Anderson v. Aetna Cas. & Sur. Co.

505 So. 2d 199, 1987 La. App. LEXIS 9289
CourtLouisiana Court of Appeal
DecidedApril 8, 1987
Docket86-402
StatusPublished
Cited by8 cases

This text of 505 So. 2d 199 (Anderson v. Aetna Cas. & Sur. Co.) 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.

Bluebook
Anderson v. Aetna Cas. & Sur. Co., 505 So. 2d 199, 1987 La. App. LEXIS 9289 (La. Ct. App. 1987).

Opinion

505 So.2d 199 (1987)

Kerrell ANDERSON, Jr., Plaintiff-Appellee,
v.
AETNA CASUALTY & SURETY COMPANY, Defendant-Appellant.

No. 86-402.

Court of Appeal of Louisiana, Third Circuit.

April 8, 1987.
Rehearing Denied April 29, 1987.

*200 Thomas J. Miller, Lafayette, for defendant-appellant.

Preston N. Aucoin, Ville Platte, for plaintiff-appellee.

Before DOMENGEAUX, GUIDRY and STOKER, JJ.

STOKER, Judge.

The defendant, Aetna Casualty & Surety Company (Aetna), has appealed the judgment of the trial court in this worker's compensation action. The plaintiff filed suit for total disability benefits, plus penalties and attorney's fees, for an alleged work-related injury. The trial court awarded benefits for temporary total disability, statutory penalties on the amount due, medical expenses, and $5,000 for attorney's fees. The plaintiff has answered the appeal, seeking an increase in the attorney's fees awarded to cover the additional cost of appeal.

The defendant's assignments of error are:

1) The trial court erred in finding that the plaintiff is entitled to temporary total disability benefits, until he is rehabilitated to perform something other than heavy manual labor.
2) The trial court erred in finding that Aetna acted arbitrarily, capriciously and without probable cause in terminating plaintiff's compensation benefits.
3) The trial court erred in awarding penalties and attorney's fees.

FACTS

The plaintiff, Kerrell Anderson, Jr., was injured while working as a truck driver and laborer for Eugenel Fontenot in his sweet potato farming operation. The accident occurred on February 22, 1984. Anderson was loading a fertilizer tank when he slipped attempting to get off of the tank and twisted his left knee. This was the second injury to the left knee sustained by the plaintiff while working for Fontenot. The earlier accident occurred on November 5, 1982 while plaintiff was climbing into his truck after delivering a load of sweet potatoes to the cannery.

The second injury was treated conservatively initially, but orthoscopic surgery later became necessary. Aetna paid the plaintiff temporary total disability benefits, plus medicals, from the time of the accident until July of 1985, at which time plaintiff was medically released. Aetna, however, *201 continued to pay medical benefits through the date of trial.

After temporary total disability benefits were discontinued, the plaintiff sought a recommendation from the Office of Worker's Compensation. A recommendation was subsequently issued which was rejected by Aetna. This suit was then filed alleging that the plaintiff was totally and permanently disabled as a result of the accident.

THE TRIAL COURT'S REASONING AND DISPOSITION

In order to better understand the issues, both factual and legal, it is appropriate that we set forth in full the reasons for judgment assigned by the trial court. Prior to doing so we note that the formal judgment makes an award of compensation to plaintiff for temporary total disability for the duration of his disability. The trial court observes in its reasons that plaintiff's claim is under the "new workmen's compensation law," and we take this to mean the 1983 amendments to the workers' compensation law, particularly as it relates to different classifications and definitions under LSA-R.S. 23:1221. These amendments were in effect when plaintiff's second accident occurred on February 22, 1984.

The trial court's reasons for judgment are as follows:

"REASONS FOR JUDGMENT
"This is a suit by the plaintiff seeking benefits under the new workmen's compensation law, arising out of an injury he received while in the employ of Eugenel Fontenot on February 22, 1984. The plaintiff contends that he slipped and fell off a fertilizer tank and tractor on the above date.
"Plaintiff contends that because of this accident he injured his left knee; the same knee he injured in a previous accident on November 5, 1982. The defendant, Aetna Casualty & Surety Company, and the workmen's compensation carrier for Eugenel Fontenot, paid compensation benefits to plaintiff until July 16, 1985, at the rate of $156.53 per week.
"The plaintiff settled his case for the 1982 accident and returned to work for his same employer, Eugenel Fontenot, and worked for some months without difficulty, up to the time of his second accident on the 22nd day of February, 1984.
"The plaintiff is a black man, weighing approximately three hundred (300) pounds, and is thirty-three (33) years of age, and has little or no education. His work history consists of farm labor and laborious work.
"The issues in this case are:
"1) Whether or not the plaintiff is entitled to any benefits under the new workmen's compensation act, and if so, whether he is permanently and totally disabled, or whether he is temporarily totally disabled.
"2) Whether the plaintiff is entitled to penalties and attorney's fees, if he would be entitled to workmen's compensation benefits.
"This Court, considering all of the evidence in this case, particularly Dr. Anders' testimony, the plaintiff's age, education, work history, and weight, is of the opinion the plaintiff is entitled to weekly compensation benefits, based on temporary total disability. The Court specifically finds the plaintiff is not entitled to permanent total disability. The Court specifically finds the plaintiff is not entitled to permanent total disability benefits as he does not meet the criteria under the new workmen's compensation act, as defined under R.S. 23:1221(2)(c), and R.S. 23:1221(2)(a), quoted as follows:
"`.... whenever the employee is not engaged in any employment or self-employment as described in subparagraph (2)(b) of this paragraph, compensation for permanent total disability shall be awarded only if the employee proves by clear and convincing evidence, unaided by any presumptions or disability, that the employee is physically unable to engage in any employment or self-employment, regardless of the nature or character of the employment or self-employment, including but not limited *202 to any and all odd-lot employment, sheltered employment, employment while working in any pain notwithstanding the location or availability of any such employment or self-employment.'
"As stated above, the plaintiff is entitled to temporary total disability because he meets the requirements under Louisiana R.S. 23:1221(1), which reads as follows:
"`For injury producing temporary total disability of an employee to engage in self-employment or gainful occupation for wages whether or not the employee is customarily engaged ...' (emphasis added)
"The court does not find as a fact that plaintiff is unable to engage in self-employment or gainful occupation for wages, and is entitled to compensation benefits provided the defendant insurance carrier affords him appropriate training, education and rehabilitation for suitable gainful employment. The question of gainful employment must be considered in the light of each individual complainant.

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Bluebook (online)
505 So. 2d 199, 1987 La. App. LEXIS 9289, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anderson-v-aetna-cas-sur-co-lactapp-1987.