Okon v. Broadspire - Workers' Compensation Board Ruling Reversed
Summary
The Oregon Court of Appeals reversed and remanded a Workers' Compensation Board ruling concerning permanent partial disability benefits for claimant Inemesit N. Okon. The court found the board erred in its application of medical arbiter findings and failed to adequately explain its reasoning for denying benefits.
What changed
The Oregon Court of Appeals has reversed and remanded a decision by the Workers' Compensation Board in the case of Okon v. Broadspire. The claimant, Inemesit N. Okon, sought permanent partial disability benefits, which the board had denied. The appellate court found that the board erred in its interpretation and application of medical arbiter findings, specifically questioning whether the board adequately justified disregarding the findings of the claimant's attending physician in favor of the arbiter's conclusions.
This ruling has implications for how medical evidence is weighed and explained in workers' compensation claims in Oregon. Employers and their representatives must ensure that any decisions to disregard medical arbiter findings are supported by clear, persuasive reasoning that addresses the claimant's arguments and the attending physician's findings. Compliance officers should review internal processes for handling disability claims and ensure that documentation clearly articulates the rationale for benefit determinations, particularly when conflicting medical opinions exist.
What to do next
- Review internal processes for handling workers' compensation disability claims.
- Ensure clear documentation of rationale when disregarding medical arbiter findings.
- Train claims adjusters on the requirements for explaining decisions that deviate from medical arbiter opinions.
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March 25, 2026 Get Citation Alerts Download PDF Add Note
Okon v. Broadspire
Court of Appeals of Oregon
- Citations: 348 Or. App. 1
- Docket Number: A186469
- Judges: Tookey
Disposition: Reversed and remanded.
Disposition
Reversed and remanded.
Combined Opinion
No. 225 March 25, 2026 1
IN THE COURT OF APPEALS OF THE
STATE OF OREGON
In the Matter of the Compensation of Inemesit N. Okon,
Claimant.
Inemesit N. OKON,
Petitioner,
v.
BROADSPIRE
and Legacy Health,
Respondents.
Workers’ Compensation Board
2305542;
A186469
Argued and submitted February 19, 2026.
Jodie Anne Phillips Polich argued the cause for peti-
tioner. Also on the briefs was Law Offices of Jodie Anne
Phillips Polich, P.C.
Rebecca Watkins argued the cause for respondents. Also
on the brief were Jessica Fox and SBH Legal.
Before Tookey, Presiding Judge, Lagesen, Chief Judge,
and Kamins, Judge.
TOOKEY, P. J.
Reversed and remanded.
2 Okon v. Broadspire
TOOKEY, P. J.
Claimant seeks review of an order of the Workers’
Compensation Board (board) denying permanent partial
disability benefits at claim closure. Claimant contends that
the board erred in finding that “absent persuasive reasons
to the contrary, [the board] is not free to disregard a medical
arbiter’s unambiguous findings” and that the board failed
to adequately explain why it determined that the medical
arbiter’s findings were more persuasive than the findings
of claimant’s attending physician. Employer contends that
the board did not err because the board properly “relied on
a medical arbiter panel’s findings that claimant’s accepted
lumbar and pelvic strain conditions caused no lasting
impairment, attributing all measured limitations instead
to unrelated facts such as age, body habitus, and general
health.” Employer also contends that “a medical arbiter’s
objective findings control unless the claimant establishes
that the attending physician’s findings are more accurate,”
and that “absent persuasive reasons to the contrary, [the
board] is not free to disregard a medical arbiter’s unambigu-
ous findings.” Employer further contends that the board did
not err because the “arbiter panel’s findings were thorough,
unambiguous, and closer in time to reconsideration” and
because claimant “did not demonstrate by a preponderance
of the evidence that [her attending physician’s] findings
were more accurate than the arbiters’ findings.”1
We review the board’s legal conclusions for legal
error and its determinations on factual issues for sub-
stantial evidence, which includes substantial reason. ORS
183.482(8); Cummings v. SAIF, 197 Or App 312, 318, 105
1
In their briefing, the parties refer to both the “medical arbiter” and the
“medical arbiter panel” without clearly distinguishing between the two. ORS
656.268(8)(a) provides that if the basis for objection to a notice of closure is dis-
agreement with the impairment used in rating of the worker’s disability, the
director shall refer the claim to a medical arbiter, and ORS 656.268(8)(c) pro-
vides that, at the request of either of the parties, “the director shall appoint a
panel of as many as three medical arbiters.” At the reconsideration proceeding,
“[a]ny medical arbiter report may be received as evidence.” ORS 656.268(6)(f).
Here, claimant was examined by an arbiter panel consisting of two orthopedic
surgeons and one neurosurgeon. Having reviewed the parties’ briefing and their
arguments, we do not understand those arguments to turn on whether claimant
was examined by a medical arbiter or a medical arbiter panel, and that point does
not make a difference to our decision in this case.
Cite as 348 Or App 1 (2026) 3
P3d 875 (2005). Because we conclude that the board errone-
ously concluded that our case law required it to apply OAR
436-035-0007(5)(b) in a manner contrary to the standard
set by its plain text, we reverse and remand for further con-
sideration. ORS 183.482(8)(a)(B) (where agency has “errone-
ously interpreted a provision of law,” we may “[r]emand the
case to the agency for further action under a correct inter-
pretation of the provision of law”).
The findings of a claimant’s attending physician are
generally used to determine when a condition is medically
stationary and the degree of impairment caused by that con-
dition. OAR 436-035-0007(5)(a) (“Impairment is established
based on objective findings of the attending physician under
ORS 656.245(2)(b)(C) and OAR 436-010-0280.”). However,
when one party requests reconsideration of a closed claim,
a medical arbiter examination is conducted, and “impair-
ment is established based on objective findings of the med-
ical arbiter, except where a preponderance of the medical
evidence demonstrates that different findings by the attend-
ing physician are more accurate and should be used.” OAR
436-035-0007(5)(b); see also SAIF v. Banderas, 252 Or App
136, 144-45, 286 P3d 1237 (2012) (“Where the attending
physician has provided an opinion of impairment and the
board does not expressly reject that opinion, OAR 436-035-
0007(5) expressly permits the board to prefer the attending
physician’s impairment findings, if the preponderance of the
medical evidence establishes that they are more accurate.”).
Here, claimant was injured at work on January 13,
2022. Claimant’s claim for disabling lumbar sprain, lum-
bar strain, sacroiliac joint sprain, and pelvic strain was
accepted by employer. Claimant was deemed medically sta-
tionary by her attending physician on February 7, 2023.
Claimant saw her attending physician again on July 12,
2023, at which time claimant’s attending physician updated
claimant’s range of motion measurements and confirmed
that claimant was working “full duty without restrictions.”
Claimant’s claim was closed on July 18, 2023, and claim-
ant was awarded 15 percent whole person impairment.
Employer requested reconsideration on the same day. Id.
On November 1, 2023, a medical arbiter panel conducted
4 Okon v. Broadspire
its examination, determining that any impairment find-
ings which had been attributed to the accepted conditions
were “100% * * * due to [claimant’s] age, general health, and
body habitus.” The board then stated that the findings of
the medical arbiter panel “unambiguously determined that
claimant did not have impairment, except restricted range
of motion” which was “not due to the accepted conditions.”
Claimant contends that the board erred in its appli-
cation of the legal standard by introducing limiting language
about a medical arbiter panel’s “unambiguous findings.” In
response, employer contends that the board’s reference to
“unambiguous findings” is consistent with our case law. See
Hicks v. SAIF, 194 Or App 655, 660, 96 P3d 856, adh’d to
as modified on recons, 196 Or App 146, 100 P3d 1129 (2004)
(determining that a board is not free to disregard the med-
ical arbiter’s opinion when “the medical arbiter’s report
unambiguously attributed 100 percent of claimant’s reduced
* * * range of motion to the accepted injury” in the absence of
other evidence); see also Gage v. Fred Meyer Stores - Kroger
Co., 329 Or App 360, 368, 540 P3d 592 (2023), adh’d to as
modified on recons, 330 Or App 669, 549 P3d 1283 (2024)
(determining that “the board is not free to interpret [the
medical arbiter panel’s] report to conclude that it was not
persuasive and reject it” in favor of claimant’s attending
physician’s report unless the board’s decision is supported
by substantial evidence and substantial reason).
Having reviewed the record and the law, we con-
clude that the board erred when it stated that OAR 436-
035-0007(5)(b) requires the board to establish impairment
“based on the objective findings of the medical arbiter” when
“a medical arbiter is used and its report is clear and unam-
biguous.” We conclude that the board also erred when it
stated that “absent persuasive reasons to the contrary, [the
board is] not free to disregard a medical arbiter’s unambig-
uous findings.”
OAR 436-035-0007(5)(b) requires that “impairment
is established based on objective findings of the medical
arbiter, except where a preponderance of the medical evi-
dence demonstrates that different findings by the attend-
ing physician are more accurate and should be used.” Here,
Cite as 348 Or App 1 (2026) 5
we understand the board to have interpreted our decisions
in Hicks and Gage to require that when there is a report
from an attending physician and a report from a medical
arbiter, the board must first determine if the medical arbi-
ter’s report is “unambiguous,” and, if it is “unambiguous,”
then the board must use the medical arbiter’s report “absent
persuasive reasons to contrary.” However, unlike in this
case, in Hicks, “the medical arbiter’s opinion [was] the only
opinion of impairment and unambiguously attribute[d] the
claimant’s permanent impairment to the compensable con-
dition.” Hicks, 196 Or App at 151. Also unlike in this case,
in Gage, the board chose to rely on the attending physician’s
report rather than the medical arbiter panel’s report, and
we reversed because “the reasons the board gave for its con-
clusion that [the attending physician’s] opinion was more
accurate and persuasive than that of the panel [were] not
based on substantial evidence or reason.” Gage, 329 Or App
at 371 (internal quotation marks omitted).
But when, as here, one party requests reconsider-
ation and there is a report from an attending physician and
a report from a medical arbiter panel, the board is required
to apply OAR 436-035-0007(5)(b) and establish impair-
ment “based on the objective findings of the medical arbi-
ter, except where a preponderance of the medical evidence
demonstrates that different findings by an attending phy-
sician are more accurate and should be used.” Because, as
noted above, the board misapplied the analysis set forth in
Hicks and Gage to this case, we reverse and remand for the
board to revisit and reconsider its analysis under OAR 436-
035-0007(5)(b).
Reversed and remanded.
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