D. Planamento v. WCAB (U.S. Airways) U.S. Airways and AIG v. WCAB (Planamento)

CourtCommonwealth Court of Pennsylvania
DecidedJuly 1, 2016
Docket1507 and 1744 C.D. 2015
StatusUnpublished

This text of D. Planamento v. WCAB (U.S. Airways) U.S. Airways and AIG v. WCAB (Planamento) (D. Planamento v. WCAB (U.S. Airways) U.S. Airways and AIG v. WCAB (Planamento)) 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
D. Planamento v. WCAB (U.S. Airways) U.S. Airways and AIG v. WCAB (Planamento), (Pa. Ct. App. 2016).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

David Planamento, : Petitioner : : v. : : Workers’ Compensation Appeal : Board (U.S. Airways), : No. 1507 C.D. 2015 Respondent :

U.S. Airways and AIG, : Petitioners : : v. : : Workers’ Compensation Appeal : Board (Planamento), : No. 1744 C.D. 2015 Respondent : Submitted: January 15, 2016

BEFORE: HONORABLE RENÉE COHN JUBELIRER, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE JAMES GARDNER COLINS, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE COVEY FILED: July 1, 2016

U.S. Airways (Employer)1 and David Planamento (Claimant) petition this Court for review of the Workers’ Compensation (WC) Appeal Board’s (Board) August 19, 2015 order affirming in part and denying in part the Workers’ Compensation Judge’s (WCJ) decision denying Employer’s Petition to Suspend/Terminate (Petition) Claimant’s WC benefits. There are three issues before this Court: (1) whether the Board erred by upholding the WCJ’s decision denying

1 AIG is Employer’s workers’ compensation insurance carrier third-party administrator. Employer’s Petition to suspend Claimant’s benefits; (2) whether the Board erred by reversing the WCJ’s expansion of Claimant’s work injury to include L3-4 disc herniation and L3-4 facet disease; and, (3) whether the Board erred by upholding the WCJ’s decision denying Employer’s Petition to terminate Claimant’s benefits. After review, we affirm. Claimant suffered a work-related low back strain on May 8, 2011 while moving baggage at the Philadelphia International Airport, which caused him to stop working. Claimant received total disability benefits pursuant to a notice of compensation payable.2 Claimant underwent an independent medical evaluation (IME) conducted by orthopedic surgeon John R. Donahue, M.D. (Dr. Donahue) on December 2, 2011. Claimant returned to work on February 6, 2012, but continued receiving partial WC benefits due to a medical restriction on his ability to work overtime. On February 7, 2012, Employer issued a notice that Claimant’s benefits were suspended effective February 6, 2012. On March 13, 2012, Employer filed the Petition, declaring therein that Claimant had fully recovered as of December 2, 2011 and returned to work at his pre-injury wages. See Reproduced Record (R.R.) at 1a. Claimant timely denied Employer’s allegations and filed an “Employee Challenge” (Challenge Petition). R.R. at 6a. On March 26, 2012, the WCJ granted Claimant’s Challenge Petition and directed Employer to reinstate Claimant’s WC benefits at a partial disability rate. Claimant has received partial disability benefits since that time. WCJ hearings were held on March 14, April 25, October 24, 2012 and January 23, 2013 regarding Employer’s Petition during which Employer offered Dr. Donahue’s June 14, 2012 deposition into evidence. Claimant testified and presented

2 On June 1, 2011, Employer issued a medical-only notice of compensation payable. On June 6, 2011, Employer issued a temporary notice of compensation payable which converted to a notice of compensation payable by operation of law on August 23, 2011. 2 neurosurgeon Perry J. Argires, M.D.’s (Dr. Argires) October 16, 2012 deposition. By April 17, 2013 decision, the WCJ denied Employer’s Petition because Employer failed to prove that Claimant was either fully recovered from his work injury or returned to work without a loss of earnings. The WCJ also appeared to expand Claimant’s injury description to include disc herniation and facet disease. Employer appealed to the Board. On August 19, 2015, the Board upheld the WCJ’s denial of Employer’s Petition, but reversed the WCJ’s decision to the extent the WCJ purported to amend Claimant’s work injury description to include disc herniation and facet disease. On August 21, 2015, Claimant appealed from the portion of the Board’s decision reversing the WCJ’s work injury expansion to this Court (see 1507 C.D. 2015). On September 18, 2015, Employer appealed from the portion of the Board’s decision affirming the WCJ’s Petition denial to this Court (see 1744 C.D. 2015).3 Initially, Section 413(a) of the WC Act (Act)4 states, in pertinent part:

A workers’ compensation judge designated by the [D]epartment [of Labor and Industry (Department)] may, at any time, . . . suspend, or terminate a notice of compensation payable, . . . upon petition filed by either party with the [D]epartment, upon proof that the disability of an injured employe has . . . decreased, . . . or has temporarily or finally ceased . . . . Such . . . suspension, or termination shall be made as of the date upon which it is shown that the disability of the injured employe has . . . decreased, . . . or has temporarily or finally ceased . . . . And provided further, That where compensation has been

3 The appeals were consolidated by October 15, 2015 order. Employer is the designated petitioner. Employer filed a petition for supersedeas, which Claimant opposed. By November 30, 2015 order, this Court denied the petition for supersedeas. “On review[,] this Court must determine whether constitutional rights were violated, errors of law were committed, or necessary findings of fact were supported by substantial competent evidence.” Stepp v. Workers’ Comp. Appeal Bd. (FairPoint Commc’ns, Inc.), 99 A.3d 598, 601 n.6 (Pa. Cmwlth. 2014). 4 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1 - 1041.4, 2501-2708. 3 suspended because the employe’s earnings are equal to or in excess of his wages prior to the injury that payments under the agreement or award may be resumed at any time during the period for which compensation for partial disability is payable, unless it be shown that the loss in earnings does not result from the disability due to the injury.

77 P.S. § 772. “Under [the Act], the term ‘disability’ is synonymous with loss of earning power.” Donahay v. Workers’ Comp. Appeal Bd. (Skills of Cent. Pa. Inc.), 109 A.3d 787, 792 (Pa. Cmwlth. 2015). Employer argues that since Claimant’s receipt of partial disability benefits is premised on Claimant’s ability to work overtime, those benefits should have been suspended due to the Board’s finding that “there was no competent medical evidence presented that [C]laimant was incapable of performing overtime work” and, thus, the Board erred in affirming the WCJ’s decision not to suspend Claimant’s benefits. Board Dec. at 7. We disagree.

A suspension is warranted under the [Act] where a claimant has a residual physical impairment attributable to a work- related injury but is receiving wages equal to or in excess of what the claimant had earned in his pre-injury job. Although the employer remains liable for the [medical] consequences of the work-related injury, there is no longer any ‘disability,’ i.e., loss of earning power, attributable to the work-related injury.

McKay v. Workmen’s Comp. Appeal Bd. (Osmolinski), 688 A.2d 259, 261 (Pa. Cmwlth. 1997) (citation omitted). If a claimant returns to work, but is unable to work the same number of hours due to the residual effects of his work injury, he is entitled to partial disability benefits. See Donahay; see also Trevdan Bldg. Supply v. Workers’ Comp. Appeal Bd. (Pope), 9 A.3d 1221 (Pa. Cmwlth. 2010); Eljer Indus. v. Workers’ Comp. Appeal Bd. (Evans), 707 A.2d 564 (Pa. Cmwlth. 1998). However, “[i]f the reduction in earnings is not . . .

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