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fact, it was merely a suggestion coming from the attending doctor and not
from the company-designated physician, as if the letter was written while
the process of evaluation was still being completed. To stress, Section 20(B)
(3) of the POEA-SEC requires the declaration of fit to work or the degree of
permanent disability by the company-designated physician and not by
anyone else. Here, it was only Dr. Chuasuan, Jr. who signed the suggested
assessment, addressing the letter solely to Dr. Lim, the company-designated
physician. Taken in this context, no assessment, definitive in character, from
the company-designated physician's end was issued to reflect whether Zafra
was fit or unfit to resume duties within the 120/240-day period, as the case
may be. Thus, the Court deems him unfit to resume work on board a sea
vessel.[51] (Emphasis supplied; italics supplied.)
Records reveal that petitioner remained incapacitated to resume sea duties even after
the company-designated doctor evaluated his medical condition. This means that the
petitioner had to still undergo medical treatment even after being seen by the
company-designated physician. Obviously, even after the lapse of the maximum 240day period there was still no final assessment made by the company-designated doctor
as to the petitioner's disability. With Dr. Go's failure to issue a final and definite
assessment of petitioner's condition within the 240-day period, petitioner was thus
deemed totally and permanently disabled. It is apparent that petitioner's disability and
incapacity to resume working continued for more than 240 days.
Consequently, the absence of a final assessment by the company designated physician
makes the rule on third-doctor-referral inapplicable in the instant case. The failure of
the company-designated physician to issue a final assessment and disability grading
within the 240-day period made the petitioner's disability total and permanent even
without evaluation by a third doctor. Evidently, there is no need for the petitioner to
initiate the referral to a third doctor for him to be entitled to permanent disability
benefits. In Carcedo, this Court decreed that the rule on third doctor referral is not
applicable if there is no definitive disability assessment made by the companydesignated physician, thus:
In this case, the third-doctor-referral provision did not find application
because of the lack of a definitive disability assessment by the companydesignated physician. x x x[52]
Considering the absence of definitive disability assessment made by the companydesignated physician, it was by operation of law that the petitioner became
permanently disabled.
Viewed in this light, the CA erred in upholding the interim assessment of Dr. Lao over
that of Dr. Catapang on the basis of the petitioner's failure to seek medical opinion from
a third doctor as provided under the POEA-SEC. It erroneously applied the provisions of
the POEA-SEC in isolation with other laws such as the Labor Code and the AREC. The
CA should have widened its spectrum in deciding the case and applied the Labor Cod
provisions on disability benefits. Applying the 2010 POEA-SEC, the Labor Code
provisions on permanent disability and the AREC vis-a-vis the several jurisprudence
concerning seafarer's disability compensation, this Court holds that the petitioner is, by
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