Rohrback v. Workers' Compensation Appeals Board

144 Cal. App. 3d 896, 193 Cal. Rptr. 558, 1983 Cal. App. LEXIS 1881
CourtCalifornia Court of Appeal
DecidedJanuary 25, 1983
DocketCiv. No. 53265
StatusPublished

This text of 144 Cal. App. 3d 896 (Rohrback v. Workers' 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
Rohrback v. Workers' Compensation Appeals Board, 144 Cal. App. 3d 896, 193 Cal. Rptr. 558, 1983 Cal. App. LEXIS 1881 (Cal. Ct. App. 1983).

Opinion

Opinion

HOLMDAHL, J.

This case presents a narrow issue of construction under Kerley v. Workmen’s Comp. App. Bd. (1971) 4 Cal.3d 223 [93 Cal.Rptr. 192, 481 P.2d 200], which set the standard for determining when employers are liable for a 10 percent increase in a worker’s compensation award because of unreasonable delay in making payments, under Labor Code section 5814.1 We are asked to decide how broad a meaning the Supreme Court intended for the term “liability” in holding “that the only satisfactory excuse for delay in payment of disability benefits ... is genuine doubt from [898]*898a medical or legal standpoint as to liability for benefits . . . .” (Kerley v. Workmen’s Comp. App. Bd., supra, 4 Cal.3d 223, 230.)2

Employer M&J Logging and its insurance carrier Employee Benefits Insurance Company (collectively EBIC) contend that Kerley insulates them from the statutory penalty because of their doubt of liability to make further payment of compensation until they had fully offset overpayments and before the final order was issued. The Worker’s Compensation Appeals Board (board) accepted this rationale. We hold, for a number of reasons, that EBIC’s position is incorrect.

I.

There is and has been no dispute between the parties on the underlying question of liability.3 Petitioner, then 50 years old, was employed by M&J Logging in its logging operations when, on July 14, 1977, a log weighing several tons rolled over him. He suffered internal injuries as well as injuries to his ribs, clavicle, and an arm. He had not returned to work again as of the last evidentiary hearing below.

[899]*899Most of the proceedings below were devoted to fixing the extent of petitioner’s permanent disability. The case was submitted to the board’s rating bureau four times, resulting in consecutive recommended permanent disability ratings of 80 percent, 82'A percent, 86 H percent, and—the figure ultimately utilized by the board in its award—96 A percent. At no time did EBIC dispute any of the ratings; since the earliest pleading stages of the case, EBIC has admitted basic liability.

Thus, it is given that petitioner suffered an “injury . . . arising out of and in the course of the employment . . .,” which was not rendered non-compensable under any of the subdivisions of section 3600.

II.

At a hearing on September 27, 1978, pursuant to the parties’ stipulation, a board rehabilitation consultant ordered EBIC to pay temporary disability benefits of $154 per week during petitioner’s rehabilitation program for “up to 90 days.” The consultant added not only that “it would appear appropriate to suspend further rehabilitation activities at that time [90 days hence],” but also that “Mr. Rohrback is, of course, entitled to receive temporary disability benefits during his involvement in the rehabilitation process until it has been concluded.” During the 90-day period (ending December 26, 1978), and moreover for approximatately 8 months thereafter, EBIC paid petitioner at the $154 per week rate. Then, in August, 1979, EBIC formally requested termination of rehabilitation benefits, retroactive to December 26, 1978. The rehabilitation consultant, finding that further rehabilitation efforts “would not be productive or appropriate at this time,” suspended temporary benefits on August 17, 1979, without any reference to retroactivity.

EBIC never directly contested this ruling, though the $154 weekly amount was $84 greater than the amount for which EBIC would otherwise have been obligated in the form of retroactive benefits for permanent disability in the ultimate award.4 Instead, EBIC argued in the hearings on permanent disability compensation that in the final award it should recover a credit of [900]*900$84 per week for all the weeks between December 26, 1978, and August 17, 1979.5

On June 16, 1980, the workers’ compensation judge (judge) issued his findings and award. The relevant finding was that “ [defendants are entitled to credit for overpayment of temporary disability indemnity in an amount to be adjusted by the parties . . . .” (Italics added.) The relevant portion of the award read: “. . . [pjermanent disability indemnity of [$33,547.50] payable at $70 per week beginning 12/5/78 and not less than twice each calendar month thereafter until paid in full, . . . less credit for overpayment of temporary disability indemnity in an amount to be adjusted by the parties for the period from 12/2/78 [sz'c] through 8/17/79. ...” (Italics added.)

Petitioner requested reconsideration by the board, and in due course, on July 21, 1980, the judge made his report to the board, and served it on the parties. Inter alia, the report said: “[T]he fact that such credit was to be in an amount to be adjusted by the parties clearly infers [sz'c] that if the parties cannot agree the matter must be back before the Board to make a decision on the proper amount.” (Italics added.)

In the interim, however, EBIC took unilateral action. The insurance carrier sent petitioner a letter, dated July 9, 1980, reciting (1) that it calculated a credit of $2,242.90, (2) that this amount would be credited at the rate of $70 per week until satisfied, and, therefore, (3) petitioner would receive his first actual payment in February, 1981.

Petitioner’s counsel immediately sent to EBIC’s counsel a letter protesting the unilateral action and threatening to move for penalties under section 5814 if payments were not initiated within ten days. EBIC’s counsel replied with a terse letter making reference to the carrier’s July 9 letter, clearly implying that EBIC absolutely maintained the position stated in that letter.6

[901]*901Petitioner thereupon moved for imposition of the section 5814 penalty. The judge initially granted the motion. However, EBIC petitioned for reconsideration, arguing in essence that the Kerley doctrine contemplates within its protection from penalties a doubt as to whether present payments are due, when despite the employer’s conceded liability for compensation, the employer also believes it is entitled to a credit. Since EBIC doubted whether present payments were due, it argued, it doubted whether it was “liable” for payments.

In his following report to the board, the judge accepted EBIC’s reasoning, and reversed his former position. The board likewise, accepted EBIC’s argument, and ordered the penalty stricken. It is for relief from this order that petitioner has come to this court.

III.

We examine Kerley and conclude that it does not support EBIC’s position.

“[T]he only satisfactory excuse for delay in payment of disability benefits, whether prior to or subsequent to an award, is genuine doubt from a medical or legal standpoint as to liability for benefits, and ... the burden is on the employer or his carrier to present substantial evidence on which a finding of such doubt may be based.” (Kerley v. Workmen’s Comp. App. Bd., supra,

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Related

Gallamore v. Workers' Compensation Appeals Board
591 P.2d 1242 (California Supreme Court, 1979)
Kerley v. Workmen's Compensation Appeals Board
481 P.2d 200 (California Supreme Court, 1971)
Gaiera v. Workmen's Compensation Appeals Board
271 Cal. App. 2d 246 (California Court of Appeal, 1969)

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Bluebook (online)
144 Cal. App. 3d 896, 193 Cal. Rptr. 558, 1983 Cal. App. LEXIS 1881, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rohrback-v-workers-compensation-appeals-board-calctapp-1983.