UEGF v. L. Aguilar (WCAB)

CourtCommonwealth Court of Pennsylvania
DecidedSeptember 9, 2025
Docket908 C.D. 2024
StatusPublished

This text of UEGF v. L. Aguilar (WCAB) (UEGF v. L. Aguilar (WCAB)) 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
UEGF v. L. Aguilar (WCAB), (Pa. Ct. App. 2025).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Uninsured Employers Guaranty : Fund, : Petitioner : : v. : No. 908 C.D. 2024 : Submitted: June 3, 2025 Luis Aguilar, Joe Miller Construction, : Life Time Contractor Company, LLC, : Life Time Home Improvement : Contractors, LLC, and State Workers’ : Insurance Fund (Workers’ : Compensation Appeal Board), : Respondents :

BEFORE: HONORABLE ANNE E. COVEY, Judge HONORABLE LORI A. DUMAS, Judge HONORABLE STACY WALLACE, Judge

OPINION BY JUDGE WALLACE FILED: September 9, 2025

The Uninsured Employers Guaranty Fund (the Fund) petitions this Court for review of the Workers’ Compensation Appeal Board’s (Board) June 18, 2024 order affirming the Workers’ Compensation Judge’s (WCJ) decision (Decision) that granted Luis Aguilar’s (Claimant) claim petition under the Workers’ Compensation Act1 (Act) and found the Fund secondarily liable for payment of Claimant’s workers’ compensation benefits. After review, we affirm.

1 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1-1041.4, 2501-2710. BACKGROUND On April 21, 2022, Claimant filed a claim petition alleging he suffered a disabling injury in the nature of a spine and hand fracture on March 30, 2022, after he fell off a roof while working as a laborer for Joe Miller Construction Company. Certified Record (C.R.) at 9-10.2 Joe Miller Construction Company denied that it was Claimant’s employer. Id. at 17. On June 8, 2022, Claimant filed a claim petition for benefits from the Fund. Id. at 21. On December 19, 2022, the Fund filed a petition to join Life Time Home Improvement Contractors, LLC (Life Time) as an additional defendant, asserting that on the date of his injury, Life Time was Claimant’s employer as a matter of law or, alternatively, Claimant’s statutory employer. Id. at 49. In his Decision, the WCJ found Claimant proved through substantial, competent evidence that he suffered a work-related injury in the nature of a spinal fracture while performing his job duties as a roofer for Life Time. Id. at 70. The WCJ found Joe Miller Construction Company did not employ Claimant. Id. at 84. Rather, Life Time employed Claimant, and Joe Miller Construction Company subcontracted Life Time to do shingle work on the date of Claimant’s injury. Id. The WCJ determined Life Time was domiciled in New Jersey and did not have workers’ compensation insurance coverage in Pennsylvania on the date of Claimant’s injury. Id. at 69. Accordingly, the WCJ denied and dismissed Claimant’s claim petition against Joe Miller Construction Company, granted Claimant’s claim petition against the Fund, and granted the Fund’s joinder petition naming Life Time as an additional defendant. Id. The WCJ found Life Time responsible for Claimant’s temporary total disability benefits and the Fund

2 For ease of reference, the citations to the Certified Record reflect electronic pagination.

2 secondarily liable for payment of Claimant’s benefits. Id. The WCJ noted, however, the Fund was “not responsible for payment until Claimant show[ed] that he [was] not receiving or entitled to receive workers’ compensation benefits in the state of New Jersey, consistent with Section 305.2(c.1)[ of the Act3].” Id. The Fund appealed to the Board. Id. at 90. In relevant part, the Fund argued the WCJ erred in concluding the Fund was secondarily liable for the payment of compensation because Claimant failed to meet the requirements of Section 305.2(c.1) of the Act by submitting required evidence before the record closed. Id. at 141. The Board disagreed, noting the plain language of Section 305.2(c.1) of the Act did not support that conclusion. Id. The Board explained:

The statute provides that no compensation shall be payable from [the Fund] “until the employe submits” the requisite proof that he or she is not entitled to workers’ compensation benefits in the state where the employer is domiciled, which in this case is New Jersey. . . . There is no directive specifying when this proof must be submitted to [the Fund]. Although there is a reference to supplying the evidence to [the Fund] “and to any workers’ compensation judge hearing a petition against” [the Fund], it does not specify that this must occur during the initial . . . litigation.

....

Moreover, even if we were to focus on policy considerations rather than statutory language, we would reach the same result. A claimant cannot be required to first go through proceedings in another state and then file a workers’ compensation claim in Pennsylvania. The Pennsylvania claim could easily end up being time-barred because . . . there is a short window for filing a [claim against the Fund] in Pennsylvania. . . .

. . . Section 305.2(c.1) [of the Act] does not state that its requirements must be met prior to the close of the record when litigating [a claim petition against the Fund]. Instead it is the payment of benefits that is subject to the condition precedent, not the adjudication of entitlement.

3 Added by Section 9 of the Act of December 5, 1974, P.L. 782, 77 P.S. § 411.2.

3 Id. at 143-44. Accordingly, the Board affirmed the WCJ’s Decision. Id. at 145. The Fund now petitions this Court for review of the Board’s Order. The Fund argues the Board committed an error of law by concluding it is secondarily liable for the payment of compensation where it is uncontested that Claimant failed to satisfy the requirements of Section 305.2(c.1) of the Act. The Fund’s Br. at 12. In response, Claimant asserts the Board did not err in determining the Fund is secondarily liable for payment of compensation because it did not obligate the Fund to make any such payment until Claimant provides written proof of his ineligibility for workers’ compensation benefits in New Jersey, consistent with the plain language of Section 305.2(c.1) of the Act. Claimant’s Br. at 12. DISCUSSION This Court reviews workers’ compensation orders for violations of a party’s constitutional rights, violations of agency practice and procedure, and other errors of law. 2 Pa.C.S. § 704. We also review whether substantial evidence supports the findings of fact necessary to sustain the Board’s decision. Id. Regarding questions of law, our standard of review is de novo, and our scope of review is plenary. Sedgwick Claims Mgmt. Servs., Inc. v. Bureau of Workers’ Comp., Fee Rev. Hearing Off. (Piszel & Bucks Cnty. Pain Ctr.), 185 A.3d 429 (Pa. Cmwlth. 2018). In other words, we consider the case anew, see Manor v. Dep’t of Pub. Welfare, 796 A.2d 1020, 1029 (Pa. Cmwlth. 2002) (citation omitted), and we may review the entire record. Probst v. Dep’t of Transp., Bureau of Driver Licensing, 849 A.2d 1135 (Pa. 2004). The Fund challenges the Board’s interpretation of Section 305.2(c.1) of the Act. Section 305.2(c.1) of the Act provides:

If an employe alleges an injury that is incurred with an employer which is domiciled in another state and which has not secured the payment of

4 compensation as required by this act, such employe shall provide to the [Fund], and to any workers’ compensation judge hearing a petition against the [F]und, a written notice, denial, citation of law or court or administrative ruling from such other state or an insurer licensed to write insurance in that state as to that employer, indicating that the employe is not entitled to workers’ compensation benefits in that state. No compensation shall be payable from the [Fund] until the employe submits the notice, denial, citation or ruling, however, the employe may file a notice or petition against the [F]und . . . prior to the submission.

77 P.S. § 411.2.

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Bluebook (online)
UEGF v. L. Aguilar (WCAB), Counsel Stack Legal Research, https://law.counselstack.com/opinion/uegf-v-l-aguilar-wcab-pacommwct-2025.