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Buena Obra v. SSS

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Buena Obra vs.

Social Security System


G.R. No. 147745. April 9, 2003.*
MARIA BUENA OBRA, petitioner, vs. SOCIAL SECURITY SYSTEM
(Jollar Industrial Sales and Services, Inc.), respondent.
Labor Law; Employees Compensation Commission; Words and
Phrases; Reasonable time, defined.It is true that under the
proviso, the employees compensation claim shall be filed with
the GSIS/SSS within a reasonable time as provided by law. It
should be noted that neither statute nor jurisprudence has
defined the limits of reasonable time. Thus, what is reasonable
time depends upon the peculiar facts and circumstances of each
case.
Constitutional Law; Social Legislation; It is the avowed policy of
the State to construe social legislation liberally in favor of the
beneficiaries.It is the avowed policy of the State to construe
social legislations liberally in favor of the beneficiaries. This
court has time and again upheld the policy of liberality of the
law in favor of labor.
Same; Same; Verily the policy is to extend the applicability of
the law on employees compensation to as many employees
who can avail of the benefits thereunder.Particularly, the
policy of liberality in deciding claims for compensability was
given emphasis by this court in the case of Employees
Compensation Commission vs. Court of Appeals, where it held
that: . . . the liberality of law in favor of the working man and
woman still prevails and the official agency charged by law to
implement the constitutional guarantee of social justice should
adopt a liberal attitude in favor of the employee in deciding
claims for compensability, especially in light of compassionate
policy towards labor which the 1987 Constitution vivifies and
enhances. Elsewise stated, a humanitarian impulse, dictated by
no less than the Constitution itself under the social justice
policy, calls for a liberal and sympathetic approach to legitimate
appeals of disabled public servants; or that all doubts to the
right to compensation must be resolved in favor of the
employee or laborer. Verily the policy is to extend the
applicability of the law on employees compensation to as many
employees who can avail of the benefits thereunder.

Same; Same; Presidential Decree No. 626; P.D. No. 626 is a


social legislation whose primordial purpose is to provide
meaningful protection to the working class.As a final note, we
find it necessary to reiterate that 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.
PETITION for review on certiorari of the decision and resolution
of the Court of Appeals.

The facts are stated in the opinion of the Court.


Public Attorneys Office for petitioner.
The Solicitor General for respondent SSS.
PUNO, J.:

On appeal is the Decision1 of the Court of Appeals in CA-G.R. SP


No. 60704 dated September 27, 2000 sustaining the Decision2
of the Employees Compensation Commission dated April 13,
2000, as well as its subsequent Resolution3 dated March 6,
2001 denying petitioners Motion for Reconsideration.
The facts of the case are as follows:
Juanito Buena Obra, husband of petitioner, worked as a driver
for twenty-four (24) years and five (5) months. His first and

second employers were logging companies. Thereafter, he was


employed at Jollar Industrial Sales and Services, Inc. as a dump
truck driver from January 1980 to June 1988. He was assigned to
the following projects:4

work-connected, absent a causal relationship between the


illness and the job. Caridad R. Borja, Assistant Vice-President
National Capital Region (AVP-NCR) Central of the SSS Member
Assistance Center in Quezon City wrote:

1. January 1980 to December 1981F.F. Cruz Project, Nabua,


Camarines Surhauling/delivery of filling materials from quarry
to job site

Please be informed that funeral claim under the Employees


Compensation is hereby denied. Per medical evaluation, cause
of death of subject members (sic) cannot be considered work
connected since there is no causal relationship between the
illness and the job.

2. January 1982 to December 1983F.F. Cruz, 300 MW Coal Fire


Thermal Plant, Calaca, Bacungan and Makban Geothermal Plant,
Los Baos, Lagunahauling/delivery of filling materials from
quarry to job site
3. January 1984 to December 1985Dizon Copper Silver Mines,
Pili, San Marcelino, Zambaleshauling/delivery filling materials
from quarry to job site
4. January 1986 to June 1988Metro Manila Hauling Project
On 27 June 1988, Juanito suffered a heart attack while driving a
dump truck inside the work compound, and died shortly
thereafter. In the Report of Death5 submitted by his employer to
the Social Security System (SSS), Juanito expired at the Workers
Quarters at 10:30 a.m., of Myocardial Infarction.
Petitioner Maria M. Buenaobra immediately filed her claim for
death benefits under the SSS law. She started receiving her
pension in November 1988. Petitioner was, however, unaware of
the other compensation benefits due her under Presidential
Decree No. 626, as amended, or the Law on Employees
Compensation. In September 1998, or more than ten (10) years
after the death of her husband, that she learned of the benefits
under P.D. No. 626 through the television program of then
broadcaster Ted Failon who informed that one may claim for
Employees Compensation Commission (ECC) benefits if the
spouse died while working for the company. Petitioner prepared
the documents to support her claim for ECC benefits. On 23
April 1999, she filed with the SSS her claim for funeral benefits
under P.D. No. 626, as amended, which was docketed as SSS #
04-0089326-0.6
On 28 July 1999, the SSS denied the claim of petitioner for
funeral benefits ruling that the cause of death of Juanito was not

On 8 October 1999, petitioner wrote to Atty. Teofilo E. Hebron,


Executive Director of the ECC, appealing the denial of her claim.
On 11 November 1999, Atty. Hebron ordered Dr. Simeon Z.
Gonzales, Assistant Vice-President (AVP) of the Medical Services
Group of the SSS to review the claim of petitioner.
On 23 November 1999, the Medical Services Group through Dr.
Perla A. Taday, AVP for Medical Operations, concluded its reevaluation and affirmed the denial of petitioners claim. It
reiterated that there is no causal relationship between the
cause of death/illness and members job as dump truck driver.7
Pursuant to Section 5, Rule XVIII of the Implementing Rules of
PD 626, the records of the deceased Juanito were elevated to
the Commission.
On 13 April 2000, the Commission rendered a decision,
dismissing the appeal.8 It ruled that petitioner failed to show by
substantial evidence that her husbands cause of death was due
to, or the risk of contracting his ailment was increased by his
occupation and working conditions, as per Section 1(b), Rule III
of P.D. No. 626, as amended. In addition, the Commission
declared that petitioners claim has prescribed, citing ECC
Resolution No. 93-08-0068.
Petitioner appealed to the Court of Appeals. She alleged that her
cause of action had not prescribed because the filing of her
claim for SSS benefits shortly after Juanitos death suspended
the running of the prescriptive period for filing EC claims, as per
Item No. III of ECC Resolution No. 90-03-0022 dated 23 March
1990. The appellate court dismissed the petition. It ruled that
petitioners filing of her claim for SSS benefits shortly after
Juanitos death did not suspend the running of the prescriptive

period for filing EC claims. It interpreted the aforementioned


ECC Resolutions to mean that a claimant must indicate the kind
of claim filed before the running of the prescriptive period for
filing EC claims may be interrupted. In the case at bar,
petitioner indeed filed a claim with SSS. In fact, she has been
receiving her pension since November 1988. However, she
failed to specify whether the basis of her claim was any
contingency which may be held compensable under the EC
Program.9
In addition, the Court of Appeals cited P.D. No. 626 which states
that a contingency may be held compensable if listed in Annex
A of the Rules Implementing Employees Compensation as an
occupational disease, and satisfying all conditions set forth
therein; or if not listed as an occupational disease, or listed but
has not satisfied the conditions set forth therein, it must be
proven by substantial evidence that the risk of contracting the
disease which caused the death of the member, was increased
by the members working conditions.10
The appellate court likewise held that the three-year
prescriptive period does not apply in the instant case. Instead, it
applied Art. 1142(2) of the Civil Code which reads:
Art. 1144. The following actions must be brought within ten
(10) years from the time the right of action accrues:
(1) Upon a written contract;
(2)Upon an obligation created by law;
(3) Upon a judgment. [Emphasis supplied.]
The appellate court then held that the petitioners cause of
action has prescribed. Petitioners husband died on 27 June
1988. She filed her claim for funeral benefits under P.D. No. 626
or the Law on Employees Compensation only on 23 April 1999,
or more than ten (10) years from his death.
Lastly, the appellate court ruled that even assuming petitioners
cause of action has not prescribed, her claim for Employees
Compensation benefits cannot prosper because of her failure to
prove by substantial evidence that her husbands working

conditions increased the risk of contracting the myocardial


infarction that caused his death.
Petitioners Motion for Reconsideration dated 27 September
2000 was denied by the appellate court in a Resolution
promulgated on 6 March 2001.
Hence, this petition. The following issues are raised:11
(1) WHETHER, INDEED, THE CLAIM OF PETITIONER, HAD
PRESCRIBED.
(2) WHETHER OR NOT THE ILLNESS OF PETITIONERS HUSBAND,
MYOCARDIAL INFARCTION, IS WORK-RELATED.
On the first issue, we rule that the claim of petitioner for funeral
benefits under P.D. No. 626, as amended, has not yet
prescribed.
The issue of prescription in the case at bar 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 Rules on
Employees Compensation both read as follows:
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 employees 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 Employees 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. (emphasis supplied)

In addition, 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:
212

212
SUPREME COURT REPORTS ANNOTATED
Buena Obra vs. Social Security System
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. [Emphasis supplied.]
We agree with the petitioner that her 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.
Furthermore, 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.
Section 4(b)(2), Rule 3 of the ECC Rules of Procedure for the
Filing and Disposition of the Employees Compensation Claims,
quoted above, also provides for the conditions when EC claims
filed beyond the three-year prescriptive period may still be
given due course. Section 4(b)(2) states the condition for
private sector employees, requiring that a claim for Medicare,
sickness, burial, disability or death should be filed within three
(3) years from the occurrence of the contingency. In the instant
case, the petitioner was able to file her claim for death benefits
under the SSS law within the three-year prescriptive period. In
fact, she has been receiving her pension under the SSS law
since November 1988.
It is true that under the proviso, the employees compensation
claim shall be filed with the GSIS/SSS within a reasonable time
as provided by law. It should be noted that neither statute nor
jurisprudence has defined the limits of reasonable time. Thus,
what is reasonable time depends upon the peculiar facts and
circumstances of each case.12 In the case at bar, we also find
petitioners claim to have been filed within a reasonable time
considering the situation and condition of the petitioner. We
have ruled that when the petitioner filed her claim for death
benefits under the SSS law, her claim for the same benefits
under the Employees Compensation Law should be considered
as filed. 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 favor 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 taxexempt employees compensation program whereby employees
and their dependents, in the event of work-connected disability

or death, may promptly secure adequate income benefit, and


medical or related benefits. (emphasis supplied)
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.
Particularly, the policy of liberality in deciding claims for
compensability was given emphasis by this court in the case of
Employees Compensation Commission vs. Court of Appeals,14
where it held that:
. . . the liberality of law in favor of the working man and woman
still prevails and the official agency charged by law to
implement the constitutional guarantee of social justice should
adopt a liberal attitude in favor of the employee in deciding
claims for compensability, especially in light of
compassionate policy towards labor which the 1987 Constitution
vivifies and enhances. Elsewise stated, a humanitarian impulse,
dictated by no less than the Constitution itself under the social
justice policy, calls for a liberal and sympathetic approach to
legitimate appeals of disabled public servants; or that all doubts
to the right to compensation must be resolved in favor of the
employee or laborer. Verily the policy is to extend the
applicability of the law on employees compensation to as many
employees who can avail of the benefits thereunder.
Claims falling under the Employees Compensation Act should
be liberally resolved to fulfill its essence as a social legislation
designed to afford relief to the working man and woman in our
society.15
The second issue of whether or not the illness of petitioners
husband, myocardial infarction which was the cause of his death
is work-related, must likewise be resolved in favor of the
petitioner.

Under the law on employees compensation, death is


compensable only when it results from a work-connected injury
or sickness. In the instant case, the cause of petitioners
husbands death was myocardial infarction and it must be
considered work-connected. While it is true that myocardial
infarction is not among the occupational diseases listed under
Annex A of the Amended Rules on Employees Compensation,
the Commission, under ECC Resolution No. 432 dated July 20,
1977, laid down the conditions under which cardio-vascular or
heart diseases can be considered as work-related and thus
compensable, viz.:
(a) If the heart disease was known to have been present during
employment, there must be proof that an acute exacerbation
was clearly precipitated by the unusual strain by reasons of the
nature of his/her/her work.
(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.
(c) If a person who was apparently asymptomatic before being
subjected to strain at work showed signs and symptoms of
cardiac injury during the performance of his/her work and such
symptoms and signs persisted, it is reasonable to claim a causal
relationship.
Myocardial infarction is also known as heart attack. It results in
permanent heart damage or death. A heart attack is called
myocardial infarction because part of the heart muscle
(myocardium) may literally die (infarction). This occurs when a
blood clot blocks one of the coronary arteries (the blood vessels
that bring blood and oxygen to the heart muscle). When the
heart muscle does not obtain the oxygen-rich blood that it
needs, it will begin to die. The severity of a heart attack usually
depends on how much of the heart muscle is injured or dies
during the heart attack. Heart attack accounts for 1 out of every
5 deaths. It is a major cause of sudden death in adults. Heavy
exertion or emotional stress can trigger a heart attack.16
In the case at bar, the petitioners husbands 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. Petitioners 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.

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.17

Professional drivers, especially truck drivers like the decedent in


the instant case, carry the burden of being more exposed and
subjected to the stress and strain of everyday traffic, and the
greater physical exertion brought about by driving a large and
heavy vehicle. In addition, according to the petitioner, her
husband was under a lot of stress in the workplace. He was a
model worker and his employer highly depended on him. He
became the object of envy of his co-workers which caused him
much emotional stress. Add to this the fact that he has been a
truck driver for more than twenty-four (24) years. Due to the
combination of emotional stress and vigorous physical exertion,
it was easy for him to succumb to the heart ailment. We hold
that the illness of the decedent which caused his death is workconnected, and thus compensable by virtue of ECC Resolution
No. 432 dated 20 July 1977.

IN VIEW WHEREOF, the petition is GRANTED. The Decision of the


Court of Appeals in CA-G.R. SP No. 60704 dated 27 September
2000 and its Resolution dated 06 March 2001 are hereby SET
ASIDE. The SSS is hereby directed to pay herein petitioner the
death/funeral benefits due him under the existing law.

As a final note, we find it necessary to reiterate that 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

SO ORDERED.
Panganiban, Sandoval-Gutierrez, Corona and Carpio-Morales, JJ., concur.
Petition granted, assailed judgment and resolution set aside.
Note.The Employees Compensation Commission may not be
considered as having jurisdiction over money claims, albeit
death compensation benefits, of overseas contract workers.
(Heirs of the Late R/O Reynaldo Aniban vs. NLRC, 282 SCRA 377
[1997])
o0o

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