Bellows v. Workmen's Compensation Appeal Board

663 A.2d 267, 1995 Pa. Commw. LEXIS 351
CourtCommonwealth Court of Pennsylvania
DecidedJuly 31, 1995
StatusPublished
Cited by8 cases

This text of 663 A.2d 267 (Bellows v. Workmen's Compensation Appeal Board) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bellows v. Workmen's Compensation Appeal Board, 663 A.2d 267, 1995 Pa. Commw. LEXIS 351 (Pa. Ct. App. 1995).

Opinion

KELTON, Senior Judge.

Claimant Donald Bellows petitions for review of the November 14, 1994 order of the Workers’ Compensation Appeal Board (Board) reversing the Workers’ Compensation Judge’s (WCJ) grant of his reinstatement petition. The Board concluded that Claimant’s petition was barred by the period of limitations in the Workers’ Compensation Act.1 We agree and affirm the order of the Board.

Issue

Before us for a review is an issue of apparent first impression. We are presented with the question of when the period of limitations begins to run on a reinstatement petition when there is no documentary evidence of a formal termination or suspension of the claim but Claimant did not receive compensation after he returned to work at no loss of wages. We conclude that Claimant’s benefits were, in fact, suspended as of the date he returned to work at equal or greater pay. Therefore, the period of limitations begins to run on that date and Claimant’s petition for reinstatement is time-barred.

Facts

The WCJ found the following facts to be true. Claimant sustained a work-related accident on or about March 15, 1977 while employed by Employer Joseph ShablosM. Claimant’s lumbar spine and legs were injured when he was crushed between a bulldozer and a bridge. As a result of this accident, Claimant received temporary total disability benefits. Claimant underwent spinal surgery two days after the date of the [268]*268accident and remained off work until April 30, 1979, when he was released by his physician to light-duty work.

Claimant credibly testified that he never signed a final receipt, a supplemental agreement or any other documents when he returned to work. Neither party produced a final receipt, supplemental agreement or referee’s order regarding the closing of this case.

Claimant returned to work for Employer on or about April 30, 1979 and worked for various employers until March 6, 1992, when he suffered weakness and spasms in his legs which precluded his continued employment. The WCJ found that Claimant did not receive indemnity or medical benefits from 1979 forward. (Finding of Fact No. 10.) On February 26, 1991, Claimant filed a petition to set aside final receipt which was ultimately amended to be a petition for reinstatement of benefits. Claimant testified that he never fully recovered from his 1977 work-related injury. (Finding of Fact No. 16.)

Claimant presented the deposition testimony of his treating physician Donald P. Chen, M.D., a board-certified orthopedic surgeon. Dr. Chen clearly opined that Claimant had not fully recovered from his work-related injury when he returned to work in 1979. Dr. Chen opined that Claimant would never fully recover from the effects of his work-related injury, that he has permanent restrictions on his activities and that Claimant could no longer perform construction work. Employer did not offer any rebuttal medical testimony.

Nationwide Insurance Company, Employer’s insurer, claims it has no files regarding Claimant’s 1977 injury. The Workers’ Compensation Bureau has provided no documents regarding Claimant’s 1977 injury.

The WCJ concluded that Claimant was a credible witness and that, although he did not suffer a loss of earnings from 1979 through 1991, Claimant carried his burden of proving that he has suffered a recurrence of his work-related disability. He farther eon-eluded that Employer failed to carry its burden of proof that benefits had previously been ended by a final receipt or order of a referee such that the period of limitations would preclude reinstatement of benefits. The WCJ ordered the reinstatement of temporary total disability benefits effective March 6, 1992.

The Board reversed the WCJ’s decision to reinstate Claimant’s benefits. The Board discussed the various periods of limitations in the Act and concluded that, under any of them, Claimant’s reinstatement petition, filed twelve years following the date of his most recent payment of compensation, would be barred.2

Discussion

Claimant contends that the WCJ properly concluded that it was Employer’s burden to show a change in the status of the claim or else the claim would remain open. Claimant argues that the Board erred in disregarding the WCJ’s Findings of Fact and Conclusions of Law in his favor.

Claimant specifically argues that the Board erred in applying Section 434 of the Act to this claim. Section 434 provides, in pertinent part, as follows:

A final receipt, given by an employee or dependent entitled to compensation under a compensation agreement notice or award, shall be prima facie evidence of the termination of the employer’s liability to pay compensation under such agreement notice or award: Provided, however, That a referee designated by the department may, at any time within three years from the date to which payments have been made, set aside a final receipt, upon petition filed with the department, or on the department’s own motion, if it be shown that all disability due to the injury in fact had not terminated.

77 P.S. § 1001.

Claimant argues that this section is not applicable as there is no evidence of him [269]*269having signed a final receipt. In fact, the WCJ found credible Claimant’s testimony that he did not sign anything. (Finding of Fact No. 11, R.R. at 41a.) We agree that without any evidence that Claimant signed a final receipt, the three year period of limitations found in Section 434 is not applicable to this petition.3

Claimant further contends that the period of limitation found in Section 413 of the Act is not applicable to his petition. Section 413 provides, in pertinent part, as follows:

A referee designated by the department may, at any time, modify, reinstate, suspend, or terminate a notice of compensation payable, an original or supplemental agreement or an award of the department or its referee, upon petition filed by either party with the department, upon proof that the disability of an injured employe has increased, decreased, recurred, or has temporarily or finally ceased, or that the status of any dependent has changed. Such modification, reinstatement, suspension, or termination shall be made as of the date upon which it is shown that the disability of the injured employe has increased, decreased, recurred, or has temporarily or finally ceased, or upon which it is shown that the status of any dependent has changed: Provided, That, except in the case of eye injuries, no notice of compensation payable, agreement or award shall be reviewed, or modified, or reinstated, unless a petition is filed with the department within three years after the date of the most recent payment of compensation made prior to the filing of such petition.... And provided further, That where compensation has been suspended because the employe’s earnings are equal to or in excess of his wages prior to the injury that payments under the agreement or award may be resumed at any time during the period for which compensation for partial disability is payable, unless it be shown that the loss in earnings does not result from the disability due to the injury.

77 P.S. § 772.

Claimant argues that this section is not applicable to his claim because Employer did nothing to start the running of the period of limitations. Employer did not file a petition to modify the agreement.

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Bluebook (online)
663 A.2d 267, 1995 Pa. Commw. LEXIS 351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bellows-v-workmens-compensation-appeal-board-pacommwct-1995.