The Seafarer’s Duty: Forfeiture of Disability Claims for Failure to Undergo Post-Employment Medical Exam

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This Supreme Court decision emphasizes the importance of seafarers adhering to the mandatory post-employment medical examination within three working days of repatriation. Failure to comply with this requirement, as outlined in the POEA-SEC, results in the forfeiture of their right to claim disability benefits. The court underscored that it is not quick to overturn decisions of labor tribunals, and that in this case, the seafarer failed to provide evidence of any medical issue while working, nor did he comply with the post-repatriation medical examination requirements.

Navigating the High Seas of Seafarer’s Rights: When a Missed Medical Checkup Sinks a Disability Claim

The case of Ariel A. Ebuenga v. Southfield Agencies, Inc. (G.R. No. 208396, March 14, 2018) revolves around Ariel Ebuenga’s claim for permanent disability benefits after his repatriation from his work as a chief cook aboard a vessel managed by Southfield Agencies, Inc. Ebuenga sought immediate repatriation, citing a family problem. Later, he claimed he suffered from “Multilevel Disk Dessication” and sought disability benefits, alleging that he was denied a medical examination by the company-designated physician. The Supreme Court ultimately sided against Ebuenga, affirming the decisions of the Labor Arbiter, the National Labor Relations Commission (NLRC), and the Court of Appeals, which all dismissed his claim for lack of merit. This ruling highlights the critical importance of adhering to the procedural requirements set forth in the Philippine Overseas Employment Administration-Standard Employment Contract (POEA-SEC) for seafarers seeking disability benefits.

At the heart of this case lies Section 20(B) of the POEA-SEC, which outlines the procedures for assessing claims for disability benefits. This provision mandates that seafarers must undergo a post-employment medical examination conducted by a company-designated physician within three working days of their arrival in the Philippines. The rationale behind this requirement is to allow the company-designated physician to promptly assess the seafarer’s condition and determine whether the illness or injury is work-related. The court emphasized the mandatory nature of this reporting requirement:

B. COMPENSATION AND BENEFITS FOR INJURY OR ILLNESS

The liabilities of the employer when the seafarer suffers work-related injury or illness during the term of his contract are as follows:

….

  1. Upon sign-off from the vessel for medical treatment, the seafarer is entitled to sickness allowance equivalent to his basic wage until he is declared fit to work or the degree of permanent disability has been assessed by the company-designated physician but in no case shall this period exceed one hundred twenty (120) days.

    For this purpose, the seafarer shall submit himself to a post-employment medical examination by a company-designated physician within three working days upon his return except when he is physically incapacitated to do so, in which case, a written notice to the agency within the same period is deemed as compliance. Failure of the seafarer to comply with the mandatory reporting requirement shall result in his forfeiture of the right to claim the above benefits.

    If a doctor appointed by the seafarer disagrees with the assessment, a third doctor may be agreed jointly between the Employer and the seafarer. The third doctor’s decision shall be final and binding on both parties.

The court in this case also cited the landmark ruling in Vergara v. Hammonia Maritime Services, Inc., to clarify the period for reckoning a seafarer’s permanent disability. According to Vergara, the 120-day period under Section 20-B(3) of the POEA-SEC is the time given to the employer to assess the seafarer’s fitness to work. This period can be extended up to 240 days if further medical treatment is required. A temporary disability becomes permanent either when declared by the company-designated physician within these periods or upon the expiration of the periods without a declaration, and the seafarer remains unable to resume duties.

As these provisions operate, the seafarer, upon sign-off from his vessel, must report to the company-designated physician within three (3) days from arrival for diagnosis and treatment. For the duration of the treatment but in no case to exceed 120 days, the seaman is on temporary total disability as he is totally unable to work. He receives his basic wage during this period until he is declared fit to work or his temporary disability is acknowledged by the company to be permanent, either partially or totally, as his condition is defined under the POEA Standard Employment Contract and by applicable Philippine laws. If the 120 days initial period is exceeded and no such declaration is made because the seafarer requires further medical attention, then the temporary total disability period may be extended up to a maximum of 240 days, subject to the right of the employer to declare within this period that a permanent partial or total disability already exists. The seaman may of course also be declared fit to work at any time such declaration is justified by his medical condition.

While emphasizing the seafarer’s duty, the Supreme Court also acknowledged that the employer has a reciprocal obligation to provide a meaningful and timely medical examination. In Career Philippines Shipmanagement, Inc., et al. v. Serna, the Court clarified that the employer is also obliged “to conduct a meaningful and timely examination of the seafarer.” If the employer refuses to provide the medical examination, the seafarer’s claim for disability benefits is not hindered by consulting a physician of their own choosing. In this case, however, the court found that Ebuenga failed to provide any credible evidence to support his claim that the respondents refused to have him examined.

Ebuenga claimed he sought a medical examination from the company-designated physician but was refused due to a conflict arising from his report of a co-worker’s death. However, the Court found his allegations unsupported by evidence. The Court of Appeals pointed out that Ebuenga’s account lacked crucial details, such as the date he wanted to be examined and the identity of the person who allegedly rebuffed him. His failure to provide concrete proof weakened his claim and justified the dismissal of his case. The Supreme Court reiterated that in labor cases, the burden of proof lies with the party making the affirmative claim, and Ebuenga failed to meet this burden.

Furthermore, even if Ebuenga had successfully proven that he was denied a medical examination, his claim for disability benefits would still fail because he did not demonstrate a causal link between his illness and his work as a chief cook. For disability to be compensable under the POEA-SEC, the illness or injury must be work-related and must have existed during the term of the seafarer’s employment contract. In this case, Ebuenga’s alleged condition, disc desiccation, is a degenerative ailment often associated with aging, not necessarily linked to the specific demands of his job. Furthermore, he himself requested repatriation, citing a family problem. These facts undermined his claim that his condition was work-related.

Additionally, the court noted that Ebuenga’s short period of engagement, approximately two months, contradicted the likelihood that his disc desiccation was contracted due to his work. As the Supreme Court aptly noted, it cannot sustain an imputation grounded on mere coincidence and conjecture. The decision serves as a crucial reminder to seafarers to adhere strictly to the procedural requirements outlined in the POEA-SEC when seeking disability benefits. Failure to do so may result in the forfeiture of their claims, regardless of the legitimacy of their underlying medical conditions.

FAQs

What was the key issue in this case? The key issue was whether Ariel Ebuenga was entitled to permanent disability benefits, given his failure to undergo a post-employment medical examination by a company-designated physician and his inability to prove a causal link between his illness and his work.
What is the three-day mandatory reporting requirement? The three-day mandatory reporting requirement in the POEA-SEC requires seafarers to submit to a post-employment medical examination by a company-designated physician within three working days of their arrival in the Philippines. Failure to comply results in forfeiture of the right to claim disability benefits.
What happens if the company refuses to provide a medical examination? If the employer refuses to have the seafarer examined, the seafarer’s claim for disability benefits is not hindered by consulting a physician of their own choosing, as long as they can provide evidence of the refusal.
What does “work-related” mean in the context of seafarer disability claims? To be “work-related,” there must be a reasonable connection between the disease suffered by the employee and his or her work. The illness or injury must have been acquired during the term of employment and must arise out of or in the course of employment.
What is the significance of the Vergara v. Hammonia Maritime Services, Inc. case? Vergara v. Hammonia Maritime Services, Inc. clarified the period for reckoning a seafarer’s permanent disability. It established that the 120-day period for medical assessment can be extended to 240 days, and a temporary disability becomes permanent if no declaration is made within these periods.
What evidence did Ebuenga fail to provide in his case? Ebuenga failed to provide evidence to support his claim that he was denied a medical examination by the company-designated physician, nor did he provide proof that his illness was caused by his work. He also failed to substantiate his claim of a conflict with the captain.
Why was Ebuenga’s claim of disc desiccation not considered work-related? Disc desiccation is often associated with aging and is not necessarily linked to the specific demands of his job as a chief cook. Additionally, the court found that his work did not necessarily involve the specific risks that would have led to the illness.
What is the burden of proof in labor cases? In labor cases, the burden of proof rests on the party who asserts the affirmative of an issue. The quantum of proof necessary is substantial evidence, meaning such amount of relevant evidence which a reasonable mind might accept as adequate to justify a conclusion.

In conclusion, the Supreme Court’s decision in the case of Ariel A. Ebuenga v. Southfield Agencies, Inc. underscores the importance of seafarers adhering to the procedural requirements outlined in the POEA-SEC when seeking disability benefits. Failure to comply with these requirements, particularly the mandatory post-employment medical examination, can result in the forfeiture of their claims. This case serves as a cautionary tale for seafarers, emphasizing the need to diligently follow the prescribed procedures to protect their rights and entitlements.

For inquiries regarding the application of this ruling to specific circumstances, please contact ASG Law through contact or via email at frontdesk@asglawpartners.com.

Disclaimer: This analysis is provided for informational purposes only and does not constitute legal advice. For specific legal guidance tailored to your situation, please consult with a qualified attorney.
Source: ARIEL A. EBUENGA VS. SOUTHFIELD AGENCIES, INC., WILHEMSEN SHIP MANAGEMENT HOLDING LTD., AND CAPT. SONNY VALENCIA, G.R. No. 208396, March 14, 2018

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