In Magsaysay Maritime Services v. Laurel, the Supreme Court affirmed that a seafarer’s illness, even if not listed as an occupational disease, is presumed work-related if it occurs during the employment contract. This presumption places the burden on the employer to prove otherwise. The Court found that the seafarer’s hyperthyroidism, although potentially influenced by genetic factors, was aggravated by the stressful conditions and exposures inherent in his work aboard a vessel, entitling him to disability benefits. This case underscores the protective stance of Philippine law towards seafarers and the importance of the POEA-SEC in safeguarding their rights.

When Stress at Sea Triggers a Thyroid Storm: Can Seafarers Claim Disability?

Earlwin Meinrad Antero F. Laurel, a pastryman on the M/V Star Princess, fell ill during his employment. Upon repatriation, he was diagnosed with hyperthyroidism. The company-designated physician deemed his condition not work-related. Laurel sought a second opinion, which linked his hyperthyroidism to the stressful conditions of his work at sea. This discrepancy sparked a legal battle over his entitlement to disability benefits, ultimately reaching the Supreme Court. The central question was whether Laurel’s illness was work-related and thus compensable under the Philippine Overseas Employment Administration Standard Employment Contract (POEA-SEC).

The POEA-SEC, designed to protect Filipino seafarers, outlines the employer’s liabilities when a seafarer experiences a work-related injury or illness. Section 20(B) of the POEA-SEC stipulates the compensation and benefits for injury or illness. It states:

Section 20 (B)

COMPENSATION AND BENEFITS FOR INJURY OR ILLNESS

The liabilities of the employer when the seafarer suffers work-related injury or illness during the term of his contract are as follows:

x x x x
6. In case of permanent total or partial disability of the seafarer caused by either injury or illness the seafarer shall be compensated in accordance with the schedule of benefits enumerated in Section 32 of this Contract. Computation of his benefits arising from an illness or disease shall be governed by the rates and rules of compensation applicable at the time the illness or disease was contracted.

The Court emphasized that for an illness to be compensable, it must be work-related and occur during the employment contract. Work-related illnesses are defined as those resulting from occupational diseases listed in Section 32-A of the POEA-SEC. While hyperthyroidism isn’t explicitly listed, the Court considered the presumption of work-relatedness for unlisted illnesses.

Understanding hyperthyroidism is crucial in this case. As the Court noted, “Stress is a factor that appears to trigger the onset of Graves’ Disease.” This connection between stress and thyroid conditions became a focal point in determining compensability. The Court acknowledged the potential genetic influence of Graves’ Disease, but also recognized the role of environmental and lifestyle factors, particularly chronic stress, in its development.

Laurel argued that the strenuous conditions of his employment, including exposure to varying temperatures and chemical irritants, contributed to his hyperthyroidism. This argument aligned with medical research linking chronic stress to adrenal gland dysfunction, which can, in turn, affect the thyroid gland. He explained:

‘It’s important to understand that our bodies weren’t designed to handle chronic stress…when the adrenal glands are stressed out, it puts the body in a state of catabolism, which means that the body is breaking down…This eventually can lead to an autoimmune thyroid disorder, such as Graves’ Disease or Hashimoto’s Thyroiditis.’

While the employer argued that the company-designated physician’s opinion should prevail, the Court clarified that this opinion primarily affects entitlement to sickness allowance. The POEA-SEC also protects the seafarer’s right to seek a second medical opinion and even allows for a third, binding opinion if disagreements persist. This safeguards the seafarer against potentially biased or incomplete assessments.

The Court concluded that Laurel established a reasonable connection between his working conditions and the development or aggravation of his hyperthyroidism. The ruling hinged on the principle that for an illness to be compensable, the employment need not be the sole cause. It is sufficient that the work contributed to the development or aggravation of a pre-existing condition. The court sustained the finding that:

Stressful conditions in the environment, in a word, can result in hyperthyroidism, and the employment conditions of a seafarer on board an ocean-going vessel are likely stress factors in the development of hyperthyroidism irrespective of its origin.

Furthermore, the Court referenced Career Philippines Shipmanagement, Inc. v. Serna, to highlight that even if a disease has an idiopathic character, it doesn’t negate the possibility that work conditions contributed to its development.

The Court also found it crucial that Laurel was diagnosed with additional ailments beyond Graves’ Disease, including goiter, recurrent periodic paralysis, and abnormal thyroid function test results. These conditions, assessed as equivalent to Grade 1 Impediment, rendered him unable to continue his work on board the vessel. This totality of circumstances solidified his entitlement to disability compensation under the POEA-SEC.

The Court emphasized that the POEA-SEC explicitly establishes a presumption of compensability for illnesses not listed as occupational diseases. This shifts the burden to the employer to prove otherwise, a burden the petitioners failed to meet in this case. The Court stated, “Hence, unless contrary evidence is presented by the seafarer’s employer/s, this disputable presumption stands.”

The Court reiterated the principle that the POEA-SEC is designed primarily for the benefit of Filipino seamen and should be construed liberally in their favor. This protective stance ensures that seafarers receive the compensation and benefits they deserve when their health is compromised during their employment.

FAQs

What was the key issue in this case?	The key issue was whether a seafarer’s hyperthyroidism, not listed as an occupational disease, was compensable as a work-related illness under the POEA-SEC, entitling him to disability benefits.
What is the POEA-SEC?	The POEA-SEC is the Philippine Overseas Employment Administration Standard Employment Contract, which sets the terms and conditions for the employment of Filipino seafarers on ocean-going vessels. It outlines the rights and responsibilities of both employers and employees.
What does it mean for an illness to be “work-related” under the POEA-SEC?	Under the POEA-SEC, a work-related illness is one that results from an occupational disease listed in the contract or any illness contracted during the term of employment that is reasonably linked to the seafarer’s work.
Does the POEA-SEC list all compensable illnesses?	No, the POEA-SEC doesn’t list all compensable illnesses. It includes a list of occupational diseases, but it also provides a presumption of work-relatedness for illnesses not listed, shifting the burden to the employer to prove otherwise.
What is the role of the company-designated physician in disability claims?	The company-designated physician initially assesses the seafarer’s condition to determine entitlement to sickness allowance. However, the seafarer has the right to seek a second medical opinion, and a third, binding opinion can be obtained if there’s disagreement.
What is the significance of the “presumption of work-relatedness”?	The presumption of work-relatedness means that if an illness occurs during the employment contract, it is presumed to be related to the seafarer’s work, even if it’s not a listed occupational disease. The burden then shifts to the employer to prove that the illness is not work-related.
How did stress factor into the Court’s decision in this case?	The Court recognized medical research linking chronic stress to thyroid conditions like Graves’ Disease, supporting the argument that the seafarer’s stressful working conditions contributed to his hyperthyroidism.
What evidence did the seafarer provide to support his claim?	The seafarer provided medical certificates from his own physician linking his hyperthyroidism to his working conditions, as well as evidence of additional ailments that rendered him unable to continue his work at sea.
What was the outcome of the case?	The Supreme Court affirmed the lower courts’ decisions, ruling in favor of the seafarer and awarding him disability benefits.

This ruling reinforces the rights of Filipino seafarers under the POEA-SEC, particularly regarding illnesses that may be aggravated by the conditions of their employment. The presumption of work-relatedness provides crucial protection in cases where the connection between work and illness is not immediately obvious.

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: MAGSAYSAY MARITIME SERVICES AND PRINCESS CRUISE LINES, LTD. VS. EARLWIN MEINRAD ANTERO F. LAUREL, G.R. No. 195518, March 20, 2013