Rosa M. Martinez v. State Office of Risk Management ( 2011 )

MEMORANDUM OPINION
No. 04-10-00046-CV
Rosa M. MARTINEZ,
Appellant
v.
STATE OFFICE OF RISK MANAGEMENT,
Appellee
From the 38th Judicial District Court, Uvalde County, Texas
Trial Court No. 06-01-25038-CV
The Honorable James Simmons, Judge Presiding
Opinion by: Phylis J. Speedlin, Justice
Sitting: Karen Angelini, Justice
Sandee Bryan Marion, Justice
Phylis J. Speedlin, Justice
Delivered and Filed: January 19, 2011
REVERSED AND REMANDED
Rosa M. Martinez appeals the trial court’s judgment reversing a decision of the Texas
Department of Insurance, Division of Workers’ Compensation Appeals Panel (“Appeals Panel”).
Martinez raises four issues on appeal relating to jury charge error. Because we conclude the jury
charge contained reversible error, we reverse the trial court’s judgment and remand the cause to
the trial court for a new trial.
04-10-00046-CV
BACKGROUND
Rosa M. Martinez worked as a school custodian. On March 10, 2004, Martinez was
injured when she and two other employees moved a soda vending machine. After Martinez
sought treatment for her injury, the State Office of Risk Management (“SORM”) challenged
coverage under the Texas Workers’ Compensation Act.
The parties were unable to reach an agreement at a benefit review conference, so a
contested case hearing was held to decide three issues: (1) whether Martinez sustained a
compensable injury on March 10, 2004; (2) whether Martinez had disability, and if so, for what
period(s); and (3) whether Martinez’s compensable injury of March 10, 2004, if any, included a
herniated disc and at what level. The hearing officer found that Martinez’s “act of assisting in
the movement of the soda vending machine on March 10, 2004 caused a low back injury” and
“was a producing cause of [Martinez’s] herniation at L5-S1.” The hearing officer also found that
Martinez “was unable to obtain and retain employment at wages equivalent to her preinjury
wage” as “a result of her work-related injury of March 10, 2004.” The hearing officer
concluded: (1) Martinez sustained a compensable injury on March 10, 2004; (2) the compensable
injury included a herniated disc at L5-S1; and (3) Martinez had disability beginning March 15,
2004, through the date of the contested case hearing on August 17, 2005. The hearing officer
signed his order on August 22, 2005. SORM appealed the hearing officer’s decision to the
Appeals Panel which affirmed the ruling and adopted the decision of the hearing officer as the
final decision of the Appeals Panel.
SORM filed suit in district court to challenge the Appeals Panel’s decision. SORM’s
petition asserted that SORM challenged the following enumerated conclusions of law:
3. The Claimant sustained a compensable injury on March 10, 2004.
-2-
04-10-00046-CV
4. The Claimant’s compensable injury of March 10, 2004, includes herniated
disc at L5-S1.
5. The Claimant had disability beginning March 15, 2004, through the date
of the contested case hearing [August 17, 2005].
Despite SORM’s challenge to three independent issues, the first question in the jury charge
asked, “Did Defendant, Rosa M. Martinez[,] sustain a compensable injury on March 10, 2004
that included a herniated disc at L5-S1?” The remaining questions relating to disability and
attorney’s fees were conditioned on the jury answering “yes” to the first question.
At the jury charge conference, Martinez’s attorney objected to the first jury question
because it combined two independent issues in one question. The trial court overruled the
objection. Because the jury answered “no” to the first question, the jury did not answer the other
two questions. Based on the jury’s answer, the trial court signed a judgment reversing the
decision of the Appeals Panel. Martinez appeals.
DISCUSSION
Texas Rule of Civil Procedure 277 requires a trial court to submit those questions that
enable the jury to return a proper verdict. TEX. R. CIV. P. 277. The trial court has great
discretion in submitting the jury charge. Villegas v. Tex. Dept. of Transp., 120 S.W.3d 26, 37
(Tex. App.—San Antonio 2003, pet. denied). The trial court’s discretion is subject, however, to
the requirement that the jury charge must properly submit the disputed issues for the jury’s
deliberations. Id. “If an issue is properly pleaded and is supported by some evidence, a litigant
is entitled to have controlling questions submitted to the jury.” Triplex Communications, Inc. v.
Riley, 900 S.W.2d 716, 718 (Tex. 1995).
-3-
04-10-00046-CV
In her first issue, Martinez contends the trial court erred in combining two separate
controlling issues of fact into one jury question. As a result, the jury did not separately answer
whether Martinez sustained a compensable injury.
SORM initially responds that Martinez did not preserve this issue for our review. We
disagree.
An objection is sufficient to preserve a complaint for appellate review if it states the
grounds for the ruling that the complaining party seeks with sufficient specificity to make the
trial court aware of the complaint. TEX. R. APP. P. 33.1(a)(1)(A). In this case, Martinez’s
attorney objected to the jury question as follows:
With regard to Question No. 1, Judge, it is a broad form submission and it
merges two of the issues, the compensable injury with the herniated disc issue. I
will object to the failure to granulate those separate issues for the reason that some
evidence may be included on the compensability issue and not on the herniated
disc. In a jury finding of yes or no on this, you cannot determine which issue
they’re determining and we are entitled to a de novo trial on each separate issue in
the case.
This objection is sufficiently specific to make the trial court aware of the complaint. This is
particularly true given that SORM’s pleadings list three separate issues that it sought to
challenge. Moreover, in addition to the pleadings, the existence of three separate issues was
mentioned during the testimony at trial. Specifically, during the questioning of Dr. Luis Duarte,
counsel informed Dr. Duarte that three issues were to be discussed, stating:
Q. There are a few issues in this case, and in this case Ms. Martinez
has prevailed at the Commission now twice. And the issues are: Did the Claimant
sustain a compensable injury on March 10 of 2004. And Number 2 is: Did the
Claimant — and that would be Ms. Martinez — have disability, and if so, for
what periods? And then Number 3 is: Did the Claimant — Did the Claimant’s
compensable injury of March 10 of 2004, if any, include a herniated disc, and if
so, at what level?
-4-
04-10-00046-CV
Similarly, the existence of the three separate issues also was discussed when SORM’s attorney
cross-examined Martinez’s attorney with regard to attorney’s fees as follows:
Q. All right. And let me address just the issues in this particular case. We
have three issues basically. Is that your understanding of the issues in this
particular case?
A. Yes, sir, there are three issues.
Q. The compensable injury issue, whether there’s a compensable injury?
A. Whether there was a compensable injury is issue 1.
Q. Issue No. 2 is did that compensable injury extend to or include a herniated
disc?
A. That’s correct.
Q. And those are what we call — as workers’ comp layers we call those
extent issues, correct?
A. Question 2 —
Q. Question 2.
A. — whether or not the compensable injury extends to and includes a
herniated disc, is an extent issue yes, sir.
Q. And both Question 1— the compensability issue, that’s a fairly common
issue that is tried by workers’ comp lawyers across the state. Would you agree
with that?
A. I would say that. I would say that’s almost always one of the issues when
they throw the fishnet at you.
Q. And the extent issue is also a fairly common issue that is tried by workers’
comp lawyers across the state?
A. Repeat the first part.
Q. That the extent issue — the extent issue is a fairly common issue in these
cases across the state of Texas?
A. Less common than Issue 1.
Q. Okay.
A. I do see it quite a bit.
Q. And disability, of course, you’ve told us that that’s a fairly common issue?
A. Always. Disability is always in it.
Q. Have you been able to segregate your time between each one of these
three issues?
A. No.
Although the objection made to the charge in itself was sufficiently specific, the trial court also
must have been aware of the existence of three separate issues from the pleadings and the
-5-
04-10-00046-CV
testimony. Accordingly, we hold that the objection by Martinez’s attorney properly preserved
her complaint regarding the first jury question for appellate review. 1
SORM next contends that Martinez failed to exhaust her administrative remedies because
she did not appeal the lack of findings of any sprain/strain type injury to the Appeals Panel.
SORM bases this contention on its interpretation of the hearing officer’s decision, asserting that
the hearing officer did not make any findings of fact or conclusions of law regarding a
strain/sprain injury. We disagree with SORM’s interpretation of the hearing officer’s decision.
The hearing officer initially found that Martinez sustained a compensable injury on March 10,
2004. The hearing officer also found that Martinez’s compensable injury includes a herniated
disc. The hearing officer does not find that Martinez’s compensable injury was limited to a
herniated disc. Accordingly, Martinez was not required to challenge the administrative decision
in order to raise her jury charge complaint on appeal.
Having found that Martinez preserved her complaint regarding the first jury question for
our review, we turn to the merits of her contention. We initially note that in the workers’
compensation context, the Texas Supreme Court has expressly recognized a distinction between
the issues of: (1) compensability; and (2) extent of injury. See State Office of Risk Mgmt. v.
Lawton, 295 S.W.3d 646, 649 (Tex. 2009). “[T]he compensability of the injury itself” relates to
“the carrier’s liability for the claim as a whole.” Id. This is distinct from “extent of injury”
disputes which relate to “an aspect of the claim” or a “dispute over the amount or type of
benefits, specifically, medical benefits, to which the employee is entitled (i.e. what body
1
SORM also refers to preservation of error in the context of Crown Life Ins. Co. v. Casteel, 22 S.W.3d 378, 389
(Tex. 2000). However, a Casteel issue arises when a trial court submits valid and invalid liability theories in a
single broad form question. See Molina v. Moore, 33 S.W.3d 323, 328 (Tex. App.—Amarillo 2000, no pet.). In this
case, both of the factual issues are valid issues.
-6-
04-10-00046-CV
areas/systems, injuries, conditions, or symptoms for which the employee is entitled to
treatment).” Id.
The distinction between these two issues in the instant case becomes readily apparent
from the testimony of Dr. Daniel Valdez who performed a required medical examination on
Martinez at the request of SORM. Dr. Valdez testified that Martinez suffered a strain or sprain
in her lower back as a result of the movement of the soda vending machine. Dr. Valdez testified
that Martinez should have been able to return to work after suffering such a strain or sprain in
two to six weeks. Dr. Valdez disagreed that the herniated disc was caused by the injury of
March 10, 2004. Accordingly, based on Dr. Valdez’s testimony, a jury could have found that
Martinez suffered a compensable injury in the form of a sprain or strain but that the compensable
injury did not include the herniated disc. Dr. Valdez’s testimony regarding the two separate
injuries is further documented in his written report which was introduced into evidence. In his
written report, Dr. Valdez lists two separate diagnoses: (1) “[s]train caused by pulling a cold
drink machine;” and (2) “small herniation present on MRI.” Similarly, Martinez’s treating
physician, Dr. Alberto N. Martinez, initially diagnosed Martinez as having acute lumbar sprain
prior to the MRI revealing the herniated disc. Dr. Martinez testified that his assessment was
“chronic lumbar pain with acute exacerbation and a herniated disc at L4-5.” Finally, Dr. Bruce
R. Alter, a designated physician who examined Martinez at the request of the Texas Workers’
Compensation Commission, stated in his written report, “As far as her injury, I am not disputing
her injury. The patient has acute lumbosacral strain.”
Based on the foregoing evidence, the distinction between compensability and extent of
injury was an important one, and the jury needed to separately resolve each issue. SORM argues
-7-
04-10-00046-CV
that trial courts are encouraged to use broad form submission, and the first jury question was “a
properly submitted broad-form question.” We disagree.
Rule 277 only requires that issues be submitted to a jury in broad form “whenever
feasible.” TEX. R. CIV. P. 277. The “adoption of broad-form jury submissions was intended to
simplify jury charges for the benefit of the jury, the parties, and the trial court.” Romero v. KPH
Consol., Inc., 166 S.W.3d 212, 230 (Tex. 2005). “It was certainly never intended to permit, and
therefore encourage, more error in a jury charge.” Id. The Texas Supreme Court recognizes that
broad form submission is “not always practicable.” Id. Based on the pleadings and the
evidence presented, we hold the trial court erred in combining the compensability and extent of
injury issues in one jury question in this case.
Having determined that the jury charge contained error, we must consider whether the
error requires us to reverse the trial court’s judgment. A judgment must be reversed on appeal
where the error complained of “probably caused the rendition of an improper judgment.” TEX.
R. APP. P. 44.1(a)(1). In this case, the trial court conditioned the jury’s responses to the disability
question and the attorneys’ fee question on responding affirmatively to the first jury question.
Had the issues relating to compensability and extent of injury been separated, the jury could have
found Martinez sustained a compensability injury for which she had disability even if the jury
found that the herniated disc was not included in the compensable injury. In addition, even if
Martinez only prevailed on some of the issues for which SORM sought judicial review, Martinez
would be entitled to recover attorneys’ fees for the issues on which she did prevail. TEX. LAB.
CODE ANN. § 408.221(c) (West 2006). Therefore, we hold that the jury charge error probably
caused the rendition of an improper judgment, thereby requiring reversal. TEX. R. APP. P.
44.1(a)(1).
-8-
04-10-00046-CV
CONCLUSION
The trial court’s judgment is reversed, and the cause is remanded to the trial court for a
new trial.
Phylis J. Speedlin, Justice
-9-