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W. Va. Office of Insurance Commissioner v. Jerry W. Rose and Wayne Co. BOE (Memorandum Decision)
State: West Virginia
Court: Supreme Court
Docket No: 11-1038
Case Date: 06/12/2013
Plaintiff: W. Va. Office of Insurance Commissioner
Defendant: Jerry W. Rose and Wayne Co. BOE (Memorandum Decision)
Preview:STATE OF WEST VIRGINIA SUPREME COURT OF APPEALS WEST VIRGINIA OFFICE OF THE INSURANCE COMMISSIONER, Commissioner Below, Petitioner vs.) No. 11-1038 (BOR Appeal No. 2045431) (Claim No. 2004050198)
FILED
June 12, 2013
RORY L. PERRY II, CLERK
SUPREME COURT OF APPEALS
OF WEST VIRGINIA

JERRY W. ROSE,
Claimant Below, Respondent
and WAYNE COUNTY BOARD OF EDUCATION, Employer Below, Respondent

MEMORANDUM DECISION
Petitioner West Virginia Office of the Insurance Commissioner, by David L. Stuart, its attorney, appeals the decision of the West Virginia Workers' Compensation Board of Review. Jerry W. Rose, by John C. Blair, his attorney, and Wayne County Board of Education, by Steven K. Wellman, its attorney, filed timely responses. This appeal arises from the Board of Review's Final Order dated June 13, 2011, in which the Board affirmed a December 10, 2010, Order of the Workers' Compensation Office of Judges. In its Order, the Office of Judges reversed the claims administrator's January 19, 2009, denial of authorization for bilateral carpal tunnel splints and bilateral carpal tunnel injections. The Court has carefully reviewed the records, written arguments, and appendices contained in the briefs, and the case is mature for consideration. This Court has considered the parties' briefs and the record on appeal. The facts and legal arguments are adequately presented, and the decisional process would not be significantly aided by oral argument. Upon consideration of the standard of review, the briefs, and the record presented, the Court finds no substantial question of law and no prejudicial error. For these reasons, a memorandum decision is appropriate under Rule 21 of the Rules of Appellate Procedure.

Mr. Rose has worked as a custodian for the Wayne County Board of Education for nearly two decades. On May 28, 2004, Mr. Rose filed a claim for workers' compensation, stating that the repetitive sweeping and mopping of his custodial job had caused bilateral carpal tunnel syndrome, which was found to be compensable by the claims administrator on July 13, 2004. The claim was filed and managed by the Workers' Compensation Old Fund. Mr. Rose continued to receive treatment over the next several years including release surgery on both his wrists. Mr. Rose continued to work throughout his treatment period and continued to be exposed to the hazards which caused his carpal tunnel syndrome. On November 20, 2008, Mr. Rose received an electric shock to his right forearm, wrist, and hand which was held compensable as a separate claim. The treatments Mr. Rose received on his claim for carpal tunnel syndrome varied in success and his condition went through periods of improvement and decline. On January 19, 2009, Mr. Rose was examined by Dr. Bolano, who requested authorization for bilateral carpal tunnel syndrome splints and bilateral carpal tunnel injection. The request was denied by the claims administrator of the Workers' Compensation Old Fund, stating that the requested treatments were not related to Mr. Rose's compensable condition but to the electric shock he received on November 20, 2008. The Office of Judges found that the requested medical treatments were medically and reasonably related to Mr. Rose's compensable carpal tunnel syndrome, as required under West Virginia Code
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