PHIPPS, Presiding Judge.
We granted Willie Barnes's application for discretionary appeal in this workers' compensation case involving a catastrophic injury. Barnes appeals the superior court's order affirming the decision of the appellate division of the State Board of Workers' Compensation (the "Board"), which had adopted the decision of the administrative law judge ("ALJ") denying Barnes's claim for recommencement of temporary total disability income benefits. Barnes contends that, contrary to the decision of the Board (as affirmed by the superior court), neither the two-year statute of limitation for change in condition claims
Construing the evidence in the light most favorable to the party prevailing before the Board, the facts relevant to this appeal are as follows. In August 1993, Barnes was working at Georgia-Pacific Corporation's wood processing plant when his leg went through rotten flooring and he landed in an auger, causing an immediate amputation of his left leg below the knee. Georgia-Pacific and its workers' compensation insurance servicing agent, CCMSI, accepted Barnes's claim as catastrophic
When Barnes was unable to perform the duties his former position required, he was transferred to a position with duties he was able to perform. Although the new duties were also difficult and caused pain, he continued working in a light duty position until 2008. Barnes's last PPD payment was issued in May 1998, as "[t]he entire [PPD] benefit ha[d] been paid." He did not receive any workers' compensation income benefits thereafter.
In 2006, while Barnes was still working in a light duty/supervisory position, Georgia-Pacific sold the plant to Roseburg Forest Products Company, which assumed Georgia-Pacific's assets and liabilities. In 2008, Roseburg Forest eliminated positions at the plant, including Barnes's supervisory position. Barnes continued working at the plant, but in a position that was more physically demanding and caused pain in and swelling of his injured leg. Over time, the new duties exacerbated his injury. On September 10, 2009, Roseburg Forest instituted a second round of lay-offs, this time terminating Barnes. Shortly after he was terminated, Barnes consulted CCMSI to find out whether he was eligible for a recommencement of workers' compensation benefits; he was told he was not eligible.
In August 2012, after consulting an attorney who reportedly told him he was eligible for benefits, Barnes filed with Georgia-Pacific a notice of claim to resume TTD income benefits. Asserting a 1993 date of injury, Barnes claimed that he had remained catastrophically injured since 1993 (though he had continued to work, with limitations) and that, as a catastrophically injured worker, he was entitled to receive benefits beginning on the date he no longer had a job. He also requested attorney fees and a hearing. Georgia-Pacific (as "Emp/insurer") controverted the claim, asserting that, inter alia, Barnes was no longer an employee. Later, Roseburg Forest also controverted the claim, asserting that, inter alia, the statute of limitation set out in OCGA § 34-9-104 had expired.
In November 2012, Barnes filed a separate notice of claim with Roseburg Forest and CCMSI, asserting a second theory of recovery.
After a hearing, the ALJ denied Barnes's claim as barred by the statute of limitation periods set out in OCGA § 34-9-104(b) and 34-9-82. The Board adopted the ALJ's ruling, and the superior court affirmed the Board's decision.
1. Barnes contends that the Board erred by finding that the two-year statute of limitation set out in OCGA § 34-9-104(b) barred his claim. Asserting a 1993 injury date, he contends that he had experienced a change in condition when he returned to work in January 1994, and had experienced another change in condition when he was terminated in September 2009. He argues that OCGA § 34-9-261 must be interpreted as authorizing an employee whose injury has been accepted as catastrophic to assert a claim for reinstatement of benefits when he experiences a change in condition pursuant to OCGA § 34-9-104(a)(1), even if that change occurs more than two years after the last benefit payment was made. Barnes contends that he is being penalized for having worked, with limitations, despite his catastrophic injury. We agree that the Board erred by adopting the ALJ's ruling that the two-year statute of limitation in OCGA § 34-9-104(b) barred Barnes's catastrophic injury claim.
OCGA § 34-9-104(b), which addresses modification of a prior final workers' compensation decision, pertinently permits a party to apply for another decision because of a change in condition, provided that "at the time of application not more than two years have elapsed since the date the last payment of income benefits pursuant to Code Section 34-9-261 ... was actually made." As used in OCGA § 34-9-104,
OCGA § 34-9-261 provides:
Barnes's situation is one that the Workers' Compensation Act apparently did not contemplate — where an employee has returned to work with significant limitations, despite a catastrophic injury designation, and then, more than two years after the last benefit payment was issued, has tried to resume the payment of benefits after his job was eliminated.
It is undisputed that Barnes's injury was catastrophic, and that the injury continued to be catastrophic at the time of the ALJ's decision; notably, Barnes's "catastrophic" injury designation had not been removed.
As set out in OCGA § 34-9-261, the cap on weekly TTD benefits does not apply to an
We reiterate that "[t]he Workers' Compensation Act is a humanitarian measure that should be liberally construed to effectuate its purpose."
2. Barnes contends that the Board erred by finding that his claim based on a fictional new accident
OCGA § 34-9-82(a) provides:
Barnes filed the notice of claim on November 30, 2012, which was within one year of the December 2011 replacement of his prosthetic leg (paid for by CCMSI). Accordingly, the "remedial treatment" exception applied and the statute of limitation did not bar the claim.
Notwithstanding, Roseburg Forest/ACE American contends that the provision of medical treatment in 2011 — furnished as part of the 1993 claim with the employer's previous insurer — cannot be imputed to ACE American (the second insurer) to toll the statute of limitation. The contention is without merit, because the insurer is the alter ego of the employer under the Workers' Compensation Act.
Also without merit is Roseburg/ACE American's argument that the last remedial
The statute of limitation did not bar Barnes's claim.
3. Because the ALJ's decision was based on its finding that Barnes's claim was not timely filed, the ALJ (and consequently, the Board and superior court) did not fully consider other arguments Barnes had made before the ALJ and has reiterated in this appeal (e.g., whether Barnes had experienced a change in condition or had suffered a fictional new accident; if the presumption of permanent total disability had been rebutted; and if Barnes is entitled to an award of attorney fees). Accordingly, we reverse the superior court's judgment and remand the case to the Board for consideration of said issues.
Judgment reversed and case remanded with direction.
DOYLE, C.J., and BOGGS, J., concur.