Seafarer’s Obligation to Comply with His Medical Treatment

Seachest Associates, through its manning agent, Maunlad Trans, Inc. hired the seafarer as a Galley Steward on-board MV Carnival. Several months into his employment, the seafarer began experiencing seasickness and extreme low back pains. Despite medications administered by the ship’s clinic, the pain persisted and extended down to the seafarer’s left thigh.

Soon, the seafarer was medically repatriated and arrived in the Philippines on 23 January 2010. He reported to Maunlad Trans, Inc. and was referred to its designated physician. The seafarer underwent physical therapy sessions and was diagnosed with ‘lumbar spondylosis with disc extrusion, L3-L4.’ He was also advised to undergo surgery, spine laminectomy. However, he did not approve of the same and instead underwent physical therapy sessions. According to the seafarer, he refused because the company-designated physician informed him that the surgery will not guarantee a return to his normal condition.

On 6 May 2010, the seafarer returned for a follow-up, and the report on his condition stated:

Follow-up case of 28 years old male with Herniated Nucleus
Pulposus, L3-L4, Left.
EMG-NCV Study — chronic left L5-S1 radiculopathy
Not keen on surgery.
Continue rehabilitation.
His suggested disability grading is Grade 8 — 2/3 loss of motion or lifting power of the trunk.
To come back after 3 weeks.

On 14 May 2010, the seafarer filed his complaint for total and permanent disability benefits since his condition did not improve for purposes of resuming regular duties as a seafarer. The employers retorted that the company-designated physician assessed the seafarer a disability rating of Grade 8, which had equivalent monetary benefits in the amount of US$16,795.00.

The Office of the Labor Arbiter ruled that the company-designated physician’s Grade 8 disability rating was premature, in that it was made only to comply with the 120-day period as mandated in the Philippine Overseas Employment Administration Standard Employment Contract. The said Office further ruled that the work-related disability incurred by the seafarer had prevented him from seeking employment. Permanent disability benefits was accordingly awarded in favor of the seafarer.

The National Labor Relations Commission and the Court of Appeals affirmed the Decision of the Office of the Labor Arbiter. The Court of Appeals added that:

  • the company-designated physician failed to arrive at a definite assessment of the seafarer’s fitness or disability within the 120/240-day periods provided under the law;
  • the company-designated physician’s last report on the seafarer’s condition which “suggested” a disability grading of “Grade 8 — 2/3 loss of motion or lifting power of the trunk” was not a final or definite assessment of his fitness or disability because the seafarer was still required to return after three weeks for further examination;
  • regardless of the fact that the seafarer was required to return for further examination, the statutory 120/240-day periods would have elapsed without the seafarer being issued either a final and definitive disability assessment or a fit-to-work certification;
  • the seafarer’s condition would not have improved even with the prescribed surgery, which he refused to undergo, because as admitted by the company-designated physician it did not guarantee improvement of seafarer’s condition;
  • the seafarer was unable to resume his regular sea duties, his inability to find work had continued, and he was not re-employed; and
  • with the lapse of the statutory 120/240-day periods without the seafarer’s having gone back to work, he should be deemed totally and permanently disabled.

Ruling:

The Supreme Court reversed the ruling of the Court of Appeals and declared that the seafarer was entitled to disability benefits in the amount of US$16,795.00 only, equivalent to Grade 8 disability under the Philippine Overseas Employment Administration Standard Employment Contract.

Section 20(D) of the Philippine Overseas Employment Administration Standard Employment Contract states that “[n]o compensation and benefits shall be payable in respect of any injury, incapacity, disability or death of the seafarer resulting from his willful or criminal act or intentional breach of his duties, provided however, that the employer can prove that such injury, incapacity, disability or death is directly attributable to the seafarer.”

According to the Supreme Court, the seafarer was duty-bound to comply with his medical treatment in order to give the company-designated physician the opportunity to determine his fitness to work or to assess the degree of his disability. His inability to continue his treatment without any valid explanation showed that he neglected such duty to continue his medical treatment.

In the present case, the seafarer filed his complaint on 14 May 2010 — or just 110 days from his medical repatriation on 23 January 2010 — before the 120/240-day periods allowed under the Labor Code of the Philippines could elapse, and before the company-designated physician could render a definite assessment of his medical condition. According to the Court, the filing of the labor case was premature. By failing to continue with the treatment prescribed by the company-designated physician and instead filing the labor case before the expiration of the 120-day period, the seafarer violated the law and his contract with his employer and was thus guilty of abandoning his treatment.

With regard to the claim of the seafarer that the surgery was not a guarantee that his condition will return to normal, the Court stated that the same does not entitle him to the indemnity he has sought. The fact remained that he violated his contract and the law. His infraction erased any benefit he may have derived from such argument. Although acknowledging that this was a medical opinion shared by the company-designated physician, the Court stated that it had the discretion to rely on such opinion or discard it altogether.

The Court added that without the seafarer undergoing the prescribed 120/240-day periods for treatment, his employer was deprived of the opportunity to assist him in finding a cure for his condition and thus minimize any legal and pecuniary liability it may be held answerable for. At the same time, there was no way of assessing the seafarer’s medical condition with finality. Without such assessment, no corresponding indemnity was forthcoming. The seafarer must subject himself to treatment as prescribed by the law and the Philippine Overseas Employment Administration Standard Employment Contract, for such requirement is patently for his benefit in all respects.

Further reading:

  • Maunlad Trans, Inc. v. Rodelas, Jr., G.R. No. 225705, April 1, 2019.

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