Lawrence v. Workmen's Compensation Appeal Board

559 A.2d 67, 125 Pa. Commw. 701, 1989 Pa. Commw. LEXIS 301
CourtCommonwealth Court of Pennsylvania
DecidedMay 10, 1989
DocketAppeals 2544 C.D. 1987 and 2545 C.D. 1987
StatusPublished
Cited by9 cases

This text of 559 A.2d 67 (Lawrence v. Workmen's 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
Lawrence v. Workmen's Compensation Appeal Board, 559 A.2d 67, 125 Pa. Commw. 701, 1989 Pa. Commw. LEXIS 301 (Pa. Ct. App. 1989).

Opinion

Opinion by

Judge McGinley,

Ronald Lawrence (Claimant), Commercial Lovelace Motor Freight (Employer), and Liberty Mutual Insurance Company (Liberty Mutual); appeal from an order of the Workmen’s Compensation Appeal Board (Board) affirming a referee’s decision reinstating Claimant’s compensation payments and modifying the referee’s decision ordering Liberty Mutual to reimburse Aetna Life and Casualty Company (Aetna) for compensation payments made by Aetna to the Claimant. We affirm.

Claimant was employed as a truck driver for Employer on August 20, 1979, when he suffered an acute back sprain while in the course of his employment. On August 31, 1979, Liberty Mutual filed a notice of compensation payable. On November 3, 1980, Claimant returned to work and his benefits were suspended. On December 2, 1982, Claimant again sustained an alleged back injury while in the course of his employment. In the interim Employer changed workmen’s compensation insurance carriers and was insured by Aetna. On January 2, 1983, Aetna filed a notice of compensation payable awarding Claimant compensation benefits for the December 2, 1982, injury.

*704 On March 19, 1984, Employer, represented by Aetna, filed a petition for modification of Claimant’s benefits under the January 2, 1983, notice of compensation payable alleging a change in Claimant’s disability and contending that Claimant was partially disabled. Claimant subsequently filed a petition for review of the notice of compensation payable alleging that Aetna was not paying his medical bills. On April 19, 1985, the Claimant filed a petition for reinstatement of compensation against Employer and the previous insurer, Liberty Mutual, under the notice of compensation payable filed August 31, 1979. In that petition, Claimant alleges that on May 4, 1984, he again became totally disabled from all employment. 1 At the referee’s hearing, Claimant testified on his own behalf. Claimant subsequently introduced the deposition testimony of Dr. Mario Ludmer, a board certified neurosurgeon. Employer also introduced a subsequent deposition of Dr. Ludmer into the record.

In his decision, the referee found that Claimant was totally disabled as a result of the work-related injury suffered on August 20, 1979. The referee concluded that Claimant sustained no compensable injury on December 2, 1982, and that any physical disabilities experienced by Claimant after that date were a continuation of the injury Claimant sustained on August 20, 1979.

Further, the referee ordered that the notice of compensation payable filed August 31, 1979, be reinstated, *705 that Employer’s petition for modification be dismissed and that Liberty Mutual reimburse Aetna for all compensation benefits paid to Claimant after December 2, 1982.

The Board modified the decision and order of the referee by setting aside the notice of compensation payable filed by Aetna on January 2, 1983, and reduced the amount of reimbursement from Liberty Mutual to Aetna from $284.00 per week to $227.00 per week. Employer, Liberty Mutual and Claimant appeal.

Claimant presents two issues for our review. Employer and Liberty Mutual present three additional issues as well as advancing the same two issues as Claimant. Claimant, Employer and Liberty Mutual contend that the referee erred by setting aside the notice of compensation payable filed by Aetna for the Claimant’s December 2, 1982, work injury without any evidence produced or findings of fact that the notice of compensation payable had been entered into fraudulently or by mistake or because of an inability to timely investigate Claimant’s injury. They also contend the referee used an improper standard in his review of the medical testimony to determine if Claimant’s disability was a recurrence or an aggravation of Claimant’s prior injury.

Additionally, Employer and Liberty Mutual contend that the referee erred by setting aside Aetna’s notice of compensation payable without making any findings of fact or conclusions of law; that the referee’s findings and conclusions to the effect that Claimant sustained no compensable injury on December 2, 1982, were not supported by substantial evidence; and that the referee had no authority to order Liberty Mutual to reimburse Aetna for all payments made to Claimant after December 2, 1982.

Our scope of review in workmen’s compensation appeals where both parties have presented evidence is limited to a determination of whether constitutional *706 rights have been violated, an error of law was committed or whether any finding of fact was not supported by substantial evidence. Hammer v. Workmen's Compensation Appeal Board (Gannondale), 105 Pa. Commonwealth Ct. 356, 524 A.2d 550 (1987).

Claimant, Employer and Liberty Mutual all contend that the referee erred by setting aside Aetna’s notice of compensation payable filed January 3, 1983, without making any findings of fact as to whether that notice of compensation had been entered into by fraud, mistake or inability to timely investigate the Claimant’s injury. We disagree.

Section 413 of The Pennsylvania Workmen’s Compensation Act (Act) of June 2, 1915, PL. 736, as amend ed, 77 PS. §771 provides:

A referee of the department may, at any time, review and modify or set aside a notice of compensation payable and an original or supplemental agreement or upon petition filed by either party with the department, or in the course of the proceedings under any petition pending before such referee, if it be proved that such notice of compensation payable or agreement was in any material respect incorrect. (Emphasis added.)

In Finding of Fact No. 2 the referee states:

In consideration of all the evidence of record, and especially the competent and credible medical evidence offered by the two depositions of Dr. Mario Ludmer, wherein the doctor diagnosed the claimant as suffering from adhesive arachnoiditis, it is found as a matter of fact that the physical impairment of claimant is causally related and directly attributable to work-related injury of August 20, 1979. This work-related injury required a myelogram and laminectormy [sic] which was a *707 leading factor in giving rise to the adhesive arachnoiditis. This logical medical reasoning on the part of Dr. Ludmer, the treating physician, was first brought forth at his deposition on July 26, 1984, and again at his second deposition , on November 6, 1985.

A review of the record indicates that the testimony of Dr. Ludmer provides substantial evidence for the referee’s finding that Claimant’s physical impairment is causally related and directly attributable to the work-related injury Claimant sustained on August 20, 1979. 2 This finding, in turn, supports the referee’s Conclusion of Law No. 3 which states:

3.

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Bluebook (online)
559 A.2d 67, 125 Pa. Commw. 701, 1989 Pa. Commw. LEXIS 301, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lawrence-v-workmens-compensation-appeal-board-pacommwct-1989.