Hernandez v. Workers' Compensation Appeals Board

2 Cal. App. 5th 549, 206 Cal. Rptr. 3d 314, 81 Cal. Comp. Cases 675, 2016 Cal. App. LEXIS 679
CourtCalifornia Court of Appeal
DecidedAugust 15, 2016
DocketB268700
StatusPublished
Cited by2 cases

This text of 2 Cal. App. 5th 549 (Hernandez 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
Hernandez v. Workers' Compensation Appeals Board, 2 Cal. App. 5th 549, 206 Cal. Rptr. 3d 314, 81 Cal. Comp. Cases 675, 2016 Cal. App. LEXIS 679 (Cal. Ct. App. 2016).

Opinion

Opinion

PERLUSS, P.

Code section 4800.5, subdivision (a), 1 provides that a sworn member of the Department of the California Highway Patrol (CHP) who has been disabled by a single work-related injury is entitled to a leave of absence without loss of salary, in lieu of disability payments, for a period not to exceed one year. In a February 2013 decision a workers’ compensation administrative law judge (WCJ) found Andrew Hernandez, a CHP sergeant, to be temporarily totally disabled from July 18, 2011 to November 8, 2011. Although Hernandez received payments equal to the full amount of his salary during that period, a portion of those sums was charged against his accrued annual vacation leave.

Hernandez petitioned in January 2015 for recovery of the full amount he should have received as paid leave-of-absence benefits under section 4800.5, plus penalties for unreasonable delay under section 5814, subdivision (a), and interest. The WCJ agreed Hernandez was entitled to the relief he had requested, but the Workers’ Compensation Appeals Board (Board), in a divided decision after reconsideration, rescinded her ruling, concluding (1) Hernandez’s claim for reimbursement of accrued leave involved employee *552 benefits and was outside the jurisdiction of the Board; (2) the February 1, 2013 award by the WCJ barred Hernandez’s 2015 claim for additional section 4800.5 payments under the doctrine of res judicata; and (3) there was no basis for awarding a penalty because Hernandez had received the full amount of his salary during the period of his temporary disability. We annul the decision of the Board and remand the matter with directions to award Hernandez additional compensation under section 4800.5 in an amount equal to the value of annual leave used during the disputed period of temporary disability and to hear and determine the issue of penalties and interest.

FACTUAL AND PROCEDURAL BACKGROUND

1. The Original WCJ Decision

On November 17, 2004 Hernandez, a CHP sergeant in Valencia, slipped and fell while assisting in the pursuit of a suspect who had fled on foot, injuring his low back and cervical spine. The parties—Hernandez and the CHP through its adjuster State Compensation Insurance Fund (State Fund)— agreed Hernandez’s injuries arose out of, and in the course of, his employment. The parties also agreed Hernandez was 35 percent permanently disabled and would need future medical treatment for his low back.

The principal issue in the initial proceeding before the WCJ concerned payments for temporary total disability. The CHP had agreed Hernandez was temporarily totally disabled and paid him the equivalent of his full salary pursuant to section 4800.5 for the period November 17, 2010 to July 15, 2011, referred to in the proceedings as “4800 time,” 2 as well as for “further periodic hours thereafter.” Hernandez was also paid permanent disability at the agreed rate of $200 per week for the period July 18, 2011 forward. Hernandez claimed he was entitled to additional temporary disability/4800 time payments for the period July 18, 2011 to November 8, 2011 based on the report of his primary treatment physician. The CHP argued Hernandez’s temporary total disability ceased and his permanent and stationary date was July 18, 2011 based on the agreed medical examiner’s report; it sought credit for overpayment of 4800 time during the period July 18, 2011 to November 15, 2011.

On February 1, 2013 the WCJ ruled Hernandez was entitled to temporary disability for the period July 18, 2011 to November 8, 2011 “at the rate of *553 $881.56 per week, less 15% attorney’s fees”—the sum the parties had previously agreed was the indemnity rate for temporary disability based on Hernandez’s weekly earnings at the time of injury. The WCJ also denied the CHP’s claim for overpayment of 4800 time for the same period. The WCJ issued an award in favor of Hernandez and against the CHP.

The CHP petitioned for reconsideration by the Board, arguing, in part, the WCJ had erred in awarding temporary disability for the period July 18, 2011 to November 8, 2011 because the agreed medical examiner had determined Hernandez was only partially disabled and the CHP had offered modified work within the required restrictions to accommodate his physical limitations. The petition was denied by the Board on April 19, 2013. Hernandez did not file an answer or his own petition for reconsideration.

2. The Petition for Penalties and the WCJ Decision

On January 14, 2015 Hernandez filed a petition for penalties (§ 5814, subd. (a)), contending payment of leave-of-absence benefits under section 4800.5 for the period July 18, 2011 to November 8, 2011 pursuant to the WCJ’s findings and award dated February 1, 2013 had been unreasonably delayed. As phrased by the WCJ, ‘“It is the applicant’s contention that instead of paying the 4800.5 time, the applicant was forced to use his vacation time and was not reimbursed for that cost.” The CHP raised res judicata as a defense.

At the hearing Hernandez testified he had been paid section 4800.5 benefits from December 26, 2010 through July 17, 2011. Effective July 18, 2011, however, he was told by State Fund his section 4800.5 benefits were terminated. Hernandez had to use his accrued vacation time when section 4800.5 benefits were disallowed. Although he was paid his usual gross salary of $10,494.36 each month, most of that sum came from annual leave time. Hernandez was not reimbursed for the vacation/annual leave time when he retired in December 2011.

In her findings and award on February 4, 2015 the WCJ found Hernandez was entitled to section 4800.5 benefits for the period July 18, 2011 to November 8, 2011, less credit for temporary disability payments that had been made. The WCJ explained, once temporary disability has been established for a CHP officer, the Labor Code mandates the officer receive leave-of-absence benefits without loss of salary. The WCJ also ruled res judicata did not apply: “This trial concerned only the nonpayment of the temporary disability benefits or 4800.5 time and penalties. The issue of nonpayment and penalties had not previously been raised.” Given the mandate of section 4800.5, the WCJ found there was an unreasonable delay in *554 payment and concluded under section 5814 Hernandez was entitled to a statutory increase of 25 percent or $10,000, whichever was less.

The CHP petitioned for reconsideration by the Board, arguing the WCJ in her February 1, 2013 order had awarded Hernandez temporary disability only, instead of section 4800.5 benefits. Because Hernandez failed to seek reconsideration of that award, it was now final, and relitigation of the issue was barred by res judicata. The CHP also asserted that Hernandez had admitted there was no loss of salary during the disputed period of temporary disability—he had received a gross salary of $10,494.36 each month. To the extent Hernandez now sought adjustment of the payment for accrued annual leave he received upon his retirement, that claim was outside the Board’s jurisdiction.

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

Related

People v. Czirban
California Court of Appeal, 2022
People v. Czirban CA6
California Court of Appeal, 2022

Cite This Page — Counsel Stack

Bluebook (online)
2 Cal. App. 5th 549, 206 Cal. Rptr. 3d 314, 81 Cal. Comp. Cases 675, 2016 Cal. App. LEXIS 679, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hernandez-v-workers-compensation-appeals-board-calctapp-2016.