many times, such applications fit nicely and a sound and fair resolution was achieved. Other times, however, the apples No. 76324-5-1/2 to oranges application resulted ma distasteful fruit salad of injustice. This case falls into the latter category. Michael Weaver, a long-time Everett firefighter, applied for compensation resulting from that which he alleged—and the law presumes—to be a work- related occupational disease. Weaver’s petition is serious to him and his family; he suffers from brain cancer that has made it impossible for him to work and that will ultimately claim his life. The Board of Industrial Insurance Appeals ruled that either collateral estoppel or res judicata barred his claim. The superior court unfortunately adopted the same either/or analysis and also unfortunately ruled that Weaver’s application was barred. But a careful review of these two distinct common law doctrines—conducted pursuant to the analytical framework mandated by our Supreme Court—reveals that neither doctrine, properly applied, bars Weaver’s entreaty. Accordingly, we reverse. Michael Weaver was employed between 1996 and 2014 by the City of Everett (the City) as a firefighter. In June 2011, Weaver noticed a mole on the skin of his left shoulder. The mole was removed and the resulting biopsy revealed that it contained a malignant melanoma. Shortly thereafter, Weaver underwent surgery to remove the melanoma. After a period of recovery, Weaver returned to his employment as a firefighter.
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The treatment and surgery caused Weaver to miss nearly five weeks of work, losing the opportunity to earn just under $10,000 in wages.[1]
While in recovery, in July 2011, Weaver filed a pro se application for temporary total disability benefits from the City, a self-insured entity for workers’ compensation purposes. His application alleged that the malignant melanoma on his shoulder arose from his 15 years of working as a firefighter. He requested compensation for the nearly 5 weeks of wages that he had been unable to earn due to the medical treatment.
After initially granting Weaver’s application, the Department of Labor and Industries (the Department) reconsidered its decision and denied his application. Thereafter, Weaver, through counsel, appealed the Department’s denial order to the Board of Industrial Insurance Appeals (the Board). A hearing before an administrative law judge (AU) resulted. The City presented the published deposition testimony of two medical specialists, Dr. Robert Levenson, an oncologist, and Dr. John Hackett, a dermatologist.
Weaver’s counsel, presumably due to monetary considerations, chose not to present the testimony of Dr. David Aboulafia, Weaver’s treating oncologist. Nor did Weaver’s attorney present testimony from a medical expert in oncology or dermatology.[2] Instead, Weaver’s counsel presented the published deposition No. 76324-5-1/4
[*1015]testimony of Dr. Kenneth Coleman, a doctor with a practice in family and emergency medicine, but with no expertise in melanoma generally or in melanoma arising from occupational exposures specifically.
The AU recommended that the Board affirm the Department’s order denying Weaver’s application.3 In February 2013, the Board adopted the AU’s recommendation and issued a final order denying Weaver’s application.
After the Board’s ruling, Weaver’s counsel withdrew. Weaver filed a pro se review petition in the superior court. Ten months later, with Weaver still unrepresented and no progress being made in the appeal, the parties entered into a stipulation and agreed order of dismissal. Weaver’s petition for review was dismissed in late 2013.
In January 2014, Weaver began to have difficulty with mental processing and word finding. A magnetic resonance imaging test revealed a three- centimeter mass, a tumor, in the left frontal lobe of his brain.
Weaver immediately underwent surgery and the tumor was removed. The resulting biopsy diagnosed the tumor as a metastatic malignant melanoma, a form of cancer developing out of a primary cancer site. The logical conclusion was that the brain tumor had metastasized out of the malignant melanoma that Weaver noticed on his shoulder in 2011.
oral argument, Weaver v. City of Everett, No. 76324-5-I (June 4, 2018), at 6 mm., 08 sec. (on file with court). ~ The AU acknowledged that the Industrial Insurance Act, Title 51 RCW, mandates that cancer arising during a worker’s employment as a firefighter is presumed to be an occupational disease. See RCW 51.32.185. However, the AU concluded that the City had rebutted this presumption and that Weaver had not presented additional evidence to rebut the City’s evidence. Notably, the AU found that the opinion testimony of the City’s medical specialists outweighed that of Dr. Coleman, Weaver’s sole expert witness.
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Weaver did not return to work as a firefighter after the surgery. He was estimated to have a 20 to 30 percent chance of survival over the next two years.
In July 2014, Weaver, now represented by counsel, submitted an application for workers’ compensation from the City, seeking permanent total disability benefits. The application alleged that he suffered from a malignant melanoma located on his “upper back/scapula area, w/ cancer spreading to brain.” He alleged that the condition arose from “sun exposure during outdoor firefighting and training from 1996 forward.”
The Department denied Weaver’s application on the basis that it had already rejected his application for compensation based on the malignant melanoma discovered on his shoulder and that the metastasized melanoma had arisen from the earlier melanoma.
Weaver sought an administrative appeal and, in the resulting proceeding, the AU recommended that the Board affirm the Department’s rejection of Weaver’s application for permanent total disability benefits. The executive branch official concluded that the common law doctrines of res judicata and collateral estoppel barred Weaver’s application. The board, an executive branch agency, adopted the AU’s proposed decision and order as its final order.4 No. 76324-5-1/6
[*1017]Weaver filed a notice of appeal to the superior court. The superior court affirmed the Board’s order and denied Weaver’s petition, ruling that either collateral estoppel or res judicata barred his claim.
Weaver now appeals.
[*1018]No. 76324-5-1/7
B
Collateral estoppel and res judicata are affirmative defenses. Lemond v. Dep’t of Licensing, 143 Wn. App. 797, 805, 180 P.3d 829 (2008) (collateral estoppel) (quoting State Farm Mut. Auto. Ins. Co. v. Avery, 114 Wn. App. 299, 304, 57 P.3d 300 (2002)); Davignon v. Clemmey, 322 F.3d 1, 17(1st Cir. 2003) (res judicata). The proponent of either doctrine has the burden of proof. Lemond, 143 Wn. App. at 805 (quoting State Farm Mut. Auto. Ins. Co., 114 Wn. App. at 304); Davignon, 322 F.3d at 17.
Whether collateral estoppel or res judicata apply to preclude litigation is a question of law that we review de novo. Lemond, 143 Wn. App. at 803 (collateral estoppel) (citing State v. Vasguez, 109 Wn. App. 310, 314, 34 P.3d 1255 (2001), affd, 148 Wn.2d 303, 59 P.3d 648 (2002)); Lynn v. Dep’t of Labor & Indus., 130 Wn. App. 829, 837, 125 P.3d 202 (2005) (res judicata) (citing Kuhlman v. Thomas, 78 Wn. App. 115, 119-20, 897 P.2d 365 (1995)). In reviewing a superior court ruling in a workers’ compensation matter, we apply a standard of review akin to our review of any other superior court trial judgment. Rogers v. Dep’t of Labor & Indus., 151 Wn. App. 174, 180-81, 210 P.3d 355 (2009).
On appeal, both the Department and the City urge us to affirm the decision of the superior court on the basis that they established that collateral estoppel and res judicata apply to preclude litigation on Weaver’s application.5 We address each doctrine in turn.
~ At oral argument, the Department and the City each pressed a different basis for affirmance. While the Department contended that it established that collateral estoppel bars Weaver’s application for permanent total disability benefits, the City contended that it established that Weaver’s application is precluded by res judicata.
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Ill
As an initial matter, the Department and the City contend that they established that collateral estoppel bars Weaver’s application for permanent total disability benefits. We disagree.
A
The principles underlying the common law doctrine of collateral estoppel are well set forth in our opinion in Lemond.
Collateral estoppel “‘prevents relitigation of an issue after the party estopped has had a full and fair opportunity to present its case.” Barry. Day, 124 Wn.2d 318, 324-25, 879 P.2d 912 (1994) (quoting Hanson v. City of Snohomish, 121 Wn.2d 552, 561, 852 P.2d 295 (1993)). Collateral estoppel, or issue preclusion, is the applicable preclusive principle when “the subsequent suit involves a different claim but the same issue.” Phillip A. Trautman, Claim and Issue Preclusion in Civil Litigation in Washington, 60 WASH. L. REV. 805 (1985). Thus, [w]hen an issue of fact or law is actually litigated and determined by a valid and final judgment, and the determination is essential to the judgment, the determination is conclusive in a subsequent action between the parties, whether on the same or a different claim. RESTATEMENT (SECOND) OF JUDGMENTS § 27 (1982). Collateral estoppel prevents relitigation of issues in a subsequent claim or cause of action, whereas res judicata prevents a second assertion of the same claim or cause of action. Seattle-First Nat’l Bank v. Kawachi, 91 Wn.2d 223, 225-26, 588 P.2d 725 (1978). Thus, res judicata is generally referred to as claim preclusion, and collateral estoppel as issue preclusion. Trautman, supra, at 829. The purpose of the doctrine of collateral estoppel is to promote judicial economy by avoiding relitigation of the same issue, to afford the parties the assurance of finality of judicial determinations, and to prevent harassment of and inconvenience to litigants. Hanson, 121 Wn.2d at 561. These purposes are balanced against the important competing interest of not depriving a litigant
That the Department and the City, each defending the superior court’s ruling here at issue, do not agree as to the proper basis on which to affirm the superior court’s decision informs our inquiry in this matter.
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of the opportunity to adequately argue the case in court. RESTATEMENT, supra, § 27 cmt. c. at 252. The proponent of the application of the doctrine has the burden of proving four elements to demonstrate the necessity of its applicability: “(1) the issue decided in the prior adjudication is identical with the one presented in the second action; (2) the prior adjudication must have ended in a final judgment on the merits; (3) the party against whom the plea is asserted was a party or in privity with the party to the prior adjudication; and (4) application of the doctrine does not work an injustice.” Thompson v. Dep’t of Licensinp, 138 Wn.2d 783, 790, 982 P.2d 601 (1999) (quoting Nielson v. Spanaway Gen. Med. Clinic, Inc., 135 Wn.2d 255, 262-63, 956 P.2d 312 (1998)). Because all four elements must be proved, the proponent’s failure to establish any one element is fatal to the proponent’s claim. 143 Wn. App. at 803-05 (emphasis added).
Here, the Department has established the first three elements of collateral estoppel. Both of Weaver’s applications for compensation regarded the identical issue of whether the malignant melanoma diagnosed on his left shoulder was caused by his employment as a firefighter. In addition, Weaver’s application for temporary total disability benefits ended in a final judgment on the merits (the dismissal of his appeal). Additionally, the Department and the City were both parties to Weaver’s application for temporary total disability benefits.
B
The remaining question is whether the Department and the City proved the fourth element of collateral estoppel—that application of the doctrine would not work an injustice against Weaver.
They did not.
[*1021]No. 76324-5-1110
“Collateral estoppel is, in the end, an equitable doctrine that will not be applied mechanically to work an injustice.” Hadley v. Maxwell, 144 Wn.2d 306, 315, 27 P.3d 600 (2001). Application of the doctrine works an injustice upon a party when, during an earlier proceeding, that party did not have a “full and fair opportunity” to litigate the contested issue. Lemond, 143 Wn. App. at 803-04 (internal quotation marks omitted) (quoting Barr, 124 Wn.2d at 324-25). Indeed, for collateral estoppel to apply, the party must have had “sufficient motivation for a full and vigorous litigation of the issue.” Hadley, 144 Wn.2d at 315.
Our Supreme Court’s decision in Had 1ev is both controlling and instructive. In Hadley, two automobiles collided with one another. One of the drivers, Helen Maxwell, was issued a $95 citation for an improper lane-travel traffic infraction. Thereafter, Maxwell, pro se, unsuccessfully contested the citation before the district court. She did not call any witnesses on her behalf nor did she elect to appeal the district court’s adverse decision to the superior court. Hadley, 144 Wn.2d at 308-09. In a subsequent personal injury lawsuit arising from the collision, the trial court ruled that Maxwell was collaterally estopped from denying her violation of the lane change statute. This was so, the trial court ruled, because Maxwell failed to appeal the district court’s decision that she had committed the infraction. Hadley, 144 Wn.2d at 309-10. In the resulting trial, Maxwell was found liable for $136,000 in damages. Hadley, 144 Wn.2d at 310.
Appealing to our Supreme Court, Maxwell challenged the collateral estoppel ruling on the basis that its application constituted an injustice. As the court explained: No. 76324-5-I/Il
[*1022]To determine whether an injustice will be done, respected authorities urge us to consider whether “the party against whom the estoppel is asserted [had] interests at stake that would call for a full litigational effort.” 14 LEwis H. ORLAND & KARL B. TEGLAND, WASHINGTON PRACTICE: TRIAL PRAcTIcE, CIVIL § 373, at 763 (5th ed.1996); see also Parklane [Hosiery Co. v. Shore], 439 U.S. [322,] 330[, 99 S. Ct. 645, 58 L. Ed. 2d 552 (1979)] (holding incentive to vigorously contest cases with small or nominal damages at stake could be a reason not to apply collateral estoppel); Beale v. Speck, 127 Idaho 521, 903 P.2d 110, 119 (1995) (holding collateral estoppel for misdemeanor traffic offenses generally inappropriate); Rice v. Massalone, 554 N.Y.S.2d 294, 160 A.D.2d 861 (1990) (holding collateral estoppel inappropriate after an administrative determination of liability for a traffic accident). Hadley, 144 Wn.2d at 312. The Supreme Court adopted this consideration and instructed that collateral estoppel “is not generally appropriate when there is nothing more at stake than a nominal fine.” Hadley, 144 Wn.2d at 315. Turning to Maxwell’s circumstance, the court determined that “the incentive to litigate was low—Maxwell was at risk $95.” Hadley, 144 Wn.2d at 312. The court accordingly ruled that, in the district court proceeding, Maxwell lacked sufficient motivation to fully and vigorously litigate whether she, in fact, committed the traffic infraction. Thus, the Supreme Court held, the superior court erred by precluding her from contesting that issue at the subsequent civil trial.
Weaver’s circumstances are strikingly similar to those in Hadley. As with Maxwell’s nominal incentive to litigate a $95 citation before the district court, Weaver’s incentive to fully and vigorously litigate during the proceeding on his application for temporary compensation was low. Indeed, Weaver’s initial application for compensation sought only temporary total disability benefits, those wages equivalent to five weeks of missed work. Weaver anticipated that he would—and he did—return to his duties as a firefighter after completing his
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recovery. He was not then, as he is now, confronted by a brain cancer that is alleged to have left him permanently disabled, unable to work, with significant out-of-pocket medical expenses, and with a real possibility of death arising from the cancer.
Moreover, that Weaver had less than $10,000 in benefits at stake during his application for temporary compensation further informs our inquiry. Indeed, had Weaver retained a specialist in oncology or dermatology (or both), the cost of doing so might rival—or perhaps even eclipse—the modest benefit amount that he sought and, if his efforts proved unsuccessful, he would be entirely unable to recover these costs. See RCW 51.32.1 85(7).6
We note that our legislature has, for over 30 years, recognized that civil actions in which the amount in controversy is less than $10,000 fall into a special category of “small claims.” See RCW 4.84.250. The legislature thus provided that
in any action for damages where the amount pleaded by the prevailing party as hereinafter defined, exclusive of costs, is seven thousand five hundred dollars or less, there shall be taxed and allowed to the prevailing party as a part of the costs of the action a reasonable amount to be fixed by the court as attorneys’ fees.
RCW 51.32.185(7) reads, in pertinent part, 6 (7)(a) When a determination involving the presumption established in this section is appealed to the board of industrial insurance appeals and the final decision allows the claim for benefits, the board of industrial insurance appeals shall order that all reasonable costs of the appeal, including attorney fees and witness fees, be paid to the firefighter or his or her beneficiary by the opposing party. (b) When a determination involving the presumption established in this section is appealed to any court and the final decision allows the claim for benefits, the court shall order that all reasonable costs of the appeal, including attorney fees and witness fees, be paid to the firefighter or his or her beneficiary by the opposing party. (Emphasis added.)
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After July 1, 1985, the maximum amount of the pleading under this section shall be ten thousand dollars. RCW 4.84.250 (emphasis added). This cost- and fee-shifting provision manifested a recognition by the legislature of the economic difficulties that arise in fully litigating—whether as plaintiff or defendant—small monetary claims.
In this light, that Weaver’s application for temporary compensation sought less than $10,000 in benefits supports that he sought an amount that did not provide sufficient motivation for a full and vigorous litigation of the initial compensation claim.
Viewed in the totality, the prevailing circumstances underlying Weaver’s application for temporary total disability benefits suggest that he did not have sufficient motivation to fully and vigorously litigate the issue of whether his employment caused his cancer during the proceeding on his temporary compensation application. Accordingly, application of collateral estoppel to preclude him from litigating that issue in his present application works an injustice.
The Department and the City did not establish that application of collateral estoppel would not work an injustice against Weaver.7 Accordingly, the superior court erred by barring Weaver’s application on the basis of collateral estoppel.
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lv The Department and the City next contend that they established that res judicata precludes Weaver’s application for permanent total disability benefits.
We disagree.
A
Res judicata is an equitable court-created doctrine established at common law. See Weidlich v. lndeic. Asrhalt Paving Co., 94 Wash. 395, 406, 162 P. 541 (1917); see also J.M. Weatherwax Lumber Co., 38 Wash. at 548; United States v. 111.2 Acres of Land, 293 F. Supp. 1042, 1049(E.D. Wash 1968), affd, 435 F.2d 561 (9th Cir. 1970); accord Trautman, 60 WASH. L. REV, at 806, 828-29. Generally, res judicata bars the relitigation of claims that were litigated, might have been litigated, or should have been litigated in a prior action. Loveridge v. Fred Meyer, Inc., 125 Wn.2d 759, 763, 887 P.2d 898 (1995).
In Washington, res judicata applies “where a prior final judgment is identical to the challenged action in ‘(1) subject matter, (2) cause of action, (3) persons and parties, and (4) the quality of the persons for or against whom the claim is made.” Lynn, 130 Wn. App. at 836 (quoting Loveridge, 125 Wn.2d at 763).
Here, there is no dispute that the Department and the City established the third element of res judicata—concurrence of identity between persons and parties—and the fourth element—concurrence of identity between quality of the persons for or against whom the claim is made.
In determining whether a party has established concurrence of identity of subject matter between two claims, the critical factors are “the nature of the claim or cause of action and the nature of the parties.” Trautman, 60 WASH. L. REv, at 812-13 (citing Mellorv. Chamberlin, 100 Wn.2d 643, 673 P.2d 610 (1983)). As set forth in Black’s Law Dictionary, “subject matter” is “[t]he issue presented for consideration; the thing in which a right or duty has been asserted; the thing in dispute.” BLACK’S LAW DICTIONARY 1652 (10th ed. 2014) (emphasis added).
Our Supreme Court’s decision in Mellor is instructive. There, the court addressed whether a lawsuit predicated on the same real estate transaction as an earlier lawsuit constituted litigation of the same subject matter for the purpose No. 76324-5-1/16
[*1027]of res judicata. Answering in the negative, the court ruled that, “[a]lthough both lawsuits arose out of the same transaction (sale of property), their subject matter differed. The first lawsuit disputed whether the Chamberlins misrepresented the parking lot as part of the sale. The second questioned whether Buckman’s claim of encroachment breached the covenant of title.”8 Mellor, 100 Wn.2d at 646.
In support of its ruling, the Mellor court relied on its decision in Harsin v. Oman, 68 Wash. 281, 123 P. 1(1912), wherein
the plaintiff initially sued for a breach of a covenant against encumbrances and recovered nominal damages. A more substantial breach occurred and plaintiff sued on the same covenant. Harsin v. Oman, supra at 283. Defendants argued the second action was barred by res judicata. Holding for the plaintiff, we declared: While it is admitted, there can be but one recovery upon the same cause of action. This does not mean the subject-matter of a cause of action can be litigated but once. It may be litigated as often as an independent cause of action arises which, because of its subsequent creation, could not have been litigated in the former suit, as the right did not then exist. It follows from the very nature of things that a cause of action which did not exist at the time of a former judgment could not have been the subject-matter of the action sustaining that judgment. 68 Wash. at 283-84. The law in Harsin is applicable in this present case. When the first suit for misrepresentation was filed, Mellor had neither suffered damages from the encroachment nor was he under an obligation to insist Buckman enforce her rights. Mellor v. Chamberlin, supra [34 Wn. App. 378,] 382-83 [, 661 P.2d 996 (1983)]. It was over a year after the settlement of the misrepresentation claim that Buckman decided to enforce her encroachment claim. Until that time, Mellor’s lawsuit was not ripe.
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MeIlor, 100 Wn.2d at 646-47 (emphasis added). Thus, the Mellor court ruled that the second claim therein was not identical in subject matter to the prior claim because, at the time that the prior claim was filed, the subject matter underlying the second claim did not exist—and, hence, could not have been litigated.
Accordingly, pursuant to the reasoning in Mellor and Harsin, the question before us is whether the Department and the City established that the subject matter of Weaver’s applications for compensation were identical—that is, whether the subject matter of his application for permanent total disability benefits could—or should—have been litigated during the proceeding on his application for temporary total disability benefits.
The Department and the City have not established that the subject matter of Weaver’s applications pursuant to the Act is identical. Indeed, the Department and the City have not shown that Weaver’s applications sought identical relief. They have not shown that his applications alleged identical facts. And, critically, they have not shown that the foregoing relief and facts set forth in his application for permanent total disability benefits could have or should have been litigated during the proceeding on his application for temporary total disability benefits.
[*1029]No. 76324-5-1/18
total disability benefits. In his application for temporary benefits, Weaver sought a one-time award of compensation arising from his total inability to work for a period of five weeks due to the treatment of the malignant melanoma on his shoulder. His application for permanent benefits, in contrast, requested recurring pension payments arising from his total inability to obtain gainful employment because of his metastasized malignant melanoma. That each of Weaver’s applications requested different compensation suggests that he was not seeking identical relief in each application.
As will be addressed below, both the circumstances under which the Act was enacted and the Act’s provisions reinforce this view. In addition, in reviewing the Act, we are mindful that
[t]he guiding principle in construing provisions of the Industrial Insurance Act is that the Act is remedial in nature and is to be liberally construed in order to achieve its purpose of pro viding compensation to all covered employees injured in their employment, with doubts resolved in favor of the worker. Dennis v. Dep’t of Labor & Indus., 109 Wn.2d 467, 470, 745 P.2d 1295 (1987) (emphasis added) (citing RCW 51.12.010; Sacred Heart Med. Ctr. v. Carrado, 92 Wn.2d 631, 635, 600 P.2d 1015 (1979); Lightle v. Dep’t of Labor & Indus., 68 Wn.2d 507, 510, 413 P.2d 814 (1966); Wilberv. Dep’tofLabor& Indus., 61 Wn.2d 439, 446, 378 P.2d 684 (1963); State ex rel. Crabb v. Clinger, 196 Wash. 308, 311, 82 P.2d 865 (1938); Gaines v. Dep’t of Labor & Indus., 1 Wn. App. 547, 552, 463 P.2d 269 (1969)).
The provisions and structure of the Act suggest that the legislature deliberately separated out the subject matter of a worker’s personal injury action.
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manner that did not previously exist at common law. To begin, the Act required the following in order to request compensation:
SEC. 5. Schedule of Awards Each workman who shall be injured whether upon the premises or at the plant or, he being in the course of his employment, away from the plant of his employer, or his family or dependents in case of death of the workman, shall receive out of the accident fund compensation in accordance with the following schedule, and, except as in this act otherwise provided, such payment shall be in lieu of any and all rights of action whatsoever against any person whomsover.
SEC. 12. Filing Claim for Compensation (a) Where a workman is entitled to compensation under this act he shall file with the department, his application for such, together with the certificate of the physician who attended him, and it shall be the duty of the physician to inform the injured workman of his rights under this act and to lend all necessary assistance in making this application for compensation and such proof of other matters as required by the rules of the department without charge to the workman. LAWS OF 1911, ch. 74, §~ 5, 12, at 356, 364-65 (bolded emphasis added).15 These provisions therefore require a worker to submit a certification of his attending physician in order to support his application for compensation, a factual predicate that was not specifically mandated at common law.
Moreover, establishing an attending physician’s certification as a predicate for a worker’s application suggests the worker was limited to only alleging the factual basis for an actual—rather than a potential—injury. Unlike at common law, these provisions do not suggest that the worker could allege facts in support
15 See also RCW 51.28.020(1)(a). The Act defined that “[t]he words injury or injured, as used in this act, refer only to an injury resulting from some fortuitous event as distinguished from the contraction of disease.” LAWS OF 1911, ch. 74, § 3, at 349. The Act was later amended to add “occupational diseases—including of the type alleged by Weaver in this matter—as compensable when “such disease or infection” “arises naturally and proximately out of extra hazardous employment.” LAWS OF 1941, ch. 235, § 1, at 772. See also RCW 51.32.160.
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of the possibility of additional injury or death arising from the initial injury. Furthermore, by setting forth that a qualifying worker would receive “compensation in accordance with the following schedule,” these provisions linked a workers’ compensation to the specific injury alleged by the worker.
Hence, by requiring specific proof of injury and linking the specified compensation to such proof, a distinction not made at common law, these provisions support that the Act separated out the factual basis for requesting relief under the Act.
Additionally, the foregoing provision authorizing compensation for a later- discovered aggravation of a worker’s initial injury supports this view. ~ LAWS OF 1911, ch. 74, § 5(h) at 360-61 ~16 Indeed, a worker submitting an application for an aggravation of an initial injury could not rely on the factual basis that supported the worker’s initial application for compensation. Rather, the worker was required “to present medical testimony of a causal connection based on ‘some objective medical evidence’ that the injury ‘has worsened since the initial closure of the claim.” Hendrickson v. Dep’t of Labor & Indus., 2 Wn. App. 2d 343, 353, 409 P.3d 1162 (2018) (emphasis added) (quoting Tollycraft Yachts Corp. v. McCoy, 122 Wn.2d 426, 432, 858 P.2d 503 (1993)) (quoting Washington appellate decisional authority).17 Hence, this provision allowed a worker to
16 If aggravation, diminution, or termination of disability takes place or be discovered after the rate of compensation shall have been established or compensation terminated in any case the department may, upon the application of the beneficiary or upon its own motion, readjust for future application the rate of compensation in accordance with the rules in this section provided for the same, or in a proper case terminate the payments. 17 These evidentiary requirements are no mere formality. [ljn dealing with the Washington Industrial Insurance Act, ‘persons who claim rights thereunder should be held to strict proof of their right to receive benefits provided by the [A]ct.” Wilson v. Dept of Labor & Indus., 6
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introduce new facts related to the initial injury in a subsequent compensation proceeding that were not alleged during the initial compensation proceeding. As indicated, at common law, a worker could not, of course, split his claim for damages arising from a single injury.
The provisions setting forth the factual basis for obtaining compensation for an injury that disabled the worker and for an injury that resulted in the worker’s death also support that the legislature split the factual basis of a worker’s action. As indicated, § 12 of the Act regarded the filing of a claim for compensation and subsection (a) thereof set forth that, “Where a workman is entitled to compensation under this act he shall file with the department, his application for such, together with the certificate of the physician who attended him.” LAWS OF 1911, ch. 74, § 12(a), at 364. Notably, in subsection (b) of that provision, the legislature set forth that,
[w]here death results from injury the parties entitled to compensation under this act, or some one in their behalf, shall make application for the same to the department, which application must be accompanied with proof of death and proof of relationship showing the parties to be entitled to compensation under this act, certificates of attending physician, if any, and such other proof as required by the rules of the department. Laws of 1911, ch. 74, § 12(b), at 364-65 (emphasis added).18 Given that, an application for an injury resulting in death required proof of death and proof of relationship, a factual basis not identical to an application for an injury that results No. 76324-5-1/27 in a disabling condition. Again, such claim splitting was not permitted at common law.
[*1038]Lastly, that the Act requires distinct factual bases in order to establish a worker’s entitlement to a specific compensation schedule supports that the Act separated out the facts of a worker’s claim. As pertinent here, the provision regarding a “temporary total disability” requires a worker to establish that the worker suffers from “a condition temporarily incapacitating the workman from performing any work at any gainful occupation.” Bonko v. Dep’t of Labor & Indus., 2 Wn. App. 22, 25, 466 P.2d 526 (1970) (emphasis added) (citing RCW 51.32.090; Nash v. De~’t of Labor & Indus., I Wn. App. 705, 709, 462 P.2d 988 (1969)). In contrast, a “[p]ermanent total disability is defined as a ‘condition permanently incapacitating the workman from performing any work at any gainful occupation.” Bonko, 2 Wn. App. at 25 (quoting RCW 51 .08.160).
In this light, the foregoing provisions suggest that the Act split the factual bases of the common law cause of action when creating the workers’ compensation system.
As applied to the maffer herein, Weaver’s applications did not allege identical facts. His application for temporary total disability benefits alleged that he had missed five weeks of work arising from the treatment of the malignant melanoma on his shoulder. In contrast, his application for permanent total disability benefits alleged that he was permanently unable to continue on in his employment after the malignant melanoma on his shoulder metastasized and manifested itself as a brain tumor. Indeed, the medical evidence that he would No. 76324-5-1/28
[*1039]need to present in order to support each application would clearly not be the same. Thus, the factual basis for Weaver’s applications are not identical.
Accordingly, the Department and the City did not establish that his applications involved identical facts.
III
Lastly, and significantly, the Department and the City did not establish that Weaver could—or should—have litigated the subject matter of his application for permanent total disability benefits at the time that he litigated his application for temporary total disability benefits.
The factual basis for Weaver’s application for permanent total disability benefits—the brain tumor—was not discovered until 2014, three years after his application for temporary total disability benefits was submitted. Indeed, it is undisputed that the basis underlying Weaver’s allegations of permanent disability did not accrue until 2014—when the brain tumor impaired his capacity to perform the duties of a firefighter. Therefore, the facts underlying Weaver’s application for permanent total disability benefits and the relief that he sought thereunder could not have been litigated at the time of his 2011 application.
Nevertheless, the Department contends that Weaver should have litigated the subject matter set forth in the application here at issue during the 2011 proceeding on his application for temporary total disability benefits. This is so, the Department asserts, because facts regarding the potential that his cancer might metastasize were set forth in the record during the 2011 proceeding.