Coyne v. Workers' Compensation Appeal Board

942 A.2d 939, 2008 Pa. Commw. LEXIS 86
CourtCommonwealth Court of Pennsylvania
DecidedFebruary 11, 2008
StatusPublished
Cited by67 cases

This text of 942 A.2d 939 (Coyne 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
Coyne v. Workers' Compensation Appeal Board, 942 A.2d 939, 2008 Pa. Commw. LEXIS 86 (Pa. Ct. App. 2008).

Opinion

OPINION BY

Senior Judge FLAHERTY.

Both Margaret Coyne (Claimant) and Villanova University (Employer) petition for review from an Order of the Workers’ Compensation Appeal Board (Board). We affirm in part, vacate in part, and remand for the reasons stated below.

Claimant worked for Employer as a reference librarian. On March 23, 1999, she was attempting to fix a paper jam. She fell off the stool she was standing on and her right foot became entangled in the same. Claimant missed approximately two weeks of work following her injury but returned thereafter at modified duty with no loss of earnings.

At the time of her injury, Claimant was working under a one-year employment contract that ran from June 1, 1998 through May 31, 1999. On May 11, 1999, Claimant was informed that her contract was not going to be renewed. She was asked on that date to take her belongings *943 and to leave the campus. Claimant was paid to the end of her contract and received severance pay, holiday pay, and vacation pay. She applied for unemployment and Employer did not contest her claim.

Claimant subsequently obtained employment at Omnicare from December 13, 1999 through May 28, 2001. Her employment was terminated at that place of business due to economic reasons. Claimant filed a Claim Petition on January 23,2002 seeking workers’ compensation benefits for the injury to her right ankle. In the space indicating what indemnity benefits she was seeking, Claimant indicated “To Be Determined.” Employer filed an Answer specifying, in pertinent part:

9. Admitted that this problem caused claimant to stop working for a day or two, at most. It is denied that this problem resulted in an entitlement to compensable disability within the meaning of the Pennsylvania Workers’ Compensation Act 1 and strict proof of the same is demanded ...
14. Claimant/claimant’s attorney did not state a specific remedy for which either partial disability or total disability benefits can be granted ...
15. Admitted to the extent any medical charges are reasonable, necessary, and causally related to claimant’s March, 1999 work injury ... [ 2 ]

Claimant further filed a Penalty Petition alleging that Employer violated the Act by failing to investigate her injury and by failing to pay her wage loss benefits and medical expenses. She sought fifty percent penalties for these violations.

In February of 2002, Claimant began working at Ridley Township Public Library. She was not hired beyond her six-month probationary period and received a termination letter on July 23, 2002. On April 7, 2003, Claimant filed a Reinstatement Petition alleging that as of May 11, 1999, she experienced a worsening of her condition resulting in decreased earning power.

By a Decision circulated October 21, 2003, the WCJ determined that Claimant sustained a work-related injury to her right ankle on March 23, 1999. 3 She suspended her benefits through May 31, 1999 as Claimant received her full salary through that date. She further found Employer was entitled to a termination of benefits as of August 26, 2002. The WCJ concluded, however, that Claimant was entitled to total disability for any periods she was unemployed between May 31, 1999 and August 26, 2002. She added that Claimant was entitled to partial disability while employed at Omnicare and the Rid-ley Township Library. 4 Consequently, she granted Claimant’s Reinstatement Petition and based Claimant’s benefits on an aver *944 age weekly wage of $768.00. The WCJ instructed that Employer was entitled to a credit for the unemployment compensation and severance benefits received by Claimant. The WCJ denied Claimant’s Penalty Petition. She found Employer presented a reasonable contest. Both parties appealed.

In an Opinion dated April 27, 2005, the Board vacated the WCJ’s Decision to the extent the WCJ denied Claimant’s Penalty Petition in light of the fact that she made no findings on the merits of that Petition. It remanded the matter to the WCJ for further findings of fact and conclusions of law on the same. The Board withheld judgment on Claimant’s argument that the WCJ erred in finding Employer presented a reasonable contest as her determination on that issue may change upon her consideration of the matter on remand. It affirmed the WCJ’s Decision in all other respects. 5

The WCJ issued a new Decision on February 7, 2006, wherein she concluded that Employer violated the Act by failing to issue a document accepting an injury following Claimant’s fall at work. Consequently, she granted Claimant’s January 23, 2002 Penalty Petition and awarded a twenty-five percent penalty. The WCJ further found that Employer “did not really timely admit what was not contested in the Remanded Claim, Penalty, or Reinstatement Petitions.” Therefore, she determined that Employer presented an unreasonable contest and awarded attorney’s fees totaling “twenty percent of all compensation owed under the original decision.” The WCJ also granted Claimant’s July 18, 2004 Penalty Petition and awarded fifty percent penalties. She concluded Employer unreasonably contested this subsequent Petition and awarded $1,400.00 in unreasonable contest attorney’s fees. Both parties appealed.

The Board issued an Opinion on March 14, 2007. It reversed the WCJ’s determination that Employer presented an unreasonable contest to the initial Claim, Reinstatement, and Penalty Petitions. As to the Claim and Reinstatement Petitions, the Board reasoned that Employer presented evidence that, if believed, would defeat Claimant’s claim for disability benefits. As to the Penalty Petition, the Board reasoned that although Employer violated the Act by failing to issue a bureau document accepting or denying liability following receipt of notice of Claimant’s injury, Claimant did not allege this violation in her Petition. Instead, she asserted a general failure to investigate and a failure to pay benefits. Consequently, it concluded that Claimant was not entitled to unreasonable contest attorney’s fees with respect to these Petitions. The Board affirmed the WCJ’s February 7, 2006 Decision in all other respects. This appeal by both parties followed. 6

Claimant argues on appeal that because Employer failed to issue any bureau *945 documents, i.e., a notice of compensation payable (NCP) or a notice of compensation denial (NCD), and because her Claim and Reinstatement Petitions were granted, Employer should have, at minimum, been required to pay indemnity benefits through October 21, 2003, the date of the WCJ’s initial Decision, notwithstanding the fact that her benefits were terminated as of August 26, 2002.

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Bluebook (online)
942 A.2d 939, 2008 Pa. Commw. LEXIS 86, Counsel Stack Legal Research, https://law.counselstack.com/opinion/coyne-v-workers-compensation-appeal-board-pacommwct-2008.