Title
Falcon Maritime and Allied Services, Inc. vs. Pangasian
Case
G.R. No. 223295
Decision Date
Mar 13, 2019
Seafarer claimed disability benefits for back pain and varicocele; SC ruled no disability benefits due to failure to report back pain timely, but granted sickness allowance.

Case Summary (G.R. No. 223295)

Factual Background: Employment, On-Board Duties, and Medical History

Under the approved contract, respondent’s duties and working conditions included employment as Chief Cook, with wages and benefits specified in United States dollars. While on board, respondent alleged that, aside from his normal kitchen duties, he assisted in physically strenuous loading and unloading work involving heavy cargoes of skipjack, tuna fish, and big squid from fishing boats in the high seas and unloading them at various ports.

Respondent reported that on March 15, 2012, while the vessel was sailing in the Pacific Ocean within the State of Peru in West South America, he noticed swelling and pain in his testicles after lifting, carrying, and loading heavy sacks of big squid and performing chamber cleaning works. He informed the Chief Officer and received antibiotics for temporary relief.

Respondent further claimed that at around 9:00 p.m. of April 17, 2012, while loading heavy sacks of skipjack, tuna fish, and big squid, he accidentally slipped and lost his balance. He felt a crack in his lower back but continued working because the pain was tolerable at the time. He stated that his symptoms worsened later.

On April 20, 2012, while the vessel was en route to Bangkok, Thailand, respondent reported to the ship master, Captain Isamo Yamamoto (Captain Yamamoto), that the swelling and testicular pain had become alarming, and that he was also experiencing worsening back pain. He requested a medical referral to a port doctor in Bangkok. When the vessel reached Bangkok on May 18, 2012, respondent claimed that, instead of issuing a referral to a port doctor, Captain Yamamoto told him he would be repatriated and that a replacement would board the vessel. Respondent then asserted that he requested a medical referral upon arrival in the Philippines.

Respondent left Bangkok on May 18, 2012 and arrived in the Philippines the same day. He immediately delivered Captain Yamamoto’s referral letter to Jose, who referred him to NGC Medical Specialist Clinic, Inc. On May 21, 2012, he was examined by Dr. Paul C. Comising (Dr. Comising) and diagnosed with varicocoele, bilateral. On May 22, 2012, an inguinoscrotal ultrasound showed bilateral varicocoele, more severe on the left, and other findings including epididymal head cysts versus spermatocele, with normal ultrasound of the testes and left epididymis. Multiple tests followed and confirmed varicocoele, bilateral, after which Dr. Comising recommended a varicocoelectomy, bilateral procedure.

On June 26, 2012, respondent underwent varicocoelectomy, bilateral at Manila Doctor’s Hospital. In follow-up consultations on July 5, 2012, July 12, 2012, and August 28, 2012, the operative wounds were healing well and respondent’s pain resolved. He was then declared fit to work. Nevertheless, respondent disputed that assessment. Through Jose, he wrote petitioners the next day after his August 28, 2012 check-up, informing them that despite the operation and fit-to-work assessment, he still experienced pain at the surgical site, numbness, and pain in his spine, and he asked for reevaluation and for an MRI. He also requested illness allowance.

He underwent an MRI of the lumbo-sacral spine at BDM MRI Center, Inc. on September 21, 2012, which showed degenerative disc disease (L3-L4 and L4-L5) and a broad-based disc bulge with annular tear at L4-L5. On October 1, 2012, he consulted Dr. Omar T. Cortes (Dr. Cortes) at AFPMC for a second opinion. Dr. Cortes issued a certification dated October 5, 2012, opining that respondent’s spine condition may have been brought about by strenuous physical activities and that immediate spine surgical intervention might be required, while recognizing that the inguinal condition might spontaneously resolve within a year.

Respondent later consulted another doctor in physical medicine and rehabilitation, and underwent physical therapy based on a diagnosis of herniated nucleus pulposus (HNP). By medical reports dated November 29, 2012, after fifteen sessions of physical therapy, respondent showed improvements in pain and functional measures, though he continued to report limitations. An orthopedic specialist later issued a report on December 19, 2012 stating that respondent continued to experience back pain, stiffness, and difficulty performing tasks consistent with seamen’s work, and that he was totally and permanently disabled under Grade 1 impairment based on the POEA contract.

Petitioners refused to grant respondent’s claim for disability benefits on the ground that he had already been declared fit to work by the company-designated physician.

Arbitration and Rulings of the Panel and the Court of Appeals

Because petitioners refused respondent’s claims, respondent filed a Notice to Arbitrate before the Panel on December 11, 2012. The Panel rendered a Decision dated November 5, 2013, ordering petitioners solidarily to pay disability benefits, moral damages, illness allowance, reimbursement for medical expenses, and attorney’s fees.

The Panel found that respondent was in perfect health at the time he boarded petitioners’ vessel, based on the pre-employment medical examination. It held that before repatriation, respondent complained of testicular pains, swelling, and lower back pains. It concluded that medical tests showed multiple conditions, including bilateral varicocoele with status post varicocoelectomy, and degenerative disc disease with broad-based disc bulge and annular tear at L4-L5, and that respondent’s duties as Chief Cook involved strenuous physical activities and heavy loading/unloading, including the alleged slip event while carrying heavy sacks on April 17, 2012. The Panel rejected petitioners’ theory that respondent’s back pains were not work-related because respondent did not earlier report them during the company-designated medical treatment for varicocoele. It accepted respondent’s explanation and reasoned that after continuous treatment, respondent remained incapacitated to resume sea duties even after eighteen months from repatriation. Based on the combined medical evaluations, it ruled that respondent was entitled to total and permanent disability compensation under the POEA-SEC.

The Panel also held that petitioners could not validly deny the claim based on the company-designated physician’s fit-to-work assessment, reasoning that the fit-to-work evaluation was not final and conclusive because respondent had the right to seek a second opinion. It further granted sickness allowance and reimbursement for physical therapy expenses under the CBA. It likewise awarded moral damages and attorney’s fees, characterizing petitioners’ actions as abusive and fraudulent in their handling of respondent’s requests and medical obligations.

Petitioners moved for reconsideration, but the Panel denied it on March 24, 2014.

On August 10, 2015, the CA dismissed petitioners’ petition for review but affirmed with modification. It increased monetary consequences by ordering legal interest of twelve percent per annum from respondent’s repatriation date or May 18, 2012 until finality, and six percent per annum from finality until full satisfaction. The CA held that respondent established work connection of the multiple disabilities by considering the nature of his work and daily working conditions plus additional strenuous activities. It found respondent compensable despite the operation and financial assistance, because he still suffered back pain and was unable to resume sea duties or customary work. The CA also found petitioners’ fit-to-work declaration unworthy of credence when juxtaposed with medical opinions of Drs. Cortes and Magtira supported by tests and findings.

The CA concluded that respondent was permanently and totally disabled because he was unfit to work in any capacity and unable to perform his duties beyond the 120-day period, aligning with a Grade 1 disability assessment under the contract and relevant rules. Petitioners’ motion for reconsideration was denied in a Resolution dated February 29, 2016, which led to the present petition.

The Issues Raised by Petitioners

Petitioners anchored their petition on four principal errors: first, that the CA affirmed permanent and total disability benefits despite the alleged back pain being separate from the illness for which respondent was repatriated and thus not work-related or compensable under the POEA-SEC; second, that the CA erred in declaring respondent permanently unfit based on inability to return to work within 120 days; third, that the CA erred in awarding illness allowance and medical reimbursements; and fourth, that the CA erred in awarding damages and attorney’s fees.

The Parties’ Positions

Petitioners argued that the evidence showed no work-related back illness during the contract term. They relied on Captain Yamamoto’s letter dated May 18, 2012, which reportedly mentioned only “testicle pain and swelling during chamber cleaning,” and not lower back pains. Petitioners maintained that if respondent had truly suffered back pain while on board, it would have been included. They also contended that respondent’s explanation about the company-designated physician’s refusal was self-serving and unsupported. Petitioners insisted that respondent sought treatment for back pain only after his treatment for varicocoele ended and after his fit-to-work declaration, citing the timing of his report and private consultations. They also argued that the illness that respondent sought compensation for was absent during the term of the contract and that it therefore could not be work-related. They further asserted that sickness allowance and medical reimbursements were unsupported because they had already paid sickness allowance and had shouldered medical and physician professional fees.

As to moral damages and attorney’s fees, petitioners argued that there was no fraud in repatriation since it followed contract expiration; that there was no ev

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