Harrison v. Workers' Compensation Appeal Board (Commonwealth of Pennsylvania)

165 A.3d 1019, 2017 WL 2797458, 2017 Pa. Commw. LEXIS 414
CourtCommonwealth Court of Pennsylvania
DecidedJune 28, 2017
DocketD.C. Harrison v. WCAB (Commonwealth of PA) - 658 C.D. 2016
StatusPublished
Cited by4 cases

This text of 165 A.3d 1019 (Harrison v. Workers' Compensation Appeal Board (Commonwealth of Pennsylvania)) 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
Harrison v. Workers' Compensation Appeal Board (Commonwealth of Pennsylvania), 165 A.3d 1019, 2017 WL 2797458, 2017 Pa. Commw. LEXIS 414 (Pa. Ct. App. 2017).

Opinions

OPINION BY

JUDGE SIMPSON

This appeal involves review of an employer’s notice of workers’ compensation benefit offset against an employee’s pension benefits. David C. Harrison (Claimant) petitions for review of an order of the Workers’ Compensation Appeal Board (Board) affirming an order of Workers’ Compensation Judge Pamela Briston (WCJ) denying his review offset, reinstatement and penalty petitions. In denying Claimant’s petitions, the WCJ upheld the Commonwealth’s (Employer) notice of weekly offset amount of $434.34. Claimant contends the WCJ erred in calculating the offset based on the maximum monthly amount of pension benefits he could receive where he opted for a lower monthly [1021]*1021rate which provides for a survivor benefit for his spouse in the event of his death. Upon review, we affirm.

I. Background

In June 2010, Claimant sustained a work injury. Employer accepted the injury in a notice of compensation payable (NCP), which described the injury as a left aceta-bulum fracture caused by a'slip/fall on a carpet. The NCP indicated an average weekly wage (AWW) of $1,273.59 and a weekly compensation rate of $845.00.1

A.Notice of Benefit Offset

In February 2012, Employer issued a notice of workers’ compensation benefit offset advising Claimant that based on information it received from the Pennsylvania State Employees’ Retirement System (SERS), Employer was entitled to a pro-rata pension offset for benefits Claimant received in the amount of $1,885.03 per month. Reproduced Record (R.R.) at la-3a.

Section 204(a) of the Workers’ Compensation Act (Act)2 provides in pertinent part (with emphasis added): ‘ “the benefits from a pension plan to the extent funded by the employer directly liable for the payment of which are received by an employee shall also be credited against the amount of the award made under [the Act].” 77 P.S. § 71(a) (emphasis added). In addition, Workers’ Compensation Bureau (Bureau), regulations governing the application of offset for pension benefits provide (with emphasis added):

ía) ’ Offsets of amounts received from pension benefits shall be achieved on a weekly basis. If the employe receives the pension benefit on a monthly basis, the net amount contributed by the employer and received by the employe shall be divided by 4.34. The result is the amount of the weekly offset to the workers’ compensation benefit.

34 Pa. Code § 123.9(a).

Calculating the offset based on 34 Pa. Code § 123.9(a), Employer determined the weekly offset to be $434.34. Subtracting this amount from Claimant’s weekly compensation rate of $845.00 reduced Claimant’s weekly payment to $410.66. R.R. at 3a.3

B.Claimant’s Petitions

In February 2014, Claimant filed a review offset petition, a penalty petition and a reinstatement petition, Claimant alleged Employer improperly took an offset credit for an overpayment. R.R, at 9a. Claimant also sought a review of Employer’s calculation of the offset. Id.

C.Before the WCJ

Before the WCJ, Employer presented deposition testimony from three -witnesses. In her first three findings of fact, the WCJ reviewed Employer’s evidence.

Sara Westhaver (Claims Representative), a claims representative for Inservco Insurance Services (Inservco), testified that Inservco replaced CompServices .as [1022]*1022Employer’s third-party administrator. When Inservco learns a Commonwealth employee retired and is receiving pension benefits, Inservco obtains pension information from SERS, calculates the appropriate offset and issues the appropriate LIBC (Bureau) forms. WCJ Op., 2/17/15, Finding of Fact (F.F.) No. 1.

Based on her review of the file, Claims Representative determined Claimant returned a Bureau form to Inservco’s predecessor, CompServices, in December 2011 indicating that he was receiving pension benefits. Claimant provided the gross and net amount of his pension benefits. On February 22, 2012, CompServices issued the notice of offset to Claimant. F.F. No. 1.

In particular, Claims Representative testified the notice of offset indicated the Employer-funded amount of Claimant’s monthly pension benefit to be $1,885.03. F.F. No. 1; Dep. of Sara Westhaver, 10/2/14 (Westhaver Dep.), at 19-20; R.R. at 3a, 103a-04a. Pursuant to 34 Pa. Code § 129.3(a), that amount is divided by 4.34, yielding a weekly offset of $434.34. F.F. No. 1; Westhaver Dep., at 19-20; R.R. at 103a-04a. On cross-examination, Claims Representative acknowledged the only role a third-party administrator plays in calculating the offset is to divide the monthly offset amount provided by SERS so that a weekly offset can be determined. F.F. No. 1; Westhaver Dep., at 20-21; R.R. at 105a-06a.

SERS’s Director of Benefit Administration, Susan Hostetter (SERS Benefits Director) testified regarding the manner in which SERS calculates the Employer-funded part of Claimant’s pension. F.F. No. 2. SERS Benefits Director testified that Claimant had various pension payment options he could select. Some options provide a greater monthly payout than others. However, options with a lower monthly payout offer other benefits such as payments to a spouse should the retiree predecease the spouse. Id.

However, with regard to calculating the pension offset in workers’ compensation cases, SERS does not take into consideration which payment option the participant chooses. Rather, SERS always calculates the offset based on the participant’s maximum single life annuity (MSLA). This is the maximum amount an injured employee could elect to receive each month. F.F. No. 2.

In the present case, SERS calculated Claimant’s MSLA as $3,742.51 per month. However, Claimant elected a different payment option which paid him a gross monthly amount of $3,434.16. After deductions, Claimant received an initial net monthly payment of $3,053.01. F.F. No. 2.

Employer also submitted the testimony of Brent A. Mowery (SERS Actuary), an actuary employed by SERS and affiliated with a company known as the Hays Group. F.F. No. 3. He explained that SERS has a defined-benefit plan. In such a plan, all of the participants’ contributions are comin-gled with Employer’s contributions. Id. The combined amount is then invested. Employees do not have individual accounts. Id.

SERS Actuary explained that in determining the extent to which the Commonwealth funds an employee’s pension, it is necessary to determine how much money will be needed to fund the employee’s pension for the rest of his life. F.F. No. 3; Dep. of Brent A. Mowery, 10/15/14 (Mow-ery Dep.), at 10; R.R. at 121a. This determination is an “actuarial calculation.” F.F. No. 3; Mowery Dep. at 10; R.R. at 121a. Once that determination is made, it is possible to calculate the amount the employee contributed over the course of his life. F.F. No. 3. When the employee’s contribution is deducted from the total amount of funding [1023]*1023needed, the amount the Commonwealth contributed to the pension can be determined. Id.

Here, SERS Actuary testified he determined Claimant’s MSLA to be $3,742.51 per month. F.F. No. 3; Mowery Dep. at 18; R.R. at 129a. By using Claimant’s MSLA, remaining life expectancy, and applying an actuarial factor of 8.7045, SERS Actuary determined $390,920.14 was needed to fund Claimant’s pension. F.F. No. 3; Mowery Dep. at 18-19; R.R.

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

Related

G. Pisarz v. Montour LLC (WCAB)
Commonwealth Court of Pennsylvania, 2024
Warminster Twp. v. S. Murray (WCAB)
Commonwealth Court of Pennsylvania, 2023
J. Dailey v. WCAB (Com. of PA)
Commonwealth Court of Pennsylvania, 2018

Cite This Page — Counsel Stack

Bluebook (online)
165 A.3d 1019, 2017 WL 2797458, 2017 Pa. Commw. LEXIS 414, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harrison-v-workers-compensation-appeal-board-commonwealth-of-pacommwct-2017.