Christian v. Workers' Compensation Appeals Board

936 P.2d 115, 97 Cal. Daily Op. Serv. 3538, 15 Cal. 4th 505, 62 Cal. Comp. Cases 576, 63 Cal. Rptr. 2d 336, 1997 Cal. LEXIS 2307, 97 Daily Journal DAR 6026
CourtCalifornia Supreme Court
DecidedMay 12, 1997
DocketS055638
StatusPublished
Cited by13 cases

This text of 936 P.2d 115 (Christian v. Workers' Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christian v. Workers' Compensation Appeals Board, 936 P.2d 115, 97 Cal. Daily Op. Serv. 3538, 15 Cal. 4th 505, 62 Cal. Comp. Cases 576, 63 Cal. Rptr. 2d 336, 1997 Cal. LEXIS 2307, 97 Daily Journal DAR 6026 (Cal. 1997).

Opinions

[507]*507Opinion

BAXTER, J.

When a workers’ compensation insurer erroneously and unreasonably concludes that an injured worker is no longer entitled to payment of indemnity for temporary total disability (TTD) and discontinues those payments, does Labor Code section 58141 permit the Workers’ Compensation Appeals Board (the Board) to impose a separate penalty of 10 percent of the total award for each pre-award payment that should have been paid? In this case the Board determined that a single penalty was authorized. The Court of Appeal disagreed, and ordered the Board to reinstate an award by a workers’ compensation judge (WCJ) which included penalties for each payment that was not made.

We conclude, consistent with Gallamore v. Workers’ Comp. Appeals Bd. (1979) 23 Cal.3d 815 [153 Cal.Rptr. 590, 591 P.2d 1242] (Gallamore), that section 5814 permits multiple penalties for delay or nonpayment of preaward TTD benefits only when the unreasonable delay or refusal of those benefits is attributable to separate and distinct acts by an employer or insurance carrier. TTD benefits were terminated by a single act of the insurance carrier in this case. The insurance carrier’s conclusion that plaintiff Kay Christian was no longer entitled to TTD benefits and termination of those benefits does not become a separate and distinct act supporting an additional penalty each time a benefit check should have been paid thereafter. That Christian may have given the insurance carrier more than one notice that penalties would be sought for each biweekly payment is irrelevant. The unreasonable act, terminating benefit payments, had already occurred.

For that reason we shall reverse the judgment of the Court of Appeal.

I

Background

Kay Christian, a law firm employee, sustained injury to her psyche and internal system arising out of and in the course of her employment and was temporarily totally disabled from February 3, 1993, the date of the injury, [508]*508through the date on which a WCJ awarded the penalties that are the subject of this dispute. State Compensation Insurance Fund (SCIF) was her employer’s workers’ compensation insurance carrier on the date of the injury.

SCIF paid TTD benefits to Christian until May 23, 1994, at which time, based on reports from doctors other than petitioner’s treating physician, it discontinued TTD indemnity payments and began making permanent disability advances.2 The WCJ ruled that the medical legal reports on which SCIF relied for its assertion that TTD payments were no longer required were inadmissible, leaving no evidentiary basis for SCIF’s action, and concluded, based on the reports of Christian’s treating physicians, that her condition was not permanent and stationary.

On that basis the WCJ concluded that termination of TTD benefits by SCIF was unreasonable, Christian was entitled to those benefits at a rate of $336 per week and was also entitled to a penalty of 10 percent, “cumulative,” for each TTD payment due after June 16, 1994. The WCJ directed that each of the penalties be applied to the full amount of the award for the class of compensation, temporary disability, without deduction of pre-award payments.

SCIF sought reconsideration by the Board on the grounds that the award was in excess of the power of the Board, the evidence did not justify the findings of fact, and the findings of fact did not support the award. It argued that the award was an abuse and misuse of the penalty provisions of section 5814. As of the date of the petition for reconsideration, 11 penalties were due under the award. SCIF took the position that only one penalty was permissible because there had been only one stoppage of TTD payments, that which occurred on May 24, 1994.3

The Board granted reconsideration and amended the decision of the WCJ to impose a single section 5814 penalty against all TTD indemnity benefits payable by SCIF. The Board found no error in the determination that SCIF did not have a reasonable basis for terminating TTD payments. Therefore, the imposition of a penalty was warranted. However, the Board found no justification for the assessment of multiple penalties for “that single act of [509]*509misconduct.”4 In so doing the Board relied primarily on Gallamore and Jardine v. Workers’ Comp. Appeals Bd. (1984) 163 Cal.App.3d 1 [209 Cal.Rptr. 139] (Jardine). It distinguished cases in which separate and distinct acts of misconduct by a carrier justified multiple penalties.5

Christian’s petition seeking review of the Board’s decision was granted by the Court of Appeal, which disagreed with the Board’s conclusion that multiple penalties were not authorized by section 5814, annulled the Board’s decision, and directed reinstatement of the findings and award of the WCJ.

Recognizing that the workers’ compensation laws (§ 3200 et seq.) are to be liberally construed to protect injured workers (§ 3202), the Court of Appeal followed Davison v. Industrial Acc. Com. (1966) 241 Cal.App.2d 15 [50 Cal.Rptr. 76] (Davison), a delayed payment case, which it read as permitting a penalty for each delayed TTD payment, even though the second delay in Davison was a delay in furnishing medical treatment which occurred after an initial penalty had been assessed for a prior delay in furnishing medical treatment. Improper termination of TTD benefits was not in issue in Davison. The Court of Appeal noted that this court had cited Davison with approval in Kerley v. Workmen’s Comp. App. Bd. (1971) 4 Cal.3d 223, 227 [93 Cal.Rptr. 192, 481 P.2d 200], and, in Gallamore, supra, 23 Cal.3d at pages 827 and 824, had stated that “multiple penalties must be assessed for successive delays so long as separate and distinct acts of misconduct are involved” and that if “the circumstances disclose separate and distinct acts of delay or nonpayment, and prior notice was given of the applicant’s intent to seek separate or additional penalties for such acts, then multiple penalties are appropriate in a single penalty proceeding.” The Court of Appeal also relied on language in Rhiner v. Workers’ Comp. Appeals Bd. (1993) 4 Cal.4th 1213, 1226, footnote 7 [18 Cal.Rptr.2d 129, 848 P.2d 244] (Rhiner), to the effect that “successive delinquencies require the imposition of multiple penalties.”

The court rejected the reasoning of Jardine, supra, 163 Cal.App.3d 1, which held that an insurer’s unreasonable termination of payment for permanent total disability, and payment of indemnity for only partial disability, justified only a single penalty for the several lower payments made prior to [510]*510the date a hearing was set. It concluded instead that both the statute and case law made it clear that the Board is required to impose a separate penalty for each refused or delayed payment.

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Christian v. Workers' Compensation Appeals Board
936 P.2d 115 (California Supreme Court, 1997)

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936 P.2d 115, 97 Cal. Daily Op. Serv. 3538, 15 Cal. 4th 505, 62 Cal. Comp. Cases 576, 63 Cal. Rptr. 2d 336, 1997 Cal. LEXIS 2307, 97 Daily Journal DAR 6026, Counsel Stack Legal Research, https://law.counselstack.com/opinion/christian-v-workers-compensation-appeals-board-cal-1997.