Roberts v. Workmens Compensation Appeal Board

521 A.2d 100, 104 Pa. Commw. 114, 1987 Pa. Commw. LEXIS 1944
CourtCommonwealth Court of Pennsylvania
DecidedFebruary 19, 1987
DocketAppeal, No. 2028 C.D. 1985
StatusPublished
Cited by9 cases

This text of 521 A.2d 100 (Roberts v. Workmens 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
Roberts v. Workmens Compensation Appeal Board, 521 A.2d 100, 104 Pa. Commw. 114, 1987 Pa. Commw. LEXIS 1944 (Pa. Ct. App. 1987).

Opinion

Opinion by

Judge Colins,

Carol C. Roberts (claimant) appeals an order of the Workmens Compensation Appeal Board (Board) affirming a referees dismissal of her claim for workmens compensation as barred by the three year statute of limitations applicable to such proceedings. See Section 315 of The Pennsylvania Workmens Compensation Act (Act), Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §602.

Claimant was employed by Merck, Sharp & Dohme (employer) as a machine operator when she suffered an allergic reaction on February 25, 1976, allegedly in re[116]*116sponse to contaminants distributed by a malfunctioning ventilation system in the employers manufacturing facility. Claimant received sick pay from that date until August, 1976, and thereafter received disability compensation until August 25, 1978, under an Equitable group insurance policy maintained by the employer. Her claim for workmens compensation filed with the employers insurer at some point during the summer of 1976 was denied by that carrier on November 8, 1976. Claimant did not file a petition with the Bureau of Workers’ Compensation (Bureau) until April 27, 1981, some five years after her alleged work-related injury. After hearings, the referee dismissed claimant’s petition as untimely, the Board affirmed and this appeal followed.

Upon appeal, claimant contends that: (1) her receipt of long-term disability payments under the employer’s group policy tolled the applicable statute of limitations so that her subsequent petition for workmen’s compensation was in fact timely; and (2) the employer was es-topped from raising the issue of timeliness because the notice of denial of workmen’s compensation issued by the employer’s carrier on November 8, 1976, erroneously indicated that the applicable statute of limitations was two years rather than three years as provided in Section 315 of the Act.

Section 315 states that:

In cases of personal injury all claims for compensation shall be forever barred, unless, within three years after the injury, the parties shall have agreed upon the compensation payable under this article; or unless within three years after the injury, one of the parties shall have filed a petition as provided . . . [hereinafter]. . . . Where, however, payments of compensation have been made in any case, said limitations [117]*117shall not take effect until the expiration of three years from the time of the making of the most recent payment prior to date of filing such petition: Provided, That any payment made under an established plan or policy of insurance for the payment of benefits on account of non-occupational illness or injury and which payment is identified as not being workmens compensation shall not be considered to be payment in lieu of workmens compensation, and such payment shall not toll the running of the Statute of Limitations. (Emphasis added.)

We must ascertain whether the payments to claimant in the instant matter were indeed compensation effecting a suspension of the limitation period, such limitation commencing upon the last payment made.

The claimant bears the burden of demonstrating that the “moneys were paid and received as compensation under the Act and not as wages for employment,” Workmens Compensation Appeal Board v. Kennedy, 21 Pa. Commonwealth Ct. 76, 78, 342 A.2d 828, 829 (1975) , and such a fact must clearly appear in the record. Workmens Compensation Appeal Board v. Niemann, 24 Pa. Commonwealth Ct. 377, 356 A.2d 370 (1976) . The claimant must present sufficient evidence to support a finding that the employer intended to compensate an employee for loss of earning power due to a work-related injury. See generally Temple v. Pennsylvania Department of Highways, 445 Pa. 539, 285 A.2d 137 (1971); Helstrom v. Workmens Compensation Appeal Board, 43 Pa. Commonwealth Ct. 113, 401 A.2d 882 (1979); see also Torrey, Time Limitations in the Pennsylvania Workmens Compensation and Occupational Disease Acts: Theoretical Doctrine and Current Applications, 24 Duq. L. Rev. 978, 1118-25 (1986). The fact that payments were made to the employee while [118]*118she was incapacitated and not working cannot alone support the conclusion that payments were made in lieu of compensation. See Kennedy. The proviso to Section 315 quoted above indicates that payments under an “established plan or policy of insurance” made for purposes other than compensation for a work-related injury, and which “payments] [are] identified as not being workmens compensation” will not toll the statute of limitations. (Emphasis added.)

The claimant does not allege that the benefits she received were at any time designated by the employer as workmens compensation. Indeed, she proffered the employers denial of her workmens compensation claim at the hearings before the referee, which denial clearly indicated that compensation was refused because her disability was not work-related. Her brief to this Court states, and her testimony before the referee corroborates, that she received long-term disability benefits from Equitable Insurance Company.

The claimant contends that “payments of any kind being made to a disabled employee, although not formally under the Act except payments that are made for services being rendered” will toll the limitation period of Section 315. Such an interpretation is not encompassed by the above-quoted proviso to that section.

The claimant quotes extensively in her brief from Section 5.42(3) of Judge Barbieris learned treatise entitled Pennsylvania Workmens Compensation and Occupational Disease, wherein Judge Barbieri cites Creighton v. Continental Roll & Steel Foundry Co., 155 Pa. Superior Ct. 165, 173, 38 A.2d 337, 341 (1944) as follows:

[W]hen an employee is totally disabled and the employer, while denying any liability for workmens compensation, nevertheless pays the employee regular stated amounts, weekly or month[119]*119ly, either out of its own general funds, or out of sick or accident benefits or relief funds contributed by it, not as wages or salary for work performed, but in relief of the employees incapacity to labor, on its being determined that employee is entitled to workmens compensation, the amount paid by the employer discharges its liability for compensation. . . . (Emphasis in original.)

Creighton was an occupational disease case and the issue of the tolling of the limitations period was an extrinsic matter. Moreover, the proviso to Section 315 pertaining to payments by the employer “on account of non-occupational illness or injury . . . identified as not being workmens compensation” was enacted after Creighton and must control our disposition of this matter.

The claimants reliance on Marshall v. Workmens Compensation Appeal Board, 43 Pa. Commonwealth Ct.

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Bluebook (online)
521 A.2d 100, 104 Pa. Commw. 114, 1987 Pa. Commw. LEXIS 1944, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roberts-v-workmens-compensation-appeal-board-pacommwct-1987.