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Tolosa v. Employees' Compensation Commission

Disability and Death Benefits under the Labor Code (Arts. 197-199; ECC Rules)
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Title

Tolosa v. Employees' Compensation Commission

Case Decision Date

G.R. No. L-60509 May 8, 1985

Leopoldo Tolosa, a Philippine National Railways crane operator-mechanic who contracted pulmonary tuberculosis in 1967 and was later paralyzed by arachnoiditis, was forced to retire at fifty-six in 1975; the GSIS, applying the New Labor Code and a medical handbook's percentage table, granted him only permanent partial disability benefits of P1,274.42, and the ECC affirmed. The Supreme Court set aside the ECC decision and awarded permanent total disability compensation.

Core Doctrine

Central to the Topic/Subtopic, the Court held that permanent total disability is measured by incapacity to pursue gainful work rather than by a medical percentage of impairment, that it "does not mean an absolute helplessness," and that an employee's early retirement compelled by work-related ailments is itself proof of total disablement; it separately held that the widow was not entitled to death benefits, since death came almost nine years after the disability, far beyond the two-year period the Workmen's Compensation Act allows.

Case Digest (G.R. No. L-60509)

Case DigestWeek 4 - Social Welfare Benefits

Tolosa v. Employees' Compensation Commission

G.R. No. L-60509 · May 8, 1985 · En Banc

Disability and Death Benefits under the Labor Code (Arts. 197-199; ECC Rules)

Gist

Leopoldo Tolosa, a Philippine National Railways crane operator-mechanic who contracted pulmonary tuberculosis in 1967 and was later paralyzed by arachnoiditis, was forced to retire at fifty-six in 1975; the GSIS, applying the New Labor Code and a medical handbook's percentage table, granted him only permanent partial disability benefits of P1,274.42, and the ECC affirmed. The Supreme Court set aside the ECC decision and awarded permanent total disability compensation.

Core Doctrine

Central to the Topic/Subtopic, the Court held that permanent total disability is measured by incapacity to pursue gainful work rather than by a medical percentage of impairment, that it "does not mean an absolute helplessness," and that an employee's early retirement compelled by work-related ailments is itself proof of total disablement; it separately held that the widow was not entitled to death benefits, since death came almost nine years after the disability, far beyond the two-year period the Workmen's Compensation Act allows.

Note: The controlling law applied is the Workmen's Compensation Act, not P.D. No. 626, because the cause of action accrued in 1967 while the older statute was in force. The case is assigned under the Labor Code disability provisions and is digested accordingly, but its holding on the two-year death-benefit period rests on Section 8 of the Workmen's Compensation Act, which has no counterpart in the Topic's codal provisions.

Facts

  • Leopoldo Tolosa began at the Philippine National Railways on January 16, 1936 as a crossing keeper, resumed on October 1, 1956 as a crane operator, and became crane machine operator-mechanic, the post he held until retirement.
  • Sometime in 1967 he contracted pulmonary tuberculosis in the course of that employment — loss of appetite, loss of weight, fever, afternoon rise of temperature. The 1967 inception is what fixes the governing statute.
  • On September 8, 1967, "while doing rush overhauling work, he spat fresh blood," and was confined at the Quezon Institute for almost a month, after which he resumed his duties. He was confined again at the PNR Hospital on May 25, 1974.
  • In April 1975 he was found to have advanced pulmonary tuberculosis and arachnoiditis. On April 21, 1975, by then paralyzed, he was operated on unsuccessfully, and was forced to retire on May 15, 1975 at fifty-six.
  • His condition worsened until "even urinating, eating, and defecating required his family's assistance."
  • The GSIS denied the claim on October 29, 1975 as not work-connected; after two motions for reconsideration it amended its decision on September 5, 1979 to award permanent partial disability benefits of P1,274.42 with nothing forthcoming, its Medical Officer holding the ailments fell under "12% NSD (non-scheduled disability) only."
  • On March 12, 1982 the ECC affirmed in Case No. 1544, finding the additional evidence — a chest X-ray of July 30, 1980 — showed "no change at all from his previous chest X-rays."
  • He petitioned on May 11, 1982 and was allowed to litigate as a pauper. He died on February 14, 1984 of peptic ulcer due to hypovolemic shock; his widow Potenciana Tolosa was substituted. Decided May 8, 1985.

Issue

Do ailments that leave an employee unable to perform any physical exertion and dependent on his family for personal necessities, and that compelled his early retirement, constitute permanent total disability — or may the compensating agency classify them as permanent partial disability on the strength of a medical handbook's percentage rating?
Secondary issues. Whether the Workmen's Compensation Act or P.D. No. 626 governs a claim whose cause of action accrued in 1967; and whether the widow of a claimant who died in 1984 of ailments traceable to a 1975 disability is entitled to death benefits.
Ancillary issue. Attorney's fees.

Ruling

PERMANENT TOTAL DISABILITY. The classification by the GSIS and the ECC "by applying the New Labor Code and not the Workmen's Compensation Act, is therefore clearly erroneous"§; the deteriorating condition and the forced early retirement establish total and permanent disability.
Secondary issues. The Workmen's Compensation Act governs, the cause of action having accrued in 1967, petitioner having "already a vested right based on the old Workmen's Compensation Act." NO death benefits: Section 8§ requires death within two years counted from when the employee was forced to stop working — and Tolosa died almost nine years after his May 15, 1975 retirement.
Ancillary issue: NO attorney's fees, petitioner having personally signed his own pleadings without counsel.
"WHEREFORE, THE DECISION DATED MARCH 12, 1982, OF RESPONDENT EMPLOYEES' COMPENSATION COMMISSION IS HEREBY SET ASIDE AND THE PHILIPPINE NATIONAL RAILWAYS IS HEREBY ORDERED: 1. TO PAY PETITIONER THE SUM OF SIX THOUSAND (P6,000.00) PESOS AS PERMANENT TOTAL DISABILITY COMPENSATION BENEFITS; 2. TO PAY THE SUM OF ONE THOUSAND (P1,000.00) PESOS REPRESENTING FUNERAL BENEFITS; 3. SUPPORTED BY PROPER RECEIPTS; and 4. TO PAY ADMINISTRATIVE COSTS. SO ORDERED."

Ratio

  • On the governing law, the Court followed Poral v. ECC: the tuberculosis "had its inception way back in 1967," and the arachnoiditis "could have been caused by his much weakened body resistance brought about by his advanced stage of tuberculosis," so the cause of action "accrued as early as 1967 during which period the Workmen's Compensation Act was still in effect"§.
  • On the classification, it quoted Gonzaga v. ECC§ at length: permanent total disability "means disablement of an employee to earn wages in the same kind of work … It does not mean an absolute helplessness but rather an incapacity to perform gainful work which is expected to be permanent … Total disability does not require that the employee be absolutely disabled, or totally paralyzed. What is necessary is that the injury must be such that she cannot pursue her usual work and earn therefrom … It is not the injury which is compensated but the incapacity to work resulting in the impairment of one's earning capacity."
  • From the same case: "[u]nder the Act, there is no difference between 'loss of a member' and the 'loss of the use thereof,'" disability being usable "in the medical or physical sense" or "to mean de facto inability to earn wages."
  • Applied, the record left no room for a percentage. The deterioration "definitely had impaired petitioner's capability to perform the physically straining task of crane operator-mechanic"; after retirement "he was totally helpless to do any kind of physical exertion by which he can earn a living," being "literally carried by his family" to treatment. The percentage-based classification was "clearly erroneous."
  • The retirement rationale of Gonzaga is invoked as independent proof: early retirement due to work-related ailments "only proves that indeed the employee was disabled totally to further perform his assigned tasks," optional retirement being authorized "only when the employee is 'physically incapable to render sound and efficient service.'"
  • The Court closes on policy: denying benefits to one "who for more than 20 years had rendered his best service unblemished and only because his ailments forced him to retire, would subvert the very essence of the Workmen's Compensation Act to implement the social justice provision of the Constitution."
  • On death benefits the same liberality does not reach. Section 8§ requires death "within two years from such sickness," the period counted per International Oil Factory v. Doriz and Central Azucarera Don Pedro v. De Leon "from the time of the aggravation … or the time when he was forced to stop working" — here May 15, 1975.

Doctrine

Permanent total disability defined. It "does not mean an absolute helplessness but rather an incapacity to perform gainful work which is expected to be permanent," and "it is not the injury which is compensated but the incapacity to work resulting in the impairment of one's earning capacity." No difference under the Act "between 'loss of a member' and the 'loss of the use thereof.'" Early retirement as proof: retirement compelled by work-related ailments "only proves that indeed the employee was disabled totally to further perform his assigned tasks." The two-year death-benefit period under Section 8 of the Workmen's Compensation Act runs "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work."
Limits. The choice-of-law holding is time-bound and turns on accrual: claims accruing before P.D. No. 626 took effect stay under the Workmen's Compensation Act as a matter of vested right, and the percentage-rating apparatus the GSIS applied belongs to the later regime. The two-year death-benefit limitation likewise belongs to the old Act — it is not a holding on the death-benefit provisions of P.D. No. 626 (Art. 194, now Art. 200), which Manauzon v. ECC addresses, and which contains no such cut-off. Note the split outcome: the Court awarded funeral benefits while denying death benefits — the point on which Justice Melencio-Herrera separately concurred. On the assignment: the case is filed under the Labor Code disability provisions, but its death-benefit holding rests on a statute with no counterpart in them.

Full Digest — Recitation Format

Gist

Leopoldo Tolosa, a Philippine National Railways crane operator-mechanic who contracted pulmonary tuberculosis in 1967 and was later paralyzed by arachnoiditis, was forced to retire at fifty-six in 1975; the GSIS, applying the New Labor Code and a medical handbook's percentage table, granted him only permanent partial disability benefits of P1,274.42, and the ECC affirmed. The Supreme Court set aside the ECC decision and awarded permanent total disability compensation. Central to the Topic/Subtopic, the Court held that permanent total disability is measured by incapacity to pursue gainful work rather than by a medical percentage of impairment, that it "does not mean an absolute helplessness," and that an employee's early retirement compelled by work-related ailments is itself proof of total disablement; it separately held that the widow was not entitled to death benefits, since death came almost nine years after the disability, far beyond the two-year period the Workmen's Compensation Act allows.

Facts

  • Tolosa began work at the Philippine National Railways on January 16, 1936 as a crossing keeper until the outbreak of World War II, resumed employment on October 1, 1956 as a crane operator, and thereafter became a crane driver and crane machine operator-mechanic, the position he held until retirement.
  • In the course of that employment he contracted pulmonary tuberculosis sometime in 1967, manifested by loss of appetite, loss of weight, fever, and afternoon rise of temperature.
  • On September 8, 1967, while doing rush overhauling work, he spat fresh blood and was confined at the Quezon Institute for almost a month, after which he resumed his duties.
  • He was confined at the PNR Hospital for several days on May 25, 1974, again for tuberculosis.
  • In April 1975 he was hospitalized and found to have advanced pulmonary tuberculosis and arachnoiditis.
  • On April 21, 1975, by then paralyzed, he was operated on unsuccessfully, and was forced to retire on May 15, 1975 at fifty-six.
  • His condition worsened until even urinating, eating, and defecating required his family's assistance.
  • He filed a claim with the GSIS, which denied it on October 29, 1975 as not work-connected.
  • After two motions for reconsideration the GSIS, on September 5, 1979, amended its decision to award permanent partial disability benefits of P1,274.42 with no forthcoming benefits, its Medical Officer holding that the ailments fell under "12% NSD (non-scheduled disability) only."
  • His motion for reconsideration was denied and he appealed to the ECC, which on March 12, 1982 affirmed in ECC Case No. 1544, finding the additional evidence — a chest X-ray dated July 30, 1980 — showed "no change at all from his previous chest X-rays."
  • He filed this petition for review on certiorari on May 11, 1982, and was allowed to litigate as a pauper by resolution of May 19, 1982.
  • Tolosa died on February 14, 1984 of peptic ulcer due to hypovolemic shock.
  • His widow Potenciana Tolosa moved on April 5, 1984 to be substituted as party, which the Court approved on June 4, 1984.
  • The case was decided May 8, 1985.

Arguments of the Parties

A. Petitioner Tolosa (later substituted by his widow) argued that his ailments and resulting condition entitled him to permanent total, not permanent partial, disability benefits; his widow additionally sought death benefits following his 1984 death.
B. Respondents GSIS and ECC maintained that the ailments did not satisfy the criteria for permanent total disability, relying on the GSIS Medical Officer's finding that the pulmonary tuberculosis was "only minimal not advanced," that the arachnoiditis was "not amply corroborated by the medical records," and that under the Medical Handbook on Workmen's Compensation and Principle of Disability Evaluation the condition rated "12% NSD" only, far below the 90% NSD assigned to far-advanced PTB.
C. Common Ground. The parties did not dispute Tolosa's dates of service and the positions he held, the 1967 onset of tuberculosis and the 1967, 1974, and 1975 hospitalizations, the 1975 arachnoiditis diagnosis and failed operation, or that he retired on May 15, 1975 at the age of fifty-six.

Issue

A. Main Issue (Topic/Subtopic-Centered). Do ailments that leave an employee unable to perform any physical exertion and dependent on his family for personal necessities, and that compelled his early retirement, constitute permanent total disability, or may the compensating agency classify them as permanent partial disability on the strength of a medical handbook's percentage rating of impairment?
B. Secondary Issues. Whether the Workmen's Compensation Act or P.D. No. 626, as amended, governs a claim whose cause of action accrued in 1967; whether the widow of a claimant who died in 1984 of ailments traceable to a 1975 disability is entitled to death benefits.
C. Ancillary/Incidental Issues. Entitlement to attorney's fees.

Ruling

Main Issue: PERMANENT TOTAL DISABILITY — the classification by GSIS and ECC "by applying the New Labor Code and not the Workmen's Compensation Act, is therefore clearly erroneous"§; the deteriorating condition and the forced early retirement establish total and permanent disability. Secondary Issues: the Workmen's Compensation Act governs, since the cause of action accrued in 1967 and petitioner "had already a vested right based on the old Workmen's Compensation Act"; NO death benefits, since Section 8§ of that Act requires death within two years counted from the time the employee was forced to stop working, and Tolosa died almost nine years after his May 15, 1975 retirement. Ancillary Issue: NO attorney's fees, petitioner having personally signed his own pleadings without counsel.
Dispositive portion (verbatim): "WHEREFORE, THE DECISION DATED MARCH 12, 1982, OF RESPONDENT EMPLOYEES' COMPENSATION COMMISSION IS HEREBY SET ASIDE AND THE PHILIPPINE NATIONAL RAILWAYS IS HEREBY ORDERED: 1. TO PAY PETITIONER THE SUM OF SIX THOUSAND (P6,000.00) PESOS AS PERMANENT TOTAL DISABILITY COMPENSATION BENEFITS; 2. TO PAY THE SUM OF ONE THOUSAND (P1,000.00) PESOS REPRESENTING FUNERAL BENEFITS; 3. SUPPORTED BY PROPER RECEIPTS; and 4. TO PAY ADMINISTRATIVE COSTS. SO ORDERED."

Ratio

  • On the governing law, the Court followed Poral v. ECC in holding that because the tuberculosis "had its inception way back in 1967," and the arachnoiditis "could have been caused by his much weakened body resistance brought about by his advanced stage of tuberculosis," the cause of action "accrued as early as 1967 during which period the Workmen's Compensation Act was still in effect."§
  • On the classification itself, the Court quoted Gonzaga v. ECC§: "Permanent total disability means disablement of an employee to earn wages in the same kind of work, or work of a similar nature that she was trained for, or accustomed to perform, or any kind of work which a person of her mentality and attainment could do... It does not mean an absolute helplessness but rather an incapacity to perform gainful work which is expected to be permanent... Total disability does not require that the employee be absolutely disabled, or totally paralyzed. What is necessary is that the injury must be such that she cannot pursue her usual work and earn therefrom... It is not the injury which is compensated but the incapacity to work resulting in the impairment of one's earning capacity."
  • It added, from the same case, that "[u]nder the Act, there is no difference between 'loss of a member' and the 'loss of the use thereof,'" disability being usable "in the medical or physical sense" or "to mean de facto inability to earn wages."
  • Applying this, the Court found that "[t]he deteriorating physical condition caused by petitioner's ailments definitely had impaired petitioner's capability to perform the physically straining task of crane operator-mechanic," that after retirement "he was totally helpless to do any kind of physical exertion by which he can earn a living," needing family assistance even to urinate, eat, and defecate, and being "literally carried by his family" to treatment — so the percentage-based classification was "clearly erroneous."
  • The Court then invoked the retirement rationale of Gonzaga: early retirement due to work-related ailments "only proves that indeed the employee was disabled totally to further perform his assigned tasks," and "the fact of an employee's disability is placed beyond question with the approval of the employee's optional retirement, for such is authorized only when the employee is 'physically incapable to render sound and efficient service.'"
  • It closed on policy: denying benefits to one "who for more than 20 years had rendered his best service unblemished and only because his ailments forced him to retire, would subvert the very essence of the Workmen's Compensation Act to implement the social justice provision of the Constitution."
  • On death benefits, the Court applied Section 8§ of the Act, under which death must occur "within two years from such sickness," the period counted per International Oil Factory v. Doriz and Central Azucarera Don Pedro v. De Leon "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work" — here May 15, 1975, nearly nine years before his death.

Doctrine

B. Doctrines/Rules/Principles. "Permanent total disability... does not mean an absolute helplessness but rather an incapacity to perform gainful work which is expected to be permanent." "It is not the injury which is compensated but the incapacity to work resulting in the impairment of one's earning capacity." Early retirement compelled by work-related ailments "only proves that indeed the employee was disabled totally to further perform his assigned tasks." Under Section 8 of the Workmen's Compensation Act, the two-year period for death benefits runs "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work."
C. Distinctions/Limitations/Qualifications. The choice-of-law holding is time-bound and turns on accrual: claims accruing before P.D. No. 626 took effect remain governed by the Workmen's Compensation Act as a matter of vested right, and the percentage-rating apparatus the GSIS applied belongs to the later regime. The two-year death-benefit limitation likewise belongs to the old Act; it is not a holding on the death-benefit provisions of P.D. No. 626 (Art. 194, now Art. 200), which Manauzon v. ECC addresses. Note also that the Court awarded funeral benefits while denying death benefits — the point on which Justice Melencio-Herrera separately concurred.
D. Topic/Subtopic Integration (Mandatory). As classified in Section I, this case is DIRECT: it is an adjudication of entitlement to disability compensation that fixes the meaning of permanent total disability — incapacity to pursue gainful work, not absolute helplessness, and not a medical percentage — which is the doctrine the Topic's disability provisions carry forward. It is the authority Bejerano v. ECC expressly cites and follows, and it supplies the "early retirement as proof of disability" reasoning that Vicente v. ECC also applies.

Separate Opinions

One concurrence. Justice Melencio-Herrera concurred, writing in full: "Except for funeral benefits since we are holding that there is no entitlement to death benefits." The Decision, penned by Justice Makasiar, was otherwise concurred in by Acting Chief Justice Teehankee and Justices Abad Santos, Plana, Escolin, Relova, Gutierrez, Jr., De la Fuente, Cuevas, and Alampay. Chief Justice Fernando and Justice Concepcion, Jr. were on leave; Justice Aquino took no part.

Cited Laws & Provisions

Every statute, rule, and issuance the decision turns on — the text as written, and the work it does in this case.

Jurisprudence

The permanent-total-disability definition

Incapacity to work, not percentage of impairment

Permanent total disability means disablement of an employee to earn wages in the same kind of work, or work of a similar nature that she was trained for, or accustomed to perform, or any kind of work which a person of her mentality and attainment could do… It does not mean an absolute helplessness but rather an incapacity to perform gainful work which is expected to be permanent… Total disability does not require that the employee be absolutely disabled, or totally paralyzed. What is necessary is that the injury must be such that she cannot pursue her usual work and earn therefrom… It is not the injury which is compensated but the incapacity to work resulting in the impairment of one's earning capacity.

Quoted by the Court from Gonzaga v. Employees' Compensation Commission, with the ellipses as the Decision prints them. From the same case the Court also took the point that "[u]nder the Act, there is no difference between 'loss of a member' and the 'loss of the use thereof'."

Why it is cited here

The standard that decided the classification, and the reason the percentage-based assessment the GSIS and the ECC applied was "clearly erroneous."

Read the four sentences as four separate rejections of a defense. Same kind of work rules out pointing to some hypothetical lighter job. Not absolute helplessness rules out demanding total paralysis. Not absolutely disabled or totally paralyzed rules it out again, for emphasis. And not the injury but the incapacity rules out grading the ailment medically instead of asking what the man can still earn.

Applied to Tolosa the answer was not close. A crane operator-mechanic with advanced tuberculosis and arachnoiditis was, after retirement, "totally helpless to do any kind of physical exertion by which he can earn a living" — needing family assistance to urinate, eat and defecate, and "literally carried by his family" to treatment.

The Court added the same retirement inference that runs through this week's cases: early retirement forced by work-related ailments "only proves that indeed the employee was disabled totally to further perform his assigned tasks," because optional retirement "is authorized only when the employee is 'physically incapable to render sound and efficient service.'"

Special Law

Section 8, Workmen's Compensation Act

Death benefit — and the two-year limit

Act No. 3428 (Workmen's Compensation Act), as amended

This entry deliberately carries no verbatim text. LawPhil's page for Act No. 3428 is the original 10 December 1927 enactment, whose Section 8 grants the death benefit where the injury "causes his death within six months from the date of such injury." The provision applied in the cases here is the amended Section 8, which requires death within two years, and the amended wording could not be confirmed against a source. Quoting the 1927 text at a 1967 cause of action would state the wrong rule in the very words that look most authoritative, so it is left out.

What is verifiable is how the Court states and applies it: death from a work-connected disease must occur "within two years from such sickness," and by International Oil Factory v. Doriz (109 Phil. 553) and Central Azucarera Don Pedro v. De Leon (L-9449, 29 July 1959) the two years run "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work" — not from diagnosis and not from death.

Why it is cited here

The provision that cost the widow the death benefit, and the half of this case that goes against the claimant — worth attention precisely because the rest of it is so generous.

The rule has two moving parts. Death from a work-connected disease must occur within two years, and — the part that is easy to get wrong — the two years are counted "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work," not from death and not from diagnosis. Here that start date was his 15 May 1975 retirement, and he died on 14 February 1984, almost nine years later.

Note how the same fact does opposite work in the same decision. The forced retirement is what proved total and permanent disability; it is also what started the clock that barred the death claim. A claimant's strongest fact on one issue can be fatal on another.

Read the card's note before quoting this section: the text is deliberately omitted, because the version LawPhil carries is the 1927 original, which says six months rather than two years.

Labor Code

Article 192, Labor Code

Permanent total disability

Labor Code (P.D. No. 442, as amended), Book IV (Health, Safety and Social Welfare Benefits), Title II (Employees’ Compensation and State Insurance Fund), Chapter VI (Disability Benefits)

Under such regulations as the Commission may approve, any employee under this Title who contracts sickness or sustains an injury resulting in his permanent total disability shall, for each month until his death, be paid by the System during such a disability, an amount equivalent to the monthly income benefit, plus ten percent thereof for each dependent child, but not exceeding five, beginning with the youngest and without substitution: Provided, That the monthly income benefit shall be the new amount of the monthly benefit for all covered pensioners, effective upon approval of this Decree.

The monthly income benefit shall be guaranteed for five years, and shall be suspended if the employee is gainfully employed, or recovers from his permanent total disability, or fails to present himself for examination at least once a year upon notice by the System, except as otherwise provided for in other laws, decrees, orders or Letters of Instructions. (As amended by Section 5, Presidential Decree No. 1641)

The following disabilities shall be deemed total and permanent:

Temporary total disability lasting continuously for more than one hundred twenty days, except as otherwise provided for in the Rules;

Complete loss of sight of both eyes;

Loss of two limbs at or above the ankle or wrist;

Permanent complete paralysis of two limbs;

Brain injury resulting in incurable imbecility or insanity; and

Such cases as determined by the Medical Director of the System and approved by the Commission.

The number of months of paid coverage shall be defined and approximated by a formula to be approved by the Commission.

Renumbered as Article 198 by DOLE Department Advisory No. 1, series of 2015; decisions before that cite it as Article 192.

Why it is cited here

Cited here for what it did not govern. The GSIS and the ECC classified Tolosa's disability by applying the New Labor Code's scheme, and the Court held that "by applying the New Labor Code and not the Workmen's Compensation Act, is therefore clearly erroneous."

The reason is the date the right vested rather than the date of the claim. Following Poral v. ECC, the Court traced the tuberculosis to 1967 and the arachnoiditis to the body resistance that disease had destroyed, so the cause of action "accrued as early as 1967 during which period the Workmen's Compensation Act was still in effect" — and the petitioner "had already a vested right based on the old Workmen's Compensation Act."

This is the single most transferable point in the case: find the year the cause of action accrued before you pick the statute. The employees' compensation articles of the Labor Code govern the other three cases in this week; they do not govern this one.

Study digest — refer to the full text of the decision for accuracy. https://lawphil.net/judjuris/juri1985/may1985/gr_l-60509_1985.html

Cited laws & provisions

The permanent-total-disability definition

Jurisprudence

Incapacity to work, not percentage of impairment

Permanent total disability means disablement of an employee to earn wages in the same kind of work, or work of a similar nature that she was trained for, or accustomed to perform, or any kind of work which a person of her mentality and attainment could do… It does not mean an absolute helplessness but rather an incapacity to perform gainful work which is expected to be permanent… Total disability does not require that the employee be absolutely disabled, or totally paralyzed. What is necessary is that the injury must be such that she cannot pursue her usual work and earn therefrom… It is not the injury which is compensated but the incapacity to work resulting in the impairment of one's earning capacity.

Quoted by the Court from Gonzaga v. Employees' Compensation Commission, with the ellipses as the Decision prints them. From the same case the Court also took the point that "[u]nder the Act, there is no difference between 'loss of a member' and the 'loss of the use thereof'."

Why it is cited here

The standard that decided the classification, and the reason the percentage-based assessment the GSIS and the ECC applied was "clearly erroneous."

Read the four sentences as four separate rejections of a defense. Same kind of work rules out pointing to some hypothetical lighter job. Not absolute helplessness rules out demanding total paralysis. Not absolutely disabled or totally paralyzed rules it out again, for emphasis. And not the injury but the incapacity rules out grading the ailment medically instead of asking what the man can still earn.

Applied to Tolosa the answer was not close. A crane operator-mechanic with advanced tuberculosis and arachnoiditis was, after retirement, "totally helpless to do any kind of physical exertion by which he can earn a living" — needing family assistance to urinate, eat and defecate, and "literally carried by his family" to treatment.

The Court added the same retirement inference that runs through this week's cases: early retirement forced by work-related ailments "only proves that indeed the employee was disabled totally to further perform his assigned tasks," because optional retirement "is authorized only when the employee is 'physically incapable to render sound and efficient service.'"

Full entry below ↓

Section 8, Workmen's Compensation Act

Special Law

Death benefit — and the two-year limit

Act No. 3428 (Workmen's Compensation Act), as amended

This entry deliberately carries no verbatim text. LawPhil's page for Act No. 3428 is the original 10 December 1927 enactment, whose Section 8 grants the death benefit where the injury "causes his death within six months from the date of such injury." The provision applied in the cases here is the amended Section 8, which requires death within two years, and the amended wording could not be confirmed against a source. Quoting the 1927 text at a 1967 cause of action would state the wrong rule in the very words that look most authoritative, so it is left out.

What is verifiable is how the Court states and applies it: death from a work-connected disease must occur "within two years from such sickness," and by International Oil Factory v. Doriz (109 Phil. 553) and Central Azucarera Don Pedro v. De Leon (L-9449, 29 July 1959) the two years run "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work" — not from diagnosis and not from death.

Why it is cited here

The provision that cost the widow the death benefit, and the half of this case that goes against the claimant — worth attention precisely because the rest of it is so generous.

The rule has two moving parts. Death from a work-connected disease must occur within two years, and — the part that is easy to get wrong — the two years are counted "from the time of the aggravation of the employee's ailment or the time when he was forced to stop working or became physically disabled to do the work," not from death and not from diagnosis. Here that start date was his 15 May 1975 retirement, and he died on 14 February 1984, almost nine years later.

Note how the same fact does opposite work in the same decision. The forced retirement is what proved total and permanent disability; it is also what started the clock that barred the death claim. A claimant's strongest fact on one issue can be fatal on another.

Read the card's note before quoting this section: the text is deliberately omitted, because the version LawPhil carries is the 1927 original, which says six months rather than two years.

Full entry below ↓

Article 192, Labor Code

Labor Code

Permanent total disability

Labor Code (P.D. No. 442, as amended), Book IV (Health, Safety and Social Welfare Benefits), Title II (Employees’ Compensation and State Insurance Fund), Chapter VI (Disability Benefits)

Under such regulations as the Commission may approve, any employee under this Title who contracts sickness or sustains an injury resulting in his permanent total disability shall, for each month until his death, be paid by the System during such a disability, an amount equivalent to the monthly income benefit, plus ten percent thereof for each dependent child, but not exceeding five, beginning with the youngest and without substitution: Provided, That the monthly income benefit shall be the new amount of the monthly benefit for all covered pensioners, effective upon approval of this Decree.

The monthly income benefit shall be guaranteed for five years, and shall be suspended if the employee is gainfully employed, or recovers from his permanent total disability, or fails to present himself for examination at least once a year upon notice by the System, except as otherwise provided for in other laws, decrees, orders or Letters of Instructions. (As amended by Section 5, Presidential Decree No. 1641)

The following disabilities shall be deemed total and permanent:

Temporary total disability lasting continuously for more than one hundred twenty days, except as otherwise provided for in the Rules;

Complete loss of sight of both eyes;

Loss of two limbs at or above the ankle or wrist;

Permanent complete paralysis of two limbs;

Brain injury resulting in incurable imbecility or insanity; and

Such cases as determined by the Medical Director of the System and approved by the Commission.

The number of months of paid coverage shall be defined and approximated by a formula to be approved by the Commission.

Renumbered as Article 198 by DOLE Department Advisory No. 1, series of 2015; decisions before that cite it as Article 192.

Why it is cited here

Cited here for what it did not govern. The GSIS and the ECC classified Tolosa's disability by applying the New Labor Code's scheme, and the Court held that "by applying the New Labor Code and not the Workmen's Compensation Act, is therefore clearly erroneous."

The reason is the date the right vested rather than the date of the claim. Following Poral v. ECC, the Court traced the tuberculosis to 1967 and the arachnoiditis to the body resistance that disease had destroyed, so the cause of action "accrued as early as 1967 during which period the Workmen's Compensation Act was still in effect" — and the petitioner "had already a vested right based on the old Workmen's Compensation Act."

This is the single most transferable point in the case: find the year the cause of action accrued before you pick the statute. The employees' compensation articles of the Labor Code govern the other three cases in this week; they do not govern this one.

Full entry below ↓