Fahringer, McCarty & Grey, Inc. v. Workmen's Compensation Appeal Board

529 A.2d 56, 107 Pa. Commw. 597, 1987 Pa. Commw. LEXIS 2319
CourtCommonwealth Court of Pennsylvania
DecidedJuly 23, 1987
DocketAppeal 481 C.D. 1985
StatusPublished
Cited by40 cases

This text of 529 A.2d 56 (Fahringer, McCarty & Grey, Inc. v. Workmen's 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
Fahringer, McCarty & Grey, Inc. v. Workmen's Compensation Appeal Board, 529 A.2d 56, 107 Pa. Commw. 597, 1987 Pa. Commw. LEXIS 2319 (Pa. Ct. App. 1987).

Opinion

Opinion by

Judge Doyle,

This is an appeal by Fahringer, McCarty & Grey, Inc., (Employer) and Employers insurer, Ohio Casualty Group, from an order of the Workmens Compensation Appeal Board (Board) which affirmed a referees decision modifying the rate of compensation payable in a supplemental agreement and denying Employers petition to recoup $18,320.07 Employer had erroneously paid to Richard V. Green (Claimant).

The facts are undisputed. In accordance with a notice of compensation payable dated June 17, 1977 Claimant received compensation for total disability benefits at the maximum weekly rate of $199 from May 25, 1977 through September 30, 1981 based upon wages of $300.25 per week. These payments were for a compensable injury sustained on May 25, 1977. In accordance with a supplemental agreement dated January 6, 1982 Claimant was receiving partial disability benefits of $115.66 from October 1, 1981 based upon his earning power of $127.00 per week. At a hearing held on September 27, 1983 the parties stipulated that Claimants average weekly wage was $211.84 (not $300.25) and hence that his correct compensation rate for partial disability was $56.56. The miscalculation of Claimants weekly wage had gone undetected for approximately six years and meant that Employer had overpaid Claimant in the amount of $18,320.07.

The referee modified the existing agreement 1 but denied Employer the right to recoup the $18,320.07, reasoning that it was equitably estopped from entitlement to the credit. Specifically, the referee found

6. Prior to the filing of the instant petition, the parties assumed, although incorrectly, that the *600 average weekly wage and disability-rates shown on the notice and agreement were accurate for nearly six years. It should be noted that, in most instances, employers’ records and computations of the average weekly wage are generally accepted and relied upon. And there is no evidence to show that this was not the case in the instant matter. Certainly the parties relied upon such assumption for that period.
7. It would be inappropriate now to allow the employer the credit it has requested since it would be detrimental to the claimant.

Accordingly, the referee refused to allow a credit. On appeal the Board noted, inter alia, that Claimant’s benefits are the sole source of income for Claimant, his wife and child. The Board also noted that the record was devoid of any indication that Claimant committed any fraud upon Employer or its insurer. The Board, determining that the referee’s findings and conclusions were properly supported, affirmed. Employer appealed to this Court and by order dated November 25, 1986 we directed that the case be argued before us en banc.

On appeal here Employer asserts that it is entitled to a credit for the overpayment of benefits. What is actually being sought is a retroactive modification. In order to determine the propriety of such a modification, we must examine the power of the Board to modify. We must, in addition, determine if the principles of equitable estoppel are applicable here.

We first consider the applicability of the doctrine of equitable estoppel. This doctrine comes into play when one party through its acts negligently misrepresents material facts knowing or having reason to know that the other party will justifiably rely upon the misrepresentation to its detriment and the other party does so rely. Hauptmann v. Department of Transportation, 59 Pa. Commonwealth Ct. 277, 429 A.2d 1207 (1981). The ref *601 eree in his finding of fact 6 stated that an employer’s computation of weekly average wages is generally relied upon and assumed this to be the case in the instant matter. Even assuming such to be true, however, we do not believe that a workmen’s compensation claimant can justifiably rely upon statements of an opposing party as to what his own weekly wages were for computation purposes. We recognize that the Employer and its insurer would probably possess greater expertise in calculating Claimant’s benefits, but nonetheless believe that equitable estoppel is inapplicable where one merely accepts without question what is in effect the opposing party’s assessment of damages. 2

Additionally, there is a competing equitable doctrine at play here. Prior caselaw has recognized the principle of unjust enrichment in workmen’s compensation law. In General v. E. Roseman Co., 21 Pa. Commonwealth Ct. 72, 343 A.2d 683 (1975) the employer ottered its injured worker a lump sum payment of $7,000 representing pre-payments of total disability benefits. The Court did not reach the question of whether the lump-sum payment was illegal, but merely assumed for purposes of argument that it was. Despite this assumption, the employer was allowed a full credit because The Pennsylvania Workmen’s Compensation Act (Act), Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§1-1001, *602 does not authorize a double recovery of benefits. Here, the simple fact is that Claimant received more than $18,000 to which he was not entitled. Certainly, if an employer who entered into what was assumed to be an illegal agreement is entitled to restitution based on principles of unjust enrichment, the instant Employer, who pursues his right to credit with clean hands, must also be entitled to restitution. 3

We do not believe, however, that the Boards power to modify the agreement and thereby award restitution is unlimited. Section 413 of the Act, 77 RS. §771, provides:

A referee of the department may, at any time, review and modify or set aside a notice of compensation payable and an original or supplemen-. tal agreement or upon petition filed by either party with the department, or in the course of the proceedings under any petition pending before such referee, if it be proved that such notice of compensation payable or agreement was in any material respect incorrect.

It is clearly established that where mathematical miscalculation occurs, this Section may be properly invoked to correct the error. Fowler v. Workmen's Compensation Appeal Board, 38 Pa. Commonwealth Ct. 503, 393 A.2d 1300 (1978); Drozd v. Workmens Compensation Appeal Board (The Lion, Inc. and Liberty Mutual Insurance Co.), 86 Pa. Commonwealth Ct. 364, 485 A.2d 96 (1984). It is also established, however, that the referee or Boards authority to modify is limited to correcting errors in existing agreements. DeMontis v. Workmen's Compensation Appeal Board, 34 Pa. Common *603 wealth Ct.

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Bluebook (online)
529 A.2d 56, 107 Pa. Commw. 597, 1987 Pa. Commw. LEXIS 2319, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fahringer-mccarty-grey-inc-v-workmens-compensation-appeal-board-pacommwct-1987.