Caldwell v. Workmen's Compensation Appeals Board

268 Cal. App. 2d 912, 74 Cal. Rptr. 517, 34 Cal. Comp. Cases 37, 1969 Cal. App. LEXIS 2457
CourtCalifornia Court of Appeal
DecidedJanuary 21, 1969
DocketCiv. 11936
StatusPublished
Cited by4 cases

This text of 268 Cal. App. 2d 912 (Caldwell v. Workmen's Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Caldwell v. Workmen's Compensation Appeals Board, 268 Cal. App. 2d 912, 74 Cal. Rptr. 517, 34 Cal. Comp. Cases 37, 1969 Cal. App. LEXIS 2457 (Cal. Ct. App. 1969).

Opinion

BRAY, J. *

Petitioner seeks review and annulment of an en banc decision after reconsideration by respondent appeals board, denying him travel costs and temporary disability for one day’s wage loss incurred in securing a doctor’s examination and report. 1

Question Presented.

Are travel expenses and loss of wages incurred by an injured workman in securing his own doctor’s examination and report to prove his claim reimbursable ?

Record.

Petitioner received an industrial injury and applied for compensation. Petitioner lives in Hayfork, California. He went to S. Malvern Dorinson, M.D., in San Francisco, for examination and a report which were requested by petitioner ’s attorney, which report he filed in the proceeding. The referee awarded petitioner reimbursement of his expenses incurred in visiting Dr. Dorinson, namely, a total of $50.64, covering travel of 62 miles each way, Hayfork to Redding and plane fare from Redding to San Francisco and return. Also, the referee awarded him loss of one day’s wages.

Upon reconsideration granted by the appeals board 2 upon petition of the carrier, the award for expenses and wages above mentioned was denied on the ground that they were not provided for in section 4600, Labor Code. 3

*914 Petitioner’s Expenses and Wages.

On March 31, 1967, a three-man panel of the appeals board by a majority vote decided Montoya v. State Comp. Ins. Fund, 32 Cal. Comp. Cases 203, holding that section 4600 did provide in effect for reimbursement of the workman's expenses in obtaining an examination and report by his own doctor to prove his claim. In the instant decision, the board’s majority expressly disapproved this holding.

Section 4600, Labor Code, is the section involved in the instant problem and is substantially the same as amended in 1959. The first paragraph of the section provides the basic medical, hospital and other treatment for compensable injuries. It then reads:

“In accordance with the rules of practice and procedure of the appeals board, the employee, or the dependents of a deceased employee, shall be reimbursed for expenses reasonably, actually, and necessarily incurred for X-rays, laboratory fees, medical reports, and medical testimony to prove a contested claim. The reasonableness of and necessity for incurring such expenses to prove a contested claim shall be determined with respect to the time when such expenses were actually incurred. Expenses of medical testimony shall be presumed reasonable if in conformity with the fee schedule charges provided for impartial medical experts by the administrative director.
“Where at the reguest of the employer, the employer’s insurance carrier, the administrative director, the appeals board or a referee, the employee submits to examination by a physician, he shall be entitled to receive in addition to all other benefits herein provided all reasonable expenses of transportation, meals and lodging incident to reporting for such examination, together with one day of temporary disa.bility indemnity for each day of wages lost in submitting to such an examination.” (Italics added.)

The appeals board’s opinion states that prior to 1959 the section “might have been interpreted to allow reimbursement for travel ' expenses . . . necessarily incurred for . . . medical reports, and medical testimony to prove a contested claim. ’ In other words, the term ' expenses for medical reports and medical testimony’ was perhaps broad enough to embrace travel expenses. ’ ’

The opinion then states that because the third paragraph of the section which was added in 1959 provides expressly that the employee is entitled to expenses of trans *915 portation, etc., when submitting to examination by a physician at the request of the employer, carrier or board, and does not expressly provide for similar expenses when visiting his own physician for an examination so that the latter could make a report, it must be presumed that the Legislature intended that in the latter situation he not be entitled to his expenses.

In Montoya, supra, the appeals board held that the employee’s transportation costs to obtain an examination by his own physician were reimbursable, “Section 4600 being liberally construed in accordance with the proviso of Labor Code Section 3202. ’ ’

Prior to 1959 there was no express provision in section 4600 or its predecessor sections that a workman could obtain travel expenses even when submitting at the employer’s, the carrier’s or the board’s request to examination or treatment by the physician designated by them. Yet in the spirit of section 3202 the commission read into the sections the right of the workman to such expenses. As said in the dissenting opinion herein, “such expenses have been held to be a part of treatment where reasonably necessary, in virtually thousands of eases before the Industrial Accident Commission and Workmen's Compensation Appeals Board, (cf. 2 Hanna: Law of Employee Injuries Sec. 1602(1); McCullough v. I.A.C. 31 C.C.C. 158; Soren v. Assoc. Ind. Co. 16 I.A.C. 15; Bendock v. Globe Indem. Co., 10 I.A.C. 32).” The appeals board seems to concede, as hereinbefore set forth, that likewise the section could have been interpreted to allow the workman travel expenses for visiting his own physician for examination and report purposes. We see no reason why the principle of section 3202 requiring liberal construction of the Workmen’s Compensation Act should not require the continuance of such a construction of 4600 as presently constituted.

The appeals board says, in effect, that a liberal interpretation would have been proper prior to 1959 but a strict interpretation must be made thereafter solely because the Legislature by its amendment of that year placed in the statute the rule which the commission had determined was already inherent in the statute and did not expressly provide for the workman to receive travel expenses necessary for him to obtain a report or testimony of his own physician. To so determine is a violation of the spirit of section 3202, which provides: “The provisions of Division IV [Workmen’s Compensation and Insurance] ... of this code shall be liberally *916 construed by the courts with the purpose of extending their benefits for the protection of persons injured in the course of their employment. ’ ’

The second paragraph of section 4600 provides in part “for expenses reasonably, actually, and necessarily incurred for . . . medical reports, and medical testimony to prove a contested claim” by the employee; as in the first paragraph where treatment is involved, there is no express provision for transportation expenses and yet they are allowed for treatment.

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Cite This Page — Counsel Stack

Bluebook (online)
268 Cal. App. 2d 912, 74 Cal. Rptr. 517, 34 Cal. Comp. Cases 37, 1969 Cal. App. LEXIS 2457, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caldwell-v-workmens-compensation-appeals-board-calctapp-1969.