Marcella STILES, Petitioner, v. WORKERS’ COMPENSATION APPEAL BOARD (DEPARTMENT OF PUBLIC WELFARE), Respondent.
Commonwealth Court of Pennsylvania.
Decided July 13, 2004.
1119-1130
Submitted on Briefs June 9, 2004.
V. CONCLUSION
Appellants’ allegations of error with respect to the trial court‘s jury instructions are without merit. We have reviewed the jury charge in its entirety and find that it clearly and accurately explained the issues and the applicable law regarding premises liability and governmental immunity. The trial court did not abuse its discretion by denying Appellant‘s post-trial motion for a new trial. Accordingly, the order of the trial court is affirmed.
ORDER
AND NOW, this 13th day of July, 2004, the order of the Court of Common Pleas of Tioga County dated November 20, 2003 in the above-captioned matter is hereby affirmed.
Judge SMITH-RIBNER concurs in the result only.
David M. Axinn, Hollidaysburg, for petitioner.
Laverne M. Kovacs, Altoona, for respondent.
BEFORE: COLINS, President Judge, MCGINLEY, Judge, SMITH-RIBNER, Judge, PELLEGRINI, Judge, FRIEDMAN, Judge, LEADBETTER, Judge, and COHN, Judge.
OPINION BY Judge COHN.
The pertinent facts are as follows. On October 7, 1995, while employed by the
In April of 2000, Claimant‘s then attorney filed a petition on Claimant‘s behalf, seeking approval of a “Compromise and Release Agreement by Stipulation pursuant to Section 449 of the Workers’ Compensation Act” (Act).2 This proceeding was held before WCJ Francis J. Desimone. The C & R Agreement, which was approved by WCJ Desimone, was signed by Claimant, Employer, and their respective counsel. It provided that Employer would pay Claimant one final indemnity payment of $100,000.00, representing all of Claimant‘s future wage loss claims attributable to her October 7, 1995 work injury, but that Employer would continue to pay all reasonable and necessary medical bills related to that injury.3 (O.R., C & R Agreement at para. 8, 10; WCJ Desimone‘s Findings of Fact 2.)
At the C & R Agreement hearing, Claimant was questioned by her counsel, and by Employer‘s counsel with respect to the C & R Agreement. Responding to questions posed, Claimant agreed that she understood and accepted the terms of the C & R Agreement and that she had been fairly represented by her attorney. WCJ Desimone credited Claimant‘s testimony and specifically found that Claimant “understands the full legal significance of the Compromise and Release Agreement which she signed.” (WCJ Desimone‘s Findings of Fact 4.) Accordingly, he approved the C & R Agreement on June 2, 2000. Thereafter, Employer paid Claimant the settlement amount of $100,000.00.
Claimant did not appeal from WCJ Desimone‘s order approving the C & R Agreement. However, in August of 2001, she
The petition was assigned to WCJ Getty, who conducted a hearing on September 20, 2001. Claimant‘s counsel presented no evidence at that hearing but, instead, requested that Claimant‘s testimony be deferred until counsel could schedule a deposition from Dr. Michelle R. Arbitell, Claimant‘s treating psychologist. (O.R., N.T. at 4-5.) Employer‘s counsel submitted a copy of WCJ Desimone‘s June 2, 2000, decision approving the C & R Agreement, as well as a signed copy of the C & R Agreement. WCJ Getty admitted both submissions into the record as Judge‘s Exhibits #1 and #2, respectively. (N.T. at 7-8; WCJ Getty‘s Finding of Fact 3.) WCJ Getty then marked the matter continued for the deposition of Dr. Arbitell. (N.T. at 9.)
Shortly thereafter, by correspondence dated September 27, 2001, Employer‘s counsel moved for dismissal of Claimant‘s petition on the ground that the issue was controlled by the doctrine of collateral estoppel. In the motion to dismiss, Employer‘s counsel noted that, in the decision approving the C & R Agreement, WCJ Desimone had specifically found that Claimant understood the full legal significance of the C & R Agreement, which she had signed. Because Claimant never appealed from that decision, Employer‘s counsel asserted that Claimant‘s petition to set aside, in which she sought to prove that she did not understand the full legal significance of the C & R Agreement, must be dismissed. Both parties submitted legal briefs regarding application of the collateral estoppel defense. After considering the arguments made therein, WCJ Getty concluded that Employer‘s motion to dismiss should be granted due to WCJ Desimone‘s finding that Claimant understood her decision to proceed and execute the C & R Agreement and Claimant‘s failure to appeal from that decision. (WCJ Getty‘s Finding of Fact 5; WCJ Getty‘s Conclusion of Law 3.) Claimant appealed the WCJ‘s dismissal order to the WCAB, which affirmed.
Claimant now petitions this Court for review,4 arguing that Employer waived the right to raise the defense of collateral estoppel by failing to include it in its answer to Claimant‘s petition. Alternatively, Claimant argues that, even if this defense were properly raised, the doctrine of collateral estoppel does not apply here because Claimant did not have a full and fair opportunity to litigate in the underlying C & R Agreement proceeding before WCJ Desimone. Her specific objections to that hearing are that (1) she was not represented by counsel of her own choosing and (2) she was not mentally capable of exercising independent judgment. Claimant reasons that because the C & R Agreement proce-
Before addressing Claimant‘s arguments, we note that, although Claimant styled her pleading as a petition to set aside final receipt, this was not the proper means by which to request the relief she sought. This is because at the time a final receipt is signed, the parties acknowledge that the claimant is no longer disabled from the work-related injury. Therefore, a claimant seeking to set aside a final receipt must demonstrate by sufficient, competent, credible evidence that all disability attributable to his work-related injury had not ceased at the time of signing. Hartner v. Workmen‘s Compensation Appeal Board (Phillips Mine & Mill, Inc.), 146 Pa.Cmwlth. 167, 604 A.2d 1204 (1992), petition for allowance of appeal denied, 531 Pa. 662, 613 A.2d 1210 (1992). In this case, however, when Employer and Claimant entered into the C & R Agreement, they agreed that Claimant remained totally disabled due, at least in part, to Claimant‘s 1995 work injury. (O.R., C & R at para. 6, 16.) Thus, the circumstances here are not within the ambit of a petition to set aside. However, relief may be granted under a section of the Act different from that invoked by Claimant, provided that relief is appropriate based on the evidence presented. Hartner.
What Claimant actually seeks here is to set aside the C & R Agreement approved by WCJ Desimone and, thereby, reinstate her disability benefits.5 In an effort to secure this relief, Claimant asserts that, contrary to representations in the Employee‘s Certification portion of the C & R Agreement and to WCJ Desimone‘s Findings of Fact 4, she did not understand the full legal significance of the C & R Agreement at the time she signed that document. Moreover, Claimant asserts that, contrary to her signed acknowledgement in the Employee Certification portion of the C & R Agreement that she was represented by an attorney of her own choosing as required under
With this in mind, we consider whether Claimant‘s petition was properly dismissed based upon collateral estoppel.6
Claimant argues that collateral estoppel does not apply to the question of her mental competence because that issue was not actually litigated in the proceeding before WCJ Desimone. We disagree. Under
The next issue is whether collateral estoppel bars Claimant‘s contention that she was not represented by counsel of her choice. The record reflects that the C & R Agreement included a section entitled “Employee‘s Certification,” which Claimant admitted she signed. Paragraph 5 of that section of the C & R Agreement states, “I have been represented by an attorney of my own choosing during this case. My attorney has explained to me the content of this agreement and its effects upon my rights.” This provision was initialed by Claimant. Additionally, the record shows that at the C & R Agreement hearing Claimant was specifically asked whether she was satisfied with her attorney‘s representation of her, to which she replied, “Yes.” (N.T. 11-12.) Based on this evidence, we hold that she was precluded under collateral estoppel from re-litigating the issue of whether she was represented by counsel of her choice.7
Our decision that the doctrine of collateral estoppel properly applies here is supported by strong public policy favoring voluntary settlements and finality. The importance of giving effect to the finality of a Compromise and Release settlement has been recognized by other courts. In fact, the Supreme Court of Texas rejected the notion that even a mutual mistake of fact could justify opening a Compromise and Release settlement in a workers’ compensation case, observing:
[V]oluntary settlements are so favored, that if a doubt or dispute exists between parties with respect to their rights, and all have the same knowledge or means
of obtaining knowledge concerning the circumstances involving those rights, and there is no fraud, misrepresentation, concealment, or other misleading incident, a compromise into which they have voluntarily entered must stand and be enforced, although the final issue may be different from that which was anticipated, and although the disposition made by the parties in their agreement may not be that which the court would have decreed, had the controversy been brought before it for decision.
Mullens v. Texas Employers’ Insurance Association, 507 S.W.2d 317, 320 (Tex.Civ.App.1974) (quoting Houston and Texas Central Railroad Company v. McCarty, 94 Tex. 298, 60 S.W. 429 (1901), overruled on other grounds in Williams v. Glash, 789 S.W.2d 261 (Tex.1990)). Unlike in Texas, this Court has declined to apply the same level of strictness. Rather, we have permitted a C & R Agreement to be set aside in a situation where we perceived a mutual mistake of fact. See North Penn Sanitation Inc. v. Workers’ Compensation Appeal Board (Dillard), 850 A.2d 795 (Pa.Cmwlth.2004). In North Penn, we stated that, “At common law, a compromise and release agreement can be set aside upon a clear showing of fraud, deception, duress or mutual mistake.... We see no reason why the test for setting aside releases at common law should not be applied to workers’ compensation cases.” Id. at 798.9,10 In addition, we have stated, “we believe that the legislature intended that a C & R should be on equal footing with civil settlements, which are based on a public policy that encourages settlements and stresses finality.” Stroehmann Bakeries v. Workers’ Compensation Appeal Board (Plouse), 768 A.2d 1193, 1196 (Pa.Cmwlth.2001).11 These important public policy concerns, i.e., encouraging settlements and promoting finality, reinforce the basis for our holding here.
Accordingly, having determined that the doctrine of collateral estoppel did prevent the setting aside of the C & R Agreement, and that there are strong policy reasons that militate against allowing persons to disavow such agreements, absent circumstances such as fraud, misrepresentation, concealment, or mutual mistake of fact, which are not present here, we affirm the order of the Board, upholding the dismissal of Claimant‘s petition.
ORDER
NOW, July 13, 2004, the order of the Workers’ Compensation Appeal Board in the above-captioned matter is hereby affirmed.
DISSENTING OPINION BY Judge FRIEDMAN.
In this issue of first impression, the majority determines that a claimant who suffers from mental impairment may not petition for review of a Workers’ Compensation Compromise and Release (C & R) Agreement on grounds that she was incapable of understanding its ramifications because the doctrine of collateral estoppel forecloses this relief to any such claimant as a matter of law by virtue of the very finding she seeks to have reviewed. I believe that such a result is both absurd and unjust; therefore, I must respectfully dissent.
In this case, Marcella Stiles (Claimant), while employed by the Department of Public Welfare (Employer), sustained a work-related injury described as “post-concussion syndrome.” After Claimant went through various periods of total and partial disability, her then attorney filed a petition on Claimant‘s behalf, seeking approval of a C & R Agreement pursuant to
Claimant subsequently filed a petition (Petition) to reinstate her disability benefits, alleging that, “[a]t the time [Claimant] entered into her Compromise and Release, she was suffering from severe psychological, psychiatric and physical injuries which gave her post-traumatic stress syndrome and [she] did not understand the economic value of her claim. The agreement was totally inadequate under the circumstances and should be set aside and benefits reinstated.” (R.R. at 18.)
Claimant‘s Petition was assigned to WCJ Charles A. Getty (WCJ Getty), who initially continued the matter so that Claimant‘s counsel could schedule the deposition of Claimant‘s treating psychologist. However, shortly thereafter, Employer‘s counsel moved to dismiss Claimant‘s Petition; Employer contended that the issue of whether Claimant understood the import of the C & R Agreement already had been decided by WCJ Desimone, and, because Claimant did not appeal from that decision, the doctrine of collateral estoppel now precluded Claimant from revisiting the question. After considering the parties’ positions,3 WCJ Getty agreed with Em-
As the majority correctly states, Claimant‘s Petition actually is in the nature of a petition to set aside the C & R Agreement pursuant to
Moreover, I believe that the doctrine of collateral estoppel cannot be applied in this case because the issue before WCJ Desimone in the C & R Agreement approval proceeding under
Indeed, I take issue with the majority‘s statement that “[i]nherent in that responsibility is a requirement that the WCJ determine that the claimant is mentally competent ...” (Majority op. at 1124.) To the contrary, the WCJ lacks the medical training that would qualify him to make this specific determination. See Southeastern Pennsylvania Transportation Authority v. Workers’ Compensation Appeal Board (Herder), 765 A.2d 414 (Pa.Cmwlth.2000), appeal denied, 566 Pa. 654, 781 A.2d 151 (2001) (stating that, while the claimant was qualified to testify concerning the decedent‘s emotions prior to death, a medical expert is required to testify regarding the decedent‘s alleged depression). Here, WCJ Desimone did not consider expert medical testimony on the subject of Claimant‘s mental competence; rather, WCJ Desimone heard Claimant state that she understood the terms of the C & R Agreement, and the WCJ made his finding based upon that statement. Thus, in the C & R Agreement approval proceeding, WCJ Desimone simply made a credibility determination; that determination was in no way an expression of the WCJ‘s expert medical opinion. WCJ Desimone‘s ruling was on Claimant‘s veracity, and Claimant‘s mental competence was not an issue actually litigated at the hearing before WCJ Desimone. Based on this same reasoning, Claimant‘s mental competence was not essential to the judgment approving the C & R Agreement nor material to the adjudication that did so.
However, with a petition to set aside an agreement under
Like the claimant in Dillard, Claimant here seeks to testify and present medical evidence to prove that, notwithstanding her testimony during the C & R Agreement approval hearing, she did not understand the full legal significance of the C & R Agreement at the time it was executed. Moreover, as in Dillard, Claimant asserts that Employer was aware of her mental incapacity but did not disclose this to WCJ Desimone. I can discern no distinction between whether that claimed lack of understanding results from a visual
Judge SMITH-RIBNER joins in this dissent.
impairment, as in Dillard, or whether it is due to a mental impairment, as alleged by Claimant here. Indeed, I believe that if the majority‘s collateral estoppel analysis had been applied in Dillard, the claimant there would have been precluded from challenging the WCJ‘s finding that he understood the terms of the C & R agreement, a result at odds with the humanitarian purpose of the Act.
Notes
Op. at 801 (footnote and citation omitted).Additionally, we note that [the c]laimant‘s work-related blindness was not disclosed to WCJ Shayhorn. In approving the parties’ [a]greement, WCJ Shayhorn relied upon the representation that [the claimant‘s] injuries were fully disclosed, when they were not. Since WCJ Shayhorn was unaware of [the c]laimant‘s condition, it was impossible for the judge to ascertain whether [the c]laimant understood the full legal significance of the [a]greement. Given the nature of [the c]laimant‘s injury and his inability to read the [a]greement, [the claimant] was at a unique disadvantage. This disadvantage was further compounded by the fact that [the claimant] did not receive independent legal advice.... Under these circumstances, we cannot conclude that WCJ Devlin abused his discretion in setting aside the Agreement. In rendering this decision, we keep in mind that the Act is remedial in nature and intended to be liberally construed in favor of an injured employee, i.e., to effectuate its humanitarian purpose.
