Varghese v. Workmen's Compensation Appeal Board

573 A.2d 630, 132 Pa. Commw. 482, 1990 Pa. Commw. LEXIS 192
CourtCommonwealth Court of Pennsylvania
DecidedMarch 22, 1990
Docket1265 C.D. 1989
StatusPublished
Cited by14 cases

This text of 573 A.2d 630 (Varghese 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
Varghese v. Workmen's Compensation Appeal Board, 573 A.2d 630, 132 Pa. Commw. 482, 1990 Pa. Commw. LEXIS 192 (Pa. Ct. App. 1990).

Opinion

CRAIG, Judge.

Thomas Varghese (claimant) appeals from an order of the Workmen’s Compensation Appeal Board which denied claimant an award of attorney’s fees and refused to assess penalties against M. Cardone Industries, Inc. (employer). Additionally, the claimant contends that the board erred in computing his disability benefits.

On April 23, 1981, the claimant sustained an orthopedic injury while lifting a heavy object. The claimant did not *485 return to work until May 7, 1981. He signed a final receipt the same day.

On September 14, 1981, the claimant left the work premises because of a pulmonary problem. He did not return to work until April 26, 1985. Because of continued medical problems, the claimant stopped working for the employer in October, 1987.

In October, 1981, the claimant filed a petition for compensation with respect to the pulmonary illness incurred on September 14, 1981. On March 24, 1982, he filed a petition to set aside the final receipt in connection with his orthopedic injury incurred on April 23, 1981. The two petitions were consolidated for a hearing.

After the hearing, the referee issued a decision on July 1, 1987, which contained two separate sets of findings of fact and conclusions of law and two orders. The referee accepted the claimant’s evidence as credible and awarded him benefits pursuant to both petitions. Both parties appealed. The claimant appealed to the board on the basis that the referee erred in not assessing attorney’s fees and penalties against the employer. The employer appealed on the basis that the two orders issued by the referee resulted in overlapping awards.

On December 18, 1987, the board remanded the case to the referee for clarification. Upon remand, the referee, without hearing any additional evidence, issued a new decision which reversed both of his previous orders. Because the referee improperly exceeded the scope of the board’s remand order, the board vacated the referee’s decision.

The board reviewed the findings of fact made by the referee in the July 1, 1987 decision and found them supported by the record. Based on those findings of fact, the board issued an order granting the claimant’s petition to set aside the final receipt and ordered the employer to pay compensation for total disability from April 24, 1981 to April 30, 1981. Additionally, the board ordered the employer to pay partial disability benefits for the period of May 7, *486 1981 until September 30, 1981 and to pay total disability from September 14, 1981 until April 25, 1985, and partial disability payments thereafter. The board granted the claimant’s petition for his pulmonary problem but suspended compensation for that injury based on the claimant’s receipt of compensation for his orthopedic injury, as to which he receives a higher compensation rate.

On appeal, the issues in this case involve (1) whether the employer unreasonably contested the claimant’s petitions for compensation, thereby entitling claimant to attorney’s fees; (2) whether the employer violated The Pennsylvania Workmen’s Compensation Act, Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1-1031, so as to warrant an assessment of penalties under section 435 of the Act, 77 P.S. § 991; and (3) whether the board erred in ordering that compensation for the claimant’s pulmonary problem be suspended on the basis of his receipt of compensation for his orthopedic injury..

1. Attorney’s Fees

Section 440 of the Act, 77 P.S. § 996, provides that a claimant is entitled to an award of attorney’s fees unless the employer has a reasonable basis for contesting the claim petition. Our review of the record indicates that the employer had a reasonable basis for contesting the claims.

In Chmiel v. Workmen’s Compensation Appeal Board, 65 Pa.Commonwealth Ct. 310, 442 A.2d 398 (1982), this court stated that the existence of an issue of the degree of disability may provide a reasonable basis for the contest. Additionally, although medical experts may agree as to the causation and the circumstances of an accident, conflicting medical testimony concerning the extent of a disability may justify a contest. A.P. Green Refractories Co. v. Workmen’s Compensation Appeal Board, 44 Pa.Commonwealth Ct. 1, 403 A.2d 172 (1979).

Contrary to the claimant’s medical expert, Dr. DeNovra, the employer’s medical expert, Dr. Gross, concluded that the claimant could return to his previous job.

*487 Q. At the time of your examination, Doctor, on November 9, 1983, were you able to arrive at an opinion with reasonable medical certainty with respect to whether or not the claimant was able to return to his pre-injury job, based on residuals of injury, if any, occurring on April 23, 1981?
A. Yes. Based on my examination, I felt he could return to his previous occupation, which was as bore-master and master cylinder tester.

Additionally, the claimant alleged total disability as a result of his pulmonary injury in September 1981. Dr. Barch, the employer’s pulmonary medical expert, disagreed.

Q. Okay. Doctor, is this man totally disabled in your opinion based on his respiratory problems from returning to any form of gainful employment?
A. No.

The conflicting medical evidence concerning the extent of the claimant’s disabilities forms a reasonable basis for the contest. Therefore, we conclude that the claimant is not entitled to attorney’s fees.

2. Penalties

The claimant argues that the employer’s unreasonable contest of his claims resulted in delaying the claimant’s hearing, which would be a violation of section 401.1 of the Act, 77 P.S. § 710, which forbids delayed hearings and requires timely payment of compensation. However, as previously stated, the conflicting medical evidence in this case regarding the extent of claimant’s disability justified the contest. “We believe that the claimant, therefore, is not entitled to attorney’s fees, nor to a penalty, for the request for such is also based on the allegation that the contest was unreasonable.” A.P. Green Refractories Co. 44 Pa.Commonwealth Ct. at 9, 403 A.2d at 176.

The claimant argues that the employer violated section 422 of the Act, 77 P.S. § 835, by refusing to supply to the claimant job descriptions that Dr. Gross, employer’s *488 expert, referred to in his testimony. The relevant portion of section 422 of the Act, 77 P.S. § 835 provides:

Where an employer shall have furnished surgical and medical services or hospitalization ...

Free access — add to your briefcase to read the full text and ask questions with AI

Related

S. Gilliard v. WCAB (Protocall, Inc.)
Commonwealth Court of Pennsylvania, 2016
Coyne v. Workers' Compensation Appeal Board
942 A.2d 939 (Commonwealth Court of Pennsylvania, 2008)
Faulkner Cadillac v. Workers' Compensation Appeal Board
831 A.2d 1248 (Commonwealth Court of Pennsylvania, 2003)
Crouse v. Workers' Compensation Appeal Board
801 A.2d 655 (Commonwealth Court of Pennsylvania, 2002)
Montgomery Hospital v. Workers' Compensation Appeal Board
793 A.2d 182 (Commonwealth Court of Pennsylvania, 2002)
Westmoreland Regional Hospital v. Workers' Compensation Appeal Board (Stopa)
789 A.2d 413 (Commonwealth Court of Pennsylvania, 2001)
Pruitt v. Workers' Compensation Appeal Board
730 A.2d 1025 (Commonwealth Court of Pennsylvania, 1999)
Reliable Foods, Inc. v. Workmen's Compensation Appeal Board
660 A.2d 162 (Commonwealth Court of Pennsylvania, 1995)
Yeager v. Workmen's Compensation Appeal Board
657 A.2d 1372 (Commonwealth Court of Pennsylvania, 1995)
Tomlinson v. Workmen's Compensation Appeal Board
648 A.2d 96 (Commonwealth Court of Pennsylvania, 1994)
Delaware Valley Fish Co. v. Workmen's Compensation Appeal Board
617 A.2d 48 (Commonwealth Court of Pennsylvania, 1992)

Cite This Page — Counsel Stack

Bluebook (online)
573 A.2d 630, 132 Pa. Commw. 482, 1990 Pa. Commw. LEXIS 192, Counsel Stack Legal Research, https://law.counselstack.com/opinion/varghese-v-workmens-compensation-appeal-board-pacommwct-1990.