The Supreme Court held that a seafarer is deemed permanently disabled if the company-designated physician fails to issue a final and definitive disability assessment within the 240-day period, even without consulting a third doctor. This ruling clarifies that the assessment must be conclusive regarding the seafarer’s fitness to work, and if it’s merely an interim report or suggestion, the seafarer’s disability is considered permanent by operation of law, entitling them to maximum benefits under the POEA-SEC. This decision protects seafarers from indefinite medical evaluations and ensures timely compensation for their injuries.

Navigating the Seas of Uncertainty: When is a Seafarer’s Injury Truly ‘Permanent’?

This case revolves around Jherome G. Abundo, an Able Seaman, who sustained a right forearm injury while working on board the vessel “Grand Celebration.” After being medically repatriated to the Philippines, he underwent treatment and rehabilitation. However, the crux of the issue lies in whether the assessment made by the company-designated physician was a final and categorical determination of his disability. The Court of Appeals (CA) reversed the decision of the National Labor Relations Commission (NLRC), stating that the referral to a third doctor is mandatory when there are conflicting medical opinions. The Supreme Court, however, disagreed with the CA’s interpretation, leading to a significant clarification of the rights and protections afforded to Filipino seafarers under the Philippine Overseas Employment Administration-Standard Employment Contract (POEA-SEC).

The petitioner argued that he was permanently disabled because he could not return to his previous work as a seafarer, and the company-designated physician had not provided a final assessment within the 120/240-day period. The respondents, on the other hand, contended that the company doctor’s assessment indicating a Grade 10 disability should prevail since the petitioner did not seek a third doctor’s opinion as per POEA-SEC guidelines. The resolution of this case hinged on interpreting Section 20(A)(3) of the POEA-SEC, Article 198 [192](c)(1) of the Labor Code, and the Amended Rules on Employee Compensation (AREC), and determining whether the company-designated physician’s assessment was indeed final and binding.

Building on the premise of seafarer protection, the Supreme Court emphasized that the POEA-SEC should not be interpreted in isolation but in conjunction with the Labor Code and AREC. This is to ensure that the disability rating is not solely at the discretion of the company-designated physician. It reiterated that while referral to a third doctor is mandatory when there is a disagreement between the company doctor and the seafarer’s chosen physician, this requirement presupposes that the company-designated physician has issued a final and definitive assessment within the prescribed period. Otherwise, the seafarer’s disability is considered permanent by operation of law.

Central to the Court’s reasoning was the interpretation of what constitutes a ‘final and definite’ assessment. Quoting Kestrel Shipping Co., Inc. et al. v. Munar, the Court underscored that:

Moreover, the company-designated physician is expected to arrive at a definite assessment of the seafarer’s fitness to work or permanent disability within the period of 120 or 240 days. That should he fail to do so and the seafarer’s medical condition remains unresolved, the seafarer shall be deemed totally and permanently disabled.

In this case, the company-designated physician’s report indicated ‘weak grip, right; paresthesia on the right thumb; and left wrist pain upon extreme movements,’ and advised the petitioner to continue rehabilitation. The Court interpreted this as an interim assessment, not a final one, because the physician recommended continued rehabilitation. Furthermore, a company surgeon suggested a Grade 10 disability due to an ankylosed wrist, but this was deemed a mere ‘suggestion’ rather than a conclusive assessment.

This contrasts sharply with the independent physician’s findings, who stated that the petitioner continued to experience weakness and pain, restricting his range of motion and making him unable to perform heavy lifting tasks required of a seaman. This independent assessment highlighted the seafarer’s diminished capacity to work. Since the company-designated physician failed to provide a final assessment within the 240-day period, the Supreme Court concluded that the petitioner’s disability became total and permanent by operation of law. As such, there was no need to consult a third doctor.

The Court distinguished this case from those where the seafarer failed to comply with the third-doctor referral requirement after a final assessment was made. Here, the absence of a definitive assessment triggered the legal presumption of permanent disability. This distinction is crucial for understanding the seafarer’s rights. The decision underscores that the employer cannot prolong the assessment indefinitely, leaving the seafarer in a state of uncertainty and without adequate compensation.

The Supreme Court emphasized that failure to issue a final assessment within the 240-day period renders the rule on third-doctor-referral inapplicable. The right to a fair and timely assessment is vital. This protects seafarers from potential delays and ensures that they receive the appropriate disability benefits. It reinforces the importance of adherence to timelines and the necessity of conclusive medical evaluations in maritime employment cases.

Acknowledging the petitioner’s need to litigate to protect his rights, the Court awarded attorney’s fees. However, it reduced the amount to US$1,000 because there was no evidence of gross and evident bad faith on the part of the respondents, who had offered disability benefits corresponding to a Grade 10 disability. Although, This amount was far below what was due for permanent/total disability.

FAQs

What was the key issue in this case?	The key issue was whether the seafarer was entitled to permanent and total disability benefits despite not consulting a third doctor, given that the company-designated physician did not issue a final assessment within the 240-day period.
What does the POEA-SEC say about third doctors?	The POEA-SEC states that if the seafarer’s doctor disagrees with the company doctor’s assessment, a third, jointly agreed-upon doctor’s decision is final and binding. This is to resolve conflicting medical opinions.
When is a seafarer considered permanently disabled by law?	A seafarer is considered permanently disabled by operation of law if the company-designated physician fails to issue a final and definitive disability assessment within the 240-day period.
What constitutes a ‘final and definitive’ assessment?	A ‘final and definitive’ assessment is a conclusive medical evaluation that clearly states the seafarer’s fitness to work or the degree of permanent disability, without suggesting further rehabilitation or treatment.
Does this ruling mean a seafarer always wins if the company doctor delays?	Yes, according to the ruling, If the company doctor fails to give definite assessment within 240 days, without the need for a third opinion, it is considered permanent disability of a seafarer.
What happens if the company doctor suggests more rehab instead of a final assessment?	If the company doctor suggests continued rehabilitation, it indicates that the assessment is not final, and the seafarer may be deemed permanently disabled if the 240-day period lapses without a definitive assessment.
Why is it important to read the POEA-SEC alongside the Labor Code?	Reading the POEA-SEC alongside the Labor Code ensures that seafarers’ rights are fully protected and that disability ratings are not solely at the discretion of the company-designated physician, providing a balanced approach.
Was attorney’s fees granted in this case?	Yes, attorney’s fees were granted because the seafarer was forced to litigate to protect his rights, but the amount was reduced because the Court did not find gross and evident bad faith on the part of the respondents.
What is the practical takeaway for seafarers?	Seafarers should be aware of the 240-day period for the company doctor’s final assessment, and if no conclusive assessment is provided within that time, they may be entitled to permanent disability benefits, irrespective of a third doctor’s opinion.

In conclusion, the Supreme Court’s decision in Abundo v. Magsaysay Maritime Corporation offers clarity and protection to Filipino seafarers, emphasizing the importance of timely and conclusive medical assessments. The ruling underscores that employers cannot prolong the assessment process indefinitely, and seafarers are entitled to permanent disability benefits if the company-designated physician fails to provide a final assessment within the 240-day period. This promotes fairness and ensures that seafarers receive the compensation they deserve for their injuries.

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: Jherome G. Abundo, vs. Magsaysay Maritime Corporation, G.R. No. 222348, November 20, 2019