          IN THE COMMONWEALTH COURT OF PENNSYLVANIA


City of Pittsburgh and UPMC           :
Benefit Management Services, Inc.,    :
                    Petitioners       :
                                      :
             v.                       : No. 29 C.D. 2018
                                      : Submitted: May 4, 2018
Workers’ Compensation Appeal          :
Board (Flaherty),                     :
                  Respondent          :


BEFORE:      HONORABLE PATRICIA A. McCULLOUGH, Judge
             HONORABLE CHRISTINE FIZZANO CANNON, Judge
             HONORABLE DAN PELLEGRINI, Senior Judge


OPINION BY
SENIOR JUDGE PELLEGRINI                             FILED: June 1, 2018


             The City of Pittsburgh (Employer) petitions for review of the order of
the Workers’ Compensation Appeal Board (Board) reversing the Workers’
Compensation Judge’s (WCJ) decision and holding that Anne Marie Flaherty
(Claimant) gave notice to Employer within 21 days of when she knew or should
have known that her cancer was work-related. Because Claimant gave notice
within 21 days, she was entitled to benefits from September 10, 2004, the date she
left work due to her injury, as opposed to September 23, 2011, the date she filed
her claim petition.
                                                I.
                                               A.
                Claimant worked as an active firefighter for Employer for 16 years.
In August 2004, she noticed a lump on her breast and had a mammogram, resulting
in a diagnosis of breast cancer. A month later, she had a mastectomy. Because of
that surgery, she was unable to continue her full duties as a firefighter. Her last
official date of employment with Employer was September 9, 2004.                           It is
undisputed that if Claimant had not been diagnosed with cancer, she would have
continued working as a firefighter.


                Effective July 7, 2011, the Workers’ Compensation Act (Act)1 was
amended via Act 46 of 2011 (Act 46).2 In Act 46, the General Assembly enacted
Sections 108(r) and 301(f), creating a new occupational disease provision to
provide a new presumption of compensable disability for firefighters who suffer
from cancer.3

       1
           Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1–1041.4, 2501–2708.

       2
         Act of July 7, 2011, P.L. 251. In his decision, WCJ David B. Torrey (Judge Torrey)
found “as a matter of preliminary fact that Act 46 of 2011 (firefighters cancer presumption) was
enacted on June 30, 2011.” (Finding of Fact No. 7). Although not material to our disposition of
this matter, we note that this preliminary finding was in error. Pursuant to its language, Act 46
of 2011 was effective immediately, meaning when it was approved by the Governor on July 7,
2011.        (See House Bill 797; Regular Session 2011-2012, available at:
http://www.legis.state.pa.us/cfdocs/billInfo/bill_history.cfm?syear=2011&sind=0&body=H&typ
e=B&bn=797 (last visited May 8, 2018)).

       3
         Specifically, Section 108(r) of Act 46 recognizes the occupational disease of “[c]ancer
suffered by a firefighter which is caused by exposure to a known carcinogen which is recognized
as a Group 1 carcinogen by the International Agency for Research on Cancer.” 77 P.S. § 27.1(r).
Section 301(f) provides, in relevant part, that:

(Footnote continued on next page…)

                                                2
              Claimant admits that sometime after Act 46’s enactment, in the
summer of 2011, she received a letter of distribution from her union informing her
of the new firefighter cancer presumption law (Union Letter). That Union Letter
led Claimant to question whether there was a connection between her job and her
cancer. Because Claimant is unable to locate the Letter and cannot remember
exactly when she received it, its exact date and contents are unknown. (See
Reproduced Record (R.R.) at 63a-64a, 68a.)4


(continued…)

              Compensation pursuant to cancer suffered by a firefighter shall
              only be to those firefighters who have served four or more years in
              continuous firefighting duties, who can establish direct exposure to
              a carcinogen referred to in section 108(r) relating to cancer by a
              firefighter and have successfully passed a physical examination
              prior to asserting a claim under this subsection or prior to engaging
              in firefighting duties and the examination failed to reveal any
              evidence of the condition of cancer. . . . Notwithstanding the
              limitation under subsection (c)(2) with respect to disability or
              death resulting from an occupational disease having to occur
              within three hundred weeks after the last date of employment in an
              occupation or industry to which a claimant was exposed to the
              hazards of disease, claims filed pursuant to cancer suffered by the
              firefighter under section 108(r) may be made within six hundred
              weeks after the last date of employment in an occupation or
              industry to which a claimant was exposed to the hazards of disease.
              The presumption provided for under this subsection shall only
              apply to claims made within the first three hundred weeks.

77 P.S. § 414 (emphasis added).

       4
          At an October 27, 2011 hearing, Claimant testified that she came to discover or believe
that her breast cancer may be related to her work “[n]ot that long ago you know really.” (R.R. at
63a.) In response to the question, “No general time frame?” Claimant replied, “Yeah, I believe it
was . . . That’s all . . . .” (R.R. at 64a.) On redirect, the following exchange occurred:

(Footnote continued on next page…)

                                               3
                 Following receipt of the Union Letter, on September 23, 2011,
Claimant filed a claim petition providing notice to Employer of the possible
connection between her work and her cancer. She sought payment of medical bills
and    full      disability benefits     from September 10, 2004, and ongoing.
Notwithstanding, Claimant did not receive actual confirmation of the causal link
between her cancer and occupation until several months thereafter – when she
received a medical report from her oncologist, Dr. Lanie Francis (Dr. Francis),
dated February 24, 2012.5




(continued…)

                 Q. Just to make it clear, did you receive a letter from the union
                 this summer [2011] cluing you into a new firefighter cancer
                 presumption law?

                 A. Yes.

                 Q. Is that letter what led you to exploring whether or not your
                 occupational exposure resulted in your breast cancer?

                 A. Yes.

(R.R. at 68a.)

       5
         Claimant’s testimony is consistent with her first receiving medical confirmation through
Dr. Francis via the February 24, 2012 report. At a hearing held on October 27, 2011, Claimant
denied that any of her doctors ever informed her of the possibility that her cancer was related to
her work as a firefighter. (R.R. at 64a.) However, at an August 22, 2013 hearing, Claimant
admitted that Dr. Francis told her during one appointment that her breast cancer could be related
to occupational exposures as a firefighter. She could not remember when, what time, or even
what year that conversation with Dr. Francis took place. (R.R. at 87a-88a.)




                                                4
                                        B.
               Following hearings, now-retired WCJ Linda Tobin (WCJ Tobin)
circulated a decision on October 4, 2013, granting Claimant’s claim petition. As
pertinent, WCJ Tobin concluded that Claimant established direct exposure to a
Section 108(r) carcinogen and that she was examined and found cancer-free
repeatedly before and during her employment with Employer, and that she served
more than four years in continuous firefighting duties. See Section 301(f) of the
Act, 77 P.S. § 414. Determining that Claimant filed her claim petition within 300
weeks, WCJ Tobin concluded that Claimant was entitled to the presumption
afforded under Section 301(f) of the Act, 77 P.S. § 414. Notwithstanding, WCJ
Tobin also concluded that even in the absence of the statutory presumption,
Claimant met her burden of proving by a preponderance of the evidence that her
cancer was caused by her occupational exposure as a firefighter. WCJ Tobin then
awarded Claimant benefits commencing from the last date of employment,
September 9, 2004. Employer appealed to the Board.


               Because Claimant’s last date of employment was September 9, 2004,
and she did not file her claim petition until September 23, 2011 – approximately
367 weeks thereafter – the Board held that Claimant was not entitled to the
presumption that her cancer was caused by firefighting because she did not file her
claim petition within 300 weeks of her last date of employment. See Section
301(f) of the Act, 77 P.S. § 414. The Board did agree, however, with WCJ Tobin
that even in the absence of the presumption, Claimant met her burden of proving
that her cancer and disability were caused by her occupational exposure as a
firefighter.



                                         5
               The Board also determined that a remand was necessary because the
WCJ did not render any findings as to when Claimant first discovered that her
cancer was possibly related to her work as a firefighter or when she provided
notice to Employer of the possible connection between her work and her cancer.6
Specifically, the Board remanded the matter “for the WCJ to render findings and a
determination [as to (1)] when Claimant first discovered that her cancer was
possibly related to her work as a firefighter and [2] when she provided notice to
[Employer] of the possible connection between her work and her cancer. [3] The
WCJ shall thereafter reconsider her decision to award benefits as of September 9,
2004 . . . .”7 (Board’s Order dated April 8, 2015) (emphasis added). The Board’s
order did not authorize the reopening of the evidentiary record.




       6
          At all times prior to this appeal, Employer has not disputed Claimant’s entitlement to
benefits but only that “[t]he WCJ erred as a matter of fact and law in awarding benefits and
interest retroactive to September 2004, where Claimant did not provide notice of any alleged
work-related injury until 2011.” (Certified Record at No. 5, “Defendant’s Appeal.”)
Accordingly, when remanding the matter to the WCJ, the Board “initially noted that [Employer]
does not argue that Claimant should be barred from receiving compensation based on a failure to
provide notice within 120 days of her injury. Rather, [Employer] appears to only be concerned
with the WCJ’s decision to award benefits retroactive to September 9, 2004 based on, when
during the 120 day period, Claimant provided notice.” (Board’s Decision dated April 8, 2015 at
9.) Now, for the first time, and still not disputing Claimant’s entitlement to benefits under Act
46, Employer contends that Act 46 cannot be applied retroactively to provide Claimant benefits
at any time prior to its effective date. Because Employer failed to preserve this issue at all stages
of the proceeding, the issue is waived.

       7
         The Board’s order also instructed the WCJ to “reconsider the effective date of any
offset due to Claimant’s receipt of pension benefits.” (Board’s Order dated April 8, 2015.)
However, as WCJ Torrey noted, the parties already agreed that the date of the Employer’s
pension offset would be April 25, 2005.




                                                 6
                                        C.
            On remand, the matter was reassigned to WCJ Torrey, who found that
Claimant failed to demonstrate that she provided notice within 21 days of
discovering that her cancer was possibly related to occupational exposure. As he
reasoned:

            In the present case, claimant, a sophisticated individual,
            was advised by her union that the workers’ compensation
            law had been changed so that her cancer was presumed
            to be work-related. . . . That expert advice awakened in
            her, at once, the idea of exploring whether or not her
            occupational exposure resulted in her breast cancer. She
            was not left to “sort through her many symptoms
            unassisted and essentially diagnose herself,” [Sell v.
            Workers’     Compensation      Appeal     Board     (LNP
            Engineering), 771 A.2d 1246, 1252 (Pa. 2001),] but
            instead had hard advice about the new law and her rights
            and (presumably) the need to act to enforce same.

            And so she did, within 120 days – but unfortunately she
            is unable to say whether her diligence was so exceptional
            that she acted within 21 days. She cannot remember, and
            apparently she no longer possesses the union’s letter, so
            that her memory might be refreshed or restored. Such a
            showing, however, was part of her burden if she wishes
            [total temporary disability] benefits retroactive to 2004.


(WCJ Torrey’s Decision at 9) (emphasis in original).         WCJ Torrey awarded
Claimant benefits as of September 23, 2011 – the date she filed her claim petition.


            Employer appealed and the Board reversed in part, determining that
the notice period only began once Claimant received the medical report because
“mere suspicion, or even certain knowledge of disease or disability, standing alone,


                                         7
does not trigger the notice period.” (Board’s Decision dated December 8, 2017 at
5) (citing Carrier Coal Enterprises v. Workmen’s Compensation Appeal Board
(Balla), 544 A.2d 1111 (Pa. Cmwlth. 1988)). Accordingly, the Board concluded
that the “21-day and 120-day periods in Section 311 [of the Act] did not begin to
run until Claimant had [Dr. Francis’s February 24, 2012 medical] report.”
(Board’s Decision dated December 8, 2017 at 5.) Employer then filed this petition
for review.8


                                             II.
               On appeal, the parties do not dispute that Claimant suffered a
compensable injury and timely filed her claim petition. The only disagreement is
whether Claimant filed her claim petition within 21 days of knowing that her
cancer was possibly work-related, thereby entitling her to compensation from the
date of disability. In other words, the issue before us is not whether Claimant is
entitled to benefits, but rather the date from which she is entitled to receive those
benefits.


                                             A.
               Under the Act, notice is a prerequisite for receiving workers’
compensation benefits, and the claimant bears the burden of demonstrating that
proper notice was given. Gentex Corporation v. Workers’ Compensation Appeal


       8
          Our scope of review is limited to determining whether constitutional rights were
violated, whether an error of law was committed, or whether findings of fact were supported by
substantial evidence. Repash v. Workers’ Compensation Appeal Board (City of Philadelphia),
961 A.2d 227 (Pa. Cmwlth. 2008).




                                              8
Board (Morack), 23 A.3d 528, 528 (Pa. 2011). What constitutes adequate notice is
a fact-intensive inquiry, taking into consideration the totality of the circumstances.
Id. at 537. Whether an employee has given proper notice to her employer is a
mixed question of fact and law. Id. at 534.


             Sections 311 and 312 of the Act, 77 P.S. §§ 631 & 632, provide when
and what type of notice a claimant must give an employer in order to perfect her
claim. Section 311 sets forth the notice required to be given by an employee to an
employer:

             Unless the employer shall have knowledge of the
             occurrence of the injury or unless the employe or
             someone in his behalf or some of the dependents or
             someone in their behalf shall give notice thereof to the
             employer within twenty-one days after the injury, no
             compensation shall be due until such notice be given, and
             unless such notice be given within one hundred and
             twenty days after the occurrence of the injury, no
             compensation shall be allowed. However, in cases of
             injury resulting from ionizing radiation or any other
             cause in which the nature of the injury or its
             relationship to the employment is not known to the
             employe, the time for giving notice shall not begin to
             run until the employe knows or by the exercise of
             reasonable diligence should know of the existence of
             the injury and its possible relationship to his
             employment. The term ‘injury’ in this section means in
             cases of occupational disease, disability resulting from
             occupational disease.


77 P.S. § 631 (emphasis added). Section 312 sets forth the content of that notice:

             The notice referred to in section three hundred and eleven
             shall inform the employer that a certain employe received

                                          9
            an injury, described in ordinary language, in the course of
            his employment or about a specified time, at or near a
            place specified.


77 P.S. § 632.


            We have interpreted Section 311 as establishing a scheme where if the
claimant gives notice “within 21 days of the date he knew or should have known of
the injury and its relationship to his employment, compensation is payable from the
date of disability. If, however, the claimant gives notice after the 21 days has
elapsed but within 120 days of the date he knew or should have known of his
injury, compensation is then payable from the date that notice was given.”
Martincic v. Workmen’s Compensation Appeal Board (Greater Pittsburgh
International Airport), 529 A.2d 600, 602 (Pa. Cmwlth. 1987) (citing Culp
Industrial Insulation v. Workmen’s Compensation Appeal Board (Linker), 426
A.2d 1263 (Pa. Cmwlth. 1981)).


            In an occupational disease case, the notice period begins to run against
a claimant when she has “(1) knowledge or constructive knowledge (2) of a
disability (3) which exists, (4) which results from an occupational disease, and (5)
which has a possible relationship to her employment. . . .” Republic Steel Corp. v.
Workmen’s Compensation Appeal Board (Wojtaszek), 413 A.2d 768, 770 (Pa.
Cmwlth. 1980) (quoting Republic Steel Corporation v. Workmen’s Compensation
Appeal Board (Zacek), 407 A.2d 117, 118 (Pa. Cmwlth. 1979)) (emphasis added).




                                        10
                                       B.
             Employer contends that the Board erred when reversing WCJ
Torrey’s determination that Claimant became sufficiently aware that her cancer
was possibly work-related after receiving the Union Letter. A brief survey of the
case law is necessary.


                                       1.
             In Sell v. Workers’ Compensation Appeal Board (LNP Engineering),
771 A.2d 1246 (Pa. 2001), our Supreme Court directly addressed the question of
when the notice period begins to run. There, a claimant who had been a smoker
for more than 40 years became a tester of a plastic product in 1988 and began to
experience throat and lung problems. Although the claimant suspected that her
health problems were due to inhaling fumes while working, she lacked proof and
did not advise her employer of her belief. In November 1992, she was admitted to
a hospital and was told that she had emphysema but was not told of its cause.
Upon discharge, she searched for a doctor with knowledge of the chemicals in her
work environment, but did not locate one until August 1993. That doctor advised
her that exposure to chemicals at her work had exacerbated her emphysema and the
claimant notified her employer the same month. Only then did the claimant file a
claim petition.


             Ultimately, our Supreme Court held that the claimant timely provided
her employer notice because, prior to her doctor informing her, she did not know
or have reason to know that her illness had been aggravated by work exposures.
As the Court reasoned, the discovery rule “calls for more than an employee’s



                                       11
suspicion, intuition or belief; by its terms, the statute’s notice period is triggered
only by an employee’s knowledge that she is injured and that her injury is possibly
related to her job.” Sell, 771 A.2d at 1253.

             The substantial evidence relating to the course taken by
             [the claimant’s] disease provides ample support for the
             WCJ’s determination that without the benefit of
             medical consultation, [the claimant] neither knew, nor
             should have known, that from among all her respiratory
             difficulties, there was a compensable injury. Moreover,
             the WCJ’s finding reflects the view that [the claimant]
             should not have been expected to sort through her
             many symptoms unassisted and essentially diagnose
             herself. Based on the evidence regarding the injury with
             which [the claimant] was dealing, we can only agree.

                                        ***

             When read in its entirety, the record establishes that at
             the time [the claimant’s] emphysema was diagnosed, she
             was a layperson who thought that the formaldehyde in
             her work environment was harmful. Aware that she
             held an uninformed view, [the claimant] sought out an
             expert who could tell her whether she was correct to
             think so. In the exercise of reasonable diligence, and
             with notable persistence, [the claimant] located Dr. Cohn,
             a physician who confirmed her suspicions about
             formaldehyde and informed her on August 31, 1993 that
             exposure to the chemical exacerbated her emphysema.
             As the WCJ found, it was at this point, with a medical
             diagnosis in hand, that [the claimant] had the
             knowledge that [Section 311] requires. . . .


Id. at 1252-53 (emphasis added).




                                         12
             In The Bullen Companies v. Workers’ Compensation Appeal Board
(Hausmann), 960 A.2d 488 (Pa. Cmwlth. 2008), the claimant worked for 17 years
in a plant that manufactured cleaning products and was exposed to ethylene butyl
glycol ether and other solvents. In late 2001, he began to experience frequent
urination and sought medical attention. He stopped working in June 2002 when
the employer closed the plant, and the next month he was referred to a kidney
specialist who recommended a kidney transplant.         Suspecting that his kidney
ailment was related to workplace exposures, the claimant retained an attorney to
secure a medical expert. Two years later, in July 2004, the claimant notified the
employer that he sustained a work injury and filed a claim petition seeking benefits
for an occupational disease, even though his attorney had not yet secured a medical
expert. More than six months later, in March 2005, the claimant finally received
medical confirmation from a doctor stating that his kidney problem was work-
related.


             On appeal, this Court found that the claimant provided timely notice,
despite the fact that he filed the claim prior to receiving medical confirmation that
his disease was job related. As we reasoned, “[the claimant] did not know that his
disease was job related until [the doctor] so advised him in March 2005. [The
employer’s] contention to the contrary is based solely on [the claimant’s]
testimony that he suspected in 2002 that his kidney problem was related to his job.
As the Supreme Court held in Sell, however, Section 311’s discovery rule requires
more than an employee’s suspicion, intuition or belief.” Hausmann, 960 A.2d at
493 (emphasis added).




                                         13
             Finally, in A & J Builders, Inc. v. Workers’ Compensation Appeal
Board (Verdi), 78 A.3d 1233 (Pa. Cmwlth. 2013), the claimant was a commercial
drywall carpenter who aggravated a pre-existing knee injury while working for his
employer. Although the claimant suspected that his condition could be related to
work, his treating physician never informed him of any causal connection.
Approximately 18 months after he stopped working for that employer, the claimant
was informed by a doctor for the first time that his knee injury was work-related.
He filed a claim petition within 120 days of that doctor’s visit.


             On appeal, this Court affirmed the WCJ’s finding that the claimant
provided timely notice.     As we reasoned, “although [the claimant] may have
suspected a possible relationship between his knee condition and employment, he
did not possess the requisite knowledge until his [p]hysician diagnosed him with
chronic repetitive work-related chondral wear in the patellofemoral joint on his
right knee in March 2009.” Id. at 1241 (emphasis added).


                                          2.
             What these cases demonstrate is that for the clock to start on Section
311’s notice period, a layperson-claimant must have more than just an uninformed
suspicion about her disease’s work-relatedness. In other words, a claimant does
not “know” of the possible relationship between a disease and work until she is so
informed by a medical expert. To hold otherwise would require a claimant to “sort
through her many symptoms unassisted and essentially diagnose herself.” Sell,
771 A.2d at 1252.




                                          14
            In this matter, Claimant obviously did not obtain medical
confirmation of the relationship between her cancer and her work until after filing
the claim petition. Notwithstanding, Employer contends that the 21-day notice
period should have commenced when Claimant received the Union Letter because
that letter is what ultimately compelled Claimant to seek counsel and file her claim
petition. Essentially, Employer is asking this Court to use Act 46 to impute on
Claimant actual knowledge that her injury could possibly be work-related. We
rejected a similar request in City of Erie v. Workmen’s Compensation Appeal
Board (Shannon), 607 A.2d 327 (Pa. Cmwlth. 1992), aff’d sub nom. Shannon v.
City of Erie, 631 A.2d 595 (Pa. 1993).


            In Shannon, a claimant that was employed as a firefighter for 30 years
suffered a heart attack while at home and was disabled ever since. While he never
filed an incident report with the employer stating that he suffered a heart attack,
there is no dispute that the employer was aware claimant had suffered a heart
attack. For example, the employer received a note from his doctor, his sister called
employer informing it that claimant was sick, high-ranking fire department
officials had knowledge of claimant’s heart attack, and the claimant filed a claim
petition for sick and accident benefits. Unfortunately, none of those contacts
informed the employer specifically that the claimant believed his heart attack was
work-related.


            Similar to Employer’s contention in this appeal, the firefighter-
claimant argued that the presumption afforded to him imputed on the employer




                                         15
actual knowledge that his known injuries were work-related. This Court wholly
rejected that contention, explaining:

             However, the presumption provided in Section 301(e) [of
             the Act] was clearly intended to give claimants in
             specific occupations an evidentiary advantage in
             establishing one of the elements necessary to support
             an award (i.e., the causal link between his injury and his
             employment), not to circumvent or replace the notice
             provisions of Section 311. Pawlosky v. Workmen’s
             Compensation Appeal Board (Latrobe Brewing Co., []
             525 A.2d 1204 ([Pa.] 1987). Therefore, although
             claimant would be entitled to a presumption that his heart
             attack was caused by his work for the purpose of
             supporting his claim, he is not entitled to such a
             presumption for the purpose of imputing actual
             knowledge on employer. Because claimant’s suggested
             extension of the presumption provided by Section 301(e)
             is not supported by caselaw or the Act, we conclude
             employer did not have actual knowledge that claimant
             had suffered a compensable injury.


Shannon, 607 A.2d at 331-32 (emphasis added); see also Pawlosky, 525 A.2d at
1211 (noting that the claimant seeking to recover for an occupational disease is
“given a procedural or evidentiary advantage” that, if established, entitled him
“to a non-conclusive presumption that his occupational disease arose out of and in
the course of his employment”) (emphasis added).


             Correspondingly, in this case, Employer knew of Claimant’s cancer
since 2004 and (just like Claimant) knows of the presumption afforded to
firefighter-claimants under Act 46.     However, as this Court held in Shannon,
knowledge of Act 46’s effect does not perfect notice onto Employer because



                                         16
Section 311 requires actual knowledge of an injury’s work-relatedness. For the
same reason, Claimant, learning of Act 46’s effect, does not perfect Section 311’s
requirement that she actually knows of the possible relationship between her injury
and her work.         All the presumption does is give a claimant an
evidentiary/procedural advantage; it does not impute knowledge to a claimant that
her cancer was caused by exposure and not due to other risk factors. That only
occurs when a claimant receives notice of that nexus from a medical doctor.


                                        C.
             Although Claimant’s knowledge of the firefighter-cancer presumption
does not, in itself, commence Section 311’s notice period, that does not mean that
she could sit on her rights indefinitely. The undisputed facts make clear that
Claimant’s receipt of the Union Letter “awakened in her, at once, the idea of
exploring whether or not her occupational exposure resulted in her breast
cancer. . . . And so she did, within 120 days. . . .” (WCJ Torrey’s Decision at 9.)
Clearly, because the Union Letter awakened in Claimant the need to promptly
investigate the cause of her injury, she had to abide by Section 311’s mandate that
she exercise “reasonable diligence” to become aware of “the existence of the injury
and its possible relationship to [her] employment.” Section 311 of the Act, 77 P.S.
§ 631. Had she not, her claim would have become barred. See, e.g., Allegheny
Ludlum Corp. v. Workers’ Compensation Appeal Board (Holmes), 998 A.2d 1030,
1034 (Pa. Cmwlth. 2010) (holding that a claimant did not exercise reasonable
diligence where she was told to “get another job” by her doctor and noticed a
connection to her work and injury, but did not file a claim petition until two
decades later).



                                        17
             Here, Employer does not dispute that Claimant acted with reasonable
diligence when she obtained counsel and filed her claim petition in the months
following receipt of the Union Letter, prior to receiving medical confirmation of
the relationship between her cancer and her work.


             Accordingly, because Claimant’s receipt of the Union Letter did not
commence Section 311’s 21-day notice period and she acted with reasonable
diligence in filing her claim petition shortly thereafter, we affirm the Board’s order
granting Claimant benefits retroactive to September 9, 2004.



                                       ________________________________
                                       DAN PELLEGRINI, Senior Judge




                                         18
         IN THE COMMONWEALTH COURT OF PENNSYLVANIA


City of Pittsburgh and UPMC           :
Benefit Management Services, Inc.,    :
                    Petitioners       :
                                      :
            v.                        : No. 29 C.D. 2018
                                      :
Workers’ Compensation Appeal          :
Board (Flaherty),                     :
                  Respondent          :




                                     ORDER


            AND NOW, this 1st day of June, 2018, the order of the Workers’
Compensation Appeal Board in the above-captioned matter is affirmed.



                                      ________________________________
                                      DAN PELLEGRINI, Senior Judge
