Professional Documents
Culture Documents
ECC Board Resolution No. 3908 If the illness are not occupational diseases, the
Increased risk not shown in the following cases:
“Presumptive Compensability” for AFP Members claimant must present proof that he contracted them in
and Policemen the course of his employment. He who alleges a fact Limbo v. ECC
has the burden of proving it and a mere allegation is G.R. No. 146891, July 30, 2002
“Whereas, because of certain serious peace and not evidence.
order problems of the country, more particularly the Facts: Petitioenr Limbo was employed at
insurgency problems, it has become generally Annex “A” of the ECC Rules says: Nestle Philippines since 1966 as a salesman
perceptible that on account of the nature of their work, For occupational diseases and resulting disability or and was later promoted as Area Sales
members of the AFP have become “marked men” death to be compensable, all of the following Supervisor in 1977. In December 1994, he
insofar as insurgents and other lawless elements are conditions must be satisfied: was confined for one week at the PGH for
concerned and are, therefore, killed by such (1) EE’s work must involve the risks described joint pains. It was revealed that he had
insurgents at every opportunity; therein. elevated BUN, creatinine and anemia, and
(2) Disease was contracted as a result of the EE’s that he had chronic renal disease. He
This Board resolves, as it hereby resolves, to approve exposure to the described risk. underwent a renal transplant and was
the adoption of a policy that the moment an AFP (3) Disease was contracted within a period of discharged on January 13, 1995. He
member suffers a contingency, the presumption is that exposure and under such other factors claimed compensation benefits under the
it is because of the nature of his work; provided that necessary to contract it. SSS-ECC invoking PD No. 626; however,
the evidentiary details of his injury, or death, are (4) There was no notorious negligence on the part his claim was denied on the ground that his
clearly established through duly issued medical of the employee. illness had no causal relationship to his job
certificates on his injury or injuries, or death, by the as ASS. He appealed to the ECC which
attending physician or duly authorized representatives affirmed the decision of the SSS. The CA
of the hospital where he is brought for medical Theory of increased risk – if the ailment is not likewise dismissed his petition.
treatment.” included in the list… there must be a showing of
reasonable work-connection to establish Issue: WON end-stage renal disease
Sickness compensability secondary to uric acid nephropathy is
Art. 173 defines “sickness” as any illness definitely compensable under PD 626 as amended
Menez v. ECC
accepted as an occupational disease listed by the April 25, 1980
Commission, or any illness caused by employment, Held: The Court considered the workload
Rheumatoid arthritis and pneumonia are not
subject to proof that the risk of contracting the same is and areas of responsibility of petitioner and
occupational diseases but it was proven that
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CAUBANG, HERMANO, SUICO
found that it was not unlikely for him to Considering the workload and areas of that her husband’s work increased the risk of
develop hypertension leading to uremia. In responsibility of petitioner in this case, it is contracting the ailment.
determining whether a disease is not unlikely for him to develop hypertension,
compensable, it is enough that there exists a which in turn led to uremia. It should be Being a heavy coffee drinker may have
reasonable work connection as the stressed that in determining whether a aggravated his peptic ulcer, but aggravation
workmen’s claim is based on probability and disease is compensable, it is enough that of an illness is no longer a ground for
not certainty. there exists a reasonable work connection. It compensation under the present law.
is sufficient that the hypothesis on which the
Under the Amended Rules on EE’s workmen’s claim is based is probable since The SC takes notice of the fact that the
Compensation, “for the sickness and the probability, not certainty, is the touchstone. conditions in this case are not peculiar to the
resulting disability to be compensable, the work mentioned herein. Many, if not most,
sickness must be the result of an employees are equally exposed to similar
Dabatian v. GSIS
occupational disease listed under Annex A conditions but have not been victims of
G.R. No. 47294, April 8, 1987
of these Rules with the conditions set therein peptic ulcer.
satisfied; otherwise, proof must be shown
Facts: The widow of SAD filed a claim for
that the risk of contracting the disease is
death benefits with the GSIS. At the time of Casumpang v. ECC
increased by the working conditions.
his death, SAD was a garbage truck driver in G.R. No. 48664, May 20, 1987
Concededly, end-stage renal disease
the General Services Department of a city
secondary to uric acid nephropathy is not
government. He was assigned mostly in the Facts: JC contracted his disease or ailment
among the Occupational Diseases under
night shift. SAD was a heavy coffee drinker, (cancer of the stomach) before January 1,
Annex A of the AREC. This, however, would
which was his way of warding off sleepiness. 1975. There were no medical findings,
not automatically bar petitioner’s claim for as
Shortly before he died, his co-employees reports, affidavits or any indication that he
long as he could prove that the risk of
observed that he became paler and weaker suffered from any pain prior to the effectivity
contracting the illness was increased by his
while at work until the time he collapsed and of the LC. His ailment (ruptured duodenal
working conditions.
became unconscious while on his tour of ulcer with generalized peritonitis) was
duty and was brought home by his officially diagnosed on June 28, 1976. This
Petitioner’s job description showed that he
companions. He died two weeks thereafter, was traced to hematemesis and melena
was responsible for the following:
when the old compensation law had already which began in November 1975. As prison
(1) Territory’s collection,
been abrogated. guard, JC escorted inmates to work in the
merchandising, market hygiene and
hinterlands of San Ramon Penal Colony. At
promotion goals;
Issue: Is SAD’s death compensable? times he was overtaken by rain. He had to
(2) Nestle’s principal satisfaction
work at night in case of prison escapes. He
provider to the company’s
Held: Since peptic ulcer is not included in missed his meals owing to the nature of his
customers and business partners,
the list of occupational diseases as drawn up duties.
government and other significant
by the Commission, the claimant (widow)
entities;
has the burden of proving that the nature of Ruling: The claimant, JC’s widow, failed to
(3) Principal Liaison of the territory with
her deceased husband’s work increased the establish that JC’s ailment was the direct
the National Sales Manager, Area
risk of contracting the disease. Aside from result of his occupation or employment as
Sales Manager and other Nestle
the undisputed fact that deceased is a heavy prison guard. The doctrine of presumptive
units;
coffee drinker, which was hi way of warding compensability which was then expressly
(4) Lead and manages territory sales
off sleepiness, no evidence was ever provided under the old Workmen’s
force and third party support.
adduced by claimant to bolster the theory Compensation Act is not recognized under
LABOR LAW TSN FINALS 33
CAUBANG, HERMANO, SUICO
PD 626. outside the regular or primary functions of a SOCIAL WELFARE LEGISLATION
teacher, could not have been done every SSS LAW - RA 11199 known as SOCIAL SECURITY
working day. The deceased’s work as a ACT OF 2018
Rodriguez v. ECC teacher did not expose him to hazards
G.R. No. 46454, Sept. 28, 1989 An Act Rationalizing and Expanding the Powers
different or greater from those involved in
ordinary or normal lifestyles. There is no and Duties of the Social Security Commission to
Facts: Claimant does not dispute the fact showing that he did not engage in other Ensure the Long-Term Viability of the Social
that the principal duties of the deceased as a extraneous activities aside from playing Security System, Repealing for the Purpose
classroom teacher alone would not have any Republic Act No. 1161, as amended by Republic
basketball or being a member of the boy
connection with his disease. However, she Act No. 8282, otherwise known as the “Social
scouts. Exposure to the co-curricular
claims that the deceased’s auxiliary Security Act of 1997”
activities was on the voluntary choice of the
activities as a classroom teacher directly Compulsory Coverage
deceased. The decision to engage therein
affected his physical constitution and was at his option since, not forming part of Coverage in the SSS shall be compulsory
indubitably caused him to have sustained his work as teacher, there was no upon all employees not over 60 years of age
some trauma in his abdominal cavity and and their employers
compulsion on him to participate in said
other parts of the body. The deceased was a
activities.
member of the basketball team of the public AN OFFICE OF THE ACTUARY
school teachers in their school for the last An Office of the Actuary shall be created to
five years prior to his death and had served Coverage upon ER and EEs
conduct the necessary actuarial studies and
as a coach in basketball for 3 years. He was Art. 166. Policy. The State shall promote present recommendations on premiums,
also an active member of the Boy Scouts of and develop a tax-exempt employees’ investments and other related matters. The
the Philippines. compensation program whereby employees Commission, upon the recommendation of the
and their dependents, in the event of SSS President, shall appoint the Chief Actuary
Ruling: The circumstances alleged by work-connected disability or death, may and such other personnel as may be deemed
claimant and the evidence she presented promptly secure adequate income benefit necessary; prescribe their duties and establish
are not enough to discharge the required and medical related benefits. such methods and procedures as may be
quantum of proof. There is no clear evidence necessary to ensure the efficient, honest and
as to when the disease (intestinal Chapter II economical administration of the provisions and
lipomatosis of the large colon with COVERAGE AND LIABILITY purposes of this Act:
obstruction of the ascending colon) PROVIDED, however, that the personnel of
supervened. The tumors which developed in the SSS below the rank of Vice-President
Art. 168. Compulsory coverage. Coverage
the deceased’s colon may have been shall be appointed by the SSS President
in the State Insurance Fund shall be
growing for many years even before he was PROVIDED FURTHER, that the personnel
compulsory upon all employers and their
employed as a teacher. Neither was there appointed by the SSS President, except
employees not over sixty (60) years of age:
any indication as to what really caused the those below the rank of assistant manager,
Provided, That an employee who is over
disease; in fact, the nature of the disease as shall be subject to the confirmation by the
(60) years of age and paying contributions to
described militate against a finding of causal Commission
qualify for the retirement or life insurance
nexus. PROVIDED FURTHER, that the personnel of
benefit administered by the System shall be
subject to compulsory coverage. the SSS shall be selected only from civil
The trauma was supposed to have caused service eligibles and be subject to civil
or contributed to the disease was neither service rules and regulations
satisfactorily clarified nor adequately proved.
The activities relied upon by claimant being
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CAUBANG, HERMANO, SUICO
PROVIDED FINALLY, that the SSS shall be The parent who is receiving regular support from with other men, was not dependent on her
exempt from the provisions of RA 6759 and the member husband for suppport, financial or otherwise,
RA 7430 during that entire period. Hence, the Court
The Chief Actuary of the SSS can only be SSS VS. AGUAS ET AL, FEBRUARY 27, 2006 denied her claim for death benefits.
removed by just causes which include among Note: Legitimate spouses and dependents for
others gross incompetence, gross inefficiency, support
disloyalty, conflict of interest, dishonesty and RA No. 11199 or the Social Security Act of 2018
serious misconduct. On the claims of Rosanna, it bears stressing that
for her to qualify as a primary beneficiary, she
Section 9-A. Compulsory Coverage of the
DEFINITION must prove that she was “the legitimate spouse
Self-Employed. — Coverage in the SSS shall also be
Empployer: Any person, natural or juridical, dependent for support from the employee.” The compulsory upon such self-employed persons as may
domestic or foreign, who carries on in the claimant-spouse must therefore establish two be determined by the Commission under such rules
Philippines any trade, business, industry, qualifying factors:
and regulations as it may prescribe, including, but not
undertaking, or activity of any kind and uses the That she is the legitimate spouse
limited to the following:
services of another person who is under his That she is dependent upon the member for
orders as regards the employment, except the support
government and any of its political subdivisions, In this case, Rosanna presented proof to show (a) All seif-empioyed professionals;
branches or instrumentalities, including that she is the legitimate spouse of Pablo, that is,
corporations owned or controlled by the a copy of their marriage certificate which was (b) Partners and single proprietors of
Government verified with the civil register by petitioner. businesses;
PROVIDED, that a self-employed person But whether or not Rosanna has sufficiently
shall be both employee and employer at the established that she was still dependent on pablo (c) Actors and actresses, directors,
same time at the time of his death remains to be resolved. scriptwriters and news correspondents who do
Employee: Any person who performs services for Indeed, a husband and wife are obliged to support not fall within the definition of the term
an employer in which either or both mental or each other, butwhether one is actually dependent "employee" in Section 8(d) of this Act;
physical efforts are used and who receives for support upon the other is something that has to
compensation for such services, where there is an be shown; it cannot be presumed from the fact of (d) Professional athletes, coaches, trainers
employer-employee relationship marriage alone. and jockeys; and
PROVIDED, that a self-employed person In a parallel case involving a claim for
shall be both employee and employer at the benefits under the GSIS law, the Court
(e) Individual farmers and fishermen.
same time defined a dependent as “one who derives his
or her main support from another. Meaning,
DEPENDENTS relying on, or subject to, someone else for Unless otherwise specified herein, all provisions of this
The legal spouse entitled by law to receive support; not able to exist or sustain oneself, Act applicable to covered employees shall also be
support from the member or to perform anything without the will, power, applicable to the covered self-employed persons.
The legitimate, legitimated or legally adopted, and or aid of someone else.”
illegitimate child who is unmarried, not gainfully It should be noted that the GSIS law likewise Section 9-B. Compulsory Coverage of Overseas
employed, and has not reached 21 years of age, defines a dependent spouse as “the Filipino Workers (OFWs) -
or if over 21 years of age, he is congenitally or legitimate spouse dependent for support
while still a minor has been permanently upon the member or pensioner.” (a) Coverage in the SSS shall be compulsory
incapacitated and incapable of self-support, In that case, the Court found it obvious that a upon all sea-based and land-based OFWs as
physically or mentally; and wife who abandoned the family for more than defined under Republic Act No. 8042,
17 years until her husband died, and lived otherwise known as the Migrant Workers and
LABOR LAW TSN FINALS 35
CAUBANG, HERMANO, SUICO
Overseas Filipinos Act of 1995. as amended pay the total contributions to maintain his right to full
by Republic Act No. 10022: Provided, That benefit.
they are not over sixty (60) years of age.
Section 11-A. Effect of Interruption of Business or
All benefit provisions under this Act shall apply Professional Income. - If the self-employed member
to all covered OFWs. The benefits include, realizes no income in any given month, he shall not be
among others, retirement, death, disability, required to pay contributions for that month. He may,
funeral, sickness and maternity. however, be allowed to continue paying contributions
under the same rules and regulations applicable to a
(b) Manning agencies are agents of their separated employee member: Provided, That no
principals and are considered as employers of retroactive payment of contributions shall be allowed
sea-based OFWs. other than as prescribed under Section 22-A hereof.
For purposes of the implementation of this Act, BENEFITS – TWO MAIN CLASSIFICATIONS
any law to the contrary notwithstanding
manning agencies are jointly and severally or 1. Social Security Benefits - consist of Sickness,
solidarity liable with their principals with Maternity Leave, Retirement, Unemployment,
respect to the civil liabilities incurred for any Insurance or Involuntary Separation, Disability, Death
violation of this Act. and Funeral