Com. of PA, L&I v. K. Simpson

Procedural entryThis page is a short order in Com. of PA, L&I v. K. Simpson. Read the opinion of the Court — 2016 Pa. Commw. LEXIS 480
Commonwealth Court of Pennsylvania·Decided November 15, 2016·No. 980 C.D. 2015·Published

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Commonwealth of Pennsylvania, : Department of Labor and Industry, : No. 980 C.D. 2015 : Argued: March 9, 2016

Petitioner :

:

v. :

:

Kathryn Simpson, :

:

Respondent :

BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge HONORABLE RENÉE COHN JUBELIRER, Judge HONORABLE ROBERT SIMPSON, Judge HONORABLE P. KEVIN BROBSON, Judge HONORABLE PATRICIA A. McCULLOUGH, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE MICHAEL H. WOJCIK, Judge

OPINION BY JUDGE WOJCIK FILED: August 30, 2016

The Department of Labor and Industry (Department) petitions for review of the May 15, 2015 Final Determination of the Office of Open Records (OOR) granting in part and denying in part the request filed by Kathryn Simpson, Esq., (Requester) under the Right-to-Know Law (RTKL),1 for information related to workers’ compensation claims filed on or after January 1, 2014. For the reasons that follow, we reverse.

1 Act of February 14, 2008, P.L. 6, 65 P.S. §§67.101-67.3104.

On February 24, 2015, Requester submitted a RTKL request to the Department’s open-records officer, asking for the following information:

1. Names and addresses of all workers’ compensation claimants who have filed claims on or after January 1, 2014;

2. Date of injury;
3. Claim number assigned; and
4. Name and address of workers’ compensation carrier.

Reproduced Record (R.R.) at 1a-2a. In the request form, Requester stated that the purpose of the request was not to obtain medical records but “only information sufficient for the employer or insurance company who made payments to or on behalf of these claimants to seek subrogation from the appropriate party before the workers’ compensation judge or board.”2 R.R. at 2a.

2 In relevant part, Section 319 of the Workers’ Compensation Act, Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §671, states:

Where the compensable injury is caused in whole or in part by the act or omission of a third party, the employer shall be subrogated to the right of the employe, his personal representative, his estate or his dependents, against such third party to the extent of the compensation payable under this article by the employer . . . .

Where an employe has received payments for the disability or medical expense resulting from an injury in the course of his employment paid by the employer or an insurance company on the basis that the injury and disability were not compensable under this act in the event of an agreement or award for that injury the employer or insurance company who made the payments shall be subrogated out of the agreement or award to the amount so paid, if the right to subrogation is agreed to by the parties or is established at the time of hearing before the referee or the board.

On March 3, 2015, the Department denied the request, citing Sections 708(b)(5)3 and 708(b)(28)4 of the RTKL, and asserting that the records requested relate to the disability status of individuals and would identify individuals who have applied for workers’ compensation benefits. R.R. at 3a-4a.

3 Section 708(b)(5) states that the following records are exempt from access:

A record of an individual's medical, psychiatric or psychological history or disability status, including an evaluation, consultation, prescription, diagnosis or treatment; results of tests, including drug tests; enrollment in a health care program or program designed for participation by persons with disabilities, including vocation rehabilitation, workers' compensation and unemployment compensation; or related information that would disclose individually identifiable health information.

65 P.S. §67.708(b)(5).

4 Section 708(b)(28) exempts from disclosure:

A record or information:

(i) identifying an individual who applies for or receives social services; or

(ii) relating to the following:

(A) the type of social services received by an individual; (B) an individual’s application to receive social services, including a record or information related to an agency decision to grant, deny, reduce or restrict benefits, including a quasi-judicial decision of the agency and the identity of a caregiver or others who provide services to the individual; or (C) eligibility to receive social services, including the individual’s income, assets, physical or mental health, age, disability, family circumstances or record of abuse.

65 P.S. §67.708(b)(28) (emphasis added).

Requester appealed to the OOR, arguing that the requested records are not exempt under Section 708 of the RTKL, protected by any privilege, or protected by any other federal or state law. More specifically, Requester asserted that Section 708(b)(5) of the RTKL does not provide a blanket exception for all workers’ compensation records, but rather, is applicable only to medical or disability status information. Additionally, although Requester acknowledged that Section 708(b)(28) of the RTKL exempts from disclosure records relating to an individual’s receipt of social services, including workers’ compensation benefits,5 she nevertheless argued that application of that exception precludes employers and insurers from obtaining information necessary to assert their rights under workers’ compensation law. R.R. at 5a-7a.

The Department filed a response to Requester’s appeal, asserting that the plain language of Section 708(b)(5) restricts access to any records reflecting an individual’s enrollment in a workers’ compensation program and that Section 708(b)(28) precludes access to records that relate to an individual’s application for workers’ compensation benefits. The Department also noted that whether the requested information would be useful in workers’ compensation cases is irrelevant.6

5 Section 102 of the RTKL, defines the term ‘social services’ as including workers’

compensation benefits. 65 P.S. §67.102.

6 In Hunsicker v. Pennsylvania State Police, 93 A.3d 911, 913 (Pa. Cmwlth. 2014), we explained:

Under the RTKL, whether the document is accessible is based only on whether a document is a public record, and, if so, whether it falls within an exemption that allows that it not be disclosed. The status of the individual requesting the record and the reason for the request, good or bad, are irrelevant as to whether a document must (Footnote continued on next page…)

The OOR issued a Final Determination on May 15, 2015, granting the appeal in part and denying it in part. The OOR first concluded that the records are not exempt under Section 708(b)(5), observing that the Department presented no evidence to demonstrate that any of the items requested would reveal the type or nature of an individual’s injury or any individually identifiable health information. The OOR also stated that while items 1 and 2 of the request (a claimant’s name and address and date of injury) may generally reveal the fact that an individual was injured, such records do not reveal the type or nature of the individual’s injury. Finally, the OOR concluded that there is “no plausible basis” to find that the records responsive to items 3 and 4 (claim numbers and names and addresses of workers’ compensation carriers) reveal individually identifiable health information. Therefore, the OOR concluded that none of the requested information falls within the exception to disclosure in Section 708(b)(5). R.R. at 14a-15a.

The OOR next determined that a claimant’s name is exempt under Section 708(b)(28) because revealing a claimant’s name would identify a recipient of social services. However, the OOR further concluded that the exemption did not apply to the records requested in their entirety. Relying on Housing Authority of the City of Pittsburgh v. Van Osdol, 40 A.3d 209 (Pa. Cmwlth. 2012), the OOR reasoned that records responsive to the remainder of the request, the claimants’ addresses, dates of injury, claim numbers, and the names and addresses of workers’ compensation insurance carriers, would not identify an individual who applies for

(continued…)

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