Ramsey v. Workmen's Compensation Appeals Board

2 Cal. App. 3d 693, 83 Cal. Rptr. 51, 34 Cal. Comp. Cases 647, 1969 Cal. App. LEXIS 1457
CourtCalifornia Court of Appeal
DecidedDecember 16, 1969
DocketCiv. 9875
StatusPublished
Cited by16 cases

This text of 2 Cal. App. 3d 693 (Ramsey v. Workmen's Compensation Appeals Board) 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
Ramsey v. Workmen's Compensation Appeals Board, 2 Cal. App. 3d 693, 83 Cal. Rptr. 51, 34 Cal. Comp. Cases 647, 1969 Cal. App. LEXIS 1457 (Cal. Ct. App. 1969).

Opinion

Opinion

TAMURA, J.

Petitioner seeks review and annulment of an order of the Workmen’s Compensation Appeals Board denying his petition for reconsideration of a supplemental decision awarding permanent disability benefits. The sole issue raised by the petition is whether the board, in imposing the penalty provided by section 5814 of the Labor Code, should have applied the 10 percent penalty to temporary disability and other benefits previously awarded as well as to the permanent disability indemnity.

On May 26, 1967, petitioner, while employed by respondent Humko Products, sustained an injury consisting of a pulmonary disorder. He returned to work on June 27, 1967, and, except for the period November 19, 1967, to February 1968, continued working until July 1, 1968, when he again became disabled as a result of the injury. The employer’s carrier, respondent Ideal Mutual Insurance Company, voluntarily provided temporary disability indemnity for the period May 26, 1967, to June 27, 1967, but made no other voluntary payments.

On July 9, 1968, petitioner filed an application for adjudication of his claim. The matter was heard on September 10, 1968, and findings and award issued on October 11, 1968. The referee made an award of temporary disability indemnity for the period May 26, 1967, to June 26, 1967, and from July 1, 1968, to September 10, 1968, and continuing thereafter at the rate of $70 per week, less credit for payments theretofore voluntarily made. 1

Respondent carrier paid temporary disability payments pursuant to the award through November 25, 1968. On December 5, 1968, it filed a *696 petition to terminate liability for temporary disability on the ground that petitioner was able to return to work. The carrier thereupon ceased making payments.

The petition to terminate liability came on for hearing on January 27, 1969, at which time petitioner herein raised the issues of need for lifetime medical treatment and penalty for unreasonable refusal to make compensation payments. Further hearings were held and on June 2, 1969, the referee issued his “Supplemental Decision” in which he found that temporary disability terminated on December 11, 1968, that the injury resulted in permanent disability of 74 percent as of December 19, 1968, and that petitioner was in need of lifetime medical care. In addition, the referee found that respondent unreasonably delayed furnishing benefits and that a 10 percent penalty should be imposed on all benefits payable after December 5, 1968, except as to amounts awarded as reimbursement for medical-legal costs. An award was made in accordance with the findings.

In his written opinion, the referee stated that a penalty for unreasonable delay should be imposed because (1) respondent terminated temporary disability on December 5, 1968, and made no further payments for at least three and one-half months and (2) there was no reasonable basis to deny benefits inasmuch as respondent’s own medical reports established .the fact that petitioner had suffered substantial permanent disability.

Petitioner sought reconsideration of the “Supplemental Decision” on the ground that the 10 percent penalty should have been imposed on the temporary disability and other benefits previously awarded on October 11, 1968, (except as to medical-legal costs) as well as on the benefits awarded as of December 5, 1968. The referee recommended reconsideration of the penalty issue but the board denied the petition. 2

In its opinion and order denying reconsideration, the board stated: “It clearly appeared from the medical reports in the possession of defendant carrier that applicant was entitled to either temporary disability indemnity or permanent disability indemnity when it stopped paying compensation. The referee was warranted in finding that the payment of compensation was unreasonably delayed.” However, the board concluded that the penalty could not be applied to the benefits which had been previously awarded on October 11, 1968. The board stated: “It is not proper to apply the 10 per cent penalty to payments which are not properly a part of the later award. *697 (Vogh v. W.C.A.B., 33 C.C.C. 491, 494.) The delay penalty applies to all compensation awarded in the decision assessing the penalty, but does not apply to a separate decision issued at another time awarding a different species of compensation. (Roche v. Navajo Freight Lines, Inc., 34 C.C.C. 7.) The delay penalty does not reach back to benefits timely provided prior to the delay if the benefits are not a part of the later award assessing the penalty. (Lewis v. Ellay Rubber Company, 34 C.C.C. 253.)”

Thus, the limited question before us is whether the 10 percent penalty should have been imposed upon the benefits awarded on October 11, 1968, as well as upon the benefits commencing as of December 5, 1968.

Section 5814 of the Labor Code provides: “When payment of compensation has been unreasonably delayed or refused, either prior to or subsequent to the issuance of an award, the full amount of the order, decision or award shall be increased by 10 percent. The question of delay and the reasonableness of the cause therefor shall be determined by the appeals board in accordance with the facts. Such delay or refusal shall constitute good cause under Section 5803 to rescind, alter or amend the order, decision or award for the purpose of making the increase provided for herein.”

The provisions of section 5814, as is true of all other provisions of the Workmen’s Compensation Act, must be liberally construed “with the purpose of extending their benefits for the protection of persons injured in the course of their employment.” (Labor Code, § 3202; Longer v. Workmen’s Comp. App. Bd., 258 Cal.App.2d 400, 404 [65 Cal.Rptr. 598]; Davison v. Industrial Acc. Com., 241 Cal.App.2d 15, 17-18 [50 Cal.Rptr. 76].) The section was designed to compel the employer to comply with the law fully and promptly and thereby aid the employee in obtaining the cure or relief to which he is entitled without delay. (Davison v. Industrial Acc. Com., supra, p. 18.)

The word “award” as used in section 5814 has been construed to mean “award of compensation” and as such “includes every benefit or payment conferred upon an injured employee by Division IV of the Labor Code.” (Hockett v. Industrial Acc. Com., 170 Cal.App.2d 155, 157 [338 P.2d 604].) It thus includes, medical, surgical and hospital treatment reasonably required to cure or relieve the employee from the effects of injury and reimbursements for amounts reasonably incurred for such care. (Hockett v. Industrial Acc. Com., supra.) However, it does not include medical-legal expenses incurred in prosecuting a claim which are in the nature of costs rather than compensation (Vogh v. Workmen’s Comp. App. Bd., 264 Cal.App.2d 724, 728 [70 Cal.Rptr. 722]; Hockett

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Bluebook (online)
2 Cal. App. 3d 693, 83 Cal. Rptr. 51, 34 Cal. Comp. Cases 647, 1969 Cal. App. LEXIS 1457, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ramsey-v-workmens-compensation-appeals-board-calctapp-1969.