Opinion

Baker v. Workers' Compensation Appeals Board

  • 52 Cal. 4th 434
  • 129 Cal. Rptr. 3d 133
  • 257 P.3d 738
  • 76 Cal. Comp. Cases 701
  • 2011 Cal. LEXIS 8085
Court
California Supreme Court
Filed
Aug 11, 2011
Status
Published
Author
Baxter
On the bench
Baxter
Cited by
20 cases
Authority
More cited than 83.2%

The opinion

Filed 8/11/11

IN THE SUPREME COURT OF CALIFORNIA

CHRISTINE BAKER, as Administrator, )

etc., )

)

Petitioner, )

) S179194

v. )

) Ct.App. 6 H034040

WORKERS‟ COMPENSATION )

APPEALS BOARD and X.S., ) WCAB Case No.

) ADJ1510738/SJO 0251902

Respondents. )

___________________________________ )

In this case we construe Labor Code1 section 4659, subdivision (c)

(section 4659(c), or subdivision (c)), which provides for the annual indexing of

two categories of workers‟ compensation benefits—total permanent disability and

life pension payments—to yearly increases in the state‟s average weekly wage

(SAWW), so that lifetime disability payments made to the most seriously injured

workers will keep pace with inflation. The indexing procedure is sometimes

referred to as an “escalator,” or one providing for “cost of living adjustments”

(COLA‟s).

Permanent disability and life pension benefits are intended to compensate

the injured worker for the long-term, residual effects of an industrial injury once

the worker has attained maximum medical recovery. (Department of

1 All further statutory references are to the Labor Code unless otherwise

specified.

1

Rehabilitation v. Workers’ Compensation Appeals Board (2003) 30 Cal.4th 1281,

1291 (Department of Rehabilitation).) Total permanent disability benefits are

weekly payments made for life to injured workers who are 100 percent disabled.

(§ 4659, subd. (b).) They commence on the date the injured worker reaches a

medically stable condition (permanent and stationary) because, at that point, the

full nature and extent of the worker‟s permanent disability, if any, can be

determined. (Department of Rehabilitation, supra, 30 Cal.4th at p. 1292.) Life

pensions are a form of supplemental partial permanent disability benefit,

consisting of payments to a subclass of seriously injured workers, i.e., those whose

“permanent disability is at least 70 percent, but less than 100 percent.” (§ 4659,

subd. (a).) Life pension payments commence once the worker‟s partial permanent

disability payments have been exhausted, and thereafter continue weekly for life.

(Ibid.)

Section 4659(c) provides, in full, “For injuries occurring on or after January

1, 2003, an employee who becomes entitled to receive a life pension or total

permanent disability indemnity as set forth in subdivisions (a) and (b) shall have

that payment increased annually commencing on January 1, 2004, and each

January 1 thereafter, by an amount equal to the percentage increase in the „state

average weekly wage‟ as compared to the prior year. For purposes of this

subdivision, „state average weekly wage‟ means the average weekly wage paid by

employers to employees covered by unemployment insurance as reported by the

United States Department of Labor for California for the 12 months ending March

31 of the calendar year preceding the year in which the injury occurred.”

(§ 4659(c).)

We must determine whether the operative language of subdivision (c)

requires the annual COLA‟s for total permanent disability and life pension

payments to be calculated (1) prospectively from the January 1 following the year

2

in which the worker first becomes “entitled to receive a life pension or total

permanent disability indemnity” (§ 4659(c)), i.e., when the payments actually

commence; (2) retroactively to January 1 following the year in which the worker

sustains the industrial injury, the construction urged by real party in interest, or (3)

retroactively to January 1, 2004, in every case involving a qualifying industrial

injury, regardless of the date of injury or the date the first benefit payment

becomes due, the interpretation given the statutory language by the Court of

Appeal below.

Applying the “fundamental rule of statutory construction . . . that a court

should ascertain the intent of the Legislature so as to effectuate the purpose of the

law [citations]” (DuBois v. Workers’ Comp. Appeals Bd. (1993) 5 Cal.4th 382,

387 (DuBois)), we conclude that, through the operative language of

subdivision (c), the Legislature intended that COLA‟s be calculated and applied

prospectively commencing on the January 1 following the date on which the

injured worker first becomes entitled to receive, and actually begins receiving,

such benefit payments, i.e., the permanent and stationary date in the case of total

permanent disability benefits, and the date on which partial permanent disability

benefits become exhausted in the case of life pension payments.

FACTS AND PROCEDURAL BACKGROUND

The injured worker in this matter, X.S.2 (applicant), sustained an industrial

injury on January 20, 2004, while employed as an accountant/controller. He

received temporary disability payments of $728 per week from the date of injury

through October 19, 2006. On June 19, 2007, he and his employer settled his

2 X.S. is a shortened version of a fictitious name assigned by the presiding

workers compensation administrative law judge to protect applicant‟s medical

privacy.

3

claim, stipulating that he had become permanent and stationary on October 20,

2006, and that he suffered a 69.5 percent partial permanent disability,

compensation for which was payable at the rate of $200 per week based on his

earnings and date of injury (§ 4453, subd. (b)(6)(B)), for 422 weeks, commencing

on the permanent and stationary date.

Approximately one month after settling his claim with his employer,

applicant, who had a preexisting disability caused by hepatitis B and his HIV-

positive status, filed an application for benefits from the Subsequent Injury Benefit

Trust Fund (SIBTF) pursuant to section 4751.3 Petitioner in this matter, Christine

Baker, is the Director of Industrial Relations serving as administrator of the

SIBTF. SIBTF is funded and administered by the state for the purpose of

compensating workers with prior disabilities who suffer subsequent industrial

injuries.

On March 25, 2008, SIBTF and applicant stipulated that his January 20,

2004 injury resulted in a 69.5 percent permanent disability; that he became

permanent and stationary on October 20, 2006; that payments for permanent

disability commenced on that date; and that his previous permanent disability

combined with his industrial disability resulted in a combined total permanent

3 Section 4751 provides, in relevant part: “If an employee who is

permanently partially disabled receives a subsequent compensable injury resulting

in additional permanent partial disability so that the degree of disability caused by

the combination of both disabilities is greater than that which would have resulted

from the subsequent injury alone, and the combined effect of the last injury and

the previous disability or impairment is a permanent disability equal to 70 percent

or more of total, he shall be paid in addition to the compensation due under this

code for the permanent partial disability caused by the last injury compensation for

the remainder of the combined permanent disability existing after the last injury

. . . .” (§ 4751.) The payment for the combined disability is made by the SIBTF.

(Subsequent Injuries Fund v. Workmen’s Comp. App. Bd. (1970) 2 Cal.3d 56, 59.)

4

disability of 100 percent. The parties agreed that applicant would receive weekly

payments of $528 from the SIBTF ($728 less $200 paid by the employer‟s

workers‟ compensation insurance carrier), which payments would continue for

422 weeks, and thereafter $728 weekly for life.

Subsequently, a dispute arose when applicant claimed the initial $728

weekly rate that started on October 20, 2006, had to be increased to reflect annual

increases in the SAWW, through the calculation of retroactive COLA‟s for the

period from January 1 following the date on which he had sustained his industrial

injury (Jan. 20, 2004), to the date on which his total permanent disability payments

commenced (the permanent and stationary date of Oct. 20, 2006). Petitioner, on

behalf of the SIBTF, maintained that the weekly payment of $728 to applicant,

commencing on the permanent and stationary date, properly reflected the total

permanent disability rate calculated under sections 4659, subdivision (b) and 4453

(a related section under which total permanent disability rate payments are

calculated, referenced in § 4659, subd. (b)), and that the annual indexing of that

payment with COLA‟s should not commence, per the language of section 4659(c),

until January 1, 2007, which was the January 1 following the date applicant

became permanent and stationary and actually began receiving his payments.4

On July 14, 2008, the worker‟s compensation administrative law judge

(WCJ) issued a “Findings and Award” against the SIBTF, concluding that by

failing to retroactively calculate and apply the annual COLA‟s for January 1, 2005

(the first “January 1” following the date of injury) and January 1, 2006, COLA

4 There was no dispute among the parties that payments made on and

subsequent to January 1, 2007, going forward, should be indexed annually, on that

and each successive January 1, based on the percentage increase of the SAWW as

compared to the “prior” year. (§ 4659(c), 1st sentence.)

5

increases had been improperly withheld from applicant in the amount of

$3,585.56.

The SIBTF appealed to the Workers‟ Compensation Appeals Board

(WCAB), which, on February 13, 2009, issued its “Opinion and Decision After

Reconsideration,” construing section 4659(c) as “provid[ing] that for injuries on or

after January 1, 2003, where an employee becomes entitled to total permanent

disability indemnity or a life pension, that payment shall be increased annually

commencing on January 1, 2004. We construe this to mean that each payment of

total permanent disability indemnity or life pension that is received on or after

January 1 following the date of injury shall be increased, no matter when the first

such payment is received. This ensures that severely injured workers are protected

from inflation, no matter when they receive their first payment. In some cases

there may be years of litigation before there is a determination that an employee is

entitled to receive a life pension or total permanent disability indemnity award. In

the case of a life pension, the first payment will ordinarily be made years after the

date of injury. Nonetheless, the injured worker will have been protected against

any inflation that may have ensued between the date of injury and the date of first

payment of the life pension or total permanent disability indemnity.” (Italics

added.)

On March 30, 2009, following the WCAB‟s final decision, the SIBTF

petitioned the Court of Appeal for a writ of review (§ 5950), urging that the

WCAB had misinterpreted section 4659(c) by finding that the statute‟s COLA

increases begin accruing (and compounding) prior to the January 1 after the

permanent and stationary date, the date on which the first benefit payment actually

becomes due and payable, and asserting that “by holding that the payment increase

is tied to the date of injury, the [WCAB] decided that the increase applies before

an employee is entitled to receive a benefit payment, contrary to the plain

6

language of the statute which stated that the increase applies to „an employee who

becomes entitled to receive‟ a life pension or total permanent disability

indemnity.” (Italics in original.)

The Court of Appeal granted the writ of review and received full briefing,

as well as amicus curiae briefs from the California Applicants‟ Attorneys

Association (CAAA) in support of applicant, and the County of Los Angeles on

behalf of the SIBTF. In its amicus brief, the CAAA noted that, under applicant‟s

reading of the statute, the COLA‟s began accruing on January 1 following the date

of injury, whereas under the SIBTF‟s interpretation, the COLA‟s began accruing

only with the first payment of indemnity after the injured worker becomes

permanent and stationary, “which could be many years after the date of injury.”

The CAAA asserted that both were wrong, as the “plain language of the statute

mandates that the COLA in fact begins to accrue January 1, 2004, without regard

to date of injury.” (Italics added.)

Agreeing with the position taken by the CAAA, the Court of Appeal

concluded that “the [COLA‟s] pursuant to [§ 4659(c)], for life pensions and total

permanent disability indemnity, are added to those payments, per the words of the

statute, starting January 1, 2004, and every January 1 thereafter,” and annulled the

decision of the WCAB. The court reasoned that “as to the worker whose injury

leads to total permanent disability that does not become permanent and stable for a

number of years, setting the COLA‟s from the permanent and stationary date

causes that worker to see his or her payment exposed to the ravages of inflation

over time, eroding the real value of the benefits.”

We granted the SIBTF‟s petition for review. We thereafter granted the

requests of the State Compensation Insurance Fund and the California Chamber of

Commerce to file amicus curiae briefs in support of petitioner, and the CAAA and

7

the California Correctional Peace Officers Association to file amicus curiae briefs

in support of applicant.

DISCUSSION

“As in any case involving statutory interpretation, our fundamental task is

to determine the Legislature‟s intent so as to effectuate the law‟s purpose. (People

v. Lewis (2008) 43 Cal.4th 415, 491.) „We begin with the text of the statute as the

best indicator of legislative intent‟ (Tonya M. v. Superior Court (2007) 42 Cal.4th

836, 844), but we may reject a literal construction that is contrary to the legislative

intent apparent in the statute or that would lead to absurd results (Ornelas v.

Randolph (1993) 4 Cal.4th 1095, 1105).” (Simpson Strong-Tie Co., Inc. v. Gore

(2010) 49 Cal.4th 12, 27; DuBois, supra, 5 Cal.4th at p. 387.) “[O]ur first task is

to look to the language of the statute itself. [Citation.] When the language is clear

and there is no uncertainty as to the legislative intent, we look no further and

simply enforce the statute according to its terms. [Citations.]” (Dubois, at

pp. 387-388.)

Section 4659(c) comprises two sentences, the first of which contains the

indexing scheme‟s operative language, and the second of which defines the

SAWW for purposes of the subdivision. The first sentence provides: “For injuries

occurring on or after January 1, 2003, an employee who becomes entitled to

receive a life pension or total permanent disability indemnity as set forth in

subdivisions (a) and (b) shall have that payment increased annually commencing

on January 1, 2004, and each January 1 thereafter, by an amount equal to the

percentage increase in the „state average weekly wage‟ as compared to the prior

year.” (§ 4659(c), italics added.)

Petitioner SIBTF argued below that under a straightforward reading of the

first sentence of subdivision (c), there is no retroactive calculation of COLA‟s or

additional sums to be added into the first total permanent disability or life pension

8

payment for periods prior to the date on which the worker first becomes eligible to

receive, and actually begins receiving, such payment. Instead, the first COLA

would be computed and applied to the payment on the January 1 following the

year in which the worker becomes permanent and stationary or, in the case of life

pensions, on the January 1 following the year in which the worker‟s partial

permanent disability benefits have become exhausted.

The express language of the operative first sentence of subdivision (c)

plainly supports this construction. To receive the benefit of a COLA on any given

January 1, a worker who has sustained an industrial injury must meet two

conditions. First, he or she must have been injured “on or after January 1, 2003

. . .” (§ 4659(c).) Second, he or she must “become[] entitled to receive a life

pension or total permanent disability indemnity . . . .” (Ibid., italics added.) This

court‟s past decisions explain that the entitlement to total permanent disability

indemnity payments arises when the injured worker‟s condition becomes

permanent and stationary or, to put it in other terms, when the statutory obligation

to pay temporary disability indemnity has ceased. (LeBoeuf v. Workers’ Comp.

Appeals Bd. (1983) 34 Cal.3d 234, 238, fn. 2; Department of Rehabilitation,

supra, 30 Cal.4th at p. 1292.) In the case of life pension benefits, the entitlement

to receive such payments arises, by statute, when the worker‟s partial permanent

disability benefits have been exhausted. (§ 4659, subd. (a).) Hence, under

subdivision (c)‟s express language, it is not until the injured employee “becomes

entitled to receive a life pension or total permanent disability indemnity”

(§ 4659(c), italics added), and actually begins receiving such payments, that he or

she “shall have that payment increased annually . . . by an amount equal to the

percentage increase in the „state average weekly wage‟ as compared to the prior

year.” (Ibid., italics added.)

9

The reference to the fixed date of January 1, 2004, in the first sentence of

section 4659(c) (“commencing on January 1, 2004, and each January 1

thereafter”) is not inconsistent with this construction of its operative provisions.

Since the subdivision applies only to injuries occurring “on or after January 1,

2003” (§4659(c)), the date of January 1, 2004, is the first “January 1” on which a

COLA may be calculated and applied under the subdivision‟s statutory scheme,

i.e., for those workers who were injured on or after January 1, 2003, and who,

during that calendar year, became permanent and stationary and thus became

“entitled” (ibid.) to receive total permanent disability payments as of January 1,

2004.5 The phrase “shall have that payment increased annually commencing on

January 1, 2004, and each January 1 thereafter” (§ 4659(c), italics added) is thus

most reasonably understood as a reference to the overall period to which the new

statutory scheme will apply, or put another way, the indexing provision‟s effective

date, with January 1, 2004, being the first “January 1” on which a COLA could be

calculated and applied for qualifying injuries sustained after January 1, 2003.

This straightforward and sensible reading of the operative language of

subdivision (c) then applies uniformly to all successive years postdating the

statute‟s effective date. Each January 1, “commencing on January 1, 2004, and

each January 1 thereafter” (§ 4659(c)), an employee who has sustained a

qualifying industrial injury “on or after January 1, 2003” and who has “become

entitled to receive a life pension or total permanent disability indemnity” “shall

5 It is not likely that a worker who sustains a partial permanent disability

from an injury occurring on or after January 1, 2003, would have his or her partial

permanent disability benefits awarded and exhausted within the ensuing year, thus

entitling him or her to receive life pension benefits by January 1, 2004. But a

close reading of the syntax of the first sentence reflects that this circumstance does

not undermine our construction of the provision.

10

have that payment increased annually . . . by an amount equal to the percentage

increase in the „state average weekly wage‟ as compared to the prior year.” (Ibid.)

The Court of Appeal, in contrast, construed the phrase “shall have that

payment increased annually commencing on January 1, 2004, and each January 1

thereafter . . .” (§ 4659(c)), as meaning that every worker who sustains an

industrial injury on or after January 1, 2003, regardless of the date he or she is

injured, and who thereafter becomes eligible to receive total permanent disability

or lifetime pension payments, even if that be decades into the future, must receive

annual COLA‟s calculated and applied to any such future payments retroactive to

January 1, 2004. The court believed it was thereby giving effect to the literal

language of the statute (“shall have that payment increased annually commencing

on January 1, 2004 . . .” (§ 4659(c)). The court reasoned that “as to the worker

whose injury leads to total permanent disability that does not become permanent

and stable for a number of years, setting the COLA‟s from the permanent and

stationary date causes that worker to see his or her payment exposed to the ravages

of inflation over time, eroding the real value of the benefits.” It concluded the

Legislature must have intended to remedy such inequity by authorizing COLA‟s

retroactive to January 1, 2004, in every case qualifying for indexing treatment

under the statutory scheme.

“[W]e may reject a literal construction that is contrary to the legislative

intent apparent in the statute or that would lead to absurd results (Ornelas v.

Randolph [, supra,] 4 Cal.4th 1095, 1105).” (Simpson Strong-Tie Co., Inc. v.

Gore, supra, 49 Cal.4th at p. 27; Younger v. Superior Court (1978) 21 Cal.3d 102,

113.) We find that the Court of Appeal‟s purported literal construction of the

reference to the date “January 1, 2004” in section 4659(c) is implausible for

several reasons.

11

First and foremost, the Court of Appeal‟s construction is patently at odds

with the operative language of section 4659(c), as described above. Calculating

and applying COLA‟s retroactively to the arbitrary fixed date of January 1, 2004

in every case reads right out of the statute the requirement that the disabled worker

must first “become[] entitled to receive a life pension or total permanent disability

indemnity” (§ 4659(c)) before COLA‟s may be applied to such payments.

Similarly, before an injured worker becomes entitled to receive disability

payments, there simply is no “payment” (“shall have that payment increased

annually . . .”) (§ 4659(c), italics added) to be increased.

Next, to ascribe such a literal meaning to the drafters‟ inclusion of the fixed

date of January 1, 2004, in the statutory language would expand the scope of the

statute‟s indexing provisions in a manner the Legislature could not within reason

have intended. Under the Court of Appeal‟s interpretation of section 4659(c), a

worker who did not sustain his or her industrial injury until the year 2008, or 2011,

and indeed workers who will not suffer such injuries qualifying them for total

permanent disability or life pension benefits until well into the future, would still

receive annual COLA‟s for every calendar year commencing on the arbitrary date

of January 1, 2004, through to the date on which they become entitled to and

actually begin receiving their benefit payments, which COLA‟s would further then

be compounded from January 1, 2004, going forward. Even persons who have not

yet joined the work force, and for whom workers‟ compensation insurance

premiums have yet to be paid, but who, in years to come, may become employed,

sustain industrial injuries, and qualify for the two categories of disability benefits

covered under subdivision (c), would likewise have their future benefit payments

enhanced by compounded annual COLA‟s retroactive to the arbitrary fixed date of

January 1, 2004, under the Court of Appeal‟s construction of the statute. The

12

Legislature could not possibly have envisioned or intended such an expansive

application of the statute‟s anti-inflationary protections.

Furthermore, as petitioner observed below, under the Court of Appeal‟s

construction of the statute, many workers with industrial injuries qualifying them

for total permanent disability benefits could actually receive a windfall “double

escalator” as a result of applying retroactive COLA‟s for the period from January

1, 2004, until the date they sustain their injury. This is so because of the

provisions of section 4453, subdivision (a)(10), which operate in conjunction with

section 4659, subdivision (b), to set the total permanent disability payment rates

based on the worker‟s earnings on the date of injury. Briefly, section 4453,

subdivision (a)(10), sets forth brackets (floors and ceilings) for determining

temporary disability payments based on the injured worker‟s earnings on such

date. For injuries occurring after January 1, 2007, the upper brackets are

themselves indexed to the SAWW (i.e., increased) to account for the effects of

inflation over time.6 Section 4659, subdivision (b), in turn, extends those

increases in the ceiling brackets for temporary disability payments to the

calculation of total permanent disability payment rates. As a result of the interplay

of these two statutes, under the Court of Appeal‟s interpretation of section

4659(c)‟s indexing provision, a maximum earnings worker sustaining an industrial

injury in 2011 that leads to total permanent disability would receive the benefit of

both section 4453, subdivision (a)(10)‟s increase in the ceiling brackets used to

calculate temporary disability payment rates (i.e., adjusted for inflation), which are

then utilized to calculate the total permanent disability payment rate by virtue of

6 Applicant here sustained his industrial injury on January 20, 2004.

Accordingly, the SAWW indexing provision found in section 4453,

subdivision (10), has no direct application to his case.

13

section 4659, subdivision (b), and the benefit of the annual (and compounded)

COLA‟s calculated and applied retroactive to January 1, 2004, for the period from

that date until the date of injury in 2011 — the “double escalator” complained of

by petitioner below.

“The words of the statute must be construed in context, keeping in mind the

statutory purpose, and statutes or statutory sections relating to the same subject

must be harmonized, both internally and with each other, to the extent possible.

[Citations.]” (Dyna-Med, Inc. v. Fair Employment & Housing Com. (1987) 43

Cal.3d 1379, 1387.) It is unreasonable to infer that the Legislature intended two

distinct anti-inflation measures to overlap and apply to the calculation of the same

total permanent disability payment rate. Moreover, workers who sustain industrial

injuries qualifying them for total permanent disability payments receive temporary

disability payments for the period between the date of injury and the date they

become permanent and stationary and begin receiving their permanent payments.

Depending on the date of injury, the Legislature has provided that those temporary

disability payments may themselves be indexed to the SAWW, thereby protecting

the payments received by the worker during that waiting period from the effects of

inflation. (See §§ 4453, subd. (a)(10), 4653, 4661.5.)

Next, to the extent the phrase “shall have that payment increased annually

commencing on January 1, 2004, and each January 1 thereafter . . .” (§ 4659(c),

italics added) can be viewed as creating some ambiguity in the operative language,

we may “look to a variety of extrinsic aids, including the ostensible objects to be

achieved, the evils to be remedied, the legislative history, public policy,

contemporaneous administrative construction, and the statutory scheme of which

the statute is a part. [Citations.]” (People v. Woodhead (1987) 43 Cal.3d 1002,

1008.) We find an examination of the legislative history of section 4659(c),

enacted by Assembly Bill No. 749 (2001-2002 Reg. Sess.) (Stats. 2002, ch. 6,

14

§ 67), lends no support to the argument that the Legislature intended to expand the

inflation protection of subdivision (c), through the language utilized in its

operative sentence, by authorizing COLA‟s to be calculated retroactive to either

the fixed date of January 1, 2004, in every case, or to the January 1 following the

date on which the worker sustains his or her qualifying industrial injury.

First, the Workers‟ Compensation Insurance Rating Bureau of California

(WCIRB) prepared a cost analysis report for the Legislature, which is part of the

official legislative history of Assembly Bill No. 749 (2001-2002 Reg. Sess.), in

which the indexing of disability benefits proposed in the new legislation was

summarized and analyzed. (WCIRB, Preliminary Evaluation of Assembly Bill

No. 749 as Amended January 31, 2002 (Feb. 1, 2001) pp. 1-2.) In that report, the

WCIRB stated, “AB 749 provides that weekly permanent total benefits [sic] paid

during each calendar year be increased annually by the change in the state average

weekly wage. We have assumed these annual increases would commence the year

following the year in which permanent total benefit payments began.” (Id.,

appen., Summary of Benefits Proposed, § 2, fn. 1, italics added.) At the very least,

this legislative history reflects that when enacting section 4659(c), the Legislature

had before it for consideration the solicited opinion of a workers‟ compensation

insurance rating service, which analyzed the legislation‟s provisions and fiscal

impact, and concluded the annual COLA‟s authorized thereunder would, per the

bill‟s language, be applied prospectively once the injured worker‟s total permanent

disability payments commenced.

Second, in the Assembly debates over the proposed workers‟ compensation

reform measures in the 2001-2002 legislative session, the question arose whether

COLA‟s for total permanent disability and life pension payments should be

retroactively extended to workers who had sustained their industrial injuries prior

to January 1, 2003, and who were receiving lifetime disability payments without

15

any adjustments for inflation. Then Governor Davis vetoed two earlier attempts at

reform (Sen. Bill No. 71 (2001-2002 Reg. Sess.) and Assem. Bill No. 1176 (2001-

2002 Reg. Sess.)) because, inter alia, he viewed the total costs of those packages,

which included COLA‟s for pre-2003 injured workers, as exorbitant. (See Assem.

Com. on Insurance, Analysis of Assem. Bill No. 749 (2001-2002 Reg. Sess.) as

amended Jan. 31, 2002, pp. 17-18; Sen. Rules Com., Off. of Sen. Floor Analyses,

3d reading analysis of Assem. Bill No. 749 (2001-2002 Reg. Sess.) as amended

Jan. 31, 2002, p. 2.) It would be unreasonable to conclude that the Legislature,

having agreed in the final enacted version of subdivision (c) to forego retroactive

COLA‟s for workers with pre-2003 injuries as a cost-saving compromise, would

then extend COLA‟s to all current workers who will sustain qualifying industrial

injuries in future years, and to those persons who will sustain such future injuries

but have yet to even enter the workforce, retroactive to the fixed arbitrary date of

January 1, 2004, as a component of the compromise legislation.

The COLA‟s provided for in subdivision (c) apply to only two categories of

disability benefits: total permanent disability and life pension payments, and only

then for injuries sustained after January 1, 2003. It can further be observed that

partial permanent disability payments for industrial injuries rated at less than 70

per cent, and temporary disability payments for workers in all such categories

whose injuries predate 2007, are not indexed to the SAWW to protect such

payments against inflation. Indeed, adjustment for inflation seems to be more the

exception than the rule. (See § 4453, subd. (d) [“Except as provided in section

4661.5 [for the calculation of temporary disability payments more than two years

after the date of injury], disability indemnity benefits shall be calculated according

to the limits in this section in effect on the date of injury and shall remain in effect

for the duration of any disability resulting from the injury.”].) In short, we find no

compelling reason to conclude the Legislature intended the COLA‟s authorized

16

under section 4659(c) to broadly redress all the potentially erosive effects of

inflation—past, present and future—for every case falling within the two

categories of disability benefits covered under subdivision (c).

Last, applicant‟s argument that section 4659(c) calls for the calculation of

COLA‟s retroactive to the January 1 following the date of injury must be rejected

for the same reasons we have found the Court of Appeal‟s construction of the

statutory language untenable. Applicant‟s construction would likewise conflict

with the straightforward operative language of the subdivision‟s first sentence,

because workers who suffer total permanent disability, or partial permanent

disability sufficiently serious to give rise to the right to life pensions, do not

“become[] eligible” (§ 4659(c)) to receive such benefit payments as of the date of

injury or the January 1 immediately following that date. (Indeed, life pension

payments usually commence many years if not decades after the date of injury.)

Hence there is no “payment” (§ 4659(c)) to which COLA‟s can be applied as of

the date of injury under the statute‟s operative language. Moreover, for the same

policy and legislative history reasons given for rejecting the Court of Appeal‟s

expansive reading of the statute, we find no basis to conclude that the Legislature,

through the language utilized in subdivision (c), actually intended to extend the

COLA‟s authorized thereunder retroactive to the January 1 following the date of

injury.

The WCAB below agreed with the interpretation of the statutory language

urged by applicant, suggesting that, “[t]his holding is also consistent with the

second sentence of section 4659(c). The state average weekly wage which is the

basis of the increased payments is determined initially by data in the „calendar

year preceding the year in which the injury occurred,‟ not the year in which the

first payment is made. This is further evidence of legislative intent that the

17

increased payments be calculated from the January 1 following the date of injury,

not from the date of first payment.”

The second sentence of section 4659(c) reads, “For purposes of this

subdivision, „state average weekly wage‟ means the average weekly wage paid by

employers to employees covered by unemployment insurance as reported by the

United States Department of Labor for California for the 12 months ending March

31 of the calendar year preceding the year in which the injury occurred.”

(§4659(c).)

The WCAB‟s Opinion and Decision After Reconsideration offered no

further guidance as to how the language in the second sentence, which specifically

references SAWW data for “the calendar year preceding the year in which the

injury occurred” (§ 4659(c)), might be read consistently with the operative

language of the first sentence to support applicant‟s position that the COLA‟s must

be calculated and applied from the January 1 following the date of injury. We

make the following brief observations regarding the matter.

First, the question directly before us in this case is when the COLA‟s

authorized under subdivision (c) must be applied under the operative language,

i.e., prospectively, from the January 1 following the date on which the worker first

becomes eligible to receive the benefit payments and actually begins receiving

them, as was argued by petitioner below, or retroactively, i.e., from either the

fixed date of January 1, 2004 (the Court of Appeal‟s construction of the

subdivision), or from the January 1 following the date of injury (applicant‟s

position). Consideration of the language of the second sentence of subdivision (c)

sheds little light on that inquiry, and, as noted, the WCAB‟s decision neither

analyzed the relevant statutory language nor explained how the special definition

of the SAWW found in the second sentence could be squared with the operative

18

language of the first sentence and thereby support its conclusory determination

that the date of injury controls.

Second, the parties below agreed, as apparently did the WCAB and the

Court of Appeal, that, looking forward from the January 1 following the date on

which the worker‟s benefit payments in question first become due and payable, the

COLA‟s must then be calculated and applied “each January 1 thereafter”

(§ 4659(c)), to reflect each successive year‟s percentage change in the SAWW “as

compared to the prior year” (id., italics added) for the duration of the worker‟s

lifetime payments. As petitioner states in the opening brief, “No one disputes that

once payments begin, the raise in payments each year is based on the increase in

the state average weekly wage from the prior calendar year.” (Italics added.)

Neither the parties nor the Court of Appeal focused on the special definition

of the SAWW contained in the second sentence of section 4659(c). Nor did they

seek to explain how the phrase “average weekly wage paid by employers to

employees covered by unemployment insurance as reported by the United States

Department of Labor for California for the 12 months ending March 31 of the

calendar year preceding the year in which the injury occurred,” utilized in that

definition, could be given effect together with the operative language of the first

sentence, “shall have that payment increased annually . . . by an amount equal to

the percentage increase in the „state average weekly wage‟ as compared to the

prior year.” (§ 4659(c), italics added.) Accordingly, we have no clear occasion in

this case to construe the language or import of the special definition of the SAWW

contained in section 4659(c). That having been said, we briefly observe that the

special definition, which purports to tie any year-to-year change in the SAWW to

the figures for the year preceding the date of injury, appears in conflict with the

otherwise clear language of the first sentence, which defines the COLA‟s in the

19

traditional sense, as “an amount equal to the percentage increase in the „state

average weekly wage‟ as compared to the prior year.” (Ibid., italics added.)

Although the parties have not briefed or argued the point, our research

reveals that the Legislature‟s two earlier attempts at drafting the inflation-

offsetting measures of subdivision (c), Senate Bill No. 71 (2001-2002 Reg. Sess.)

and Assembly Bill No. 1176 (2001-2002 Reg. Sess.), both of which were vetoed

by then Governor Davis, contained the following language as the proposed

subdivision‟s second sentence: “For the purpose of this subdivision, „state average

weekly wage‟ means the average weekly wage paid by employers to employees

covered by unemployment insurance, as reported to the Employment Development

Department for the four calendar quarters ending June 30 of the calendar year

preceding the year in which the adjustment is made.” (Italics added.)

The current text of section 4659(c)‟s second sentence is no model of clarity.

Perhaps the Legislature may wish to revisit the suitability of the current language

of the second sentence of subdivision (c) in light of the operative language of the

first sentence.

20

CONCLUSION

The judgment of the Court of Appeal is reversed and the matter remanded

to that court for further proceedings consistent with the views expressed herein.

BAXTER, J.

WE CONCUR:

CANTIL-SAKAUYE, C. J.

KENNARD, J.

WERDEGAR, J.

CHIN, J.

CORRIGAN, J.

LAMBDEN, J.P.T.*

_______________________

* Associate Justice, Court of Appeal, First Appellate District, Division Two,

assigned by the Chief Justice pursuant to article VI, section 6 of the California

Constitution.

21

See next page for addresses and telephone numbers for counsel who argued in Supreme Court.

Name of Opinion Baker v. Workers‟ Compensation Appeals Board and X.S.

__________________________________________________________________________________

Unpublished Opinion

Original Appeal

Original Proceeding

Review Granted XXX 179 Cal.App.4th 1009

Rehearing Granted

__________________________________________________________________________________

Opinion No. S179194

Date Filed: August 11, 2011

__________________________________________________________________________________

Court:

County:

Judge:

__________________________________________________________________________________

Counsel:

Vanessa L. Holton, Steven A. McGinty, Carol Belcher, Anthony Mischel and Jesse N. Rosen for Petitioner.

Robert E. Kalunian, Acting County Counsel (Los Angeles), Leah D. Davis, Assistant County Counsel,

Jeffrey L. Scott and Jason E. Waller, Deputy County Counsel, for County of Los Angeles as Amicus Curiae

on behalf of Petitioner.

Suzanne Ah-Tye, Patricia A. Brown and David M. Goi for State Compensation Insurance Fund as Amicus

Curiae on behalf of Petitioner.

Law Offices of Saul Allweiss and Michael A. Marks for California Workers‟ Compensation Institute as

Amicus Curiae on behalf of Petitioner.

Finnegan, Marks, Theofel & Desmond and Ellen Sims Langille for the California Chamber of Commerce

as Amicus Curiae on behalf of Petitioner.

No appearance for Respondent Workers Compensation Appeals Board.

Butts & Johnson, Arthur L. Johnson and Heather A. Harper for Respondent X.S.

Marcus & Regalado, Marc G. Marcus and Jason M. Marcus for California Applicants‟ Attorneys

Association as Amicus Curiae on behalf of Respondent X.S.

Frank Rankin for California Correctional Peace Officers Association as Amicus Curiae on behalf of

Respondent X.S.

22

Counsel who argued in Supreme Court (not intended for publication with opinion):

Anthony Mischel

Department of Industrial Relations

Office of the Director-Legal Unit

320 W. 4th Street, Suite 600

Los Angeles, CA 90013

(213) 576-7725

Ellen Sims Langille

Finnegan, Marks, Theofel & Desmond

1990 Lombard Street, Suite 300

San Francisco, Ca 94123

(415) 931-9284

Arthur L. Johnson

Butts & Johnson

481 N. First St.

San Jose, CA 95112

(408) 293-4818

Marc G. Marcus

Marcus & Regalado

3031 F Street, Suite 100

Sacramento, CA 95816

(916) 441-1611

23

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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