Sunset Golf Course v. Workmen's Compensation Appeal Board

595 A.2d 213, 141 Pa. Commw. 103, 1991 Pa. Commw. LEXIS 376
CourtCommonwealth Court of Pennsylvania
DecidedJuly 8, 1991
Docket1107 C.D. 1990
StatusPublished
Cited by17 cases

This text of 595 A.2d 213 (Sunset Golf Course 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
Sunset Golf Course v. Workmen's Compensation Appeal Board, 595 A.2d 213, 141 Pa. Commw. 103, 1991 Pa. Commw. LEXIS 376 (Pa. Ct. App. 1991).

Opinion

PALLADINO, Judge.

Sunset Golf Course (Sunset) and its insurer, Pacific Employer’s Insurance Company (PEIC) (collectively, Petitioners), appeal an order of the Workmen’s Compensation Appeal Board (Board) which substituted Petitioners for the Pennsylvania Department of Public Welfare (DPW) and its insurer, the State Workmen’s Insurance Fund (SWIF) (collectively, Respondents), as the responsible employer and insurer for the specific loss claim of Lloyd Golden (Claimant).

Claimant was a participant in DPW’s Community Work Experience Project and was assigned to work as a laborer for Sunset. In May, 1984, Claimant suffered injuries to his upper extremities as a result of a golf cart accident while Claimant was in the course of his employment. In June, 1985, Claimant and DPW entered into a compensation agreement and SWIF paid Claimant total disability benefits.

In September, 1986, Claimant filed a claim petition alleging that his prior injuries resulted in a specific loss of functional use of his left arm and right hand. DPW filed a petition to review the compensation agreement pursuant to section 413 of The Pennsylvania Workmen’s Compensation Act, (Act) Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 771, and a petition to join Petitioners, alleging that Petitioners were the actual employer and insurance carrier at the time of Claimant’s injury. After a hearing on DPW’s petitions, a referee dismissed Sunset from all further proceedings, holding that Respondents knew all relevant facts when they entered into the compensation agreement with Claimant and could not now transfer liability to Petitioners.

*106 Respondents appealed and the Board reversed and remanded to the referee, with instructions to permit joinder of Petitioners. A referee held hearings and ruled that Claimant suffered a specific loss to his right hand 1 and left arm, and denied Respondents’ petition for review and joinder. Respondents appealed to the Board. The Board reversed the referee holding that Petitioners and not Respondents were the actual employer and insurance carrier in this case. Petitioners filed this appeal.

Petitioners raise the following issues: 2 1) whether the Board erred in permitting DPW to assert that it was not Claimant’s employer after it accepted liability more than a year earlier; 2) whether the Board erred in finding that Sunset was Claimant’s employer; and 3) whether the Board violated Petitioners’ right to due process.

Section 413 of the Act, 77 P.S. § 771, states as follows: A referee of the department may, at any time, review and modify or set aside a notice of compensation payable and an original or supplemental agreement or upon petition filed by either party with the department, or in the course of the proceedings under any petition pending before such referee, if it be proved that such notice of compensation payable or agreement was in any material respect incorrect.

Petitioners argue that Respondents waited for more than a year before entering into the compensation agreement with Claimant and that all the evidence they now rely upon for modification of the agreement was available to them at the time they entered into the agreement. Petitioners argue that, under Beissel v. Workmen’s Compensation Appeal Board (John Wanamaker, Inc.), 502 Pa. 178, 465 A.2d 969 (1983), Respondents cannot now deny that they *107 were the responsible employer and insurer at the time of Claimant’s injuries.

In Beissel, the claimant and the employer entered a compensation agreement almost two years after claimant allegedly injured her back after a fall at work. Two years after the execution of the agreement, employer filed an petition to terminate benefits, alleging that claimant’s back injury was not related to the fall at work. The Supreme Court held that:

Since [employer] had an opportunity to, and in fact did, investigate the cause of [employee’s] disability, the notice of compensation payable it filed constitutes an admission of its liability to [employee] for compensation for a lower back injury. [Employer] may not now, under the guise of a termination petition, come into court and ... contradict that which it admitted in its notice of compensation payable____

Beissel, 502 Pa. at 183, 465 A.2d at 971 (1983).

However, the supreme court modified Beissel in Barna v. Workmen’s Compensation Appeal Board (Jones & Laughlin Steel Corp.), 513 Pa. 518, 522 A.2d 22 (1987). In Bama, the employer and employee agreed to compensation prior to the employers’ investigation regarding the cause of the employee’s disability. The supreme court held:

In short, we cannot ignore the clear provision of [section 413] that compensation may be terminated where it is paid under a notice of compensation which is materially incorrect. The Act imposes upon employers the duty to promptly commence payment of compensation and the cause of an employee’s disability may not always be obvious. Where, as here, an employer promptly commences payment of compensation prior to commencement or completion of investigation into the cause of claimant’s injuries and later determines that the claimant’s disability was never work-related, in the absence of evidence of repeated contests of the cause of the disability such as *108 occurred in Beissel, the employer must be permitted to seek relief.

Barna, 513 Pa. at 522-523, 522 A.2d at 24.

Barna and Beissel deal exclusively with relitigation of the question of whether an injury is work-related. In the case before us, there is no dispute that the original injuries suffered by Claimant are work-related. The unresolved question is which entity, DPW or Sunset, was Claimant’s employer. Because the cause of the Claimant’s disability is not contested, Respondents must be permitted to seek relief under section 413 of the Act.

The decision of the Board in the instant case is consistent with Swartz v. Workmen’s Compensation Appeal Board (Dutch Pantry), 117 Pa.Commonwealth Ct. 47, 543 A.2d 201 (1988). In Swartz, Aetna Insurance Company paid compensation benefits to an employee pursuant to a compensation agreement, which payments concluded with the signing of a final receipt. Nearly a year and one-half later, the employee sought reinstatement of the compensation agreement. In response, Aetna filed a petition to review the compensation agreement, asserting that Fireman’s Fund was the employer’s insurance carrier at the time of the employee’s original injury rather than Aetna, which had entered into the original compensation agreement. In Swartz

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Bluebook (online)
595 A.2d 213, 141 Pa. Commw. 103, 1991 Pa. Commw. LEXIS 376, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sunset-golf-course-v-workmens-compensation-appeal-board-pacommwct-1991.