Grossmont Hospital v. Workers' Compensation Appeals Board

59 Cal. App. 4th 1348, 97 Daily Journal DAR 14995, 69 Cal. Rptr. 2d 842, 97 Cal. Daily Op. Serv. 9327, 62 Cal. Comp. Cases 1649, 1997 Cal. App. LEXIS 1029
CourtCalifornia Court of Appeal
DecidedDecember 11, 1997
DocketD027542
StatusPublished
Cited by6 cases

This text of 59 Cal. App. 4th 1348 (Grossmont Hospital 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
Grossmont Hospital v. Workers' Compensation Appeals Board, 59 Cal. App. 4th 1348, 97 Daily Journal DAR 14995, 69 Cal. Rptr. 2d 842, 97 Cal. Daily Op. Serv. 9327, 62 Cal. Comp. Cases 1649, 1997 Cal. App. LEXIS 1029 (Cal. Ct. App. 1997).

Opinion

Opinion

HALLER, J.

In this opinion we address whether a wage increase that occurs after an injury can be considered in calculating temporary total disability benefits due. Thrifty Drug Stores, Inc. v. Workers’ Comp. Appeals Bd. (1979) 95 Cal.App.3d 937 [157 Cal.Rptr. 459] (Thrifty Drug) holds that upon a proper showing such increases can be considered. The question presented here is whether subdivision (d), added to Labor Code 1 section 4453 in 1989, mandates a different result for workers sustaining injury on or after January 1, 1990. We conclude wage increases that were scheduled or reasonably anticipated at the time of injury and that would occur during the anticipated duration of the disability may be considered in determining the injured worker’s “earning capacity” and ultimately the benefits due. However, where the subsequent change in wages is not scheduled or reasonably anticipated at the time of injury or where it would not occur during the anticipated duration of the disability, it may not be considered.

*1352 Background

On April 16, 1995, respondent May R. Kyllonen (Kyllonen), a full-time employee for petitioner Grossmont Hospital (Grossmont), sustained an admitted injury in the course of her employment. Five months later, while on temporary total disability status, Kyllonen received a regularly scheduled wage increase. Grossmont refused to increase benefits.

Kyllonen filed an application for adjudication of claim with the Workers’ Compensation Appeals Board (the Board). The workers’ compensation judge concluded Kyllonen was entitled to an increase in her temporary disability rate. The Board denied reconsideration.

Grossmont petitioned for review. We issued a writ of review and the parties waived oral argument.

Discussion

Grossmont contends that section 4453, subdivision (d) has replaced the “Thrifty Drug rule” and that under subdivision (d), wages on the date of injury control indemnity benefit calculations for all injuries sustained on or after January 1, 1990. Kyllonen on the other hand contends Thrifty Drug remains good law and that if “earning capacity” changes subsequent to a worker’s injury, the worker should be entitled to a subsequent increase or decrease in benefits as appropriate. As discussed below, we reject both parties’ positions.

Statutory Development

Eighty-six years ago California first provided for workers’ compensation disability benefits. (Stats. 1911, ch. 399, p. 796 et seq. [Roseberry Act].) Disability benefits were based on “average weekly earnings” calculated using either the employee’s actual earnings or earnings of employees in the same class. (Stats. 1911, ch. 399, §§ 8(2)(a), 9(l)(a), (b), pp. 798, 800.) Where those two methods could not “reasonably and fairly” be applied, a third method was used which reasonably represented the worker’s “average earning capacity” at the time of injury. (Stats. 1911, ch. 399, §9(l)(c), p. 800.)

In 1917, the Legislature enacted the “Workmen’s Compensation, Insurance and Safety Act.” It provided temporary total disability benefits, again *1353 based on “average weekly earnings,” which were calculated under one of four methods. (Stats. 1917, ch. 586, §§ 9(b)2(l), 12(a), pp. 836-837, 842-843.) The first three methods were based on the actual earnings of the employee or those of employees in the same class. (Stats. 1917, ch. 586, § 12(a)(l)-(3), p. 843.) The fourth method applied, inter alia, where the other methods could not “reasonably and fairly be applied” with average weekly earnings being based on a sum that “reasonably represent[s] the average weekly earning capacity” of the injured employee at the time of injury with due consideration to the worker’s actual earnings. (Stats. 1917, ch. 586, § 12(a)(4), p. 843.)

In 1937, the Legislature enacted a Labor Code consolidating and revising the law relating to labor and employment relations. (Stats. 1937, ch. 90, p. 185 et seq.) Section 4653 provided disability payment for temporary total disability was 65 percent of the “average weekly earnings.” (Stats. 1937, ch. 90, § 4653, p. 282.) Four methods of computing average weekly earnings were provided, with the first three based on actual earnings. The first applied to full-time workers, the second to workers working for two or more employers and the third to workers with irregular compensation rates or those paid by the week, month, or other period. (Stats. 1937, ch. 90, § 4453(a), (b), (c), p. 279.) The fourth, applied where employment was less than 30 hours per week or “where for any reason” the other methods could not “reasonably and fairly be applied.” (Stats. 1937, ch. 90, § 4453(d), p. 279.) Average weekly earnings under the fourth method were defined as a specified percent of the sum that reasonably represented the “average weekly earning capacity” of the injured employee at the time of injury with due consideration given to actual earnings. (Ibid.)

Since the 1937 codification, the Legislature has repeatedly amended the statutes to change specified compensation limits. However, except for organizational or stylistic changes and a change in the percent of actual earnings or earning capacity used in computations, the Legislature has made no change in the four methods of computing average weekly earnings. 2

While leaving the methods of calculating the average weekly earnings essentially unchanged, the Legislature enacted the “Workers’ Compensation *1354 Reform Act of 1989” (the Act), which substantially changed the workers’ compensation system in numerous respects, including increasing the limits for temporary and permanent disability benefits for injuries sustained on or after January 1, 1990. (Stats. 1989, ch. 892, §29, pp. 3012-3013 [§4453, subd. (a)(3), 3 As part of the Act the Legislature also enacted subdivision (d) of section 4453. (Stats. 1989, ch. 892, § 29, pp. 3013-3014.) 4

Under the current statutory scheme, the disability payment for temporary total disability is two-thirds of the “average weekly earnings” during the disability period. (§ 4653.) Calculation of “average weekly earnings” for temporary disability, as well as permanent total disability is subject to the maximum and minimum limits set forth in section 4453, subdivision (a). Within those limits, “average weekly earnings" are calculated as provided in section 4453, subdivision (c). 5 Subdivision (c)(l)-(3) methods of calculation are based on the actual earnings of the employee and subdivision (c)(4) on earning capacity. Subdivision (d), in a manner to be addressed in this opinion, addresses computation of benefits.

*1355 Case Law Interpreting Section 4453, Subdivision (c)(4)

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59 Cal. App. 4th 1348, 97 Daily Journal DAR 14995, 69 Cal. Rptr. 2d 842, 97 Cal. Daily Op. Serv. 9327, 62 Cal. Comp. Cases 1649, 1997 Cal. App. LEXIS 1029, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grossmont-hospital-v-workers-compensation-appeals-board-calctapp-1997.