Edgar v. Workers' Compensation Appeals Board

76 Cal. Rptr. 2d 83, 65 Cal. App. 4th 1, 98 Daily Journal DAR 7119, 63 Cal. Comp. Cases 703, 98 Cal. Daily Op. Serv. 4982, 1998 Cal. App. LEXIS 571
CourtCalifornia Court of Appeal
DecidedJune 24, 1998
DocketD029310
StatusPublished
Cited by18 cases

This text of 76 Cal. Rptr. 2d 83 (Edgar v. Workers' Compensation Appeals Board) 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
Edgar v. Workers' Compensation Appeals Board, 76 Cal. Rptr. 2d 83, 65 Cal. App. 4th 1, 98 Daily Journal DAR 7119, 63 Cal. Comp. Cases 703, 98 Cal. Daily Op. Serv. 4982, 1998 Cal. App. LEXIS 571 (Cal. Ct. App. 1998).

Opinion

Opinion

NARES, J.

J.— Petitioner Douglas Edgar (Edgar) seeks review of a decision of respondent Workers’ Compensation Appeals Board (WCAB). Edgar is an industrially disabled California Highway Patrol (CHP) officer who, after his medical condition became permanent and stationary, participated in vocational rehabilitation for approximately three months while CHP was paying him full leave of absence salary under former section 4800 of the Labor Code. 1

The question presented in this proceeding is whether CHP is permitted to (1) take a credit in the weekly sum of $246 (the maximum weekly vocational rehabilitation maintenance allowance that CHP may be obligated to provide Edgar during vocational rehabilitation under § 139.5, subd. (d)) based on an equivalent portion of the full leave of absence salary benefit CHP paid to Edgar under former section 4800 during his vocational rehabilitation; and (2) apply that credit (without reducing Edgar’s salary under former § 4800) against the $16,000 cap on vocational rehabilitation services (VR cap) mandated by subdivision (c) of section 139.5. Stated more simply, the issue is whether CHP is permitted to apply a $246 per week credit against the $16,000 VR cap when it pays leave of absence salary under former section 4800 to an industrially disabled CHP officer who participates in vocational rehabilitation after his or her medical condition has become permanent and stationary.

WCAB ruled that, for purposes of determining the maximum benefits that CHP is obligated to provide Edgar for vocational rehabilitation services under the VR cap, a portion of the salary it paid to Edgar under former section 4800 during his participation in vocational rehabilitation (specifically, the weekly sum of $246) is deemed the equivalent of vocational rehabilitation maintenance allowance (VRMA) under section 139.5, and is thus included in calculating the vocational rehabilitation services CHP has provided to Edgar under the VR cap.

Edgar seeks review of WCAB’s decision, contending WCAB erred in construing a portion of his leave of absence salary payments under former *6 section 4800 to be VRMA for purposes of determining the vocational rehabilitation services benefits CHP must provide him under the VR cap.

Viewing former section 4800 and other related statutes in light of established rules of statutory construction, we conclude that salary benefits paid by CHP under former section 4800 to an industrially injured CHP officer during the officer’s participation in vocational rehabilitation are in lieu of temporary disability payments, but not in lieu of VRMA. We further conclude the Legislature did not intend that a portion of leave of absence salary paid under former section 4800, in the maximum weekly amount of $246 as provided in subdivision (c) of section 139.5, be included in calculating vocational rehabilitation services benefits CHP must provide to an industrially injured CHP officer under the $16,000 VR cap, and thus CHP is not entitled to apply a $246 per week credit against the VR cap during the period when the disabled officer receives leave of absence salary under former section 4800 while participating in vocational rehabilitation.

Facts and Procedural Background

Petitioner Edgar sustained industrial injuries to his back, left clavicle, heart and lungs as a result of two incidents in February 1994, as well as a cumulative industrial injury sustained during the period of 1978 to February 1994, while employed as a state traffic officer for respondent CHP, which was legally uninsured as to workers’ compensation liability. The State Compensation Insurance Fund (SCIF) is CHP’s claims adjusting agency.

Edgar was placed on leave of absence with one year of full salary under former section 4800, 2 which he received between February 19, 1994, and approximately July 5, 1995. 3

In August 1994, Edgar’s medical condition became permanent and stationary, and he was determined to be eligible for vocational rehabilitation under section 139.5. At his request, Edgar participated in vocational rehabilitation during the three-month period from January 4, 1995, through April 5, 1995, during which time he continued on leave of absence status with full salary under former section 4800.

*7 Procedural Background

A dispute arose when SCIF, acting on behalf of CHP, claimed “credit” for $246 per week as VRMA payments toward the $16,000 VR cap payable under section 139.5. Edgar opposed SCIF’s request for such credit, maintaining that the full-salary payments he was receiving under section 4800 were “in lieu of’ temporary disability indemnity payments. Edgar also maintained that, under the liberal construction rule set forth in section 3202, 4 no portion of his salary payments under former section 4800 should be considered VRMA within the meaning of section 139.5.

In March 1995, Edgar filed a request for dispute resolution. In June 1995, the rehabilitation unit issued its determination. Applying the section 3202 liberal construction rule, and noting that no Labor Code provision or administrative rule expressly allowed SCIF the right to claim a weekly credit toward the $16,000 VR cap from the leave of absence salary payments received by Edgar under former section 4800, the rehabilitation unit found that SCIF was not entitled to such credit. CHP, through SCIF, filed a timely appeal from the determination of the rehabilitation unit.

In December 1996, an appeal hearing was held before the WCAB. In March 1997, the workers’ compensation administrative law judge (WCJ) issued his decision, joint findings and order upholding the determination of the rehabilitation unit. Noting that an employee entitled to receive permanent disability indemnity is also entitled to receive VRMA, the WCJ stated that the Legislature, in enacting former section 4800, intended that members of the CHP “receive the salary continuation benefit without reduction for a full year in lieu of any disability benefits.” The WCJ also stated “[i]t is not conceivable [the Legislature] intended to reduce these benefits in any fashion because the worker was receiving VRMA instead of permanent disability.”

CHP, through SCIF, filed a timely petition for reconsideration on three grounds: (1) the Legislature intentionally made distinctions as to the particular kinds of benefits provided to different public employees who regularly put themselves in harm’s way; (2) the Legislature did not intend that a CHIP member’s salary benefit under former section 4800 be “in lieu” of VRMA; and (3) CHP and SCIF were thus entitled to credit a portion of the former section 4800 benefit against the section 139.5 VR cap, without reducing Edgar’s benefits under former section 4800. The WCJ issued a report *8 recommending that the petition for reconsideration be denied. In June 1997, WCAB rejected this recommendation and granted reconsideration.

In July 1997, WCAB issued its opinion and decision after reconsideration, rescinding the decision of the WCJ.

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76 Cal. Rptr. 2d 83, 65 Cal. App. 4th 1, 98 Daily Journal DAR 7119, 63 Cal. Comp. Cases 703, 98 Cal. Daily Op. Serv. 4982, 1998 Cal. App. LEXIS 571, Counsel Stack Legal Research, https://law.counselstack.com/opinion/edgar-v-workers-compensation-appeals-board-calctapp-1998.