Belaire v. Don Shetler Olds Buick Chevrolet

847 So. 2d 723, 2002 La.App. 3 Cir. 1152, 2003 La. App. LEXIS 1654, 2003 WL 21276187
CourtLouisiana Court of Appeal
DecidedJune 4, 2003
Docket02-1152
StatusPublished
Cited by11 cases

This text of 847 So. 2d 723 (Belaire v. Don Shetler Olds Buick Chevrolet) 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
Belaire v. Don Shetler Olds Buick Chevrolet, 847 So. 2d 723, 2002 La.App. 3 Cir. 1152, 2003 La. App. LEXIS 1654, 2003 WL 21276187 (La. Ct. App. 2003).

Opinion

847 So.2d 723 (2003)

Ricky BELAIRE
v.
DON SHETLER OLDS BUICK CHEVROLET.

No. 02-1152.

Court of Appeal of Louisiana, Third Circuit.

June 4, 2003.

*726 Michael B. Miller, Crowley, LA, for Plaintiff-Appellee/Appellant, Ricky Belaire.

Christopher R. Philipp, Lafayette, LA, for Defendant-Appellant/Appellee, Don Shetler Olds Buick Chevrolet.

Court composed of JOHN D. SAUNDERS, OSWALD A. DECUIR, JIMMIE C. PETERS, GLENN B. GREMILLION, and BILLY H. EZELL, Judges.

GLENN B. GREMILLION, Judge.

Both the plaintiff, Ricky Belaire, and the defendant, Don Shetler Oldsmobile Buick Chevrolet, appeal a judgment of the workers' compensation judge denying temporary total disability benefits to Belaire, and assessing penalties and attorney fees for the late and inaccurate payment of benefits against Don Shetler. For the following reasons, we reverse in part and affirm as amended.

FACTS

Belaire began working for Don Shetler on September 15, 1997. In early July 1999, Belaire suffered a work-related injury while installing an oil filter on a vehicle. He was paid full salary from his last day of work, July 19, 1999, until July 30, 1999. Don Shetler also paid TTD during that period and until March 31, 2000. On March 17, 2000, Belaire began receiving supplemental earnings benefits; he also received a $150.00 Christmas bonus in December 1999.

After his accident, Belaire complained of neck, shoulder, and left arm pain. He was initially sent to Dr. Karrie Kilgore, a family physician, by Don Shetler. Dr. Kilgore suspected possible carpal tunnel syndrome and referred Belaire to Dr. Roland Miller, an orthopaedic surgeon. Dr. Miller saw Belaire on July 30, 1999, and ordered a cervical MRI. He again saw Belaire on August 4, 1999, and ordered an EMG be conducted by Dr. James Domingue, a neurologist. Dr. Miller saw Belaire in September and October 1999, at which time he concluded that Belaire was possibly suffering from an ulnar nerve injury. He released Belaire to light duty work and referred him to Dr. Stephen Goldware, a neurosurgeon.

Dr. Goldware saw Belaire on November 23, 1999, and ordered an MRI of the cervical and thoracic spines. On March 21, 2000, Dr. Goldware opined that Belaire did not require surgery or further work-up of his complaints and that he could return to work without restrictions. Belaire did not return for his next scheduled visit on November 16, 2000. Pursuant to an interlocutory order of the workers' compensation judge, Belaire was allowed to change his treating neurosurgeon from Dr. Goldware to Dr. Luiz de Araujo.

Dr. de Araujo saw Belaire on August 6, 2001, and referred him to Dr. John Cobb, an orthopaedic surgeon. Don Shetler declined to guarantee payment claiming that Dr. Miller was Belaire's choice of orthopaedic surgeon.

After trial on the merits, the workers' compensation judge ruled that Don Shetler's calculation of average weekly wage (AWW) correctly excluded retirement benefits, bonuses, and vacation time; Belaire failed to prove the elements necessary for TTD benefits; Don Shetler is liable for penalties and attorney fees for late and inaccurate payments; and it must guarantee payment for Belaire to see Dr. Cobb. Both parties appeal.

CALCULATION OF AVERAGE WEEKLY WAGE

Belaire contends that the workers' compensation judge erred in failing to include *727 fringe benefits in the calculation of his average weekly wage. This is a question of law, thus, we simply review the workers' compensation judge's finding to determine if it is legally correct. Scobee v. Brame, 98-564 (La.App. 3 Cir. 10/28/98), 721 So.2d 977, writ denied, 98-2952 (La.1/29/99), 736 So.2d 833.

At the outset, we note that Belaire's injury occurred just prior to the effective date of the 1999 amendment to La.R.S. 23:1021(10). Accordingly, the prior law regarding fringe benefits is applicable to this case. See McClain v. Pinecrest Dev. Ctr., 00-1622 (La.App. 3 Cir. 2/28/01), 779 So.2d 1112.

Belaire argues that the workers' compensation judge erred in failing to include his Christmas bonus, vacation time, and retirement benefits in the calculation of his AWW. With regard to his Christmas bonus and vacation time, Belaire directs our attention to Daigle v. Sherwin-Williams Co., 545 So.2d 1005 (La.1989), and Harris v. Langston Co., Inc., 94-1266 (La.App. 3 Cir. 4/5/95), 653 So.2d 789, writ denied, 95-1178 (La.6/23/95), 656 So.2d 1020.

In our recent case, Johnson v. Louisiana Container Co., 02-382, p. 12 (La.App. 3 Cir. 10/2/02), 834 So.2d 1052, 1065, we stated the general rule with regard to fringe benefits, "The value of fringe benefits, if proven, will be included in the calculation of weekly wages for the purpose of determining the compensation rate if such benefits were fairly contemplated by the parties to the contract of employment." In this instance, the parties stipulated that Belaire received one week of vacation and a Christmas bonus each year. Thus, it was contemplated by Belaire and Don Shetler that he would receive these as part of his contract of employment. Accordingly, both items should be figured into the computation of his AWW. This is true even though Belaire was paid his 1999 Christmas bonus. If Don Shetler figured his week of vacation into the computation, then it was included. However, if it did not, then Belaire's AWW should be recomputed to include his week of vacation.

With regard to his retirement benefits, the workers' compensation judge excluded them from Belaire's wage computation finding that they should be excluded because he was not yet vested in Don Shetler's retirement system. Retirement benefits are considered to be fringe benefits and are included in the AWW computation. Burns v. St. Frances Cabrini Hosp., 02-518 (La.App. 3 Cir. 10/30/02), 830 So.2d 572. Based on the judicial tenet that workers' compensation law is remedial in nature and should be construed liberally in favor of finding coverage for the injured worker, we find that the workers' compensation judge erred in failing to include Belaire's retirement benefits in the computation of his AWW. Even though Belaire had not yet vested in Don Shetler's retirement system, the parties contemplated that he would receive these benefits as part of his employment contract. Thus, they should be included in determining his AWW. Accordingly, the judgment of the workers' compensation judge is reversed and it is ordered that Belaire's AWW be recomputed to include his week of vacation, his Christmas bonus, and his retirement benefits.

FORFEITURE OF BENEFITS

Don Shetler next contends that the workers' compensation judge erred in failing to forfeit Belaire's benefits under the provisions of La.R.S. 23:1208. Specifically, it contends that Belaire's benefits should be forfeited because he failed to disclose previous injuries to his treating physicians.

*728 In Resweber v. Haroil Construction Co., 94-2708, 94-3138 (La.9/5/95), 660 So.2d 7, the supreme court noted that in order to forfeit benefits, La.R.S. 23:1208 requires that 1) there is a false statement, 2) it is willfully made, and 3) it is made for the purpose of obtaining or defeating any benefit or payment. An appellate court reviews factual determinations of the workers' compensation judge under the manifest error or clearly wrong standard. Alexander v. Pellerin Marble & Granite, 93-1698 (La.1/14/94), 630 So.2d 706.

After careful review of the record, we find no manifest error in the workers' compensation judge's determination that Belaire has not forfeited his benefits.

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847 So. 2d 723, 2002 La.App. 3 Cir. 1152, 2003 La. App. LEXIS 1654, 2003 WL 21276187, Counsel Stack Legal Research, https://law.counselstack.com/opinion/belaire-v-don-shetler-olds-buick-chevrolet-lactapp-2003.