Glaze v. Workers' Compensation Appeal Board

41 A.3d 190
CourtCommonwealth Court of Pennsylvania
DecidedMarch 1, 2012
StatusPublished
Cited by5 cases

This text of 41 A.3d 190 (Glaze 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
Glaze v. Workers' Compensation Appeal Board, 41 A.3d 190 (Pa. Ct. App. 2012).

Opinions

OPINION BY

Judge SIMPSON.

I. Introduction

These consolidated appeals and cross appeals consist of 38 petitions for review from orders of the Workers’ Compensation [195]*195Appeal Board (Board) affirming, due to an evenly divided panel of eight commissioners, two sets of December 2008 orders of Workers’ Compensation Judge Pamela L. Briston (WCJ) in pension benefit offset eases. The City of Pittsburgh (City) and its current third-party administrator, UPMC Benefit Services (collectively, Eim ployer), seek review of the WCJ’s December 2, 2008, orders (Initial Order) that granted petitions to review compensation benefit offsets (review offset petitions) brought by 19 retired fire fighters (Claimants) receiving pension benefits and workers’ compensation benefits. The Initial Order directed Employer to begin paying Claimants’ weekly workers’ compensation benefits without any further reduction for a pension offset. Employer seeks review of the Initial Order.

In response to the Initial Order, Claimants sought clarification as to whether Employer should reimburse them for pension offsets previously taken. In her December 23, 2008, amended orders (Amended Order), the WCJ recognized Employer is entitled to some offset for past and future benefits, and that to require the City to reimburse Claimants for past due benefits could create a significant overpayment that Claimants may be required to reimburse. Amended Order at ¶ 3. Therefore, the WCJ further ordered, “[Employer] is not required to reimburse [Claimants for past due benefits at this time.” Id. at ¶4. Claimants seek review of the Amended WCJ Order.

For the reasons that follow, we reverse the Board’s orders and remand with the direction that the cases be remanded to the WCJ for a definitive determination of Employer’s offset rights in accord with Department of Public Welfare v. Workers’ Compensation Appeal Board (Harvey), 605 Pa. 636, 993 A.2d 270 (2010) and Pennsylvania State University/PMA Insurance Group v. Workers’ Compensation Appeal Board (Hensal), 911 A.2d 225 (Pa.Cmwlth.2006), appeal denied, 593 Pa. 743, 929 A.2d 1163 (2007), which hold that an employer can meet its burden of proving the extent of its contribution to a claimant’s defined-benefit pension by credible actuarial evidence; it need not identify actual contributions to the claimant’s pension.

We also ask that the WCJ, in making her determination, consider our recent decision in School District of Philadelphia v. Workers’ Compensation Appeal Board (Davis), 38 A.3d 992 (Pa.Cmwlth.2011). In Davis, we recognized that if an employer meets its prima facie burden of establishing the extent of its contribution to a claimant’s pension by credible actuarial evidence, a claimant challenging the credibility of the employer’s actuarial evidence must present evidence demonstrating the materiality and relevance of her challenge.

Further, as a result of our remand for a definitive determination of Employer’s offset rights, we dismiss as moot Claimants’ challenges to the WCJ’s Amended Order denying reimbursement of offsets previously taken.

II. Background

A. Notice of Offset; Review Offset Petition

By the Act of June 24, 1996, P.L. 350 (Act 57), the Legislature amended Section 204(a) of the Workers’ Compensation Act2 (Act) to allow employers to claim an offset against workers’ compensation benefits for pension benefits simultaneously received by an employee. Section 204(a) of the Act, 77 P.S. § 71(a), pertinently provides (with emphasis added):

[196]*196The severance benefits paid by the employer directly liable for the payment of compensation and the benefits from a pension plan to the extent funded by the employer directly liable for the payment of compensation which are received by an employee shall also be credited against the amount of the award....

In 2005 and 2006, Employer, pursuant to Section 204(a), filed benefit offset notices against Claimants, who were receiving workers’ compensation indemnity benefits and pension benefits. Thirty days after issuing the notices, Employer reduced the workers’ compensation benefits of each Claimant based upon its calculation of its funding of his or her pension. In response, Claimants each filed review offset petitions challenging Employer’s offset calculations. Eventually, the 19 cases at issue here were consolidated before the WCJ.

B. Burden of Proof

In a review offset proceeding, the employer claiming a pension benefit offset bears the burden of proving its entitlement to a credit. City of Phila. v. Workers’ Comp. Appeal Bd. (Andrews), 948 A.2d 221 (Pa.Cmwlth.2008). The employer bears the burden of proving the extent to which it funded the pension plan at issue. Id. As noted above, an employer in an offset review proceeding is entitled to present actuarial evidence to establish the extent it funded a claimant’s defined-benefit pension plan. Harvey; Andrews; Hensal.

C. Employer’s Evidence

1. Employer’s Expert

Before the WCJ, Employer presented actuarial testimony from Milton Dean Ross (Employer’s Expert), a senior consultant with Mockenhaupt Benefits Group, Employer’s actuary since 1998. Employer’s Expert testified at four hearings.

Employer’s Expert explained Employer’s Fireman’s Relief and Pension Fund (Fire Fighters Fund) is a defined-benefit pension plan. In order to calculate Employer’s offset using an actuarial formula, Employer’s Expert determined Claimants’ monthly benefits attributable to their contributions, which includes investment income from their contributions. This amount is then subtracted from the total monthly benefits Claimants receive, which leaves a balance of monthly pension benefit payments attributable to combined contributions from Employer and the Commonwealth (State). The investment returns on Employer’s and the State’s respective contributions are determined. Calculations are then performed to determine a ratio of non-employee contributions coming from Employer versus contributions coming from the State pursuant to the Municipal Pension Plan Funding Standard and Recovery Act3 (Act 205). That ratio is then applied to the non-employee contributions to determine the amount of Claimants’ monthly pension benefits funded by Employer.

Here, in order to promote the ease of understanding of the pension concepts involved, Claimants agreed the offset calculations for Alfred Glaze (Claimant Glaze), and later in the litigation for Theodore Belajac (Claimant Belajac), were representative of all Claimants’ calculations. Employer hired Claimant Glaze in April 1979. He retired on a disability pension in 2005. Employer hired Claimant Belajac in 1973.

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Glaze v. Workers' Compensation Appeal Board
41 A.3d 190 (Commonwealth Court of Pennsylvania, 2012)

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Bluebook (online)
41 A.3d 190, Counsel Stack Legal Research, https://law.counselstack.com/opinion/glaze-v-workers-compensation-appeal-board-pacommwct-2012.