This Supreme Court case clarifies the rights of seafarers regarding post-employment medical examinations and compensation for work-related injuries. The Court ruled that a seafarer’s failure to undergo a post-employment medical examination within three days of repatriation does not automatically forfeit their right to claim compensation and benefits if the employer failed to provide a timely examination. The decision emphasizes the employer’s duty to facilitate the examination and ensures that seafarers are not unfairly penalized for employer negligence.

When an Accident at Sea Leads to a Dispute on Land: Who Bears the Responsibility?

The case of Mark Anthony Saso v. 88 Aces Maritime Service, Inc. revolves around a seafarer’s claim for disability benefits following an injury sustained on board a fishing vessel. Saso, employed as a fisherman, suffered a severe leg fracture while working in Taiwan and was subsequently repatriated to the Philippines. The central legal issue is whether Saso forfeited his right to claim compensation and benefits due to non-compliance with the mandatory three-day reporting requirement for post-employment medical examination.

The Court’s analysis hinged on Section 20(B) of the 2000 Philippine Overseas Employment Administration-Standard Employment Contract (POEA-SEC), which outlines the compensation and benefits for injury or illness suffered by a seafarer during their employment. A key provision states:

For this purpose, the seafarer shall submit himself to a post-employment medical examination by a company-designated physician within three working days upon his return except when he is physically incapacitated to do so, in which case, a written notice to the agency within the same period is deemed as compliance. Failure of the seafarer to comply within the mandatory reporting requirement shall result in Ms forfeiture of the right to claim the above benefits.

The lower courts, the NLRC and the Court of Appeals, had ruled against Saso, stating that he failed to comply with the mandatory three-day reporting requirement. However, the Supreme Court took a different view, emphasizing that Saso had indeed reported to his employer, 88 Aces, within the prescribed period. The Court noted that Saso was told to shoulder his medical expenses, subject to reimbursement upon proper documentation. The Court also took into account that the employer never denied this fact, which supported the seafarer’s claim.

Further bolstering Saso’s claim was the acknowledgment receipt presented as evidence, which showed that the employer reimbursed Saso for medical expenses incurred on April 23, 2010—the same day Saso claimed he reported for a post-medical examination. This piece of evidence was vital in establishing that Saso had indeed attempted to comply with the requirement. The Supreme Court found the employer’s claim that they summoned Saso for post-medical examination unsupported by sufficient evidence. The Court emphasized that the employer failed to provide evidence of a referral for post-employment examination, which they could have easily done to prove their willingness to comply with their obligations. This is significant, highlighting the burden of proof on the employer to show compliance with the POEA-SEC requirements.

Building on this principle, the Court cited previous jurisprudence, stating, “the absence of a post-employment medical examination cannot be used to defeat a seafarer’s claim when the failure to subject him to such requirement was not due to his fault but to the inadvertence or deliberate refusal of the employer.” This reinforces the idea that employers cannot use their own negligence to deny benefits to seafarers who have suffered work-related injuries. Despite finding that Saso had complied with the reporting requirement, the Court also addressed the issue of the timeliness of his complaint for total and permanent disability benefits.

The complaint was filed on August 3, 2010, merely 105 days after Saso’s repatriation. The Court referred to Vergara v. Hammonia Maritime Services, Inc., which clarified the periods involved in determining disability benefits:

As [the relevant provisions of the Labor Code and the POEA SEC] operate, the seafarer, upon sign-off from his vessel, must report to the company-designated physician within three (3) days from arrival for diagnosis and treatment. For the duration of the treatment but in no case to exceed 120 days, the seaman is on temporary total disability as he is totally unable to work. He receives his basic wage during this period until he is declared fit to work or his temporary disability is acknowledged by the company to be permanent, either partially or totally, as his condition is defined under the POEA Standard Employment Contract and by applicable Philippine laws. If the 120 days initial period is exceeded and no such declaration is made because the seafarer requires further medical attention, then the temporary total disability period may be extended up to a maximum of 240 days, subject to the right of the employer to declare within this period that a permanent partial or total disability already exists. The seaman may of course also be declared fit to work at any time such declaration is justified by his medical condition.

Based on this, the Court determined that Saso’s complaint was premature. The 120-day period had not yet lapsed, and the company-designated physician had not yet issued a declaration regarding his fitness or disability. The medical report from Saso’s independent physician, Dr. Magtira, was deemed insufficient to establish a cause of action for total and permanent disability benefits at that time. However, this did not negate Saso’s right to other benefits under the POEA-SEC.

The Supreme Court clarified that the employer has three distinct liabilities to a seafarer who suffers a work-related injury or illness: (1) to provide medical treatment until the seafarer is declared fit or the degree of disability is determined; (2) to provide sickness allowance equivalent to the seafarer’s basic wage until they are declared fit or the degree of permanent disability is determined within 120 or 240 days; and (3) to pay disability benefits for permanent total or partial disability once a finding is made within the same period. Applying these principles, the Court found that Saso was entitled to sickness allowance and partial disability benefits. His claim for reimbursement of medical expenses was disallowed due to lack of supporting receipts, although it was noted that the employer had already reimbursed a portion of his expenses.

Ultimately, the Court awarded Saso sickness allowance covering the period from July 24, 2010, to September 23, 2010, when the company-designated physician issued an assessment of his disability, amounting to NT$34,560.00. Additionally, he was awarded partial disability benefits based on the company-designated physician’s assessment of Impediment Grade 13, equivalent to US$3,360.00. The claim for attorney’s fees was denied, as the Court found that the employer was justified in denying Saso’s claim for total and permanent disability benefits given the circumstances of the case.

FAQs

What was the key issue in this case?	The key issue was whether the seafarer forfeited his right to claim compensation and benefits for a work-related injury by failing to comply with the mandatory three-day reporting requirement for post-employment medical examination.
What is the three-day reporting requirement?	The POEA-SEC requires seafarers to submit to a post-employment medical examination by a company-designated physician within three working days of their repatriation, unless they are physically incapacitated.
What did the Supreme Court rule about the three-day reporting requirement?	The Supreme Court ruled that failure to comply with the three-day reporting requirement does not automatically forfeit the seafarer’s right to claim benefits if the employer prevented or failed to provide a timely examination.
What benefits are seafarers entitled to for work-related injuries?	Seafarers are entitled to medical treatment, sickness allowance, and disability benefits (either total and permanent or partial) for work-related injuries or illnesses, as outlined in the POEA-SEC.
When can a seafarer file a complaint for disability benefits?	A seafarer can file a complaint after the company-designated physician has assessed their disability, or after the lapse of the 120-day (or extended 240-day) period if no assessment has been made.
What is the significance of the company-designated physician’s assessment?	The company-designated physician is primarily responsible for assessing the seafarer’s disability, and their assessment is crucial in determining the seafarer’s entitlement to disability benefits.
What is an Impediment Grade?	An Impediment Grade is a numerical rating assigned by the company-designated physician to indicate the degree of disability resulting from a work-related injury or illness, which determines the amount of disability benefits the seafarer is entitled to.
What did the seafarer receive in this case?	The seafarer was awarded sickness allowance and partial disability benefits based on the Impediment Grade assessed by the company-designated physician.

This case underscores the importance of employers fulfilling their obligations under the POEA-SEC to ensure that seafarers receive the medical attention and compensation they are entitled to for work-related injuries. It also highlights the need for seafarers to promptly report injuries and follow the required procedures, while being aware of their rights and the employer’s responsibilities.

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: MARK ANTHONY SASO, VS. 88 ACES MARITIME SERVICE, INC., G.R. No. 211638, October 07, 2015