By: Ruben Del Rosario, President, Del Rosario Pandiphil Inc., 18 December 2020 (Issue 2020/21)
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Del Rosario Law / Del Rosario Pandiphil
Passing the PEME does not preclude denial of claim based on concealment
Prior to his engagement as Fitter, seafarer underwent a pre-employment medical examination (PEME). In his PEME, the seaman did not disclose any medical condition and was eventually declared fit to work.
While on-board the vessel, the seafarer complained of a dislocated left shoulder. The seafarer was referred to a shore doctor and it was admitted therein that this was the seafarer’s third episode of shoulder dislocation. He was advised to seek further examination to determine the extent of his injury.
Upon repatriation, further treatment was denied to the seafarer by the company as he concealed his medical condition during the PEME. The seafarer then consulted with his own doctor who declared him permanently unfit to work. This prompted the seafarer to file a claim for disability benefits against the company.
The Labor Arbiter, NLRC and the Court of Appeals all denied the claim based on the concealment of the seafarer. The denial of the claim was further affirmed by the Supreme Court.
The foreign doctor is not the company-designated physician
The seafarer argued that since there was no final and definite medical assessment issued by the company-designated physician, the findings of his chosen doctor should prevail. The seafarer further argues that the findings of the foreign doctor cannot be considered as that of a company-designated physician.
The Supreme Court held that the foreign doctor is not considered as the company-designated physician. The contract states that the company-designated physician should be the doctor who will diagnose the condition of the seafarer after repatriation. The post-employment medical examination presumes that the company-designated physician will conduct a thorough, final and definitive assessment of the seafarer’s medical condition. The foreign doctor’s diagnosis cannot be considered in compliance with the mentioned requirements.
Since there was no assessment issued by the company-designated physician, the assessment of the seafarer’s chosen doctor will stand.
Concealment committed by the seafarer
Notwithstanding, the Supreme Court held that the seafarer committed fraudulent concealment in his PEME which will disqualify him from disability benefits. The POEA Contract states that a seafarer who knowingly conceals a pre-existing medical illness or condition in the PEME shall be liable for misrepresentation and shall be disqualified from any compensation and benefits.
Here, the Court noted that the seafarer had two previous incidents where he dislocated his shoulder. Noting that this was a recurring medical condition, he should have disclosed this during the PEME.
The seafarer argued that since he was made to undergo a PEME, the failure to discover his shoulder injury during the examination precludes the company from rejecting his compensation claim. This was debunked by the Court considering that PEMEs are not exploratory in nature and employers are not burdened to discover any and all pre-existing medical condition of the seafarer during its conduct. PEMEs are only summary examinations and they only determine whether seafarers are fit to work and does not reflect a comprehensive, in-depth description of the health of an applicant. This is precisely why the POEA Contract mandates the seafarer to disclose his medical history during the PEME.
J. C. vs. Status Maritime Corporation, Beks Demi Isletmeciligi VE Ticaret A.S. and/or L. A., G.R. No. 238933, November 25, 2020, Third Division, Associate Justice Marvic M.V.F. Leonen, ponente (Attys. Denise Cabanos and David Valencia of DelRosarioLaw handled for vessel interests).
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