School District v. Workmen's Compensation Appeal Board

531 A.2d 547, 109 Pa. Commw. 463, 1987 Pa. Commw. LEXIS 2475
CourtCommonwealth Court of Pennsylvania
DecidedSeptember 21, 1987
DocketAppeals, Nos. 1244 and 1317 C.D. 1986
StatusPublished
Cited by9 cases

This text of 531 A.2d 547 (School District 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
School District v. Workmen's Compensation Appeal Board, 531 A.2d 547, 109 Pa. Commw. 463, 1987 Pa. Commw. LEXIS 2475 (Pa. Ct. App. 1987).

Opinion

Opinion by

Judge Craig,

Before this court are the cross-appeals of the claimant, Sandra Lee March, and the employer, School District of Philadelphia, from an order1, of the Workmen’s Compensation Board of Review reversing a referee’s decisions in part. Specifically, the board affirmed the. referee’s permanent disfigurement award and the referee’s determination that there had been a reasonable contest in that disfigurement proceeding. The board also affirmed the referee’s assessment of a 10% penalty upon the employer for unreasonable delay. However, the board reversed the referee’s determination that there had been an unreasonable contest in the disability case, and the board also reduced? the school ,district’s credit for sickness and accident benefits paid from 100% to 50%. Additionally, the board determined that the employer had not acted in violation of the law.

On appeal, the claimant is challenging the board’s disfigurement award for her scar, and also the board’s [466]*466assessment of only a 10% penalty, asserting that she is entitled to a 20% penalty assessment. Additionally, the claimant challenges the boards determination that there had been a reasonable contest relating to the claimants disability. On the other hand, the school district is challenging the boards determination that the school district was entitled to only 50% credit for sickness and accident benefits paid to the claimant during her disability. Additionally, the school district challenges the imposition of a penalty amount on a “per annum” basis.

According to the referees findings of fact, the claimant worked as a special education teacher for mentally retarded children in the Life Skills Program for the school district. On March 10, 1981, the claimant sustained a work-related injury in the course and scope of her employment. Unknown assailants had assaulted the claimant while she was en route to a bank near the school during an allotted preparation period. The claimant suffered a cerebral concussion, injuries to teeth and jaw, fractures of face and cheek and permanent injuries to eye and face and numbness. The claimant was temporarily and totally disabled from March 10, 1981 through October 21, 1981 when she regained the ability to return to work.

From March 11, 1981 to April 22, 1981, from May 1, 1981 to June 30, 1981, and from September 1, 1981 to October 21, 1981, the claimant received from the school districts insurance carrier payments equal to or in excess of that to which she would have been entitled under The Pennsylvania Workmens Compensation Act.2

This courts scope of review of the following issues is limited to determining whether there has been a constitutional violation or an error of law, and whether sub[467]*467stantial evidence supports the findings of fact. Estate of McGovern v. State Employees’ Retirement Board, 512 Pa. 377, 517 A.2d 523 (1986).

Disfigurement Award

Under section 306(c)(22) of The Pennsylvania Workmens Compensation Act, 77 P.S. 513, the board made an award of forty weeks compensation to the claimant for facial disfigurement sustained in the assault. The claimant is challenging that award as inadequate and inconsistent with the evidence.

As the board noted in its decision, the amount of an award for a disfigurement is a question of fact which cannot be disturbed if the referees finding describes the disfigurement adequately , and that description has a basis in the record. Wyoming Sand and Stone v. Workmen’s Compensation Appeal Board, 76 Pa. Commonwealth Ct. 458, 464 A.2d 617 (1983). Because the referee here specifically described the claimants disfigurement at length, including the effect of the right-side fracture on her speech and eating, the board correctly, determined that it was constrained to affirm the referees decision.

The claimant asserts that the board erred in refusing to make an independent review of the claimants disfigurement despite its authority to do so as indicated in American Chain and Cable Co. v. Workmen’s Compensation Appeal Board, 70 Pa. Commonwealth Ct. 579, 454 A.2d 211 (1982). However, in American Chain at 585, 454 A.2d at 214, this court stated that:

In certain circumstances, such as here, where the referee made no findings actually describing the disfigurement for the benefit of a subsequent review and appeal to the Board, a view of the scar would be the only meaningful way to establish whether the opinion of the referee is indeed [468]*468supported by substantial competent evidence.’ (Emphasis added.)

Accordingly American Chain is not applicable here where the referee made numerous findings describing the disfigurement for the benefit of subsequent review. Therefore, we must affirm the boards award of forty weeks of compensation for the claimants disfigurement.

Penalties

Under section 435(d)(i) of the Workmens Compensation Act, 77 P.S. §991(d)(i), a claimant may receive a penalty for counsel fees up to 20% of the compensation awarded. • Although the referee awarded that full 20% penalty, the board reduced it to a 10% penalty after reasoning that the school district had not acted in violation of the Act. •

In a workmens compensation proceeding, no penalty may be imposed at all under subsection 435(d) without proof of a violation of the Act or of the rules of the department or board. Jones v. Workmen's Compensation Appeal Board, 65 Pa. Commonwealth Ct. 208, 442 A.2d 37 (1982). Accordingly, if the board is correct in its determination that the employer did not act in violation of the law or of the rules of the department or board, then its imposition of a penalty for unreasonable delay alone was erroneous.

However, the referee specifically ' found that “Defendant [eriiployér] ignored numerous efforts of Claimant to effectuate a Workers Compensation Claim, including the filing of an accident report on her behalf.”3 In workmens compensation cases, the referee, not the board, is the ultimate factfinder. Dudley v. Workmen's Compensation Appeal Board (Marple Township), 80 Pa. Commonwealth Ct. 233, 471 A.2d 169 [469]*469(1984). Because there is ample evidence in the record to support the referees determination that the employer acted in violation of the Act4 by foiling to effectuate the claim for compensation, we must reverse the boards contrary determination and reinstate the referees finding. Accordingly, we must reverse the board on the penalty issue and reinstate the referees imposition of a 20% penalty based on the employers actions in violation of the Act in its unreasonable delay in the payment of compensation.

Reasonable Contest on Disability

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Sch. Dist. of Phila. v. WCAB (MARCH)
531 A.2d 547 (Commonwealth Court of Pennsylvania, 1987)

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Bluebook (online)
531 A.2d 547, 109 Pa. Commw. 463, 1987 Pa. Commw. LEXIS 2475, Counsel Stack Legal Research, https://law.counselstack.com/opinion/school-district-v-workmens-compensation-appeal-board-pacommwct-1987.