State of California v. Workers' Comp. Appeals Bd.

44 Cal. App. 4th 128, 51 Cal. Rptr. 2d 606, 96 Daily Journal DAR 3839, 96 Cal. Daily Op. Serv. 2307, 61 Cal. Comp. Cases 325, 1996 Cal. App. LEXIS 302
CourtCalifornia Court of Appeal
DecidedApril 3, 1996
DocketD023655
StatusPublished
Cited by11 cases

This text of 44 Cal. App. 4th 128 (State of California v. Workers' Comp. Appeals Bd.) 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
State of California v. Workers' Comp. Appeals Bd., 44 Cal. App. 4th 128, 51 Cal. Rptr. 2d 606, 96 Daily Journal DAR 3839, 96 Cal. Daily Op. Serv. 2307, 61 Cal. Comp. Cases 325, 1996 Cal. App. LEXIS 302 (Cal. Ct. App. 1996).

Opinion

Opinion

NARES, J.

The sole question in this proceeding is whether the Workers’ Compensation Appeals Board (WCAB or Board) has jurisdiction to impose a penalty for unreasonable delay in payment of industrial disability leave (IDL) to which an injured state employee is entitled under Government Code section 19869 et seq. There is no specific legislative directive by which to resolve this issue. However, we conclude the WCAB had jurisdiction to impose the penalty as it did in this case. Our conclusion is based on the Legislature’s definition of IDL as identical with temporary disability indemnity (TD) under the Labor Code 1 (Gov. Code, § 19870, subd. (a)), the Board’s unquestioned jurisdiction of TD which is also available to an injured state employee, the Board’s construction of its authority which is not clearly erroneous, the Legislature’s salutary general purpose in authorizing the penalty in cases of unreasonably delayed payment, and the requirement that statutory enactments pertaining to workers’ compensation are to be construed liberally in favor of the injured worker. Thus, we affirm the order.

Facts

Nature of Order

The order in question was made in connection with a grant of reconsideration by the Board at the request of the State Compensation Insurance Fund (SCIF) and the state agency employer of the injured state worker. 2 The order’s specific nature is important in the resolution of the jurisdictional issue. The order is that while WCAB does not have jurisdiction to award IDL, since jurisdiction to make such an award lies with the state’s Department of Personnel Administration (DPA), it does have jurisdiction to award *131 a penalty based on the lesser amount of TD (§§ 3201-6002, 6100-6149) that would be due for the seven-and-one-half-month period of temporary disability and as a result of the state employer’s not having paid any benefit to the worker for the temporary disability until nearly four months after the Board made the award. The amended findings on reconsideration thus provided, in pertinent part: 3 “The injury caused temporary disability for the period April 27, 1992 through January 14, 1993, for which indemnity is payable in accordance with Government Code section 19871, plus a 10% [penalty] against that amount which would have been payable as temporary disability indemnity during that period, for the unreasonable delay in payment, less credit for such payments previously made.” (Italics added.)

Summary of Case

After suffering stress in her job as a correctional officer, a position she had held for nearly six years, Ellison asked the warden for a leave of absence, which was refused. In April 1992, Ellison filed a claim, which SCIF denied in July after a medical examination. Ellison obtained some treatment and did not work the remainder of 1992 except for three days in October, the month she retained an attorney. In February 1993, she had an examination, the results of which were reported to her attorney in April 1993.

In June 1993, Ellison filed her application for adjudication of claim. After two hearings before the workers’ compensation judge, in January 1994, an award was made based on findings of temporary (as well as permanent 4 ) disability plus medical treatment and attorney fees.

On March 28, 1994, the parties stipulated to amend the full salary award for the entire seven-and-one-half-month period of temporary disability to provide instead, consistent with the IDL provisions of Government Code section 19871, that Ellison is entitled to full salary for only the first 22 days of disability and to two-thirds of gross salary thereafter for the remainder of the disability period ending January 14, 1993.

On April 4, and again on May 6, 1994, Ellison demanded SCIF pay the full amount due under the stipulation and award, noting that the $2,984 already paid apparently was attributable to the award for permanent disability, and she had not been paid the amount due for IDL for the period April *132 27, 1992, to January 14, 1993. The May 6 demand also requested SCIF to issue a 10 percent penalty. On May 9, 1994, before this proceeding seeking penalties was filed, SCIF paid the amount due for IDL, and the parties so stipulated in the penalties proceeding.

On May 24, 1994, Ellison commenced these proceedings before the Board under sections 5814 and 5814.5, relating to penalties, for payment of benefits pursuant to the award. In January 1995, after points and authorities were filed and additional exhibits were received, the workers’ compensation judge filed a supplemental opinion, findings and award stating in part:

“[T]he defendant has never since the initial Finding & Award of January 14, 1994 disputed that applicant was entitled to temporary disability for the period of 4-27-92 through 1-14-93 which, even at $336.00 per week, if nothing else, is approximately $12,000.00. The dispute was over what weekly benefit was appropriate, be it full pay for the whole period or 22 days of full pay and 2/3 pay thereafter per Government Code 19871. [U This dispute was supposedly solved [by] the stipulated joint/amended Finding & Award of March 28, 1994. . . .
“However, despite the original Finding & Award, despite this Joint Amended Finding & Award the temporary disability was finally paid to the applicant only ... on 5-9-94 or some 115 days after the Finding & Award and some 42 days after the Amended Award of 3-28-94.
“. . . [T]here is no excuse for this delay in payment of temporary disability per Government Code section 19871 for which the penalty should be 10% for the entire period. . . .”

On SCIF’s petition for reconsideration, the Board upheld the award of a penalty by the workers’ compensation judge. The Board held, however, the penalty could only be calculated on the basis of the TD amount that would have been due during the disability period, not on the amount of the IDL payable for that period.

This writ of review proceeding followed. 5

*133 Discussion

General Applicability of Workers’ Compensation to State Workers

With respect to workers’ compensation benefits generally, the state and every state agency is an “employer” for purposes of the Workers’ Compensation Act (§ 3300), and state workers come within the definition of “employee” as persons “in the service of an employer under any appointment or contract of hire or apprenticeship, express or implied, oral or written . . . .” (§ 3351.) In addition, “The State and each county, city, district, and public agency thereof and all State institutions are conclusively presumed to have elected to come within the provisions of this division as to all employments otherwise excluded from this division.” (§ 4155.)

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Bluebook (online)
44 Cal. App. 4th 128, 51 Cal. Rptr. 2d 606, 96 Daily Journal DAR 3839, 96 Cal. Daily Op. Serv. 2307, 61 Cal. Comp. Cases 325, 1996 Cal. App. LEXIS 302, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-of-california-v-workers-comp-appeals-bd-calctapp-1996.