Justia Injury Law Opinion Summaries
Articles Posted in North Dakota Supreme Court
Frith v. WSI
Roger Frith appealed a district court judgment affirming an order of Workforce Safety and Insurance ("WSI") denying him medical benefits. In September 2010, Frith filed a claim for a work injury, alleging that on August 18th or 19th he hurt his back at work while lifting and moving a large desk backwards up some stairs. Frith was working for DMI Industries. In June 2011, WSI denied Frith's claim for benefits, concluding he had not proven that his condition was causally related to a work injury or that his work activities substantially accelerated the progression or substantially worsened the severity of his preexisting spine condition. WSI found the medical records reflected a pre-existing condition which exhibited symptoms well before Frith alleged he injured his back at work. The Supreme Court affirmed, concluding a reasoning mind could have reasonably concluded Frith failed to show his work activities substantially accelerated the progression or substantially worsened the severity of a preexisting condition.
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Whedbee v. WSI
Dennis Whedbee appealed a district court judgment affirming Workforce Safety and Insurance's ("WSI") binding dispute resolution denying Whedbee's request for a myoelectric prosthesis and approving a body-powered prosthesis. Whedbee argued the binding dispute resolution was an abuse of discretion and violated his due process rights. He argued that WSI should have selected an independent medical examiner located closer to his residence and that his treating physician's opinion should have been given controlling weight. Finding no reversible error, the Supreme Court affirmed.
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Nodak Mutual Insurance Co. v. Bahr-Renner
In 2010, Mary Gwyther was in a multi-vehicle accident while driving a pickup she co-owned with her mother, Peggy Gwyther, who died in the accident. The claimants allegedly suffered injuries and property damage as a result of the accident. The Gwyther vehicle was insured under a policy issued by Nodak Mutual Insurance Company, issued to Peggy as the named insured. Peggy lived in a home she co-owned with Mary in Bismarck. Although Mary was listed as a co-owner of the Bismarck property, she had never actually lived in the home, and had not lived with her parents since 1972. Mary had been living in Switzerland since 2000. She owned a business in Switzerland, owned and insured a vehicle there, and had a Swiss driver's license and residence permit. However, Mary voted by absentee ballot in North Dakota as a resident, declaring in applications and affidavits that she was a resident at her mother's Bismarck address. She also designated the Bismarck address as her permanent home address with the State Department. Nodak brought an interpleader action seeking a declaration it was only liable to pay the reduced step-down policy limits because Mary was not a resident of Peggy's household at the time of the accident and therefore was not a "family member" under the policy. The case was tried as a bench trial on stipulated facts. The district court found Mary was not a resident of Peggy's household, concluded the policy did not violate North Dakota law, and concluded Nodak was required to pay only the lower step-down policy limits. The claimants appealed that decision, but the Supreme Court affirmed, concluding the district court's finding was not clearly erroneous and the step-down endorsement to the insurance policy did not violate North Dakota law.
View "Nodak Mutual Insurance Co. v. Bahr-Renner" on Justia Law
Brockel v. WSI
Workforce Safety and Insurance ("WSI") denied Rick Brockel medical benefits and terminated his disability benefits. Upon review of Brockel's arguments on appeal, the Supreme Court concluded WSI's finding that Brockel's condition was not causally related to his work injury was supported by a preponderance of the evidence. Furthermore, the Court concluded Brockel was denied a fair hearing because he was not provided notice that one of the grounds for terminating his disability benefits would be the failure to submit medical verification of his disability. In addition, the Court concluded WSI's finding that Brockel failed to show his wage loss was the result of his compensable injury was not in accordance with the law. Therefore, the Court affirmed in part, reversed in part, and remanded the case for retroactive reinstatement of Brockel's disability benefits and for further proceedings.
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Parsons v. WSI
Warren Parsons appealed a judgment affirming a Workforce Safety and Insurance Fund ("WSI") decision that denied his claim for workers' compensation benefits. Parsons applied for workers' compensation benefits from WSI, alleging he sustained an injury to his left shoulder and neck while working for Ames Construction. He claimed he developed pain at the base of his neck and into his left shoulder from hitting the seat belt repeatedly while driving the dump truck on rough roads. Parsons argued his cervical spine and left shoulder injuries were "compensable injuries" by law. Upon review, the Supreme Court concluded WSI erred in determining Parsons' injury was not a compensable injury and in denying his claim for benefits.
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Kershaw v. WSI
Workforce Safety and Insurance ("WSI") appealed a district court's judgment reversing an administrative law judge's ("ALJ") order, which affirmed WSI's order denying Ronald Kershaw's work injury claim. Upon review of the facts of this case, the Supreme Court concluded the district court erred in reversing the administrative law judge's order. The ALJ's decision was reinstated. View "Kershaw v. WSI" on Justia Law
Hillerson v. Bismarck Public Schools
Shealeen Hillerson, as "best friend" to T.D., a minor child, and T.D. appealed from a summary judgment dismissing their negligence lawsuit against the Missouri Valley Family YMCA for injuries T.D. suffered in a near-drowning accident while participating in a YMCA summer program. Because the Supreme Court concluded that the waiver of liability signed by T.D.'s mother was ambiguous, a question of fact existed as to the intent of the parties. Accordingly, the Court reversed the grant of summary judgment and remanded the case for further proceedings.
View "Hillerson v. Bismarck Public Schools" on Justia Law
Schmitt v. MeritCare Health System
Plaintiff-Appellant John Schmitt appealed the dismissal of his claims against MeritCare Health System for defamation, tortious interference with a prospective business advantage, and violation of state antitrust law. Upon review, the Supreme Court concluded that Plaintiff's allegations lacked merit, and affirmed the grant of summary judgment dismissing his claims.
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Tweten v. COUNTRY Preferred Insurance Company
Michelle and Tony Tweten brought an action against COUNTRY Preferred Insurance Company and American National Property and Casualty Company ("ANPAC"), seeking the full amount of underinsured motorist coverage from both insurance companies. The United States District Court for the District of North Dakota certified a question to the North Dakota Supreme Court that called for an interpretation of the Twetens' policies under North Dakota law. The federal court asked whether the Twetens as a divorced couple with separate insurance policies, were foreclosed from recovering up to the full amount of underinsured motorist benefits from their respective policies under the 'other insurance' clause contained in each policy and the statutory anti-stacking provisions of NDCC Ch. 26.1-40 following the death of their son in a car accident. The North Dakota Supreme Court answered the question "Yes."
View "Tweten v. COUNTRY Preferred Insurance Company" on Justia Law
Davenport v. WSI
Petitioner Allen Davenport appealed a judgment affirming a Workforce Safety and Insurance ("WSI") decision to terminate benefits on his claim for treatment of his cervical spine and left shoulder and denying his claims for benefits for treatment of his anxiety and depression and lower back condition. He argued his anxiety and depression and his cervical spine, left shoulder and back conditions were "compensable injuries." Upon further review, the Supreme Court concluded Davenport failed to establish by a preponderance of the evidence that work incidents subject to this claim substantially accelerated the progression of, or substantially worsened the severity of, his existing conditions and that his physical injury caused at least 50 percent of his anxiety and depression.
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