VICTOR DIAZ v. CITY OF BRIDGEPORT ET AL.
(AC 44104)
Prescott, Suarez and Vertefeuille, Js.
Argued April 14—officially released November 9, 2021
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Syllabus
The defendant employer and its insurer appealed from the decision of the Compensation Review Board affirming the Workers’ Compensation Commissioner‘s decision to grant the plaintiff‘s request to commute into a lump sum certain disability payments. The defendant had employed the plaintiff as a member of its municipal police department. While employed by the defendant, the plaintiff was diagnosed with hypertension. Subsequently, the commissioner found that the plaintiff‘s hypertension was a significant, contributing factor in the development of his coronary artery disease and, accordingly, that such disease was compensable under the Workers’ Compensation Act (
- The defendant could not prevail on its claim that the board improperly affirmed the commissioner‘s order granting the plaintiff‘s request for a commutation of the partial disability payments due to him for weeks 123 through 245 of his award, without instituting a moratorium against payment of the benefits due for the first 122 weeks of his award: although the defendant argued that a lump-sum payment pursuant to a commutation order should be included in determining whether a payment exceeds the maximum weekly compensation under the applicable statute (
§ 31-309 ) for workers’ compensation benefits, this interpretation was inconsistent with the purpose of the commutation statute and, without reference to the lump-sum payment pursuant to the commutation, the plaintiff‘s award did not exceed the maximum weekly compensation under§ 31-309 . - The defendant‘s claim that the board erred in not concluding that the commissioner‘s commutation order violated the cap on heart and hypertension benefits pursuant to statute (
§ 7-433b ) was unavailing: although the statutory cap applied in the present case because the plaintiff was receiving both a disability benefit pursuant to statute (§ 7-433c ) and a retirement pension, the plaintiff‘s award complied with the statutory cap imposed by§ 7-433b because the plaintiff‘s lump-sum payments pursuant to the commutation award are excluded and the amount of the plaintiff‘s weekly disability benefit coupled with his pension payment did not exceed the statutory guidelines. - The board correctly concluded that the commissioner‘s commutation order did not violate the principles of equity: contrary to the defendant‘s claim, there was no double recovery because, although one-half of the award was paid in weekly installments and the other half was paid as a onetime lump sum, the plaintiff did not receive anything in excess of the original award to which he was entitled and, thus, the fact that the plaintiff received the lump sum while simultaneously receiving weekly payments of the award did not constitute a double recovery; moreover, although the commutation order may have presented a budgetary challenge for the defendant, this court was not persuaded that the commissioner‘s decision to commute the award in the fashion requested by the plaintiff was improper.
Procedural History
Appeal from the decision of the Workers’ Compensation Commissioner for the Fourth District granting the plaintiff‘s request to commute certain disability benefit payments due to him into a lump sum, brought to the Compensation Review Board, which affirmed the commissioner‘s decision, and the defendants appealed to this court. Affirmed.
David J. Morrissey, for the appellee (plaintiff).
Opinion
SUAREZ, J. In this workers’ compensation matter, the defendant employer, the city of Bridgeport,1 appeals from the decision of the Compensation Review Board (board) affirming the decision of the Workers’ Compensation Commissioner for the Fourth District (commissioner) of the Workers’ Compensation Commission to grant the request of the plaintiff, Victor Diaz, to commute into a lump sum the permanent partial disability benefit payments due him for the final 123 weeks of an overall period of 245 weeks. On appeal, the defendant claims that the board improperly (1) affirmed the order of the commissioner granting the plaintiff‘s request without instituting a moratorium against payment of the plaintiff‘s first 122 weeks of permanent partial disability benefits, (2) concluded that the commissioner‘s commutation order does not violate the cap on heart and hypertension benefits pursuant to
The following facts, as found by the commissioner or as are undisputed in the record, and procedural history are relevant to our resolution of this appeal. On and for some time prior to January 31, 1989, the defendant employed the plaintiff as a regular member of its municipal police department. Upon his entry into service, the plaintiff submitted to a preemployment physical examination, which failed to reveal evidence of heart disease or hypertension. On or about January 31, 1989, while still employed by the defendant, the plaintiff was diagnosed with hypertension. Pursuant to an initial finding and award dated October 20, 1993, the commissioner awarded the plaintiff a specific award equal to a 10 percent permanent impairment of the heart.
On June 20, 2001, the plaintiff retired as a result of unrelated orthopedic injuries. On May 17, 2007, the plaintiff was diagnosed with coronary artery disease. By a finding and award dated August 9, 2010, the commissioner found that the plaintiff‘s hypertension was a significant, contributing factor in the development of his coronary artery disease and, accordingly, that such disease also was compensable under the Workers’ Compensation Act,
On January 19, 2017, Paul Nussbaum, a nephrologist, evaluated the plaintiff and determined that he suffered from chronic kidney disease. Nussbaum examined the plaintiff again on February 5, 2018, and determined that the plaintiff had a 70 percent permanent impairment of the bilateral kidneys caused by his hypertension. On the basis of this determination, on January 30, 2019, in a supplemental finding and award, the plaintiff was awarded 245 weeks of permanent partial impairment disability benefits at the weekly compensation rate of $551.13. The plaintiff‘s maximum medical improvement date was February 20, 2019. The plaintiff subsequently requested that the partial disability benefit payments due him for the final 123 weeks of the 245 week award period be commuted into a lump sum.
On April 15, 2019, a formal hearing was held to determine whether a portion of the plaintiff‘s permanent partial disability award was eligible for commutation pursuant to
Following the hearing, the commissioner concluded that the plaintiff had shown “good and sufficient cause” for a commutation of his permanent partial disability award. Accordingly, the commissioner granted the commutation for benefits due the plaintiff for weeks 123 through 245 of his award. The commissioner also ordered the defendant to continue paying the plaintiff‘s weekly permanent partial disability benefits until the expiration of week 122, at which time the entire award would be satisfied.2 The defendant could then terminate its weekly payments without filing a notice to discontinue benefits. The commissioner instituted a moratorium against the payment of weekly benefits for the time period covered by the commutation.
The defendant filed an appeal to the board. On appeal, the defendant claimed that the commissioner improperly applied
To the extent that the claims raised in the present appeal require us to interpret the Workers’ Compensation Act, “we are mindful of the proposition that all workers’ compensation legislation, because of its remedial nature, should be broadly construed in favor of disabled employees. . . . This proposition applies as well to the provisions of [General Statutes]
We must also set forth the legal principles common to the defendant‘s claims. “[Section] 7-433c entitles a qualified, hypertensive or heart-disabled firefighter or police officer to receive compensation and medical care equivalent to that available under . . . the Workers’ Compensation Act.” Lambert v. Bridgeport, 204 Conn. 563, 566, 529 A.2d 184 (1987). Subsection (a) of
“The benefits provided under
I
We first address the defendant‘s claim that the board improperly affirmed the
To resolve the defendant‘s claim, we must interpret the language of
We interpret
Section 31-309 (a) limits a claimant‘s “weekly compensation . . . .”
In addition to the text of the statute itself, we must also consider the relationship of
As we have explained,
Our interpretation also aligns with the remedial purpose of the Workers’ Compensation Act. The provisions of
Without reference to the lump-sum payment pursuant to the commutation, the plaintiff‘s award does not exceed the maximum weekly compensation under
II
We next address the defendant‘s claim that the board erred in not concluding that the commissioner‘s commutation order violates the cap on heart and hypertension benefits pursuant to
We begin by setting forth the additional legal principles pertinent to this claim. Section 7-433b (b) imposes a cap on the benefits that employees may collect under
In Carriero v. Naugatuck, supra, 243 Conn. 753, our Supreme Court held that this statutory cap on benefits is applicable to cumulative payments of disability compensation and retirement pension benefits whenever any portion of those payments is awarded under
The statutory cap is applicable in the present case because the plaintiff was receiving both a disability benefit under
To address the defendant‘s claim, we must interpret
Further, we must consider the relationship of
Our interpretation of the statute is also consistent with the remedial nature of the Workers’ Compensation Act. As we noted previously in this opinion, the Workers’ Compensation Act is remedial in nature and “should be broadly construed in favor of disabled employees.” (Internal quotation marks omitted.) Ciarlelli v. Hamden, supra, 299 Conn. 277. This principle also applies to the provisions of
We agree with the board that, regardless of whether the commissioner had granted the plaintiff‘s request for a commutation,
III
Finally, we address the defendant‘s claim that the board improperly concluded that the commissioner‘s commutation order does not violate the principles of equity, including the prohibition on double recovery in the workers’ compensation system. The defendant argues that the commissioner‘s approval of the commutation of the “back end” of the plaintiff‘s award while the “front end” benefits were being paid concurrently constitutes a double recovery. (Internal quotation marks omitted.) We disagree.
This court has long recognized that “[o]ur [Workers’ Compensation] Act does not permit double compensation. . . . When an injury entitles a worker to benefits both under the compensation statute and under other legislation, so that a double burden would be imposed on the employer, our courts have held that compensation payments during the period of disability reduce the employer‘s obligation created by other legislation.” (Internal quotation marks omitted.) McFarland v. Dept. of Developmental Services, 115 Conn. App. 306, 313, 971 A.2d 853, cert. denied, 293 Conn. 919, 979 A.2d 490 (2009). This prohibition on double recovery
Double recovery occurs “[w]hen an injury entitles a worker to benefits both under the compensation statute and under other legislation . . . .” (Internal quotation marks omitted.) McFarland v. Dept. of Developmental Services, supra, 115 Conn. App. 313. For example, this court has held, and our Supreme Court has affirmed, that an award received pursuant to the federal Longshore and Harbor Workers’ Compensation Act must be “wholly credited” against a subsequent award arising out of the same injury under the state Workers’ Compensation Act in order to prevent a double recovery by the plaintiff. McGowan v. General Dynamics Corp./Electric Boat Division, 15 Conn. App. 615, 615–16, 546 A.2d 893 (1988), aff‘d, 210 Conn. 580, 566 A.2d 587 (1989). Our Supreme Court also has held that requiring an employer to pay a claimant for medical expenses that already have been paid by the claimant‘s medical insurance carrier constitutes an impermissible double recovery. See Pokorny v. Getta‘s Garage, supra, 219 Conn. 448.
In the present case, there is no double recovery. The plaintiff received a single award of 245 weeks of compensation at a rate of $551.13 per week. Although one-half of the award was paid in weekly installments and the other half was paid as a onetime lump sum, the plaintiff did not receive anything in excess of the total original award to which he was entitled. Thus, the fact that the plaintiff received the lump sum while he was simultaneously receiving weekly payments of the same award does not constitute a double recovery. As the board acknowledged in its decision, the plaintiff‘s “total payout is still predicated on, and limited to, the same number of weeks for which he would have received weekly benefits had he not chosen to convert part of his permanency award into a lump-sum payment.”
Conceding that the plaintiff has received only the 245 weeks of compensation to which he is entitled, the defendant argues that the manner in which the payment was structured, rather than the amount, constitutes a double recovery. This argument, however, also fails. As illuminated by our case law, the principle against double recovery seeks to prevent a claimant from receiving a “windfall” or being “paid twice for his medical expenses.” (Internal quotation marks omitted.) Pokorny v. Getta‘s Garage, supra, 219 Conn. 444 n.6. The facts in the present case simply do not demonstrate that the commutation order resulted in a windfall or double payment for the plaintiff. As our case law reflects, the principle against double recovery is not violated simply by virtue of when or how benefits are paid but whether a claimant has been “paid twice . . . .” (Internal quotation marks omitted.) Id.
The defendant further argues that the commutation order “is not just to all parties interested in the award.” (Emphasis omitted.) Specifically, the defendant argues that, because the plaintiff received the lump-sum payment (due him for weeks 123 through 245) while he was still receiving weekly payments (due him for weeks 1 through 122), the plaintiff is “placed in the best position possible . . . while the [defendant is] being unduly burdened without any consideration.” We do not agree.
Our Supreme Court has held that the commutation statute “[confers] upon the commissioner authority to commute a compensation award in those cases only where
The decision of the Compensation Review Board is affirmed.
In this opinion the other judges concurred.
SUAREZ, J.
