5/28/2020
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to delay treatment for more than one hundred twenty (120) days to avail of the more
favorable award of permanent total disability benefits.
Non-referral to a third physician,
whose decision shall be considered as final
and binding, constitutes a breach of the
POEA-SEC
After establishing the importance of the physician’s assessment of disability claims, the
present case should have already been resolved had it not been for the conflicting
findings of Dr. Cruz and Dr. Vicaldo.
In the settlement of this conflict, we need not provide a lengthy discussion as we have
resolved this matter in Philippine Hammonia Ship Agency, Inc. v. Dumadag,[20] citing
Section 20(B)(3) of the POEA-SEC:
If a doctor appointed by the seafarer disagrees with the assessment, a third
doctor may be agreed jointly between the [e]mployer and the seafarer.
The third doctor’s decision shall be final and binding on both
parties. (Emphasis ours)
This referral to a third doctor has been held by this Court to be a mandatory procedure
as a consequence of the provision that it is the company-designated doctor whose
assessment should prevail. In other words, the company can insist on its disability
rating even against a contrary opinion by another doctor, unless the seafarer expresses
his disagreement by asking for the referral to a third doctor who shall make his or her
determination and whose decision is final and binding on the parties. We have followed
this rule in a string of cases, among them, Philippine Hammonia,[21] Ayungo v. Beamko
Shipmanagement Corp.,[22] Santiago v. Pacbasin Shipmanagement, Inc.,[23] Andrada
v. Agemar Manning Agency,[24] and Masangkay v. Trans-Global Maritime Agency, Inc.
[25]
Thus, at this point, the matter of referral pursuant to the provision of the POEASEC is a settled ruling.
Since Rosales signed the POEA-SEC, he bound himself to abide by its conditions
throughout his employment.
The records show that after obtaining a medical
certificate from Dr. Vicaldo classifying his illness as Grade 1 (contrary to Dr. Cruz’ Grade
7 assessment that the company insisted on), Rosales immediately proceeded to secure
the services of a counsel and forthwith filed a complaint for disability benefits.[26]
By so acting, Rosales proceeded in a manner contrary to the terms of his contract with
INC in challenging the company doctor’s assessment; he failed to signify his intent to
submit the disputed assessment to a third doctor and to wait for arrangements for the
referral of the conflicting assessments of his disability to a third doctor.
Significantly, no explanation or reason was ever given for the omission to comply with
this mandatory requirement; no indication whatsoever is on record that an earnest
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