Capasso v. Workers' Compensation Appeal Board

851 A.2d 997, 2004 Pa. Commw. LEXIS 395
CourtCommonwealth Court of Pennsylvania
DecidedMay 17, 2004
StatusPublished
Cited by34 cases

This text of 851 A.2d 997 (Capasso v. Workers' 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
Capasso v. Workers' Compensation Appeal Board, 851 A.2d 997, 2004 Pa. Commw. LEXIS 395 (Pa. Ct. App. 2004).

Opinion

OPINION BY

Judge SIMPSON.

Anthony Capasso (Claimant) appeals from an order denying Claimant’s Petition seeking reinstatement of his suspended benefits under the Workers’ Compensation Act (Act). 1 We agree Claimant is ineligible for benefits under a reinstatement after retirement analysis. Thus, we affirm.

Claimant was employed with RACS Associates, Inc. (Employer) as a working foreman, in which position he was required to perform ninety percent of his work over his head. Workers’ Compensation Judge (WCJ) Finding of Fact (F.F.) No,. 5. Claimant was injured at work in 1991, and a Notice of Compensation Payable described the injury as a cervical strain. F.F. No. 1. Claimant and Employer executed a Supplemental Agreement in 1992, suspending Claimant’s benefits because he returned to work without a loss of wages. F.F. No. 2.

Claimant returned in a light-duty capacity, working as a foreman without performing any overhead work. F.F. No. 5. Claimant organized the job, made sure everything ran smoothly, and took care of paperwork. Id. Claimant continued in that capacity for about two more years, at which time he felt Employer was on the verge of going out of business, so he left to find another job. Id. Claimant worked for another employer in the same type of nonworking foreman position for three or four years before being laid off. Id. Claimant then went to work for another employer in a non-working foreman position for six to eight months before being laid off. Id. Claimant testified the union was slowing down, and there was no way he could return to the work force. Id. He decided to see if he could live on unemployment. Id.

At age 58 Claimant decided to retire because he felt he would not be able to return to the work force. Id. Claimant testified he did not plan to retire early, and he lost benefits by retiring early. Id. Claimant did not look for other work from his union since his retirement. R.R. at 167a.

Claimant testified he did not seek medical treatment for his work injury between 1992 and 2001 because he did not have insurance, although he testified his symptoms never abated since the injury. F.F. No. 5. Claimant testified he never told any subsequent employer he was having pain relating to his work injury. Reproduced Record (R.R.) at 149a.

Claimant operates a small radiator shop out of his home. F.F. No. 5. Claimant testified the shop is a part-time job that does not involve any overhead lifting. Id. Claimant does not advertise the business but gets, customers through word of mouth and business cards. F.F. No. 7. At a hearing before the WCJ, Claimant testified he started the radiator shop in January 2001 and earned $2,000.00 between January and May 2001. F.F. No. 5. However, at his later deposition, Claimant testified he began working in his radiator *1000 shop in 1992, and never made more than $800 per year from the radiator shop. F.F. No. 7; R.R. at 162a-64a. Claimant keeps no records of the business, and never reported his income from the radiator shop to any taxing authority. F.F. No. 7.

Claimant testified he hurt his knee in 2000 while installing a ceiling in his home. F.F. No. 7; R.R. at 182a. Claimant stated the overhead work he did was minimal, and the ceiling panels were very light. Id.; R.R. at 182a-83a.

In 2001, Claimant went to Alexander R. Vaccaro, M.D., a board-certified orthopedic surgeon, because of worsening pain. F.F. Nos. 5, 7. This doctor testified he diagnosed Claimant with cervical myelopathy with radiculopathy caused by his work-related injury. F.F. No. 6. Claimant’s range of motion was depressed, and an MRI showed slightly more exaggeration of disc herniation than evident on a 1999 CAT scan. Id.; R.R. at 45a-46a. Claimant reported worsening pain in the three weeks before the initial visit. F.F. No. 6.

Dr. Vaccaro testified he was unaware of Claimant’s employment history, including Claimant’s position before or after the injury and when Claimant returned to work. Id. The doctor did not recall what Claimant told him about his symptoms between 1992 and 1999. Id. Dr. Vaccaro acknowledged Claimant had pre-existing spondylo-sis (degenerative changes) in his neck pri- or to 1991. Id.; R.R. at 66a.

Dr. Vaccaro opined Claimant could not perform the type of overhead work of his pre-injury job without undue pain and dysfunction. F.F. No. 6. Although Claimant and his doctor discussed surgery as an option, the doctor gave Claimant no treatment. R.R. at 150a-51a.

The WCJ found Claimant’s testimony credible that he intended to retire from the workforce in 1998 based on Claimant’s admission that he did not look for any work since that time. F.F. No. 8. However, the WCJ found the remainder of Claimant’s testimony not credible, based on the inconsistencies and the lack of medical evidence supporting his contention that he retired due to his work injury. Id. The WCJ also found Dr. Vaccaro not competent or credible, because Dr. Vaccaro based his opinions solely on Claimant’s reported history rather than medical evidence. F.F. No.‘9.

Of primary significance here, the WCJ found Claimant voluntarily retired from the work force in 1998, not due to Claimant’s 1992 work-related injury. F.F. No. 10. Accordingly, the WCJ denied Claimant’s Petition. WCJ Conclusion of Law No. 2.

The Workers’ Compensation Appeal Board (Board) affirmed the WCJ’s decision, finding the WCJ did not capriciously disregard Claimant’s evidence and Claimant failed to demonstrate he was forced to retire due to his work injury. This appeal followed. 2

Claimant argues: 1) the WCJ’s rejection of Claimant’s testimony was arbitrary and irrational in violation of Section 422(a) of the Act; and 2) no evidence supports the WCJ’s finding that Claimant voluntarily retired, because Employer failed to rebut *1001 the presumption that Claimant’s loss of earning power was due to his work injury.

Initially, we note Claimant did not raise the issue that the WCJ’s decision was arbitrary and irrational in violation of Section 422(a) of the Act before the Board; accordingly, that issue is waived. Nabisco Brands, Inc. v. Workers’ Comp. Appeal Bd. (Tropello), 763 A.2d 555 (Pa.Cmwlth.2000).

Claimant next argues, because he returned to work with restrictions under a suspension of benefits and was subsequently laid off, he is entitled to a presumption that his disability was causally related to his work injury. Therefore, he argues, since Employer did not present any evidence to rebut that presumption, he is entitled to benefits.

When a claimant seeks to lift a suspension of benefits, he must demonstrate that, while his disability has continued, his loss of earnings has recurred. Pieper v. Ametek-Thermox Instruments Div., 526 Pa.

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Bluebook (online)
851 A.2d 997, 2004 Pa. Commw. LEXIS 395, Counsel Stack Legal Research, https://law.counselstack.com/opinion/capasso-v-workers-compensation-appeal-board-pacommwct-2004.