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Filipino Crew Claims Filipino Crew Claims 1 15/F Pacific Star Building , Makati Avenue, 1200 Makati City, Philippines www.delrosariolaw.com 24/7 Mobile: 63 917 830 8384 [email protected] November 2009 1

Filipino Crew Claims Updates - · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Page 1: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

Filipino Crew ClaimsFilipino Crew Claims

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15/F Pacific Star Building , Makati Avenue, 1200 Makati City, Philippines www.delrosariolaw.com 24/7 Mobile: 63 917 830 8384

[email protected]

November 2009

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Page 2: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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established May 1, 1977 (correspondent since 1946)Del Rosario & Del Rosario Law Offices (22 lawyers)two managing partners,

Ruben Del Rosario and Arturo Del Rosario Jr.Del Rosario Pandiphil Inc. (12 claims handlers)

correspondent arm of Del Rosario & Del Rosariototal complement of 80 employeeslisted correspondent for more than 20 P&I Clubsin addition to maritime – labor, corporate, intellectual property, litigationPhilippine Shipping Update – to subscribe, email

[email protected]@delrosario-pandiphil.com

24/7 mobile +63 917 830 8384

introduction

Page 3: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Work-Related Death

compensable

during term of

contract

work-relatedinjury orillness

not pre-existing illness

Page 4: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

during the term of the contract…

seafarer fell and injured his backafter treatment, he was repatriated

he was treated in Manila for three months but he eventually died due to his injuries Is death compensable considering it occurred after end of contract?Yes, as his death is due to injuries suffered during the term of the contract

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Page 5: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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seafarer fell and injured his backafter treatment, he was repatriatedhe was treated in Manila for three months and then was declared fit to workafter three months, agents got a claim from the widow stating her husband died due to his injuries Is death compensable considering it occurred after end of contract?Difficult to decide…since cause of death same as cause of repatriation, vessel may be held liable; but, considering already declared “fit to work”, is there a defense? examine, circumstances of death carefully

during the term of the contract…

Page 6: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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requisites:seafarer knowingly conceals past medical condition, disability or history

effectdisqualified from compensation and benefits

how determined?PEME formasked directly by physician, employermedical expertsdisclosed by seafarer in time of necessity

pre-existing illness

Page 7: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

Work- Related Injury

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compensable

during term of contract work-related injury

Arise out of or in the course of employment

Page 8: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Work-Related Illness

compensable

during term of contract

work related illness

occupational diseaseSec 32-A

disputably presumed (non-occupational disease)

Not pre-existing illness

Page 9: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Work-Related Illness – Occupational Disease

compensable

during term of contract

occupational diseaseunder Sec. 32A

with conditions therein satisfied

no pre-existing illness

Page 10: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

provision master (56 yrs old); with manning agent for 20 yearsfinished contractarrived in the evening…next morning, he “had sudden left-sided weakness upon waking up”diagnosed to have “hypertensive cardio-vascular disease”is illness compensable? see Sec. 32A (11)yes, occupational disease

task included lifting heavy provisionsdiagnosed within 24 hoursclean bill of health before joiningany doubt resolved in favor of labor

occupational disease…

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Page 11: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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3 months onboard, AB was accidentally hit by a pipe on the right side of his abdomen. He fell and injured his back.He was also diagnosed with Tuberculosis IleitisIllness compensable? See Sec. 32A (18)No, having been hit by a pipe is too remote a cause as to result in the illness sought to be compensated while pulmonary tuberculosis appears in the list of occupationaldiseases, the inclusion is conditional. Claimant needs to show actual work-relatedness if the condition does not apply. AB was not engaged in one of the occupations where tuberculosis is a listed illness; thus, he carried the burden ofshowing by substantial evidence that his tuberculosis Ileitis was due to the abdominal injury he sustained on board or to his exposure to toxic chemicals and substances and to harsh weather conditions

occupational disease…

Page 12: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Tug Master with principal for 15 years. Suffered severe coronary artery disease while onboard.Compensable? See Sec. 32A (11)Yes, different climates and unpredictable weather, as well as the stress of the job, had a correlation with the heart disease of aseafarer serving as a ship master.Master able to sufficiently prove, by substantial evidence, thathis illness was work related, given the arduous nature of his job that caused his disease or, at least, aggravated any pre-existing condition

occupational disease…

Page 13: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Work-Related Illness – Non-occupational Disease

compensable

during term of contract

not listed as occupational disease but disputably

presumed work-related

no pre-existing illness

Page 14: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Oiler repatriated after 21 days onboard due to renal failuredue to multiple renal stones Compensable?No, there is no substantiation that the progression of seafarer’s renal failure was brought about largely by the conditions of his job as an oiler. Chronic renal failure, is neither listed as a disability under Sec. 32 of the POEA Contract; nor an occupational disease under Sec. 32A

non-occupational disease…

Page 15: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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2E repatriated after less than 2 weeks for lung cancerHe died while under treatment Compensable?No, seafarer did not die of a work-related illness. Lung cancer is not one of the listed occupational diseases. At most, only a disputable presumption that lung cancer is work-related.Main cause is tobacco use and there was no showing that the cancer was brought about by his short stint on board the vesselWhile a PEME may reveal enough for the Owners to decide whether a seafarer is fit for overseas employment, it may not berelied upon to inform Owners of a seafarer's true state of health. The PEME could not have divulged the seafarer’s illness considering that the examinations were not exploratory.

non-occupational disease…

Page 16: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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with agency for 9 years...suffered mild bouts of painful urination...given medicine and finished contract...2 months later found to have advanced cancerous tumor on his bladder...operation...reapplied but failed PEME...certified fit to work by his own physician...died after one year...compensable?No, cancer is of unknown origin that stikes people in all walks of life, employed or unemployed...to conclude increased risk, need to show cancer is caused by specific working conditions

non-occupational disease…

Page 17: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Work-Related Illness

who determines whether illnesswork-related???

company-designatedphysician

third physician

NLRC / Arbitration / courts

Page 18: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Second Cook repatriated due to edema in the abdominal areaCompany doctor declared him fit to workSeafarer’s private physician declared Grade 1 disability and unfit to resume work as a seaman in any capacityWho’s findings were upheld?Company doctor’s finding of fit to work was upheld by SCIt is beyond cavil that it is the company-designated physician who is entrusted with the task of assessing the seaman’s disability under the POEA contract.

Company Doctor

Page 19: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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employer’s interest is to determine at first instance if work-related or notcompany-designated physician in best position to determine work-relation as he has treated seafarer at lengthdocumentation is important

complete medical records/ certificates (local & abroad)/ expert opinions PEME/master’s reports/ previous employment recordsjob description

important notes on work-relation

Page 20: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Seafarer was on a POEA contract with no CBA...he suffered acute appendicitis after three days on board vessel ...operated on....repatriated...on arrival in Manila, hospitalized for six days...then discharge fit to work...doctor says not work-related...Are medical expenses abroad and in Manila to be paid by shipowner? Yes because of “disputable presumption of work-relation”. The company-designated physician only declared non-work-relation six days from arrival in Manila...therefore, presumed work-related and shipowner must bear expenses

Issues – medical expenses – disputable presumption

Page 21: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Seafarer was on a POEA contract with a IBF-FKSU/AMOSUP-KSA CBA (FKSU CBA). He suffered acute appendicitis after three days on board vessel ...operated on....repatriated...on arrival in Manila, hospitalized for six days...then discharge fit to work...doctor says not work-related...Are medical expenses abroad and in Manila to be paid by shipowner? Yes, based on Article 25 of FKSU CBA. Medical attention at company expense for (sickness) up to minimum 60 days and a maximum of 130 days after repatriation... or until declared cured and fit to perform usual work or the degree of disability established with finality.

Issues –- medical expenses - non-work-related

Page 22: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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POEA

Work Related Illness / Injury

UNTIL Fit to Work or disability assessed or

declared not work-related

FKSU CBA

Work Relation NOT needed

ILLNESS: minimum 60 days up to

maximum 130 days

INJURY: for so long as medical attention required or

disability assessed

Page 23: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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POEA (basic wage)

Work Related Illness / Injury:

Maximum of 120 Days

FKSU CBA(basic wage)

Work Relation NOT needed

minimum 60 days up to maximum 130 days

If incapacity due to accident, until cured or disability

assessed

Page 24: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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POEA

Work related injury/ illness

Disability Assessment:POEA Section 32

FKSU CBA

Result of an ACCIDENT

Excluding willful act

Permanent Unfitness Clause

whilst in the employ

Disability Assessment: CBA Appendix III

Page 25: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Permanent Disability – inability of worker to perform job for more than 120 days, treatment can be extended to 240 daysDisability is not permanent even if 120 days exceeded

Close monitoring of treatment – 30, 60, 90th day

Interim assessment before 120 days (future medical prognosis; estimate of fitness or maximum medical improvement; will he be fit? – what costs? – should we settle

Page 26: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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Begin counting from incident date or symptoms arose

Don’t stop treatment when 120 days reached; exceptions (already Gr. 1; maximum cure)

Treatment can be extended to 240 days –but must be graded before 240 days – otherwise permanently disabled

Don’t disregard other issues – work relation; during term of contract; pre-existing; concealment

Page 27: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

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SEAFARER

Union Conciliation AMOSUP

Labor Arbiter

APPEAL10 days with bondUse of CLOG

NLRC Commission

Compulsory Arbitration(National Labor Relations Commission)

Motion for Execution with Labor Arbiter

Metropolitan Trial Court

Regional Trial Court

Court of

Appeals

Notice of Appeal

Civil Courts

Supreme Court

Voluntary Arbitration(National Conciliation and  Mediation Board)

Refer to VA if deadlock

Petition for Review on Certiorari

Mandatory ConferencesPosition PaperReplyRejoinder

NCMB: Sole Arbitrator (VA) or

Panel of Voluntary Arbitrators (PVA)

Decision: 10 DAYS FINAL AND EXECUTORY unless TRO issued by CA;usually no bondas no appeal /MR

Motion for ExecutionWith VA or PVA

Writ of Execution/ Garnishment

Order of issuanceof writ

TROPetition for Certiorari

Order of issuance of Writ

(allowed if lack ofjurisdiction or grave abuseof discretion amountingto lack or excess of jurisdiction)

Motion for Reconsideration (MR) with NLRC

Writ of Execution/ Garnishment

TRO

NLRC

10 days

Denial of MR:10 DAYS FINAL AND EXECUTORY unless TRO issued by CA

NCMB

Page 28: Filipino Crew Claims Updates -  · PDF fileFilipino Crew Claims 1 ... to resume work as a seaman in any capacity ... FINAL AND EXECUTORY unless TRO issued by CA; usually no bond

Thank you for your attention

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