Title: 

APD 042873

Significant Decision

Date: 

December 30, 2004

Issues: 

Disabilty/Existence-Duration, Existence of Compensable Inj

Table of Contents

APD 042873

This appeal arises pursuant to the Texas Workers’ Compensation Act, TEX. LAB. CODE ANN. § 401.001 et seq. (1989 Act). A contested case hearing (CCH) was held on October 4, 2004. The hearing officer determined that the appellant (claimant) did not sustain a compensable injury on ____________, and did not have disability.

The claimant appealed indicating disagreement with the hearing officer’s decision on the disputed issues. The respondent (carrier) responds, urging 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 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 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 13, 2004. The cover letter to the hearing officer’s decision contains the same address for the claimant as is shown as the claimant’s return address on the envelope in which he mailed his appeal and as shown on the CCH sign in sheet. Pursuant to Rule 102.5(d), the claimant is deemed to have received the hearing officer’s decision on October 18, 2004, unless the great weight of the evidence indicates otherwise. The claimant does not state in her appeal when she received the hearing officer’s decision therefore, she is deemed to have received the decision on October 18, 2004. The 15th day after the claimant’s deemed date of receipt, excluding Saturdays and Sundays and holidays listed in Section 662.003 of the Texas Government Code, was November 8, 2004. The envelope in which the claimant mailed her appeal to the Commission has a postmark of November 12, 2004. Since the claimant’s request for appeal was mailed to the Commission after November 8, 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 timely appeal by a party.

The hearing officer’s decision and order have become final under Section 410.169.

The true corporate name of the insurance carrier is AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA and the name and address of its registered agent for service of process is

CT CORPORATION SYSTEM

350 NORTH ST. PAUL STREET

DALLAS, TEXAS 75201.

Thomas A. Knapp

CONCUR:

Robert W. Potts – Appeals Judge

Margaret L. Turner – Appeals Judge