Summary
In Hatton, supra, the Court of Appeals held that a Saginaw plan did not bar recovery of WDCA benefits by a disabled firefighter who had reached the age of fifty-five. It stated that, although the municipal pension was "still referred to as a `disability pension,' the worker who attains age fifty-five is actually receiving retirement benefits to which the worker would be entitled regardless of disability.
Summary of this case from Crowe v. City of DetroitOpinion
Docket No. 85873.
Decided April 21, 1987. Leave to appeal applied for.
Van Benschoten, Hurlburt Tsiros, P.C. (by Lawrence A. Hurlburt and John A. Tsiros), for plaintiff.
Otto W. Brandt, Jr., City Attorney, and Floyd P. Kloc, Chief Assistant City Attorney, for defendant.
Before: SHEPHERD, P.J., and J.H. GILLIS and MacKENZIE, JJ.
Defendant appeals from the May 19, 1985, decision of the Workers' Compensation Appeal Board affirming the hearing referee's decision finding that plaintiff had suffered a job-related injury on October 7, 1975, and ordering defendant to pay workers' compensation benefits of $112 per week from August 18, 1977, until further order of the Bureau of Workers' Disability Compensation (bureau), plus unpaid medical expenses. We affirm and remand for further proceedings.
Plaintiff, a fire fighter employed by defendant, was retired at age fifty-four when granted a duty disability retirement effective August 18, 1977. Pursuant to Saginaw Administrative Code, ch 5, art 1, § 124.2 (SAC § 124.2), plaintiff was entitled to a biweekly duty disability pension of $512.63. Plaintiff petitioned for workers' compensation benefits on May 4, 1978, alleging a work-related injury which occurred on October 7, 1975. At the hearing, the parties stipulated that plaintiff continued to be disabled as a result of the injury. On January 27, 1981, the hearing officer ordered benefits paid from August 18, 1977, at the rate of $112 per week, until further order of the bureau, plus unpaid medical expenses. In making his determination, the hearing officer found that plaintiff's duty disability pension did not constitute "like benefits" prescribed by the municipal charter. Accordingly, plaintiff was not barred from receiving workers' compensation benefits under the election provision of MCL 418.161; MSA 17.237(161) (§ 161). The WCAB affirmed on May 29, 1985, relying on Bannan v Saginaw, 420 Mich. 376; 362 N.W.2d 668 (1984), reh den 421 Mich. 1202 (1985).
I
The first issue is the applicability of § 161 to plaintiff's pension. At the time plaintiff petitioned for workers' compensation benefits, § 161 provided in part:
Policemen, firemen, or employees of the police or fire departments, or their dependents, in municipalities or villages of this state having charter provisions prescribing like benefits, may waive the provisions of this act and accept in lieu thereof like benefits as are prescribed in the charter but shall not be entitled to like benefits from both. Nothing contained in this act shall be construed as limiting, changing, or repealing any of the provisions of a charter of a municipality or village of this state relating to benefits, compensation, pensions, or retirement independent of this act, provided for employees.
The Supreme Court interpreted § 161 and Saginaw's duty disability ordinance in Bannan, supra. The Court found that § 161 did not apply to the duty disability pension plan because the plan was provided for by ordinance rather than city charter and that the plaintiffs were entitled to both the pension benefits and workers' compensation benefits.
Section 161 was amended by 1983 PA 162 to remove the references to benefits prescribed by charter:
Police officers, fire fighters, or employees of the police or fire departments, or their dependents, in municipalities or villages of this state providing like benefits, may waive the provisions of this act and accept like benefits that are provided by the municipality or village but shall not be entitled to like benefits from both the municipality or village and this act; however, this waiver shall not prohibit such employees or their dependents from being reimbursed under section 315 for the medical expenses or portion of medical expenses that are not otherwise provided for by the municipality or village.
The amendment was effective July 24, 1983.
Unless we are willing to apply the amendment retroactively, it can have no effect on plaintiff's receiving both pension benefits and workers' compensation benefits prior to July 24, 1983, given the holding in Bannan. Bannan expressed no opinion as to the amendment's applicability. 420 Mich. at 386, n 4.
Although this issue is one of first impression, we find the Supreme Court's decision in Franks v White Pine Copper Division, 422 Mich. 636; 375 N.W.2d 715 (1985), reh den 424 Mich. 1202 (1985), instructive. In Franks, the Court examined the applicability of the coordination of benefits provision in MCL 418.354; MSA 17.237(354) and the unemployment compensation setoff provision in MCL 418.358; MSA 17.237(358) to workers' compensation claimants whose injuries predated the effective date of the amendments containing those sections. After examining the language of the provisions, the Court found that the amended sections were applicable to workers whose injuries preceded the effective dates of the amendments. The holding, however, was limited to workers' compensation benefits payable after the effective date for periods of disability after that date. 422 Mich. at 664, 669, 674.
By analogy to Franks, we do not believe the amendment presently under our consideration should apply to payments prior to July 24, 1983, for periods of disability prior to that date. Defendant apparently concedes this. In its request for relief, defendant has only asked that this Court reverse the decision of the WCAB "insofar as it awards plaintiff any benefits after the July 24, 1983 effective date of 1983 PA 162." Accordingly, we hold that Bannan controls as to benefits paid before that date and that plaintiff was entitled to receive both his duty disability pension benefits and workers' compensation benefits without election.
The next question is whether amended § 161 should apply to benefits paid after July 24, 1983. Again by analogy to Franks, we hold that it does. In Franks, the Court found the statute clear and unambiguous, requiring coordination for all compensable periods subsequent to its effective date regardless of when the injury occurred. 422 Mich. at 651. The Court held that such application of the amended provisions did not constitute retroactive application of those provisions. Compensation benefits were not being retroactively coordinated or reduced; rather, the benefits of all disabled workers were being prospectively coordinated after the effective date of the amendments regardless of when the workers were injured. 422 Mich. at 652-653.
As was true of the sections considered in Franks, amended § 161 is clear and unambiguous, requiring certain workers to elect between workers' compensation benefits and other "like benefits" provided by a municipality. The statute's language does not limit its application to those workers injured after the effective date of the amendment, nor does it make an exception for workers injured prior to that date.
Plaintiff argues that application of § 161 to a governmental pension such as his raises a constitutional problem. Plaintiff relies on a footnote to the Franks opinion:
Income-maintenance benefits payable under a legislatively mandated social welfare program are not property protected by the Due Process Clause, the Contract Clause,[9] or the Takings Clause from substantive change by subsequent legislation irrespective of whether the recipient contributed to the cost of funding the benefit or of whether the program replaces a tort remedy which has been abolished.
[9] The Michigan Constitution provides, however, that "[t]he accrued financial benefits of each pension plan and retirement system of the state and its political subdivisions shall be a contractual obligation thereof which shall not be diminished or impaired thereby." Const 1963, art 9, § 24. [ 422 Mich. 654.]
We do not find that the election posed by § 161 would diminish or impair plaintiff's rights in his pension if the section were applicable. It does not act to deny a pension; at issue is a worker's right to receive both a pension and the benefits of a social welfare program such as workers' compensation.
II
Having concluded that § 161 applies to plaintiff's workers' compensation benefits after July 24, 1983, the question remains whether plaintiff's duty disability pension benefits are "like benefits" so as to require an election of benefits. We hold that they are not.
Our review of the record indicates that plaintiff has not waived this issue. Neither the hearing officer nor the WCAB made a determination of whether these are "like benefits," having found § 161 completely inapplicable. We recognize that the WCAB is exclusively empowered to make factual determinations in workers' compensation cases and that no exception to this rule is made for considerations of judicial economy. Williams v Lang (After Remand), 415 Mich. 179, 183; 327 N.W.2d 240 (1982). The question of whether these are "like benefits," however, is one of law rather than fact. This Court has authority to review questions of law involved in a final order of the WCAB. Aquilina v General Motors Corp, 403 Mich. 206, 213; 267 N.W.2d 923 (1978). Accordingly, we consider the issue on the merits.
The Supreme Court's disposition of Bannan, supra, made it unnecessary for the Court to determine if the duty disability pension benefits presently before us are "like benefits" within the meaning of § 161. Our interpretation of the relevant provisions of the Saginaw Administrative Code convinces us that the pension benefits are not "like benefits" once a recipient has attained age fifty-five.
SAC § 123.1 permits duty disability retirement for Saginaw police officers and fire fighters who become totally incapacitated in the course of their employment. A pension upon retirement is provided for in SAC § 124.1. SAC § 124.2 provides:
A member who retires prior to his attainment of age 55 years on account of disability, as provided in Section 123, shall receive a disability pension computed according to subsection 118.1 and 118.3. For the exclusive purpose only of computing his disability pension his credited service shall be increased by the numbers of years, and fraction of a year, in the period from the date of his disability retirement to the date he would attain age 55 years. Upon his attainment of age 55 years his disability pension shall be recomputed using a final average salary determined according to the salaries at the time he attains age 55 years for the ranks used in computing his final average salary at the time of his disability retirement. In no event shall such recomputed disability pension be less than the disability pension he received prior to his attaining age 55 years. Upon his retirement he shall have the right to elect, in lieu of a straight life disability pension, to receive his disability pension under an option provided for in Section 120. To his attainment of age 55 years his disability pension shall be subject to Sections 128 and 129.
SAC § 129.1 requires that any workers' compensation benefits payable be offset against any pension benefits payable. In Bannan v Saginaw, 120 Mich. App. 307, 320; 328 N.W.2d 35 (1982), aff'd 420 Mich. 376, 382; 362 N.W.2d 668 (1984), this Court held that the SAC § 129 offset does not apply to disabled retirees after they reach age fifty-five.
Under the disability pension provided for by SAC § 124, workers' compensation benefits paid to a disabled worker must be offset against pension payments until the disabled worker reaches age fifty-five. We conclude that the duty disability retirement pension benefits paid to a disabled worker who is not fifty-five years old constitute "like benefits" under § 161. We note, however, that the offset requirements of the Saginaw Administrative Code eliminate the need to apply § 161 to benefits received before age fifty-five.
The disabled worker's pension is recalculated when the worker reaches fifty-five. At the time of the instant plaintiff's retirement, fifty-five years corresponded to the age at which a Saginaw fire fighter could voluntarily retire, SAC § 102.1(u). This pension is no longer subject to the workers' compensation offset provision of SAC § 129. Although the pension is still referred to as a "disability pension," the worker who attains age fifty-five is actually receiving retirement benefits to which the worker would be entitled regardless of disability. We believe that once a disabled worker attains age fifty-five the pension should be considered a retirement rather than disability pension. As the pension benefits must be considered retirement benefits, they are not "like benefits" under § 161. See Teddy v Dep't of State Police, 102 Mich. App. 412, 421-422; 301 N.W.2d 876 (1980). Plaintiff was not subject to the election provision of § 161 after he attained age fifty-five.
SAC § 102.1(u) also provides that the voluntary retirement age for police officers is fifty-two years. According to defendant, the ordinance has now been amended to provide for a voluntary retirement age of fifty-two years for fire fighters. This does not change our result. The key factor is not that recalculation of the disability pension corresponded to the fire fighter voluntary retirement age, but that at age fifty-five police officers and fire fighters can voluntarily retire. The recalculation thus comes at a time when those workers could be receiving retirement benefits but for their disability.
Although both Bannan opinions ultimately turned on the inapplicability of § 161 rather than whether "like benefits" were involved, our holding is consistent with language in both opinions. This Court characterized the disability benefits as "primarily retirement benefits." 120 Mich. App. at 323. The Supreme Court, in analyzing the SAC § 129 offset, noted that defendant's pension system is funded in part by mandatory wage contributions and that members of the pension system do not participate in the federal social security system. "We agree with the plaintiffs' contention that to deprive duty disabled retirees of their earned retirement income, after they have become 55 years of age, is contrary to the underlying purpose of the pension ordinance." 420 Mich. at 385. Defendant's characterization of plaintiff's benefits would appear to deprive plaintiff of a pension plan he had paid into before becoming disabled.
We are aware that an apparently opposite conclusion was reached by a panel of this Court in Johnson v Muskegon, 61 Mich. App. 121; 232 N.W.2d 325 (1975). In Johnson, the plaintiff was receiving a duty disability pension provided for by the city charter. The opinion indicated that, at age fifty-five, the plaintiff "would be entitled to retirement pension benefits for the remainder of his life." Id. at 123. The Johnson Court apparently concluded that it had before it "periodic payments for disability." It is not clear from the opinion if the plaintiff had yet reached age fifty-five and thus whether the plaintiff's benefits had yet assumed the character of retirement pension benefits. To the extent that Johnson holds that retirement pension benefits are "like benefits" under § 161, however, we disagree with the holding.
III
Defendant argues that if we find that plaintiff's duty disability pension benefits are not "like benefits," other offset provisions must necessarily come into play. We agree in part.
Defendant first argues that the SAC § 129 offset provision must apply if plaintiff's benefits are construed not to be disability benefits. While we find that plaintiff's benefits after age fifty-five are primarily retirement benefits, plaintiff nonetheless receives them pursuant to § 124 of the Saginaw ordinance. The clear wording of that ordinance and both Bannan opinions preclude operation of the SAC § 129 offset after the retiree attains age fifty-five.
We agree with defendant, however, that MCL 418.354; MSA 17.237(354) (§ 354) may be applicable. Section 354 provides in part:
(1) This section is applicable when either weekly or lump sum payments are made to an employee as a result of liability pursuant to section 351, 361, or 835 with respect to the same time period for which old-age insurance benefit payments under the social security act, 42 U.S.C. § 301 to 139f; payments under a self-insurance plan, a wage continuation plan, or a disability insurance policy provided by the employer; or pension or retirement payments pursuant to a plan or program established or maintained by the employer, are also received or being received by the employee. Except as otherwise provided in this section, the employer's obligation to pay or cause to be paid weekly benefits other than specific loss benefits under section 361(2) and (3) shall be reduced by these amounts:
* * *
(e) The proportional amount, based on the ratio of the employer's contributions to the total contributions to the plan or program, of the after-tax amount of the pension or retirement payments received or being received by the employee pursuant to a plan or program established or maintained by the same employer from whom benefits under section 351, 361, or 835 are received, if the employee did contribute directly to the pension or retirement plan or program. Subsequent increases in a pension or retirement program shall not affect the coordination of these benefits.
* * *
(14) This section does not apply to any payments received or to be received under a disability pension plan provided by the same employer which plan is in existence on March 31, 1982. Any disability pension plan entered into or renewed after March 31, 1982 may provide that the payments under that disability pension plan provided by the employer shall not be coordinated pursuant to this section.
We concluded in part II that plaintiff's pension benefits are in the nature of retirement benefits. As such, § 354(1)(e) allows coordination of the pension benefits and workers' compensation benefits. Because of this retirement nature of plaintiff's pension benefits, § 354(14) does not remove plaintiff's pension from coordination even though it is termed a disability pension. Plaintiff cannot have it both ways. Our holding that after age fifty-five plaintiff's pension was primarily a retirement pension was to plaintiff's advantage. Since we do not view such benefits as "like benefits," § 161 does not apply to plaintiff's pension. Plaintiff cannot now argue that § 354 also does not apply because his pension is for disability. Section 354 represents a legislative enactment to remedy compensation abuses. See Franks, supra at 655-658. We will not thwart the Legislature's purpose by a disingenuous application of the exception to coordination found in § 354(14).
As discussed above in part I, the Supreme Court in Franks, supra at 651, permitted the application of § 354 to workers' compensation payments made after the section's March 31, 1982, effective date, even though the employee was injured prior to that effective date. We disagree with plaintiff's assumption that the Supreme Court created an exception for governmental pension plans. 422 Mich. 654, n 9. Coordination of workers' compensation benefits reduces only those benefits. Coordination has no effect on a claimant's pension benefits.
It appears that the applicability of § 354 may have been first raised in defendant's reply brief to this Court. MCL 418.354(9); MSA 17.237(354)(9) provides that receipt of pension benefits and the like after March 31, 1982, during a period in which the employee received unreduced workers' compensation benefits is considered to have created an overpayment of compensation benefits subject to reimbursement. On remand, the WCAB may determine the applicability of coordination pursuant to § 354.
Plaintiff has indicated to this Court that he is also entitled to supplemental workers' compensation benefits pursuant to MCL 418.352(1); MSA 17.237(352)(1). On remand, the WCAB may also determine plaintiff's entitlement to such benefits. We note that these benefits are not subject to the § 161 election or the SAC § 129 offset. Nor are they subject to coordination under § 354. Franks, supra at 660.
In summary, plaintiff's duty disability pension is provided for by ordinance rather than charter. Prior to July 24, 1983, § 161 of the workers' compensation act was inapplicable to such benefits. While § 161 applies to payments made after that date, plaintiff's pension became primarily a retirement benefit when he reached age fifty-five. As such, the pension benefits plaintiff receives are no longer "like benefits" within the meaning of § 161, and plaintiff need not elect between benefits. As they are duty disability pension benefits, the payments may not be offset against plaintiff's workers' compensation benefits under SAC § 129. After March 31, 1982, plaintiff's workers' compensation payments were subject to the coordination provision of § 354. The exact application of that section remains for the WCAB to decide.
Accordingly, we affirm the WCAB'S decision and remand to the WCAB for further proceedings consistent with this opinion.