Scott S. Segal
Jeffrey V. Mehalic
Hostler and Segal
Charleston, West Virginia
Attorney for the Petitioners
Mario J. Palumbo
C. Terry Owen
Robert M. Nunley
Office of the Attorney General
Charleston, West Virginia
Attorneys for the Respondent
This Opinion was delivered PER CURIAM
"'Before this Court may properly issue a writ of
mandamus three elements must coexist: (1) the existence of a clear
right in the petitioner to the relief sought; (2) the existence of
a legal duty on the part of the respondent to do the thing the
petitioner seeks to compel; (3) the absence of another adequate
remedy at law.' Syllabus Point 3, Cooper v. Gwinn, 171 W. Va. 245,
298 S.E.2d 781 (1981)." Syl. pt. 1, Meadows v. Lewis, 172 W. Va.
457, 307 S.E.2d 625 (1983).
'Long delays in processing claims for [workers']
compensation is not consistent with the declared policy of the
Legislature to determine the rights of claimants as speedily and
expeditiously as possible.' Syllabus Point 1, Workman v. State
Workmen's Compensation Comm'r, 160 W. Va. 656, 236 S.E.2d 236
(1977)." Syl. pt. 3, Meadows v. Lewis, 172 W. Va. 457, 307 S.E.2d
625 (1983).
"Mandamus will lie to compel the workers'
compensation commissioner to perform nondiscretionary duties."
Syl. pt. 4, Meadows v. Lewis, 172 W. Va. 457, 307 S.E.2d 625
(1983).
"Where a claimant for workers' compensation benefits
is required to hire an attorney to contest unlawful acts of the
commissioner, the claimant should be reimbursed for reasonable
attorney fees incurred in vindicating his statutory entitlement to
benefits. Reasonable attorney fees are to be paid by the
commissioner who fails to comply with statutory duties." Syl. pt.
9, Meadows v. Lewis, 172 W. Va. 457, 307 S.E.2d 625 (1983).
Per Curiam:
In this original proceeding in mandamus, the petitioner,
James Glover, seeks to compel the respondent, Andrew Richardson,
Commissioner of the West Virginia Workers' Compensation Fund, to
pay petitioner, as executor of decedent Charles S. Glover's estate,
$144,098.75. Petitioner also seeks attorney's fees and costs.
Petitioner contends that the amount claimed is owed petitioner by
virtue of respondent's underpayment of monies owed the decedent
prior to decedent's death. We agree.
Decedent worked as a union pipefitter for thirty-three
years, retiring in 1976. Decedent subsequently filed an
application for workers' compensation benefits based upon his
disability due to occupational pneumoconiosis (OP). The respondent
granted decedent a permanent total disability (PTD) award based
upon the decedent's OP disability in an order dated January 19,
1990. Benefits were made payable from the decedent's date of last
exposure, December 19, 1976. The respondent issued a lump-sum
payment to the decedent to compensate decedent for benefits owed to
the decedent for the period December 19, 1976 through February 28,
1990. The respondent calculated the amount of the award owed him
at the minimum benefit rate, when in fact the decedent was entitled
to compensation at the maximum benefit rate.See footnote 1
By letter dated July 17, 1990, decedent's counsel
informed the Workers' Compensation Fund that decedent was entitled
to compensation at the maximum benefit rate, and requested that the
amount underpaid be remitted to the decedent. The Workers'
Compensation Fund did not respond to the July 17, 1990 letter of
decedent's counsel.
During the time period following the order granting PTD
and the lump-sum payment, decedent received monthly benefits at the
minimum benefit rate. In fact, decedent was entitled to monthly
benefits at the maximum benefit rate. On June 11, 1991, decedent
died. Neither decedent nor decedent's counsel had received any
response to their request for payment at the maximum benefit rate,
made over ten months earlier, prior to decedent's death.
On June 24, 1991, the petitioner, on behalf of the
decedent's estate, filed this petition for a writ of mandamus with
this Court. On that date, petitioner's counsel (previously
decedent's counsel) also filed four other petitions for writs of
mandamus against the respondent on behalf of four other workers'
compensation claimants. All five petitioners alleged similar
facts: that the respondent had paid them PTD benefits at the
minimum benefit rate when petitioners were entitled to benefits at
the maximum benefit rate. Of the five petitioners, three were the
original claimants in their respective claims with the Workers'
Compensation Fund. Two petitioners, including the petitioner
herein, petitioned this Court on behalf of the estates of deceased
claimants. On July 3, 1991, we issued a rule to show cause and
ordered the appearance of the respondent to demonstrate why the
writs should not be awarded.
The show cause hearing was set for September 10, 1991.
The matter was submitted on the briefs of the parties without oral
argument. This Court delayed a decision in the matter when advised
by petitioners' counsel that the matter would likely be dismissed
because the respondent indicated a willingness to settle the five
cases.
When no settlement had been reached six months later,
counsel for petitioners requested that the five consolidated
petitions be redocketed for a show cause hearing by motion filed
March 3, 1992. A show cause hearing was set for April 8, 1992.
On March 24, 1992, the respondent agreed to and furnished
the relief requested by the four other petitioners, but not to the
relief requested by the petitioner herein. The respondent readily
acknowledges that the petitioner suffered an underpayment of
benefits before his death, but contends that no party exists to
which reimbursement can be made. Although the respondent agreed to
pay a co-petitioner, James L. Brothers, executor of the estate of
Alicetine Brothers, deceased dependent of Josiah T. Brothers,
deceased, the amount underpaid to Mrs. Brothers before her death,
the respondent nonetheless argues that, by virtue of W. Va. Code,
23-4-6(l) [1990], no unpaid compensation payable to decedent at the
time of his death may be paid after decedent's death.See footnote 2
In syllabus point 1 of Meadows v. Lewis, 172 W. Va. 457,
307 S.E.2d 625 (1983), we stated the three elements that must
coexist before a writ of mandamus will issue:
'Before this Court may properly issue a
writ of mandamus three elements must coexist:
(1) the existence of a clear right in the
petitioner to the relief sought; (2) the
existence of a legal duty on the part of the
respondent to do the thing the petitioner
seeks to compel; (3) the absence of another
adequate remedy at law.' Syllabus Point 3,
Cooper v. Gwinn, 171 W. Va. 245, 298 S.E.2d
781 (1981).
In this case the relief sought by the petitioner is the
amount underpaid to the decedent, and reasonable attorney's fees
and costs. The respondent does not dispute that decedent was
underpaid, but denies that the petitioner has any right to the
benefits and denies that he (the respondent) has any legal duty to
perform. We agree with the petitioner.
The respondent cannot use the language of W. Va. Code,
23-4-6(l) [1990] as a shield after he delayed any action on
decedent's request until after decedent's death. In syllabus point
3 of Meadows we stated:
'Long delays in processing claims for
[workers] compensation is not consistent with
the declared policy of the Legislature to
determine the rights of claimants as speedily
and expeditiously as possible.' Syllabus
Point 1, Workman v. State Workmen's
Compensation Comm'r, 160 W. Va. 656, 236
S.E.2d 236 (1977).
The respondent failed to act on the decedent's request for over ten
months prior to decedent's death and now attempts to use his death
to forego payment that the respondent admits was owing to the
decedent when he died. The respondent undertook a long delay and
failed to determine the rights of the decedent in a speedy and
expeditious manner in contravention of the declared policy of the
legislature. See Meadows v. Lewis, 172 W. Va. 457, 307 S.E.2d 625
(1983); Workman v. State Workmen's Compensation Comm'r, 160 W. Va.
656, 236 S.E.2d 236 (1977).
The respondent's argument is also contradictory to his
recent agreement to settle the claim of co-petitioner, James L.
Brothers. Like the petitioner in this case, Mr. Brothers, as
executor of the estate of Alicetine Brothers, sought from the
respondent an amount underpaid to his decedent (Alicetine Brothers)
prior to her death. Mr. Brothers' counsel, also counsel for
petitioner herein, did not inform or request from the respondent
the underpayment until after the death of Mr. Brothers' decedent.
Nonetheless, the respondent agreed to remit the underpayment to Mr.
Brothers, as executor of his decedent's estate. Despite the
obvious inconsistency, this same respondent refuses to remit the
underpayment in the instant claim.
Under the unique facts of this case, we must find for the
petitioner. The respondent made a finding of PTD in decedent's
claim one and one-half years before decedent's death. Respondent
incorrectly undercalculated the rate at which benefits were owed to
the decedent. Despite decedent's request that the underpayment be
remitted, the respondent declined to act on the request during the
ten and one-half months until decedent's death, and now, despite
remitting payment in an identical situation, attempts to argue that
such death precludes recovery by the decedent's estate.
As we stated in syllabus point 4 of Meadows, supra:
"Mandamus will lie to compel the workers' compensation commissioner
to perform nondiscretionary duties." Respondent had a
nondiscretionary duty to pay the decedent the amount underpaid
before decedent's death. Respondent cannot simply delay making
payment until a claimant dies to avoid performance of his
nondiscretionary duty. Accordingly, we conclude that under the
unique facts of this case, the Commissioner must pay the benefits
owed to decedent's estate. Any other result would be inequitable
and allow the respondent to abrogate from his responsibilities by
delaying payments of benefits owed until after a claimant has died.
Petitioner also contends that he is entitled to recover
his costs and attorney's fees from respondent incurred as a result
of prosecuting this writ. In syllabus point 9 of Meadows, supra,
we stated:
Where a claimant for workers'
compensation benefits is required to hire an
attorney to contest unlawful acts of the
commissioner, the claimant should be
reimbursed for reasonable attorney fees
incurred in vindicating his statutory
entitlement to benefits. Reasonable attorney
fees are to be paid by the commissioner who
fails to comply with statutory duties.
In this case the petitioner-claimant was required to hire
an attorney to contest the unlawful act of the respondent
Commissioner in denying remittance of the underpayment owed to
decedent's estate. Therefore, the claimant should be reimbursed
for reasonable attorney fees incurred in vindicating his statutory
entitlement to benefits. Such fees are to be paid by the
respondent Commissioner.
For the foregoing reasons, we grant a writ of mandamus
ordering the respondent to (1) pay petitioner, as executor of the
estate of Charles S. Glover, the benefits underpaid and owed to Mr.
Glover at the time of his death; and (2) to pay petitioner's
attorney's fees incurred in the prosecution of this writ.
Compensation, either temporary total or
permanent partial, under this section shall be
payable only to the injured employee and the
right thereto shall not vest in his or her
estate, except that any unpaid compensation
which would have been paid or payable to the
employee up to the time of his or her death,
if he or she had lived, shall be paid to the
dependents of such injured employee if there
be such dependents at the time of death.