Gamble v. Workers' Compensation Appeals Board

49 Cal. Rptr. 3d 36, 143 Cal. App. 4th 71
CourtCalifornia Court of Appeal
DecidedSeptember 26, 2006
DocketG034577
StatusPublished
Cited by11 cases

This text of 49 Cal. Rptr. 3d 36 (Gamble 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
Gamble v. Workers' Compensation Appeals Board, 49 Cal. Rptr. 3d 36, 143 Cal. App. 4th 71 (Cal. Ct. App. 2006).

Opinion

*78 Opinion

O’LEARY, J.

The Workers’ Compensation Appeals Board (the Board) ordered employer, United Airlines, 1 to provide vocational rehabilitation maintenance allowance (VRMA) benefits to an injured worker, Clifford Gamble, but allowed United a credit for wages Gamble earned at his concurrent employment at the Los Angeles Unified School District (the School District). Gamble asserts the Board erred in allowing such a credit and argues the credit unfairly penalizes an injured worker who must work two jobs to support himself and his dependents and amounts to a windfall to the employer as a result of the worker’s diligence. United contends Gamble is not entitled to any “wage loss” because VRMA benefits cannot exceed $246 per week and because Gamble’s School District earnings alone exceed this statutory maximum. Gamble does not dispute the statutory maximum, but insists his earnings from his second job are not a proper consideration in calculating United’s liability for VRMA benefits. We agree with Gamble and conclude the Board’s finding is unsupported by the statutory or case law. Accordingly, the decision of the Board is annulled.

I. Background on Workers’ Compensation

Workers’ compensation is not an area of the law that routinely gives rise to California appellate court decisions. For this reason, we begin with a brief synopsis of this state’s workers’ compensation scheme and its development, an overview of the common jargon, and a discussion of the relevant legal provisions.

“More than 90 years ago, our Legislature was directed to ‘create and enforce a liability on the part of all employers to compensate their employees for any injury incurred by the said employees in the course of their employment irrespective of the fault of either party.’ [Citation.] . . . The Legislature complied with this directive by enacting various provisions of the Labor Code.” (Department of Rehabilitation v. Workers’ Comp. Appeals Bd. (2003) 30 Cal.4th 1281, 1288 [135 Cal.Rptr.2d 665, 70 P.3d 1076] (Lauher), fn. omitted.)

“ ‘This system attempts to assure employees of an expeditious remedy both adequate and certain, independent of any fault on the part of employees and employers. At the same time, it provides the employer with a liability which *79 is determinable within defined limits. It represents a philosophy that industry, as a cost of doing business, should provide for the care and rehabilitation of workers disabled by work injuries. In this way, society supports the program as a[n] integral element of commerce and industry, rather than through tax-supported plans.’ [Citation.]” (Lauher, supra, 30 Cal.4th at p. 1289.)

“In creating and maintaining a system of workers’ compensation, the people of this state made an important public policy decision and transformed how we address workplace injuries. It should be remembered, however, that the purpose of an award under the workers’ compensation scheme ‘ “is not to make the employee whole for the loss which he has suffered but to prevent him and his dependents from becoming public charges during the period of his disability. ... In short the award transfers a portion of the loss suffered by the disabled employee from him and his dependents to the consuming public. . . . Complete protection is not afforded the employee from disability because this would constitute an invitation to malinger or to be careless on the job as he would then lose nothing in assuming a disabled status.” ’ [Citation.]” (Lauher, supra, 30 Cal.4th at pp. 1289-1290.)

A. The Basic Components of the Compensation Scheme

The basic compensation scheme has two key components: (1) disability indemnity, and (2) vocational rehabilitation. From these components arise “four distinct classes of benefits: TD [temporary disability]; VRTD [vocational rehabilitation temporary disability]; VRMA [vocational rehabilitation maintenance allowance]; and PD [permanent disability].” (Kopitske v. Workers’ Comp. Appeals Bd. (1999) 74 Cal.App.4th 623, 630 [88 Cal.Rptr.2d 216] (Kopitske).) 2 Before delving into what these various forms of assistance are, and the differences and similarities between and among them, we will briefly discuss, in general terms, the intended purpose behind the compensation scheme’s key components.

B. Disability Indemnity—Temporary Disability and Permanent Disability

The purpose of temporary disability indemnity is to provide interim wage replacement assistance to an injured worker during the period he or she is healing. (Kopitske, supra, 74 Cal.App.4th at p. 630.) Depending on the *80 severity of the injury, workers can be deemed partially or totally temporarily disabled and will receive temporary disability until they recover or become permanently disabled. (Lab. Code, §§ 4650, 4653-4658; Jimenez v. Workers’ Comp. Appeals Bd. (1991) 1 Cal.App.4th 61, 63 [1 Cal.Rptr.2d 660] (Jimenez).) 3

“Once the employee’s condition has become permanent and stationary, he or she is entitled to permanent disability indemnity; these benefits are intended as reimbursement for the employee’s impaired future earning capacity or decreased ability to compete in the open labor market. [Citation.]” (Ritchie v. Workers’ Comp. Appeals Bd. (1994) 24 Cal.App.4th 1174, 1179-1180 [29 Cal.Rptr.2d 722] {Ritchie).) Permanent disability is expressed in percentages, and if a disability is deemed less than 100 percent, it is referred to as a permanent partial disability. (1 Cal. Workers’ Compensation Practice (Cont.Ed.Bar 4th ed. 2005) Permanent Disability, § 5.1, p. 276.) 4 The amount of compensation payable for a given percentage of permanent disability varies according to the date of injury. {Id., § 5.8, at p. 285.)

“The distinction between compensation for wage loss [temporary disability] and permanent impairment is well established. In Nickelsberg v. Workers’ Comp. Appeals Bd. (1991) 54 Cal.3d 288, 294 [285 Cal.Rptr. 86, 814 P.2d 1328], the California Supreme Court reiterated in another context the fundamental distinctions, under the California workers’ compensation system, of benefits compensating for wage loss, providing medical treatment, and compensating for bodily impairment. Permanent disability indemnity is awarded injured workers in California in lieu of tort damages against employers.” (Appleby v. Workers’ Comp. Appeals Bd. (1994) 27 Cal.App.4th 184, 194 [32 Cal.Rptr.2d 375] (Appleby).)

C.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Garcia v. Praxair Inc.
E.D. California, 2021
Hallmark Marketing Corp. v. WCAB and Gannon CA3
California Court of Appeal, 2015
Simpson v. Comm'r
141 T.C. No. 10 (U.S. Tax Court, 2013)
Kathleen S. Simpson & George T. Simpson v. Commissioner
141 T.C. No. 10 (U.S. Tax Court, 2013)
Meeks Building Center v. Workers' Compensation Appeals Board
207 Cal. App. 4th 219 (California Court of Appeal, 2012)
Duncan v. WORKERS'COMPENSATION APPEALS BOARD
179 Cal. App. 4th 1009 (California Court of Appeal, 2009)
Bontempo v. Workers' Compensation Appeals Board
173 Cal. App. 4th 689 (California Court of Appeal, 2009)
Hertz Corp. v. WORKERS'COMP. APPEALS BD.
169 Cal. App. 4th 232 (California Court of Appeal, 2008)
Medrano v. Workers' Compensation Appeals Board
167 Cal. App. 4th 56 (California Court of Appeal, 2008)

Cite This Page — Counsel Stack

Bluebook (online)
49 Cal. Rptr. 3d 36, 143 Cal. App. 4th 71, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gamble-v-workers-compensation-appeals-board-calctapp-2006.