IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Robert Neves, :

Petitioner :

:

v. : No. 1431 C.D. 2018

: Argued: November 13, 2019

Workers’ Compensation Appeal Board :

(American Airlines), :

Respondent :

BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge

HONORABLE RENÉE COHN JUBELIRER, Judge

HONORABLE P. KEVIN BROBSON, Judge

HONORABLE PATRICIA A. McCULLOUGH, Judge

HONORABLE ANNE E. COVEY, Judge

HONORABLE MICHAEL H. WOJCIK, Judge

HONORABLE CHRISTINE FIZZANO CANNON, Judge

OPINION 

BY PRESIDENT JUDGE LEAVITT FILED: May 14, 2020

Robert Neves (Claimant) petitions for review of an adjudication of the 

Workers’ Compensation Appeal Board (Board) that refused to approve his attorney 

fee agreement setting the fee at 20% of Claimant’s medical compensation award. In 

doing so, the Board affirmed the decision of the Workers’ Compensation Judge 

(WCJ) that Claimant did not prove that the fee was reasonable, given the legal work 

provided. Claimant contends that Section 442 of the Workers’ Compensation Act 

(Act)1requires the WCJ to approve a counsel fee that is capped at 20% of the 

compensation award and does not vest the WCJ with discretion to evaluate the 

reasonableness of a 20% counsel fee for a medical compensation award. Concluding 

that the Board erred in its construction of Section 442 of the Act, we reverse.

 

1 Act of June 2, 1915, P.L. 736, as amended, added by Section 3 of the Act of February 8, 1972, 

P.L. 25, 77 P.S. §998.
2

Background

Claimant worked for American Airlines, Inc. (Employer) as a baggage 

handler. On February 3, 2015, he filed a claim petition alleging that on January 5, 

2015, he suffered a work-related heart attack that damaged his heart muscle. On 

May 3, 2016, WCJ Joseph Stokes granted the claim petition. In his decision, the 

WCJ specifically found that Claimant’s counsel (Counsel) was entitled to “20% of 

any benefits awarded to be paid as counsel fees” under the fee agreement Claimant 

signed. WCJ Stokes Decision, 5/3/2016, at 8, Finding of Fact No. 15 (emphasis 

added). WCJ Stokes issued the following order:

[Employer] is ORDERED and DIRECTED to pay Claimant 

workers’ compensation benefits at the rate of $457.49 per week 

from January 6, 2015 into the future with an additional 10% 

interest on delayed compensation benefits.

***

[Employer] is ORDERED and DIRECTED to pay litigation 

expenses as listed in Findings of Fact and all medical expenses 

incurred by the Claimant that are reasonable, necessary and 

related to the Claimant’s employment incident of January 5, 

2015.

[Counsel] is entitled to 20% of the compensation benefits 

awarded as counsel fees payable from Claimant’s share of the 

award.

Id. at 10 (emphasis added). Employer appealed to the Board, and Claimant crossappealed, asserting that WCJ Stokes erred in the calculation of his average weekly 

wage.2 

 

2 The Board denied Employer’s appeal. On Claimant’s cross-appeal, the Board remanded for the 

WCJ to make further findings on Claimant’s average weekly wage. Following a hearing on April 

20, 2017, WCJ Stokes issued a decision confirming his prior computation of Claimant’s 

compensation rate. Employer appealed WCJ Stokes’ second decision for the sole purpose of 
3

On August 18, 2016, Claimant filed a review petition and a penalty 

petition, alleging that Employer “refuses to pay for medical treatment [C]laimant 

incurred as a result of his work injury” and “has withheld payment of counsel fees 

on benefits awarded as a result of the WCJ decision from Mercy Fitzgerald Hospital

[(Hospital)].” Certified Record (C.R.), Item No. 2 at 1. The case was assigned to 

WCJ Geoffrey Lawrence.

In support of his claim for counsel fees, Counsel submitted the fee 

agreement that Claimant signed on January 29, 2015, which states in pertinent part, 

as follows:

In consideration for services rendered and to be rendered, I agree 

to pay my attorney a sum equal to 20% percent (sic) of whatever 

may be recovered from said claim either by suit, settlement, or in 

any other manner or of whatever may be recovered if a second 

trial or appeal is taken.

Reproduced Record at 1 (R.R. __) (emphasis added). Counsel also submitted an 

affidavit of Claimant dated October 11, 2016, in which Claimant attested, inter alia, 

to the following:

I entered into a fee agreement with my attorney for twenty (20%) 

percent of whatever benefits I received. I understand that that 

applies to past due medical expenses as well as any wage loss 

benefits. It is my understanding that providers may seek the 

balance of the twenty (20%) percent of the bill from me should 

they be dissatisfied with the eighty (80%) percent they will 

receive. I entered into this fee agreement with full understanding 

with my rights and liabilities.

 

having the Board make its prior order final. The Board granted the request, and Employer appealed 

to this Court. By opinion and order of March 22, 2019, we affirmed the Board’s adjudication. 

American Airlines, Inc. v. Workers’ Compensation Appeal Board (Neves) (Pa. Cmwlth., No. 644 

C.D. 2018, filed March 22, 2019). 
4

R.R. 2-3. Thereafter, the parties agreed to have Employer pay 80% of the amount 

owing to the Hospital for its repriced medical bills. The remaining 20% was placed 

in escrow. 

On September 8, 2017, the parties entered into a compromise and 

release (C & R) agreement. It settled the penalty petition and authorized continued 

litigation on Claimant’s review petition to determine “whether a 20% attorney fee is 

to be deducted and paid from the repriced medical bills from [the] Hospital as they 

pertained to the 1/05/2015 hospitalization.” R.R. 24. 

On November 6, 2017, WCJ Lawrence denied Claimant’s review 

petition, holding that Counsel was not entitled to an attorney fee of 20% of 

Claimant’s medical compensation. WCJ Lawrence held that Claimant’s review 

petition was barred by the doctrine of res judicata because Claimant did not appeal

WCJ Stokes’ order that Counsel was “entitled to 20% of the compensation benefits 

awarded as counsel fees payable from Claimant’s share of the award.” See WCJ 

Stokes Decision, 5/3/2016, at 10. WCJ Lawrence construed this order to cover only 

the award of indemnity compensation because the 1993 amendments to the Act, Act 

of July 2, 1993, P.L. 190, No. 44 (Act 44), changed the medical bill payment scheme. 

On the merits, WCJ Lawrence held that Claimant did not establish that Counsel’s

fee was reasonable. In so holding, WCJ Lawrence relied upon Piergalski v. 

Workmen’s Compensation Appeal Board (Viviano Macaroni Company), 621 A.2d 

1069 (Pa. Cmwlth. 1993), for the proposition that a contingent fee based upon an 

award of medical compensation will not be approved unless the fee is shown to be 

reasonable, after examining the amount and complexity of legal work involved.

Claimant appealed to the Board, arguing that WCJ Lawrence erred in 

his application of the res judicata doctrine. Claimant noted that WCJ Stokes 
5

approved the fee agreement and found, as fact, that the agreement gave counsel 

“20% of any benefits awarded.” WCJ Stokes Decision, 5/3/2016, at 8, Finding of 

Fact No. 15 (emphasis added). Claimant was not aggrieved and, thus, could not 

appeal to the Board. On the merits, Claimant argued that WCJ Lawrence erred

because the fee agreement capped Counsel’s fee at 20%, which made the fee per se

reasonable under Section 442 of the Act.

The Board affirmed the WCJ. It sidestepped the WCJ’s holding on res 

judicata, explaining that it “assum[ed] without deciding that Claimant was not 

aggrieved by WCJ Stokes’ Order” on counsel fees and, thus, could not appeal the 

decision. Board Adjudication, 10/17/2018, at 3. The Board agreed with WCJ 

Lawrence that Claimant needed to prove the reasonableness of a fee of 20% of the 

medical compensation, given the legal work performed, and he did not present such 

evidence. In support, the Board cited Righter v. Workers’ Compensation Appeal 

Board (Righter Parking), 141 A.3d 628 (Pa. Cmwlth. 2016).

Appeal

On appeal to this Court,3 Claimant raises two issues. First, Claimant 

argues that the Board erred because Section 442 of the Act establishes that a 20%

counsel fee is per se reasonable, regardless of whether the award is for disability or 

medical compensation. Second, Claimant argues that WCJ Lawrence erred in 

holding that his contingent fee agreement was governed in any way by Act 44. 

Employer responds that the decision of WCJ Lawrence was correct in 

its application of res judicata and on the merits. Nevertheless, before WCJ 

 

3 Our review in a workers’ compensation appeal determines whether an error of law was 

committed, whether constitutional rights were violated, or whether necessary findings of fact are 

supported by substantial evidence. Hendricks v. Workers’ Compensation Appeal Board (Phoenix 

Pipe & Tube), 909 A.2d 445, 449 n.4 (Pa. Cmwlth. 2006).
6

Lawrence, Employer acknowledged that it has no interest in the matter of Counsel’s

fee. Its only concern is that the Hospital not have recourse against Employer should 

it pay the 20% of the medical compensation award, presently held in escrow, to 

Counsel. 

I. The Workers’ Compensation Act on Counsel Fees

As enacted in 1915, the Act did not address contingent fee agreements 

between claimants and their counsel. The Board adjudicated disputes that arose 

about counsel fees, but it did so without express authority in the Act. See David B. 

Torrey & Andrew E. Greenberg, WORKERS’ COMPENSATION LAW & PRACTICE, 

§15:5 (3d ed. 2008). In 1972, significant reforms were enacted to correct the 

“deficiencies in the workmen’s compensation laws with respect to the procedures 

for processing work-connected injury cases and payment of compensation due.” 

Act of February 8, 1972, P.L. 25, Preamble.

Among these “procedures” addressed was the contingent fee agreement 

between a claimant and his counsel. Section 442 was added to the Act and stated as 

follows:

All counsel fees of claimants’ attorneys for services performed 

in matters before any referee[4] or the board, whether or not 

allowed as part of a judgment, shall first be approved by the 

referee or board as the case may be, before payment. The official 

conducting any hearing may allow a reasonable attorney fee in 

any case not exceeding twenty per centum of the amount 

awarded. Provided, that upon cause shown the cost of twenty 

per centum may be exceeded at the discretion of the hearing 

official.

In cases where the efforts of claimants’ counsel produce a result 

favorable to the claimant but where no immediate award of 

 

4 The legislature replaced the title “referee” with “workers’ compensation judge” in 1996. Act of 

June 24, 1996, P.L. 350. 
7

compensation is made such as in cases of termination or 

suspension the hearing official may allow or award reasonable 

counsel fees without regard to any per centum.

Act of February 8, 1972, P.L. 25 (emphasis added). One month later, the legislature 

amended Section 442 to eliminate the discretion of the referee to disapprove a fee 

agreement that capped the counsel fee at 20% by deleting “may allow” from that 

sentence and placing it in the following sentence. The amended version of Section 

442 stated as follows:

All counsel fees, agreed upon by claimant and his attorneys, for 

services performed in matters before any referee or the board, 

whether or not allowed as part of a judgment, shall be approved

by the referee or board as the case may be, providing the counsel 

fees do not exceed twenty per centum of the amount awarded. 

The official conducting any hearing, upon cause shown, may 

allow a reasonable attorney fee exceeding twenty per centum of 

the amount awarded at the discretion of the hearing official.

In cases where the efforts of claimants’ counsel produce a result 

favorable to the claimant but where no immediate award of 

compensation is made such as in cases of termination or 

suspension the hearing official shall allow or award reasonable 

counsel fees, as agreed upon by claimant and his attorneys,

without regard to any per centum.

Act of March 29, 1972, P.L. 159 (effective May 1, 1972) (emphasis added). An 

important feature of Section 442, unchanged by the May 1972 amendment, was that 

the referee was granted discretion to approve a “reasonable attorney fee” in excess 

of 20% of the award “upon cause shown.” Id.

Another “procedure” addressed in the 1972 reforms was the 

opportunity for a claimant to recover his counsel fee, whether 20% or more, from 

the employer. Section 440 stated as follows:
8

In any contested case where the insurer has contested liability in 

whole or in part, the employe or his dependent, as the case may 

be, in whose favor the matter at issue has been finally determined 

shall be awarded, in addition to the award for compensation, a 

reasonable sum for costs incurred for attorney’s fee, witnesses, 

necessary medical examination, and the value of unreimbursed 

lost time to attend the proceedings: Provided, That cost for 

attorney fees may be excluded when a reasonable basis for the 

contest has been established: And provided further, That if the 

insurer has paid or tendered payment of compensation and the 

controversy relates to the amount of compensation due, costs for 

attorney’s fee shall be based only on the difference between the 

final award of compensation and the compensation paid or 

tended by the insurer.

In contested cases involving petitions to terminate, reinstate, 

increase, reduce or otherwise modify compensation awards, 

agreements or other payment arrangements or to set aside final 

receipts, where the contested issue, in whole or part, is resolved 

in favor of the claimant, the claimant shall be entitled to an award 

of reasonable costs as hereinabove set forth.

Act of February 8, 1972, P.L. 25 (emphasis added). Section 440, for the first time, 

made the employer liable for the claimant’s attorney fees where the employer 

unreasonably contested a claim for compensation. However, the employer’s liability 

was limited to “reasonable” attorney fees. Id.

In sum, the May 1972 version of Section 442 required the referee to 

approve an agreement where the counsel fees do not exceed “twenty per centum of 

the amount awarded.” Act of March 29, 1972, P.L. 159. It then gave discretion to 

the referee to approve an agreement setting counsel fees in excess of “twenty per 

centum of the amount awarded” upon a showing that those fees were “reasonable.” 

Id. It also allowed for the claimant’s payment of “reasonable counsel fees” where 

the referee’s decision is favorable to the claimant but there is “no immediate award,” 

such as in a termination or suspension proceeding. Id. Where the claimant 
9

demonstrates an unreasonable contest by an employer, Section 440 authorizes the 

claimant’s recovery from the employer of “a reasonable sum for costs incurred for 

attorney’s fee.” Act of February 8, 1972, P.L. 25. Stated otherwise, under Section 

440, the claimant receives the full amount of compensation to which he was entitled 

had there been no contest by the employer.

Twenty years later, the General Assembly undertook another 

substantial revision to the Act. Act 44 limited a provider’s reimbursement for a 

claimant’s medical treatment to the Medicare level of provider reimbursement. See 

Section 306(f.1) of the Act, 77 P.S. §531. Act 44 also gave providers the opportunity 

to dispute “the amount or timeliness of the payment from the employer” by seeking 

a fee review from the Department of Labor and Industry. Section 306(f.1)(5) of the 

Act, 77 P.S. §531(5). Also critical to this new regime was the prohibition against a 

provider’s recovery of “the difference between the provider’s charge and the amount 

paid by the employer or the insurer” from the claimant, commonly referred to as 

“balance billing.” Section 306(f.1)(7) of the Act, 77 P.S. §531(7).

Act 44 added a new subsection (b) to Section 440 to provide specific 

directions to the referee on how to determine a “reasonable sum” for an attorney’s 

fee where employer’s contest was unreasonable. Section 440(b) of the Act, 77 P.S. 

§996(b). The 1993 version of Section 440 was amended to state as follows:

(a) In any contested case where the insurer has contested 

liability in whole or in part, including contested cases involving 

petitions to terminate, reinstate, increase, reduce or otherwise 

modify compensation awards, agreements or other payment 

arrangements or to set aside final receipts, the employe or his 

dependent, as the case may be, in whose favor the matter at issue 

has been fully determined in whole or in part shall be awarded, 

in addition to the award for compensation, a reasonable sum for 

cost incurred for attorney’s fee, witnesses, necessary medical 

examination, and the value of unreimbursed lost time to attend 
10

the proceedings: Provided, That cost for attorney fees may be 

excluded when a reasonable basis for the contest has been 

established by the employer or the insurer.

(b) If counsel fees are awarded and assessed against the insurer 

or employer, then the referee must make a finding as to the 

amount and the length of time for which such counsel fee is 

payable based upon the complexity of the factual and legal issues 

involved, the skill required, the duration of the proceedings and 

the time and effort required and actually expended. If the insurer 

has paid or tendered payment of compensation and the 

controversy relates to the amount of compensation due, costs for 

attorney’s fee shall be based only on the difference between the 

final award of compensation and the compensation paid or 

tended by the insurer.

Act of July 2, 1993, P.L. 190, No. 44 (emphasis added). In short, under Section 440 

“a reasonable sum” is determined by the complexity of the matter and the actual time 

and effort expended by claimant’s counsel. 77 P.S. §996. Act 44 did not revise the 

language of Section 442 of the Act, which continued unchanged from its 1972 

version. 

In 1996, the legislature amended both Sections 440 and 442 of the Act 

to replace the title “referee” with “workers’ compensation judge.” Act of June 24, 

1996, P.L. 350. Otherwise, the 1996 amendments had no impact on Sections 440 

and 442 of the Act.

In 2006, the legislature again amended Section 442. This amendment

eliminated the possibility that a claimant and his counsel could agree to a counsel 

fee in excess of 20% of the award. Act of November 9, 2006, P.L. 1362. Section 

442 of the Act now reads:

All counsel fees, agreed upon by claimant and his attorneys, for 

services performed in matters before any workers’ compensation 

judge or the board, whether or not allowed as part of a judgment, 
11

shall be approved by the workers’ compensation judge or board 

as the case may be, providing the counsel fees do not exceed 

twenty per centum of the amount awarded.

In cases where the efforts of claimant’s counsel produce a result 

favorable to the claimant but where no immediate award of 

compensation is made, such as in cases of termination or 

suspension, the hearing official shall allow or award reasonable 

counsel fees, as agreed upon by claimant and his attorneys, 

without regard to any per centum. In the case of compromise and 

release settlement agreements, no counsel fees shall exceed 

twenty per centum of the workers’ compensation settlement 

amount.

77 P.S. §998 (emphasis added). The 2006 amendment deleted the final sentence in 

the first paragraph of Section 442, as adopted in 1972. Thus, under the current 

version of Section 442, a claimant’s attorney cannot contract with his client for a fee 

in excess of “twenty per centum of the amount awarded,” even where good cause

for a higher award can be demonstrated. See former Section 442, Act of March 29, 

1972, P.L. 159.

II. Case Law on Counsel Fees

Section 442 and Section 440 of the Act both cover a claimant’s counsel 

fees, but they serve different purposes. As our Supreme Court has explained, Section 

442 protects claimants “against unreasonable fees charged and imposed on them by 

their attorneys under their own improvident fee agreements[,]” whereas Section 440 

aims at “protecting claimants against unreasonable contests of a claimant’s initial or 

continuing right to the benefits of the [A]ct.” Weidner v. Workmen’s Compensation 

Appeal Board, 442 A.2d 242, 244 (Pa. 1982).

In a series of decisions, this Court has been called upon to construe and 

apply Section 442. The first was Workmen’s Compensation Appeal Board v. 

General Machine Products Co., 353 A.2d 911 (Pa. Cmwlth. 1976). At issue in 
12

General Machine Products was a contingent fee agreement that provided for a 20%

attorney fee to be paid out of the claimant’s award. The referee awarded the attorney 

a 25% fee, and the Board modified the referee’s decision in two ways. It reduced

the fee award to 20% and limited the fee’s application to the claimant’s “first check.” 

Id. at 913. This Court upheld the Board’s reduction of the counsel fee, reasoning 

that because the contingent fee agreement provided for a 20% fee, the referee lacked 

authority to order an extra-contractual enhanced fee. This Court reversed the 

Board’s holding that the fee applied only to the “first check” because the fee 

agreement entitled the attorney to a percentage of “the total award,” i.e., the first 

check and all checks that followed. Id. at 915. Finally, we clarified that under

Section 442, the “amount awarded” includes “all amounts awarded to a claimant in 

a referee’s order,” whether for medical or disability compensation. Id. Accordingly, 

we remanded the case for further proceedings. 

Likewise, in Henderson v. Workmen’s Compensation Appeal Board 

(Rockwell International, Inc.), 452 A.2d 277 (Pa. Cmwlth. 1982), this Court reversed 

an order of the Board that deleted litigation costs and medical expenses from the 

computation of counsel fees owed under a contingent fee agreement. We reiterated 

that under General Machine Products, “the determination of counsel fees under 

Section 442 of the Act [] may take into account the full amount of the award made 

by the referee.” Id. at 278.5 

Significant to this appeal is this Court’s decision in Piergalski, 621 

A.2d 1069. In Piergalski, the claimant’s estate petitioned for review of a Board 

decision that disallowed a 20% counsel fee on the claimant’s medical compensation

 

5 We affirmed the Board’s order denying the claimant’s request to hold the employer liable for his 

counsel fees under Section 440 of the Act because the record showed that the employer had a 

reasonable basis for the contest.
13

for the stated reason that the record lacked a copy of the fee agreement. This Court 

reversed. Although the claimant did not proffer the actual written agreement, the 

estate submitted an affidavit that established the existence of a 20% contingent fee 

agreement on the claimant’s medical compensation. We held that the affidavit was

sufficient to establish the existence and terms of a contingent fee agreement. We 

ordered a remand, instructing the referee to make findings concerning the 

reasonableness of the counsel fee based on the “time and effort expended by 

[counsel] in his representation of claimant.” Id. at 1073. In this remand instruction, 

this Court cited Koszowski v. Workmen’s Compensation Appeal Board (Greyhound 

Lines, Inc.), 595 A.2d 697 (Pa. Cmwlth. 1991), and Raulston v. Workmen’s 

Compensation Appeal Board (Tri-State Motor Transit), 606 A.2d 668 (Pa. Cmwlth. 

1992). 

In Koszowski, 595 A.2d 697, the referee limited application of the 

counsel fee to the claimant’s indemnity award, and the Board affirmed. Before this 

Court, the claimant argued that Section 442 did not distinguish between medical and 

indemnity compensation and that the Board erred in making such a distinction. In 

support, the claimant invoked this Court’s holding in Wommer v. Workmen’s 

Compensation Appeal Board (Lycoming County), 479 A.2d 661 (Pa. Cmwlth. 1984), 

where this Court held that a reasonable attorney’s fee should be computed based on 

the total compensation award, including medical compensation.

The Koszowski court agreed with the claimant that under Wommer,

counsel fees should be computed on the basis of the total award of compensation, 

both indemnity and medical. It then stated that “as in Wommer,” a remand was “in 

order for the referee to make specific findings on the work performed by [the 

claimant’s counsel,] following which a new order on the question of reasonableness 
14

and extent of an attorney’s fee should be entered.” Koszowski, 595 A.2d at 702. 

Koszowski arose under Section 442 of the Act, but Wommer was an unreasonable 

contest case arising under Section 440. In fashioning its remand instruction, the 

Koszowski court did not consider the differences between Section 440 and Section 

442. Rather, it simply reiterated Wommer’s remand instruction without explanation. 

At the time Koszowski was decided, a referee had the discretion to 

approve a “reasonable fee exceeding twenty percentum of the amount awarded” so 

long as it was provided in the contingent fee agreement. See former Section 442,

Act of March 29, 1972, P.L. 159. Although Koszowski described the fee agreement 

as setting a 20% fee, the Court also observed that the fee agreement was not part of 

the record before the Board or the Court. Koszowski, 595 A.2d at 699 n.2. Given 

the absence of the actual agreement from the record, it cannot be said that the remand 

instruction in Koszowski was erroneous. It may be that upon remand, the record 

would develop that the contingent fee agreement called for a fee “exceeding the 

twenty per centum of the amount awarded at the discretion of the hearing official.” 

Former Section 442, Act of March 29, 1972, P.L. 159.

Raulston, 606 A.2d 668, also involved Section 442 of the Act. The 

Board held that the attorney was not entitled to have the counsel fee of 20% apply 

to the medical award because it was not “compensation.” Id. at 669. This Court

reversed the Board’s holding on the basis of Koszowski. Because the record lacked 

the contingent fee agreement, we again remanded for a factual determination on 

whether the agreement intended “for the attorney to receive a percentage of the 

medical bill reimbursements as part of his fee and whether the attorney’s fee is 

reasonable in accordance with Koszowski.” Id. at 670.
15

More recently this Court decided Righter, 141 A.3d 628. There, the 

WCJ held that the contingent fee agreement did not provide that the 20% counsel 

fee applied to the medical award. To the contrary, the claimant testified that it was 

her understanding that her counsel would receive only 20% of the indemnity award. 

Id. at 631. The WCJ concluded, further, that the “work performed by counsel does 

not warrant an award beyond 20 percent of the indemnity benefits ....” Id. at 633. 

We affirmed. 

The holding in Righter was that the claimant failed to establish the 

existence of an agreement that entitled the claimant’s counsel to 20% of the medical 

compensation award. Absent that agreement, the WCJ could not approve a fee of 

any amount, reasonable or otherwise, on the medical award. To be sure, this Court 

also affirmed the WCJ’s conclusion that the claimant did not make the quantum 

meruit showing that the fee was reasonable, relying on Piergalski and Koszowski. 

However, because it was not necessary to the holding, that discussion is obiter dicta.

The above-described case law has established several key principles 

with respect to a contingent fee agreement presented to a WCJ for approval under 

Section 442 of the Act. First, the counsel fee should be calculated against the entire 

award, without regard for whether the award is for medical or indemnity 

compensation. Koszowski, 595 A.2d at 702; Henderson, 452 A.2d at 278; and 

General Machine Products, 353 A.2d at 915. Second, the terms of the fee agreement 

govern, and it is incumbent upon the claimant to establish that the parties intended 

that the counsel fee be applied to the entire award, including medical compensation. 

Righter, 141 A.3d at 629; Koszowski, 595 A.2d at 699; and General Machine 

Products, 353 A.2d at 914-15. 
16

Each case, with the exception of General Machine Products, involved 

a controversy about the existence and terms of the contingent fee agreement. As a 

result, these cases required a remand for further proceedings, and cases postKoszowski did so with the instruction that the fact finder do a quantum meruit

analysis of the fee charged on a medical compensation award. Piergalski, 621 A.2d 

at 1070; Raulston, 606 A.2d at 669. The remand instruction in Koszowski simply 

followed Wommer, 479 A.2d at 661. However, Wommer arose under Section 440 

of the Act, which expressly directs a quantum meruit analysis. Section 442 

conspicuously omits such a directive. 

Koszowski is the key decision and yet it did not so much as advert to 

the language differences between Sections 440 and 442 of the Act. 

III. Analysis

Claimant argues that the remand instructions in Piergalski and 

Koszowski deviated from the plain terms of Section 442 of the Act, which does not 

require that a 20% counsel fee on a medical compensation award be shown as 

reasonable. The quantum meruit analysis is only set forth in Section 440(b) of the 

Act. Claimant argues that the remand instruction in Piergalski and Koszowski

cannot be reconciled with the current version of Section 442. We agree.

First, WCJ Lawrence erred by concluding that a medical compensation 

award is not part of “the amount awarded,” on which a counsel fee is calculated 

under Section 442 of the Act. That is contrary to this Court’s precedent that has 

held, repeatedly, that “the amount awarded,” as used in Section 442, means the entire 

award, without regard for whether the award is for indemnity or medical 

compensation or both. See Piergalski, 621 A.2d at 1070; Koszowski, 595 A.2d at 

702; Henderson, 452 A.2d at 278; and General Machine Products, 353 A.2d at 915.
17

Second, the fee agreement here expressly provided that Claimant 

“agree[s] to pay [his] attorney a sum equal to 20% percent (sic) of whatever may be 

recovered from said claim[.]” R.R. 1 (emphasis added). WCJ Stokes awarded 

Claimant both indemnity and medical compensation and then found that Counsel 

was entitled to “20% of any benefits awarded to be paid as counsel fees” under the 

fee agreement. WCJ Stokes Decision, 5/3/2016, at 8, Finding of Fact No. 15

(emphasis added). General Machine Products, 353 A.2d at 915, required this 

decision by WCJ Stokes. 

In an aside, Koszowski observed that if 20% of “medical expenses is to 

be awarded to [c]laimant’s attorney, then the question arises as to who is responsible 

for the balance of medical expenses due the medical supplier.” Koszowski, 595 

A.2d at 702 n.6. Indeed, the Koszowski concurring opinion observed that there was 

a potential conflict of interest between the attorney and his client on this point and 

suggested that the conflict be addressed at the time the fee agreement is made. Here, 

the fee agreement addresses these concerns. Claimant expressly acknowledged in 

the fee agreement that he may be liable to the medical provider for the 20% withheld 

from the award for Counsel’s fee.6 

The remand instruction in Koszowski and Piergalski for a determination

of the reasonableness of counsel fee was made at a time when Section 442 allowed

a reasonable attorney fee in excess of 20% upon good cause shown. Thus, the 

remand for a quantum meruit analysis may have been appropriate given the language 

of Section 442 at the time. It would be erroneous today because since 2006, the 

current version of Section 442 does not allow a claimant’s counsel to contract for a 

fee in excess of 20% of the award. 

 

6 Koszowski was decided before Act 44, which implemented medical cost savings and, inter alia, 

prohibited providers from “balance billing” claimants.
18

Section 442 of the Act provides, in plain terms, that the WCJ must 

approve “[a]ll counsel fees, agreed upon by claimant and his attorneys, for services 

performed in matters before any [WCJ] or the board ... providing the counsel fees 

do not exceed twenty per centum of the amount awarded.” 77 P.S. §998 (emphasis 

added). We hold that Section 442 does not distinguish between the type of 

compensation awarded; does not require an inquiry into the reasonableness of a 20%

fee agreement; and does not make the amount and degree of difficulty of the work 

performed by the attorney relevant. A 20% counsel fee is per se reasonable. 

This holding does not implicate the doctrine of stare decisis, as the 

dissent suggests. Our Supreme Court has explained that in cases of statutory 

interpretation, the doctrine is afforded “greater sanctity because the legislature can 

prospectively amend the statute if it disagrees with a court’s interpretation.” 

Commonwealth v. Doughty, 126 A.3d 951, 955 (Pa. 2015). However, the doctrine 

of stare decisis is inapposite with respect to Section 442 of the Act. 

First, from the beginning, this Court has construed Section 442 of the 

Act to mean that “amount awarded” referred to the entire award, regardless of the 

type of compensation awarded. General Machine Products, 353 A.2d at 915. Since 

its enactment, Section 442 has required the fact finder, now the WCJ, to approve a

negotiated 20% counsel fee without regard to whether it applied to indemnity or 

medical compensation. 

Second, in this case, the Board’s order was derived from the remand 

instruction in Koszowski, which may or may not have been erroneous at the time for 

the reasons set forth above. However, the remand instruction was not the holding. 

Likewise, Righter concerned a controversy about whether the contingent fee 

agreement applied to the medical compensation award. Here, by contrast, the terms 
19

of the agreement are clear that the counsel fee applied to an award of medical 

compensation. In any case, Righter’s summary of Koszowski was not the dispositive 

holding. 

The Board erred in grafting Section 440(b) onto Section 442 of the Act. 

When statutory language is clear and free from all ambiguity, it provides the best 

indication of legislative intent. 1 Pa. C.S. §1921(b); Commonwealth v. Dickson, 918 

A.2d 95, 100 (Pa. 2007). Simply, the Board’s construction of Section 442 deviates 

from its plain language and, thus, we reverse its adjudication.

WCJ Lawrence also held that because Act 44 gave providers an 

independent right to payment, it “cannot be bargained away” by a claimant’s 

counsel. WCJ Lawrence Decision, 11/6/2017, at 4. Section 442 provides that the 

WCJ must approve counsel fees that “do not exceed twenty per centum of the 

amount awarded.” 77 P.S. §998. This quoted language has been in Section 442 of 

the Act since 1972, when it was first enacted, and Act 44 did not revise it in any 

way. If the WCJ was correct, then no counsel fee, even a counsel fee found to be 

reasonable after a quantum meruit analysis, could be applied to a medical 

compensation award. Notably, the Hospital in the instant case had a right to seek a

fee review under Section 306(f.1)(5) of the Act, 77 P.S. §531(5); it did not do so. 

Analogizing to subrogation cases, Claimant argues that a medical provider that 

benefits from the efforts of a claimant’s counsel cannot expect to be excused from 

paying a fair share of the counsel fees. See, e.g., Shearer v. Moore, 419 A.2d 665, 

668 (Pa. Super. 1980) (stating that equity requires that “where a subrogor’s attorney 

creates a common fund for the benefit of the subrogor and subrogee, the attorney is 

entitled to reimbursement from the subrogee for its proportionate share of reasonable 

attorney’s fees and expenses of litigation”).
20

There may be policy reasons, as the dissent observes, to regulate the 

counsel fee differently, depending on whether the fee was incurred for pursuing an 

award of medical compensation as opposed to indemnity compensation. These 

policy concerns should be addressed to the General Assembly. Simply, “[t]he 

wisdom of the policy behind legislative enactments is generally not the concern of 

the court.” Mayhugh v. Coon, 331 A.2d 452, 456 (Pa. 1975). The Court’s job is to 

“interpret legislative enactments and not to promulgate them.” Id. at 456. When a 

statute is clear and free from ambiguity, “the letter of it is not to be disregarded under 

the pretext of pursuing its spirit.” 1 Pa. C.S. §1921(b).

Conclusion

Here, the contingent fee agreement provided that “20% of any benefits 

awarded” would be paid as counsel fees, WCJ Stokes Decision, 5/3/2016, at 8, 

Finding of Fact No. 15, and this applied to both medical and disability compensation 

benefits. The Board erred in holding that a quantum meruit analysis had to be 

undertaken with respect to the medical compensation portion of Counsel’s fee. That 

requirement was neither required nor authorized by Section 442 of the Act. 

Accordingly, we reverse the Board’s October 17, 2018, adjudication and remand the 

matter for an order directing Employer to pay Counsel’s fees.

 _____________________________________

 MARY HANNAH LEAVITT, President Judge
IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Robert Neves, :

Petitioner :

:

v. : No. 1431 C.D. 2018

:

Workers’ Compensation Appeal Board :

(American Airlines), :

Respondent :

O R D E R

AND NOW, this 14th day of May, 2020, the order of the Workers’ 

Compensation Appeal Board dated October 17, 2018, in the above-captioned matter 

is REVERSED, and the matter is REMANDED for further proceedings consistent 

with the attached Opinion.

Jurisdiction relinquished.

 _____________________________________

 MARY HANNAH LEAVITT, President Judge
IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Robert Neves, :

:

Petitioner :

:

 v. : No. 1431 C.D. 2018

: Argued: November 13, 2019

Workers’ Compensation Appeal :

Board (American Airlines), :

:

Respondent :

BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge

HONORABLE RENÉE COHN JUBELIRER, Judge

HONORABLE P. KEVIN BROBSON, Judge

HONORABLE PATRICIA A. McCULLOUGH, Judge

HONORABLE ANNE E. COVEY, Judge

HONORABLE MICHAEL H. WOJCIK, Judge

HONORABLE CHRISTINE FIZZANO CANNON, Judge

DISSENTING OPINION 

BY JUDGE WOJCIK FILED: May 14, 2020

Robert Neves (Claimant) petitions for review of an order of the 

Workers’ Compensation Appeal Board (Board) affirming the decision of a workers’ 

compensation judge that Claimant’s counsel was not entitled to counsel fees of 20%

of the amount due to Mercy Fitzgerald Hospital for medical expenses related to 

Claimant’s work injury. The Majority holds that the Board erred in construing 

Section 442 of the Workers’ Compensation Act (Act)1 as still requiring a 

determination of reasonableness to support an additional award of counsel fees for 

the recovery of medical expenses. Because I believe the Majority’s holding departs 

 

1 Act of June 2, 1915, P.L. 736, as amended, added by Section 3 of the Act of February 8, 

1972, P.L. 25, 77 P.S. §998.
MHW - 2

from well-settled law, disregards Section 306(f.1) of the Act,2 and fails to interpret 

Section 442 consistent with the Act’s humanitarian purpose, I respectfully dissent. 

Claim Petition

Claimant suffered a work-related heart attack on January 5, 2015, 

during the course of his employment with American Airlines, Inc. (Employer). He 

was taken to the emergency room at Mercy Fitzgerald Hospital, where he was 

admitted for three days and had two stents inserted. Claimant experienced a second 

cardiac incident outside of work on January 11, 2015; he was hospitalized for two 

weeks and had additional stents inserted. 

On February 3, 2015, Claimant filed a claim petition, which was 

assigned to Workers’ Compensation Judge Joseph Stokes (WCJ Stokes). WCJ 

Stokes concluded that Claimant met his burden of proof and granted the claim 

petition. Further, WCJ Stokes concluded that Employer was responsible for the 

payment of wage loss benefits at the rate of $457.49 per week, with interest, 

litigation expenses, and all medical expenses related to the work injury. WCJ Stokes 

also concluded that Employer established a reasonable basis for its contest. WCJ 

Stokes’s Conclusions of Law, Nos. 3, 5, 6; Reproduced Record (R.R.) at 13. In 

relevant part, consistent with these Conclusions of Law, WCJ Stokes’s order states:

[Employer] is ORDERED and DIRECTED to pay 

Claimant workers’ compensation benefits at the rate of 

$457.49 per week . . . with an additional 10% interest on 

delayed compensation payments.

* * *

[Employer] is ORDERED and DIRECTED to pay 

litigation expenses . . . and all medical expenses incurred 

 

2 Section 306(f.1)(7) was added by the Act of July 2, 1993, P.L. 190, 77 P.S. §531(7).
MHW - 3

by the Claimant that are reasonable, necessary and related 

to the Claimant’s [work injury]. 

[Claimant’s counsel] is entitled to 20% of the 

compensation benefits awarded as counsel fees payable 

from Claimant’s share of the award. 

WCJ Stokes’s decision at 10, R.R. at 14 (emphasis added). Thus, the order 

separately directed Employer to pay indemnity benefits, litigation costs, and medical 

expenses, and ordered Claimant to pay counsel fees from “his share” of the award. 

Employer appealed to the Board, and Claimant cross-appealed. 

Claimant argued only that the WCJ erred in calculating his average weekly wage

(AWW); he did not request clarification of the WCJ’s order as to the amount or 

source of payment of counsel fees. On February 17, 2017, the Board affirmed on 

the merits but remanded for additional findings as to Claimant’s AWW. On August 

14, 2017, WCJ Stokes determined Claimant’s AWW to be $508.32. Thereafter, on 

Employer’s petition, the Board issued an order making its decision final. Employer 

appealed that decision to Commonwealth Court, which affirmed on March 22, 2019.

See American Airlines, Inc. v. Workers’ Compensation Appeal Board (Neves) (Pa. 

Cmwlth., No. 644 C.D. 2018, filed March 22, 2019).

Review and Penalty Petition

Meanwhile, on August 18, 2016, Claimant filed a review and penalty 

petition, asserting that Employer failed to pay for medical treatment related to the 

work injury3and had withheld counsel fees for the medical expenses paid to Mercy 

 

3 Employer contested the work-related nature of the second hospitalization.
MHW - 4

Fitzgerald Hospital as a result of WCJ Stokes’s decision.

4

 This petition was assigned 

to Workers’ Compensation Judge Geoffrey Lawrence (the WCJ). 

The WCJ conducted hearings on the review and penalty petition on 

September 20, 2016, February 7, 2017, and April 18, 2017. Claimant submitted a 

contingent fee agreement, which states in relevant part as follows: “In consideration 

for services rendered and to be rendered, I agree to pay my attorney a sum equal to 

20% of whatever may be recovered from said claim either by suit, settlement, or any 

other manner or of whatever may be recovered if a second trial or appeal is taken.” 

R.R. at 1 (emphasis added). 

Claimant also submitted an affidavit, dated October 11, 2016, 

indicating he understood that the 20% fee agreement applied to past due medical 

expenses as well as wage loss benefits. R.R. at 2-3. The affidavit reflected 

Claimant’s mistaken understanding that “providers may seek the balance of the 

[20%] of the bill from [Claimant] should they be dissatisfied with the [80%] they 

will receive.” Id. (emphasis added). 

On September 8, 2017, the WCJ approved a compromise and release 

agreement (C&R) submitted by the parties.5 The C&R resolved all issues of 

indemnity and medical benefits,

6 but it did not resolve the dispute over counsel fees 

 

4 At some point, Employer paid 80% of the repriced amount for Claimant’s stay at Mercy 

Fitzgerald Hospital and placed the remaining 20% in escrow. See Ex. C-3, a statement dated 

September 21, 2016, reflecting payment of $7,715.61 to Mercy Fitzgerald Hospital. R.R. at 4. 

The record indicates that payment was made after WCJ Stokes’s May 3, 2016 order granting the 

claim petition but before the first hearing on the review petition. The document contains a date, 

amount, and a pay code, but it does not identify the payor, the services provided, or the patient. 

Id.

5 Claimant withdrew the penalty petition.

6 Claimant agreed to resolve his claim for $125,000 less $25,000 in counsel fees.
MHW - 5

on the medical bills from Mercy Fitzgerald Hospital. Claimant submitted a proposed 

finding of fact stating that Employer “shall have no further responsibility for 

payment of [the Mercy Fitzgerald Hospital bill] after payment to counsel of the 

balance of 20%.” WCJ’s opinion at 4 (emphasis in original). Employer filed a posthearing letter stating that it had no objection to the proposed finding because it had 

no financial interest in the outcome and believed that the adoption of the proposed 

finding of fact would protect it from recourse by the provider. 

In his November 6, 2017 decision, the WCJ concluded that Claimant’s 

counsel was not entitled to counsel fees related to or payable from the Mercy 

Fitzgerald Hospital bill, citing three reasons. 

First, the WCJ concluded that res judicata barred the claim. The WCJ 

noted that WCJ Stokes specifically ordered a counsel fee payable from Claimant’s 

share of the award. He explained that, because providers have an independent right 

to payment under the Act, medical bills are not part of a claimant’s share. Therefore, 

he concluded that Claimant should have sought clarification or amendment of WCJ 

Stokes’s order. 

Next, the WCJ explained that Claimant could not bargain away the 

statutory rights of Mercy Fitzgerald Hospital to payment. The WCJ noted that the 

1993 amendments to the Act7 gave providers an independent right to challenge the 

amount and timeliness of payments due, while prohibiting providers from billing 

claimants for any amounts owed. The WCJ found that the parties’ assumptions that 

 

7 Act of July 2, 1993, P.L. 190, No. 44 (Act 44).
MHW - 6

they could waive a provider’s right as well as insulate Employer from recourse was 

simply wrong.8 

Finally, citing Piergalski v. Workmen’s Compensation Appeal Board 

(Viviano Macaroni Co.), 621 A.2d 1069 (Pa. Cmwlth. 1993), the WCJ concluded 

that the right to an additional counsel fee for medical benefits must be established 

by evidence that the fee was reasonable, and Claimant submitted no evidence to 

support the request for an additional fee. Accordingly, the WCJ denied Claimant’s 

review petition and ordered Employer to pay Mercy Fitzgerald Hospital the 

remaining balance owing under the Act. 

Claimant appealed to the Board, arguing that there was no need for him 

to appeal from WCJ Stokes’s order because it included an award of counsel fees on 

medical bills. The Board assumed, but did not decide, that Claimant was not 

aggrieved by WCJ Stokes’s order. Additionally, the Board did not address the 

WCJ’s analysis concerning the independent rights of a provider to payment

conferred by the Act. 

However, like the WCJ, the Board cited Piergalski and its holding that 

a WCJ’s attorney’s fee award of a percentage of medical expenses requires a 

determination of both the claimant’s intent and whether the fee is reasonable. The 

Board also relied on our recent decision in Righter v. Workers’ Compensation 

Appeal Board (Righter Parking), 141 A.3d 628 (Pa. Cmwlth. 2016), to affirm the 

WCJ’s conclusion that Claimant was required to submit evidence to support an 

 

8 Additionally, the WCJ highlighted the significance of the 1993 changes to the Act, noting 

that older cases that approved of attorney’s fees for recovery of medical expenses acknowledged 

the risk that the medical provider would seek payment from the claimant directly. In those 

circumstances, the employer/insurer’s payment of medical expenses directly benefitted the 

claimant, whereas, here, Claimant bore no responsibility for payment of medical bills covered by 

the Act.
MHW - 7

award of 20% of medical expenses in addition to 20% of indemnity benefits awarded 

on the resolution of the claim petition. 

Issues

The issues raised on appeal include: (1) whether Section 442 of the Act 

requires a WCJ’s approval of an attorney’s fee award in every case; (2) whether, 

under Section 442, a WCJ’s approval of an attorney’s fee award requires a finding 

of reasonableness; and (3) whether, under Section 442, an attorney’s fee of 20% of 

medical expenses is reasonable, per se, in every case.

On appeal, Claimant argues that the WCJ erred in construing the fee 

review provisions of the Act as an impediment to an award of attorney’s fees for 

recovery of medical expenses. Claimant correctly notes that a provider has no 

entitlement to payment unless liability is established, but he misstates or 

misconstrues the WCJ’s decision as holding that medical expenses are not 

compensation. Claimant also asserts that equitable principles militate in favor of 

requiring a provider to share in the cost of recouping payments owed.9 

The Majority concludes that our case law has deviated from Section 

442 of the Act by conflating the requirements for determining reasonableness under 

Section 440 of the Act.10 I disagree. The Majority’s conclusion fails to recognize 

that, as the law allowing attorney’s fees for payment of medical bills evolved, 

fundamental principles persisted. The most important principle is the purpose of 

Section 442, which is to benefit and protect a claimant. Mindful of that purpose, 

decisions applying Section 442 to the recovery of medical bills, even when the 

 

9

In its brief, Employer argues that the Board’s order should be affirmed.

10 Added by the Act of February 8, 1972, P.L. 25. 
MHW - 8

recovery directly benefitted the claimant, required a determination of reasonableness 

based largely on the claimant’s intent. 

Analysis

Section 442 “clearly governs all fee agreements in cases before the 

WCJ.” Samuel v. Workers’ Compensation Appeal Board (Container Corp. of 

America), 814 A.2d 274, 278 (Pa. Cmwlth. 2002). In relevant part, it provides that 

every award of counsel fees made under an agreement between a claimant and 

counsel must be approved by a WCJ. 

All counsel fees, agreed upon by claimant and his 

attorneys, for services performed in matters before any 

workers’ compensation judge or the board, whether or not 

allowed as part of a judgment, shall be approved by the 

workers’ compensation judge or board as the case may be, 

providing the counsel fees do not exceed twenty per 

centum of the amount awarded.

77 P.S. §998 (emphasis added).11 

The regulations governing Administrative Practice and Procedure 

before the WCJ additionally provide:

 

11 Where attorney’s fees are awarded for an unreasonable contest, Section 440 of the Act 

applies. It states in part:

In any contested case where the insurer has contested liability in 

whole or in part, . . . the employe . . . in whose favor the matter at 

issue has been finally determined in whole or in part shall be 

awarded, in addition to the award for compensation, a reasonable 

sum for costs incurred for attorney’s fee . . . .

77 P.S. §996 (emphasis added).
MHW - 9

(a) In all cases, claimant’s counsel shall submit a copy of 

the fee agreement, and a copy of any statement or claim 

for disbursements, costs and expenses. No agreement or 

claim for fees or other disbursements, costs or expenses by 

claimant’s counsel shall be valid, and no payments shall 

be made pursuant thereto, unless approved for payment by 

the [WCJ or the Board] as provided by law. Except as 

otherwise approved, no further fee, cost or expense is to 

be charged. 

34 Pa. Code §131.55(a) (emphasis added). The Majority concludes that, over time,

amendments to Section 442 replaced the WCJ’s discretion over attorney’s fee 

awards up to 20% with a rubber stamp. This interpretation renders the WCJ’s 

approval, although a requirement emphasized by both statute and regulation, a 

meaningless exercise. 

More importantly, the Majority’s narrow interpretation of Section 442 

squarely conflicts with the Supreme Court’s observation that Section 442 “evidences 

a legislative intent to protect claimants against unreasonable fees imposed upon them 

by their attorneys pursuant to an improvident agreement.” Lawson v. Workers’ 

Compensation Appeal Board (Temple University), 857 A.2d 222, 225 (Pa. Cmwlth. 

2004) (en banc) (citing Weidner v. Workmen’s Compensation Appeal Board, 442 

A.2d 242 (Pa. 1982)). This Court has long recognized that a 20% award on 

indemnity benefits is reasonable under Section 442. However, contrary to the 

Majority’s determination, a review of relevant precedent does not support the 

holding that, in every case under Section 442, an award of attorney’s fees 

representing 20% of medical expenses also is reasonable per se. Rather, from the 

outset, courts have considered approval of attorney’s fees for medical bills as 

involving a discrete analysis of the claimant’s intent, the work performed, and the 

risks and benefits to the claimant. This was so even where the claimant benefitted 

directly from the payment of medical bills. The Majority’s analysis: ignores the 
MHW - 10

presumption under Section 442 that the 20% counsel fees will be paid from the 

claimant’s recovery, which is what WCJ Stokes explicitly ordered in this case; is 

contrary to the well-established legislative intent underlying Section 442; overlooks 

the provider’s independent right to recovery under Section 306(f.1)(7); and inflates 

the potential for a conflict of interest between a claimant and counsel. In doing so, 

the Majority’s holding contradicts, rather than corrects prior decisions. 

For example, in Workmen’s Compensation Appeal Board v. General 

Machine Products Co., 353 A.2d 911 (Pa. Cmwlth. 1976), the issue was whether the 

Board erred in limiting the referee’s12 award of counsel fees to 20% of “the first 

check for compensation received by [the claimant].” 353 A.2d at 913. We first 

clarified that decisions under Section 440 of the Act were not relevant. We 

emphasized the language of the contingent fee agreement, which expressly, and 

separately, provided that calculation of counsel fees included recovered medical 

bills, stating in part:

(2) Pursuant to 77 P.S. [§]998, I agree to an attorney’s 

Contingent Fee of twenty percent (20%) out of any 

verdict, settlement, or award that I may receive and I 

further agree to pay said percentage of my benefits on all 

future benefits or awards arising out of the attorney's 

representation of me, and this is to include awards of total 

disability in futuro or partial disability in futuro, as arising 

under Section 307 of the [Act] . . . . This percentage to be 

applied to all work done and completed at the level of the 

Referee.

* * *

 

12 Prior to the 1996 amendments to the Act, workers’ compensation judges were known as 

referees.
MHW - 11

(6) All monies received in collection of hospital bills, 

doctor’s bills, bills for prosthetic devices, bills for 

prescriptions and other recoverable items of damage shall 

not be treated as cost items but are recoverable damages 

upon which my said attorneys shall be entitled to a 

contingent fee as set forth above.

353 A.2d at 912-13. We held that a 20% counsel fee was payable on the “amount 

awarded,” adding that “[t]he phrase ‘amount awarded’ is clear on its face. It includes 

all amounts awarded to a claimant in a referee’s order.” Id. at 915 (emphasis added). 

We made no specific reference to medical bills in General Machine. We simply 

held that “the fee agreement and Section 442 [entitled the attorney] to a percentage 

of the total award,” that the referee was without authority to increase that amount, 

and that the Board erred in limiting counsel’s recovery to the first check. The 

distinction between medical bills and indemnity benefits was not an issue in the case, 

nor was the reasonableness of a 20% fee challenged. 

In Henderson v. Workmen’s Compensation Appeal Board (Rockwell 

International, Inc.), 452 A.2d 277 (Pa. Cmwlth. 1982), we reversed the Board’s

deletion of litigation costs and medical expenses from the computation of counsel 

fees. “We have held that the determination of counsel fees under Section 442 of the 

Act[] may take into account the full amount of the award made by the referee, 

[General Machine] . . . .” 452 A.2d at 278 (emphasis added). This Court’s relevant 

analysis was limited to this summary conclusion. Notably, General Machine relied 

on both the contingent fee agreement and Section 442 of the Act. 

In Wommer v. Workmen’s Compensation Appeal Board (Lycoming 

County), 479 A.2d 661 (Pa. Cmwlth. 1984), the employer was ordered to pay the 

claimant $426.00 in indemnity benefits and $3,175.15 in medical bills. The 

contingent fee agreement called for a fee of 20% of the award. The issue presented 
MHW - 12

was whether it was error to limit the award of unreasonable contest attorney’s fees 

under Section 440 of the Act, where counsel was seeking more in fees than the 

claimant received in wage loss compensation. This Court reasoned that payment of 

medical expenses incurred is part of the compensation award “even though those 

monies do not necessarily go into a claimant’s ‘pocket.’” 479 A.2d at 662. 

Nevertheless, we did not hold that a fee based on medical expenses was required in 

every case, or that a fee of 20% of medical bills was always reasonable. Instead, we 

explained:

Section 442 of the Act requires the Board or the referee to 

approve any attorney’s fees, 77 P.S. §998 (Supp. 1984-

85); as a general rule, we would agree that a claimant 

would not be compelled to pay an attorney a fee which 

is greater than the amount received in weekly 

compensation benefits. As the Supreme Court stated in 

Weidner v. Workmen’s Compensation Appeal Board, [442 

A.2d 242, 244 (Pa. 1982)], “Section 440 . . . shows a 

legislative intent of protecting claimants against 

unreasonable contests of a claimant’s initial . . . right to the 

benefits of the Act. . . .” We therefore believe in 

appropriate circumstances that a computation of 

attorney’s fees based on the total compensation award, 

including medical expenses, may be appropriate,

[] even 

though that amount may be greater than the amount 

the claimant would have had to pay an attorney if a 

reasonable contest had been presented.

479 A.2d at 662 (italics in original, bold emphasis added). Thus, while we 

recognized that a claimant’s award included payment of medical expenses, we stated 

that an attorney’s right to include medical bills in the computation of fees was not 

unqualified under Section 442. Having noted that an award of reasonable contest 

attorney’sfees under Section 440 of the Act required findings concerning the amount 

and degree of difficulty of the work performed, we remanded for such findings. 
MHW - 13

In Koszowski v. Workmen’s Compensation Appeal Board (Greyhound 

Lines, Inc.), 595 A.2d 697 (Pa. Cmwlth. 1991), the referee denied the employer’s 

petition for termination, suspension, or modification and ordered the employer to 

pay the medical bills set forth in the referee’s decision. The referee found that the 

20% fee agreement between the claimant and his counsel was reasonable and 

ordered an attorney’s fee of 20% of the claimant’s disability compensation be 

deducted and paid therefrom. The Board affirmed. On appeal to this Court, the

claimant challenged the referee’s order limiting the attorney fees to 20% of 

indemnity benefits. Relying on Wommer, the claimant argued that because he was 

also awarded medical expenses, his attorney should receive 20% of the award for 

medical benefits as well as 20% of the disability compensation awarded. 

Significantly, the fee agreement was not contained in the record forwarded to the 

Board or the Court. 

As argued by [the claimant], medical expenses may be 

included as part of the attorney’s fee. However, as in 

Wommer, this Court cannot reach a conclusion based upon 

the present record concerning the reasonableness of the fee 

due [the claimant’s] attorney because there is no evidence 

regarding the amount and degree of difficulty of the work 

performed by counsel. As such, a remand is in order for 

the referee to make specific findings on the work 

performed by [the claimant’s] attorney, following which a 

new order on the question of reasonableness and extent of 

an attorney’s fee should be entered.6

595 A.2d at 702. Additionally, we further observed:

[U]nlike Wommer, a reasonable contest was presented. 

Conclusions of Law No. 3. Furthermore, if twenty percent 

of medical expenses is to be awarded to [the claimant’s]

attorney, then the question arises as to who is responsible 

for the balance of medical expenses due the medical 

supplier. This problem would not arise, however, where 
MHW - 14

the [claimant] has actually paid the medical bills, is 

attempting to recoup for such bills and is merely paying 

his attorney for the amounts recovered.

595 A.2d at 702 n.6. Clearly, the Court in Koszowski distinguished Wommer and

acknowledged that an eventual attorney’s fee payable from the claimant’s award 

may include 20% of medical bills.

13

 

In Raulston v. Workmen’s Compensation Appeal Board (Tri-State 

Motor Transit), 606 A.2d 668 (Pa. Cmwlth. 1992), the sole question before this

Court was whether, upon successfully litigating a claim petition, the claimant’s 

counsel was entitled to a percentage of the reimbursement for medical bills in 

addition to a percentage of the claimant’s weekly wage loss benefits. Id. at 669. The 

insurer paid the claimant’s attorney 20% of the weekly indemnity benefits, or 

$430.22. However, after forwarding 80% of the award for medical bills in order that 

it be paid to the medical providers, the insurer retained the additional 20% and 

refused to pay it to the claimant’s attorney. The claimant’s attorney requested 

clarification from the referee with respect to the attorney’s fees but received no 

response. 

Thereafter, the claimant’s attorney filed a petition with the Board, 

requesting approval of his attorney’s fee. The Board held that the claimant’s 

attorney was not entitled to 20% of the reimbursement for medical bills, based, in 

part, on its concern that the claimant would still owe the medical providers the 20%

of the medical bill reimbursements that was paid to his attorney. Twenty years after 

 

13 Judge Pellegrini authored a concurring opinion in Koszowski, expressing concern that 

counsel sought a fee that the claimant was obligated to pay. 595 A.2d at 702. He noted that a 

potential conflict of interest could be avoided if the claimant’s counsel entered into a separate 

agreement with the medical provider to reimburse it for fees collected. 595 A.2d at 702 n.1.

(Pellegrini, J., concurring).
MHW - 15

the 1972 amendment to Section 442, the question of whether attorney’s fees were 

payable for recovery of medical bills was still being litigated. 

On appeal in Raulston, citing Koszowski, Henderson, and General 

Machine, we again held that medical expenses may be included in the amount 

awarded to a claimant for purposes of awarding counsel fees. “[W]e have often held 

that medical expenses may be included when computing a claimant’s attorney’s 

contingent fee.” 606 A.2d at 669. However, we noted that the referee’s decision did 

not expressly provide that the claimant’s attorney should receive 20% of the medical 

bill reimbursements. Additionally, the referee did not explicitly approve the fee 

agreement between the claimant and his counsel “as required by Section 442 of the 

Act.” 606 A.2d at 668. Noting that the fee agreement was not included in the 

original record, we vacated the Board’s order and remanded for determinations 

concerning the claimant’s intent and “whether the attorney’s fee is reasonable in 

accordance with Koszowski.”14 Id. 

Unlike the Majority, because Koszowski acknowledged that Section 

442 governed the award of counsel fees and that a 20% fee on the total award was 

possible, I do not construe the phrase “in accordance with Koszowski” as mandating, 

 

14 In doing so, we observed:

Although the [B]oard expresses a valid concern about a claimant’s 

shortfall in funds to pay his medical providers if his attorney 

receives part of the award, we note at least two arguments that favor 

the opposing view. One is the possible hesitancy of attorneys to 

accept cases where the recovery will consist largely or of such 

recovery as a fee. The other is our own hesitancy to interfere with a 

private contract between a claimant and his attorney if their intent 

is to allow the attorney to accept a portion of such recovery as his 

fee.

Raulston, 606 A.2d at 669 n.5 (emphasis added).
MHW - 16

in every case, a computation of fees for payment of medical bills based on hours or 

difficulty of the work. Rather, I believe these cases illustrate a pattern of interpreting 

Section 442 in every case in accordance with its purpose. 

Piergalski, decided in 1993, reversed the Board’s exclusion of medical 

expenses recovered from the 20% contingent fee award. The employer’s request for 

supersedeas had been denied, and the insurer had paid the medical providers in full. 

The attorney did not submit a fee agreement before the referee but submitted the 

actual agreement to the Board. However, the Board cited the absence of a written 

agreement as reason to deny counsel fees for the recovery of approximately 

$70,000.00 in medical bills. We held, first, that a written agreement was not 

required, and noted the attorney had submitted an affidavit establishing his right to 

a 20% contingent fee on all sums obtained. We further stressed that Section 442 

clearly provided that a 20% fee is per se reasonable. 

Nevertheless, we again separately considered whether the attorney was 

entitled to a 20% fee based on medical expenses. “However, the question remains

as to whether computation of attorney’s fees, with regard to a 20% contingent fee 

agreement, includes 20% of claimant’s medical expenses.” 621 A.2d at 1072

(emphasis added). 

In both Koszowski and Raulston, this Court determined 

that while 20% of a claimant’s medical expenses could be 

awarded as attorney’s fees, per [Wommer] and [General 

Machine], 20% of the medical expenses should only be 

awarded as attorney’s fees if this amount constitutes a 

“reasonable” attorney’s fee. The Court, in both Koszowski

and Raulston, remanded the matters for the referee to 

determine the question of whether an attorney’s fee of 

20% of medical expenses would be reasonable. Koszowski

also directed the referee to make specific findings on the 

work performed by claimant’s attorney,[] following which 
MHW - 17

a new order on the question of reasonableness and extent

of an attorney’s fee should be entered.

In accordance with our decisions in Koszowski and 

Raulston, we remand this matter to the Board, with 

instructions to remand it to the referee to make specific 

findings on the time and effort expended by [counsel] in 

his representation of claimant and to enter a new order on 

the question of the reasonableness of the attorney’s fee 

with regard to claimant’s medical expenses.

621 A.2d at 1073. Thus, this Court again held that while counsel fees could be based 

on recovery of medical bills, an award of 20% counsel fees on medical expenses 

required evidence of reasonableness. 

Notably, Piergalski, Raulston, Koszowski, and Wommer were decided

after the 1972 amendment to the Act established that a 20% attorney’s fee is per se

reasonable. Although it may have been misleading for the courts in Piergalski,

Raulston and Koszowski to imply that, under Section 442, the reasonableness of fees 

for recovery of medical expenses must be based on the amount and difficulty of 

work, that should not obscure the significant fact that a counsel fee award based on 

payment of medical bills was long considered to be in addition to the 20% fee award 

on indemnity benefits. Henderson; General Machine. This was so despite this 

Court’s recognition that the recovery of medical expenses was a pecuniary benefit 

to the claimant, even if the monies did not go “directly into the claimant’s pocket.” 

That pecuniary benefit no longer inures to the claimant. As amended 

in 1993, Section 306(f.1)(7) of the Act prohibits providers from billing claimants for 

treatment. It states:

(7) A provider shall not hold an employe liable for costs 

related to care or service rendered in connection with a 

compensable injury under this act. A provider shall not 

bill or otherwise attempt to recover from the employe the 
MHW - 18

difference between the provider’s charge and the amount 

paid by the employer or the insurer.

77 P.S. §531(7) (emphasis added). This change in the law begs the question of 

whether payment of expenses for which a claimant cannot be held liable is properly 

considered part of the “claimant’s award.” 

More recently, in Righter, this Court affirmed a WCJ’s denial of an 

attorney fee of 20% of the medical bills paid because: (1) the agreement between the 

claimant and the attorney did not explicitly provide for a 20% fee on the claimant’s 

medical benefits; (2) counsel did not establish before the WCJ that the fee was 

reasonable in light of the time and effort expended on obtaining medical benefits;

and (3) the requested fee was unreasonable in light of the work performed. 

Reviewing applicable precedent, Judge Cohn Jubelirer stated:

In determining whether medical bill payments should be 

included in a contingent fee agreement, the WCJ must 

assess: (1) whether the claimant and counsel intended for 

counsel to receive a percentage of the medical bill 

payments; and (2) whether the fee is reasonable. See

[Raulston] (remanding the matter to the Board for fact 

finding on the claimant’s intent and the reasonableness of 

the fee). We have further held that a reasonableness 

inquiry in this context should address the amount and 

degree of difficulty of the work performed by the attorney. 

[Wommer]; see also Piergalski, 621 A.2d at 1073

(remanding the matter to the Board with instructions to 

remand it to the WCJ “to make specific findings on the 

time and effort expended by [counsel] in his representation 

of claimant and to enter a new order on the question of the 

reasonableness of the attorney’s fee with regard to 

claimant’s medical expenses” (emphasis added)). David 

Torrey and Andrew Greenberg describe the WCJ’s inquiry 

in this regard as a “quantum meruit analysis,” and we 

agree that this is an appropriate description of the WCJ’s 

task. D. Torrey & A. Greenberg, Workers’

Compensation: Law and Practice §15:10 (West 2008) 

(hereinafter, Torrey & Greenberg). Thus, counsel seeking 
MHW - 19

a contingent fee on medical bill payments in addition to 

the per se reasonable 20% contingent fee on indemnity 

benefits must demonstrate to the WCJ why such a fee is 

justified in light of the time and effort expended on 

obtaining medical benefits for the claimant. Id. at §15:12. 

Upon receipt of this evidence, the WCJ will conduct a 

quantum meruit analysis to determine the reasonableness 

of any fee in excess of 20 percent of the claimant’s 

indemnity benefits. . . . Here, the WCJ concluded that a 

20% attorney fee based on Claimant’s medical bill 

payments was unreasonable.

Righter, 141 A.3d at 632, 633 (emphasis added).15 

Our analysis in Righter reflects the Court’s ongoing understanding 

that an award of counsel fees that includes recovery of medical bills is permissible,

but a fee of 20% of medical bills is not reasonable per se. 

Instead, as illustrated by the above, our courts have long recognized 

the requirement that a WCJ approve attorney’s fee agreements as reflecting a 

legislative intent “to protect claimants against unreasonable fees imposed upon 

them by their attorneys pursuant to improvident fee agreements.” Samuel, 814 

A.2d at 278 (emphasis added). As the Majority observes, the most recent 

amendment to Section 442 reaffirms and furthers that intent, eliminating the 

 

15 More recently, we relied on Righter and Piergalski in Kry-Puy v. Workers’ 

Compensation Appeal Board (C&A Labor, Inc.) (Pa. Cmwlth., No. 2525 C.D. 2015, filed October 

11, 2016). In Kry-Puy, a WCJ awarded the claimant’s counsel attorney’s fees for unreasonable 

contest, under Section 440(a), in the amount of 20% of the claimant’s indemnity benefits for the 

limited period from March 14, 2013, to August 15, 2013. The WCJ found that an award against 

medical bills would not be reasonable considering the difficulty and amount of work performed. 

“While the WCJ approved the contingency fee agreement” between the claimant and her counsel 

as fair and reasonable, “because this fee agreement included payment of 20% of any payments for 

medical treatment and hospital bills, the WCJ was required to determine if this aspect of the 

contingency fee agreement was reasonable.” Slip op. at 5 (emphasis added) (citing Righter and 

Piergalski). Thus, we relied on cases decided under Section 442 to conclude that, under Section 

440 of the Act, reasonable contest attorney’s fee of 20% of medical expenses is not reasonable 

per se. 
MHW - 20

possibility that a claimant and his counsel could agree to a fee in excess of 20% of 

the award. Our case law reflects that, even where the payment of medical expenses 

was a direct and measurable benefit to a claimant, and the contingent fee provided 

for fees of 20% of the claimant’s award, the determination of reasonable attorney’s 

fees under Section 442 did not necessarily include 20% of the amount of medical 

expenses recovered.

The Majority’s holding implicitly overrules this entire line of case 

law. Further, I believe the Majority’s analysis of Section 442 erroneously 

concludes that the legislative desire to protect claimants is suddenly unfounded. 

Indeed, the fee agreement at issue illustrates my point. The contingent 

fee agreement states that Claimant was to pay his counsel “20% of whatever may 

be recovered.” R.R. at 1. The fee agreement omits a specific reference to medical 

expenses. Since 1993, the Act prohibits providers from seeking recovery from an 

injured employee, yet Claimant’s affidavit states he understood the fee agreement 

to include medical expenses. 

In other words, Claimant mistakenly believed that medical providers 

could seek payment of bills directly from him, and he agreed to pay counsel fees 

amounting to more than 20% of the indemnity benefits he received. Under these 

circumstances, the WCJ’s decision is in harmony with both the statute as well as 

this Court’s precedent. In my view, this matter supports a determination that 

Section 442 still requires the WCJ’s approval of every fee award – to prevent a 

claimant from unwittingly assuming an onerous obligation by agreement with an 

unscrupulous or an unskilled counsel.

Of course, a claimant can still benefit from payment of medical bills,

and where medical bills have not been paid a claimant can file a petition for 
MHW - 21

penalties, which are paid directly to the claimant. Here, Employer did make payment 

of the provider’s bill, but Claimant’s counsel, absent agreement or statutory 

authority, demanded 20% of the amount due. The fee agreement Claimant signed 

did not bind any other party. It did not purport to oblige any medical provider to 

contribute to the cost of Claimant’s legal representation. It appears that, perhaps 

unintentionally, the Majority’s holding now authorizes a claimant’s counsel to retain 

20% of all monies due to a provider. 

Conclusion

In accord with the humanitarian purpose of the Act, we have 

consistently interpreted Section 442 as requiring a WCJ’s approval of every

agreement for attorney’s fees, based on a determination of reasonableness. 

Always, we have been mindful that “Section 442 evidences a legislative intent to 

protect claimants against unreasonable fees imposed upon them by their attorneys 

pursuant to improvident fee agreements.” Samuel, 814 A.2d at 276; Weidner, 442 

A.2d 244. Throughout amendments, and as reflected by compatible decisions, the 

concept of reasonableness remains the foundation for the WCJ’s approval of 

attorney’s fee awards under both Section 442 and Section 440.

The above decisions reflect the Court’s unwavering recognition that 

Section 442 is intended to protect claimants; Section 442 requires a WCJ’s approval 

of every fee award, based on a finding of reasonableness; and the intent of the 

parties to a fee agreement is a critical component of every analysis under Section 

442. 

Furthermore, I would affirm for the alternative reasons cited by the 

WCJ. The fee agreement did not expressly include medical benefits in the 
MHW - 22

calculation of attorney’s fees. Given that our prior decisions have allowed counsel

fees based on medical bills based on a separate calculation, and considering that 

Claimant obtained no obvious or measurable benefit, Claimant’s counsel should 

have sought clarification of WCJ Stokes’s order directing payment from 

“Claimant’s share” of the award. Additionally, I fail to see how a contingent fee 

agreement between a claimant and counsel can possibly bind a provider. The 

observation that Mercy Fitzgerald Hospital did not pursue its independent rights 

through fee review is of no moment. Finally, while the Majority references 

Claimant’s analogy to subrogation cases, Section 319 of the Act16 imposes 

attorney’s fees on employers and Section 442 does not. I submit that where the 

issues are governed by such a complex statutory scheme, it is inappropriate to rely 

wholly on general principles of equity to support a result. 

For all of the above reasons, I would affirm the Board.

MICHAEL H. WOJCIK, Judge

Judge Cohn Jubelirer joins in this Dissenting Opinion.

 

16 77 P.S. §671.