Bigge v. the Lemoine Co.

896 So. 2d 269, 4 La.App. 3 Cir. 1191, 2005 La. App. LEXIS 506, 2005 WL 474876
CourtLouisiana Court of Appeal
DecidedMarch 2, 2005
Docket04-1191
StatusPublished
Cited by12 cases

This text of 896 So. 2d 269 (Bigge v. the Lemoine 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
Bigge v. the Lemoine Co., 896 So. 2d 269, 4 La.App. 3 Cir. 1191, 2005 La. App. LEXIS 506, 2005 WL 474876 (La. Ct. App. 2005).

Opinion

896 So.2d 269 (2005)

Kim BIGGE
v.
THE LEMOINE COMPANY.

No. 04-1191.

Court of Appeal of Louisiana, Third Circuit.

March 2, 2005.

*270 Craig A. Davis, Lafayette, LA, for Plaintiff/Appellee Kim Bigge.

Debra Talbot Parker, Johnson, Stiltner & Rahman, Baton Rouge, LA, for Defendant/Appellant The Lemoine Company.

Court composed of MICHAEL G. SULLIVAN, GLENN B. GREMILLION, and J. DAVID PAINTER, Judges.

GREMILLION, Judge.

The defendant, The Lemoine Company (TLC), appeals the judgment of the workers' compensation judge finding that the plaintiff, Kim Bigge, suffered a work-related accident and that he was entitled to see a physician of his own choice. For the following reasons, we affirm.

FACTS

Bigge, a drywall mechanic, allegedly suffered an injury to his lower back on August 8, 2002, while moving boxes of documents from TLC's former office to its new office. The boxes, which were located in the second floor of a warehouse, were slid down to the first floor via doors nailed onto the stairs. Bigge, who was located at *271 the bottom of the stairs, stopped the boxes as they reached the bottom and then handed them to another employee to be stacked onto a trailer. When stopping an especially heavy box, he claimed that he felt a pain in his back as the box hit his hands, causing him to immediately fall to the floor. He was taken to a doctor and given an injection for his back. He returned to the doctor two other times seeking treatment for back pain. Bigge returned to work on August 23, 2002, but was only able to work a few hours because of discomfort in his back. As he was unable to perform his job duties, he was terminated from his employment later that morning. Thereafter, he obtained counsel and requested that he be allowed to see a physician of his choice. This request was denied by the Louisiana Workers' Compensation Company (LWCC), TLC's workers' compensation insurance carrier, as it had already determined his claim was noncompensable.

Thereafter, Bigge filed a disputed claim for compensation seeking indemnity and medical benefits, the right to see a physician of his choice, and penalties and attorney's fees. TLC denied his claim alleging that he had forfeited his right to workers' compensation benefits via his violations of La.R.S. 23:1208 and 1208.1. After a trial on the merits, the workers' compensation judge held that Bigge had sustained a work-related accident, was entitled to see a physician of his choice, was entitled to indemnity benefits from October 2002, when he returned to work, and awarded him penalties of $4000 and attorney's fees of $6000. Upon the denial of its motion for new trial, TLC suspensively appealed from this judgment.

ISSUES

On appeal, TLC raises six assignments of error. It argues that the workers' compensation judge erred in finding that Bigge satisfied his burden of proving that he suffered a work-related injury and in failing to address its claims that he violated La.R.S. 23:1208 and 23:1208.1. It further argues that the workers' compensation judge erred in finding that Bigge was entitled to see a physician of his choice, in awarding him indemnity benefits, and in assessing it with penalties and attorney's fees.

WORK-RELATED ACCIDENT

MISREPRESENTATIONS

In its first two assignments of error, TLC argues that the workers' compensation judge erred in finding that Bigge suffered a work-related accident and in failing to address its allegations that he violated La.R.S. 23:1208 and 1208.1.

In order to recover workers' compensation benefits, an injured employee must prove by a preponderance of the evidence that he suffered a "personal injury by accident arising out of and in the course of his employment." La.R.S. 23:1031(A). An "accident" is defined as an "unexpected or unforseen actual, identifiable, precipitous event happening suddenly or violently, with or without human fault, and directly producing at the time objective findings of an injury which is more than simply a gradual deterioration or progressive degeneration." La.R.S. 23:1021(1).

The Louisiana Supreme Court, in Bruno v. Harbert International Inc., 593 So.2d 357, 361 (La.1992), expounded on what proof will satisfy an employee's burden in proving a work-related injury:

A worker's testimony alone may be sufficient to discharge this burden of proof, provided two elements are satisfied: (1) no other evidence discredits or casts serious doubt upon the worker's version of the incident; and (2) the worker's testimony is corroborated by the circumstances *272 following the alleged incident. West v. Bayou Vista Manor, Inc., 371 So.2d 1146 (La.1979); Malone and Johnson, 13 Louisiana Civil Law Treatise, Workers' Compensation, § 253 (2d Ed.1980). Corroboration of the worker's testimony may be provided by the testimony of fellow workers, spouses or friends. Malone & Johnson, supra; Nelson v. [Roadway Express, Inc., 588 So.2d 350 (La.1991)]. Corroboration may also be provided by medical evidence. West, supra.
In determining whether the worker has discharged his or her burden of proof, the trial court should accept as true a witness's uncontradicted testimony, although the witness is a party, absent "circumstances casting suspicion on the reliability of this testimony." West, 371 So.2d at 1147; Holiday v. Borden Chemical, 508 So.2d 1381, 1383 (La.1987). The trial court's determinations as to whether the worker's testimony is credible and whether the worker has discharged his or her burden of proof are factual determinations not to be disturbed on review unless clearly wrong or absent a showing of manifest error. Gonzales v. Babco Farm, Inc., 535 So.2d 822, 824 (La.App. 2d Cir.), writ denied, 536 So.2d 1200 (La.1988) (collecting cases).

As stated in Rosell v. ESCO, 549 So.2d 840, 844-45 (La.1989) (citations omitted):

When findings are based on determinations regarding the credibility of witnesses, the manifest error — clearly wrong standard demands great deference to the trier of fact's findings; for only the factfinder can be aware of the variations in demeanor and tone of voice that bear so heavily on the listener's understanding and belief in what is said. Where documents or objective evidence so contradict the witness's story, or the story itself is so internally inconsistent or implausible on its face, that a reasonable fact finder would not credit the witness's story, the court of appeal may well find manifest error or clear wrongness even in a finding purportedly based upon a credibility determination. But where such factors are not present, and a factfinder's finding is based on its decision to credit the testimony of one of two or more witnesses, that finding can virtually never be manifestly erroneous or clearly wrong.

Louisiana Revised Statute 23:1208(A) provides, "It shall be unlawful for any person, for the purpose of obtaining or defeating any benefit or payment under the provisions of this Chapter, either for himself or for any other person, to willfully make a false statement or representation." Thus, in order for an employer to prove forfeiture pursuant to La.R.S. 23:1208, it must prove that a false representation was willfully made by the employee for the purpose of obtaining compensation benefits. Resweber v. Haroil Constr. Co., 94-2708, 94-3138 (La.9/5/95), 660 So.2d 7. An inadvertent or inconsequential false statement will not result in the forfeiture of benefits. Jim Walter Homes, Inc. v. Prine, 01-116 (La.App. 1 Cir.

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896 So. 2d 269, 4 La.App. 3 Cir. 1191, 2005 La. App. LEXIS 506, 2005 WL 474876, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bigge-v-the-lemoine-co-lactapp-2005.