New Mexico Statutes
Article 1 - Workers' Compensation
Section 52-1-45 - Compensation benefits; hernia; proof of claim; failure to be operated [upon]; examination; medical care.

A worker, in order to be entitled to compensation for a hernia, must clearly prove:
A. that the hernia is of recent origin;
B. that its appearance was accompanied by pain;
C. that it was immediately preceded by some accidental strain suffered in the course of the employment; and
D. that it did not exist prior to the date of the alleged injury. If a worker, after establishing his right to compensation for a hernia as above provided, elects to be operated upon, the operating fee and reasonable hospital expenses shall be paid by the employer or his or its insurer. In case such worker elects not to be operated upon and the hernia becomes strangulated in the future, the results from the strangulation shall not be compensated; provided, before the worker is compelled to prove the facts above mentioned, in order to be entitled to compensation for hernia, the employer must first prove that he caused the worker to be physically examined, previous to his employment, for the existence of a hernia; and, provided further, that where the employer has not made provisions for and does not have at the service of the worker adequate surgical, hospital and medical facilities and attention or fails to offer them during the period necessary, the worker shall have the right to select the surgeon to operate upon him and the hospital where the operation is to be performed and the worker is to be treated therefor.
History: 1953 Comp., § 59-10-18.6, enacted by Laws 1959, ch. 67, § 24; 1963, ch. 269, § 4; 1989, ch. 263, § 27.
Bracketed material. — The bracketed material was inserted by the compiler and is not part of the law.
"Occurrence" refers to. — When the act speaks of the occurrence of injury or the occurrence of the hernia, it refers to compensable injuries and these occur when disability appears - in other words, when the injury or hernia becomes manifest. Montell v. Orndorff, 1960-NMSC-063, 67 N.M. 156, 353 P.2d 680.
If employer does not show that he caused workman (worker) to be physically examined prior to employment to determine the possible existence of a hernia, the employee is relieved from proving certain facts specified in the section. There, then, remains only the normal burden of proof to be met by plaintiffs in all workmen's (workers') compensation cases set out in Section 52-1-28 NMSA 1978. Michael v. Bauman, 1966-NMSC-079, 76 N.M. 225, 413 P.2d 888.
To be compensable hernia there must be a protrusion and mere proof of an enlarged ring or potential hernia is not proof that employee sustained a compensable hernia. Flournoy v. E.P. Campbell Drilling Co., 1964-NMSC-141, 74 N.M. 336, 393 P.2d 449.
Actual knowledge of potential hernia not knowledge of compensable hernia. — An employer's actual knowledge of the enlarged ring or relaxation, a potential hernia, did not constitute actual knowledge of a compensable left hernia after it occurred. Flournoy v. E.P. Campbell Drilling Co., 1964-NMSC-141, 74 N.M. 336, 393 P.2d 449.
Conclusive bar to compensation. — The failure to give notice within the allotted time is a conclusive bar to any suit for compensation where plaintiff was timely advised by the treating physician that he had suffered a left direct inguinal hernia. Michael v. Bauman, 1966-NMSC-079, 76 N.M. 225, 413 P.2d 888.
Time for notice or claim does not begin to run until the claimant, as a reasonable man, should recognize the nature, seriousness and probable compensable character of his injury or disease. Montell v. Orndorff, 1960-NMSC-063, 67 N.M. 156, 353 P.2d 680.
No proof that hernia sustained while working for employer. — Testimony that plaintiff had a slight enlargement of his right inguinal ring which is referred to as a potential hernia, by no means a condition which disabled him from performing any kind of work whatever, and it was only a long period of time after he had severed his employment with this defendant, and had worked at hard labor for another employer, that a doctor testified that he was suffering from a direct inguinal hernia does not constitute proof that his hernia was sustained while he was employed by his previous employer. Flournoy v. E.P. Campbell Drilling Co., 1964-NMSC-141, 74 N.M. 336, 393 P.2d 449.
Am. Jur. 2d, A.L.R. and C.J.S. references. — 82 Am. Jur. 2d Workers's Compensation § 443.
99 C.J.S. Workmen's Compensation § 306.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 52 - Workers' Compensation

Article 1 - Workers' Compensation

Section 52-1-1 - Short title.

Section 52-1-1.1 - Definitions.

Section 52-1-1.2 - Advisory council on workers' compensation and occupational disease disablement; functions and duties; independent medical examinations committee.

Section 52-1-2 - Employers who come within act.

Section 52-1-3 - Workers' compensation coverage; coverage by state agencies.

Section 52-1-3.1 - Public employee.

Section 52-1-4 - Filing certificate of insurance coverage or other evidence of coverage with workers' compensation administration; exemptions from requirement.

Section 52-1-4.1 - Repealed.

Section 52-1-4.2 - Controlled insurance plan; penalty.

Section 52-1-5 - Destruction of policies, bonds and undertakings.

Section 52-1-6 - Application of provisions of act.

Section 52-1-6.1 - Worker's compensation; definition.

Section 52-1-6.2 - Safety programs; inspections; penalties; bonuses.

Section 52-1-7 - Application of provisions of act to certain executive employees or sole proprietors.

Section 52-1-8 - Defenses to action by employee.

Section 52-1-9 - Right to compensation; exclusive.

Section 52-1-9.1 - Uninsured employers' fund; workers' compensation administration; additional duties.

Section 52-1-10 - Increase or reduction in compensation based on failure of employer to provide or failure of employee to use safety devices.

Section 52-1-10.1 - Allocation of fault; reimbursement.

Section 52-1-11 - Injuries caused by the willfulness or intention of worker are noncompensable.

Section 52-1-12 - Repealed.

Section 52-1-12.1 - Reduction in compensation when alcohol or drugs contribute to injury or death; exceptions.

Section 52-1-13 - Termination of agreements.

Section 52-1-14 - [Interstate commerce not subject to state legislation exempted.]

Section 52-1-15 - Employer.

Section 52-1-16 - Worker; real estate salesperson excepted.

Section 52-1-17 - Dependents.

Section 52-1-18 - Child.

Section 52-1-19 - Injury by accident; course of employment.

Section 52-1-20 - Determination of average weekly wage.

Section 52-1-21 - Repealed.

Section 52-1-22 - Work not casual employment.

Section 52-1-23 - Contractor becoming employer in casual employment.

Section 52-1-24 - Impairment; definition.

Section 52-1-24.1 - Date of maximum medical improvement.

Section 52-1-25 - Permanent total disability.

Section 52-1-25.1 - Temporary total disability; return to work.

Section 52-1-26 - Permanent partial disability.

Section 52-1-26.1 - Partial disability determination; calculation of modifications.

Section 52-1-26.2 - Partial disability determination; age modification.

Section 52-1-26.3 - Partial disability determination; education modification.

Section 52-1-26.4 - Partial disability determination; physical capacity modification.

Section 52-1-27 - Repealed.

Section 52-1-28 - Compensable claims; proof.

Section 52-1-28.1 - Unfair claim-processing practices; bad faith.

Section 52-1-28.2 - Retaliation against employee seeking benefits; civil penalty.

Section 52-1-28.3 - False statements or representations with regard to physical condition; forfeiture.

Section 52-1-29 - Notice of accident to employer; employer to post clear notice of requirement.

Section 52-1-30 - Payment of compensation benefits; installments.

Section 52-1-31 - Claim to be filed for workers' compensation; effect of failure to give required notice or to file claim within time allowed.

Section 52-1-32 to 52-1-35 - Repealed.

Section 52-1-36 - Effect of failure of worker to file claim by reason of conduct of employer.

Section 52-1-37 - Repealed.

Section 52-1-38 - Judgment; provisions; execution; subrogation; contempts.

Section 52-1-39 - Repealed.

Section 52-1-40 - Waiting period.

Section 52-1-41 - Compensation benefits; total disability.

Section 52-1-42 - Compensation benefits; permanent partial disability; maximum duration of benefits.

Section 52-1-43 - Compensation benefits; injury to specific body members.

Section 52-1-44 - Compensation benefits; facial disfigurement.

Section 52-1-45 - Compensation benefits; hernia; proof of claim; failure to be operated [upon]; examination; medical care.

Section 52-1-46 - Compensation benefits for death.

Section 52-1-47 - Limitations on compensation benefits.

Section 52-1-47.1 - Compensation benefits limit.

Section 52-1-48 - Additional limitation on benefits.

Section 52-1-49 - Medical and related benefits; selection of health care provider; artificial members.

Section 52-1-50 - Repealed.

Section 52-1-50.1 - Rehiring of injured workers.

Section 52-1-51 - Physical examinations of worker; independent medical examination; unsanitary or injurious practices by worker; testimony of health care providers.

Section 52-1-52 - Exemption from creditors.

Section 52-1-53 - [Accident prevention laws not affected.]

Section 52-1-54 - Fee restrictions; appointment of attorneys by the director or workers' compensation judge; discovery costs; offer of judgment; penalty for violations.

Section 52-1-55 - Physical examinations; statements regarding dependents; pre-employment physical condition statements.

Section 52-1-56 - Diminution; termination or increase of compensation.

Section 52-1-57 - Repealed.

Section 52-1-58 - Reports to be filed with director.

Section 52-1-59 - Effect of failure to file report.

Section 52-1-60 - Notice to director of date of payment.

Section 52-1-61 - Penalties.

Section 52-1-62 - Director to enforce Workers' Compensation Act.

Section 52-1-63 - Educational institutions exempt.

Section 52-1-64 - Extra-territorial coverage.

Section 52-1-65 - Credit for benefits furnished or paid under laws of other jurisdictions.

Section 52-1-66 - Nonresident employers employing workers in state; requirement for insurance; enforcement.

Section 52-1-67 - Locale of employment; definitions.

Section 52-1-68 - Reciprocal recognition of extra-territorial coverage with other jurisdictions.

Section 52-1-69 - Repealed.

Section 52-1-70 - Offset of unemployment compensation benefits.