1/5/2021
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Issues
1. Is petitioner guilty of material concealment of a previous medical condition?
2. Is referral to a third doctor mandatory?
3. Is petitioner entitled to total and permanent disability benefits?
Ruling
To begin with, being not a trier of facts, it is not the Court's function to analyze or
weigh evidence all over again in view of the corollary legal precept that the factual
findings of the Court of Appeals are conclusive and binding on this Court. The Court,
nevertheless, may proceed to probe and resolve factual issues presented here because
the findings of the Court of Appeals are contrary to those of the labor arbiter and the
NLRC.[21]
The employment of seafarers is governed by the contracts they sign at the time of their
engagement. So long as the stipulations in said contracts are not contrary to law,
morals, public order, or public policy, they have the force of law as between the
parties. While the seafarer and his employer are governed by their mutual agreement,
the POEA Rules and Regulations require that the POEA-SEC be integrated in every
seafarer's contract.[22]
Petitioner's employment is governed by the contract he executed with private
respondents on March 19, 2013, the POEA-SEC, and the Collective Bargaining
Agreement (CBA) between the parties.
First Issue
No material concealment
Private respondents deny petitioner's claim for disability benefits on ground of material
concealment of his alleged pre-existing or previous diagnosis with hypertension and
coronary artery disease.
Pursuant to the 2010 POEA-SEC, an illness shall be considered as pre-existing if prior to
the processing of the POEA contract, any of the following conditions is present: (a) the
advice of a medical doctor on treatment given for such continuing illness or condition;
or (b) the seafarer had been diagnosed and has knowledge of such illness or condition
but failed to disclose the same during the PEME, and such cannot be diagnosed during
the PEME.[23] More, to speak of fraudulent misrepresentation is not only to say that a
person failed to disclose the truth but that he or she deliberately concealed it for a
malicious purpose. To equate with fraudulent misrepresentation, the falsity must be
coupled with intent to deceive and to profit from that deception.[24]
Here, none of these conditions obtains. Consider:
One. Although the company-designated doctors stated that petitioner supposedly
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6/19