Department of Employment v. Industrial Accident Commission

227 Cal. App. 2d 532, 38 Cal. Rptr. 739, 1964 Cal. App. LEXIS 1208
CourtCalifornia Court of Appeal
DecidedMay 28, 1964
DocketCiv. 21540
StatusPublished
Cited by5 cases

This text of 227 Cal. App. 2d 532 (Department of Employment v. Industrial Accident Commission) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Department of Employment v. Industrial Accident Commission, 227 Cal. App. 2d 532, 38 Cal. Rptr. 739, 1964 Cal. App. LEXIS 1208 (Cal. Ct. App. 1964).

Opinion

MOLINARI, J.

Petitioner, the Department of Employment of the State of California, seeks an annulment of that portion of the award of respondent Industrial Accident Commission (hereinafter sometimes referred to as respondent) disallowing a claim of lien for certain hospital expenses.

Question Presented

Are the hospital benefits provided by Unemployment Insurance Code section 2801 allowable as a lien against workmen’s compensation awards under Labor Code section 4903?

The Record

Joseph Eberle suffered an injury in November 1962 for which he was hospitalized on December 1, 1962. Disability *535 benefits were paid to him by petitioner pursuant to the Unemployment Insurance Code at the rate of $63 per week for the period from December 1, 1962, to April 25, 1963. On January 21, 1963, petitioner paid to St. Mary’s Hospital the sum of $240 for hospital confinement at the rate of $12 per day for the period from December 15, 1962, to January 3, 1963, inclusive. These payments were made pursuant to the provisions of Unemployment Insurance Code section 2801, 1 and were paid directly to the hospital pursuant to Unemployment Insurance Code section 2711. 2 On February 13, 1963, Eberle filed an application with respondent Industrial Accident Commission claiming that his injury arose out of and in the course of his employment. Following Eberle’s application for workmen’s compensation benefits, petitioner filed its notice and request for allowance of lien with respondent commission requesting allowance for ordinary disability payments in the sum of $1,314 under Labor Code section 4903, subdivision (f), and for the additional benefits for hospital confinement in the sum of $240 under Labor Code section 4903, subdivision (b). 3 Respondent thereafter made its findings and award wherein it found that petitioner *536 was entitled to a lien against unpaid compensation for unemployment compensation disability benefits paid to Eberle in said total sum of $1,314, but made no findings with respect to the request for a lien for the hospital benefits. Petitioner thereupon filed its petition for reconsideration objecting to the failure of respondent to order the payment of a lien award for said hospital benefits. Said petition was denied by respondent and thereupon the instant proceedings ensued. 4

Contentions

Petitioner contends that hospital benefits provided for by section 2801 of the Unemployment Insurance Code are allowable lien claims under Labor Code section 4903 when paid to a hospital by way of assignment pursuant to Unemployment Insurance Code section 2711. It claims the benefits paid constitute hospital expenses incurred by it on behalf of an injured employee within the meaning of Labor Code section 4903, subdivision (b). Respondent, in turn, claims that pursuant to Labor Code section 4903, subdivision (f), the only payments made under the Unemployment Insurance Code for which a lien may be allowed are payments of disability benefits and that the lien allowed may only attach to an award, made to the claimant, of compensation for temporary disability indemnity. Respondent asserts that its contention is consonant with the holding and reasoning of Fireman’s Fund Indem. Co. v. Industrial Acc. Com., 170 Cal.App.2d 412 [339 P.2d 225], To this last assertion petitioner responds that the issue is governed by the later case of Gerson v. *537 Industrial Acc. Com., 188 Cal.App.2d 735 [11 Cal.Rptr. 1], In the face of these contentions we now turn to an analysis of these two cases.

The Fireman’s Fund Case

Fireman’s, an unemployment insurance carrier, had issued a policy of insurance under a voluntary plan adopted by an employer and its employees pursuant to the provisions of the Unemployment Insurance Code. Ries, one of such employees, asserted a claim against his employer alleging that he had sustained a disabling injury in the course and scope of his employment. The employer’s workman’s compensation carrier denied the claim, whereupon Ries applied and received from Fireman’s disability benefits and an additional sum for hospital benefits pursuant to the terms of the insurance policy and section 2801 of the Unemployment Insurance Code. Ries had in the interim filed an application for a hearing upon his claim for compensation. Fireman’s gave notice of claim of lien upon any award of compensation made to Ries. Hearings were had upon Ries’ 'application. The Industrial Accident Commission found that Ries sustained an injury arising out of and in the course of his employment and made an award of compensation. The award denied Fireman’s a lien for the hospital benefits paid by it. Upon proceedings to review the orders of the commission the reviewing court held that an employee is not entitled to receive both workmen’s compensation benefits and unemployment disability benefits. The appellate court held, however, that under sections 4903, subdivision (f), and 4904 of the Labor Code the commission may only allow a lien for unemployment compensation disability benefits and that the hospital benefits provided for by section 2801 of the Unemployment Insurance Code or by any voluntary plan are not disability benefits within the meaning of either the Labor Code or the Unemployment Insurance Code. The court went on to say, moreover, that Ries was entitled to the hospitalization under the workmen’s compensation provision of the Labor Code and that he was not, under section 2804 of the Unemployment Insurance Code, 5 *538 entitled to the benefits payable under section 2801 of that code. As to the nature of the hospital benefits paid by Fireman’s in the case before it the reviewing court stated: “If the payments made to Hies were made pursuant to an obligation of the voluntary plan, they constituted payments of indemnity of the same nature as payments under a policy of disability insurance as such policies are defined by section 106 of the Insurance Code, and as such were the proceeds of an investment made by him. [Citations.] If they were not made under an obligation so to do they constituted either a voluntary gift to Bies or a loan to him but in neither case did they constitute reasonable expenses incurred by Fireman’s on behalf of Bies within the meaning of paragraph (b) of section 4903 of the Labor Code. The liability for hospital care was incurred by the claimant and he satisfied that liability out of his own funds and it is immaterial whether the source of those funds was his savings, indemnity paid to him by some disability insurance carrier or by Fireman’s either under its policy or as a gift or loan. Inasmuch as the statute does not authorize the commission to grant a lien to a person making such payments or advances the commission was without power to award a lien to Fireman’s on account of such payments.” (P. 422.)

The Gerson Case

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Related

Coltherd v. Workers' Compensation Appeals Board
225 Cal. App. 3d 455 (California Court of Appeal, 1990)
Department of Employment Development v. Workers' Compensation Appeals Board
61 Cal. App. 3d 470 (California Court of Appeal, 1976)
Kaiser Foundation Hospitals v. Workmen's Compensation Appeals Board
528 P.2d 766 (California Supreme Court, 1974)
Martin v. California Department of Employment
28 Cal. App. 3d 804 (California Court of Appeal, 1972)
Foremost Dairies, Inc. v. Industrial Accident Commission
237 Cal. App. 2d 560 (California Court of Appeal, 1965)

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Bluebook (online)
227 Cal. App. 2d 532, 38 Cal. Rptr. 739, 1964 Cal. App. LEXIS 1208, Counsel Stack Legal Research, https://law.counselstack.com/opinion/department-of-employment-v-industrial-accident-commission-calctapp-1964.