Am. Home Assur. Co. v. LA. WORK. COMP. SECOND INJURY BD.
This text of 991 So. 2d 500 (Am. Home Assur. Co. v. LA. WORK. COMP. SECOND INJURY BD.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
AMERICAN HOME ASSURANCE COMPANY and Texas United Corporation/Texas Brine
v.
LA WORKER'S COMPENSATION SECOND INJURY BOARD (Employee: Julius LANDRY).
Court of Appeal of Louisiana, First Circuit.
*501 Walter S. Salley, Shreveport, LA, for Plaintiffs-Appellants, American Home Assurance Co. and Texas United Corp./Texas Brine.
James D. Caldwell, Attorney General, Matthew R. Richards, Assistant Attorney General, Baton Rouge, LA, for Defendant-Appellee, Louisiana Workers' Compensation Second Injury Board.
Before CARTER, C.J., PETTIGREW, and WELCH, JJ.
WELCH, J.
American Home Assurance Company and Texas United Corporation/Texas Brine appeal a judgment granting a peremptory exception raising the objection of prescription on a workers' compensation reimbursement claim in favor of defendant, Louisiana Workers' Compensation Second Injury Board, as well as a judgment denying its motion for a new trial. We affirm.
BACKGROUND
On March 8, 2000, Julius Landry was injured during the course and scope of his employment with Texas United Corporation/Texas Brine Company. The first weekly compensation benefit was paid on April 20, 2000. On June 19, 2000, National Union Fire Insurance Company (National Union), the compensation carrier for Landry's employer, filed a claim with the Louisiana Workers' Compensation Second Injury Board (Board). It is undisputed that this claim was timely filed with the Board. On February 1, 2001, in File No. 00-585, the Board issued a written decision approving of the reimbursement claim. Specifically, the Board found as a fact that the employer had knowledge of the employee's pre-existing permanent partial disability *502 prior to the work injury on March 8, 2000. Accordingly, the Board awarded reimbursement to National Union for all weekly indemnity benefits actually paid and payable under the Louisiana Workers' Compensation Law in excess of the first 104 weeks of payments, provided that proper proof of payment was submitted. The Board also awarded reimbursement for medical expenses in accordance with La. R.S. 23:1378(A)(3), provided that proper proof of payment was submitted.
At the time the Board rendered its decision, La. R.S. 23:1378, which sets forth the procedures for determining the liability of the Second Injury Fund, did not contain a time limitation for submitting proof of payment to the Board once a reimbursement claim had been approved. However, in 2004, the legislature amended La. R.S. 23:1378 to add a prescriptive period for submitting proof of payment to the Board. The 2004 amendment provided that for injuries occurring before July 1, 2004, or after July 1, 2007, and during those time periods, compensation payments and medical expense payments would be reimbursed provided they were submitted to the Board within 180 days of the approval for reimbursement or within one year of the payment of such benefits, whichever occurred later.
On May 11, 2006, American Home Assurance Company,[1] the apparent successor of National Union, sought reimbursement from the Board for compensation payments made in connection with Landry's March 8, 2000 work accident through March 30, 2006, in the amount of $108,541.83. It also sought reimbursement for medical benefits paid through March 9, 2006, in the amount of $34,620.87. One week later, on May 16, 2006, American Home Assurance Company and Texas United Corporation/Texas Brine (collectively referred to as "American Home"), filed this lawsuit against the Board seeking reimbursement for compensation benefits paid to Landry.
In response to the petition, the Board filed various exceptions, including a dilatory exception raising the objection of prematurity and a peremptory exception raising the objection of prescription. As to the first, the Board urged that it did not issue a written ruling in the form of a letter in response to the reimbursement request filed in May of 2006, and therefore, the lawsuit was premature. The prematurity objection was cured on October 30, 2006, when the Board issued a written decision in which it determined that $51,268.23 in compensation payments and $50,324.06 in medical expense payments were ineligible for reimbursement because the reimbursement requests were not timely filed with the Board. In a letter explaining its determination, the Board noted that the deductible of 104 weeks ran from March 10, 2000 through March 7, 2002. The Board concluded that the request for compensation benefits paid from March 8, 2002 through May 16, 2005 was untimely because the proof of payment was submitted to the Board more than one year after the payments were made and were thus prescribed at the time of the submission to the Board. The Board concluded, however, that benefits paid within one year of the reimbursement request, from May 17, 2005 through March 30, 2006, were timely and issued a reimbursement check in the amount of $17,337.60. Regarding the medical expense reimbursement claim, the Board concluded that the claim was untimely with respect to those *503 payments made more than one year prior to the submission of the reimbursement request with the Board. However, the Board concluded that medical bills paid from June 15, 2005 through March 9, 2006, were timely. In connection with its prescription objection, the Board urged that any claim for reimbursement of benefits paid between March 28, 2000 through May 11, 2005, more than one year prior to the May 11, 2006 request for reimbursement, were prescribed pursuant to La. R.S. 23:1378.
In opposition, American Home argued that the February 1, 2001 decision of the Board approving the reimbursement claim for compensation benefits paid to Landry was a final judgment, binding the Board by its decision to award reimbursement on the claim. American Home also submitted that the 2004 amendment to La. R.S. 23:1378 could not be applied retroactively to its claim because it constituted a substantive change in the law and because the retroactive application of the amendment would operate to divest American Home of its entitlement to reimbursement for benefits paid to Landry prior to May of 2005, by virtue of the Board's 2001 decision awarding such reimbursement.
The trial court granted the Board's peremptory exception of prescription and dismissed the lawsuit with prejudice. American Home filed a motion for a new trial, asserting it was entitled to a new hearing at which it would be permitted to orally argue. The motion for a new trial was denied, and this appeal, in which American Home challenges the court's granting of the prescription objection and the court's denial of the motion for a new trial, followed.
DISCUSSION
Louisiana Revised Statutes 23:1378 sets forth the procedure for determining the liability of the Second Injury Fund with respect to reimbursements to employers. From the date of its original enactment in 1974, La. R.S. 23:1378 set forth a time period for notifying the Board of a reimbursement claim. However, there was no prescriptive period for reimbursement submissions until 2004. In that year, by virtue of Act 293, the Louisiana legislature amended La. R.S. 23:1378(A)(1), (2), (3) to provide that for injuries occurring before July 1, 2004, and on or after July 1, 2007, or after July 1, 2004, and before July 1, 2007, "[s]uch payments shall be reimbursed provided they are submitted to the board within one hundred eighty days of the approval for reimbursement or within one year of the payment of such weekly compensation payments, whichever occurs later."[2]
Free access — add to your briefcase to read the full text and ask questions with AI
Related
Cite This Page — Counsel Stack
991 So. 2d 500, 2008 WL 1933219, Counsel Stack Legal Research, https://law.counselstack.com/opinion/am-home-assur-co-v-la-work-comp-second-injury-bd-lactapp-2008.