Delegete v. Employees' Compensation Commission

G.R. No. L-47460 · 1982-11-02 · J. MAKASIAR, J.: · Primary: Labor; Secondary: Insurance
REITERATION

Facts

The Antecedents: The late Baltazar Delegente, a letter-carrier for over thirty-four years, was diagnosed with metastatic well-differentiated epidermoid carcinoma of the thyroid gland. He also suffered from pulmonary tuberculosis (PTB). Procedural History: Baltazar Delegente filed a claim for medical and income benefits with the Government Service Insurance System (GSIS) under Presidential Decree No. 626, as amended. The GSIS denied the claim, stating that epidermoid carcinoma of the thyroid gland is not an occupational disease and did not arise from his duties. A motion for reconsideration was filed, alleging that his ailments were caused by his exposure to various health hazards as a letter-carrier. The GSIS affirmed its denial. The claim was elevated to the Employees' Compensation Commission (ECC), which also affirmed the denial, finding no basis under PD 626 for compensability and noting the lack of proof that the risk of contracting the disease was increased by his working conditions. The medical certificates submitted did not categorically state that the illness was directly caused by his duties. The Petition: Amelia Delegente, widow of the deceased, filed a petition for certiorari seeking to set aside the decision of the ECC. The Supreme Court noted that the cause of action accrued prior to the effectivity of the New Labor Code, thus the governing law should be the old Workmen's Compensation Act.

Issue(s)

Whether the claim for compensation benefits should be governed by the old Workmen's Compensation Act or the New Labor Code. Whether the deceased's ailments, epidermoid carcinoma of the thyroid gland and pulmonary tuberculosis, are compensable. Whether the presumption of compensability and the principle of aggravation under the old Workmen's Compensation Act apply. Whether the employer, Bureau of Posts, or the State Insurance Fund administered by GSIS is liable for the claim.

Ruling

The Supreme Court set aside the decision of the Employees' Compensation Commission and ordered the Government Service Insurance System (GSIS) to pay Amelia Delegente death benefits, medical and hospital expenses, burial expenses, and attorney's fees, without prejudice to the GSIS's right to seek reimbursement from the Bureau of Posts.

Ratio Decidendi

On the governing law: The Court ruled that since the cause of action accrued prior to the effectivity of the New Labor Code, the governing law is the old Workmen's Compensation Act. This is supported by the undisputed facts indicating the onset of the illness one and a half years before September 13, 1975, placing the accrual of the cause of action in April 1974 or earlier, before the New Labor Code took effect. The Court reiterated its pronouncements in previous cases, such as Lao v. Employees' Compensation Commission and Corales v. Employees' Compensation Commission, that the law in force at the time of the accrual of the cause of action shall govern. On the compensability of the ailments: The Court held that under the old Workmen's Compensation Act, there is a disputable presumption that an illness that supervened during the course of employment is compensable, either arising out of or aggravated by the employment, in the absence of proof to the contrary. The respondents failed to establish such contrary proof. The Court noted that the deceased's duties as a letter-carrier exposed him to various health hazards, including changes in weather, dust, fatigue, and contact with people where tuberculosis is prevalent, which could have contributed to his ailments. The Court also acknowledged the strenuous nature of a letter-carrier's work, including traversing difficult terrains and inclement weather, which can weaken bodily resistance and lead to pulmonary tuberculosis. On the presumption of compensability and aggravation: The Court emphasized that under the Workmen's Compensation Act, the presumption of compensability applies, and the burden of proof shifts to the employer to rebut it. Furthermore, the principle of aggravation is recognized, meaning an ailment is compensable if employment contributed even in a small degree to its development or worsening. The Court found that the respondents failed to adduce substantial evidence to rebut this presumption. The medical opinion stating the illness was not directly caused by duties was deemed insufficient against the legal presumption, especially when the exact etiology of cancer is unknown. On the liability for payment: The Court clarified that for claims accruing prior to the New Labor Code, the employer, not the State Insurance Fund administered by GSIS, is liable. Citing its resolution in Lao v. Employees' Compensation Commission, the Court stated that the employer should pay the claim. However, in the dispositive portion, the Court ordered the GSIS to pay, with the explicit statement that this is without prejudice to the GSIS's right to seek reimbursement from the Bureau of Posts, after affording the employer a hearing. This approach was deemed to merit approval as it assures due process.

Main Doctrine

The claim for compensation benefits that accrued prior to the effectivity of the New Labor Code shall be governed by the old Workmen's Compensation Act, which presumes compensability and allows for aggravation of illness, shifting the burden of proof to the employer to rebut such presumption.

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