Presumption of Work-Relatedness: Seafarer Disability Claims and Employer’s Burden of Proof

TL;DR

The Supreme Court ruled in favor of seafarer Rudy T. Ampolitod, granting him total and permanent disability benefits. The Court emphasized that when a seafarer’s illness manifests during employment and is not listed as an occupational disease, it is presumed to be work-related. The burden then shifts to the employer to prove otherwise. In this case, the company failed to provide a final and conclusive medical assessment within the prescribed period, and did not successfully refute the presumption that Ampolitod’s Myelodysplastic Syndrome (MDS) was work-related, considering his exposure to chemicals and lengthy service. This decision reinforces the protection afforded to seafarers under Philippine law, ensuring they receive just compensation for work-related illnesses when employers fail to meet their obligations.

When the Shipyard Sickens: Upholding Seafarer Rights in Disability Claims

Imagine working for years at sea, diligently performing your duties, only to be struck by a debilitating illness. This is the plight of Rudy T. Ampolitod, an Able-Bodied Seaman who sought disability benefits after developing Myelodysplastic Syndrome (MDS). His case, Rudy T. Ampolitod v. Top Ever Marine Management Phils. Inc., reached the Supreme Court, raising a crucial question: When is a seafarer’s illness presumed work-related, and what evidence must employers present to overcome this presumption? The High Court’s decision provides important clarity on the rights of seafarers and the responsibilities of their employers in disability claims.

Ampolitod had been continuously employed as a seafarer by Top Ever Marine since 2009. Prior to his last contract in 2015, he was declared fit for duty. However, two months into his voyage on the M/V Coral Opal, he experienced alarming symptoms: dizziness, weakness, and unusual bruising. Medical examinations revealed thrombocytopenia, and later, Myelodysplastic Syndrome (MDS). He was repatriated and treated by company-designated physicians, but his condition persisted. Despite initial treatment, his blood counts remained abnormal, and eventually, he was declared unfit to work by his own doctor and a third-party physician.

The Labor Arbiter initially ruled in Ampolitod’s favor, citing the harmful chemicals he was exposed to as a seaman. However, the National Labor Relations Commission (NLRC) and the Court of Appeals (CA) reversed this decision, arguing Ampolitod failed to prove a direct link between his work and MDS, which is not listed as an occupational disease. The Supreme Court, however, disagreed with the NLRC and CA, emphasizing the legal framework governing seafarer disability claims.

The Court reiterated that seafarer disability claims are governed by the employment contract and the 2010 POEA-SEC. For disability to be compensable, two elements must be met: the illness must be work-related and must have arisen during the employment contract. Crucially, illnesses not listed in Section 32-A of the POEA-SEC, like MDS, are disputably presumed to be work-related. This presumption, however, does not automatically guarantee compensation. The seafarer must still meet the conditions for compensability outlined in Section 32-A:

For an occupational disease and the resulting disability or death to be compensable, all of the following conditions must be satisfied:

  1. The seafarer’s work must involve the risks described herein;
  2. The disease was contracted as a result of the seafarer’s exposure to the described risks;
  3. The disease was contracted within a period of exposure and under such other factors necessary to contract it; and
  4. There was no notorious negligence on the part of the seafarer.

Despite MDS not being a listed occupational disease, the Supreme Court found that Ampolitod successfully demonstrated the work-relatedness of his condition. As an Able Seaman, his duties involved overhauling equipment, chipping rust, and painting the ship’s deck, exposing him to industrial solvents and chemicals, including benzene. The Court acknowledged the medical evidence linking benzene exposure to MDS, referencing established scientific literature. While respondents argued that Ampolitod’s short deployment before symptoms appeared negated work-relatedness, the Court highlighted his six years of continuous service in similar roles, increasing his cumulative exposure to harmful substances.

Furthermore, the Court addressed the issue of disability assessment. The company-designated physician is mandated to issue a final, conclusive assessment within 120 days, extendable to 240 days under justifiable circumstances. This assessment must be definitive, stating fitness to work or a disability rating. In Ampolitod’s case, the company claimed a final assessment declared him fit to work. However, this assessment was not furnished to Ampolitod within the prescribed period, and his continued medical monitoring and fluctuating blood counts contradicted the “fit to work” declaration. The Court applied the rules established in Elburg Shipmanagement,nent Phils., Inc. v. Quiogue, emphasizing that:

1. The company-designated physician must issue a final medical assessment on the seafarer’s disability grading within a period of 120 days from the time the seafarer reported to him;
2. If the company-designated physician fails to give his assessment within the period of 120 days, without any justifiable reason, then the seafarer’s disability becomes permanent and total;
3. If the company-designated physician fails to give his assessment within the period of 120 days with a sufficient justification (e.g., seafarer required further medical treatment or seafarer was uncooperative), then the period of diagnosis and treatment shall be extended to 240 days. The employer has the burden to prove that the company-designated physician has sufficient justification to extend the period; and
4. If the company-designated physician still fails to give his assessment within the extended period of 240 days, then the seafarer’s disability becomes permanent and total, regardless of any justification.

Because the supposed final assessment was not timely provided and was contradicted by subsequent medical findings, the Court concluded that the company-designated physician failed to issue a valid final assessment. Consequently, Ampolitod’s disability became permanent and total by operation of law. The Court reinstated the Labor Arbiter’s decision, awarding Ampolitod USD 60,000 in disability benefits plus attorney’s fees, underscoring the importance of procedural compliance and the seafarer’s right to proper medical assessment and compensation.

FAQs

What was the key issue in this case? The central issue was whether seafarer Rudy Ampolitod was entitled to permanent and total disability benefits for Myelodysplastic Syndrome (MDS), and whether his illness was work-related.
What is the presumption of work-relatedness for seafarers? Under the POEA-SEC, illnesses not listed as occupational diseases are disputably presumed to be work-related if they occur during the seafarer’s employment. This shifts the burden to the employer to prove otherwise.
What are the employer’s responsibilities regarding medical assessments? Employers must ensure company-designated physicians issue a final, conclusive disability assessment within 120 days (extendable to 240 days with justification) and provide this assessment to the seafarer.
What happens if the company-designated physician fails to issue a timely and valid assessment? If the company-designated physician fails to issue a proper assessment within the prescribed period, the seafarer’s disability may be deemed permanent and total by operation of law.
What kind of evidence did the Court consider in determining work-relatedness in this case? The Court considered the nature of Ampolitod’s work as an Able Seaman, his long-term exposure to chemicals like benzene, and medical literature linking such exposure to MDS.
What was the Supreme Court’s ruling? The Supreme Court granted Ampolitod’s petition, ruling that his MDS was work-related and that he was entitled to permanent and total disability benefits due to the company’s failure to provide a timely and valid medical assessment and refute the presumption of work-relatedness.

For inquiries regarding the application of this ruling to specific circumstances, please contact Atty. Gabriel Ablola through gaboogle.com or via email at connect@gaboogle.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: Rudy T. Ampolitod v. Top Ever Marine Management Phils. Inc., G.R. No. 252347, May 22, 2024

About the Author

Atty. Gabriel Ablola is a member of the Philippine Bar and the creator of Gaboogle.com. This blog features analysis of Philippine law, covering areas like Maritime Law, Corporate Law, Taxation Law, and Constitutional Law. He also answers legal questions, explaining things in a simple and understandable way. For inquiries or legal queries, you may reach him at connect@gaboogle.com.

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