The petitioner filed a claim for death benefits under the Social Security System (SSS) law after her husband died of a heart attack while working. She later sought additional funeral benefits under the Law on Employees' Compensation but her claim was denied. The Court of Appeals ruled her claim had prescribed. The Supreme Court granted the petition and ruled that the cause of death was work-related. It found the husband's heart attack was likely brought on by the severe stress and strain of his work, as he collapsed shortly after the attack while working. The court also ruled that filing a claim under the SSS law should be considered filing an employee compensation claim, making it timely. The court ordered the SSS to pay the funeral benefits,
The petitioner filed a claim for death benefits under the Social Security System (SSS) law after her husband died of a heart attack while working. She later sought additional funeral benefits under the Law on Employees' Compensation but her claim was denied. The Court of Appeals ruled her claim had prescribed. The Supreme Court granted the petition and ruled that the cause of death was work-related. It found the husband's heart attack was likely brought on by the severe stress and strain of his work, as he collapsed shortly after the attack while working. The court also ruled that filing a claim under the SSS law should be considered filing an employee compensation claim, making it timely. The court ordered the SSS to pay the funeral benefits,
The petitioner filed a claim for death benefits under the Social Security System (SSS) law after her husband died of a heart attack while working. She later sought additional funeral benefits under the Law on Employees' Compensation but her claim was denied. The Court of Appeals ruled her claim had prescribed. The Supreme Court granted the petition and ruled that the cause of death was work-related. It found the husband's heart attack was likely brought on by the severe stress and strain of his work, as he collapsed shortly after the attack while working. The court also ruled that filing a claim under the SSS law should be considered filing an employee compensation claim, making it timely. The court ordered the SSS to pay the funeral benefits,
The petitioner filed a claim for death benefits under the Social Security System (SSS) law after her husband died of a heart attack while working. She later sought additional funeral benefits under the Law on Employees' Compensation but her claim was denied. The Court of Appeals ruled her claim had prescribed. The Supreme Court granted the petition and ruled that the cause of death was work-related. It found the husband's heart attack was likely brought on by the severe stress and strain of his work, as he collapsed shortly after the attack while working. The court also ruled that filing a claim under the SSS law should be considered filing an employee compensation claim, making it timely. The court ordered the SSS to pay the funeral benefits,
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B.
STATUTES LIBERALLY CONSTRUED
Petitioner: Maria Buena Obra Respondent: Social Security System (Jollar Industrial Sales and Servicex, Inc.) Facts: Petitioner filed her claim for death benefits, when his husband Juanito Buena Obra died from heart attack while driving a dump truck inside his work compound, under the SSS law and started receiving pension in Nov. 1988 then she found out in 1998 there are other benefits under the Law on Employees Compensation (P.D. 626). She completed the necessary documents for filling her claim for funeral benefits under the P.D. 626 but the SSS denied her claim. The petitioner failed to substantiate that the cause of her husbands death was work related. Filed an appeal to the Court of Appeals. The appellate court ruled that the petitioners cause of action had prescribed. Issue: Whether the claim of petitioner had already prescribed. Whether the cause of her husbands death was work related. Ruling: No. In the issue of prescriptive period it is governed by P.D. No. 626, or the Law on Employees Compensation. Art. 201 of P.D. No. 626 and Sec. 6, Rule VII of the 1987 Amended Rule of Employees Compensation. "No claim for compensation shall be given due
course unless said claim is filed with the System
within three years from the time the cause of action accrued." This is the general rule. The exceptions are found in Board Resolution 93-08-0068 and ECC Rules of Procedure for the Filing and Disposition of Employees' Compensation Claims. Board Resolution 93-08-0068 issued on 5 August 1993, states: "A claim for employee's compensation must be filed with System (SSS/GSIS) within three (3) years from the time the cause of action accrued, provided however, that any claim filed within the System for any contingency that may be held compensable under the Employee's Compensation Program (ECP) shall be considered as the EC claim itself. The three-year prescriptive period shall be reckoned from the onset of disability, or date of death. In case of presumptive death, the three (3) years limitation shall be counted from the date the missing person was officially declared to be presumptively dead." Section 4(b), Rule 3 of the ECC Rules of Procedure for the Filing and Disposition of Employees' Compensation Claims, reads: "RULE 3. FILING OF CLAIM Section 4. When to file. (a) Benefit claims shall be filed with the GSIS or the SSS within three (3) years from the date of the occurrence of the contingency (sickness, injury, disability or death).
(b) Claims filed beyond the 3-year prescriptive
period may still be given due course, provided that: 1. A claim was filed for Medicare, retirement with disability, burial, death claims, or life (disability) insurance, with the GSIS within three (3)years from the occurrence of the contingency. 2. In the case of the private sector employees, a claim for Medicare, sickness, burial, disability or death was filed within three (3) years from the occurrence of the contingency. 3. In any of the foregoing cases, the employees' compensation claim shall be filed with the GSIS or the SSS within a reasonable time as provided by law. The petitioner claim for death benefits under the SSS law should be considered as the Employees' Compensation claim itself. This is but logical and reasonable because the claim for death benefits which petitioner filed with the SSS is of the same nature as her claim before the ECC. The SSS is the same agency with which Employees' Compensation claims are filed. As correctly contended by the petitioner, when she filed her claim for death benefits with the SSS under the SSS law, she had already notified the SSS of her employees' compensation claim, because the SSS is the very same agency where claims for payment of sickness/disability/death benefits under P.D. No. 626 are filed. The petitioner was able to file her claim for death benefits under the SSS law within the three-year
prescriptive period also she has been receiving her
pension under the SSS law since Nov. 1988. The evidence shows that the System failed to process her compensation claim. Under the circumstances, the petitioner cannot be made to suffer for the lapse committed by the System. It is the avowed policy of the State to construe social legislations liberally in favour of the beneficiaries. 13 This court has time and again upheld the policy of liberality of the law in favor of labor. Presidential Decree No. 626 itself, in its Art. 166 reads: "ART. 166. Policy . The State shall promote and develop a tax-exempt employees' compensation program whereby employees and their dependents, in the event of workconnected disability or death, may promptly secure adequate income benefit, and medical or related benefits." Furthermore, Art. 4 of P.D. No. 442, as amended, otherwise known as the Labor Code of the Philippines, which P.D. No. 626 forms a part of, reads as follows: "ART. 4. Construction in favor of labor. All doubts in the implementation and interpretation of the provisions of this Code, including its implementing rules and regulations, shall be resolved in favor of labor." Yes. The cause of her husbands death was work related the petitioner's husband's heart disease falls under the second condition of ECC Resolution No. 432 dated July 20, 1977 which states that the strain of work that brought about the acute attack must be of
sufficient severity and must be followed within 24
hours by the clinical signs of a cardiac insult to constitute causal relationship. Petitioner's husband was driving a dump truck within the company premises where they were stacking gravel and sand when he suffered the heart attack. He had to be taken down from the truck and brought to the workers' quarters where he expired at 10:30 a.m., just a few minutes after the heart attack, which is much less than the 24 hours required by ECC Resolution No. 432. This is a clear indication that severe strain of work brought about the acute attack that caused his death. (b) The strain of work that brings about an acute attack must be of sufficient severity and must be followed within 24 hours by the clinical signs of a cardiac insult to constitute causal relationship. Heavy exertion or emotional stress can trigger a heart attack. The petitioners husband is under a lot of stress in the workplace. He had to be taken down from the truck and brought to the workers' quarters where he expired at 10:30 a.m., just a few minutes after the heart attack, which is much less than the 24 hours required by ECC Resolution No. 432. This is a clear indication that severe strain of work brought about the acute attack that caused his death.
The petition is granted. Decision of the Court of
Appeals and the Resolution are set aside. The SSS is directed to pay the petitioner the death/funeral benefits under existing law. P.D. No. 626, as amended, is a social legislation whose primordial purpose is to provide meaningful protection to the working class against the hazards of disability, illness and other contingencies resulting in the loss of income. Thus, as the official agents charged by law to implement social justice guaranteed by the Constitution, the ECC and the SSS should adopt a liberal attitude in favor of the employee in deciding claims for compensability especially where there is some basis in the facts for inferring a work connection with the illness or injury, as the case may be. It is only this kind of interpretation that can give meaning and substance to the compassionate spirit of the law as embodied in Article 4 of the New Labor Code which states that all doubts in the implementation and interpretation of the provisions of the Labor Code including its implementing rules and regulations should be resolved in favor of labor.