Mont. Code Ann. § 39-71-407

(2001)

Liability of insurers -- limitations

(1) Each insurer is liable for the payment of compensation, in the manner and to the extent provided in this section, to an employee of an employer that it insures who receives an injury arising out of and in the course of employment or, in the case of death from the injury, to the employee's beneficiaries, if any.

(2) (a) An insurer is liable for an injury, as defined in 39-71-119, if the injury is established by objective medical findings and if the claimant establishes that it is more probable than not that:

(i) a claimed injury has occurred; or

(ii) a claimed injury aggravated a preexisting condition.

(b) Proof that it was medically possible that a claimed injury occurred or that the claimed injury aggravated a preexisting condition is not sufficient to establish liability.

(3) An employee who suffers an injury or dies while traveling is not covered by this chapter unless:

(a) (i) the employer furnishes the transportation or the employee receives reimbursement from the employer for costs of travel, gas, oil, or lodging as a part of the employee's benefits or employment agreement; and

(ii) the travel is necessitated by and on behalf of the employer as an integral part or condition of the employment; or

(b) the travel is required by the employer as part of the employee's job duties.

(4) An employee is not eligible for benefits otherwise payable under this chapter if the employee's use of alcohol or drugs not prescribed by a physician is the major contributing cause of the accident. However, if the employer had knowledge of and failed to attempt to stop the employee's use of alcohol or drugs, this subsection does not apply.

(5) If a claimant who has reached maximum healing suffers a subsequent nonwork-related injury to the same part of the body, the workers' compensation insurer is not liable for any compensation or medical benefits caused by the subsequent nonwork-related injury.

(6) An employee is not eligible for benefits payable under this chapter unless the entitlement to benefits is established by objective medical findings that contain sufficient factual and historical information concerning the relationship of the worker's condition to the original injury.

(7) As used in this section, "major contributing cause" means a cause that is the leading cause contributing to the result when compared to all other contributing causes.

Opinions construing this section

13 opinions
2021 MT 248N Sep 28, 2021 Affirmed
Walund v. State Fund
Majority by James Jeremiah Shea · 5 to 0
ted plan who sustains “an injury arising out of and in the course of employment.” Ford v. Sentry Cas. Co., 2012 MT 156, ¶ 36, 365 Mont. 405, 282 P.3d 687; § 39-71-407(1), MCA (1995-present). The claimant bears the burden of proving by a preponderance of the evidence that he is entitled to the workers’ compensation benefits sought.
2019 MT 275 Nov 19, 2019 Affirmed in part, reversed in part
Neisinger v. New Hampshire
Majority by James Jeremiah Shea · 5 to 0
payment of compensation to the employee of an employer covered under a designated plan who sustains an injury arising out of and in the course of employment. Section 39-71-407(1), MCA. A claimant “bears the burden of proving by a preponderance of the evidence that he is entitled to the workers’ compensation benefits sought.” Ford v. Se
2018 MT 188 Aug 1, 2018 Opinion issued in a DA case, outcome unknown
State Fund v. Liberty Nw
Majority by James Jeremiah Shea · 7 to 0
’s Motion for Summary Judgment. We reverse. ¶2 We restate the issue on appeal as follows: Whether the Workers’ Compensation Court erred when it held that § 39-71-407(14), MCA, did not apply for purposes of determining liability for the exacerbation of Wiard’s occupational disease. FACTUAL AND PROCEDURAL BACKGROUND ¶3 Kim Wiard
2013 MT 210 Jul 30, 2013 Reversed
Dvorak v. State Fund
Dissenting by Jim Rice · 5 to 2
contends that her work did not become the “major contributing cause” of her current condition until October of 2011, citing the definition of that term in § 39-71-407(9), MCA, which determines the work-relatedness of a disease. However, as the WCC correctly analyzed, the problem with Dvorak’s legal position “is that the major co
2012 MT 156 Jul 24, 2012 Affirmed
Ford v. Sentry Casualty Co
Majority by James C. Nelson · 5 to 0 with 2 concurring
f Proof ¶36 An insurer is liable for the payment of compensation to an employee who receives “an injury arising out of and in the course of employment.” Section 39-71-407(1), MCA. The claimant must establish that it is “more probable than not” that (i) a claimed injury has occurred or (ii) a claimed injury aggravated a preexisting c
Official Annotations archive.org, 2001 edition
History:
En. Sec. 16, Ch. 96, L. 1915
Re-en. Sec. 2911, R.C.M. 1921
Re-en. Sec. 2911, R.C.M. 1935
Amd. Sec. 1, Ch. 70, L. 1967
Amd. Sec. 17, Ch. 23, L. 1975
Amd. Sec. 8, Ch. 550, L. 1977
R.C.M. 1947, 92-614(1)
Amd. Sec. 11, Ch. 464, L. 1987
Amd. Sec. 1, Ch. 184, L. 1989
Amd. Sec. 26, Ch. 619, L. 1993
Amd. Sec. 8, Ch. 243, L. 1995