FRANKS v WHITE PINE COPPER DIVISION
CHAMBERS v GENERAL MOTORS CORPORATION
GOMEZ v GENERAL MOTORS CORPORATION
Docket Nos. 70901, 71719, 71921
Supreme Court of Michigan
October 7, 1985
Rehearings denied in Chambers and Gomez, 424 Mich 1202
422 Mich 636
Argued January 8, 1985 (Calendar Nos. 1-3).
John H. Chambers retired from General Motors Corporation in 1974 and began receiving retirement benefits. Shortly thereafter, he filed a petition for workers’ compensation, alleging that
REFERENCES FOR POINTS IN HEADNOTES
[1-3, 5] Am Jur 2d, Workmen‘s Compensation §§ 365, 366.
Right of health or accident insurer to intervene in worker‘s compensation proceeding to recover benefits previously paid to claimant or beneficiary. 38 ALR4th 355.
[3] Am Jur 2d, Unemployment Compensation § 90.
Right to unemployment compensation as affected by receipt of Social Security benefits. 56 ALR3d 552.
Right to unemployment compensation as affected by receipt of pension. 56 ALR3d 520.
[4, 6] Am Jur 2d, Workmen‘s Compensation § 613 et seq.
Right of Director of Office of Workers’ Compensation Programs to intervene in proceeding to review decision of Benefits Review Board. 48 ALR Fed 839.
[5] Am Jur 2d, Workmen‘s Compensation § 338 et seq.
Anacleto Gomez was injured on May 31, 1979. A hearing referee found him to be partially disabled and awarded workers’ compensation benefits. In addition, Gomez received supplemental compensation and pension benefits. As in Chambers, General Motors notified Gomez of its intention to coordinate his benefits. A hearing referee ruled that the setoff provisions of § 354 did not apply because the injuries occurred prior to the effective date of § 354, and the board affirmed. The Court of Appeals, DANHOF, C.J., and BRONSON and CYNAR, JJ., denied the defendant‘s application for leave to appeal (Docket No. 67915). The defendant appeals.
In Chambers and Gomez the board also ruled that an employer is required to petition for and prevail at an evidentiary hearing before the Bureau of Workers’ Compensation prior to coordinating benefits under § 354.
In an opinion by Justice BOYLE, joined by Chief Justice WILLIAMS, and Justices LEVIN, BRICKLEY, and CAVANAGH, and by Justices RYAN and RILEY in Chambers and Gomez, but concurring only in the result in Franks, the Supreme Court held:
Section 354 of 1981 PA 203 may be applied to offset workers’ compensation liability to workers injured prior to its effective date; an employer may reduce the amount of workers’ compensation benefits payable after March 31, 1982, for periods of disability after that date by deducting other employer-financed benefits such as social security, disability, and pension benefits as specified in § 354 which are being received by an injured worker and are attributable to the same compensable periods after March 31, 1982. The employer need not file a petition with the Bureau of Workers’ Compensation and prevail at an evidentiary hearing before it is entitled to coordinate benefits. It must only report to the bureau the credit against or reduc
Under the provisions of § 358 of 1980 PA 357, unemployment compensation paid for weekly periods before January 1, 1982, is not deductible from workers’ compensation benefits payable for the identical weekly periods, but weekly payments of workers’ compensation that become due on or after January 1, 1982, are to be reduced by unemployment compensation paid or payable for the same periods, although the worker was injured before that date.
In Franks, the board clearly erred in holding that the employer had waived a defense based on the two-year-back rule because the decision before the board on review did not involve benefits for any time period which would require invoking the rule and the claimant had not sought benefits for a longer period.
- Sections 354 and 358 of the workers’ compensation act, which were enacted as parts of a series of reforms of the workers’ compensation laws, became effective in 1982 and provide for offset against and coordination of workers’ compensation benefits. The workers in these cases were injured prior to the effective dates of the sections. In Chambers and Gomez, the employer applied § 354 to reduce its obligation to pay workers’ compensation on the basis of periods of liability after March 31, 1982; in Franks, the employer sought to reduce its liability by the amount of unemployment compensation received by the worker during earlier periods also covered by workers’ compensation.
- Section 354 of the workers’ compensation act clearly and unambiguously provides for coordination of workers’ compensation benefits and other benefits specified in the section for all compensable periods subsequent to its effective date, March 31, 1982, regardless of when an injury occurs. Application of the section is not limited to cases in which workers’ compensation benefits are paid to a worker for injuries received after March 31, 1982; nor does it proscribe application where payments are made for injuries received prior to that date. In the absence of express language of limitation, the section is generally applicable to all payments made after its effective date, including payments to compensate for injuries, such as those in Chambers and Gomez, which occurred prior to the effective date. While the section may permit coordination where the injury occurred prior to the effective date, only payments received and attributable to periods after the effective date may be coordinated. The rationale for providing for coordination, to eliminate
duplication of benefits for injured workers and thus prevent a disincentive to work, applies regardless of when an injury occurred. - An employer need not file a petition and present proofs at an evidentiary hearing before the Bureau of Workers’ Compensation prior to coordinating an employee‘s benefits. The employer need only notify the bureau of the amount of the credit against or reduction in benefits and, upon request, furnish proof of the basis for the offset. The potential for error by the employer is minimal, and the due process rights of the claimant are protected by provision for a hearing after the offset occurs.
- Section 358 of the workers’ compensation act provides that workers’ compensation benefits payable to an injured worker must be reduced by the entire amount of unemployment compensation paid or payable to the worker for identical periods of time and chargeable to the same employer. The provision does not constitute a clear legislative statement as to retroactivity or to the period of time intended to be covered by the statute. Although it supplies some limitations as to when unemployment benefits qualify for the setoff, it says nothing about the period of time to which the setoff attaches. Generally, statutes are presumed to operate prospectively unless the contrary intent is clearly manifested. Although a statute is not regarded as operating retrospectively merely because it relates to an antecedent event, application of the provisions of § 358 to impose a disability, in the form of a setoff, upon the amount of workers’ compensation time periods prior to the effective date of the legislation in question is purely retroactive. Statutes which operate in furtherance of a remedy or mode of procedure and which neither create new rights nor destroy, enlarge, or diminish existing rights are generally held to operate retrospectively unless a contrary legislative intention is manifested. Section 358 may not be regarded as wholly procedural in character. Its effect, if applied, would result in taking from the plaintiff the substantive right to receipt of compensation payments which existed prior to its enactment. Thus, only a clear statement of legislative intent would justify retroactive application. Nor should § 358 be applied retroactively as being remedial. While § 358 is “remedial” in the sense that it was adopted to effect a reform which would correct certain injustice in the system, retroactive application would also significantly and detrimentally affect the substantive right of certain injured employees to receipt of workers’ compensation. In addition, such a construction would appear to reward employers who are
found to have incorrectly withheld payment of workers’ compensation benefits and correspondingly penalize those who timely made such payments prior to January 1, 1982. There is nothing in the provision to overcome the presumption that only prospective operation was intended. Thus, unemployment compensation paid for weekly periods before the January 1, 1982 effective date of § 358 is not deductible from workers’ compensation benefits payable for the identical pre-1982 periods; however, weekly payments of workers’ compensation that become due on or after January 1, 1982, are to be reduced by unemployment compensation benefits paid or payable for the same periods. - Under the workers’ compensation act, compensation may not be paid for periods of time more than two years prior to the date on which an injured worker applies for a hearing with the bureau. In Franks, the appeal board erred in holding that the employer had waived the two-year-back rule as a defense, thereby permitting the liability for benefits to extend to 1971. The initial order of the hearing referee, did not require payment of disability benefits for periods prior to 1977, and the claimant did not apply for review of the commencement date; thus there was no reason for the employer to raise the defense on appeal. Only after the appeal board modified the referee‘s decision did the date on which benefits commenced exceed the two-year limit. A defendant is not required to raise possible affirmative defenses or risk waiving them unless a claim is presented to which a defense is applicable. Under the circumstances of the case, the employer could not have appealed a ruling on the two-year-back rule because the referee‘s award did not extend beyond the two-year limit. There was no need for the employer to anticipate a need to argue the issue prior to the board‘s determination that it was liable to pay additional benefits. In addition, the employer did not stipulate or specify that an issue other than the two-year-back rule was to be the sole issue on appeal.
Justice LEVIN, concurring, agreed that the date of injury is not determinative, but would hold that the January 1, 1982 effective date stated in the 1980 and 1981 amendatory acts is determinative. The legislative purpose in providing a specific future effective date was to indicate when the provisions of the 1980 and 1981 amendatory acts providing for coordination of benefits would take effect. In stating that both acts should take effect on January 1, 1982, the Legislature indicated its intention that the coordination provisions of the acts would become effective on January 1, 1982, and not before that date. Thus, an
Justice RILEY, joined by Justice RYAN, concurring, stated that the two-year-back provision clearly was intended to limit the authority of a hearing referee and the Workers’ Compensation Appeal Board in awarding benefits. Thus, Franks should be reversed and remanded on the basis of that limitation, rather than the basis stated by the majority that the particular facts and circumstances of the case preclude the necessity of the defendant raising the provision in proceedings before the board.
Reversed and remanded.
Justice CAVANAGH took no part in the decision of Franks.
122 Mich App 177; 332 NW2d 447 (1982) reversed.
OPINION OF THE COURT
- WORKERS’ COMPENSATION — COORDINATION OF BENEFITS.
Section 354 of 1981 PA 203 may be applied to offset workers’ compensation liability to workers injured prior to its effective date; an employer may reduce the amount of workers’ compensation benefits payable after March 31, 1982, for periods of disability after that date by deducting other employer-financed benefits such as social security, disability, and pension benefits as specified in § 354 which are being received by an injured worker and are attributable to the same compensable periods after March 31, 1982 (
1981 PA 203, MCL 418.354 ; MSA 17.237[354]). - WORKERS’ COMPENSATION — COORDINATION OF BENEFITS.
An employer need not file a petition with the Bureau of Workers’ Compensation and prevail at an evidentiary hearing prior to coordinating workers’ compensation benefits; it must only report to the bureau the credit against or reduction in benefits and provide proof of the basis for the reduction or credit if requested by the bureau (
MCL 418.354 ; MSA 17.237[354]). - WORKERS’ COMPENSATION — UNEMPLOYMENT COMPENSATION — OFFSET AGAINST BENEFITS.
Unemployment compensation paid for weekly periods before January 1, 1982, is not deductible from workers’ compensation benefits payable for the identical weekly periods, but weekly payments of workers’ compensation that become due on or aftеr January 1, 1982, are to be reduced by unemployment compensation paid or payable for the same periods, although
the worker was injured before that date ( 1980 PA 357, MCL 418.358 ; MSA 17.237[358]). - WORKERS’ COMPENSATION — APPEAL BOARD — TWO-YEAR-BACK RULE.
The Workers’ Compensation Appeal Board, after modifying a decision by a hearing referee so as to extend an employer‘s liability to pay workers’ compensation benefits to include a period more than two years prior to the claimant‘s application for a hearing, erred in holding that the employer had waived a defense based on the two-year-back rule, where the decision being appealed did not involve an order setting liability to pay benefits beyond the two-year limit, the claimant had not requested review of the commencement date for eligibility for benefits, and the employer did not stipulate or specify that an issue other than the two-year-back rule was to be the sole issue on appeal (
MCL 418.381[2] ; MSA 17.237[381][2]).
CONCURRING OPINION BY LEVIN, J.
- WORKERS’ COMPENSATION — COORDINATION OF BENEFITS — EFFECTIVE DATES.
The effective date of the acts amending the coordination of benefits provisions of the workers’ compensation act are determinative of when they become effective, not the date of a worker‘s injury (
MCL 418.354 ,418.358 ; MSA 17.237[354], 17.237[358]).
CONCURRING OPINION BY RILEY, J.
- WORKERS’ COMPENSATION — APPEAL BOARD — TWO-YEAR-BACK RULE.
The Workers’ Compensation Appeal Board or a hearing referee may not award the payment of benefits for any period of time earlier than two years immediately preceding the date on which a worker applies for a hearing with the Bureau of Workers’ Disability Compensation (
MCL 418.381[2] ; MSA 17.237[381][2]).
Wisti, Jaaskelainen, Makinen & Goodman, P.C. (by Gordon J. Jaaskelainen), for plaintiff Franks.
Bockoff & Zamler, P.C. (by Daryl Royal) for plaintiff Chambers.
Sachs, Nunn, Kates, Kadushin, O‘Hare, Helves-
Vairo, Mechlin, Tomasi, Johnson & Manchester (by Paul J. Tomasi) for defendant White Pine Copper Division.
Bodman, Longley & Dahling (by Theodore Souris, Lloyd C. Fell, and Kim Michael Lavalle) (M. J. Basford, W. W. Wallace, and D. M. Davis, of counsel) for defendant General Motors Corporation in Chambers.
Braun, Kendrick, Finkbeiner, Schafer & Murphy (by E. Louis Ognisanti and Bruce L. Dalrymple) (M. J. Basford, W. W. Wallace, and D. M. Davis, of counsel) for defendant General Motors Corporation in Gomez.
Frank J. Kelley, Attorney General, Louis J. Caruso, Solicitor General, and Richard F. Zapala, Assistant Attorney General, for intervening defendant Director of the Bureau of Workers’ Disability Compensation in Chambers.
Amici Curiae:
Lacey & Jones (by Gerald M. Marcinkoski) for Chrysler Corporation and Conklin, Benham, McLeod, Ducey & Ottaway, P.C. (by Martin L. Critchell), for Michigan Self-Insurers’ Association in Chambers.
BOYLE, J.
I
INTRODUCTION
We granted leave in these consolidated cases
In the Chambers and Gomez cases, we consider whether § 354,
In the Franks case, we will consider whether an employer may apply § 358,
Both §§ 354 and 358 were enacted as parts of a series of legislative reforms of the workers’ com-
The cases under consideration today involve employees who were injured prior to the effective dates оf the pertinent sections. In Chambers and Gomez, the plaintiffs’ employer, General Motors, applied § 354 to reduce its workers’ compensation obligation, on the basis of liability for disability during periods after that section‘s March 31, 1982 effective date, to workers injured prior to that date. In Franks, the employer, White Pine Copper, sought to reduce its liability for workers’ compensation benefits payable by the amount of unemployment compensation payment the employee had already received to compensate him for his wage loss during earlier periods also covered by the workers’ compensation award.
In both instances the Workers’ Compensation Appeal Board and the Court of Appeals held that § 354 and § 358 could not be applied to reduce workers’ compensation obligations to workers injured prior to their respective effective dates.2
II
THE CHAMBERS AND GOMEZ CASES
A. Facts and Procedural History
Plaintiff John Chambers worked for defendant
Shortly after his retirement, on October 16, 1974, plaintiff filed a petition for workers’ compensation benefits, alleging that he had developed disabling pulmonary and heart diseases as a result of his employment with defendant. A hearing was held on November 5, 1975, and an open award was entered in plaintiff‘s favor on February 16, 1976, by the hearing referee. Defendant was ordered to pay plaintiff $106 per week from October 1, 1975, on the basis of a finding of an injury incurred on September 30, 1974, the plaintiff‘s last day of employment. The award was affirmed by the Workers’ Compensation Appeal Board on January 30, 1978. In addition, since January 1, 1982, Mr. Chambers has received $43 per week in supplemental workers’ compensation benefits pursuant to
Plaintiff Anacleto Gomez was injured on May 31, 1979, when he slipped and fractured his left ankle in the course of his employment with defendant General Motors Corporation. Defendant filed a report of injury and voluntarily paid compensation to Mr. Gomez at the rate of $161 per week from the date he was injured until February 25,
On December 30, 1981, the Legislature enacted 1981 PA 203, which included the coordination of benefits provisions of § 354,
On March 31, 1982, the effective date of § 354, General Motors began coordinating benefits аnd notified plaintiffs Chambers and Gomez that it was reducing their weekly workers’ compensation benefits in accordance with the provisions of that section. Because the sum of those portions of their employer-funded benefits subject to coordination exceeded their basic workers’ compensation payments, elimination of plaintiffs’ weekly compensation payments resulted, except for the supplemental benefits received pursuant to § 352 which were not subject to coordination.
Thus, prior to the effective date of § 354, Mr.
In the Gomez case, prior to the effective date of § 354, plaintiff was receiving pension benefits entirely funded by defendant with an after tax value of $179.35. Since the weekly after tax value of Mr. Gomez’ pension exceeded his basic workers’ compensation rate of $161, coordination resulted in termination of all workers’ compensation benefits except for $17 per week in supplemental benefits. He is, of course, still receiving his pension benefits.
Both plaintiffs requested and were granted hearings under Rule 55 as to the propriety of General Motors’ action in coordination of benefits. In both cases, the hearing referee ruled that the offset provisions of § 354 could not be applied to plaintiffs because their injuries occurred prior to the effective date of § 354. These rulings were affirmed by the Workers’ Compensation Appeal Board. The
Both plaintiffs also sought assessment of penalties pursuant to
General Motors’ timely applications for leave to appeal were denied by the Court of Appeals in both cases and on March 29, 1984, this Court granted General Motors’ applications for leave to appeal, directing that the Franks, Chambers, and Gomez cases be argued and submitted together. 419 Mich 855 (1984).
B. Section 354 of 1981 PA 203
1. The Statutory Provision
On December 30, 1981, the Legislature enacted twelve amendments to the Worker‘s Disability Compensation Act, continuing the comprehensive
Section 354(1) contains the fundamental instructional and definitional provisions which set forth the statutory preconditions for coordination, the specific other benefit sources or plans to which the provision applies and the permitted coordinations and reductions. At the time of its enactment7 this section provided as follows:
Sec. 354. (1) This section is applicable when either weekly or lump sum payments are made to
an employee as a result of liability pursuant to section 351, 361 or 835 with respect to the same time period for which old-age insurance benefit payments under the social security act, 42 U.S.C. 301 to 1397f; payments under a self-insurance plan, a wage continuation plan, or a disability insurance policy provided by the employer; or pension or retirement payments pursuant to a plan or program established or maintained by the employer, are also received or being received by the employee. The employer‘s obligation to pay or cause to be paid weekly benefits other than specific loss benefits under section 361(s) and (3) shall be reduced by these amounts . . . .
We disagree with the Workers’ Compensation Appeal Board to the extent that it found the provisions of § 354 ambiguous and find that this statute clearly and unambiguously requires coordination of workers’ compensation and other specified benefits for all compensable periods subsequent to its effective date, regardless of when the injury occurred. The statute does not limit its application to cases where workers’ compensation payments аre made to an employee for injuries incurred after its effective date, or for injuries incurred after March 31, 1982. Nor does it contain any language indicating that it should not be applied when payments are being made for injuries that occurred prior to March 31, 1982. The Legislature‘s failure to do so leaves the section generally applicable to payments made after its effective date. In the absence of express language of limitation, “[t]his court cannot write into the statutes provisions that the legislature has not seen fit to enact.” Paselli v Utley, 286 Mich 638, 643; 282 NW 849 (1938).
Section 354(9) which deals with overpayments
(9) Except as otherwise provided in this section, any benefit payments under the social security act, or any fund, policy, or program as specified in subsection (1) which the employee has received or is receiving after the effective date of this section and during a period in which the employee was receiving unreduced compensation benefits under section 351, 361 or 835 shall be considered to have created an overpayment of compensation benefits for that period. The employer or carrier shall calculate the amount of the overpayment and send a notice of overpayment and a request for reimbursement to the employee. Failure by the employee to reimburse the employer or carrier within 30 days after the mailing date of the notice of request for reimbursement shall allow the employer or carrier with the approval of the bureau to discontinue 50% of future weekly compensation payments under section 351, 361 or 835. The compensation payments withheld shall be credited against the amount of the overpayment. Payment of the appropriate compensation benefit shall resume when the total amount of the overpayment has been withheld. [Emphasis added.]
The language of § 354(9) also demonstrates that the Legislature is capable of including words of express limitation when it intends to do so.
We also disagree with the board‘s assumption that application of the coordination of benefits provision of § 354 to workers’ compensation payments for compensable periods after the effective date of the statute would constitute retrospective application simply because the liability is based upon an injury that occurred prior thereto. Hughes v Judges’ Retirement Board, 407 Mich 75, 86; 282 NW2d 160 (1979). As the board accurately observed at the outset of its opinion, “it is not contended that compensation benefits should be retroactively coordinated or reduced. Rather it is argued that the benefits of all disabled workers should be prospectively coordinated after the effective date of the enactment regardless of when they were injured.”
While § 354 may in some cases involve an antecedent event, such as an injury incurred prior to its effective date, by its clear language it operates only with regard to payments received and attributable to periods after its effective date. “Our [obligation] is to give effect to the plain meaning of the language used.” Selk, supra, p 9.
2. Constitutionality
Plaintiffs argue that the Legislature may not constitutionally deprive workers who were injured before the effective dates of the workers’ compensation benefits that they otherwise would have been entitled to receive after those dates. These arguments are premised on an erroneous concept of workers’ compensation benefits.
Workers’ compensation is not generally payable to compensate for an injury, although lump-sum specific-loss benefits are payable for certain injuries without regard to disability from earning wages. In this connection, it is noteworthy that the Legislature did not, in the 1981 reform act, provide for coordination of lump-sum specific-loss benefits with social security and pension and retirement benefits; in the earlier 1980 act, it did not except from coordinаtion specific-loss benefits with unemployment compensation benefits.
Generally, however, workers’ compensation benefits are payable not for the injury — although historically there was a trade-off of tort liability
Workers’ compensation benefits are social-welfare income-maintenance benefits. Workers’ compensation is the first or progenitor safety net providing a means of income maintenance for persons who have met misfortune or whose regular income source has been cut off. All the social welfare programs — workers’ compensation, unemployment compensation, social security old age, disability, and survivors benefits, no-fault automobile benefits, aid to families with dependent children, and general assistance — are directed to the same objective, income maintenance. All these programs are funded by impositions on employers and others of mandatory payments (to the government, insurers or, in the case of the self-insured, to the beneficiary), with statutorily prescribed benefits. In providing for such benefits, the Legislature did not covenant not to amend the legislation.
Income-maintenance benefits payable under a legislatively mandated social welfare program are not property protected by the Due Process Clause, the Contract Clause,9 or the Takings Clause from substantive change by subsequent legislation irrespective of whether the recipient contributed to the cost of funding the benefit or of whether the program replaces a tort remedy which has been abolished.10
3. The Public Policy Underlying the Coordination of Benefits Provisions
To start with, we must keep in mind that the purpose of workers’ compensation, after all, is to restore wage-earning capacity lost in on-the-job accidents. Workers’ compensation was never intended to be more lucrative than gainful employment or to be a retirement bonus.
I have proposed that we coordinate benefits from different employer-paid sources so that workers receive the maximum benefits to which they are entitled, but no more. It is only simple justice that an employer not be assessed costs for several different funds which result in reimbursing the injured worker for more than the lost wage-earning capacity.12
Legislative analysis of § 354 by the Senate Analysis Section reiterated these concerns:
Coordination of benefits has been a major concern of employers for years. Public Act 357 coordinated workers’ compensation with unemployment compensation (effective January 1, 1982) [
MCL 418.358 ; MSA 17.237(358)] but failed to address coordination with Social Security and other insurance and pension plans. By coordinating workers’ compensation benefits with Social Security and other benefits, Senate Bill 595 would provide a major savings to employers in the cost of workers’ compensation while maintaining adequate benefit levels for disabled workers.
From its creation in 1912, workers’ compensation in Michigan has been intended as a means of protecting an employee‘s ability to earn wages by replacing wages lost because of a disability resulting from an on-the-job injury. Since 1912, other public and private wage replacement insurance programs have appeared with the result that many employees now receive wage-loss benefits from two, three, or four different programs providing a total wage “replacement” greater than the wages the employee earned while on the job, while employers who must contribute to these programs find themselves paying more than once to replace the wages of a single employee. Such a situation is contrary to the basic philosophy of Michigan‘s wage-loss system and discourages some disabled employees from returning to work. Coordination of benefits, as proposed in Senate Bill 595, would reduce the overlap between the various public and private wage replacement programs while ensuring adequate wage-loss benefits to injured employees.13
Finally, on December 12, 1984, Theodore J. St. Antoine, the Governor‘s Special Counselor on Workers’ Compensation, presented to Governor James J. Blanchard‘s Cabinet Council on Jobs and Economic Development his Report on Workers’ Compensation in Michigan: Costs, Benefits, and Fairness. Professor St. Antoine summarized the perceived abuses in the workers’ compensation system which impelled the Legislature to enact
For many years the most hotly discussed topic concerning the Michigan workers’ compensation system was the so-called “retiree problem.” It was almost unique to this State. Its legal underpinning was the notion developed by the Workers’ Compen
sation Appeal Board, with some support from the judiciary, that a retired worker, even one who had voluntarily retired and gone on a company-funded pension, could still be suffering from a loss of wage earning capacity. If the retireе could demonstrate that he or she had incurred a disability caused by pre-retirement job activity or working environment (a bad back from 30 years on the assembly line or a dust disease from 30 years in a foundry), the retiree was entitled to workers’ compensation. It should be emphasized that in many of these cases the disability was undoubtedly genuine, at least in the physical impairment sense, and such an employee would unquestionably be eligible for medical benefits. The fighting issue was whether he was also entitled to recover for wage loss. . . . [F]or a “Big Three” automobile manufacturer (the most common target of this practice), it was plainly provoking, not to mention costly, to see workers take early retirement and walk out of a plant one day and then proceed to file their workers’ compensation claims the next. In 1973 the Big Three (General Motors, Ford and Chrysler) paid out $51 million in wage loss benefits, of which $24 million, or 47 percent, went to retirees. For Michigan employers as a whole, out of a total of $191 million in wage loss benefits, $45 million, or 24 percent, went to retirees. With such a large part of the compensation dollar going to persons who were no longer part of the active work force, it was inevitable that reforms would be demanded.
Professor St. Antoine specifically endorsed the concept of coordination of benefits:
Similarly, I am satisfied that the ‘coordination of benefits’ provisions in the 1980 and 1981 amendments should remain in the statute, probably permanently. The principle of avoiding duplicative payments under workers’ compensation and other income maintenance programs, such as private pensions and Social Security, was endorsed by the
National Commission on State Workmen‘s Compensation Laws. . . . [T]he coordination аrrangements have also served to check, if not eradicate, one of the most criticized aspects of Michigan‘s workers’ compensation system, namely, the payment of disability benefits to retired workers who almost by definition are suffering no wage loss. As I understand it, organized labor is not so much opposed to the concept of coordination of benefits as to its application even in situations where noncoordination would not have resulted in a worker‘s receiving more than he would have earned if working. There is some merit in this view, but it is offset by the long-standing notion that income replacement should not be total lest it prove a disincentive to work, and that in any event an unemployed person will be spared certain daily expenses incurred by an active worker.
We may not premise our decision in these cases upon our own feelings about the wisdom of what the Legislature has done, nor any equitable concerns about the express proposes and potential effect of the enactment under consideration. See City of Lansing v. Lansing Twp, 356 Mich. 641, 648-650; 97 N.W.2d 804 (1959). See also Manistee Bank v. McGowan, 394 Mich. 655, 666-667; 232 N.W.2d 636 (1975). Nor is it properly part of our function to decide whether or not those things which the Legislature sought to change really constituted abuses. That the Legislature believed that it was abusive for an injured and disabled worker to receive workers’ compensation benefits and benefits from certain other sources at the same time is clear.
4. Legislative Resolution Passed After Enactment of § 354
A legislative resolution14 passed after enactment of
5. Application to Facts of These Cases
As of March 31, 1982, plaintiffs Chambers and Gomez were receiving weekly payments “as a result of liability pursuant to”
Subsequent to that date, the provisions of
C. Procedural Prerequisites to Coordination of Benefits Under § 354
We also disagree with the board‘s ruling that benefits сannot be coordinated by an employer under
The employer or carrier taking a credit or making a reduction as provided in this section shall immediately report to the bureau the amount of any credit or reduction, and as requested by the bureau, furnish to the bureau satisfactory proof of the basis for a credit or reduction.
Whether a claimant has received social security or pension benefits giving rise to a setoff under
That the hearing occurs after the employer has begun coordinating benefits does not deny due process. In Mathews v. Eldridge, 424 U.S. 319, 339; 96 S. Ct. 893, 903; 47 L. Ed. 2d 18 (1976), the Supreme Court held that the opportunity of social security beneficiaries whose disability benefits were terminated to have a post-termination hearing sufficed to satisfy the requirements of due process.
Under Mathews, the factors relevant to whether a statutory procedure satisfies due process are:
First, the private interest that will be affected by the official action; second, the risk of an erroneous deprivation of such interest through the procedures used, and the probable value, if any, of additional or substitute procedural safeguards; and finally, the Government‘s interest, including the function involved and the fiscal and administrative burdens that the additional or substitute procedural requirement would entail. [424 U.S. 335.]
Applying those considerations to the statutory scheme here, the private interest at stake for a claimant is the remote possibility that an arithmetical error would cause a temporary decrease, which he could later recoup, in the total benefits paid by the employer. On the other hand, overpayments by an employer while waiting for
The second consideration in determining whether a post-termination hearing will satisfy proсedural due process is the risk of an erroneous decision. In Mathews, the Supreme Court emphasized that less than twenty percent of the original administrative redeterminations of entitlement to disability benefits were reversed on appeal. The determination of whether workers’ compensation may be set off is even less subject to error than the disability compensation termination decision involved in Mathews. Unlike a determination that a worker is no longer disabled, which may involve subjective evaluation of factual questions subject to conflicting interpretation, the fact and amount of social security and pension benefits received can be readily determined and documented.21 As stated in Mathews, “procedural due process rules are shaped by the risk of error inherent in the truth-finding process as applied to the generality of cases, not the rare exceptions.” 424 U.S. 344.
The last factor listed in Mathews was the interest of the government, which the Court equated with the public interest. 424 U.S. 347. That consideration clearly militates against requiring a hearing prior to a setoff. The Legislature already has determined that whatever minimal value a prior hearing would have would be outweighed by the added burden on employers of paying uncoordinated benefits pending an administrative hearing and the increased administrative expenses of holding hearings.
D. Conclusion
We hold that the provisions of
We also hold that an employer is not required to petition and prevail at an evidentiary hearing before it is entitled to coordinate benefits under
In light of our resolution of the foregoing, we approve of the WCAB‘S analysis and resolution of the issue of assessment of penalty benefits pursuant to
The decisions of the WCAB are reversed, and these cases are remanded for entry of decisions consistent with this opinion.
III
THE FRANKS CASE
A. Facts and Procedural History
Plaintiff Larry Franks began his employment with defendant White Pine Copper Division in June of 1970. On March 7, 1971, while classified as a development miner, he sustained a work-related injury to his right hand, which resulted in the amputation of four fingers.
Following his accident, plaintiff received 215 weeks of specific loss benefits pursuant to
On July 26, 1978, Mr. Franks filed a petition for workers’ compensation, claiming total disability as a result of the 1971 hand injury. A hearing was held in March of 1979 and in a decision dated May 24, 1979, the hearing referee found plaintiff to be partially disabled and awarded benefits commencing August 2, 1977, the first day of the permanent layoff.
A timely appeal was filed by the defendant in June of 1979 with the Workers’ Compensation Appeal Board. Defendant alleged error in the finding of disability and contended that it was entitled to a setoff for the unemployment benefits plaintiff had collected under a theory that the unemployment benefits were a substitute for wage earning capacity and therefore should be set off from compensation benefits in the same manner as wages. Plaintiff filed no appeal or cross-appeal of the decision of the hearing referee or of the August 2, 1977 benefit commencement date.
On February 18, 1982, forty-eight days after the effective date of
This case raises three issues. First, as in Chambers and Gomez, we must determine whether the amendatory legislation, in this case
Specifically, in this case we must determine whether the employer White Pine may reduce its liability for workers’ compensation found to be payable for periods of disability in 1977 and 1978, but not yet paid as of January 1, 1982, by deducting the amount of unemployment compensation Mr. Franks received for loss of wages during those same periods in 1977 and 1978. Finally, we must determine whether the Court of Appeals erred in finding the defendant had waived the defense of the two-year-back rule under the facts and circumstances of this case.
B. Section 358 of 1980 PA 357
1. The Statutory Provision
On December 30, 1980, while this appeal was pending before the Workers’ Compensation Appeal Board, the Michigan Legislature enacted 1980 PA 357, which was the first step in the recent reform of the Michigan workers’ compensation system. The Legislature directed that most of the provi
Net weekly benefits payable under
section 351 ,361 , or lump sum benefits undersection 835 , shall be reduced by 100% of the amount of benefits paid or payable to the injured employee under the Michigan employment security act, Act No. 1 of the Public Acts of the Extra Session of 1936, as amended, beingsections 421.1 to421.67a of the Michigan Compiled Laws, for identical periods of time and chargeable to the same employer.
2. Application to Pre-1982 Injuries
The Court of Appeals held that the setoff provisions of
We believe the analysis of the Court of Appeals on this question is erroneous. As in Chambers and Gomez, we disagree with the Workers’ Compensation Appeal Board and the Court of Appeals and find that the setoff provision of
3. Application to Compensable Periods Prior to Effective Date
The Court of Appeals holding on the date of injury issue made it unnecessary for that court to distinguish cases in which the workers’ compensation liability relates to periods of disability prior to January 1, 1982, from cases involving compensable periods commencing on or after January 1, 1982. However, our conclusiоn that
Unlike the factual situation in Chambers, Go
a. Application of Rules of Construction
(i) Is the Language Ambiguous?
Traditional general constructional rules to determine whether a statutory amendment or enactment should be held to operate retrospectively are well established. The primary and overriding rule is that legislative intent governs. All other rules of construction and operation are subservient to this principle. Therefore, the initial critical inquiry is whether the Legislature has stated its retrospective or prospective intention in clear and express language. See Karl v. Bryant Air Conditioning Co, 416 Mich. 558, 570; 331 N.W.2d 456 (1982). A statute is not open to construction as a matter of course, but only where the language used in the statute requires interpretation—where it is ambiguous or where two or more constructions can be placed upon it, where it is of such doubtful or obscure meaning that reasonable minds might be uncertain or disagree as to its meaning.” City of Lansing v. Lansing Twp, supra, p 649. See also Owendale-Gagetown School Dist, supra, p 8; Selk, supra, p 8.
We find nothing in the language of
Where the Legislature has not stated any retrospective intention in clear and express language and the statute is ambiguous interpretation is required. See Karl, supra.
(ii) Does the Act Actually Operate Retrospectively?
“As a matter of statutory construction, statutes are presumed to operate prospectively unless the contrary intent is clearly manifested.” Selk, supra, p 9, and cases cited therein. “A retrospective law is one which takes away or impairs vested rights acquired under existing laws, or creates a new obligation and imposes a new duty, or attaches a disability with respect to transactions or considerations already past.” Hughes, supra, p 85.
Although a statute is not regarded as operating retrospectively merely because it relates to an antecedent event, as we have already observed, application of the provisions of
(iii) Is the Act Remedial or Procedural?
An exception to the general rule is recognized where a statute is remedial or procedural in nature. Hansen-Snyder Co v. General Motors Corp, 371 Mich. 480; 124 N.W.2d 286 (1963). Thus, statutes which operate in furtherance of a remedy or mode of procedure and which neither create new rights nor destroy, enlarge, or diminish existing rights are generally held to operate retrospectively unless a contrary legislative intention is manifested. In Selk, we found the interest rate on overdue compensation payments relаted to a remedy or mode of procedure and was “but an incident and not the essence of a right or liability.” Selk, p 11.
The issue in this case is distinguishable from that in Selk. In essence, interest is a payment for the use of someone else‘s money. As we noted in Selk, this is not a matter of substance going to the individual‘s right to compensation. Rather, it is a matter of procedure. Unlike the interest statute in
Nor are we persuaded that
We find nothing to overcome the presumption that prospective operation only was intended, and
C. Waiver of the Two-Year-Back Rule
We also are unable to concur in the Court of Appeals holding that defendant had waived the two-year-back rule,
1. The Meaning of Kleinschrodt
This Court‘s holding in Kleinschrodt that defendant had waived the defense of the one-year-back rule,
2. Applicability of Kleinschrodt to Facts of This Case
We find the rationale and principles of Kleinschrodt inapplicable to the facts before the WCAB and Court of Appeals in the Franks case. Mr. Franks filed the petition in this case on August 26, 1978. The hearing referee ordered payment of weekly benefits “from August 2, 1977 . . .” Plaintiff‘s employer, White Pine, filed an application for review of the referee‘s decision with the appeal board, alleging error in the finding of disability and the refusal to apply a setoff for unemployment compensation benefits. As no disability benefits had been ordered for time periods prior to August 2, 1977, there was no reason for the defendant to raise the defense of the two-year-back rule on appeal. The issue of benefits for any period earlier than two years before the petition was filed was not present to defend against.
The claimant in this case filed no application for review or cross-application requesting review of the hearing referee‘s decision on the benefit commencement date. In his brief to the WCAB, he indicated that “[t]his Brief is submitted in opposi-
Nevertheless, in its decision, the appeal board modified the hearing referee‘s order and changed the commencement date of the partial disability benefits from 1977 to 1971. Even though the question of benefits prior to 1977 had not been an issue before the hearing referee and had not been raised by cross-appeal, the board, concurrently with its award of benefits for additional time periods prior to 1977, held that the employer was barred from applicability of the two-year-back rule. It cited Kleinschrodt as the basis for finding that defendant had waived the defense. We disagree.
Under the circumstances of this case, defendant could not have appealed a ruling on the two-year-back rule to the WCAB, because the decision of the hearing referee was favorable to its position on that rule. There was no reason to anticipate a need to argue that issue prior to the determination that Mr. Franks was entitled to additional benefits. Although the majority in Kleinschrodt viewed this defense as nonjurisdictional, there is no authority for requiring it to be raised in a void in the first responsive pleading or be waived. Compare
D. Conclusion
We hold that under the provisions of
We also hold that under the circumstances of this case, where the decision on review before the Workers’ Compensation Appeal Board did not involve benefits for any time period which would require invoking the two-year-back rule, and the claimant had not filed an application for review or cross-appeal seeking benefits for a longer period, the holding that the defense had been waived was clearly erroneous.
The judgment of the Court of Appeals is reversed, and the case is remanded to the Workers’ Compensation Appeal Board for further proceed
We find defendant‘s remaining challenge to the test applied by the appeal board in determining disability to be without merit and affirm the judgment of the Court of Appeals on that issue.
WILLIAMS, C.J., and LEVIN, BRICKLEY, and CAVANAGH, JJ., concurred with BOYLE, J.
RYAN and RILEY, JJ., concurred with BOYLE, J., in Chambers and Gomez, but concurred only in the result in Franks.
LEVIN, J. (concurring). I have signed the opinion of the Court because I agree with the Court‘s conclusions and with the general direction of the reasoning. I write separately because I am not in full agreement with the analysis and reasoning regarding the application of the January 1, 1982 effective date of the workers’ compensation reform packages enacted in 1980 and 1981.
I
Both the 19801 amendatory act and the 1981 amendatory act at issue in the instant case state that “[t]his amendatory act shall take effect January 1, 1982.”2 (Because this 1981 amendatory act
A
In these cases, consolidated in this Court for argument on appeal, the workers, Franks, Chambers, and Gomez, were injured before the enactment of the 1980 and 1981 amendments. They claim, among other contentions, that the amendatory legislation was not intended to affect the rights of persons injured before the effective date of the 1980 and 1981 amendments.
B
The 1981 amendatory act at issue in the instant case, concerning coordination of social security, pension, and retirement benefits, was one of a number of acts comprising the 1981 workers’ compensation reform package.
In Selk v Detroit Plastic Products (On Resubmission), 419 Mich 32; 348 NW2d 652 (1984), this Court considered the provision of another act, also a part of the 1981 workers’ compensation reform package, that increased the interest on unpaid compensation from five percent to twelve percent.4 That act also provided, “This amendatory act shall take effect January 1, 1982.” The majority in Selk held that the higher interest rate applied in all cases where the award remained unpaid on December 31, 1981, and, thus, necessarily to all awards that were paid on or after the January 1, 1982 effective date, with the result that although a
(ii) “[t]he after-tax amount of the payments received or being received under a self-insurance plan, a wage continuation plan, or under a disability insurance policy provided by the same employer” to the extent that employer contributions funded the pension or retirement payments, for the “same time period.”
I dissented and expressed the view that interest accrued at the higher rate on and after, but not before, the January 1, 1982 effective date, without regard to the date of payment. I read the effective date as evidencing a legislative intent that weekly payments of workers’ compensation that became due before January 1, 1982, on account of injuries that occurred before that date—unpaid on January 1, 1982, because the employer disputed liability or for other reasons—bear interest at five percent until that date and bear interest at twelve percent on and after that date.5
II
I agree with the majority that the Legislature did not intend that the applicability of the 1980 amendatory act or of the 1981 amendatory act at issue in the instant case depend on the date of injury, and agree with their conclusions that
- in Chambers and Gomez, weekly payments of workers’ compensation that become due on or after March
31, 1982,6 are to be reduced by fifty percent of social security payments and the proportion of pension and retirement payments funded by the employer thereafter received or being received for the same periods although the worker was injured before January 1, 1982, and - in Franks, weekly payments of workers’ compensation that become due on or after January 1, 1982, are to be reduced by unemployment compensation benefits paid or payable for the same periods although the worker was injured before January 1, 1982, but unemployment compensation paid for weekly periods before the January 1, 1982 effective date of the 1980 amendment is not deductible from workers’ compensation benefits that remain unpaid, payable for the same pre-January, 1982 periods.
I agree with those conclusions, however, on the basis, set forth in dissent in Selk, that the effective date stated in the amendatory act is determinative.
A
The legislative purpose in providing a specific future effective date was to indicate when the provisions of the amendatory acts providing for coordination of benefits would take effect.
In stating, in both the 1980 amendatory act and this 1981 reform act, that “[t]his amendatory act shall take effect January 1, 1982,” the Legislаture indicated its intention that the coordination provisions of those acts would become effective on January 1, 1982. (The 1981 act, respecting social security and pension and retirement benefits, was not given immediate effect and therefore did not become operative until March 31, 1982.)
The purpose of the January 1, 1982 effective dates was to state when the Legislature desired that the coordination would become effective. The words “[t]his amendatory act shall take effect January 1, 1982” thus mean that the coordination shall become effective on January 1, 1982, and not before that date. Accordingly, an employer may not coordinate benefits as to weekly payment periods before January 1, 1982, but coordination is required beginning January 1, 1982, as to each weekly payment becoming due on or after that date, although the worker was injured before that date.
B
In concluding that the Legislature did not intend that the 1980 amendatory legislation would affect persons who were injured before January 1, 1982, the Court of Appeals relied, in Franks, on the statement in Tarnow v Railway Express Agency, 331 Mich 558; 50 NW2d 318 (1951), that the law in effect at the time of injury controls an employee‘s right to workers’ compensation benefits. The Court of Appeals also relied on general expressions in Hughes v Judges’ Retirement Bd, 407 Mich 75, 85; 282 NW2d 160 (1979), Ballog v Knight Newspapers, Inc, 381 Mich 527, 533-534; 164 NW2d 19 (1969), and Hansen-Snyder Co v General Motors Corp, 371 Mich 480; 124 NW2d 286 (1963), stating the general rule that legislation is ordinarily not given retroactive effect. The acts there under consideration, however, did not have
C
Workers’ compensation benefits are payable weekly, and are geared to weekly wage loss. The nature of workers’ compensation is that events after an award of benefits may change the extent of an entitlement to benefits. A disabled worker may cease to be disabled or obtain gainful employment. The number of the worker‘s dependents may change. The right to receive workers’ compensation benefits thus generally depends on one‘s status, week by week, and is subject to change during any week.
A workers’ compensation award, thus, differs from a judgment in a tort action where, when the plaintiff prevails, a lump-sum award is fixed and payable without regard to whether predictions concerning the severity or longevity of the claimed damages are borne out by subsequent experience.
D
I agree with the signers of the opinion of the Court that there is no basis in the language of the 1980 or 1981 reform legislation or in its history that would justify the conclusion that the Legislature, which expressly stated that these amendments were all to become effective on January 1, 1982, did not intend that they would be effective as
RILEY J. (concurring). I concur in the result reached by the majority in Franks v White Pine Copper Division concerning the nonapplicability of the two-year-back rule, however, I do so for a different reason.
In Kleinschrodt v General Motors Corp, 402 Mich 381, 384; 263 NW2d 246 (1978), this Court held “that the one-year-back provision [
The majority opinion in Franks discusses the Kleinschrodt ruling regarding the one-year-back provision pursuant to the Court of Appeals opinion in Franks v White Pine Copper Division, 122 Mich App 177, 187; 332 NW2d 447 (1982), applying the Kleinschrodt holding in determining that defendant‘s challenge to the appeal board‘s decision had been waived, but determines that it is unnecessary for this Court to decide whether the rationale of the Kleinschrodt majority should be applied to the two-year-back rule which was raised in the Franks case. Ante, pp 676-677, n 27.1 Rather, the majority states that “assuming arguendo that the two-year-back rule is waivable, the Court of Appeals ruling that it was waived in this case is clearly erroneous.” Id. This conclusion was reached on the basis of the fact that the two-year-back provision did not have to be raised by defendant White Pine because disability benefits were not ordered by the hearing referee covering any time period more than two years prior to the time Mr. Franks filed his application for a hearing with the bureau. Consequently, there was no reason for the defendant to raise the “defense” because the two-year-back rule was not an issue on appeal to the Workers’ Compensation Appeal Board. The majority also notes that White Pine did not stipulate that the only issue before the Workers’ Compensation Appeal Board was one other than the two-year-back rule,
While I believe the majority‘s reasoning is legally sound under the facts and circumstances presented in Franks, I also believe the remedial effect the two-year-back rule has on workers’ disability compensation benefits is ripe for review in Franks and should be decided by this Court.
The two-year-back provision is set forth in
If any compensation is sought under this act, payment shall not be made for any period of time earlier than 2 years immediately preceding the date on which the employee filed an application for a hearing with the bureau. [Emphasis added.]
I believe this language “shall not be made” clearly indicates a legislative intent to limit the authority of the hearing referee and the Workers’ Compensation Appeal Board in awarding the payment of benefits.3
RYAN, J., concurred with RILEY, J.
CAVANAGH, J., took no part in the decision of Franks.
