Filed: Jan. 13, 2020
Latest Update: Mar. 03, 2020
Summary: NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS JAN 13 2020 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT ROBERT KATAGIRI, No. 18-72398 Petitioner, BRB No. 18-0149 v. MEMORANDUM* MATSON TERMINALS, INC.; SIGNAL MUTUAL INDEMNITY ASSOCIATION; DIRECTOR, OFFICE OF WORKERS' COMPENSATION PROGRAMS, Respondents. On Petition for Review of an Order of the Benefits Review Board Submitted January 9, 2020** San Francisco, California Before: WALLACE and FRIEDLAND, Circuit Judges, a
Summary: NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS JAN 13 2020 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT ROBERT KATAGIRI, No. 18-72398 Petitioner, BRB No. 18-0149 v. MEMORANDUM* MATSON TERMINALS, INC.; SIGNAL MUTUAL INDEMNITY ASSOCIATION; DIRECTOR, OFFICE OF WORKERS' COMPENSATION PROGRAMS, Respondents. On Petition for Review of an Order of the Benefits Review Board Submitted January 9, 2020** San Francisco, California Before: WALLACE and FRIEDLAND, Circuit Judges, an..
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NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS JAN 13 2020
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
ROBERT KATAGIRI, No. 18-72398
Petitioner, BRB No. 18-0149
v.
MEMORANDUM*
MATSON TERMINALS, INC.; SIGNAL
MUTUAL INDEMNITY ASSOCIATION;
DIRECTOR, OFFICE OF WORKERS'
COMPENSATION PROGRAMS,
Respondents.
On Petition for Review of an Order of the
Benefits Review Board
Submitted January 9, 2020**
San Francisco, California
Before: WALLACE and FRIEDLAND, Circuit Judges, and LASNIK,*** District
Judge.
Robert Katagiri petitions for review of a Benefits Review Board (Board)
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
**
The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
***
The Honorable Robert S. Lasnik, United States District Judge for the
Western District of Washington, sitting by designation.
decision affirming an administrative law judge’s (ALJ) denial of his request for a
permanent disability award. We have jurisdiction under 33 U.S.C. § 921(c), and we
deny the petition.
Robert Katagiri was working for Matson Terminals, Inc. (Matson) on April
16, 2012, when he injured the prosthesis in his right knee while exiting from a motor
vehicle.1 As a result, Katagiri underwent knee surgery on April 20th and took leave
from work until July 29, 2012.
Katagiri filed a benefits claim under the Longshore and Harbor Workers’
Compensation Act (Longshore Act), 33 U.S.C. §§ 901, et seq., against Matson and
its group self-insurer, Signal Mutual Indemnity Association Ltd (Signal).2 On
December 10, 2015, an administrative law judge (ALJ) determined that Katagiri’s
injury was work-related, awarded Katagiri temporary total disability benefits for the
102 days he was off from work, and ordered Matson to pay certain medical bills.
The ALJ did not award any permanent disability benefits because Katagiri had “not
shown he [was] entitled to permanent disability benefits, nor ha[d] he requested
them.” On December 22, 2015, Matson filed a Notice of Final Payment indicating
compensation pursuant to the ALJ’s order was complete the previous day. This
1
Katagiri had his knee replaced in 2011.
2
For the purposes of this decision, we do not differentiate between Matson and
Signal, and refer to them collectively as Matson.
2
payment did not include medical bills that Matson ultimately paid to a third-party
insurance collector after receiving an August 28, 2017 medical invoice from
Katagiri.
On February 8, 2017, Katagiri filed a request for permanent disability award
(Request), in which he requested permanent partial disability benefits based on a 75-
percent permanent impairment to his right lower extremity. Pursuant to Matson’s
motion for a summary decision, the ALJ denied the Request as an untimely attempt
to modify the December 2015 award under 33 U.S.C § 922. Katagiri then filed a
motion for reconsideration, which the ALJ denied. Finally, Katagiri appealed to the
Board, which affirmed the ALJ’s conclusion that Katagiri’s Request was untimely.
The sole question before us is whether the Board incorrectly determined that
Katagiri’s Request was untimely as a matter of law.3 Reviewing the Board’s legal
conclusion de novo, Iopa v. Saltchuk-Young Bros., Ltd.,
916 F.3d 1298, 1300 (9th
Cir. 2019), we conclude that it did not.
Section 922 of the Longshore Act “provides the only way to modify an award
once it has issued” and “provides for modification of awards ‘on the ground of a
change in conditions or because of a mistake in a determination of fact.’” Metro.
Stevedore Co. v. Rambo,
515 U.S. 291, 294 (1995), quoting 33 U.S.C. § 922. In
3
We reject Katagiri’s arguments concerning waiver because Matson clearly raised
this argument in a timely manner before the ALJ.
3
relevant part, Section 922 permits the deputy commissioner, upon an application by
a party or sua sponte, at “any time prior to one year after the date of the last payment
of compensation” to “terminate, continue, reinstate, increase, or decrease such
compensation, or award compensation.” 33 U.S.C § 922.
An examination of Katagiri’s Request reveals that it reflects an attempt to
modify the December 10, 2015 order so as to “increase” the award. The vast majority
of the Request merely quotes the ALJ’s December 10, 2015 order, in which the ALJ
awarded Katagiri temporary total disability benefits, but declined to award
permanent disability benefits because Katagiri had “not shown he [was] entitled to
permanent disability benefits, nor ha[d] he requested them.” The remainder of the
Request attaches additional evidence of Katagiri’s physical condition and asks for a
rating necessary to increase his award to include a permanent partial disability
benefit. Cf. 33 U.S.C. § 922 (providing timeframe in which a “party” may apply to
“increase” compensation).
Because Matson completed its last payment to Katagiri on December 21,
2015, and Katagiri’s Request was filed in February 2017, the Request constitutes an
attempt to modify filed more than “one year after the date of the last payment of
compensation,” 33 U.S.C. § 922, and is thus time-barred.
Katagiri attempts to avoid this outcome by arguing that his Request is instead
a new claim based on the purported fact that “his continued employment had
4
aggravated his knee.” Quite simply, this is untrue: neither the Request nor the
attached medical report indicate his requested 75% permanent disability rating is the
result of his continued employment.
Katagiri argues, in the alternative, that his Request was a timely modification
application under 33 U.S.C. § 922 because it was “made within one year of the last
payment of compensation.” In order to arrive at this conclusion, Katagiri asserts that
Matson’s payment to a third-party insurance collector to settle medical bills reflected
in an August 28, 2017 invoice is the “last payment of compensation.” Even assuming
a payment for Katagiri’s medical bills following the Request could retroactively
make the Request timely, Katagiri’s argument fails because the phrase “payment of
compensation” in the context of § 922 does not extend to the payment of medical
bills to a third-party insurance collector.
In Marshall v. Pletz, the Supreme Court rejected a similar argument regarding
this phrase in a similar section of the Longshore Act.
317 U.S. 383, 390 (1943). In
Pletz, the Supreme Court held that “the ‘payment of compensation’ mentioned in”
33 U.S.C. § 913(a) did not include “medical aid” and instead referred only “to the
periodic money payments to be made to the employe[e].”
Id. at 390–91. Sections
913 and 922 not only use the same phrase in the context of similar language, but
they also serve the same purpose of establishing statutes of limitation for pursuing
compensation claims under the Act. See 33 U.S.C. § 913(a) (“If payment of
5
compensation has been made without an award on account of such injury or death,
a claim may be filed within one year after the date of the last payment”). Similar
logic applies here: Matson’s payments to the third-party insurance collector do not
constitute “payment of compensation” under Section 922 and thus do not extend the
limitations period.
Based on a review of other provisions of the Longshore Act, the Fourth Circuit
has similarly concluded that “the term ‘compensation’ in 33 U.S.C. § 922 does not
include voluntary payments by an employer for medical services provided to an
employee” and thus “payments of such services do not extend the Section [9]22
limitations period.” See Wheeler v. Newport News Shipbuilding & Dry Dock Co.,
637 F.3d 280, 291 (4th Cir. 2011). The Fourth Circuit reasoned that, although Pletz
was not “controlling” because it “addressed a separate statute with different
language,” Pletz was nevertheless “instructive” in support of this outcome, which is
also supported by Section 922’s context, purpose, and legislative history. See
id. at
285–89. We agree.4
4
Another section of the Longshore Act entitles employees to recover certain
amounts that they expended for medical services which should have been provided
by their employer. See 33 U.S.C. § 907(d). Conceivably, reimbursements to an
employee for expenditures on medical expenses under this provision could constitute
“compensation” under Section 922. Cf. Grimm v. Vortex Marine Constr.,
921 F.3d
845, 849 (9th Cir. 2019) (Watford, J., concurring) (reasoning that although an
employer’s “obligation to furnish future medical care” would not be a
“compensation order” under 33 U.S.C. § 921(d), an additional order directing an
6
Contrary to Katagiri’s arguments, this conclusion applies with equal force to
Matson’s payments made pursuant to the ALJ’s December 10, 2015 order because
Section 922 does not distinguish between payments made voluntarily and payments
made pursuant to a compensation order. See 33 U.S.C. § 922 (“the deputy
commissioner may, at any time prior to one year after the date of the last payment
of compensation, whether or not a compensation order has been issued . . . issue a
new compensation order which may terminate, continue, reinstate, increase, or
decrease such compensation, or award compensation” (emphasis added)).
We have carefully reviewed Katagiri’s remaining arguments—including
those pertaining only to dicta in the ALJ’s orders—and conclude they do not warrant
reversal of the Board’s decision. Katagiri’s petition for review is therefore DENIED.
employer to pay for medical bills an employee had already incurred would be). We
need not determine here whether such a reimbursement would be “compensation,”
however, because the payment Katagiri relies on was to an insurance collector for a
medical provider, not to Katagiri. See
Pletz, 317 U.S. at 391 (“In the normal case, . . .
the insurer defrays the expense of medical care but does not pay the injured
employe[e] anything on account of such care. Only if the employer and the insurer
omit to furnish such care can the employe[e] procure it for himself and then obtain
from the deputy commissioner an award to reimburse him for what he has spent.”).
7