Baksalary v. Smith

579 F. Supp. 218, 1984 U.S. Dist. LEXIS 19892
CourtDistrict Court, E.D. Pennsylvania
DecidedFebruary 1, 1984
DocketCiv. A. 76-429
StatusPublished
Cited by51 cases

This text of 579 F. Supp. 218 (Baksalary v. Smith) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baksalary v. Smith, 579 F. Supp. 218, 1984 U.S. Dist. LEXIS 19892 (E.D. Pa. 1984).

Opinions

OPINION

LOUIS H. POLLAK, District Judge.

I.

Plaintiffs initiated this action in 1976, challenging the constitutionality of certain provisions of the Pennsylvania Workmen’s Compensation Act, Pa.Stat.Ann. tit. 77, §§ 1-1031 (Purdon 1952 and Supp.1982). In particular, plaintiffs allege that the “automatic supersedeas” provision of section 413 of the Act, Pa.Stat.Ann. tit. 77, § 774 (Purdon Supp.1982), permits employers and insurers to terminate worker’s compensation benefits without according due process of law to those whose benefits are terminated, in violation of the Fourteenth Amendment. The automatic supersedeas terminates benefits without notice to the person receiving benefits. It requires only an employer’s or insurer’s petition reciting that the benefit recipient has returned to work at the same or higher pay or a petition accompanied by a physician’s affidavit averring that the recipient has recovered. Plaintiffs make their due process claim in an action under the Civil Rights Act of 1871, 42 U.S.C. § 1983 (Supp. V 1981).

A decade ago a three-judge panel of this court heard a challenge to section 413’s predecessor. In Silas v. Smith, 361 F.Supp. 1187 (E.D.Pa.1973), the court considered the case of an individual whose worker’s compensation benefits were terminated by his employer’s insurer under the automatic supersedeas provision then in effect. The court found no state action in this termination. The court further stated that even had it found state action, it would not have found a violation of the due process clause. The Silas court, however, faced these questions at a time when employers and employees could opt out of the Pennsylvania Workmen’s Compensation Act. Further, the Silas court was not [220]*220called on to consider the problem of the automatic supersedeas’ application to public employees or to employees of employers insured by the State Workmen’s Insurance Fund, an insurer administered by state officials. Therefore, as we explain more fully below, the ruling in Silas is not controlling with respect to the claims advanced in the lawsuit now before the court. Because the prior decision in Silas is not controlling here, it was proper that, after this action was commenced, Judge Fogel ordered that “a three-judge court be convened ... in that, pursuant to 28 U.S.C. §§ 2281 and 2284, the complaint raises substantial constitutional issues and requests as relief the enjoining of the enforcement, operation and execution of a state statute.” 1

On March 27, 1978, an order was entered permitting this case to proceed as a plaintiffs’ and defendants’ class action under Fed.R.Civ.P. 23(b)(2). The plaintiff class includes “all persons who have been or will be receiving benefits pursuant to the Pennsylvania Workmen’s Compensation Act and who have had or will have such benefits terminated, suspended, reduced or otherwise deprived without advance notice and opportunity for a prior evidentiary hearing.” The defendant class includes “all insurance companies, mutual associations and employment establishments authorized to insure the payment of Pennsylvania Workmen’s Compensation benefits who have acted, or will act, to terminate, suspend, reduce, or otherwise deprive benefits to previously eligible claimants without advance notice and opportunity for a prior evidentiary hearing____”

Discovery proceeded for five years. Then, after a series of conferences, the court ordered the parties to submit a set of stipulations during the summer of 1982. Plaintiffs presented their evidence by way of stipulations and affidavits in November. Defendants then moved for involuntary dismissal pursuant to Fed.R.Civ.P. 41(b). This court heard oral argument on April 7, 1983. At that time, we deferred decision on the 41(b) motion until defendants’ evidence had been submitted. Defendants then put in their evidence by stipulations and affidavits. Because plaintiffs offered no rebuttal evidence, the entire case was before us for decision on the merits. This opinion constitutes our findings of fact and conclusions of law.

II.

This case involves a challenge to one of the methods by which an employer or insurer obligated to pay benefits under the Pennsylvania Workmen’s Compensation Act can cease paying those benefits. Through a set of procedures not pertinent to this action, an individual covered by the Act and injured in the course of his employment can obtain the right to receive weekly benefits payments from his employer. The employer must insure against this obligation. Pa.Stat.Ann. tit. 77, § 501 (Purdon Supp.1982); Stipulations of Fact H 16. This requirement may be satisfied in one of three ways: (1) the employer may retain a private insurance carrier licensed to provide worker’s compensation insurance; (2) the employer may insure through the State Workmen’s Insurance Fund, an insurance fund administered by the state; (3) the employer may self-insure. Id. When an employer purchases insurance, the insurer assumes all of the employer’s liabilities under the Act and, in effect, stands in the employer’s shoes with respect to the employees receiving worker’s compensation. See Pa.Stat.Ann. tit. 77, §§ 501, 701 (Purdon Supp.1982); Cease v. Thomas, 155 Pa. Super. 215, 38 A.2d 547 (1944). Thus, in the ordinary case of an insured employer, the employer has little to do with a compensation matter once the insurer has begun to pay compensation benefits.

When a self-insured employer or an insurer believes that an injured employee who receives compensation benefits has resumed work or recovered his or her health, the employer or insurer will typically seek to terminate the employee’s worker’s com[221]*221pensation benefits. If the employee does not agree to a termination of his benefits, the employer or insurer files a petition to terminate or modify the compensation with the agency which administers the worker’s compensation program, the Bureau of Worker’s Compensation. Pa.Stat.Ann. tit. 77, § 772 (Purdon Supp.1982). A referee from the Bureau then holds hearings to determine whether grounds for termination or modification exist.

Section 413 of the Act, the subject of this lawsuit, deals with the right to compensation between the time an employer or insurer petitions for termination or modification and the time the referee makes a final determination. Section 413, in pertinent part, provides:

Free access — add to your briefcase to read the full text and ask questions with AI

Related

S. Schmied v. City of Philadelphia (WCAB)
Commonwealth Court of Pennsylvania, 2025
Georgia State Conference of the NAACP v. Georgia
269 F. Supp. 3d 1266 (N.D. Georgia, 2017)
Aldridge v. Workers' Compensation Appeal Board
113 A.3d 861 (Commonwealth Court of Pennsylvania, 2015)
Caucus v. Alabama
988 F. Supp. 2d 1285 (M.D. Alabama, 2013)
Carlson v. Roetzel & Andress
552 F.3d 648 (Eighth Circuit, 2008)
Snizaski v. Workers' Compensation Appeal Board
891 A.2d 1267 (Supreme Court of Pennsylvania, 2006)
Parker v. Ohio
263 F. Supp. 2d 1100 (S.D. Ohio, 2003)
Clark v. McDonald's Corp.
213 F.R.D. 198 (D. New Jersey, 2003)
Powell v. Workers' Compensation Appeal Board (Community Dialysis Center)
789 A.2d 866 (Commonwealth Court of Pennsylvania, 2002)
Farance v. Workers' Compensation Appeal Board
774 A.2d 785 (Commonwealth Court of Pennsylvania, 2001)
Kreschollek v. Southern Stevedoring Co.
223 F.3d 202 (Third Circuit, 2000)
Sullivan v. Barnett
139 F.3d 158 (Third Circuit, 1998)
Warminster Fiberglass v. Workers' Compensation Appeal Board (Jorge)
708 A.2d 517 (Commonwealth Court of Pennsylvania, 1998)
Rumph v. State Workmen's Insurance Fund
964 F. Supp. 180 (E.D. Pennsylvania, 1997)
Moore v. Workmen's Compensation Appeal Board
676 A.2d 690 (Commonwealth Court of Pennsylvania, 1996)
Key v. Workmen's Compensation Appeal Board
673 A.2d 39 (Commonwealth Court of Pennsylvania, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
579 F. Supp. 218, 1984 U.S. Dist. LEXIS 19892, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baksalary-v-smith-paed-1984.