Title
Wallem Maritime Services, Inc. vs. Quillao
Case
G.R. No. 202885
Decision Date
Jan 20, 2016
Seafarer's premature disability claim denied due to incomplete treatment, medical abandonment, and lack of final assessment by company-designated physician.
A

Case Summary (G.R. No. 103695)

Factual Antecedents

Edwinito V. Quillao was employed by WMS, acting on its foreign principal WSL, aboard the vessel Crown Garnet from September 30, 2008. After experiencing multiple ailments during his contract, including back pain and numbness, Quillao signed off on July 13, 2009. Upon returning to the Philippines, he consulted company-designated physician Dr. Ramon S. Estrada and was diagnosed with several conditions including cervical radiculopathy and carpal tunnel syndrome, leading to surgery and ongoing physical therapy.

Medical Evaluations and Findings

Throughout his treatment, various medical professionals provided assessments of Quillao's condition. Initially, Dr. Estrada imposed a disability rating of Grade 10 but failed to issue a certificate on his fitness for sea duty. Quillao later sought a second opinion from Dr. Renato P. Runas, who concluded that Quillao was permanently unfit for further sea duty and assigned him a Grade 8 rating due to moderate rigidity.

Proceeding for Disability Benefits

On November 23, 2009, while still undergoing treatment, Quillao filed a claim for disability benefits citing the lack of a final assessment by the company-designated physician. The grievance proceedings lasted several months, during which he was advised to continue physical therapy. A final assessment was eventually made on March 12, 2010, declaring him at maximum medical wellness but still suffering from significant pain.

Ruling of the Panel of Voluntary Arbitrators

In its December 8, 2011 decision, the PVA ruled in favor of Quillao, awarding him disability benefits, reasoning that the lack of a timely assessment by the company-designated doctor invalidated the petitioners' challenges. The PVA emphasized that continuous treatment unhindered by delay indicated entitlement to permanent and total disability benefits, attributing more weight to the evaluation from Dr. Runas, an orthopedic specialist, over the general surgeon's findings.

Ruling of the Court of Appeals

The Court of Appeals, in a decision dated May 15, 2012, upheld the PVA's conclusion but slightly modified the awarded amount to USD 98,010.00. The Court noted the failure of the company-designated physician to assertively declare Quillao's fitness, and found that only his chosen physician's assessment should be considered, reinforcing the idea that laborers are entitled to protections under the law, particularly in cases of medical evaluation conflict.

Arguments by Petitioners

In seeking to overturn the appellate decision, petitioners contended that Quillao's complaint was prematurely filed while still under treatment. They insisted that the assessment made by the company-designated physician should be upheld given his qualifications and the overarching provisions dictating medical assessments. Additionally, they argued Quillao was guilty of medical abandonment for not fully seeking treatment as per medical recommendations.

Respondent's Counterarguments

Quillao maintained that he acted within his rights to file his claim, asserting he was justified in doing so due to the lack of definitive medical assessment from the company-designated doctor. He argued that the extended inability to work for over 120 days qualified him for permanent disability benefits, irrespective of the assessments made within the dispute.

Court's Ruling

The Court found m

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