Kopitske v. WORKERS'COMP. APPEALS BD.

88 Cal. Rptr. 2d 216, 74 Cal. App. 4th 623
CourtCalifornia Court of Appeal
DecidedAugust 24, 1999
DocketB126908
StatusPublished

This text of 88 Cal. Rptr. 2d 216 (Kopitske v. WORKERS'COMP. APPEALS BD.) 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
Kopitske v. WORKERS'COMP. APPEALS BD., 88 Cal. Rptr. 2d 216, 74 Cal. App. 4th 623 (Cal. Ct. App. 1999).

Opinion

88 Cal.Rptr.2d 216 (1999)
74 Cal.App.4th 623

Victoria KOPITSKE, Petitioner,
v.
WORKERS' COMPENSATION APPEALS BOARD and Safeco Insurance Company, Respondents.

No. B126908.

Court of Appeal, Second District, Division Six.

August 24, 1999.
Review Denied November 17, 1999.[*]

*217 Kathleen M. Stout, Santa Barbara, and Julie A. Bienefeld, for Petitioner.

Law offices of Charles B. Crowder, Seattle, WA, and Terry L. Smith, Freeland, WA, for Respondent Safeco Insurance Company.

No appearance for Respondent Workers' Compensation Appeals Board.

GILBERT, Acting P.J.

An injured worker receives vocational rehabilitation maintenance allowance (VRMA). Her employer unreasonably delays paying advances against permanent disability (PDA) per Labor Code section 139.5. In this case of first impression, we hold that the 10 percent penalty under Labor Code section 5814 should be assessed against permanent disability (PD).

Victoria Kopitske (Kopitske) petitions for review of the order of the Workers' Compensation Appeals Board (WCAB) denying *218 reconsideration of its ruling that the penalty assessed for unreasonable delay in paying PDA should only be against VRMA supplemented by PDA, and not against PP. I We annul the order and direct the WCAB to enter a new order assessing the penalty against PD.

FACTS

Kopitske suffered an industrial injury. She received $372 per week as temporary disability (TD). Kopitske chose to enter vocational rehabilitation (VR) and received vocational rehabilitation temporary disability (VRTD) payments of $372 per week. Her condition became permanent and stationary (P & S). Accordingly, she was no longer eligible for TD payments. (Lab. Code, § 139.5, subd. (c).)[1] She continued to request VR services, making her eligible to receive VRMA. (§ 139.5, subd. (c).) She began receiving VRMA at the statutory rate of $246 per week.

Kopitske requested receipt of the additional amount of $126 per week as an advance from her PD (PDA) so that she would receive two-thirds of her average weekly earnings as of the date of injury. (§ 139.5, subds.(d)(1) & (2).)

Her employer's workers' compensation carrier, Safeco Insurance Company (Safeco), delayed providing PDA for 55 days. The workers' compensation judge found that the delay was unreasonable, but ruled that the 10 percent section 5814 penalty would be assessed only against VRMA benefits including PDA, and not against PD.

Because Kopitske had received VRMA of $11,300 and PDA of $5,800 for a total of $17,100, the 10 percent penalty assessed was $1,710. Kopitske is entitled to PD of $102,267. If the 10 percent penalty had been applied against PD, the penalty would be $10,226.70.

The WCAB denied reconsideration of the decision and Kopitske petitioned this court for review. We granted the petition to consider whether the penalty should be assessed against VRMA or PD. Because the penalty resulted from unreasonable delay in paying advances from PD, the penalty must be assessed against PD, not VRMA.

DISCUSSION

Respondents argue that the purpose of section 139.5, subdivision (d)(2), is wage replacement. Therefore, like TD, penalties for delay in paying advances from PD should be assessed only against VRMA supplemented by PDA. Kopitske argues that because the specific class of benefits from which payment was unreasonably delayed is PD, the penalty should be assessed against PD. We agree with Kopitske.

The provisions of workers' compensation law "... shall be liberally construed by the courts with the purpose of extending their benefits for the protection of persons injured in the course of their employment." (§ 3202.) It is axiomatic that courts must liberally construe the penalty provision of section 5814 to protect injured workers. (Avalon Bay Foods v. Workers' Comp. Appeals Bd. (1998) 18 Cal.4th 1165, 1173-1174, 77 Cal.Rptr.2d 552, 959 P.2d 1228.)

Section 5814 specifies, in pertinent part, "When payment of compensation has been unreasonably delayed or refused, ... the full amount of the order, decision or award shall be increased by 10 percent." Section 5814 applies to virtually every type of benefit provided by workers' compensation laws. (§ 3207; Avalon Bay Foods v. Workers' Comp. Appeals Bd., supra, 18 Cal.4th at p. 1173, fn. 3, 77 Cal.Rptr.2d 552, 959 P.2d 1228; State of California v. Workers' Comp. Appeals Bd. (1996) 44 Cal. App.4th 128, 139-140, 51 Cal.Rptr.2d 606.)

In Gallamore v. Workers' Comp. Appeals Bd. (1979) 23 Cal.3d 815, 827, 153 Cal.Rptr. 590, 591 P.2d 1242, our Supreme *219 Court held that under section 5814, multiple 10 percent penalties apply to unreasonable delay in making PD payments, in obtaining an unauthorized credit for asserted overpayments of TD and in delaying reimbursement of travel expenses. Gallamore concluded that "the penalty [under section 5814] is to be computed by assessing 10 percent of the entire amount ultimately awarded for the particular class of benefit which has been unreasonably delayed or withheld." (Ibid., italics added; accord Rhiner v. Workers' Comp. Appeals Bd. (1993) 4 Cal.4th 1213, 1219, 1220, 1225, 1227, 18 Cal.Rptr.2d 129, 848 P.2d 244.)

In Avalon Bay Foods v. Workers' Comp. Appeals Bd., supra, 18 Cal.4th at p. 1171, 77 Cal.Rptr.2d 552, 959 P.2d 1228, our Supreme Court explained that where "'... an award is readily severable into the different classes or categories of compensation as defined in the Workers' Compensation Act ... the penalty is to be assessed against only the amount awarded for the particular benefit of the kind delayed or refused.'" (Quoting Gallamore v. Workers' Comp. Appeals Bd., supra, 23 Cal.3d at p. 824, 153 Cal.Rptr. 590, 591 P.2d 1242.) "`... Thus, if any part of a specific benefit has been delayed or withheld, the penalty is imposed against the entirety of that benefit.'" (Ibid., quoting Gallamore, supra, at p. 827, 153 Cal.Rptr. 590, 591 P.2d 1242.) In Avalon Bay Foods, the court held that medical transportation benefits fall within the same class of compensation as medical treatment benefits. (Id., at pp. 1171-1172, 77 Cal. Rptr.2d 552, 959 P.2d 1228.)

Furthermore, the penalty is assessed against all amounts due before or after the award for the particular class of benefit, whether or not timely paid, and regardless of the amount involved. (Rhiner v. Workers' Comp. Appeals Bd., supra, 4 Cal.4th at pp. 1218-1219, 18 Cal.Rptr.2d 129, 848 P.2d 244; Gallamore v. Workers' Comp. Appeals Bd., supra, 23 Cal.3d 815, 153 Cal.Rptr.

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Related

Avalon Bay Foods v. Workers' Compensation Appeals Board
959 P.2d 1228 (California Supreme Court, 1998)
Gallamore v. Workers' Compensation Appeals Board
591 P.2d 1242 (California Supreme Court, 1979)
Kerley v. Workmen's Compensation Appeals Board
481 P.2d 200 (California Supreme Court, 1971)
Rhiner v. Workers' Compensation Appeals Board
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Western Growers Insurance v. Workers' Compensation Appeals Board
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Ritchie v. Workers' Compensation Appeals Board
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State of California v. Workers' Comp. Appeals Bd.
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Jimenez v. Workers' Compensation Appeals Board
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Kopitske v. Workers' Compensation Appeals Board
74 Cal. App. 4th 623 (California Court of Appeal, 1999)

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