The Supreme Court has ruled that a seafarer’s failure to comply with the mandatory procedures outlined in the POEA-SEC (Philippine Overseas Employment Administration Standard Employment Contract) and the CBA (Collective Bargaining Agreement) is detrimental to their disability claim. This means that seafarers must follow the specified steps, including consulting with a company-designated physician and, if necessary, a third, jointly agreed-upon doctor, to assess their disability. Failure to adhere to these procedures can result in the denial of disability benefits, emphasizing the importance of understanding and following contractual obligations.

When a Seafarer’s Second Injury Doesn’t Guarantee Disability Compensation

The case of Rommel B. Daraug v. KGJS Fleet Management Manila, Inc. revolves around a seafarer seeking permanent disability benefits following two separate incidents during his employment. Daraug, initially deemed fit to work after a leg injury in 2007, later suffered another injury in 2009. The central legal question is whether Daraug is entitled to disability benefits under the POEA-SEC and the CBA, considering the findings of fitness by company-designated physicians and his subsequent employment with another company.

The Supreme Court addressed the procedural requirements for disability claims under the POEA-SEC and CBA. The Court emphasized the importance of following the prescribed medical evaluation process. This process typically requires the seafarer to undergo examination by a company-designated physician. If the seafarer disagrees with the assessment, the POEA-SEC stipulates a mechanism for resolving the dispute: “If a doctor appointed by the seafarer disagrees with the assessment, a third doctor may be agreed jointly between the Employer and the seafarer. The third doctor’s decision shall be final and binding on both parties.”

Building on this principle, the Court referenced its previous ruling in Philippine Hammonia Ship Agency, Inc. v. Dumadag, reiterating that the POEA-SEC and CBA are the “law between” the parties involved. The court held:

The POEA-SEC and the CBA govern the employment relationship between Dumadag and the petitioners. The two instruments are the law between them. They are bound by their terms and conditions, particularly in relation to this case, the mechanism prescribed to determine liability for a disability benefits claim.

The seafarer’s failure to adhere to the prescribed procedure, particularly the failure to seek a third opinion when disagreeing with the company-designated physician, significantly weakens their claim for disability benefits.

Furthermore, the Supreme Court noted that Daraug prematurely filed his claim before consulting his own physician. The Court detailed the conditions under which a seafarer may pursue an action for disability benefits, emphasizing the need for a clear disagreement in medical assessments before initiating legal action. The Court stated several instances, including:

Condition	Description
(a)	The company-designated physician failed to issue a declaration within the specified period.
(b)	The 240-day period lapsed without any certification from the company-designated physician.
(c)	Conflicting opinions between the company-designated physician and the seafarer’s chosen physician.

These conditions underscore the necessity for a well-documented and medically supported claim before seeking legal recourse. Daraug’s premature filing, coupled with the absence of conflicting medical opinions at the time, further undermined his case. The court decision highlighted the importance of adhering to the proper sequence of actions and medical evaluations before filing a disability claim.

The Court also weighed the medical evidence presented by both sides. The medical certificate from Daraug’s physician, Dr. Jacinto, was found to be less persuasive compared to the assessments of the company-designated physicians. The Court noted that Dr. Jacinto examined Daraug only once, almost four months after the company physicians had declared him fit to work. Additionally, the medical certificate lacked detailed reasoning for its conclusions. This lack of substantiation further diminished the credibility of Dr. Jacinto’s findings, as it provided limited insight into the rationale behind the assessment.

Moreover, the Supreme Court emphasized the significance of Daraug’s subsequent employment with another company. The fact that Daraug secured employment with Imperial and successfully completed two employment contracts undermined his claim of permanent disability. Several medical certifications from his pre-employment examinations attested to his overall fitness. The court found it difficult to reconcile Daraug’s claim of permanent disability with his ability to secure and fulfill employment obligations as a seafarer with another company.

Based on these points, the Court concluded that Daraug was not entitled to disability benefits, sick wages, damages, or attorney’s fees. The Court underscored that disability compensation is intended to address the loss of earning capacity resulting from an impairment, rather than simply compensating for an injury itself. Since Daraug was not rendered incapacitated and continued to work as a seafarer, the Court found no basis to award disability benefits. This decision reaffirms the principle that disability compensation is contingent upon a genuine and demonstrable loss of earning capacity.

FAQs

What was the key issue in this case?	The key issue was whether the seafarer, Rommel Daraug, was entitled to permanent disability benefits following an injury, considering conflicting medical assessments and his subsequent employment with another company.
What is the POEA-SEC?	The POEA-SEC, or Philippine Overseas Employment Administration Standard Employment Contract, is a standard employment contract required for Filipino seafarers working on foreign vessels. It outlines the terms and conditions of their employment, including provisions for disability compensation.
What is the role of a company-designated physician?	The company-designated physician is responsible for conducting post-employment medical examinations to assess a seafarer’s fitness to work or the degree of disability. Their assessment is crucial in determining eligibility for disability benefits.
What happens if a seafarer disagrees with the company-designated physician?	If a seafarer disagrees with the company-designated physician’s assessment, the POEA-SEC and CBA provide a mechanism for resolving the dispute. A third, jointly agreed-upon doctor may be consulted, and their decision is considered final and binding.
Why was the seafarer’s claim denied in this case?	The seafarer’s claim was denied because he failed to follow the mandatory procedures outlined in the POEA-SEC and CBA, particularly the process for resolving conflicting medical assessments. Additionally, his subsequent employment with another company undermined his claim of permanent disability.
What does “permanent total disability” mean in this context?	Permanent total disability refers to the disablement of an employee to earn wages in the same kind of work or work of a similar nature that they were trained for or accustomed to perform. It signifies a significant impairment of one’s earning capacity.
What is the significance of subsequent employment in disability claims?	Subsequent employment, especially in a similar capacity as before the injury, can significantly weaken a claim for permanent disability benefits. It suggests that the seafarer has not experienced a complete loss of earning capacity.
What is the key takeaway from this case for seafarers?	The key takeaway is that seafarers must strictly adhere to the procedures outlined in the POEA-SEC and CBA when pursuing disability claims. Failure to follow these procedures can result in the denial of benefits, even if an injury has occurred.

In conclusion, the Rommel Daraug case serves as a reminder of the importance of adhering to established procedures when claiming disability benefits as a seafarer. The Supreme Court’s decision reinforces the binding nature of the POEA-SEC and CBA, emphasizing the need for seafarers to understand and comply with these contractual obligations.

For inquiries regarding the application of this ruling to specific circumstances, please contact ASG Law through contact or via email at frontdesk@asglawpartners.com.

Disclaimer: This analysis is provided for informational purposes only and does not constitute legal advice. For specific legal guidance tailored to your situation, please consult with a qualified attorney.
Source: Rommel B. Daraug v. KGJS Fleet Management Manila, Inc., G.R. No. 211211, January 14, 2015