The Facts
On July 20, 2012, petitioner filed a complaint for permanent total disability benefits against respondents before the National Labor Relations Commission (NLRC). The complaint stemmed from his claim that: (a) he accidentally fell on deck while lifting heavy loads of lube oil drum, with his left arm hitting the floor first, bearing his full body weight; (b) he has remained permanently unfit for further sea service despite major surgery and further treatment by the company-designated physicians; and (c) his permanent total unfitness to work was duly certified by his chosen physician whose certification must prevail over the palpably self-serving and biased assessment of the company-designated physicians.
For their part, respondents countered that the fit-to-work findings of the company-designated physicians must prevail over that of petitioner’s independent doctor, considering that: (a) they were the ones who continuously treated and monitored petitioner’s medical condition; and (b) petitioner failed to comply with the conflict-resolution procedure under the Philippine Overseas Employment Administration-Standard Employment Contract (POEA-SEC). Respondents further averred that the filing of the disability claim was premature since petitioner was still undergoing medical treatment within the allowable 240-day period at the time the complaint was filed.
The Labor Arbiter (LA)11 and the NLRC12 gave more credence to the medical report of petitioner’s independent doctor and, thus, granted petitioner’s disability claim.
However, the CA disagreed with the conclusions of the LA and the NLRC, and dismissed petitioner’s complaint. It ruled that the claim was premature because at the time the complaint was filed.
Issue
Whether or not, the independent doctor of the petitioner shall be given credence to determine the disability of the petitioner.
Ruling
No. Moreover, petitioner failed to comply with the prescribed procedure under the afore-quoted Section 20 (A) (3) of the 2010 POEA-SEC on the joint appointment by the parties of a third doctor, in case the seafarer’s personal doctor disagrees with the company-designated physician’s fit-to-work assessment.
In the recent case of Veritas Maritime Corporation v. Gepanaga, Jr. involving an almost identical provision of the CBA, the Court reiterated the well-settled rule that the seafarer’s non-compliance with the mandated conflict-resolution procedure under the POEA-SEC and the CBA militates against his claims, and results in the affirmance of the fit-to-work certification of the company-designated physician, thus:
The [POEA-SEC] and the CBA clearly provide that when a seafarer sustains a work-related illness or injury while on board the vessel, his fitness or unfitness for work shall be determined by the company-designated physician.
If the physician appointed by the seafarer disagrees with the company-designated physician’s assessment, the opinion of a third doctor may be agreed jointly between the employer and the seafarer to be the decision final and binding on them.
Thus, while petitioner had the right to seek a second and even a third opinion, the final determination of whose decision must prevail must be done in accordance with an agreed procedure. Unfortunately, the petitioner did not avail of this procedure; hence, we have no option but to declare that the company-designated doctor’s certification is the final determination that must prevail.