Montierro v. Rickmers Marine Agency Phils., Inc.

G.R. No. 210634 · 2015-01-14 · J. SERENO, J.: · Primary: Labor; Secondary: Insurance
REITERATION

Facts

The Antecedents: Petitioner Noriel Montierro was hired as an Ordinary Seaman by respondent Rickmers Marine Agency Phils., Inc. (Rickmers) on behalf of its foreign principal. While on board, Montierro sustained a knee injury. He was repatriated to the Philippines for medical treatment. The company-designated physician, Dr. Natalio G. Alegre II, treated Montierro, performed surgery, and issued interim and final disability assessments. Dr. Alegre issued an interim disability grade of 10 on the 91st day of treatment and a final assessment on the 213th day, also a Grade 10, indicating a medial meniscal tear with limited range of motion and pain. Procedural History: Montierro filed a complaint for permanent total disability benefits, relying on the assessment of his own physician, Dr. Manuel C. Jacinto, who declared him totally and permanently disabled. The Labor Arbiter (LA) ruled in favor of Montierro, applying the 120-day rule from Crystal Shipping, Inc. v. Natividad. The National Labor Relations Commission (NLRC) affirmed the LA's decision. The Court of Appeals (CA) partially granted Rickmers' petition, affirming the award of one-month sickness allowance but downgrading the disability benefits to Grade 10 permanent partial disability, applying the 240-day rule from Vergara v. Hammonia Maritime Services, Inc. The CA also deleted the award of attorney's fees. The Petition: Montierro filed a Petition for Review on Certiorari with the Supreme Court, arguing that the 120-day rule should apply, that his physician's assessment should prevail, and that he is entitled to attorney's fees.

Issue(s)

Whether the 120-day rule or the 240-day rule applies to the case. Whether the opinion of the company doctor or the seafarer's personal doctor should prevail. Whether Montierro is entitled to attorney's fees.

Ruling

The Supreme Court denied the petition, affirming the decision of the Court of Appeals. The Court held that the 240-day rule applies, the company-designated physician's assessment prevails, and Montierro is not entitled to attorney's fees.

Ratio Decidendi

On the 120-day rule vs. 240-day rule: The Court clarified that the applicability of the 120-day rule from Crystal Shipping and the 240-day rule from Vergara depends on the filing date of the complaint. Since Montierro filed his complaint on December 3, 2010, which was after the promulgation of Vergara on October 6, 2008, the 240-day rule applies. Under the 240-day rule, the company-designated physician had until January 3, 2011, to issue a final assessment, which was done on the 213th day of treatment. The issuance of an interim grade of 10 within the initial 120-day period justified the extension to 240 days. Therefore, Montierro's condition was not deemed permanent and total disability. On the company doctor vs. personal doctor: The Court reiterated the ruling in Vergara that the procedure outlined in the 2000 POEA-SEC must be strictly followed. This procedure requires that the company-designated physician determines the seafarer's fitness for work within the 120 or 240-day period. If there is a disagreement, a third doctor's opinion may be sought. In this case, Montierro filed his complaint prematurely based on his physician's assessment before the company-designated physician issued a final assessment. Furthermore, the company-designated physician had extensive knowledge of Montierro's condition, having monitored and treated him for an extended period, including surgery and physical therapy. The CA's observation that the company physician's assessment was more detailed and based on regular examinations and treatments, while Montierro's physician's certificate was a one-page document without indicated tests, further supported giving more weight to the company doctor's assessment. On attorney's fees: The Court affirmed the CA's deletion of attorney's fees. While the general rule is that bad faith is required for attorney's fees, in labor cases, the withholding of wages without justification is sufficient. However, in this case, Montierro's premature filing of the complaint meant there was no unlawful withholding of benefits. He was still undergoing treatment and awaiting the final assessment of the company-designated physician. Therefore, his act of filing the complaint was premature, and there was no basis for awarding attorney's fees.

Main Doctrine

The 240-day rule applies to claims filed after October 6, 2008. In case of conflicting medical assessments between the company-designated physician and the seafarer's physician, the company-designated physician's assessment prevails if the seafarer fails to follow the prescribed procedure under the POEA-SEC, particularly the referral to a third doctor.

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