Linko v. Workmen's Compensation Appeal Board

621 A.2d 1188, 153 Pa. Commw. 552, 1993 Pa. Commw. LEXIS 105
CourtCommonwealth Court of Pennsylvania
DecidedFebruary 19, 1993
StatusPublished
Cited by7 cases

This text of 621 A.2d 1188 (Linko 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
Linko v. Workmen's Compensation Appeal Board, 621 A.2d 1188, 153 Pa. Commw. 552, 1993 Pa. Commw. LEXIS 105 (Pa. Ct. App. 1993).

Opinion

KELLEY, Judge.

Michael Linko (claimant) appeals from an order of the Workmen’s Compensation Appeal Board (board) which affirmed a referee’s decision denying claimant’s petition for commutation of benefits, as well as claimant’s petition for reimbursement of nursing services he received from his wife during his convalescence from a work-related injury. We affirm.

During claimant’s employment with Roadway Express Inc. (employer) he suffered a work-related injury on August 3, 1986. Pursuant to a notice of compensation payable, claimant was receiving payment of compensation at the rate of $347.00 per week beginning August 4, 1986.

As a consequence of his work-related injury, claimant brought a civil action against a third party and a recovery of $550,000 was agreed upon between claimant and the third party of which claimant received a net settlement amount of $239,333.28. Thereafter, on May 30, 1990, a third party settlement agreement (agreement) executed by claimant and employer was filed with the Bureau of Workers’ Compensation setting forth appropriate distribution of the total recovery and employer’s subrogation interest pursuant to section 319 of The Pennsylvania Workmen’s Compensation Act (Act). 1

Under the terms of the agreement, a credit was provided for against future workers’ compensation payable, as well as reimbursement to the claimant for the expenses of recovery. In addition, the agreement provided for a grace period of 1081.10 weeks or 20.79 years during which the employer and/or its insurance carrier is relieved of the obligation of paying claimant’s temporary total disability payments. The *555 agreement further provides that medical payments will shorten the grace period. During the grace period, the agreement provides for the return of expenses of the third party recovery to the claimant by the employer at a rate of $125.66 per week. At the end of the grace period, the costs will be repaid in full and the regular compensation rate of $347.00 per week will be resumed.

On June 13, 1990, claimant filed a petition for commutation of compensation benefits pursuant to sections 316 and 412 of the Act to commute at its present value the workmen’s compensation benefits he was receiving as a result of his injury into one lump sum discounted at five percent interest. 2 Specifically, claimant wished to have his future temporary disability payments to be paid following the grace period and the return of expenses of recovery payments to be made during the grace period commuted to one lump sum payment based on claimant’s life expectancy. Employer filed a timely and responsive answer to claimant’s petition opposing the commutation.

On August 21, 1990, claimant filed a claim petition alleging that employer had refused to pay claimant’s medical bills related to the work injury. The petition included a request for payment of medical bills for nursing services provided to claimant by his wife during his convalescence. Employer filed a timely answer denying that claimant was presently totally and permanently disabled and further alleging that the medical costs incurred should be paid by the claimant from the balance of the third party settlement agreement.

The petitions were consolidated and heard before a referee. Claimant was the only party to present evidence at that hearing. The referee denied claimant’s commutation petition. The referee also denied claimant’s request for nursing services finding that claimant had failed to meet his burden of proving that the services of a nurse’s aide were necessary medical expenses. However, the referee found that employer was obligated to pay all claimant’s reasonable and necessary medi *556 cal expenses related to the work injury even during the grace period provided for in the agreement.

Both claimant and employer appealed to the board which affirmed the referee’s decision.

Claimant now appeals to this court, challenging the board’s decision on the following three grounds:

(1) That the board erred in failing to apply the correct standard of review;
(2) That the board erred in not reversing ■ the referee’s decision and granting claimant’s commutation petition as commutation was clearly proven to be in claimant’s best interest; and
(3) That the board erred in not awarding payment for reasonable and necessary nursing services.

I. STANDARD OF REVIEW

Claimant argues that the Board committed a reversible error of law by applying the standard of substantial and competent evidence in reviewing the referee’s decision. 3 Claimant contends that the board should have applied the capricious disregard standard because the claimant was the only party to present evidence in this matter.

This court recently clarified the proper standards of review to be applied to the board when the board does not take additional evidence, thereby acting in an appellate capacity. The proper standard of review to be applied to the board when there is evidence on the issue presented by both parties is the substantial evidence standard. Czap v. Workmen’s Compensation Appeal Board (Gunton Corporation), 137 Pa.Commonwealth Ct. 612, 587 A.2d 49 (1991). This standard of review requires the board to review the referee’s decision for legal error and to ascertain whether the referee’s findings of fact are supported by substantial evidence. Id.

*557 The proper standard of review to be applied to the board in situations where the party with the burden of proof is the only party to present evidence and loses is the capricious disregard standard. Id. The capricious disregard standard poses the inquiry of whether the fact finder, which is the referee, capriciously disregarded competent evidence. Id.

Therefore, since the claimant was the only party to present evidence before the referee and lost, the board should have applied the capricious disregard standard of review. 4 However, as the following discussion reveals, in this case the board’s employment of the wrong standard of review was harmless error.

II. COMMUTATION OF BENEFITS

Claimant contends that the Board erred when it failed to reverse the referee’s decision and grant claimant’s commutation petition as claimant clearly proved that commutation was in his best interest. Section 316 of the Act provides for commutation of benefits where such commutation “will be for the best interest of the employe ... and that it will avoid undue expense or hardship to either party.” 77 P.S. § 604. In addition, section 316 provides that unless the employer agrees to such commutation, the board may require the employe ... to furnish proper indemnity safe-guarding the employer’s rights.” Id.

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Bluebook (online)
621 A.2d 1188, 153 Pa. Commw. 552, 1993 Pa. Commw. LEXIS 105, Counsel Stack Legal Research, https://law.counselstack.com/opinion/linko-v-workmens-compensation-appeal-board-pacommwct-1993.