GAERLAN, J.:
In a Medical Report dated May 24, 2010 x x x, [Llanita] was diagnosed to have suffered the following: 'Cerebral Concussion; Comminuted Fracture, Left Humerus; S/P Closed Reduction with External Fixation, Left Humerus; Fracture, Left Elbow; S/P Closed Reduction, Left Elbow'.As stated above, the company-designated physician made an assessment on August 13, 2010 that Llanita was suffering from a Grade 10 and 50% of Grade 14 Disability. Such findings were reiterated by the company-designated physician in his medical report dated September 25, 2010.[7] Accordingly, in the medical report dated September 25, 2010, it was concluded that Llanita was suffering from a combined disability grading of:
In a follow-up report, dated June 1, 2010 x x x, [Llanita] was shown to have underwent debridement, removal of foreign body and re-suturing of scalp laceration on May 22, 2010 and debridement and re-application of external fixative device, left humerus on May 27, 2010 and tolerated the procedures well. [Llanita] was being given medication and undergoing rehabilitation.
In a second follow-up report dated June 17, 2010, x x x, [Llanita] was recommended for skin grafting of a non-healing wound on the right foot.
In a third follow-up report dated June 25, 2010 x x x, [Llanita] was shown to have had his left arm x-rayed and skin grafting done on June 23, 2010.
Meanwhile, on July 15, 2010, the hospital issued a medical report with the final diagnosis indicating head, scalp, elbow and leg injuries or fractures x x x.
In a fourth follow-up report dated July 26, 2010 x x x, [Llanita] was declared to be in stable condition and advised to continue his rehabilitation in his home province in Cagayan de Oro. [Llanita] was discharged on July 26, 2010 and advised to come back on August 13, 2010 for re-evaluation.
In a fifth follow-up report dated August 13, 2010 x x x, [Llanita] was assessed at "Grade 10-ankylosis of 1 shoulder and 50% Grade 14 due to scar on the right leg." [Llanita] was advised to come back on September 3, 2010 for re-evaluation.
In a sixth follow-up report dated September 4, 2010 x x x, [Llanita] was shown to have been admitted on September 3, 2010 in the hospital for removal of fixative device and physical therapy and discharged the following day. [Llanita] was again advised to continue his rehabilitation as an out-patient in Cagayan de Oro and to come back on September 24, 2010 for re-evaluation.[6] (Emphasis supplied)
Grade 10 – Ankylosis of one shoulder (20.15%); andProceedings before the Labor Tribunals
50% of Grade 14 – Scar on the right leg (1.87%)
For a total of US$11,010.00 (22.02% x US$50,000).[8]
WHEREFORE, judgment is hereby rendered ordering respondents to:Aggrieved, Llanita appealed to the National Labor Relations Commission (NLRC).[13] However, in its Decision dated September 29, 2011, the NLRC found no reason to disturb the findings of the Labor Arbiter and dismissed the appeal. In its Decision, the NLRC gave credence to the medical findings of the company-designated physician, and found that Llanita's claim for total and permanent disability lacks any evidentiary support:
1. Pay complainant US$13,213.00 corresponding to disability "Grade 10-ankylosis of 1 shoulder and 50% Grade 14 for scar on the right leg"; and
2. Reimburse complainant Php34,700.00 for transportation, accommodation and medical expenses.
All other claims are hereby dismissed for lack of merit.
SO ORDERED.[12]
We give greater weight to the assessment of the company-designated physician. There is no question that Llanita suffered injuries during the term of his contract but review of the records readily revealed that after the explosion in the vessel, he was immediately referred for treatment at the foreign port, and was subsequently medically repatriated. Upon repatriation, he was referred to a company-designated physician for examination, treatment and management at the cost to the employer and he was duly paid sickwages. After a little more than four months of medical management, he was assessed a disability grade 10–ankylosis of one of the shoulder (20.15%) and 50% grade 14–scar on the right leg (1.87%).Llanita then filed his Motion for Reconsideration dated October 25, 2011, but the same was denied by the NLRC in its Resolution dated March 26, 2012.
On the other hand, the report of Llanita's doctor is based on a single visit as could easily be gleaned from the proforma medical certificate which he issued. Most importantly, said doctor did not state that Llanita is permanently and totally disabled or incapacitated to engaged [sic] in seafaring activities or any gainful occupation. He merely gave an advice for Llanita to undergo further rehabilitation or physical therapy to improve his elbow movement.
Verily, Llanita's claim of total and permanent disability lacks any evidentiary support. It is a self-serving declaration of inability to work. But mere inability to work for 120 days is not enough reason to award total disability benefits. It must be emphasized that disability grading 1 – permanent unfitness presupposes such degree of disability wherein a seafarer cannot ever be employed. It contemplates a permanent and total loss of earning power without any hope of future employment. Such is not the situation where Llanita is into, as evidenced even by the certification of his own physician, Dr. Te.
x x x x
WHEREFORE, the appeal is DISMISSED for lack of merit and the March 28, 2011 Decision of the Labor Arbiter is AFFIRMED.
SO ORDERED.[14]
WHEREFORE, premises considered, the assailed Decision of the NLRC dated 29 September 2011, affirming the Decision of the Labor Arbiter dated March 28, 2011, is hereby MODIFIED as follows:In reversing the Decision of the NLRC, the Court of Appeals stressed that under the POEA Standard Employment Contract, the one tasked to determine whether a seafarer suffers any disability or is fit to work is the company-designated physician. However, the CA highlighted that under governing laws, the company-designated physician must issue his or her medical certification within a certain period of time.[19] As such, if the company-designated physician fails to issue his or her medical certification within the period prescribed, there arises a conclusive presumption that the seafarer is totally and permanently disabled:x x x [J]udgment is hereby rendered ordering the respondents to:SO ORDERED.[18]
1. Pay petitioner Sixty Thousand US Dollars (US$60,000.00) permanent total disability benefits or its peso equivalent at the time of payment; and
2. Reimburse (petitioner) Thirty[-]Four Thousand Seven Hundred Pesos (P34,700.00) for transportation, accommodation and medical expenses.
All other claims are hereby dismissed for lack of merit.
Again, from the aforecited governing laws and jurisprudence, if after the lapse of the stated periods, the seafarer is still incapacitated to perform his usual sea duties and the company-designated physician had not yet declared him fit to work or permanently disabled, whether total or permanent, the conclusive presumption that the latter is totally and permanently disabled arises. Also, under the law, there is permanent disability if a worker is unable to perform his job for more than 120 days, regardless of whether or not he loses the use of any part of his body.In its questioned Decision, the CA stated that the company-designated physician of BSM issued his medical findings after the lapse of the 120-day period since the medical certificate which states that Llanita was suffering from Grade 10–Ankylosis of one shoulder and 50% of Grade 14–Scar on the right leg was only issued on September 25, 2010, or 138 days from the onset of Llanita's disability on May 10, 2010, or 127 days from repatriation. The CA likewise found that the company-designated physician issued another medical assessment, reiterating his findings, on February 11, 2011, or 277 days from the accident, or 266 days from repatriation.[21]
x x x x
Disability should be understood more on the loss of earning capacity rather than on the medical significance of the disability. Even in the absence of an official finding by the company-designated physician that the seafarer is unfit for sea duty, the seafarer may still be declared to be suffering from a permanent disability if he is unable to work for more than 120 days. What clearly determines the seafarer's entitlement to permanent disability benefits is his inability to work for more than 120 days. In fact, even if there is already a declaration that the seafarer is fit to work by the company-designated physician, the seafarer's disability is till [sic] considered permanent and total if such declaration is made belatedly (that is, more than 120 days after repatriation), much more in this case where there is no declaration to that effect.)[20] (Emphasis and underscoring supplied, citations omitted)
Finding no new matter of substance which would warrant the modification much less the reversal of the assailed Decision, private respondents' Motion for Reconsideration is hereby DENIED for lack of merit.The Instant Petition
SO ORDERED.[23]
On March 23, 2015, Llanita filed his Comment (to Petitioners' Petition for Review on Certiorari), where Llanita stated that both the company-designated physician and Dr. Te, Llanita's doctor of choice, supposedly made similar findings that Llanita can no longer go back to active sea duties after sustaining his injuries.[25] Llanita likewise argued that BSM's company-designated physician's findings are self-serving.[26] Finally, Llanita averred that he has been incapacitated to work since May 2010, and thus, he should be compensated for permanent and total disability.[27]
- IN THE UNLIKELY EVENT THAT RESPONDENT SEAFARER IS ENTITLED TO ANY DISABILITY COMPENSATION, HE IS NOT ENTITLED TO FULL DISABILITY BENEFITS CONSIDERING THAT HE WAS ONLY ASSESSED BY THE COMPANY-DESIGNATED DOCTOR TO BE SUFFERING FROM A COMBINED MAXIMUM DISABILITY OF GRADE "10" AND 50% OF GRADE "14" UNDER THE POEA CONTRACT.
- MERE INABILITY TO WORK FOR A PERIOD OF MORE THAN 120 DAYS DOES NOT MEAN THAT RESPONDENT SEAFARER IS SUFFERING FROM TOTAL AND PERMANENT DISABILITY, ENTITLING HIM TO THE MAXIMUM AMOUNT OF DISABILITY COMPENSATION.[24]
x x x. We have ruled in a litany of cases that resort to judicial review of the decisions of the NLRC under Rule 65 of the Rules of Court is confined only to issues of want or excess of jurisdiction and grave abuse of discretion on the part of the tribunal rendering them. It does not include an inquiry on the correctness of the evaluation of evidence, which served as basis for the labor official in determining his conclusion. Findings of fact of administrative officers are generally given finality. x x x.[34] (Citation omitted)Such ruling is reiterated in Hubilla v. HSY Marketing Ltd., Co.,[35] where this Court concluded that the factual findings of the labor tribunals may be overturned when there is an arbitrary and whimsical disregard of the evidence on record:
Factual findings of labor officials exercising quasi-judicial functions are accorded great respect and even finality by the courts when the findings are supported by substantial evidence. Substantial evidence is "the amount of relevant evidence which a reasonable mind might accept as adequate to support a conclusion." Thus, in labor cases, the issues in petitions for certiorari before the Court of Appeals are limited only to whether the National Labor Relations Commission committed grave abuse of discretion.Therefore, before the CA may reverse and modify the factual findings of the labor tribunals, there must be a clear showing of grave abuse of discretion on the part of the NLRC. Otherwise stated, the CA's inquiry in petitions for certiorari under Rule 65 must be limited to whether the NLRC committed grave abuse of discretion in arriving at its factual findings.[37]
However, this does not mean that the Court of Appeals is conclusively bound by the findings of the National Labor Relations Commission. If the findings are arrived at arbitrarily, without resort to any substantial evidence, the National Labor Relations Commission is deemed to have gravely abused its discretion:On this matter, the settled rule is that factual findings of labor officials, who are deemed to have acquired expertise in matters within their jurisdiction, are generally accorded not only respect but even finality by the courts when supported by substantial evidence, i.e., the amount of relevant evidence which a reasonable mind might accept as adequate to support a conclusion. We emphasize, nonetheless, that these findings are not infallible. When there is a showing that they were arrived at arbitrarily or in disregard of the evidence on record, they may be examined by the courts. The [Court of Appeals] can then grant a petition for certiorari if it finds that the [National Labor Relations Commission], in its assailed decision or resolution, has made a factual finding that is not supported by substantial evidence. It is within the jurisdiction of the [Court of Appeals], whose jurisdiction over labor cases has been expanded to review the findings of the [National Labor Relations Commission].[36] (Emphasis supplied, citations omitted)
In summary, if there is a claim for total and permanent disability benefits by a seafarer, the following rules x x x shall govern:Prescinding from the foregoing, it is clear that the company-designated physician has an initial period of 120 days within which to issue a final and definitive assessment of the seafarer's disability. Nevertheless, if the seafarer is still required to undergo treatment after the lapse of the 120-day period, such period may be extended to 240 days. If the company-designated physician still fails to give a final assessment within this extended period and the seafarer's medical condition remains unresolved, the seafarer's disability shall be deemed permanent and total. Simply put, the presumption that the seafarer is suffering from a permanent and total disability after the lapse of the 120-day/240-day period only arises when the company-designated physician fails to issue a medical evaluation of the fitness or unfitness of the seafarer within the prescribed period. If within such period, the company-designated physician issues a final and definitive evaluation that the seafarer is only suffering from permanent and partial disability (such as in this case), then a seafarer's claim for total and permanent disability cannot be sustained. Clearly, therefore, the mere lapse of the 120-day/240-day period does not automatically entitle a seafarer to permanent and total disability benefits.
1. The company-designated physician must issue a final medical assessment on the seafarer's disability grading within a period of 120 days from the time the seafarer reported to him;
2. If the company-designated physician fails to give his assessment within the period of 120 days, without any justifiable reason, then the seafarer's disability becomes permanent and total;
3. If the company-designated physician fails to give his assessment within the period of 120 days with a sufficient justification (e.g.[,] seafarer required further medical treatment or seafarer was uncooperative), then the period of diagnosis and treatment shall be extended to 240 days. The employer has the burden to prove that the company-designated physician has sufficient justification to extend the period; and
4. If the company-designated physician still fails to give his assessment within the extended period of 240 days, then the seafarer's disability becomes permanent and total, regardless of any justification.[39] (Emphasis supplied)
As can be gleaned from above, such medical certificate was only issued because BSM's counsel inquired about Llanita. Moreover, such medical certificate merely restated the medical findings of the company-designated physician which were made on September 25, 2010, during the last checkup of Llanita. Clearly, therefore, the CA erred when it used the February 11, 2011 medical certificate as the reckoning point to count the 120-day/240-day period prescribed under the rules since such medical certificate merely restated the findings priorly and timely made, and no further check-ups were required from Llanita after the September 25, 2010 medical certificate was issued.
Attn : Atty. Pedrito Faytaren/
Atty. Charles Jay Dela Cruz Cc : Ms. Cecil De Villa
P&I Supervisor
BSM Crew Service Centre Phils., Inc. Re : AB Jay C. Llanita
Lissy Shulte
BSM Crew Service Centre Phils., Inc.
This is with regards to your query regarding the case of AB Jay C. Llanita who was initially seen and admitted here at Metropolitan Medical Center on May 22, 2010 x x x.
Based on his last follow-up on September 25, 2010, the specialist opines that suggested disability grades are Grade 10 – ankylosis of 1 shoulder and 50% Grade 14 due to scar on the right leg.
For your perusal.[41]
Jurisprudence is replete with pronouncements that it is the company-designated physician who is entrusted with the task of assessing the seaman's disability, whether total or partial, due to either injury or illness, during the term of the latter's employment. It is his findings and evaluations which should form the basis of the seafarer's disability claim. His assessment, however, is not automatically final, binding or conclusive on the claimant, the labor tribunal or the courts, as its inherent merits would still have to be weighed and duly considered. The seafarer may dispute such assessment by seasonably exercising his prerogative to seek a second opinion and consult a doctor of his choice. x x x.[42] (Emphasis supplied, citations omitted)Thus, if a seafarer disagrees with the medical findings made by the company-designated physician, such seafarer may consult with a doctor of his or her choice, and ask for a second opinion. Thereafter, if the findings of the seafarer's doctor of choice differs from the findings made by the company-designated physician, the dispute must be referred to a third doctor, whose evaluation shall be final and binding on both parties.[43]