This Supreme Court decision clarifies the rights of seafarers to disability benefits when employers fail to provide a timely and definitive assessment of their medical condition. The Court emphasized that if a company-designated physician does not issue a final assessment within the 120 or extended 240-day period, the seafarer’s disability is automatically considered total and permanent. This ruling protects seafarers from being left in limbo and ensures they receive just compensation for work-related injuries or illnesses. This case underscores the importance of employers fulfilling their obligations to provide timely medical assessments to protect the rights of seafarers.

When Silence Speaks Volumes: Seafarer’s Struggle for Disability Amidst Unclear Medical Assessments

The case of Unitra Maritime Manila, Inc. v. Giovannie B. Campanero revolves around the question of whether a seafarer is entitled to total and permanent disability benefits when the company-designated physician fails to issue a final assessment within the prescribed period. Campanero, a Second Officer, experienced debilitating pain and weakness while working on board a vessel. Upon repatriation, he underwent medical treatment, but no definitive disability grading was issued by the company-designated physician within the 240-day period. This led Campanero to seek independent medical opinions, which concluded he was unfit for work with permanent disability. The central legal issue is whether the lack of a timely assessment from the company physician automatically entitles the seafarer to disability benefits, and whether his condition is work-related.

The legal framework governing seafarer disability claims is primarily based on the Labor Code, the POEA-SEC, and any applicable Collective Bargaining Agreement (CBA). The POEA-SEC outlines the obligations of the employer when a seafarer suffers a work-related injury or illness during the term of their contract. Key to this case is Section 20(A)(3) of the POEA-SEC, which mandates that the company-designated physician must provide a final and definite assessment of the seafarer’s condition within 120 days, extendable to 240 days if further medical attention is required.

Section 20(A)(3) of the POEA-SEC: The company-designated physician is obligated to arrive at a final and definite assessment of the seafarer’s fitness or degree of disability within the period of 120 days from repatriation, subject of up to 240 days when further medical attention is necessary.

The Supreme Court emphasized that this assessment must be final and categorical to reflect the true extent of the seafarer’s condition and their ability to resume work. An incomplete or doubtful assessment will be disregarded. In Campanero, the company-designated physician issued initial reports but failed to provide a final disability rating or a clear statement of fitness to return to work within the prescribed period.

Building on this principle, the Court highlighted the importance of determining whether the seafarer’s illness is work-related. While illnesses listed in Section 32-A of the POEA-SEC are considered occupational diseases, those not listed are disputably presumed to be work-related under Section 20(A)(4). This presumption shifts the burden to the employer to prove that the illness is not work-related. In this case, Campanero’s condition, arteriovenous malformation, was not listed, triggering the disputable presumption. The Court found that Campanero presented sufficient evidence of a reasonable connection between his work and his condition, particularly the physical strain from lifting heavy objects on board the vessel, which could have aggravated a pre-existing condition.

Further complicating the matter was the question of whether Campanero was required to seek a third doctor’s opinion to resolve the conflict between the company-designated physician and his own independent physicians. The POEA-SEC mandates referral to a third doctor only when there is a disagreement between the findings of the company-designated physician and the seafarer’s chosen physician. However, the Supreme Court clarified that this requirement presupposes that the company-designated physician has issued a definitive assessment within the prescribed period. Since the company physician failed to issue a final assessment, there was no basis for referral to a third doctor.

The Supreme Court examined the CA’s ruling that the causal link of the seafarer’s illness and his work needs to be present for it to be work related, however, the absence of such will result in the denial of compensability. This approach contrasts with the LA’s finding that the company did not provide adequate evidence to prove that Campanero’s condition was not work-related, leading to the presumption of work-relatedness. The Supreme Court sided with the LA.

The Court affirmed the CA’s decision to reinstate the Labor Arbiter’s award of total and permanent disability benefits to Campanero. In its reasoning, the Court stated that the failure of the company-designated physician to provide a final assessment within the mandated period automatically rendered Campanero’s disability as total and permanent. This conclusion, in effect, waived the necessity for Campanero to comply with the third doctor referral provision under the POEA-SEC, as there was no conclusive assessment from the company’s physician to contest.

Moreover, the Court addressed the issue of the applicable CBA, which provided for disability benefits based on the degree of disability. Since Campanero was deemed totally and permanently disabled by operation of law, his disability was classified as Grade 1 under the POEA-SEC, entitling him to 100% compensation under the CBA. The Court also upheld the award of sickness allowance and attorney’s fees, finding no evidence that the sickness allowance had been paid.

This decision has significant implications for seafarers seeking disability benefits. It reinforces the employer’s obligation to ensure that company-designated physicians provide timely and definitive assessments of seafarers’ medical conditions. Failure to do so can result in the automatic grant of total and permanent disability benefits, regardless of whether the illness is directly proven to be work-related. The ruling also clarifies that the third doctor referral provision only applies when there is a clear disagreement based on a final assessment from the company physician.

FAQs

What was the key issue in this case?	The key issue was whether a seafarer is entitled to disability benefits when the company-designated physician fails to issue a final assessment within the prescribed period. The court addressed if the absence of a timely assessment automatically entitles the seafarer to total and permanent disability benefits.
What is the prescribed period for the company-designated physician to issue an assessment?	The company-designated physician has 120 days from repatriation to issue a final assessment, which can be extended to 240 days if further medical attention is required. This timeframe is critical for determining the seafarer’s eligibility for disability benefits.
What happens if the company-designated physician fails to issue a final assessment within the prescribed period?	If the company-designated physician fails to issue a final assessment within the prescribed period, the seafarer’s disability is automatically considered total and permanent. This default provision protects the seafarer’s right to compensation.
Is a seafarer required to seek a third doctor’s opinion if there is no final assessment from the company-designated physician?	No, the requirement to seek a third doctor’s opinion only applies when there is a disagreement based on a final assessment from the company physician. If no final assessment is issued, the third doctor referral provision does not apply.
What is the significance of the illness being work-related?	For a seafarer’s illness to be compensable, it must be work-related, meaning there is a reasonable connection between the nature of their work and the illness. Illnesses not listed as occupational are disputably presumed work-related, shifting burden to the employer to disprove.
What benefits is the seafarer entitled to if deemed totally and permanently disabled?	A seafarer deemed totally and permanently disabled is entitled to disability benefits as per the POEA-SEC and any applicable CBA. This includes compensation for the disability, sickness allowance, attorney’s fees, and legal interest.
What role does the Collective Bargaining Agreement (CBA) play in disability claims?	The CBA provides the specific terms and conditions of employment, including the amount of disability benefits a seafarer is entitled to based on the degree of disability. It supplements the provisions of the POEA-SEC and provides additional protection for seafarers.
What evidence did the seafarer present to show the connection between his work and his condition?	The seafarer presented evidence of the physical strain from lifting heavy objects on board the vessel, which could have aggravated a pre-existing condition. This evidence, along with the lack of a conclusive assessment from the company physician, supported his claim for disability benefits.
What is the disputable presumption of work-relatedness?	According to Section 20(A)(4) of the POEA-SEC, illnesses that are not specifically listed in Section 32 are presumed to be work-related. The burden is on the employer to prove that such illnesses are not work-related.

In conclusion, the Unitra Maritime Manila, Inc. v. Giovannie B. Campanero case serves as a crucial reminder of the importance of timely and definitive medical assessments in seafarer disability claims. It underscores the employer’s responsibility to ensure that company-designated physicians fulfill their obligations, and it provides clarity on the rights of seafarers when these obligations are not met.

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: UNITRA MARITIME MANILA, INC. VS. GIOVANNIE B. CAMPANERO, G.R. No. 238545, September 07, 2022