JJ White, Inc. v. K. Yahawi (WCAB) ( 2022 )

IN THE COMMONWEALTH COURT OF PENNSYLVANIA
JJ White, Inc., :
Petitioner :
: No. 371 C.D. 2021
v. :
: Submitted: September 3, 2021
Kader Yahawi (Workers’ :
Compensation Appeal Board), :
Respondent :
BEFORE: HONORABLE PATRICIA A. McCULLOUGH, Judge
HONORABLE MICHAEL H. WOJCIK, Judge
HONORABLE ELLEN CEISLER, Judge
OPINION NOT REPORTED
MEMORANDUM OPINION
BY JUDGE McCULLOUGH FILED: December 2, 2022
JJ White, Inc. (Employer) petitions for review of the March 31, 2021
order of the Workers’ Compensation Appeal Board (Board) affirming the
Workers’ Compensation Judge’s (WCJ) July 30, 2020, remand decision, which
granted, in part, the claim petition of Kader Yahawi (Claimant), awarded Claimant
total disability benefits for the closed period of November 7, 2015, to June 4, 2018,
and granted Claimant’s penalty petition. Upon review, we affirm.
I. Procedural and Factual History
Claimant, a member of Local 13 labor union, began working for
Employer as a boilermaker on October 20, 2015. On November 7, 2015, Claimant
was injured while lifting a bucket out of a hole, immediately feeling pain in his
lower left side and back. Claimant stopped working and reported the injury to his
union shop steward, Ed Harkins, that same day. Claimant’s primary care physician
subsequently took him out of work. When Claimant returned to work with a
medical note on November 16, 2015, Mr. Harkins advised him that he was being
laid off.
On January 29, 2018, Claimant filed a claim petition alleging that he
sustained a November 7, 2015 work injury in the nature of “bilateral knee and low
back injuries.” (Reproduced Record (R.R.) at 4a.) Employer filed an Answer to
the claim petition generally denying all the Claimant's material allegations.
Claimant also filed a penalty petition alleging that Employer violated the Workers’
Compensation Act1 (Act) by failing to file various Workers’ Compensation Bureau
(Bureau) documents and requesting penalties and unreasonable contest fees. Id. at
9a.
The WCJ held hearings on February 26, 2018, May 21, 2018, and
October 15, 2018. Before the WCJ, Employer argued that Claimant did not satisfy
the notice requirements of section 313 of the Act as he only reported his injury to
the shop steward. Employer explained that Mr. Harkins never reported the alleged
work injury to Employer and that it had first received notice of Claimant’s injury
on January 29, 2018, when Claimant filed his claim petition. Employer argued that
its policy required employees to report injuries to the foreman and jobsite
superintendent, and introduced its on-boarding documents, which stated:
Standard Work Rules for Field Employees —
Safety/Security — In the case of an accident, injury or
incident of any type, you must immediately notify your
Foreman and the jobsite Superintendent.
1
Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§1-1041.4, 2501-2710.
2
(R.R. at 185a.)
Employer’s Vice President of Risk Management, Robert Celestino,
confirmed that Mr. Harkins was an employee of Employer and Claimant’s shop
steward on the day of the incident. Id. at 341a-43a. He testified that the shop
steward handles labor and personnel issues for union employees. Id. at 342a. He
testified that the purpose of having a shop steward is so that the employees of the
same craft can address any labor or personal issues they might encounter on the
job. Id. He testified that a shop steward is not a superintendent or a foreman, or a
boss or supervisor of workers. Id. Mr. Celestino testified, however, that if an
employee is injured, that employee must initially report the injury to either the
foreman or the site superintendent, who will then contact him or the safety
coordinator. Id. at 337a. Mr. Celestino testified that Mr. Harkins never indicated
to him that Claimant had been injured on the job. Id. at 343a.
Employer also presented the testimony of Phillip Russel, Employer’s
site manager. Id. at 290a. He testified that an employee is required to fill out an
on-boarding package on the date of his hire. Id. at 291a. He stated that the shop
steward was not a boss, supervisor, superintendent, or foreman. Id. at 293a. He
testified that if an employee gets injured, that employee must contact the foreman
or supervisor, who will then contact the safety manager, safety coordinator or
whoever is on duty at that time. Id. at 293a-94a. Mr. Russel did not remember
Claimant reporting an injury on November 7, 2015. He did not recall if the
foreman was on the job on November 7, 2015. Id. at 295a.
Claimant also testified. He testified that before November 7, 2015, he
never treated his low back and had no problems with his low back. Id. at 148a. He
testified that he reported his work injury to Mr. Harkins, whom he considered to be
his supervisor. He said that if a union employee has an issue or problem at work,
3
he is to report it to the shop steward, who in turn, is supposed to talk with the
company. Id. at 88a. He said as a union worker, union employees were required
to go to the shop steward with anything related to work. Id. at 88a-89a. Claimant
testified that on Friday night, the date he was injured, he reported his injury to Mr.
Harkins who told him to go home. He missed work on Monday. Mr. Harkins
called him to check on why he was not at work and how he was feeling. When
Claimant told him the doctor ordered him to stay off work for 10 days, Mr. Harkins
told him to bring a note from the doctor when he returned. Id. at 89a-92a. When
Claimant returned to work, he gave Mr. Harkins the doctor’s note. Claimant
stayed in the lunchroom and did not work that day. The following day, Mr.
Harkins called Claimant to tell him he was laid off. Id. at 92a-93a.
In a January 28, 2019 decision, the WCJ found that Claimant failed to
meet his burden of proving that he provided timely and adequate notice of the
alleged work injury to Employer and, therefore, denied the claim petition. The
WCJ stated that the case hinged on section 313 of the Act, which states:
The notice referred to in sections 311 and 312 [of the
Act] may be given to the immediate or other superior of
the employe, to the employer, or any agent of the
employer regularly employed at the place of employment
of the injured employe. Knowledge of the occurrence of
the injury on the part of any such agents shall be the
knowledge of the employer.
77 P.S. §633.
The WCJ accepted as credible Claimant’s testimony that he reported
the alleged work injury to his shop steward, Mr. Harkins on November 7, 2015.
The WCJ found credible the testimony of Employer’s witnesses that a union shop
steward such as Mr. Harkins is not a superintendent, foreman, boss, or supervisor
4
of employees, but is merely an employee of Employer. (WCJ decision, 1/28/19, at
8.) Therefore, the WCJ found that Claimant failed to demonstrate that Mr. Harkins
was acting as an agent for Employer in terms of accepting reports of alleged work
injuries pursuant to section 313 of the Act. Id. The WCJ found that Claimant’s
failure to provide timely notice to a foreman, supervisor, or jobsite superintendent
severely impeded Employer’s ability to investigate due to the passage of time,
because Employer could not have Claimant examined in the context of an
independent medical evaluation to potentially limit exposure on this case until June
4, 2018, approximately two and one-half years after the alleged injury. Id. at 9.
The WCJ also determined that Claimant failed to meet his burden with respect to
the penalty petition and that Employer demonstrated a reasonable contest. Id. at
10.
Claimant appealed to the Board, which reversed the WCJ’s order.
Citing Penske Logistics v. Workers’ Compensation Appeal Board (Troxel), 132
A.3d 1029, 1036 (Pa. Cmwlth. 2015), the Board noted that a title is not dispositive
of whether a person is an agent of an employer for purposes of receiving notice of
a work injury. Further, the Board determined that the WCJ capriciously
disregarded relevant, competent evidence, and held that Mr. Harkins was an agent
for Employer with authority to receive a report of an injury. (R.R. at 5a-44a.) In
the Board’s words:
We determine that the WCJ capriciously disregarded
relevant, competent evidence that Mr. Harkins was an
agent for [Employer] to receive a report of an injury. A
capricious disregard only occurs when the WCJ
deliberately ignores relevant, competent evidence.
Capasso v. [Workers’ Compensation Appeal Board]
(RACS Assocs. Inc.), 851 A.2d 997 (Pa. Cmwlth. 2004).
Although the WCJ found that Mr. Harkins was not in a
5
supervisory position, even though Claimant considered
Mr. Harkins to be his supervisor, a title is not dispositive
of whether a person is an agent. Troxel. A supervisory
position is not the only requirement under the Act despite
[Employer’s] policy. Padilla[ v. Chain Bike Corp., 365
A.2d 903, 904-05 (Pa. Cmwlth. 1976)]. Our Act also
allows an agent to receive a report of an injury. Here,
both Claimant and Mr. Celestino testified that the shop
steward handled labor and personnel issues for the union
employees. Claimant also testified that he received his
paychecks from Mr. Harkins, Mr. Harkins laid him off
after Claimant reported an injury and gave a work-off
note, Mr. Harkins called him to verify that Claimant took
a week off work, and Claimant gave his work-off notice
to Mr. Harkins. Under these facts, we determine that Mr.
Harkins was an agent for [Employer], as Mr. Harkins
acted with authority on behalf of [Employer] in handling
labor and personnel issues.
(Board decision, 3/3/20 at 6.)
The Board remanded to the WCJ to make findings of fact and
conclusions of law as to whether Claimant was injured in the course and scope of
his employment, and to consider whether Employer violated the Act by failing to
issue appropriate Bureau documents.2 The Board concluded that “remand would
effectuate the Act’s humanitarian objectives. [Section 101 of the Act,] 77 P.S. §1;
Cruz v. [Workers’ Compensation Appeal Board] (Kennett Square Specialties), 99
A.3d 397, 406 (Pa. 2014).” (Board decision, 3/3/20, at 6.)
On remand, Claimant presented his deposition testimony and testified
in person before the WCJ. Claimant explained that prior to the 2015 work injury,
he did not experience any back pain. (R.R. at 152a.) Claimant testified that after
2
Employer sought review of the Board’s order. In a per curiam order dated June 23,
2020, this Court quashed the appeal as interlocutory. (R.R. at 48a.)
6
the work injury he was laid off. He worked a couple of hours a day delivering
pizza from September 2016 through November 2016 but quit because of pain and
the physical demands of the job. Id. at 171a-72a. He got paid $4 per hour plus
tips. Id. at 98a, 145a. He testified that since the injury he has been living on
annuity money from his retirement fund. Id. at 165a. He testified that he is not
retired from the union. Id. at 166a. He explained he is still a member of his union;
he pays dues and attends monthly meetings. Id. at 154a.
Claimant presented the expert medical testimony of Thomas Whalen,
D.O. (Dr. Whalen), who began treating him on January 24, 2018, and treated him
on two other occasions. At the initial visit, Dr. Whalen obtained a history from
Claimant, including the circumstances of the November 7, 2015, work injury.
Physical examination revealed moderately severe reduced mobility, pain and
spasm, decreased mobility in both knees, and lower extremity weakness. Id. at
196a. Dr. Whalen reviewed medical records, including a report of a lumbar MRI
dated February 5, 2018, which revealed multiple disc protrusions in the lumbar
spine. Id. at 198a. Dr. Whalen diagnosed Claimant with chronic low back pain
secondary to a work injury, multiple disc protrusions, left lower extremity radicular
pattern, and left hip girdle pain. Id. at 202a. On cross-examination, Dr. Whalen
admitted that his opinion was not based on any prior examinations by any doctor
and that he could not give an opinion of Claimant’s medical condition prior to
January 2018. Id. at 206a.
Over Employer’s hearsay objection, Claimant entered into the record
a treatment note from Christian Care New Castle Center dated November 12, 2015.
This note was authored by nurse practitioner, Brenda D. Nardozzi, FNP. Ms.
Nardozzi wrote “injured at work Friday working a tight space, heavy lifting” under
7
“History of Present Illness.” Id. at 240a-42a. Claimant was given a prescription of
Anaprox and Cyclobenzaprine, told to rest, and ordered to physical therapy if his
condition was not improved. Id.In opposition to the claim petition, Employer presented the expert
medical testimony of Richard Schmidt, M.D. (Dr. Schmidt), who conducted an
independent medical evaluation (IME) of Claimant on June 4, 2018. Id. at 267a.
Based upon the physical examination of Claimant and his review of medical
records, Dr. Schmidt opined that Claimant may have experienced a transient
lumbar strain from which he had fully recovered as of June 4, 2018. Id. at 271a.
The WCJ issued a decision dated July 30, 2020, granting Claimant’s
claim petition, in part. The WCJ found Claimant’s testimony credible and
persuasive, holding that Claimant had met his burden of demonstrating that he
suffered a temporary disabling work-related injury, arising in the course and scope
of his employment. (WCJ decision, 7/30/20, at 8.) However, the WCJ also
determined that Employer established Claimant had fully recovered from this work
injury as of June 4, 2018, the date of the IME, and, therefore, terminated
Claimant’s benefits as of that date. Id. Employer appealed to the Board, which
affirmed the WCJ’s decision and order on March 31, 2021. Employer now appeals
the Board’s order to this Court for review.
II. Issues
On appeal,3 Employer raises the following issues:
3
This Court’s scope of review is limited to determining whether findings of fact are
supported by substantial evidence, whether an error of law was committed or whether
constitutional rights were violated. Meadow Lakes Apartments v. Workers’ Compensation
Appeal Board (Spencer), 894 A.2d 214 (Pa. Cmwlth. 2006). Substantial evidence means such
relevant evidence as a reasonable mind might accept as adequate to support a conclusion.
(Footnote continued on next page…)
8
1. Whether the Board improperly concluded that
Claimant provided adequate and timely notice to
any individual or agent of Employer to satisfy his
burden under sections 311 through 313 of the Act?
2. Whether the Board erred as it relates to the start
and length of the alleged disability, and finding
that Claimant’s injury was “obvious”?
3. Whether the Board erred as it relates to the finding
that Employer waived the argument that Claimant
“voluntarily took himself out of the job market”
and the improper burden was applied?
4. Whether the Board erred as it relates to Claimant’s
work in a pizza shop and Employer’s right to a
credit for the same?
(Employer’s Br. at 4.)
III. Analysis
A. Notice of Injury
Employer argues that the Board erred and exceeded its authority in
overturning the WCJ’s determinations of credibility and the weight to be accorded
evidence as those are the prerogative of the WCJ, not the Board. Vols v. Workers’
Compensation Appeal Board (Alperin, Inc.), 637 A.2d 711, 714 (Pa. Cmwlth.
1994). Employer contends that by finding the shop steward was an agent of
Employer for purposes of notice under the Act, the Board improperly disregarded
the WCJ’s fact finding role.
(continued…)
Bethenergy Mines, Inc. v. Workmen’s Compensation Appeal Board (Skirpan), 612 A.2d 434, 436
(Pa. 1992).
9
Under the Act, the claimant carries the burden of demonstrating that
timely notice of an alleged injury was given. C. Hannah & Sons Construction v.
Workers’ Compensation Appeal Board (Days), 784 A.2d 860, 864 (Pa. Cmwlth.
2001). Whether the employee gave adequate notice is based on the totality of the
circumstances. Section 312 of the Act, 77 P.S. §632. Whether proper notice was
given is a mixed question of fact and law. Gentex Corporation v. Workers’
Compensation Appeal Board (Morack), 23 A.3d 528, 534 (Pa. 2011).
Sections 311 and 312 of the Act, 77 P.S. §§631, 632, provide when
and in what form a claimant must give notice to an employer in order to perfect his
claim. Notice of a work-related injury is required within 120 days of the injury. 77
P.S. §631; see also Katz v. Evening Bulletin, 403 A.2d 518 (Pa. 1979). Section
313 of the Act directs who may accept a notice on behalf of the employer. Notice
of a work-related injury may be given to the immediate or other superior of
claimant, to the employer, or any agent of the employer regularly employed at
the place of employment of the claimant. 77 P.S. §633 (emphasis added). Notice
to a fellow employee is not adequate notice. Miller v. Workers’ Compensation
Appeal Board (Atlas Powder Co.), 447 A.2d 721 (Pa. Cmwlth. 1982).
In Padilla, this Court explained that agent of the employer means “a
person whose position justifies the inference that authority has been delegated to
him by the employer, as his representative, to receive a report or notice of such
accidental injury.” 365 A.2d at 904-05. In that case, we held that a foreman
whose duties included making accident reports for Spanish-speaking employees to
the employer was an “agent of the employer.” Id.
In Vare Brothers v. Workmen’s Compensation Appeal Board
(Chiaradonna), 496 A.2d 1316, 1318 (Pa. Cmwlth. 1985), a claimant informed a
10
co-worker, described as “the lead man on the job,” that he suddenly lost hearing in
both ears after using a jack hammer in a pit. At the time of his injury, the claimant
told the lead man “that he felt a shock going through his ear and the ear was
bothering him” and that the lead man had “worked for Vare Brothers for 22 years
and was a foreman for 17 years.” Id. at 1318. The claimant testified that he told
the lead man of his injury when it happened and that a month after the accident, he
asked the lead man to see that his medical bills were paid. Id. This Court held that
under those circumstances, the lead man’s knowledge of the claimant’s injury was
imputed to the employer. Therefore, notice was proper under the Act.
Here, the WCJ found that Mr. Harkins was not a foreman or jobsite
superintendent of Employer as required by the onboarding documents. We discern
no error in the Board’s decision to reverse the WCJ on the grounds that the WCJ
capriciously disregarded evidence. First, as the Board noted, a supervisory
position is not the only requirement under the Act despite Employer’s policy. The
Act also allows an agent of the employer or other superior of the claimant to
receive a report of an injury. 77 P.S. §633. The undisputed evidence demonstrated
that Mr. Harkins performed several functions as an agent of Employer for purposes
of accepting reports of work injuries from union employees. He was, in effect, the
liaison between Employer and the union employees. Employer’s witnesses
testified that the shop steward handled labor and personnel issues for the union
employees. They both wholly agreed that when a union worker needs something,
that worker speaks to the shop steward. Consistent with that testimony, Claimant
explained credibly that if he missed a day of work or had issues on the job site, he
spoke to Mr. Harkins. Claimant considered Mr. Harkins to be his supervisor. He
received his paychecks from Mr. Harkins. Mr. Harkins told him to go home after
11
the injury and provide a medical note when he returned. Mr. Harkins called
Claimant to verify that he took a week off work after the injury and to check on
him. Mr. Harkins laid Claimant off after Claimant returned, reported the injury
and gave his work-off notice. Under these facts, we determine, consistent with
Padilla and Vare Brothers, that Mr. Harkins acted with authority on behalf of
Employer in handling labor and personnel issues for union employees, which
included receiving notice of a work-related injury and laying Claimant off after he
was injured. Considering the foregoing, we find no error in the Board’s conclusion
that the WCJ capriciously disregarded that evidence and failed to properly apply
the provisions of section 313 of the Act.
Further, that Employer may have had internal procedures with respect
to the reporting of accidents is totally irrelevant in terms of the notice obligations
of employees under the Act. This Court has held “[t]here is nothing in the notice
sections of the Act which can in any way be said to require that an employee must
conform with an employer’s internal reporting procedures in order to become
entitled to benefits under the Act.” Ziegler v. Workmen’s Compensation Appeal
Board (Oxford Mills), 516 A.2d 128, 129-30 (Pa. Cmwlth. 1986). Moreover, the
fact that Mr. Harkins may not have informed Employer is also of no moment and
does not create a defect in Claimant’s notice. Paul Arpin Van Lines v. Workmen’s
Compensation Appeal Board (Selvey), 609 A.2d 906, 908-09 (Pa. Cmwlth. 1992)
(any failure by dispatcher of lending employer to inform the employer of the injury
in question was not attributable to the employee and did not create any defect in
notice to the employer).
Accordingly, Claimant provided adequate and timely notice under
section 313 of the Act.
12
B. Duration and Extent of Injury
Next, Employer argues that the WCJ and Board erred regarding the
length of the alleged disability issue because Claimant’s medical expert, Dr.
Whalen, testified that he first saw Claimant on January 24, 2018, and that,
medically, he could not give an opinion of Claimant’s condition prior to January of
2018 based on examinations or medical records. The Board found and determined
that Claimant’s disability started as of November 7, 2015, because “Claimant’s
testimony [was] enough, if found credible, to prove that he sustained a work-
related injury and was disabled as the injury was obvious.” (Board decision,
3/31/21, at 6.) Employer maintains that Claimant’s injury was not “obvious” at all,
so the disability date had to be proven by medical evidence. (Employer’s Br. at
24.) It contends that there is no basis for a finding of disability prior to January of
2018 because Claimant offered no medical evidence to indicate the same. We
disagree.
In a claim petition, the claimant has the burden of proving all the
elements necessary to support an award, including the existence of a work-related
injury resulting in disability and its duration. Inglis House v. Workmen’s
Compensation Appeal Board (Reedy), 634 A.2d 592 (Pa. 1993). Where the causal
relationship between the work incident and the disability is not obvious,
unequivocal medical evidence is necessary to establish it. Jeannette District
Memorial Hospital v. Workmen’s Compensation Appeal Board (Mesich), 668 A.2d
249 (Pa. Cmwlth. 1995). A causal connection is obvious when an individual is
doing an act that requires force or strain and pain is immediately experienced.
Northwest Medical Center v. Workers’ Compensation Appeal Board (Cornmesser),
880 A.2d 753 (Pa. Cmwlth. 2005).
13
Our Court has repeatedly held that there is an obvious connection
where a claimant contemporaneously experiences pain while doing an act requiring
force or strain, such as lifting an object. See Davis v. Workmen’s Compensation
Appeal Board (United Parcel Service), 499 A.2d 703, 705 (Pa. Cmwlth. 1985)
(medical opinion testimony was not required to establish causation where claimant
experienced pain in his lower back immediately after lifting a 40–50-pound
hamper box); Tobias v. Workmen’s Compensation Appeal Board (Nature’s Way
Nursery, Inc.), 595 A.2d 781, 784-85 (Pa. Cmwlth. 1991) (explaining that the
connection between the injury and a disability often involves a “natural and
probable” development and could sometimes involve an immediacy of occurrence
such as an immediate back injury following heavy lifting); Workmen’s
Compensation Appeal Board v. Bethlehem Mines Corp., 349 A.2d 529, 530 (Pa.
Cmwlth. 1975) (claimant’s testimony alone sufficed to establish that being pinned
against a plank at work while attempting to remove a piece of a steel chute
weighing several hundred pounds caused a lower back injury in the form of disc
herniations, where claimant immediately complained of back pain following the
work incident); Malecki v. Workers’ Compensation Appeal Board (Franklin
Regional School District) (Pa. Cmwlth., No. 582 C.D. 2020, filed Mar. 26, 2021),
slip op. at 1-3, 9-13 (reversing the Board’s affirmance of the WCJ’s determination
that claimant failed to establish a work-related injury, reasoning that claimant’s
testimony that he experienced pain in his lower back and extending down the side
of his left leg to his toes while lifting garbage into a dumpster established that
claimant sustained a herniated disc as a result of the work incident); City of
Allentown v. Workers’ Compensation Appeal Board (Porter) (Pa. Cmwlth., No.
1038 C.D. 2011, filed Dec. 21, 2011), slip op. at 1-6 (claimant’s injury in the form
14
of a herniated lumbar disc and radiculitis was obviously work-related, where
claimant testified that he immediately experienced pain after pulling his back while
lifting a heavy tool onto a truck at work).4
In Cornmesser, the claimant, a nurse, testified that he was moving a
large patient when he felt a pop and immediately experienced pain and stiffness in
his back. Subsequently, his condition worsened throughout the week such that he
was hospitalized and ultimately operated on for a herniated disc. Cornmesser, 880
A.2d at 755. The WCJ found the testimony of the claimant credible and through
his testimony determined that the requisite relationship existed to establish a work-
related injury. This Court affirmed, finding that the claimant’s testimony
constituted substantial evidence supporting the WCJ’s finding of a work injury. Id.Here, Claimant’s credible testimony demonstrated the requisite causal
connection between the incident and his temporary disabling back pain. As in
Cornmesser, the WCJ accepted Claimant’s testimony that on November 7, 2015,
he hurt his lower back when he twisted it, that he was attempting to tie off a bucket
that was to be hoisted out of the hole and that he felt immediate pain, and
eventually the pain travelled down his left leg. He immediately left his shift and
purchased over the counter pain medication on his way home. On November 12,
2015, he went to see his primary care doctor, who took him out of work. (WCJ
decision, 7/30/20, at 4-5). Claimant testified that prior to the November 7, 2015
work incident, he experienced no low back problems.
Accordingly, the Board did not err in finding that Claimant’s injury
was obvious, and that Claimant satisfied his burden of establishing the start date of
4
We cite these unreported opinions as persuasive authority pursuant to this Court’s
Internal Operating Procedures. See 210 Pa. Code §69.414(a).
15
his disability.5 Contrary to Employer’s argument, in these circumstances, Claimant
did not require medical evidence to establish when the disability began.
C. Voluntary Removal from Workforce
Employer contends that it met its suspension of benefits burden of
proving that Claimant retired and voluntarily took himself out of the workforce
completely as of December 2016, right after the pizza delivery job ended.
Employer argues that Claimant retired because he received annuity payments and
has not worked for nine years. It contends that Claimant unambiguously testified
that the annuity money was from “when you get retired.” (R.R. at 165a.) The
annuity exhibit is also listed as a retirement document. Id. at 245a-46a.
The Act is remedial in nature and intended to benefit the worker, and,
therefore, the Act must be liberally construed to effectuate its humanitarian
objectives. Reifsnyder v. Workers’ Compensation Appeal Board (Dana Corp.),
883 A.2d 537, 542-43 (Pa. 2005). Generally, a claimant who has been forced into
retirement as a result of a work-related injury may continue to receive workers’
compensation benefits. Southeastern Pennsylvania Transportation Authority v.
Workmen’s Compensation Appeal Board (Henderson), 669 A.2d 911, 913 (Pa.
1995); City of Philadelphia v. Workers’ Compensation Appeal Board (Rooney),
730 A.2d 1051, 1053 (Pa. Cmwlth. 1999). However, an employer may seek a
suspension of those benefits where a claimant voluntarily leaves the workforce
rather than being forced into retirement because of the work injury. Henderson,
5
Claimant also produced the treatment note from Christian Care New Castle Center,
which indicated that less than a week after the incident, Claimant was being treated for a back
injury sustained from heavy lifting. Employer argues that the Board improperly relied on the
note in making its determination that the injury was obvious because the note was inadmissible
hearsay. Because we conclude that Claimant’s credible testimony alone sufficed to establish
causation, we need not address the hearsay issue.
16
669 A.2d at 913; Turner v. Workers’ Compensation Appeal Board (City of
Pittsburgh), 78 A.3d 1224, 1228 (Pa. Cmwlth. 2013).
An employer bears the burden of showing that a claimant has retired.
City of Pittsburgh v. Workers’ Compensation Appeal Board (Robinson), 67 A.3d
1194, 1209 (Pa. 2013). Our Supreme Court has rejected attempts to create a
rebuttable presumption that a claimant has voluntarily retired from the entire
workforce merely from the fact that a claimant has accepted some type of pension
benefit. Id. Specifically, the Supreme Court stated “[t]here is no presumption of
retirement arising from the fact that a claimant seeks or accepts a pension, much
less a disability pension; rather, the worker’s acceptance of a pension entitles the
employer only to a permissive inference that the claimant has retired.” Id. at 1209.
While a presumption requires a factfinder to find an elemental fact upon proof of a
basic fact, a permissive inference, on the other hand, “allows, but does not require,
the factfinder to infer the elemental fact from proof of the basis fact and places no
burden of persuasion or production on the defendant.” Id. at 1204 (citation
omitted). In short, the burden of persuasion remains with the employer. Id.
In Robinson, the Supreme Court explained that the totality of the
circumstances “test is simply another way of saying that the factfinder must
evaluate all of the relevant evidence in determining whether a worker has retired
from the workforce” and that this approach was consistent with precedent.
Robinson, 67 A.3d at 1209. “If the employer produces sufficient evidence to
support a finding that the claimant has voluntarily left the workforce, then the
burden shifts to the claimant to show that there in fact has been a compensable loss
of earning power.” Id. at 1209-10.
17
Here, the Board affirmed the WCJ’s determination that Claimant did
not retire from the entire workforce. The WCJ based his decision on Claimant’s
testimony that he did not retire and that after he was unable to earn a living after
his injury, he took the annuity as a lump sum in order to live. Moreover, Claimant
credibly testified that he still pays union dues and attends monthly union meetings.
Viewing the totality of the circumstances, these facts support the WCJ’s
determination that Claimant did not voluntarily retire and take himself out of the
workforce. Accordingly, we conclude the Board did not err in concluding that the
totality of the circumstances supported the WCJ’s determination that Claimant did
not voluntarily retire.
D. Credit for Time Claimant Worked at the Pizza Shop
Finally, Employer asserts that it should receive a credit for the time
that Claimant worked at the pizza shop from September 2016 through November
2016. It contends that the WCJ’s decision ordered Employer to pay full indemnity
benefits during a specific period of time, which included the time Claimant worked
at the pizza shop. Employer argues that the WCJ’s decision was silent as to how
Claimant’s benefits were affected by his pizza shop job and does not indicate
whether Employer was entitled to pay modified benefits during that period.
When Claimant raised this issue before the Board, the Board indicated
that it “did not read the WCJ’s order . . . to exclude [Employer] from this partial
disability credit” and ordered Employer to “pay the weekly indemnity in
accordance with the Act.” (Board decision, 3/31/21, at 7.)
Notwithstanding the Board’s conclusion, Employer continues to
challenge the WCJ’s decision, because “[w]hile the WCJ’s Decision may not
18
exclude [Employer] from taking the credit, it certainly does not explicitly grant the
right to a credit, which is required to empower [Employer] to take this action.”
(Employer’s Br. at 33.) Employer asserts that because the WCJ did not
specifically state that Employer was entitled to pay modified benefits for the period
during which Claimant worked at the pizza shop, Employer could not engage in
self-help by paying Claimant modified benefits without an order permitting it to do
so.
We are not entirely certain that there is an issue here for us to decide.
The Board construed the WCJ’s decision to mean that Employer was entitled to
pay modified benefits during the period Claimant worked at the pizza shop in
accordance with the Act. While we understand and appreciate Employer’s
reluctance to do anything absent an order permitting it to do so, we are satisfied
that the Board’s order permits it to do so. As Claimant did not appeal from any
part of the Board’s decision, Claimant is precluded from disputing Employer’s
right to take the credit.
Accordingly, for these reasons, the order of the Board is affirmed.
________________________________
PATRICIA A. McCULLOUGH, Judge
Judge Fizzano Cannon did not participate in this decision.
19
IN THE COMMONWEALTH COURT OF PENNSYLVANIA
JJ White, Inc., :
Petitioner :
: No. 371 C.D. 2021
v. :
:
Kader Yahawi (Workers’ :
Compensation Appeal Board), :
Respondent :
ORDER
AND NOW, this 2nd day of December, 2022, the March 31, 2021,
order of the Workers’ Compensation Appeal Board is hereby AFFIRMED.
________________________________
PATRICIA A. McCULLOUGH, Judge