CENLA Steel Erectors v. McDonald

737 So. 2d 82, 1999 WL 107006
CourtLouisiana Court of Appeal
DecidedMarch 3, 1999
Docket98-1355
StatusPublished
Cited by4 cases

This text of 737 So. 2d 82 (CENLA Steel Erectors v. McDonald) 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
CENLA Steel Erectors v. McDonald, 737 So. 2d 82, 1999 WL 107006 (La. Ct. App. 1999).

Opinion

737 So.2d 82 (1999)

CENLA STEEL ERECTORS, Plaintiff-1st Appellant,
v.
Clayton McDONALD, Defendant-2nd Appellant.

No. 98-1355.

Court of Appeal of Louisiana, Third Circuit.

March 3, 1999.
Writ Denied May 14, 1999.

*83 Madeline Lee, Alexandria, for CENLA Steel Erectors.

Joseph Texada Dalrymple, Alexandria, for Clayton T. McDonald.

BEFORE: DOUCET, C.J., THIBODEAUX, and WOODARD, Judges.

THIBODEAUX, Judge.

Clayton Travis McDonald, an injured steel worker, appeals from a judgment ordering his forfeiture of benefits for mis-representations to a field investigator regarding prior back pain, shoulder injury and surgeries, and workers' compensation benefits, pursuant to La.R.S. 23:1208. CENLA Steel Erectors appeals from the hearing officer's assessment of a $5,000.00 penalty for its violation of La.R.S. 23:1208. CENLA also appeals from a finding that McDonald did not violate La.R.S. 23:1208.1 through misrepresentations made on a medical questionnaire. For the following reasons, we affirm the employee's forfeiture of benefits under La.R.S. 23:1208, and we affirm the judgment refusing a forfeiture under La.R.S. 23:1208.1, although for reasons other than those of the workers' compensation judge. We also affirm the authority of the workers' *84 compensation judge to bring a claim against the employer and to assess civil penalties on her own notice under La.R.S. 23:1208(D), but we reverse her finding against CENLA for employer violation of La.R.S. 23:1208. Finally, we reverse the penalty of $5,000.00 against CENLA.

I.

ISSUES

We must decide:

1) whether the employer was properly granted relief under La.R.S. 23:1208 for benefits past, present, and future;
2) whether the employer should have also been granted relief under La. R.S. 23:1208.1;
3) whether the employer made misrepresentations regarding his knowledge of the claimant's prior shoulder injury;
4) whether the workers' compensation judge could properly assert a 1208 claim against the employer on its own notice without such assertions by either party; and,
5) whether the workers' compensation judge properly admitted job applications as rebuttal testimony when nothing was raised at trial by either party which was rebuttable by these job applications.

II.

FACTS

McDonald, a steel worker, sustained a back injury in December shortly after his employment with CENLA Steel Erectors (CENLA) in October 1996. He had previously sustained a shoulder injury in November of 1994, while employed with Lexicon, Inc., apparently at a Schueck Steel facility in Kentucky. He underwent two shoulder surgeries for the prior injury and received medical and workers compensation benefits for almost two years before his ultimate lump sum settlement with Lexicon for $22,677.00.

At trial, McDonald testified that he received a 20% permanent disability rating and was limited to light to medium duty work after the 1994 shoulder injury. The medical reports of Dr. Arsham Naalbandian indicate that McDonald complained of back pain from the date of the 1994 accident until his last appointment in August of 1996 when he ceased treatment and was released. His reports indicated L5 distribution and suggested an MRI. The 1994 Employer Injury Report indicated a shoulder and a back injury.

In late October of 1996, when McDonald went to work for CENLA, he answered "no" to all questions on CENLA's employment medical questionnaire. He represented that he had never had a surgery, work injury or claim, did not have any disability, had never received workers' compensation or medical benefits, had never been given any disability rating, and that he had never had aches or pains of the back. Before applying for employment with CENLA, McDonald worked briefly for M. Matt Durand, Inc. (Durand) and for Courtney Construction Company of Alexandria, Inc. (Courtney). On his July 1996 employment medical questionnaire with Durand, McDonald answered "no" to all questions regarding prior injuries, surgeries, workers' compensation claims, and disabilities, and indicated that he had never had aches or pains of the back. On his September 1996 employment questionnaire with Courtney, McDonald left questions regarding injuries and workers' compensation benefits unanswered but answered no to back trouble and physical disability.

After the December 1996 back injury with CENLA, the workers' compensation carrier for CENLA sent a field investigator, Julie Harville, to obtain a recorded statement from McDonald. In this recorded testimony on February 4, 1997, Mc-Donald denied ever having had a prior work injury, workers' compensation claim, any disc problems, or treatment for his *85 back. In response to questions about previous employment in February 1997 and at trial in January 1998, McDonald listed six previous employers and a pipeline Local, but failed to list Schueck Steel where he was injured in 1994.

Before coming to work for CENLA, Mc-Donald frequently went to CENLA's outdoor job sites to become acquainted with a hiring partner, Wayne Murrell, and to visit two friends, Elliott and Maricle, who were recommending McDonald for a job with CENLA. Elliott and Maricle joked loudly with McDonald about drawing money while not working and assumed that Murrell heard references to the prior shoulder injury. Some testimony indicated that the shoulder injury was specifically mentioned to Murrell before he hired McDonald in late October 1996, but Murrell did not have any such recollection.

In December of 1996, a few days before the second injury, McDonald stated that he missed work and subsequently told Murrell that he had gone to pick up his workers' compensation settlement and to purchase a car. Then, on December 23, 1996, while attempting to lift a steel support column for a stairwell under construction, McDonald sustained a back injury. Subsequent medical reports indicated a herniated disc at L5-S1. Surgery was now indicated. At trial, McDonald repeatedly denied any previous back problems. Mr. Murrell, on behalf of CENLA, denied knowledge of the prior shoulder surgeries. There is no evidence or allegation that Murrell knew of the disability rating or had any information regarding the prior back problems. CENLA was denied reimbursement from the Second Injury Fund based upon its lack of knowledge of the previous work injury and disability rating.

The workers' compensation judge found that McDonald made material misrepresentations regarding his prior injuries and ordered a forfeiture of benefits under La. R.S. 23:1208. However, she found that CENLA knew of the prior shoulder injury, prejudiced its own rights regarding the Second Injury Fund, and found no violation by McDonald of La.R.S. 23:1208.1. The workers' compensation judge also found that CENLA had misrepresented its knowledge of the shoulder injury and assessed CENLA with a $5,000.00 penalty under La.R.S. 23:1208.

III.

LAW AND DISCUSSION

Standard of Review

An appellate court may not set aside a trial court's or jury's finding of fact in the absence of "manifest error" or unless it is "clearly wrong." Rosell v. ESCO, 549 So.2d 840 (La.1989). In a workers' compensation case, as in other cases, we are bound by the manifest error rule and we may not set aside the factual findings of the fact finder absent a finding by this court that they are clearly wrong or manifestly erroneous. Kampen v. Conway Southwest Exp., 95-45 (La.App. 5 Cir. 4/12/95); 655 So.2d 380; Smith v.

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Cite This Page — Counsel Stack

Bluebook (online)
737 So. 2d 82, 1999 WL 107006, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cenla-steel-erectors-v-mcdonald-lactapp-1999.