Gillis v. Workers' Compensation Appeal Board

725 A.2d 257, 1999 Pa. Commw. LEXIS 151
CourtCommonwealth Court of Pennsylvania
DecidedMarch 4, 1999
StatusPublished
Cited by12 cases

This text of 725 A.2d 257 (Gillis v. Workers' 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
Gillis v. Workers' Compensation Appeal Board, 725 A.2d 257, 1999 Pa. Commw. LEXIS 151 (Pa. Ct. App. 1999).

Opinion

DOYLE, Judge.

Steve Gillis (Claimant) appeals from an order of the Workers’ Compensation Appeal Board (Board) which reversed in part and affirmed in part a decision of a Workers’ Compensation Judge (WCJ) and granted Willits Roofing Company (Employer) an offsetting credit of $14,000 against an underpayment of benefits which it owed Claimant as the result of Employer’s miscalculation of Claimant’s average weekly wage. The sole remaining issue on appeal is whether Employer must pay Claimant the amount of the underpaid benefits from the date that Employer’s doctor found that Claimant was no longer disabled until the date that the WCJ made that finding of fact in his opinion and order almost three years later.

Claimant sustained a work-related injury on November 12, 1990, when he fell off of a roof. Pursuant to the notice of compensation payable filed by Employer, Claimant began receiving weekly total disability benefits in the amount of $141.65, based upon an average weekly wage of IlfiY.SS. 1

On August 10, 1992, Employer filed a petition to review medical treatment, as well as a petition to terminate benefits, averring that, as of June 11,1992, Claimant had fully recovered from his work-related injury. Employer also requested a supersedeas. 2 Claimant filed a timely answer denying the allegations contained in the petition.

On November 23, 1991, Claimant filed a petition to review the notice of compensation payable, alleging that the average weekly wage contained in the notice of compensation payable was incorrectly calculated and that, by utilizing Claimant’s last two completed quarters, following the provision of Section 309(e) of the Workers’ Compensation Act 3 (Act), it would yield a higher average weekly wage. Employer filed a timely answer denying the allegations, and all the above petitions were consolidated for proceedings before a WCJ.

On February 10, 1995, the WCJ issued an order granting Employer’s termination petition and ordering Claimant’s benefits to be terminated as of June 11, 1992. The WCJ’s order also granted Employer’s petition to review medical treatment and determined that Claimant did not require medical treatment after June 11, 1992. In addition, the WCJ denied Claimant’s petition to review the notice of compensation payable, concluding that the Claimant failed to satisfy his burden of establishing that his average weekly wage had been incorrectly calculated. Specifically, the WCJ rejected Claimant’s calculation because Claimant had not worked the entire two quarters preceding his injury. Claimant appealed to the Board, arguing that the WCJ incorrectly granted Employer’s petitions to terminate and to review medical treatment and also that the WCJ erred in denying Claimant’s petition to review the notice of compensation payable.

*259 The Board affirmed that part of the WCJ’s decision which had granted Employer’s termination petition; however, the Board concluded that there was no requirement that a claimant work during the entire two previous quarters to utilize the alternative calculation in Section 309(e). But the Board found that there was insufficient information available in the record to calculate correctly Claimant’s average weekly wage and remanded the case back to the WCJ for that purpose.

On remand, the parties stipulated that Claimant had been underpaid. Employer argued that Claimant had been underpaid $100.59 per week during the entire period of his disability, and Claimant argued that he had been underpaid $197.02 per week during the same period. In addition, Claimant also argued that he should be reimbursed for the underpayment from the date of his injury, November 12, 1990, until the date when the WCJ circulated the termination order, February 10,1995.

On May 23, 1997, the WCJ circulated his second order and directed Employer to reimburse Claimant for an underpayment of $100.59 per week for the period from November 12, 1990, to February 10, 1995, thus agreeing with Claimant’s argument. In addition, the WCJ concluded that, although Claimant received benefits for approximately 139 weeks after the effective date of the WCJ’s termination order on June 11, 1992, which totaled approximately $19,700 (139 weeks x $141.65 = $19,689.35), Employer was not entitled to a credit against future benefits for this “overpayment.” Employer appealed to the Board.

On appeal to the Board, the Board concluded as follows:

We believe the WCJ has made an error of law. Under certain limited circumstances the [Employer] is entitled to a credit for overpayment of compensation. Where, as here, the [Employer] has paid compensation that is [not] due, a credit is permitted to prevent double recovery....
In the instant case the WCJ determined that the overpayment to the Claimant was $19,700.00 and that the [Employer’s] underpayment to the Claimant was $14,-000.00. Under the circumstances, the [Employer] is entitled to a credit for the full $14,000.00 to prevent double recovery by the Claimant. 4

(Board’s decision at 3; Reproduced Record (R.R.) at 51a.) This appeal by Claimant followed.

On appeal, 5 Claimant argues that the Board erred in concluding that he was not entitled to reimbursement for Employer’s underpayment of benefits between the effective date of the WCJ’s termination, June 11, 1992, and the circulation date of the WCJ’s order, February 10,1995, and that the Board also erred in concluding that Employer was entitled to a credit for monies that it had paid to Claimant during that period. 6

The law is well settled that an employer who is obligated to pay a claimant benefits can cease paying benefits if it satisfies any of the following conditions: (1) submits a supplemental agreement pursuant to Section 408 of the Act, 77 P.S. §732; (2) submits a final receipt signed by the claimant pursuant to Section 434 of the Act, 77 P.S. §1001; (3) secures an interlocutory order from a WCJ granting a discretionary supersedeas pursuant to Sections 413(a.l) and 413(a.2), 77 P.S. §774; (4) files a petition to suspend compensation with an accompanying affidavit from the insurer that the claimant has returned to work at wages greater than or equal to his pre-injury wage pursuant to Section 413(c) of the Act, 77 P.S. §774.2; or (5) secures a final order from a WCJ termi *260 nating a claimant’s benefits. Sheridan v. Workers’ Compensation Appeal Board (Anzon, Inc.), 713 A.2d 182 (Pa.Cmwlth.1998). Until one of the above events occurs, an employer is under a continuing obligation to pay a Claimant the benefits properly owed to him. Id.

Furthermore, ease law has firmly established that, if an employer files an application for a supersedeas, the supersedeas can be effective no earlier than the date on which the employer files such an application. Horner v. C.S. Myers & Sons,

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725 A.2d 257, 1999 Pa. Commw. LEXIS 151, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gillis-v-workers-compensation-appeal-board-pacommwct-1999.