Consol PA Coal Company/Bailey Mine Extension & East Coast Risk Mgmt., LLC v. WCAB (Johnson)

CourtCommonwealth Court of Pennsylvania
DecidedApril 24, 2020
Docket314 & 370 C.D. 2019
StatusUnpublished

This text of Consol PA Coal Company/Bailey Mine Extension & East Coast Risk Mgmt., LLC v. WCAB (Johnson) (Consol PA Coal Company/Bailey Mine Extension & East Coast Risk Mgmt., LLC v. WCAB (Johnson)) 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
Consol PA Coal Company/Bailey Mine Extension & East Coast Risk Mgmt., LLC v. WCAB (Johnson), (Pa. Ct. App. 2020).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Consol Pennsylvania Coal Company/ : Bailey Mine Extension and East Coast: Risk Management, LLC, : Petitioners : : v. : No. 314 C.D. 2019 : Workers’ Compensation Appeal : Board (Johnson), : Respondent :

Jay W. Johnson, : Petitioner : : v. : No. 370 C.D. 2019 : Workers’ Compensation Appeal : Board (Consol Pennsylvania : Coal Company, LLC), : Respondent : ARGUED: February 11, 2020

BEFORE: HONORABLE ANNE E. COVEY, Judge HONORABLE CHRISTINE FIZZANO CANNON, Judge HONORABLE ELLEN CEISLER, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE CEISLER FILED: April 24, 2020

In these consolidated petitions for review, Consol Pennsylvania Coal Company/Bailey Mine Extension (Consol) and East Coast Risk Management, LLC (Insurer) (collectively, Employer) and Jay W. Johnson (Claimant) appeal from the February 20, 2019 Order of the Workers’ Compensation Appeal Board (Board), affirming the decision of a workers’ compensation judge (WCJ). 1 The WCJ concluded that, in accordance with Section 204(a) of the Workers’ Compensation Act (Act),2 Employer was entitled to a retroactive offset of workers’ compensation wage loss benefits it paid Claimant for the period of January 12, 2017, through May 6, 2017, following Claimant’s receipt of Employer-funded pension benefits. The WCJ also denied Claimant’s penalty petition because Claimant failed to establish that Employer violated any provisions of the Act. The issues before this Court are: (1) whether Employer is entitled to a retroactive offset of wage loss benefits paid prior to January 12, 2017; and (2) whether the WCJ erred in denying Claimant’s penalty petition.

I. Background A. Statutory and Regulatory Framework Section 204(a) of the Act provides, in relevant part, that employer-funded pension benefits shall be credited against any wage loss benefits awarded under the Act.3 Pursuant to the regulations promulgated by the Department of Labor and Industry (Department), a workers’ compensation insurer “shall notify” an employee of his obligation to report the receipt of pension benefits and “shall provide” the employee the forms required to fulfill this obligation. 34 Pa. Code § 123.501(a) (emphasis added). An employee shall document his receipt of pension benefits on a form produced by the Department, LIBC-756 “Employee’s Report of Benefits” (756

1 Claimant and Employer filed separate appeals that were consolidated by Order of this Court dated December 3, 2019.

2 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 71(a).

Section 204(a) of the Act also permits an offset for a claimant’s receipt of unemployment 3

compensation and “old age” social security benefits. 77 P.S. § 71(a).

2 Form), which must be completed and forwarded to the insurer within 30 days of the employee’s receipt of pension benefits, or within 30 days of a change in the receipt of such benefits, “but at least every 6 months.” 34 Pa. Code § 123.3 (emphasis added). An employer must supply an employee with a new 756 Form every six months. Muir v. Workers’ Comp. Appeal Bd. (Visteon Sys. LLC), 5 A.3d 847, 853 (Pa. Cmwlth. 2010). Upon receipt of the 756 Form, an insurer may offset payments for wage loss benefits by the employer-funded portion of an employee’s pension benefits. 34 Pa. Code § 123.4(a). The insurer must notify the employee “[a]t least 20 days prior to taking the offset,” through issuance of another Department form, Form LIBC-761 “Notice of Workers’ Compensation Benefit Offset” (Offset Notice), which indicates the amount and type of the offset, how the offset was calculated, the date upon which the offset will commence, and “[t]he amount of any recoupment, if applicable.” 34 Pa. Code § 123.4(b) (emphasis added). “[Wage loss] benefits otherwise payable shall be offset” by the net amount of an employee’s pension benefits, to the extent those benefits are funded by the employer responsible for paying workers’ compensation. 34 Pa. Code § 123.8(a) (emphasis added). An insurer “may be entitled” to a retroactive offset of wage loss benefits upon receipt of information that an employee has collected employer-funded pension benefits. 34 Pa. Code § 123.5(a) (emphasis added). Neither the Act nor the regulations grant an employer an absolute right to a retroactive offset. Maxim Crane Works v. Workers’ Comp. Appeal Bd. (Solano), 931 A.2d 816, 819 (Pa. Cmwlth. 2007). Section 204(a) serves an important policy objective in reducing the cost of the workers’ compensation system by eliminating double payment for the same loss of wages. City of Pittsburgh v. Workers’ Comp. Appeal Bd. (Wright), 90 A.3d 801, 811 (Pa. Cmwlth. 2014).

3 b. Factual Background On July 16, 2014, Claimant sustained an injury to his left wrist while working as a laborer at Employer’s coal preparation plant. Reproduced Record (R.R.) at 104.4 Employer paid Claimant short-term disability benefits at a rate of $550 per week, commencing July 17, 2014. Id. at 105. In the course of litigating this work injury before a WCJ, Claimant testified in July 2015 that he “start[ed] the paperwork for retirement” and anticipated receiving his pension on September 30, 2015, at the earliest. Id. at 92. On November 5, 2015, a WCJ awarded Claimant workers’ compensation wage loss benefits in the amount of $932 per week, retroactive to July 17, 2014, with Employer receiving credit for its payment of short-term disability benefits. Id. at 112. On September 30, 2015, Claimant retired and began receiving Employer-funded pension benefits. Certified Record (C.R.), Item No. 17. Approximately 14 months later, on January 12, 2017, Employer mailed Claimant a 756 Form. R.R. at 120. Employer advised Claimant that failure to complete the 756 Form could result in suspension of his wage loss benefits. Id. On May 10, 2017, Employer issued an Offset Notice, notifying Claimant that his wage loss benefits would be reduced beginning May 7, 2017, to offset his pension benefits to the extent they were Employer-funded. Id. at 99-100. Additionally, Employer asserted that it overpaid Claimant wage loss benefits for the period of September 30, 2015, the date Claimant retired, through May 6, 2017, the day before Employer’s ongoing offset would take effect. Id. at 101. As a result, Employer would suspend Claimant’s wage loss benefits entirely for a period of 39 weeks to recoup the overpayment. Id.

4 The reproduced record in this matter follows a numbering format of “RR 1, RR 2,” etc., which does not comply with Pennsylvania Rule of Appellate Procedure 2173, Pa.R.A.P. 2173, which directs that the pages of the reproduced record be numbered using Arabic numerals followed by a lower case letter “a”—i.e., “1a, 2a, 3a,” etc.

4 Claimant filed a review petition with the Department, challenging Employer’s offset of his wage loss benefits. R.R. at 1. Claimant argued that Employer was aware in July 2015 that Claimant was applying for pension benefits and the 756 Form, which Employer mailed on January 12, 2017, should have been sent prior to that date. Id. at 71. Claimant asserted Employer was not entitled to an offset of any wage loss benefits paid to Claimant prior to the date Employer mailed the 756 Form. Id. at 70. Claimant further asserted that Employer violated the Act when it suspended payment of his wage loss benefits. Id. at 1. Accordingly, Claimant sought penalties and unreasonable contest fees.5 Id. c. WCJ’s Decision The WCJ issued a decision on February 13, 2018. Id. at 7-11. The WCJ found that Employer was aware in July 2015 that Claimant applied for a pension. Id. at 10.

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Consol PA Coal Company/Bailey Mine Extension & East Coast Risk Mgmt., LLC v. WCAB (Johnson), Counsel Stack Legal Research, https://law.counselstack.com/opinion/consol-pa-coal-companybailey-mine-extension-east-coast-risk-mgmt-llc-pacommwct-2020.