Title
Lemoncito vs. BSM Crew Service Centre Philippines, Inc.
Case
G.R. No. 247409
Decision Date
Feb 3, 2020
Seafarer Lemoncito, diagnosed with hypertension and declared unfit by an independent doctor, was awarded permanent disability benefits as the company-designated doctors' inconclusive assessment rendered his condition compensable by law.

Case Digest (G.R. No. 173186)
Expanded Legal Reasoning Model

Facts:

  • Background and Employment
    • Michael Angelo T. Lemoncito was hired on July 16, 2015 by BSM Crew Service Centre Philippines, Inc. on behalf of its principal respondent, Bernard Schulte Shipmanagement (Isle of Man Ltd.), for a nine (9) month period as a motor man.
    • His employment was covered by the collective bargaining agreement between the International Maritime Employees' Council and the Associated Marine Officers' and Seamen's Union of the Philippines.
    • After being declared fit to work in his pre-employment medical examination (PEME), Lemoncito boarded the MV British Ruby on July 22, 2015.
  • Onset of Illness and Initial Medical Intervention
    • While aboard, Lemoncito experienced symptoms including fever, a cough productive of whitish phlegm, throat discomfort, and a significant rise in blood pressure (173/111).
    • Owing to these symptoms, he was medically repatriated on February 22, 2016.
    • Upon repatriation, on February 26, 2016, he was referred to the Marine Medical Services and examined by company-designated doctors, Dr. Percival Pangilinan and Dr. Dennis Jose Sulit.
  • Diagnosis and Interim Assessment
    • At Marine Medical Services, tests led to the diagnosis of a lower respiratory tract infection and hypertension.
    • An interim disability assessment of Grade 12 (“slight, residual or disorder”) was rendered.
    • The company-designated doctors opined that his hypertension was not work-related, attributing it to multifactorial causes such as genetics, lifestyle factors, high salt intake, smoking, diabetes mellitus, and increased sympathetic activities.
  • Subsequent Medical Evaluations
    • On July 1, 2016, the company-designated doctors issued their 16th and final report. This report:
      • Confirmed that Lemoncito had been cleared of his lower respiratory tract infection.
      • Noted that his hypertension was responding to medication with an “adequately controlled” status and he was “cleared cardiac wise.”
    • Dissatisfied with this inconclusive assessment, Lemoncito sought the opinion of a non-designated physician, Dr. Antonio Pascual, who on September 12, 2016, certified that:
      • He suffered from Hypertensive Heart Disease, Stage 2.
      • He had Degenerative Osteoarthritis of the thoracic spine.
      • Consequently, Dr. Pascual declared him “unfit to work as a seaman.”
  • Grievance and Arbitration Proceedings
    • Relying on Dr. Pascual’s assessment, Lemoncito invoked the grievance procedure under the CBA and filed a complaint for:
      • Total permanent disability benefits.
      • Sickness allowance.
      • Damages (exemplary and moral).
      • Attorney's fees.
    • He alleged that:
      • His prolonged exposure to strenuous duties as a motor man for 24 uninterrupted years contributed to his hypertension.
      • The medical treatment provided by the company-designated doctors was insufficient, leaving him perpetually debilitated.
    • The Panel of Voluntary Arbitrators, in their Decision dated May 30, 2017, found him totally and permanently disabled, presuming that his hypertension was work-related.
      • They ruled that his failure to comply with the third-doctor-referral rule should not be penalized due to the company-designated doctors’ failure to make a fitness assessment within the required 120-day period.
      • A monetary award was decreed: US$96,909.00 as disability benefit; US$2,416.00 for sickness allowance; and attorney's fees equivalent to ten percent (10%) of the total award.
    • A subsequent motion for reconsideration by the respondents was denied on October 20, 2017.
  • Proceedings Before the Court of Appeals
    • On petition for review, respondents argued that:
      • Substantial evidence supported the credibility of the company-designated doctors’ assessments.
      • Lemoncito failed to prove that his hypertension was compensable as required under the POEA-SEC, especially since hypertension is compensable only when uncontrolled with end-organ damage.
      • The procedure under the POEA-SEC, including the mandatory third-doctor-referral rule, was not observed by Lemoncito when he consulted Dr. Pascual.
    • Lemoncito countered that the seafarer’s beneficial interest should prevail when there is a conflict between medical assessments.
    • The Court of Appeals, in its Decision dated November 9, 2018, reversed the arbitral award:
      • It held that the detailed and timely evaluation of the company-designated doctors was more credible.
      • It ruled that since the doctors declared him fit to work within the extended medical assessment period (inclusive of the 240-day window), he was not entitled to disability benefits.
    • Thereafter, Lemoncito's motion for reconsideration before the Court of Appeals was denied on April 26, 2019.
  • The Present Petition
    • Lemoncito, invoking Rule 45 of the Rules of Court, petitioned for review to reverse the Court of Appeals' issuances.
    • He maintained that:
      • His hypertension is work-related as it emerged during his employment and aggravated by his duties.
      • The company-designated doctors' final report was ambiguous and incomplete in definitively establishing his fitness for duty.
      • As a result, his condition should legally be considered total and permanent disability due to the absence of a conclusive medical opinion within the prescribed 120/240-day period.

Issues:

  • Main Issue
    • Can Michael Angelo T. Lemoncito be declared totally and permanently disabled solely on the basis of his hypertension, despite the conflicting opinions of the company-designated doctors and his private physician?
    • Does an inconclusive or incomplete final medical assessment by the company-designated doctors within the 120/240-day period entitle a seafarer to permanent disability benefits under the POEA-SEC?

Ruling:

  • (Subscriber-Only)

Ratio:

  • (Subscriber-Only)

Doctrine:

  • (Subscriber-Only)

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