Smith v. Workers' Compensation Appeals Board

96 Cal. App. 4th 560, 2002 Daily Journal DAR 2555, 67 Cal. Comp. Cases 121, 117 Cal. Rptr. 2d 420, 2002 Cal. App. LEXIS 2194, 2002 D.A.R. 2555
Procedural entryThis page is a short order in Smith v. Workers' Compensation Appeals Board. Read the opinion of the Court — 94 Cal. Rptr. 2d 186
California Court of Appeal·Decided February 28, 2002·No. No. A095914·Published

Opinion

Opinion

STEVENS, J.

In this opinion, we consider the formula for determining when parents should be considered “partial dependents” of their adult children living at home, for purposes of recovering death benefits. We conclude that the deceased must provide a net financial benefit to the household, deducting first those costs attributable solely to the deceased.

[562]*562When a worker dies with no dependents, the employer is required by Labor Code section 4706.5, subdivision (a)1 to pay an equivalent death benefit to the Department of Industrial Relations (DIR) for addition to the Subsequent Injuries Fund (SIF) (see subd. (c)). The amount paid to DIR is equal to the death benefit paid when the deceased leaves one person totally dependent and no partial dependents, currently set at $125,000 by section 4702, subdivision (a)(3).

In this case, an unmarried worker living with his parents died from industrial causes. His parents elected not to pursue a claim that they were dependent upon him. However, the employer filed a dependency claim on their behalf. The Workers’ Compensation Appeals Board (Board) agreed with the employer that, by paying Lori and Lawrence Walker $150 per month as rent, Joshua Walker made them his dependents. The Board awarded the Walkers a partial dependency award of $7,200, four times the annual rent. It then ordered that DIR take nothing, permitting the employer/ insurance carrier to save $117,800.

We conclude that the Board analyzed dependency incorrectly and for that reason discounted compelling evidence that the $150 per month rent did not fully reimburse the Walkers for Joshua’s food. We annul the Board’s decision.

Facts and Procedural History

Joshua was 22 when he died from industrial causes. At the time, he was working for J. R. W. Contemporary, Inc. (JRW), a furniture manufacturer. He had always lived at home and when he turned 21, he began paying $150 per month as rent. He made his own car payments and reimbursed his parents for car insurance because his car was covered by their policy. He was also covered by their health insurance and they paid his copayments for him. Copayments were at most $50 per year. After Joshua was injured and went into the hospital, the household food bill went down by $50 to $75 per week.

Before the Walkers purchased their house, they rented it. They took Joshua’s rent into consideration when they decided to purchase the house in 1998 and they counted on his payments to help them make the mortgage payments. However, their standard of living did not change financially when they stopped receiving his payments.

Although the Walkers originally submitted a death benefit claim, they asked the Board to dismiss it. JRW objected to dismissal of the Walkers’ [563]*563application and filed its own claim on the Walkers’ behalf. The Board allowed the claim to proceed and JRW to make dependency arguments for the Walkers.

After hearing, the workers’ compensation judge (WCJ) found that the Walkers were partially dependent upon Joshua because his $150 rent helped them purchase their home. Pursuant to section 4702, subdivision (a)(4), she awarded them $7,200, calculated at four times his annual rent. The Board denied the DIR’s petition for reconsideration, and this petition followed. We granted writ of review. Based upon our review of the record, we annul the Board’s decision.

The DIR’s Arguments

Citing several Supreme Court cases, some recent and some from the 1920’s, the DIR contends that the Board applied the wrong standard for dependency when it found the Walkers were partial dependents even though Joshua made no net financial contribution to their household. DIR asserts the WCJ and Board erroneously took into account the rent paid without deducting the amount devoted to Joshua’s own support.

Discussion

When an injured worker dies, any accrued or unpaid compensation is paid to his or her dependents. If there are no dependents, these funds are distributed with the worker’s estate. (§ 4700.) The employer is also liable for reasonable burial expenses, not to exceed $5,000, and for “[a] death benefit, to be allowed to the dependents when the employee leaves any person dependent upon him or her for support.” (§ 4701.) Section 4702 sets the death benefit amount. If the worker left one total dependent and no partial dependents, the death benefit is $125,000 (§ 4702, subd. (a)(3)). If the worker left only partial dependents, the amount of the benefit is “four times the amount annually devoted to the support of the partial dependents” but in no case more than $125,000 (§ 4702, subd. (a)(4)). Section 4703 governs allocation of the death benefit when there are two or more dependents. It provides that in the case of only partial dependents, “the amount allowed as a death benefit shall be divided among the persons so partially dependent in proportion to the relative extent of their dependency.”

If an employee dies without any surviving dependent, section 4706.5, subdivision (a) dictates that “the employer shall pay a sum to the Department of Industrial Relations equal to the total dependency death benefit that would be payable to a surviving spouse with no dependent minor children.” That [564]*564amount is set at $125,000 by section 4702, subdivision (a)(3). The amount is to be deposited in the General Fund and credited as a payment into the SIF.2

None of these code sections defines dependency, but the wording of section 4702, subdivision (a)(4) suggests its meaning; it defines the partial dependency benefit as four times the amount “devoted to the support of the partial dependents."

Division One of this court has proffered the following definition, taken from the dictionary and from treatises: “Generally speaking, a dependent is one who relies on another for support. [Citation.] Webster defines dependent as ‘One who is sustained by another, or who relies on another for support or favor.’ [Citations.] 1 Campbell on Workmen’s Compensation (1935 ed.) section 863, pages 767-768 states: ‘Dependency is a present, existing relation between two persons where the one is sustained by, or relies on, the aid of the other for his means of living. This does not mean absolute dependency for the necessities of life, but rather that the dependent looks to and relies upon the contributions of the injured employee in whole or in part as a means of supporting and maintaining such dependent in accordance with his accustomed mode of life. Dependency within the meaning of the Act involves the idea of a present, current reliance upon the decedent for support.’ [Citations.]” (Industrial Indem. Co. v. Industrial Acc. Com. (1966) 243 Cal.App.2d 700, 705-706 [52 Cal.Rptr. 647].)

Much of the case law on dependency in the workers’ compensation setting arises under sections 3501 and 3502. Section 3501 provides that a child under 18 or one over that age who is physically or mentally unable to earn “shall be conclusively presumed to be wholly dependent” upon a parent with whom he or she was living. Section 3502 provides that in all other cases “questions of entire or partial dependency . . . shall be determined in accordance with the facts as they exist at the time of the injury of the employee.”

Many of the concepts in the current death benefit statutes were a part of the original workers’ compensation act, adopted in 1917.

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Smith v. Workers' Compensation Appeals Board, 96 Cal. App. 4th 560, 2002 Daily Journal DAR 2555, 67 Cal. Comp. Cases 121, 117 Cal. Rptr. 2d 420, 2002 Cal. App. LEXIS 2194, 2002 D.A.R. 2555 (Cal. Ct. App. 2002).

96 Cal. App. 4th 560 (Smith v. Workers' Compensation Appeals Board) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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