Sam D. Matulic v. Director, Office of Workers Compensation Programs Jones Stevedoring Co.Sam D. Matulic v. Director, Office of Workers Compensation Programs Jones Stevedoring Co.
Lead Opinion
Opinion by Judge REINHARDT; Dissent by Judge REED.
Sam D. Matulic injured his left arm while employed by Jones Stevedoring Company in Seattle, Washington. Objecting to the method used to calculate the amount of his permanent partial disability benefits under the Longshore and Harbor Workers’ Compensa
BACKGROUND
Matulic began working as a longshoreman in 1963 and was based at the Port of Los Angeles until December 1988 when he moved to Seattle and began working for Jones Ste-vedoring Company. On September 13, 1989, he suffered a serious injury to his left elbow while on-the-job. He received treatment at the hospital and was unable to return to work until December 8. Jones Stevedoring voluntarily paid Matulic temporary total disability at the rate of $536.24 per week for the period of his recovery.
Matulic applied for permanent partial disability. During the preliminary negotiations in December 1990, the parties disagreed over the extent of Matulic’s disability. They agreed to submit the matter to the Office of Workers Compensation Programs (“OWCP”). On June 24, 1991, without conducting an informal conference, the OWCP issued a written recommendation as to the extent of Matulic’s disability and the amount of his average weekly wage. Despite the continuing requests of the parties, the informal conference was never held and the OWCP did not issue a final Compensation Order. In October 1993, the parties appeared before the ALJ.
On December 23, 1993, the ALJ issued an order with the following findings of fact and conclusions of law: 1) Matulic suffered a 5% permanent partial disability; 2) his average weekly wage was $834.05, resulting in a weekly compensation rate of $556.03; 3) Ma-tulic was not entitled to § 914(e) penalties; 4) Matulic was not entitled to attorney’s fees; 5) Matulic was not entitled to interest; and 6) Matulic was entitled to reimbursement of medically-related travel expenses. Matulic appealed the ALJ’s decision to the Benefits Review Board. Because the Board failed to act within one year, the decision is deemed automatically affirmed under Public Law No. 104-134, 110 Stat. 1321-219 (1996). We now consider Matulic’s petition for review.
DISCUSSION
In cases in which the decision of the Administrative Law Judge is deemed affirmed by operation of Public Law No. 104-134, we review the decision for errors of law and for failure to adhere to the substantial evidence standard. See Jones Stevedoring Co. v. Director, OWCP,
1. Calculation of Matulic’s Average Weekly Wage
Matulic challenges the ALJ’s method of calculating his “average weekly wage” at the time of the injury. Under the LHWCA, that average weekly wage is the key component used to determine Matulic’s earning capacity, and therefore the amount of his benefits award.
The ALJ’s decision to apply
We adopt the factual findings of the ALJ but conclude, as a matter of law, that
As we have previously recognized:
When Congress amendedsection 910 of the Act in 1948 to reflect the five-day work week, it undoubtedly was aware that virtually no one in the country works every working day of every work week; there are many reasons including illness, vacations, strikes, unemployment, family emergencies, etc. We can infer that Congress knew that both subsections (a) and (b) would result in some overcompensation, but retained the 260-day factor for administrative convenience.
Duncanson-Harrelson,
„The key to determining an injured worker’s average weekly wage is the requirement that
In Duncanson-Harrelson and other cases, courts have upheld the application of
Given that the statute contemplates that the number of days worked in the measuring year will ordinarily be less than 260 or 300 (as the case may be), the application of
To begin with, the ALJ’s factual finding that Matulic’s actual earnings during the year preceding his injury fairly represented his annual earning capacity is not supported by the record. The record demonstrates that Matulic’s wage earning capacity was generally higher than that reflected by the number of days he worked during the year preceding his injury. During that year, Matulic moved from Los Angeles to Seattle, and several circumstances attendant to the move were responsible for a decrease in the total number of hours he worked during the transition period. Matulic testified, for example, that he did not work on a number of days during that period because he was moving into his new house and doing construction on it, a fact the ALJ does not dispute. Moreover, the ALJ noted but does not appear to have considered that, during the year after Matulic recovered from the injury at issue and returned to work in Seattle, his hours returned to nearly the same level as his previous hours in Los Angeles.
Furthermore, contrary to the ALJ’s finding, we note that the nature of Matulic’s employment in Seattle was not seasonal or intermittent but stable and continuous. Jones Stevedoring also argues that the Seattle port is smaller than the Los Angeles harbor and offers fewer work opportunities. First, there is no indication in the record that the Seattle port is operational during only part of the year or that its work schedules are sporadic. See Palacios v. Campbell Industries,
The ALJ’s decision to apply
II. § 914(e) Penalties
Matulic unsuccessfully argued before the ALJ that Jones Stevedoring never provided adequate notice of controversion as is required by
As we have previously held, the employer must provide notice of controversion fourteen days after the employer has “reason to believe a controversy will arise.” National Steel & Shipbuilding Co. v. United States Dep’t of Labor,
As for the date upon which Jones Steve-doring provided notice of controversion, on December 31, 1990, it sent Matulic a letter which the ALJ concluded “adequately satisfied the purpose behind the controversion requirements of the Act.” Accordingly, on remand, the ALJ shall determine the date on which the notice requirement was triggered and assess the appropriate penalty with respect ' to the period commencing with the triggering date and ending on December 31, 1990. See National Steel & Shipbuilding Co. v. Bonner,
III. Interest
Upon Matufic’s motion for reconsideration of his original decision, the ALJ found that it “would be inequitable to assess interest against the Employer when the delay in payment of benefits was occasioned by the refusal of Claimant to accept the tender of appropriate benefits.” This determination was in error, and we reverse.
We have held that interest on a disability award is mandatory. See Sproull v. Director, OWCP,
Jones Stevedoring argues that Matulie is not entitled to attorney’s fees and costs pursuant to
We have stated that “the purpose of
Contrary to the employer’s assertions, this case is not controlled by Todd Shipyards in which we concluded that a claimant is not entitled to attorney’s fees if after the informal conference there is no issue in dispute other than his entitlement to such fees. Todd Shipyards,
Jones Stevedoring notes that in Todd Shipyards we stated that payment of attorney’s fees under
The purpose ofSection 928(b) is to authorize the assessment of legal fees againstemployers in eases where the existence or extent of liability is controverted and the employee-claimant succeeds in establishing liability or obtaining increased compensation in formal proceedings in which he or she is represented by counsel.
Id. (quoting National Steel,
Under the rule we announced in National Steel and later followed in E.P. Pawp Co., the claimant is entitled to attorney’s fees where the extent of liability is controverted and the claimant successfully obtains increased compensation, “whether or not the employer had actually rejected an administrative recommendation.” National Steel,
CONCLUSION
The ALJ’s application of
ORDERED.
Notes
. Under
.
(a) If the injured employee shall have worked in the employment in which he was working at the time of the injury, whether for the same or another employer, during substantially the whole of the year immediately preceding his injury, his average annual earnings shall consist of three hundred times the average daily wage or salary for a six-day worker and two hundred and sixty times the average daily wage or salary for a five-day worker, which he shall have earned in such employment during the days when so employed.
(b) If the injured employee shall not have worked in such employment during substantially the whole of such year, his average annual earnings, if a six-day worker, shall consist of three hundred times the average daily wage or salary, and, if a five-day worker, two hundred and sixty times the average daily wage or salary, which an employee of the same class working substantially the whole of such immediately preceding year in the same or in similar employment in the same or a neighboring place shall have earned in such employment during the days when so employed.
(c)If either of the foregoing methods of arriving at the average annual earnings of the injured employee cannot reasonably and fairly be applied, such average annual earnings shall be such sum as, having regard to the previous earnings of the injured employee in the employment in which he was working at the time of the injury, and of other employees of the same or most similar class working in the same or most similar employment in the same or neighboring locality, or other employment of such employee, including the reasonable value of the services of the employee if engaged in self-employment, shall reasonably represent the annual earning capacity of the injured employee.
. For example, application of the fixed formula benefits the employer in cases in which the statutory maximum compensation rate serves to limit the compensation for a high earnings wage earner. Title
. Only the Seventh Circuit has drawn the line at the point at which Matulic finds himself, see Strand v. Hansen Seaway Service, Ltd.,
. In 1987, Matulic worked approximately 2,001 hours; in 1988, he worked 2,059 hours; in 1989 (the year of the accident), he worked 1,300 hours; and in 1990, he worked 1,800 hours.
. We note that, for a brief period after June 24, Matulic was prepared to compromise as to the average weekly wage computation if Jones Steve-doring made other concessions, including the payment of attorney’s fees, medical transportation costs, and benefits for an extended period of time. Although Matulic expressed a willingness to reach a compromise agreement on these terms, he maintained that legally he was entitled to the calculation of his award under
. Because, as we have noted, interest attaches automatically to principal in the type of case before us, the attorney’s fees attributable to pursuing the interest issue are also recoverable. So, too are the fees attributable to establishing the ancillary penalty amounts to be paid. Matulie is not, however, entitled to attorney’s fees with respect to the medical transportation expenses because the employer did not dispute his entitlement to those costs.
Concurrence Opinion
concurring in part and dissenting in part:
I respectfully dissent from parts I and IV of the majority opinion, and concur in the remainder.
Although it is a close question, I believe for three reasons that it is neither reasonable nor fair to calculate Mr. Matulic’s compensation according to
As for attorney’s fees, the plain language of
The majority correctly observes that the scope of Mr. Matulic’s disagreement with the claims examiner’s recommendation was greater than that of the worker in Todd Shipyards, but this is a distinction without a difference, as a review of the fee-shifting statute reveals.