USX Corp. v. Workmen's Compensation Appeal Board

571 A.2d 1112, 132 Pa. Commw. 54, 1990 Pa. Commw. LEXIS 181
CourtCommonwealth Court of Pennsylvania
DecidedMarch 16, 1990
Docket1263 C.D. 1989
StatusPublished
Cited by17 cases

This text of 571 A.2d 1112 (USX Corp. 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
USX Corp. v. Workmen's Compensation Appeal Board, 571 A.2d 1112, 132 Pa. Commw. 54, 1990 Pa. Commw. LEXIS 181 (Pa. Ct. App. 1990).

Opinion

DOYLE, Judge.

Before us is an appeal by USX Corporation (Employer), from an order of the Workmen’s Compensation Appeal Board (Board) reversing a referee’s decision and reinstating the benefits of Carl Guthrie (Claimant). We affirm the decision of the Board.

Claimant suffered a compensable back injury on September 9, 1979, for which he was paid benefits. Pursuant to a Supplemental Agreement, Claimant was released for work *56 on May 25, 1982 with an indeterminate disability and benefits were suspended. Claimant worked from May 25, 1982 to July 23, 1982, when he was laid off. He received thirty-three weeks of unemployment compensation benefits.

Claimant filed a reinstatement petition for workmen’s compensation benefits on January 16, 1987. At the hearing Claimant testified that his disability had recurred. Claimant also submitted a report by Dr. Hartmann, who treated Claimant, which stated that the activities required of Claimant in the performance of work were impossible for him to perform. Employer submitted a report from Dr. Nayak which stated it was difficult to say what type of problem Claimant was experiencing since he did not have the x-rays or CAT scan for review, but that there was no reason to restrict Claimant from any type of activity.

The referee found Claimant had failed to meet his burden of proving his disability had recurred or changed in nature or extent. 1 The Board reversed the decision of the referee and ordered Claimant’s benefits to be reinstated on the basis of this Court’s decision in Fells v. Workmen’s Compensation Appeal Board (Caterpillar Tractor Co.), 122 Pa.Cmwlth. 399, 552 A.2d 334 (1988). This appeal followed. 2

On appeal, Employer raises two issues. First, Employer contends that Claimant did not seek reinstatement within the requisite time period under Section 413 of The Pennsylvania Workmen’s Compensation Act. 3 Section 413 provides in pertinent part:

A referee designated by the department may, at any time, modify, reinstate, suspend, or terminate a notice of compensation payable, an original or supplemental agree *57 ment or an award of the department or its referee, upon petition filed by either party with the department, upon proof that the disability of an injured employe has increased, decreased, recurred, or has temporarily or finally ceased, or that the status of any dependent has changed. Such modification, reinstatement; suspension or termination shall be made as of the date upon which it is shown that the disability of the injured employe has increased, decreased, recurred, or has temporarily or finally ceased, or upon which it is shown that the status of any dependent has changed: 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, [9.6 years] unless it be shown that the loss in earnings does not result from the disability due to the injury.

Employer first contends that the three-year limitation applies and cites Kopp v. Workmen’s Compensation Appeal Board (Doylestown Processing Co.), 78 Pa.Commonwealth Ct. 292, 467 A.2d 425 (1988), as support for its contention that Claimant failed to file his petition within the three-year statute of limitations. However, Kopp is distinguishable from and inapplicable to the present case because Kopp did not involve an attempt to reinstate a suspension agreement. Kopp’s employer petitioned for termination of her benefits. Kopp did not appear at the hearing, allegedly due to lack of notice. Her benefits were terminated and approximately four years later Kopp petitioned for reinstatement, which petition was denied by the Board. The Board’s decision was affirmed by this Court on the basis of untimeli *58 ness, that is, the petition for reinstatement was not filed within the three-year limitation bar of Section 413. That limitation, however, is totally inapplicable where there has been a suspension, which is addressed in the last proviso of Section 413.

Alternatively, Employer argues that under Section 413, “payments may be resumed at any time within 9.6 years after suspension [but only] if the loss in earnings resulted from the disability due to the injury. Since the claimant failed to sustain his burden of proving that his loss of earnings was due to this injury of 1979 as determined by the Referee’s decision, he is bound by the three-year statute of limitations and his claim must be dismissed.” (Employer’s brief pp. 6, 7, emphasis added). 4 By arguing that Claimant has failed in his burden to prove that his loss of earnings was due to the 1979 injury, Employer misconstrues completely the import of a suspension. A suspension is an acknowledgement that some medical disability still exists and that benefits are suspended only because a claimant has returned to employment with wages that are at least as'much as his/her preinjury wages. Remove that present employment and what is still present is the partial disability of the claimant. As we opined in Fells:

When a claimant seeks to have his or her suspension lifted, that claimant is required only to demonstrate that the reasons for the suspension no longer exist. Busche v. Workmen’s Compensation Appeal Board (Townsend and Bottum, Inc.), 77 Pa.Commonwealth Ct. 469, 466 A.2d 278 (1983), Simply stated, the claimant’s burden is to show that he or she remained disabled, and that such disability has manifested itself in a loss of earning power. Busche; Venanzio v. Workmen’s Compensation Appeal Board (Eastern Express), 88 Pa.Commonwealth Ct. 204, 489 A.2d 284 (1985).

*59 Id. 122 Pa.Cmwlth. at 401, 552 A.2d at 335 (emphasis in original).

Claimant testified as to his existing disability and submitted a medical report corroborating this fact. 5 This evidence was legally sufficient to meet his burden.

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Bluebook (online)
571 A.2d 1112, 132 Pa. Commw. 54, 1990 Pa. Commw. LEXIS 181, Counsel Stack Legal Research, https://law.counselstack.com/opinion/usx-corp-v-workmens-compensation-appeal-board-pacommwct-1990.