Pacemaker Driver Service v. Workmen's Compensation Appeal Board

571 A.2d 5, 131 Pa. Commw. 560, 1990 Pa. Commw. LEXIS 164
CourtCommonwealth Court of Pennsylvania
DecidedMarch 7, 1990
StatusPublished
Cited by3 cases

This text of 571 A.2d 5 (Pacemaker Driver Service 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
Pacemaker Driver Service v. Workmen's Compensation Appeal Board, 571 A.2d 5, 131 Pa. Commw. 560, 1990 Pa. Commw. LEXIS 164 (Pa. Ct. App. 1990).

Opinion

BARBIERI, Senior Judge.

The matter before us concerns a reinstatement petition filed by Samuel Merman (Claimant) for benefits under the provisions of The Pennsylvania Workmen’s Compensation *562 Act (Act). 1 Following a series of hearings, the referee granted Claimant’s petition and ordered that benefits be paid to Claimant by Fireman’s Fund Insurance Company (Fireman’s Fund). On appeal, the Workmen’s Compensation Appeal Board (Board) modified the order of the referee, and directed that benefits be paid instead by Travelers Insurance Company (Travelers). Travelers now brings this petition for review, requesting that the order of the Board be reversed and the referee’s decision reinstated.

The facts are as follows. Claimant was employed as a truck driver by Pacemaker Driver Service (Employer) when, while in the scope of his employment, Claimant was involved in a truck accident on July 5, 1984. At this time, Employer was insured by Fireman’s Fund. Claimant received compensation benefits from Fireman’s Fund following this accident. On September 5,1984, Claimant returned to work with Employer, and a Final Receipt was signed by Claimant on October 15, 1984.

At this point, Employer changed insurers. From October 23, 1984 onward, Travelers replaced Fireman’s Fund as Employer’s insurer. On this same date, October 23, 1984, Claimant was again injured, while in the scope of his employment, when he fell from the back of a truck while delivering material to a customer. Claimant again received compensation benefits, this time paid by Travelers. Claimant never returned to work with Employer following the October 23, 1984 accident.

In September of 1985, Travelers filed a suspension petition and requested a supersedeas, 2 alleging that any continuing disability experienced by Claimant was caused by the earlier accident of July 1984. Claimant’s response was to file a reinstatement petition against Fireman’s Fund.

The referee consolidated these petitions for hearing purposes. Following Claimant’s testimony, at the hearing of March 21, 1986, the referee granted a supersedeas for *563 partial disability. Medical testimony was offered by Travelers through the deposition of its medical expert, Dr. Vernon R. Morris. Claimant offered the deposition testimony of his medical expert, Dr. James P. Argires.

Dr. Morris examined Claimant several times in 1985, and treated him for wrist injuries which had been sustained in the October 1984 accident. Dr. Morris last examined Claimant on September 5, 1985, and testified, as found by the referee, that:

as of September 5, 1985, the portion of his injury then [sic] was caused by the accident in New York State on October 23, 1984, was cleared up enough for him to return to work as of that date, however, he was still totally disabled from the previous neck and back injury, it being, in his opinion the cause of his existing disability as of September 5, 1985. This Referee accepts this portion of the testimony as competent and credible.

(Finding of Fact No. 8).

Dr. Argires testified that he had treated Claimant both prior to and following the October 1984 accident. The referee found as to Dr. Argires’ testimony as follows:

... that it was his opinion that the October 1984 injury has in fact aggravated the Claimant’s pre-existing condition in regards to his neck and back, that Claimant had degenerative joint disease in his neck and that the cause of his current condition and existing disability is due to the first accident and or injury in July of 1984. This Referee accepts this portion of testimony as competent and credible.

(Finding of Fact No. 9).

The referee concluded that Claimant became temporarily totally disabled as a result of the October 23, 1984 accident, and was entitled to receive compensation benefits under the Act from Travelers for a time period commencing October 24,1984 and ending September 4,1985. (Conclusion of Law No. 2). The referee also concluded that, thereafter, Claimant’s current disability resulted from a recurrence of injuries received in the July 5, 1984 accident. Therefore, the *564 referee granted Travelers’ petition for suspension of benefits, and granted Claimant’s reinstatement petition, awarding Claimant compensation for temporary total disability, payable by Fireman’s Fund, for the time period running from September 5, 1985 to September 7, 1986. (Conclusion of Law No. 3). On September 8, 1986, Claimant became employed as a custodian with the Cocalico School District. However, the referee concluded that Claimant was still entitled to compensation for partial disability, commencing September 8, 1986 and continuing into the future. (Conclusion of Law No. 4).

Fireman’s Fund appealed to the Board, alleging that the referee erred in granting Claimant’s reinstatement petition. In considering the appeal, the Board focussed on Finding of Fact No. 9, in which Dr. Argires testified that the October 1984 injury aggravated Claimant’s pre-existing condition, and perceived this finding to be inconsistent with Conclusion of Law No. 3, in which the referee concluded that Claimant’s continuing disability after September 5, 1985, was the result of a recurrence of the July 1984 injury. Having determined that the referee’s findings were supported by substantial, competent evidence, the Board resolved this perceived inconsistency by rejecting the referee’s legal conclusions that required Fireman’s Fund to pay compensation to Claimant. The Board then ordered modification of the referee’s decision so as to direct that Travelers, rather than Fireman’s Fund, be responsible for paying compensation to Claimant for the time period from September 5,1985 to September 7,1986, and the time period beginning September 8, 1986, and continuing into the future.

Case law provides that, if a disability is an aggravation of a prior injury, there has been a new injury, and the responsible carrier is the employer’s insurer at the time when the aggravation occurs. However, if the disability is the recurrence of a disability resulting from a prior injury, then the responsible carrier is the carrier which served as the employer’s insurer at the time of the prior injury. *565 Lackawanna Refuse and United States Fidelity and Guaranty Co. v. Workmen’s Compensation Appeal Board (Christiano), 74 Pa.Commonwealth Ct. 286, 459 A.2d 899 (1988). Whether a disability results from an aggravation of a pre-existing condition or is a recurrence of a prior injury is a question of fact to be determined by the referee. Id.

In the present case, the referee made a finding that the October 1984 accident aggravated Claimant’s pre-existing condition, affecting his neck and back. No specific finding was made that the continuing disability of Claimant following Dr. Morris’ examination, on September 5,1985, was due to a recurrence of Claimant’s prior injury, yet this is the referee’s conclusion.

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Bluebook (online)
571 A.2d 5, 131 Pa. Commw. 560, 1990 Pa. Commw. LEXIS 164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacemaker-driver-service-v-workmens-compensation-appeal-board-pacommwct-1990.