Hostina v. Workers' Compensation Appeal Board

832 A.2d 1157, 2003 Pa. Commw. LEXIS 691
CourtCommonwealth Court of Pennsylvania
DecidedSeptember 25, 2003
StatusPublished
Cited by1 cases

This text of 832 A.2d 1157 (Hostina 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
Hostina v. Workers' Compensation Appeal Board, 832 A.2d 1157, 2003 Pa. Commw. LEXIS 691 (Pa. Ct. App. 2003).

Opinion

OPINION BY

Senior Judge FLAHERTY.

Helen Magee (Magee), the Administra-trix of the estate of Alex Hostina (Claimant), who is now deceased, appeals from a decision of the Workers’ Compensation Appeal Board which denied the Penalty Petition Magee filed directly with the Board. We affirm.

The Board observed in its August 11, 1998 opinion that “[t]his case has a lengthy and troubled history.” Indeed, the procedural history of this case is extremely complex. Three times this case has been before the Workers’ Compensation Judge (WCJ) and three times this case has been appealed to the Board. This litigation was initiated by Claimant almost twenty years ago when he filed a Claim Petition on October 21, 1983 alleging a work injury and/or occupational disease in the nature of lung disease as a result of work exposure to hazardous chemicals. On October 27, 1983, Allied (Employer) filed an Answer generally denying the allegations set forth in the Claim Petition. The WCJ treated Employer’s Answer as a Petition For Forfeiture. Employer alleged in its Petition For Forfeiture that Claimant had disobeyed two Board orders requiring him to submit to a medical exam by a doctor chosen by Employer. On May 31, 1989, the WCJ issued its first decision wherein the WCJ granted Claimant’s Claim Petition and also suspended any payment of benefits pending further action of the Board regarding Claimant’s failure to comply with the Board orders to submit to a medical exam by Employer’s doctor. Both parties appealed to the Board, which remanded the case for the WCJ to reconstruct portions of the record necessitated by the loss of portions of the record. The WCJ complied with the remand order and incorporated his first decision into this second decision and reaffirmed his first decision. Again both parties appealed to the Board which reversed the WCJ’s decision granting Claimant’s Claim Petition and remanded the case to the WCJ yet again for the WCJ to hold the Claim Petition in abeyance until Claimant submitted to the medical exam by Employer’s doctor.

Finally, on November 11,1993, Claimant submitted to the physical exam. Thereafter, in his third decision on December 8, 1995, the WCJ granted Claimant’s Claim Petition. However, the WCJ also granted Employer’s Forfeiture Petition which ren[1159]*1159dered Claimant’s entitlement to benefits forfeited from October 4, 1983, the date whereon Claimant was found to have been disabled until November 11, 1993, the date whereon Claimant finally submitted to a medical exam by Employer’s doctor. In addition, the WCJ decided that Employer was entitled to a credit against benefits paid/payable to Claimant for any money which Claimant received from the sickness and accident pension or other disability pensions provided by Employer. The WCJ also ordered Employer to pay for the costs of the litigation without specifying what those costs were. Again, both Employer and Claimant appealed to the Board.

Upon appeal, the Board reversed the WCJ’s grant of Employer’s Forfeiture Petition, modified the WCJ’s grant of interest on Claimant’s award of benefits by changing the date whereon interest was to start accruing and affirmed the WCJ’s grant of the Claim Petition. Also, the Board remanded the case to the WCJ for the WCJ to make factual findings with respect to the nature of the payments Claimant received from the sickness and accident and/or disability pensions provided by Employer. Specifically the Board stated that:

[flinally Claimant argued that the WCJ. erred in awarding [Employer] a credit for money received by Claimant from [Employer] for sickness and accident or other disability pensions as indicated in the affidavit of Joyce Lafferty.... The WCJ did not make any Findings of Fact on this issue. The WCJ determined in Conclusion of Law 6 that [Employer] shall be entitled to a credit in accordance with the law for any money received from [Employer] for sickness and accident or other disability pensions as indicated in the affidavit of Joyce Laf-ferty. ... Because the WCJ failed to make any Findings of Fact on this issue the Board is unable to appropriately provide appellate review of this issue. We therefore REMAND this issue to the WCJ to make the appropriate Findings of Fact and Conclusions of Law in line with Toborkey v. W.C.A.B. (H.J.Heinz), 655 A.2d 636 (Pa.Cmwlth.1995)[, allocatur denied, 541 Pa. 655, 664 A.2d 544 (1995) ], wherein the Court determined under what analysis an employer should be given a credit for payments made to employee. The WCJ is to make further Findings of Fact on whether or not Employer is entitled to a credit for monies Claimant was paid under sickness or other disability pensions.

(Board’s August 11,1998 opinion, pp. 9-10; emphasis added). Employer filed a Request for Supersedeas with the Board, which was denied on September 16, 1998. Also, Employer filed a Petition for Super-sedeas with this Court, which was denied by order dated September 22,1998. Additionally, both Employer and Claimant appealed the Board’s order of August 11, 1998 to this Court. In that case, Claimant argued that the Board’s order requiring a remand to the WCJ for the WCJ to make further factual findings rendered the order interlocutory and unappealable pursuant to Pa. R.A.P. 311(f).1 Claimant asserted that [1160]*1160the Board’s order remanding the matter to the WCJ to make findings of fact with regard to the nature of the payments Claimant- received from the sickness and accident or other disability pensions provided by Employer required the WCJ to exercise its discretion and thus did not come within Pa. R.A.P. 311(f)(1). Claimant also asserted that there is no other provision which would permit an appeal of the Board’s order and Employer does not point to any.

The sum total of Employer’s argument with respect to the appealability of the Board’s order was as follows:

[i]n the case before the Honorable Court the two integral [sic] issues to the Workers’ Compensation Appeal Board’s decision relates to the issue of whether the Board erred in reversing the [WCJ’s] determination as to the effect of the answer filed by Defendant in this case and with respect to the Board’s reversal of the granting of forfeiture by the [WCJ] below. An ancillary issue in this case is the remand with respect to the A/S [accident/sickness benefits] credit which [Employer] submits does not require the administrative discretion of the [WCJ] below but merely requires actions consistent with the opinions of the Board.

Employer’s brief at p. 14.

In an opinion dated August 18, 1999, we agreed with Claimant that the Board’s order remanding this matter to the WCJ for the purpose of allowing the WCJ to make factual findings with respect to the nature of the payments received by Claimant from the sickness/accident or other disability pensions and for the calculation thereof pursuant to this court’s decision in Tobor-key did not come within the ambit of Pa. R.A.P. 311(f)(1) because such factual findings and calculations by the WCJ inevitably involve the exercise of discretion. (In Toborkey, this court indicated that the crucial inquiry in determining whether an employer is entitled to credit against Workers’ Compensation benefits paid for payments made to injured employees by sickness/accident policies or disability pensions is whether the “payments are made in the nature of wages or are in lieu of compensation.” Toborkey, 655 A.2d at 640).

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832 A.2d 1157, 2003 Pa. Commw. LEXIS 691, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hostina-v-workers-compensation-appeal-board-pacommwct-2003.