R. Blythe v. WCAB (City of Chester) ( 2021 )


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  •                IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Robert Blythe,                            :
    Petitioner            :
    :   No. 437 C.D. 2020
    v.                           :
    :   Submitted: November 20, 2020
    Workers’ Compensation Appeal              :
    Board (City of Chester),                  :
    Respondent              :
    BEFORE:      HONORABLE PATRICIA A. McCULLOUGH, Judge
    HONORABLE MICHAEL H. WOJCIK, Judge
    HONORABLE J. ANDREW CROMPTON, Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION
    BY JUDGE McCULLOUGH                                     FILED: December 29, 2021
    Robert Blythe (Claimant) seeks review of the April 10, 2020 order of the
    Workers’ Compensation Appeal Board (WCAB), which affirmed the May 15, 2019
    decision and order of the Workers’ Compensation Judge (WCJ) to award the City of
    Chester (City) the entitlement of a pension benefit offset credit.
    Factual and Procedural History
    Claimant injured his right shoulder while employed as a police officer for
    the City and was awarded total disability benefits at the rate of $845.00 per week as of
    August 8, 2013. On February 8, 2016, the City filed a petition for suspension alleging
    that (1) as of November 30, 2015, Claimant had voluntarily withdrawn from the
    workforce, and (2) it was entitled to a credit for pension benefits paid to Claimant but
    funded by the City. By decision circulated June 19, 2017, the WCJ denied the petition
    for suspension. The WCJ also denied the City’s request for a credit for pension benefits
    because the City did not present sufficient evidence to establish its entitlement to a
    credit:
    This [WCJ] finds further that even if Claimant could be said
    to be retired, [the City’s] evidence does not establish an
    entitlement to a suspension of Claimant’s workers’
    compensation benefits. [The City’s witness, Dejuana]
    Mosley did not testify as an expert and did not adequately
    explain Exhibit D-4 so as to allow it to form the basis of any
    alteration in Claimant’s benefits. [Exhibit] D-4 has no
    authentication. This [WCJ] has no idea who prepared it or
    what the figures purport to show. This [WCJ] accepts that
    [Exhibit] D-3 shows that Claimant’s pension . . . is $6,061.58
    per month, but even if this [p]etition [for suspension] was
    granted and Claimant had voluntarily removed himself from
    the workforce, there is no evidence as to the proper credit.
    (WCJ decision, June 19, 2017, Findings of Fact (F.F.) No. 12.)
    The City appealed the decision to the WCAB, which (1) affirmed the
    denial of the petition for suspension and the denial of the credit, but (2) remanded the
    matter to the WCJ “to allow [the City] to submit substantial competent evidence which,
    if found to be credible, will establish the amount of its funding of [Claimant]’s pension
    benefit and support the assertion of a credit under section 204(a) of the [Act].[1]”
    (WCAB decision, May 16, 2018, at 8.)
    1
    Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §71. Section 204(a) of the Act, reads, in
    pertinent part:
    The severance benefits paid by the employer directly liable for the
    payment of compensation and the benefits from a pension plan to the
    extent funded by the employer directly liable for the payment of
    compensation which are received by an employe shall also be credited
    against the amount of the award made under sections 108 [added by
    the Act of October 17, 1972, P.L. 930, 77 P.S. § 27.1] and 306 [77 P.S.
    §§ 511-517], except for benefits payable under section 306(c) [77 P.S.
    § 513]. The employe shall provide the insurer with proper authorization
    (Footnote continued on next page…)
    2
    The City’s Expert
    On remand, the City presented the testimony of its Deputy Controller,
    Dejuana Mosley (Mosley), who had previously testified in the underlying proceedings.
    The WCJ summarized Mosley’s prior testimony relevant to the pension credit issue, as
    follows:
    a. Ms. Mosley is the Deputy Controller for the City of
    Chester and handles all issues related to the pension and
    internal controls for the City. She also handles the deferred
    retirement option program (“DROP”).            Ms. Mosley
    explained in detail the provisions of the “DROP” program
    which is a retirement benefit offered to police and fire
    personnel. Claimant entered the DROP program on
    December 1, 2010, and his separation date would be five
    years later on November 30, 2015.
    b. Ms. Mosley testified that an employee contributes to a
    Pension Fund with payroll deductions. The City receives
    State Aid through Act 44[2] and then the City is responsible
    to make municipal minimal obligation annual contributions.
    The City, State and employee contribute. When an employee
    is in the DROP program, the State aid is still contributed
    through the plans, but they are deemed retired and are no
    longer making pension contributions. The City still receives
    State Aid but not for the person enrolled in the DROP
    program because they are no longer making pension
    contributions. When Claimant entered the DROP program,
    there was no longer any State aid for him, but he was still
    getting credit for what the City paid in for him. Once you go
    to secure the amount which the employe is receiving under the Social
    Security Act.
    77 P.S. §71 (emphasis added).
    2
    Act of September 18, 2009, P.L. 396, No. 44 (commonly known as Act 44) amended the
    Municipal Pension Plan Funding Standard and Recovery Act, Act of December 18, 1984, P.L. 1005,
    No. 205, as amended, 53 P.S. §§895.101-895.1131 (commonly known as Act 205) by adding Chapter
    11, titled “Deferred Retirement Option Plans.” See Sections 1101-31 of Act 205, 53 P.S. §§895.1101-
    31.
    3
    into the DROP program your pension deduction
    automatically ceases. Once you enter the DROP program
    only Act 205 money and City money would be put in.
    c. Ms. Mosley testified that [] the City of Chester offers a
    defined benefit plan and payment is based off of a contract
    or city ordinance obligation based on criteria which is usually
    set up by age and service years. Once an employee qualifies
    for obtaining years or age, the benefit is based off your
    calculations that are described in your contract or city
    ordinance. For police officers, once they reach retirement
    age or years the benefit is their last twelve months that they
    worked. The City contribution into the pension fund is a
    global contribution for all people that the City is paying for
    within the fund. In order to tell what contribution was made
    on behalf of Claimant, Ms. Mosley had to consult with
    consultants and the State Actuary.
    d. Claimant separated from the DROP program on November
    30, 2015 and he started receiving his actual pension and his
    DROP benefit in December of 2015. This means he has
    retired from the City of Chester. On cross examination, Ms.
    Mosley testified that as a DROP participant Claimant is
    receiving a weekly check from the City in his pension benefit
    that was calculated as being invested for him. The plan can
    determine the City’s Municipal Minimum Obligation
    (MMO) payment from the year Claimant started working
    until he separated from the DROP program. The plan can
    determine what the City required to put in as well as the State
    Aid invested and the investment earnings. This would show
    whether or not the City made the MMO or overpaid it. Ms.
    Mosley testified that except for 2014, 2015 and 2016, the
    City has made [MMO] contributions although they were late.
    When the contributions are late, the City is charged seven
    and a half percent (7.5%) interest which is credited to the
    respective pension fund.
    (WCJ decision, May 15, 2019, F.F. No. 8(a)-(d).)
    4
    On remand, the City also presented the testimony of Larry Brisman
    (Brisman), who was employed with the Beyer-Barber Company as a vice president and
    actuary. He has been an enrolled actuary since 1992. (Reproduced Record (R.R.) at
    29a, 182a-84a.) He was responsible for close to 400 municipal pension plans. He
    explained that “we would run the evaluations of the pension plans every two years. It’s
    my responsibility to review the results, help prepare reports that go to the municipalities
    to show them what their funded status is at the particular point in time. Also, what the
    required contribution is that needs to be made in order to satisfactorily fund the pension
    plan.” (R.R. at 29a, 183a.)
    Brisman was requested by the City, through its third-party administrator,
    Thomas Anderson & Associates, to review the pension plan with respect to the
    Claimant. Brisman reviewed an employee pension face sheet that provided Claimant’s
    date of birth, salary, and monthly benefit as well as a list of the contributions that were
    made by Claimant, the City, and the Commonwealth of Pennsylvania. After review of
    the materials, Brisman prepared a letter to the third-party administrator detailing the
    calculation that was done in order to determine the City’s contribution to Claimant’s
    pension benefit. (R.R. at 29a, 188a, 191a, 212a-16a.)
    Brisman explained how he performed the calculations. The calculations
    were based on Claimant’s personal information such as date of birth, date of
    employment, and date of disability. Brisman then factored an interest rate assumption
    or real rate of return of 7½% per year, as that represented a long-term rate of return of
    the pension plan. Brisman explained that one must look at the asset allocation of the
    plan and “apply capital market assumptions to it to get a sense of what the long-term
    rate would be.” (R.R. at 29a, 191a-94a.) The rate of interest/real rate of return of 7½%
    was within the average range of what municipalities use. Id.
    5
    Brisman further explained that to determine Claimant’s contribution, he
    looked at the accumulated value of Claimant’s contributions as of December 1, 2010.
    That amount was $75,157.00. The accumulated value was divided by an annuity factor
    which was determined from the 7½% interest and mortality table to obtain the annual
    benefit or contribution made by Claimant. Claimant’s annual contribution was
    $5,822.66. (R.R. at 29a, 195a-96a.) Brisman explained that the remaining benefits in
    the amount of $66,916.30 were then attributable to either the Commonwealth or the
    City. Using the figures provided by the third-party administrator, Brisman determined
    that the accumulated contributions from the Commonwealth were $40,671,799 and the
    City were $13,222,520. Dividing the remaining amount of $66,916.30 by each of the
    accumulated contributions, he determined that the City’s portion of the contributions
    was $21,754.70, which was 29% of the total annual benefit. Brisman determined that
    Claimant’s portion was 8% and the Commonwealth’s portion was 62% of the total
    figure.   Brisman confirmed that even if the City did not make the MMO, the
    calculations accurately reflected only the years money was contributed. He explained
    that if the City made a late payment, it paid interest and the contribution to the pension
    fund was only considered in the year the contribution was made. (R.R. at 29a-30a,
    196a-97a, 200a-01a, 213a-16a.)
    Brisman explained in detail how he calculated the annual portion of
    benefits paid to the portion of the pension fund attributable to Claimant by the City to
    be $21,754.70 or 29% of the total figure. Claimant provided no rebuttal evidence to
    show there was no entitlement to a credit and did not provide any documents or
    calculations that differed from the documents and Brisman’s testimony regarding the
    City’s credit. (R.R. at 30a.)
    6
    WCJ Decision
    By decision dated May 15, 2019, the WCJ granted the City’s suspension
    petition and awarded the City a 29% credit against Claimant’s ongoing temporary total
    disability benefits from December 25, 2015, and ongoing, as long as the Claimant
    continued to receive both workers’ compensation benefits and his pension benefits.
    (WCJ decision, May 15, 2019, F.F. No. 13.) The WCJ found that the City was entitled
    to an additional credit of 20% against Claimant’s temporary total disability benefits
    until the City had recouped the credit that it was owed from December 25, 2015, until
    the date that the City took its credit. Id. F.F. No. 14. In Finding of Fact No. 11, the
    WCJ found the testimony of the City’s witnesses, Mosley and Brisman, credible and
    persuasive. The WCJ noted that Claimant failed to provide rebuttal evidence to show
    that the City was not entitled to a pension offset credit or provide any documents or
    calculations that differed from the documents provided by the City’s experts.
    Claimant appealed to the WCAB, arguing that (1) the City waived its right
    to present evidence to establish its entitlement to a credit, and that the WCAB erred by
    ordering a remand; and (2) the evidence was not sufficient to establish the amounts
    contributed by the City and Claimant to permit the appropriate calculations under the
    Act – specifically, because the actuarial evidence accepted as credible by the WCJ
    included contributions from the Commonwealth, which was not his employer, and
    because the City did not address pension underfunding.
    WCAB Opinion
    On April 10, 2020, the WCAB circulated an opinion affirming the WCJ’s
    decision.   With regard to the issue of waiver and whether the WCAB erred in
    remanding the matter to allow the City to present additional evidence, the WCAB held
    that no error had occurred. It reasoned that section 204(a) of the Act requires that
    7
    employer-funded contributions to a claimant’s benefits under a pension plan must be
    credited against a workers’ compensation award. 77 P.S. §71(a). It concluded that
    because the language of section 204(a) is mandatory, a remand was not improper.
    Regarding the pension benefit offset credit, the WCAB rejected
    Claimant’s argument that the City failed to establish the extent of its funding of
    Claimant’s pension benefits. The WCAB did not agree with Claimant that Brisman’s
    testimony was deficient. The WCAB concluded that Brisman calculated the separate
    contributions by Claimant, the City, and the Commonwealth, and that he did not evade
    questions concerning MMO payments and that he explained that late payments are
    included in the year they were actually made.
    Issues and Analysis
    In his petition for review,3 Claimant raises two issues: (1) whether the
    WCAB erred in remanding the case to the WCJ to allow the City to submit additional
    evidence on the pension benefit offset credit; and (2) whether the WCAB erred by
    concluding that the City met its burden of proving its entitlement to a pension benefit
    offset credit.
    1.
    In his first issue, Claimant argues that the WCAB erred by remanding this
    matter to the WCJ for further evidence, and the WCJ’s acceptance of additional
    evidence was error. He submits that a failure to present evidence to establish the
    entitlement to specific relief is fatal to a petition in workers’ compensation matters.
    (Claimant’s Br. at 10 (citing Romaine v. Workers’ Compensation Appeal Board (Bryn
    3
    This Court’s scope of review is limited to determining whether necessary findings of fact
    are supported by substantial evidence, whether an error of law was committed, or whether
    constitutional rights were violated. Schriver v. Workers’ Compensation Appeal Board (Department
    of Transportation), 
    699 A.2d 1341
     (Pa. Cmwlth. 1997).
    8
    Mawr Chateau Nursing Home), 
    901 A.2d 477
     (Pa. 2006)).) He contends that in the
    original proceedings before the WCJ, the City chose not to present expert testimony
    and that was fatal to its request for a credit for pension benefits. (Claimant’s Br. at 9-
    14 (citing Commonwealth v. Workers’ Compensation Appeal Board (Harvey), 
    993 A.2d 270
     (Pa. 2010), and other cases for proposition that actuarial expert testimony is
    required to establish entitlement to a pension offset when there is a defined pension
    plan).) He asserts that the WCAB found that the City had failed to present substantial
    competent evidence to establish its entitlement to a credit. In Claimant’s view, that
    should have ended the WCAB’s inquiry. He argues that the purpose of a remand is not
    to allow a party to present evidence it failed to present previously.
    We discern no error in the WCAB’s remand to permit the City to provide
    substantial competent evidence to establish how much it contributed to the pension.
    The WCAB has broad discretionary authority under section 419 of the Act, added by
    the Act of June 26, 1919, P.L. 642, 77 P.S. §852, to remand to a WCJ. Section 419 of
    the Act provides:
    The [WCAB] may remand any case involving any question
    of fact arising under any appeal to a [WCJ] to hear evidence
    and report to the [WCAB] testimony taken before him or
    such testimony and findings of fact thereon as the [WCAB]
    may order. . . .
    77 P.S. §852. See also McDaniel v. Workers’ Compensation Appeal Board (Maramont
    Corporation), 
    157 A.3d 544
    , 548 (Pa. Cmwlth. 2016). Section 204(a) of the Act
    provides that the benefits of a pension plan, to the extent funded by the employer
    directly liable for the payment of compensation, shall be credited against a workers’
    compensation award. 77 P.S. §71(a) (emphasis added). The purpose of section 204(a)
    of the Act is to reduce the cost of workers’ compensation benefits in Pennsylvania by
    allowing employers to avoid paying duplicate benefits for the same loss of earnings.
    9
    Kramer v. Workers’ Compensation Appeal Board (Rite Aid Corporation), 
    883 A.2d 518
    , 536 (Pa. 2005); Harvey, 993 A.2d at 281 (citing Kramer and noting the
    Legislature’s clear intention in enacting section 204(a) was “to afford effective
    redress”); Pennsylvania State University v. Workers’ Compensation Appeal Board
    (Hensal), 
    911 A.2d 255
     (Pa. Cmwlth. 2005). Here, the City presented evidence in the
    original proceedings before the WCJ that the City had definitely contributed funds to
    Claimant’s pension. In light of the clear legislative intent to provide employers relief
    from concurrent payment of workers’ compensation and employer-funded pension
    benefits, we cannot say the WCAB erred in requiring the WCJ to take evidence and to
    make findings on a crucial issue necessary for the proper application of the law. See
    Craftsmen v. Workers’ Compensation Appeal Board (Krouchick), 
    809 A.2d 434
     (Pa.
    Cmwlth. 2002) (upholding WCAB’s remand pursuant to section 419 of the Act where
    the WCAB was convinced that additional findings were needed on the issue of
    causation, for proper application of the law surrounding the claimant’s burden of proof
    in a cardiac death case). Because the language of section 204(a) is mandatory, we
    conclude that the WCAB correctly held that a remand to the WCJ was proper. 77 P.S
    §71(a).
    2.
    Next, Claimant argues that, under section 204(a) of the Act, an employer
    is only entitled to offset workers’ compensation disability benefits from a pension plan
    “to the extent funded by the employer directly liable for the payment of compensation.”
    77 P.S §71(a). Referring to the WCJ’s Finding of Fact No. 8(3) (“[t]he remaining
    benefits were then attributable to either the Commonwealth or [the City]”), Claimant
    argues that the City’s evidence did not reflect its actual contributions because Brisman
    intermingled the City’s contributions with those of the Commonwealth. He contends
    10
    that because the offset calculations included the Commonwealth, not Claimant’s actual
    employer, the City’s evidence was hypothetical and did not represent its actual
    contributions. We disagree with Claimant’s assessment.
    Under section 204(a) of the Act, 77 P.S. §71(a), the employer bears the
    burden to establish the extent of its funding of the claimant’s pension benefits.
    Department of Public Welfare/Polk Center v. Workers’ Compensation Appeal Board
    (King), 
    884 A.2d 343
    , 347 (Pa. Cmwlth. 2005). Actuarial assumptions and calculations
    may be used to determine the employer-funded component of a defined benefit pension
    plan. Harvey, 993 A.2d at 281-82. The Act does not require the employer to prove the
    amount of its actual contributions. Id.
    Based on the record, we conclude that the City’s evidence, as accepted by
    the WCJ, meets this standard.            The City presented unrebutted evidence that it
    contributed $21,754.70 to Claimant’s annual pension benefits that he received in
    addition to his workers’ compensation benefits.4 The WCJ credited the testimony of
    Mosley, the City’s Deputy Controller, which was taken in the original proceeding. The
    WCJ also found Brisman’s testimony credible, observing that Brisman explained his
    calculations in detail and that Claimant did not present rebuttal evidence to show that
    there is no entitlement to a credit, or provide differing calculations. We do not agree
    that Brisman’s testimony was deficient in the manner argued by Claimant. Claimant
    fails to take into consideration the remainder of Brisman’s testimony. Specifically,
    Brisman explained that the accumulated value of Claimant’s contributions as of
    December 1, 2010, was $75,157.00. That sum was divided by an annuity factor of
    12.907684, yielding an annual benefit of $5,822.66 attributable to Claimant’s
    4
    In his brief, Claimant cites to a “Report on Municipal Pension Funds” and an article titled
    “State: Chester’s pension fund is going broke.” However, because this “evidence” was never
    submitted to the WCJ during the underlying litigation or on remand, we will not consider it on appeal.
    11
    contributions. Although Brisman noted that the remaining benefit of $66,916.30 was
    attributable to the Commonwealth aid and the City’s contributions, he went on to
    calculate the total of the combined contributions of Claimant, the Commonwealth and
    the City. Precisely, the remaining benefit was multiplied by a ratio of the City’s
    accumulated contributions to the total of the combined Commonwealth and the City’s
    contributions. The same calculations were used to determine the Commonwealth aid
    amount.    The portion of Claimant’s benefit attributable to his contribution was
    determined to be 8% of the total; the Commonwealth’s contribution was determined to
    be 62.1% of the total; and the City’s portion was determined to be 29.9% of the total.
    (WCJ decision, May 15, 2019, F.F. No 8(c).)
    The WCJ has complete authority over questions of credibility, conflicting
    evidence and evidentiary weight. Daniels v. Workers’ Compensation Appeal Board
    (Tristate Transportation), 
    828 A.2d 1043
    , 1052 (Pa. 2003). The WCJ is free to accept
    or reject, in whole or in part, the testimony of any witness. Lombardo v. Workers’
    Compensation Appeal Board (Topps Company, Inc.), 
    698 A.2d 1378
     (Pa. Cmwlth.
    1997).
    Because an employer may sustain its burden of proof for offset purposes
    through expert actuarial opinion, and the WCJ here found the City’s offer of this
    evidence credible, the City is entitled to an offset. City of Philadelphia v. Workers’
    Compensation Appeal Board (Grevy), 
    968 A.2d 830
    , 839 (Pa. Cmwlth. 2009)
    (explaining that, “[i]f the actuarial testimony is accepted as credible, it is legally
    sufficient to establish the extent of an employer’s funding for offset/credit purposes”).
    The order of the WCAB is affirmed.
    ________________________________
    PATRICIA A. McCULLOUGH, Judge
    12
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Robert Blythe,                      :
    Petitioner         :
    :    No. 437 C.D. 2020
    v.                      :
    :
    Workers’ Compensation Appeal        :
    Board (City of Chester),            :
    Respondent        :
    ORDER
    AND NOW, this 29th day of December, 2021, the April 10, 2020
    opinion and order of the Workers’ Compensation Appeal Board is hereby
    AFFIRMED.
    ________________________________
    PATRICIA A. McCULLOUGH, Judge