W & L Sales Co. v. Workmen's Compensation Appeal Board

552 A.2d 1177, 123 Pa. Commw. 158, 1989 Pa. Commw. LEXIS 53
CourtCommonwealth Court of Pennsylvania
DecidedJanuary 27, 1989
DocketAppeal 225 C.D. 1988
StatusPublished
Cited by10 cases

This text of 552 A.2d 1177 (W & L Sales Co. 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
W & L Sales Co. v. Workmen's Compensation Appeal Board, 552 A.2d 1177, 123 Pa. Commw. 158, 1989 Pa. Commw. LEXIS 53 (Pa. Ct. App. 1989).

Opinion

Opinion by

Senior Judge Narick,

The issue presented in this appeal is whether W & L Sales Co., Inc. (Employer) and its insurer, PMA Insurance Co. (collectively Petitioners) are required to seek reimbursement of overpayments of workmen’s compensation benefits paid to Toby L. Drake (Claimant) from the Workmen’s Compensation Supersedeas Fund 1 or *160 whether they may deduct the overpayments from Claimant’s future payments of compensation. The referee’s order allowing deductions from future compensation payments was reversed by the Workmen’s Compensation Appeal Board (Board). We affirm the Board’s order.

The procedural history of this case is somewhat unique. Claimant suffered a compensable injury in February of 1983. He was paid total disability benefits of $246.42 per week. The Petitioners filed a modification petition on October 7, 1983, alleging that Claimant had sufficiently recovered to perform employment which the Employer made available to him within his physical limitations. A referee granted the modification petition on March 9, 1984 and Claimant’s benefits were reduced to $86.43 per week. On Claimant’s appeal, the Board reversed and reinstated Claimant’s total disability benefits. The Petitioners appealed to this Court and requested a supersedeas, which was denied. We ultimately affirmed the Board’s order in W& L Sales Co., Inc. v. Workmen's Compensation Appeal Board (Drake), 92 Pa. Commonwealth Ct. 396, 499 A.2d 710 (1985), filed October 23, 1985. Accordingly, the Petitioners were obligated to reimburse Claimant for the difference between the partial and total disability rates, which they did.

While the referee’s decision was on appeal, Claimant began a light duty job for another employer in July 1984. He notified Employer of this employment December 6, 1984, just two days after the Board reversed the referee’s grant of the modification petition.

On May 23, 1985, the Petitioners filed a second modification petition seeking to have Claimant’s total disability payments reduced to partial disability payments because of his employment. At the same time, Petitioners requested a supersedeas. On August 21, 1985, a referee granted a partial supersedeas based on *161 Claimant’s earnings and ordered payments of $75.50 per week. 2

It is not disputed that Claimant received overpayments after he became employed. The referee and Board found the amount of the overpayment to be $9,438.82 and that figure has not been challenged by the Claimant. Both the referee and Board found that this overpayment was not Claimant’s fault and the Petitioners have not directly challenged that finding. We note that when the Claimant obtained employment, he was only receiving partial disability payments because of the referee’s first order. When that order was reversed, the Board and then this Court ordered the Petitioners to paydbenefits at the full disability rate as the issue of Claimant’s subsequent employment was not before us. We agree with the referee and Board that neither party is to blame for the bizarre events which resulted in the overpayments here.

The questions of how and to what extent the Petitioners are able to recoup their losses remain. They, of course, seek a credit for the entire amount of the overpayment against future compensation payments. Claimant counters that such a result is not contemplated by the Act, which provides the remedy of a supersedeas fund to limit losses under these circumstances.

Petitioners rely principally upon two cases, Fahringer, McCarty & Grey, Inc. v. Workmen's Compensation Appeal Board (Green), 107 Pa. Commonwealth Ct. 597, 529 A.2d 56 (1987) and General v. E. Roseman Co., 21 Pa. Commonwealth Ct. 72, 343 A.2d 683 (1975). In Fahringer our Court en banc determined that an employer was entitled to a credit against future compensa *162 tion in a situation where a miscalculation of the claimant’s weekly wage had resulted in overpayments of compensation. While applying the equitable doctrine of unjust enrichment to allow for the credit, we directed the Board to consider the financial hardship to the claimant in determining the amount to be deducted from his future payments of compensation.

In General, we were faced with a situation in which a claimant and his employer had entered into an agreement for a lump sum payment of $7,000 to the claimant for 175 weeks of future disability payments. After the lump sum had been paid, but before the expiration of the 175 weeks, the claimant filed a petition for reinstatement of his compensation. While noting that the claimant’s continuing disability was not contested, we nonetheless allowed the $7,000 to be credited against future compensation because a contrary conclusion would have resulted in a double recovery by the claimant.

While these decisions are indicative of our reluctance to countenance unjust enrichment, we must nevertheless note that neither Fahringer nor General involved the possibility of a supersedeas fund remedy. Claimant here relies on the language of Section 443 of the Act, which provides, in part, as follows:

(a) If, in any case in which a supersedeas has been requested and denied under the provisions of section 413 or section 430, payments of compensation are made as a result thereof and upon the final outcome of the proceedings, it is determined that such compensation, was not, in fact, payable, the insurer who has made such payments shall be reimbursed therefor. ...
(b) There is hereby established a special fund in the State Treasury, separate and apart from all other public moneys or funds of this Commonwealth, to be known as the Workmen’s Compen *163 sation Supersedeas Fund. The purpose of this fund shall be to provide moneys for payments pursuant to subsection (a) ... .

Additionally, Claimant cites our recent decision in Santarelli v. Workmen's Compensation Appeal Board (Patrick Dougherty Construction), 113 Pa. Commonwealth Ct. 281, 537 A.2d 894 (1988), for the proposition that Section 443 applies here. In Santarelli, the claimant was receiving total disability benefits when his employer filed a petition for suspension, alleging a complete recovery. Simultaneously, the employer requested the grant of a supersedeas which was denied. After hearing, the referee determined that the claimant still suffered from residual injuries and elected to treat the employer’s petition as one for modification.

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

Related

Powell v. Workers' Compensation Appeal Board (Community Dialysis Center)
789 A.2d 866 (Commonwealth Court of Pennsylvania, 2002)
Kiebler v. Workers' Compensation Appeal Board
738 A.2d 510 (Commonwealth Court of Pennsylvania, 1999)
Henkels & McCoy, Inc. v. Workers' Compensation Appeal Board
738 A.2d 1 (Commonwealth Court of Pennsylvania, 1999)
Lucey v. Workmen's Compensation Appeal Board
701 A.2d 637 (Commonwealth Court of Pennsylvania, 1997)
Lincoln Party ex rel. Robinson v. General Assembly
682 A.2d 1326 (Commonwealth Court of Pennsylvania, 1996)
Deak v. Workmen's Compensation Appeal Board
653 A.2d 52 (Commonwealth Court of Pennsylvania, 1994)
Commonwealth v. Smith
17 Pa. D. & C.4th 25 (Alleghany County Court of Common Pleas, 1992)
Murphy v. Workmen's Compensation Appeal Board
605 A.2d 1297 (Commonwealth Court of Pennsylvania, 1992)

Cite This Page — Counsel Stack

Bluebook (online)
552 A.2d 1177, 123 Pa. Commw. 158, 1989 Pa. Commw. LEXIS 53, Counsel Stack Legal Research, https://law.counselstack.com/opinion/w-l-sales-co-v-workmens-compensation-appeal-board-pacommwct-1989.