Sena v. Workers' Compensation Appeal Board

813 A.2d 32, 2002 Pa. Commw. LEXIS 1007
CourtCommonwealth Court of Pennsylvania
DecidedDecember 23, 2002
StatusPublished
Cited by5 cases

This text of 813 A.2d 32 (Sena v. Workers' 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
Sena v. Workers' Compensation Appeal Board, 813 A.2d 32, 2002 Pa. Commw. LEXIS 1007 (Pa. Ct. App. 2002).

Opinion

OPINION BY

Senior Judge FLAHERTY.

Tina Sena (Claimant) petitions for review of an order of the Workers’ Compensation Appeal Board (Board) which affirmed the decision of a Workers’ Compensation Judge (WCJ) dismissing her Reinstatement Petition because it was filed more than three years after she received her last payment of compensation benefits. We affirm.

On March 14, 1996, the parties entered into a Stipulation setting forth, in relevant part, that:

1. On May 20, 1992, Claimant sustained an injury in the nature of a herniated cervical disc at C4-C5 and an aggravation of a pre-existing work-related lumbar disc herniation at L5-S1 during the course and scope of her employment with [Employer],
9. On or about March 14, 1996, the parties entered into a Supplemental Agreement in which it was agreed that Claimant’s total disability had become partial in nature and that there is work available to Claimant which she is capable of performing and which would result in an earning capacity of $183.11 per week and a partial disability rate of $90.00 per week for 500 weeks.
10. The parties are desirous of commuting the remaining 500 weeks of partial disability benefits at the rate of $90.00 per week which would result in a payment to Claimant in the lump sum amount of $45,000.00.
12. The parties agree that the commutation is in Claimant’s best interests.
16. Claimant acknowledges that she has reviewed the contents of this Stipulation with her counsel, that her counsel has explained the legal effect of this Stipulation and the commutation, that she understands this information, and that she voluntarily signs this Stipulation.

Four years later, on March 16, 2000, Claimant filed a Reinstatement Petition *34 alleging that on March 14, 2000 she underwent back surgery and that her condition has worsened. 1 Employer filed an Answer asserting that “[t]his matter was subject to a commutation entered into on March 14, 1996 and Claimant is not entitled to any further compensation benefits.”

By decision and order dated May 31, 2001, the WCJ concluded that Claimant failed to file her Reinstatement Petition within three years of the most recent payment of compensation benefits as required by Section 413(a) of the Workers’ Compensation Act (Act). 2 Accordingly, the WCJ denied and dismissed Claimant’s Reinstatement Petition. Claimant appealed to the Board, which affirmed the decision of the WCJ. This appeal followed. 3

On appeal, Claimant argues that the Board erroneously concluded that a commutation does not extend the period in which to petition for a reinstatement of benefits.

The three-year statute of limitations is found in Section 413(a) of the Act which provides, in relevant part, that:

A workers’ compensation judge designated by the department may, at any time, modify, reinstate, suspend, or terminate a notice of compensation payable, an original or supplemental agreement or an award of the department or its workers’ compensation judge, upon petition filed by either party with the department ... Provided, That ... no notice of compensation payable, agreement or award shall be reviewed, or modified, or reinstated, unless a petition is filed with the department within three years after the date of the most recent payment of compensation made prior to the filing of such petition ... And provided further, That where compensation has been suspended because the employe’s earnings are equal to or in excess of his wages prior to the injury that payments under the agreement or award may be resumed at any time during the period for which compensation for partial disability is payable, 4 unless it be shown that the loss in earnings does not result from the disability due to the injury.

77 P.S. § 772 (emphasis added). In support of her argument that the statute of limitations set forth above does not apply here, Claimant cites our Supreme Court’s decision in Stewart v. WCAB (Pa Glass Sand), 562 Pa. 401, 756 A.2d 655 (2000). In Stewart, the issue presented was “whether expiration of the 500-week period during which a claimant retains eligibility to receive workers’ compensation for partial disability forecloses a subsequent claim for total disability upon deterioration of the claimant’s physical condition.” Id. at 402, 756 A.2d at 655. The Court determined that, because the claimant filed his modification petition within three years of the final payment of benefits, he was not foreclosed from filing a subsequent claim for total disability. However, the Court also stated, in a footnote, that:

*35 ... A further inference is required, however, to support the conclusion that all post-500-week claims (including those for total disability) on the part of a claimant whose benefits have been suspended are precluded. Moreover, as noted, this would not appear to be as reasoned an inference, as we perceive no apparent sound policy justification for distinguishing between partially-disabled claimants who have received a full complement of partial disability benefits and those who have experienced some period of suspension, in terms of the effect of the expiration of 500 weeks upon potential future claims. We decline to resolve this question in the present appeal, however, since the appropriate facts are not before us; we merely note that the opinion in this case should not be read as an endorsement of the pertinent reasoning from Edgewater, Deppenbrook and Roussos. Parenthetically, there are also sound policy arguments against distinguishing between a claimant who has accepted a lump-sum payment of partial disability benefits from one who receives such benefits in installments, in terms of the running of the 500-week period. Nevertheless, the Commonwealth Court has enforced a plain-meaning approach to Section 413(a)’s directive that the three-year limitations period commences after “the date of the most recent payment of compensation,” 77 P.S. § 772. See, e.g., Bailey v. WCAB (ABEX Corp.), 717 A.2d 17, 22-23 (Pa.Cmwlth.1998); Waratuke v. WCAB (Handee Marts), 687 A.2d 1219, 1221 (1997); Mason v. WCAB (Acme Markets), 156 Pa.Cmwlth. 10, 13, 625 A.2d 1271, 1272 (1992).

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Bluebook (online)
813 A.2d 32, 2002 Pa. Commw. LEXIS 1007, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sena-v-workers-compensation-appeal-board-pacommwct-2002.