Breaux v. Travelers Ins. Co.

526 So. 2d 284, 1988 La. App. LEXIS 1163, 1988 WL 45674
CourtLouisiana Court of Appeal
DecidedMay 11, 1988
Docket87-309
StatusPublished
Cited by38 cases

This text of 526 So. 2d 284 (Breaux v. Travelers Ins. 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
Breaux v. Travelers Ins. Co., 526 So. 2d 284, 1988 La. App. LEXIS 1163, 1988 WL 45674 (La. Ct. App. 1988).

Opinion

526 So.2d 284 (1988)

James BREAUX, Plaintiff-Appellee,
v.
TRAVELERS INSURANCE COMPANY, Defendant-Appellant.

No. 87-309.

Court of Appeal of Louisiana, Third Circuit.

May 11, 1988.

*285 Sandoz, Sandoz & Schiff, Leslie J. Schiff, Opelousas, for plaintiff-appellee.

Brinkhaus, Dauzat, Peter Caviness, Opelousas, for defendant-appellant.

Before DOMENGEAUX and GUIDRY, JJ., and REGGIE,[*] J. Pro Tem.

GUIDRY, Judge.

This is a worker's compensation suit filed by plaintiff-appellee, James L. Breaux, against Travelers Insurance Company (hereinafter Travelers), the worker's compensation insurer of his employer, Schlumberger Well Services, Inc. (hereinafter Schlumberger). Plaintiff prayed that he be found totally and permanently disabled; his benefits be reinstated; and, defendant be assessed penalties and attorney's fees. Following a trial on the merits, the trial court found plaintiff temporarily and totally disabled and defendant, Travelers, arbitrary, capricious and without just cause in terminating plaintiff's benefits. Accordingly, there was judgment ordering defendant to reinstate Breaux's weekly compensation of $230.00 per week from January 19, 1986 and continuing for the duration of his disability. Further, Travelers was cast for statutory penalties of 12% on all past due amounts, as well as attorney's fees in the amount of $6,500.00.

From that judgment, Travelers timely perfected a suspensive appeal urging the following errors:

1. The trial court erred in holding that Breaux was temporarily and totally disabled.
2. The trial court erred in failing to find plaintiff entitled only to Supplemental Earnings Benefits and in refusing to recognize Travelers' right to terminate weekly compensation benefits (SEB) based upon La.R.S. 23:1221(3)(d)(iii).
3. The trial court erred in awarding statutory penalties and attorney's fees.
4. Alternatively, the trial court erred in awarding the sum of $6,500.00 in attorney's fees. *286 Plaintiff neither appealed nor answered Travelers' appeal.

FACTS

The accident, which is the basis of this suit, is not disputed. On July 23, 1983, while preparing to run a formation test on a well being drilled by Grey Wolf, Breaux fell through a hole in the catwalk on which he was working, injuring both of his knees.

Breaux had previously injured his right knee while working for Schlumberger in 1972. As a result of the 1972 accident, Breaux suffered a traumatic tear of the medial meniscus, was off work four or five weeks, underwent an arthrotomy by Dr. F. Lionel Mayer and then returned to work with a five percent permanent physical impairment of the right lower extremity. Also, in April of 1982, Breaux sustained an injury to his left knee. He was not operated on but was treated conservatively and returned to work after a few weeks. As a result of the 1982 accident, Breaux had a small tear of the medial meniscus of the left knee. However, Breaux elected not to have surgery and continued to work despite continuing problems with his left knee.

When Breaux fell through the catwalk in July 1983, he reinjured the cartilage in his left knee. This was confirmed by an an arthrogram performed on plaintiff by a radiologist on August 17, 1983. The arthrogram showed evidence of a tear of the medial meniscus involving both the anterior and posterior horns. On August 23, 1983, Dr. Mayer performed an arthroscopic examination followed by an arthrotomy, a menisectomy and removal of some chondrocytes or cartilage spurs on the knee cap. Post-operatively, Dr. Mayer observed and treated plaintiff regularly through March 1984 and periodically thereafter.

The accident of July 1983 and surgery of August 1983 left plaintiff with a 15% permanent physical impairment of his entire lower left extremity. In Dr. Mayer's opinion, Breaux would never be able to return to work for Schlumberger in his prior capacity as he was no longer able to engage in prolonged walking, standing or squatting, bending, stooping, walking on uneven ground, or carrying loads greater than 25 pounds. However, the doctor opined that plaintiff could engage in some form of light duty or sedentary employment.

For six months after the accident, Breaux received full salary, and he received half-salary thereafter until December 31, 1984. He was paid weekly compensation benefits during this time, and Schlumberger supplemented the compensation benefits to bring him up to full or half salary. On December 31, 1984, Breaux retired from Schlumberger in order to take advantage of a retirement plan with Schlumberger which paid benefits over 10 years. The option to be paid all benefits owed under the retirement plan over a ten year period was to terminate on January 1, 1985.

At trial, and for sometime prior thereto, Breaux was receiving retirement benefits of $1,287.00 per month, less tax, which had commenced on January 1, 1985, and social security disability benefits of $718.00 per month. The retirement benefits received from Schlumberger were not disability retirement benefits, but regular retirement benefits due under a plan fully funded by his employer.

Travelers had paid the plaintiff weekly compensation benefits through January 19, 1986 in the amount of $230.00 per week, for a total of 130 weeks of compensation benefits. On January 19, 1986, Travelers terminated the benefits, claiming Breaux was entitled only to Supplemental Earnings Benefits (SEB) and, since he had retired, he was entitled only to 104 weeks of SEB pursuant to La.R.S. 23:1221(3)(d)(iii). Travelers continues to pay all medical expenses. At the time of his retirement from Schlumberger, Breaux was 57 years old.

EXTENT OF THE PLAINTIFF'S DISABILITY

The principal issue on appeal concerns the extent of Breaux's disability under the Louisiana Worker's Compensation Act as amended by Act 1 of the 1st Ex. Sess. of 1983. The record makes clear that Breaux is disabled and physically unable to return *287 to the type of work he performed for Schlumberger prior to the accident of July 23, 1983. Finally, the record establishes that the disability Breaux suffered at time of trial is permanent.

The first logical question concerns whether Breaux is totally disabled, permanently or temporarily, within the meaning of La.R.S. 23:1221(1) and (2).

Breaux's treating physician, Dr. Mayer, whose opinion was relied upon by both plaintiff and defendant, did not find that plaintiff's physical condition prevents him from engaging in any self-employment or gainful occupation for wages. Rather, Dr. Mayer merely placed restrictions on the types of activities in which plaintiff could engage and the duration of time, without rest, that plaintiff could engage in some other activities. Dr. Mayer opined that Breaux could engage in sedentary work or light duty manual labor.

Thomas M. LaFosse, an expert in rehabilitation and vocational placement who testified on behalf of Travelers, stated that, based upon his review of Dr. Mayer's deposition and Breaux's experience and education, there were several types of jobs available in a "reasonable geographic region" which Breaux could perform.

In finding Breaux's disability to be temporary-total, the trial court reasoned as follows:

"... There is no showing in this record that anyone offered the plaintiff any of the employments that Mr. LaFosse talked about.... The inquiry then at that point is whether it was proven that the described employments were available to the plaintiff in the specified area.

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526 So. 2d 284, 1988 La. App. LEXIS 1163, 1988 WL 45674, Counsel Stack Legal Research, https://law.counselstack.com/opinion/breaux-v-travelers-ins-co-lactapp-1988.