Title: 

APD 042751

Significant Decision

Date: 

December 8, 2004

Issues: 

Dispute of DD IR, Dispute of DD MMI Date

Table of Contents

APD 042751

This appeal arises pursuant to the Texas Workers’ Compensation Act, TEX. LAB. CODE ANN. § 401.001 et seq. (1989 Act). A contested case hearing was held on April 19, July 28, and September 28, 2004. The hearing officer resolved the disputed issues by deciding that the appellant (claimant) reached maximum medical improvement on September 12, 2002, with a 10% impairment rating. The claimant appeals the hearing officer’s determinations on the disputed issues, contending that the hearing officer’s decision is against the great weight of the evidence. The respondent (carrier) requests affirmance.

DECISION

The hearing officer’s decision has become final pursuant to Section 410.169 because the claimant’s appeal was not timely filed with the Texas Workers’ Compensation Commission (Commission).

Section 410.202(a) provides that to appeal the decision of a hearing officer, a party shall file a written request for appeal with the Appeals Panel not later than the 15th day after the date on which the decision of the hearing officer is received from the division and shall on the same date serve a copy of the request for appeal on the other party. Section 410.202 was amended effective June 17, 2001, to exclude Saturdays and Sundays and holidays listed in Section 662.003 of the Texas Government Code from the computation of time in which to file an appeal or a response. Section 410.202(d). Tex. W.C. Comm’n, 28 TEX. ADMIN. CODE § 143.3(e) (Rule 143.3(e)) (formerly Rule 143.3(c)) provides that a request for review shall be presumed to be timely filed if it is: (1) mailed on or before the 15th day after the date of receipt of the hearing officer’s decision; and (2) received by the Commission not later than the 20th day after the date of receipt of the hearing officer’s decision. Both portions of Rule 143.3(e) must be complied with for an appeal to be timely. Texas Workers’ Compensation Commission Appeal No. 020172, decided March 12, 2002. Rule 102.5(d) provides in pertinent part that, for purposes of determining the date of receipt for those written communications sent by the Commission which require the recipient to perform an action by a specific date after receipt, unless the great weight of the evidence indicates otherwise, the Commission shall deem the received date to be five days after the date mailed.

Records of the Commission reflect that the hearing officer’s decision was mailed to the claimant on October 4, 2004. Pursuant to Rule 102.5(d), the claimant is deemed to have received the hearing officer’s decision on October 9, 2004, unless the great weight of the evidence indicates otherwise. The claimant states she received the hearing officer’s decision on October 9, 2004. The 15th day after the deemed date of receipt, excluding Saturdays and Sundays and holidays listed in Section 662.003 of the Texas Government Code, was October 29, 2004. The envelope in which the claimant’s appeal was mailed to the Commission has a postage meter stamp of October 30, 2004. Since the claimant’s request for appeal was mailed to the Commission after October 29, 2004, it was not timely filed with the Commission. Section 410.169 provides in pertinent part that a decision of a hearing officer regarding benefits is final in the absence of a timely appeal by a party.

Determining that the hearing officer’s decision and order have become final under Section 410.169 because a timely appeal was not filed with the Commission, the Appeals Panel does not have jurisdiction to review the hearing officer’s decision.

The true corporate name of the insurance carrier is AMERICAN MOTORISTS INSURANCE COMPANY and the name and address of its registered agent for service of process is

CORPORATION SERVICE COMPANY

800 BRAZOS

AUSTIN, TEXAS 78701.

Robert W. Potts

CONCUR:

Thomas A. Knapp – Appeals Judge

Margaret L. Turner – Appeals Judge