OPINION BY Judge McCULLOUGH.
Nancy Turner (Claimant) petitions for review of the March 1, 2013 order of the Workers' Compensation Appeal Board (Board), which affirmed the decision of a workers' compensation judge (WCJ) granting a suspension petition filed by the City of Pittsburgh (Employer). We now vacate and remand.
On February 5, 1994, Claimant was involved in a motor vehicle accident in the course and scope of her employment as a police officer for Employer. As a result of this accident, Claimant sustained injuries to her neck, left shoulder, back, right wrist, and right knee. (Notice of Compensation Payable (NCP), Reproduced Record (R.R.) at 72a-73a.) Claimant subsequently returned to work at a modified-duty job in Employer's identification department, and she received Heart and Lung Act
As set forth in the NCP issued by Employer on April 11, 2005, Claimant's Heart and Lung Act benefits were converted to workers' compensation benefits as of August 28, 2003, based on a medical determination that "Claimant's injury is of a lasting and indefinite nature, such that [she] will not be able to return to [her] job" and "based on the Claimant's acceptance of a disability retirement through [Employer]." (R.R. at 73a.) Claimant did not look for other work thereafter.
Following an independent medical examination (IME) of Claimant on June 12, 2007, Employer sent Claimant a notice of ability to return to work (NARW) dated June 21, 2007.
The matter was assigned to a WCJ who held multiple hearings. Claimant testified to the facts described above. Claimant stated that she continues to suffer from a burning pain in her neck, which radiates down her left arm and into her left hand, left shoulder pain, and low back pain. (R.R. at 25a-26a.) Claimant added that she continues to undergo physical therapy as prescribed by an orthopedic surgeon. (R.R. at 42a.) On cross-examination, Claimant agreed that she was capable of performing some level of work, such as the work she previously did in Employer's identification department. (R.R. at 37a-38a.) Claimant also acknowledged that she did not look for work immediately following her retirement. (R.R. at 41 a.) However, Claimant testified that she would not have applied for a disability pension if her job had not been removed. (R.R. at 36a.)
Claimant also stated that after receiving the NARW, she enrolled in a skills-training program entitled "New Choices, New Options" at the Community College of Allegheny County. (R.R. at 34a.) This program ran for eight weeks, meeting four days per week, for four hours per day, and taught individuals how to write resumes and participate in interviews. (R.R. at 34a-35a.) Claimant completed the program on November 1, 2007. (R.R. at 35a.)
Employer presented the deposition testimony of Deborah Curry, a senior claims examiner for UPMC WorkPartners, the third-party administrator for Employer's workers' compensation program. Curry explained that Employer discontinued its transitional-duty program in 2003 and instituted a new program in 2005. (R.R. at 105a.) Curry testified that this new program was only available to active employees and that Claimant, having retired with a disability pension in 2003, was not eligible to participate. (R.R. at 100a-01a.) However, Curry noted that a retired employee may return to a full-duty job with Employer, assuming he or she qualifies for the position. (R.R. at 107a.)
Employer also presented the deposition testimony of Nasimulla Rehmatullah, M.D., a board-certified orthopedic surgeon who examined Claimant on June 12, 2007. Dr. Rehmatullah testified that his physical examination of Claimant was essentially benign, but noted some tenderness on the left side of Claimant's neck, left trapezius, and lower back. (R.R. at 136a-37a.) Dr. Rehmatullah also described Claimant's neurological examination as normal. (R.R. at 137a.) Dr. Rehmatullah opined that, despite some mild residuals relating to her original work injuries, Claimant was capable of returning to her pre-injury job as a police officer without restrictions. (R.R. at 138a-39a.) However, Dr. Rehmatullah qualified his opinion by stating that if the 1994 injury to Claimant's right-knee resulted in her surgery, he would release her to light-duty work only. (R.R. at 142a-43a.) Dr. Rehmatullah noted that a right knee injury was never mentioned in a treatment course after the work injury and that the surgery was not until many years later. (R.R. at 147a.)
By decision dated January 16, 2009, the WCJ granted Employer's suspension petition. The WCJ accepted Claimant's testimony as generally credible. However, the WCJ rejected her allegation that she had not voluntarily withdrawn from the workforce "as she clearly has work capabilities and has admittedly not looked for work since retiring." (WCJ's Finding of Fact No. 19; R.R. at 171a.) The WCJ also accepted the testimony of Curry and Dr. Rehmatullah as credible and persuasive. The WCJ found that, because Claimant retired and was no longer an active employee, Employer was not required to offer Claimant a return to her regular job or a new light-duty position. Thus, the WCJ concluded that Employer met its burden of establishing that Claimant voluntarily withdrew from the workforce and was still capable of performing at least light-duty work. The WCJ also concluded that Claimant failed to establish that she had been looking for work following her retirement. Claimant appealed to the Board, which remanded for further findings regarding whether Claimant was forced into retirement because of her work injuries.
On remand, Claimant testified that, at the request of a neighbor, she worked a babysitting job with the YWCA Child Care Partnership for approximately four months beginning in May or June 2009. (R.R. at 59a, 62a.) Claimant testified that she received a 1099 form reflecting her income and she reported her earnings to UPMC Work Partnership. (R.R. at 59a, 64a.) Claimant testified that she was unable to continue performing this job because of excruciating pain in her back, noting that her doctor sent her from his office to an emergency room for treatment around this
By decision dated October 19, 2010, the WCJ again granted Employer's suspension petition, effective August 8, 2007. The WCJ concluded that Claimant was capable of performing work within her restrictions, but that she had voluntarily removed herself from the labor market. The WCJ again concluded that Claimant failed to establish that she was forced into retirement because of her work injuries or that she looked for work after her retirement. The WCJ's credibility determinations remained unchanged.
Claimant appealed to the Board, which affirmed. Citing City of Pittsburgh v. Workers' Compensation Appeal Board (Leonard), 18 A.3d 361 (Pa.Cmwlth.2011), Day v. Workers' Compensation Appeal Board (City of Pittsburgh), 6 A.3d 633 (Pa.Cmwlth.2010), and City of Pittsburgh v. Workers' Compensation Appeal Board (Robinson), 4 A.3d 1130 (Pa.Cmwlth.2010) (Robinson I), affirmed, ___ Pa. ___, 67 A.3d 1194 (2013) (Robinson II), the Board stated that after an employer establishes the claimant's receipt of a disability pension and a NARW indicating restored earning power, the burden shifts to the claimant to rebut the presumption that she has voluntarily withdrawn from the workforce. (R.R. at 205a-06a.) The Board noted that Claimant "had no legal obligation to look for work prior to the issuance of the NARW." (R.R. at 208a.) Nevertheless, the Board relied on Claimant's admission that she had no intention of returning to work at the time she accepted her disability pension and the fact that she enrolled in a skills-training program only after receipt of the NARW as substantial evidence to establish that Claimant intended to voluntarily withdraw from the workforce and that Employer had met its burden in this matter. (R.R. at 208a-09a.)
On appeal to this Court,
Generally speaking, an employer seeking a suspension of benefits bears the burden of proving that, although a claimant continues to have residual physical impairment due to the work injury, employment is available to the claimant within his restrictions which would result in no loss of wages to the claimant. Harle v. Workmen's Compensation Appeal Board (Telegraph Press), 540 Pa. 482, 658 A.2d 766 (1995). To establish that such employment is available, the employer needs to present evidence of available positions within the claimant's restrictions. Kachinski v. Workmen's Compensation Appeal Board (Vepco Construction), 516 Pa. 240, 532 A.2d 374 (1987). The same is true where an employer places a claimant in a modified-duty position and subsequently eliminates that position. Bethlehem Steel Corporation v. Workers' Compensation Appeal Board (Laubach), 563 Pa. 313, 760 A.2d 378 (2000) (holding that when such a situation occurs, the employer must reinstate the claimant's total disability benefits and, if the employer later seeks to modify or suspend these benefits, the employer must show the availability of suitable work).
Like Claimant here, the claimant in Robinson I was injured in the course and scope of her employment as a police officer for Employer; she received total disability benefits; she later returned to a light-duty position with Employer; and she retired with a disability pension after Employer discontinued its transitional-duty program. Following an IME concluding that the claimant could perform light-duty work, Employer sent the claimant a NARW. Shortly thereafter, Employer filed a petition to suspend the claimant's compensation benefits alleging that the claimant had voluntarily withdrawn from the workforce.
Following hearings, a WCJ denied Employer's suspension petition, concluding that Employer failed to meet its burden of showing the availability of suitable work. The WCJ in Robinson I noted that the claimant was forced into retirement after Employer eliminated its transitional-duty program; the WCJ credited her testimony that as soon as she received the NARW from Employer, she reported to the Pennsylvania Job Center. Employer appealed, and the Board affirmed. This Court also affirmed, noting that, although the claimant was no longer capable of performing her pre-injury job, she did not voluntarily remove herself from the workforce, and she continued to look for work. Robinson I.
In rendering this decision, we noted our Supreme Court's decision in Henderson and its progeny.
Id. at 1138.
In affirming the Board's order, we stated as follows:
Our Supreme Court granted allocator, limited to the following issue:
Robinson II, ___ Pa. at ___, 67 A.3d at 1200.
Our Supreme Court quoted our decision in Robinson I extensively and ultimately affirmed this Court's adoption of the totality of the circumstances standard. Relying on Henderson, Employer again asserted that a claimant's separation from employment and acceptance of a pension creates a presumption that the claimant has voluntarily withdrawn from the workforce. However, in Robinson II, the court specifically rejected any interpretation of Henderson as establishing a rebuttable presumption that a claimant has retired if the claimant accepts any type of pension. Instead, the court noted that Henderson "did not purport to lay down any such broad rule, and the holding in that case, like the holdings in all cases, must be read against its facts and the issues actually joined." Robinson II, ___ Pa. at ___, 67 A.3d at 1206. The court went on to note that the claimant in Henderson had accepted a retirement pension and Social Security retirement benefits and had testified that he was not seeking employment following his retirement. Further, the court in Robinson II noted that Henderson neither distinguished among types of pensions nor discussed rebuttable presumptions.
The Supreme Court stated that "we do not believe it self-evident, or even logical to presume, from the simple fact that a claimant accepts a pension, a conclusion that the claimant has completely and voluntarily withdrawn from the workforce, or is prohibited from working in any capacity." Robinson II, ___ Pa. at ___, 67 A.3d at 1205. Similar to our decision in Robinson I, the court emphasized that the claimant's receipt of a disability pension merely represented an inability to "perform her time-of-injury position" and was not indicative of a decision to "forgo all employment." Id. The court concluded that, at most, a claimant's receipt of a pension could give rise to a permissive inference that a claimant is retired, which "was just one fact of many possible probative facts that must be considered in determining whether the claimant has voluntarily withdrawn from the workforce." Robinson II, ___ Pa. at ___, 67 A.3d at 1206.
The court described a "permissive inference" as "no more than a logical tool enabling the trier of fact to proceed from one fact to another, if the trier of fact believes that the weight of the evidence and the experiential accuracy of the inference warrants so doing.... The trier of fact can reject the inference in whole or in part." Robinson II, ___ Pa. at ___, 67 A.3d at 1204. In addition, the court explained that there is no burden shifting with a permissive inference and that the burden of persuasion remained with the employer to persuade the trier of fact that "the suggested conclusion should be inferred based on the predicate facts proved." Id. (citations omitted). The court added that such an inference, on its own, is not sufficient to meet the employer's burden.
Furthermore, in Robinson II, the court approved this Court's "totality of the circumstances" analysis as "simply another way of saying that the fact-finder must evaluate all of the relevant evidence in determining whether a worker has retired from the workforce." Robinson II, ___ Pa. at ___, 67 A.3d at 1209. The court
Robinson II, ___ Pa. at ___, 67 A.3d at 1209-10 (emphasis added).
In the present case, both the WCJ and the Board relied on the fact that Claimant had applied for and accepted a disability pension from Employer, and both applied a presumption gleaned from Henderson to conclude that Employer met its burden of establishing that Claimant had voluntarily withdrawn from the workforce. Given our Supreme Court's recent decision in Robinson II, which specifically rejected any such presumption from Henderson, we must conclude that such reliance was in error. As the court in Robinson II made clear, the receipt of any type of pension does not raise a presumption that a claimant retired from the workforce, and, here, Claimant's receipt of a disability pension merely shows Claimant's inability to perform her time-of-injury job.
Accordingly, the order of the Board is vacated and the matter is remanded to the Board, with specific instructions to remand to the WCJ, for further findings consistent with this opinion.
AND NOW, this 16th day of October, 2013, the order of the Workers' Compensation Appeal Board (Board), dated March 1, 2013, is hereby vacated. The matter is remanded to the Board, with specific instructions to remand to the Workers' Compensation Judge, for further findings consistent with this opinion.
Jurisdiction relinquished.
CONCURRING OPINION BY Judge SIMPSON.
This workers' compensation appeal involves a finding that Nancy Turner (Claimant) voluntarily removed herself from the workforce by retiring. I agree with the majority that the decisions by the compensation authorities should be vacated and remanded to the fact-finder for reconsideration in light of our Supreme Court's recent clarification of the burdens of proof in City of Pittsburgh v. Workers' Compensation Appeal Board (Robinson), ___ Pa. ___, 67 A.3d 1194 (2013).
I write separately to specifically address, and reject, an argument made by Claimant. She argues that because she had no legal duty to look for work until she received a Notice of Ability to Return to Work (Notice) in 2007, her failure to look for work for several years after her receipt of disability retirement in 2003 cannot be considered by the fact-finder as a matter of law.
Claimant was injured in early 1994. From 1994 to mid-2003 she worked at a light duty job for her employer, the City of Pittsburgh (Employer). When the light-duty job was discontinued, she accepted a disability retirement. She did not look for other work from mid-2003 until after she received the Notice in 2007.
Because Claimant actually worked a light-duty job with Employer for nine years, she knew that she possessed residual earning capacity. Indeed, she acknowledged she was capable of performing some level of work, such as the light-duty work she previously performed for Employer. Reproduced Record (R.R.) at 37a-38a.
Claimant's argument that she had no duty to look for work before receipt of the Notice could be a persuasive assertion. However, it should be part of the weight-of-evidence arguments made to the fact-finder, not a per se legal rule which artificially restricts the circumstances all fact-finders consider. The propriety of a weight-of-evidence approach is obvious here, where Claimant did not need a Notice to advise her she was able to work. The situation illustrates the need for a more flexible "totality of circumstances" analysis. Robinson, ___ Pa. at ___, 67 A.3d at 1209.
In sum, I would allow the fact-finder to weigh Claimant's pre-Notice acts, intentions and omissions in deciding whether Claimant retired.
Robinson I, 4 A.3d at 1137 (quoting Landmark Constructors, 560 Pa. at 626, 747 A.2d at 854).
Day, 6 A.3d at 644-45 (McCullough, J., concurring).