Brunson v. State

510 So. 2d 1349, 1987 La. App. LEXIS 9890
CourtLouisiana Court of Appeal
DecidedJune 26, 1987
DocketNo. 86-758
StatusPublished

This text of 510 So. 2d 1349 (Brunson v. State) 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
Brunson v. State, 510 So. 2d 1349, 1987 La. App. LEXIS 9890 (La. Ct. App. 1987).

Opinion

YELVERTON, Judge.

This is a worker’s compensation case governed by the law prior to the 1983 amendments. The defendant, the State of Louisiana, through the Department of Transportation and Development, complains of two rulings. First, DOTD argues that the trial court erred in failing to grant its exception of prematurity. Second, it appeals from the trial court’s judgment in favor of the plaintiff finding that the plaintiff is working in substantial pain entitling him to compensation benefits and that the defendant was arbitrary and capricious in failing to pay those benefits entitling plaintiff to penalties and attorney’s fees. We reverse the award of penalties and attorney’s fees. In all other respects the judgment is affirmed.

EXCEPTION OF PREMATURITY

We quote the trial court’s ruling on this except which describes the pleadings, the defendant’s arguments, and the basis for the court’s ruling:

“Plaintiff alleged in his pleading that he is totally and permanently disabled. However, plaintiff admitted at the hearing of this exception that he has returned to work for lesser pay and in substantial pain. Mr. Brunson also admits that he is receiving supplemental benefits from defendant. In these proceedings, Mr. Brunson seeks a higher rate of compensation than what he is receiving based on his alleged total and permanent disability.
“Defendant contends that Mr. Brun-son’s claim for additional compensation benefits is premature under Section 23:1314.
“L.S.A.-R.S. 23:1314 (prior to the 1983 amendments) stated in relevant part, ‘Unless in the verified petition above referred to it is alleged (where the petition is filed by the employee or his dependents) that the employee or the dependents is not being or has not been paid, [1351]*1351and that the employer has refused to pay, the maximum per cent of wages to which petitioner is entitled under the provisions of this Chapter, ... the presentation or filing of such petition shall he premature and shall be dismissed; when such allegations are contained in such petition and are denied by the employer at the time fixed thereunder by the court, if it be shown that such allegations are without reasonable cause or foundation in fact, such petition shall be dismissed; ... ’
“Plaintiff has alleged in his petition that he is totally and permanently disabled, that he is entitled to the corresponding compensation benefits, and that he is not being paid these benefits. Plaintiffs petition unquestionably meets the requirements of Section 23:1314. At the hearing, defendant did show that plaintiff is being paid supplemental benefits. Evidently, defendant’s premise for its exception is that plaintiffs return to work only entitles him to supplemental benefits (which he is being paid). However, under the worker’s compensation laws then in effect, a claimant who returns to work may still be entitled to total and permanent disability benefits under certain circumstances. Obviously, this section does not require that the Court determine at the hearing of the exception what benefits a claimant is entitled to. Rather, his section requires that a plaintiff plead certain facts and that these pleadings have some foundation. As plaintiff has alleged the circumstances entitling him to total and permanent disability benefits (as well as the non-payment of these benefits) and defendant has failed to prove that these allegations are without reasonable cause or foundation, this Court can only conclude that plaintiff’s petition is not premature under Section 23:1314.
“For the above reasons, this Court holds that defendant’s exception of prematurity is without merit.”

The exception of prematurity was properly overruled.

DISABILITY

The law then applicable to the trial court’s finding of total disability was well stated in Lamette v. Morrison Assurance Co., 461 So.2d 351 (La.App. 2nd Cir.1984) as follows:

“An employee is considered to be disabled if he is unable to engage in any self-employment or gainful occupation for wages without experiencing substantial pain. LSA-R.S. 23:1221(1) and (2). An employee is not required to work in substantial pain. Tyler v. American Mutual Liability Insurance Co., 212 So.2d 437 (La.App. 2d Cir.1968); Durham v. G & H Drug Company, 216 So.2d 878 (La.App. 2d Cir.1968).
“Whether an injured employee’s pain is substantial enough to render him unable to work is a question of fact. Hebert v. Your Food Processing & Warehouse, Inc., 248 La. 197, 177 So.2d 286 (1965); Lucas v. Ins. Co. of North America, 342 So.2d 591 (La.1977). The trier of fact’s determination on the pain issue should not be disturbed on appeal if there is reasonable evidence before the trier which, upon its reasonable evaluation of credibility, furnishes a reasonable factual basis for the determination, unless such finding is clearly wrong. Crump v. Hartford Acc. & Indem. Co., 367 So.2d 300 (La.1979); Kraemer v. Louisiana Power & Light Co., 393 So.2d 346 (La.App. 1st Cir.1980); Ellis v. Rapides Parish School Bd., 419 So.2d 990 (La.App. 3d Cir.1982). Whether the pain is substantial enough to be disabling is ordinarily not a medical question but is an issue to be determined by the trier of fact on the totality of the evidence, both medical and lay. Tantillo v. Liberty Mutual Insurance Company, 315 So.2d 743 (La.1975); Lucas v. Ins. Co. of North America, supra; Bordelon v. Ranger Ins. Co., 413 So.2d 962 (La.App. 3d Cir.1982).”

In the present case the trial judge elaborately set out the facts and delivered extensive written reasons finding the plaintiff to [1352]*1352be totally and permanently disabled due to substantial pain. We quote from those reasons:

“Many facts concerning this case were either stipulated to or undisputed. Among these facts were that prior to his accident, Mr. Brunson was employed by the defendant as a mechanic grade three. On the date of the accident, August 24, 1982, he was lifting a truck transmission when he felt a severe pain in his back. Mr. Brunson was found to have injured his back which was superimposed upon a spondylolisthesis (a slippage of one bone on top of another) at the L5-S1 level. Plaintiff was operated on several months later for decompression of the nerve roots at that level and a spinal fusion was performed. Following this surgery, Mr. Brunson was seen by Dr. Douglas Gamburg on a fairly regular basis.
“Mr. Brunson received total and permanent benefits of $183.00 per month from the date of the accident until October 1, 1984, at which time he returned to work as an operator grade one. Plaintiff has worked continuously since that time earning $1293.00 per month as opposed to the $1652 per month salary which he received prior to the accident. Therefore, defendant is presently paying supplemental earnings benefits to plaintiff, as it has done since Mr. Brunson’s return to work. All of plaintiffs medical care has been provided or paid for by defendant.
“The main issue in this case is whether Mr. Brunson is presently working in substantial pain, as understood under the 1975 Worker’s Compensation Act, which, if found, would entitled him to total and permanent disability benefits.
“Mr. Brunson states he has a high school education with no special training.

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Related

Lamette v. Morrison Assur. Co.
461 So. 2d 351 (Louisiana Court of Appeal, 1984)
Lucas v. Ins. Co. of North America
342 So. 2d 591 (Supreme Court of Louisiana, 1977)
Tantillo v. Liberty Mutual Ins. Co.
315 So. 2d 743 (Supreme Court of Louisiana, 1975)
Crump v. Hartford Acc. and Indem. Co.
367 So. 2d 300 (Supreme Court of Louisiana, 1979)
Bordelon v. Ranger Ins. Co.
413 So. 2d 962 (Louisiana Court of Appeal, 1982)
Kraemer v. Louisiana Power & Light Co.
393 So. 2d 346 (Louisiana Court of Appeal, 1980)
Olson v. Ins. Co. of State of Pa.
471 So. 2d 1151 (Louisiana Court of Appeal, 1985)
Hebert v. Your Food Processing & Warehouse, Inc.
177 So. 2d 286 (Supreme Court of Louisiana, 1965)
Oster v. Wetzel Printing, Inc.
390 So. 2d 1318 (Supreme Court of Louisiana, 1980)
Ellis v. Rapides Parish School Bd.
419 So. 2d 990 (Louisiana Court of Appeal, 1982)
Tyler v. American Mutual Liability Insurance Co.
212 So. 2d 437 (Louisiana Court of Appeal, 1968)
Durham v. G & H Drug Co.
216 So. 2d 878 (Louisiana Court of Appeal, 1968)
Duplechain v. Offshore Shipyard, Inc.
481 So. 2d 176 (Louisiana Court of Appeal, 1985)

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Bluebook (online)
510 So. 2d 1349, 1987 La. App. LEXIS 9890, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brunson-v-state-lactapp-1987.