5/28/2020
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The Court was faced with the same question in Philippine Hammonia v. Dumadag.[24]
Applying the similar provisions in the POEA-SEC and in the parties’ CBA, the Court
observed that the parties are bound by the terms and conditions contained in these
instruments, particularly the above quoted provision on the mechanism prescribed to
determine liability for a disability benefits claim. Since the seafarer pursued his claim
before the labor tribunals without referring the conflicting opinions to a third doctor for
final determination, the seafarer actually breached his contractual obligation. In
reversing the labor tribunals’ rulings (and the CA which affirmed it), the Court said:
We find the rulings of the labor authorities seriously flawed as they
were rendered in total disregard of the law between the parties — the
POEA-SEC and the CBA — on the prescribed procedure for the determination
of disability compensation claims, particularly with respect to the resolution
of conflicting disability assessments of the company-designated physician
and Dumadag’s physicians, without saying why it was disregarded or
ignored; it was as if the POEA-SEC and the CBA did not exist. This is grave
abuse of discretion, considering that, as labor dispute adjudicators,
the LA and the NLRC are expected to uphold the law.
In the present case, since there is a conflict in the assessment of the companydesignated physicians and Dr. Sabado’s certification in relation to Pellazar’s fitness or
unfitness to work, the matter should have been referred to a third doctor for final
determination as required by the POEA-SEC and the parties’ CBA. Since Pellazar was
responsible for the non-referral to the third doctor because of his failure to inform the
manning agency that he would be consulting Dr. Sabado, he should suffer the
consequences of the absence of a binding third opinion. Thus, the NLRC was well within
the bounds of its jurisdiction, in upholding the disability assessment of Drs. De Guzman
and Banaga as against Pellazar’s physician of choice.
ii. The company designated
physician’s findings, although not
binding on the Court, generally
prevails over other medical findings
By recognizing that a disagreement between the company-designated physicians and
the physician chosen by the seafarer may exist, the POEA-SEC itself impliedly
recognizes the seafarer’s right to request a second medical opinion from a physician of
his own choice. That the seafarer should not be prevented from seeking an independent
medical opinion proceeds from the theory that a company-designated physician,
naturally, may downplay the compensation due to the seafarer because that is what the
employer, after all, expects of him.[25] Accordingly, the Court observed that labor
tribunals and the courts are not bound by the medical findings of the companydesignated physician and that the inherent merits of its medical findings will be
weighed and duly considered.[26]
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