Chesne v. Elevated Tank Applicators, Inc.

874 So. 2d 333, 4 La.App. 3 Cir. 46, 2004 La. App. LEXIS 1199, 2004 WL 1064808
CourtLouisiana Court of Appeal
DecidedMay 12, 2004
Docket04-46
StatusPublished
Cited by4 cases

This text of 874 So. 2d 333 (Chesne v. Elevated Tank Applicators, Inc.) 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
Chesne v. Elevated Tank Applicators, Inc., 874 So. 2d 333, 4 La.App. 3 Cir. 46, 2004 La. App. LEXIS 1199, 2004 WL 1064808 (La. Ct. App. 2004).

Opinion

874 So.2d 333 (2004)

Samuel CHESNE
v.
ELEVATED TANK APPLICATORS, INC.

No. 04-46.

Court of Appeal of Louisiana, Third Circuit.

May 12, 2004.

*334 Jay A. Pucheu, Marksville, LA, for Plaintiff/Appellant, Samuel Chesne.

James J. Hautot, Jr., Judice & Adley, Lafayette, LA, for Defendant/Appellee, American Home Assurance Co.

Michael L. Hyman, Hyman Law Firm, Baton Rouge, LA, for Defendant/Appellee, Elevated Tank Applicators, Inc.

Court composed of ULYSSES GENE THIBODEAUX, Chief Judge, GLENN B. GREMILLION and JOHN B. SCOFIELD[*], Judges.

GREMILLION, Judge.

The plaintiff, Samuel Chesne, appeals the judgment of the workers' compensation judge finding that a policy of workers' compensation coverage issued by the defendant, American Home Assurance Company, in favor of his employer, Elevated Tank Applicators, had expired on August 18, 2001. He further appeals the workers' compensation judge's failure to award him additional penalties based on Elevated Tank's false accusation and submission of a false accident date. We affirm in part, reverse in part, and render.

FACTS

It is undisputed that Chesne suffered a rotator cuff injury to his right shoulder *335 while in the course and scope of his employment with Elevated Tank on August 25, 2001. Although Elevated Tank initially arranged for medical care and commenced the payment of weekly indemnity benefits, both were terminated soon thereafter. On November 1, 2001, Chesne filed a disputed claim for compensation based on Elevated Tank's arbitrary, capricious, and unreasonable failure to pay him weekly indemnity benefits at the correct rate and on a timely basis.

In an amended and supplemental disputed claim, Chesne sought additional penalties and attorney's fees based on Elevated Tank's violation of La.R.S. 23:1208, through a false declaration of workers' compensation coverage, his refusal of light-duty work, and allegations of marijuana use on his part. In a further amended and supplemental disputed claim, Chesne named National Union Fire Insurance Company, through AIG Claim Service, Inc., as an additional defendant. In a final amended and supplemental disputed claim for compensation, he alleged that he was also an employee of Cross Construction, Inc., as evidenced by his employment checks.

American Home answered Chesne's claim stating that he had incorrectly named National Union as Elevated Tank's workers' compensation provider. It further denied coverage since Elevated Tank's policy had expired prior to the date of his work-related accident. It then filed a motion for summary judgment alleging the expiration of the workers' compensation policy.

Following a hearing on the merits, the workers' compensation judge took the matter under advisement and then rendered oral reasons finding no coverage on the part of American Home for Chesne's work-related accident and dismissing his claim against it with prejudice. The workers' compensation judge further held that Chesne suffered a work-related accident, determined his average weekly wage, found him entitled to temporary total disability benefits from the date of the accident, awarded him penalties as a result of Elevated Tank's miscalculation of his initial disability rate and failure to reinstate medical or disability benefits, and awarded him a penalty pursuant to La.R.S. 23:1171.2 for Elevated Tank's failure to maintain workers' compensation coverage resulting in a weekly indemnity rate of $582.[1] A judgment was rendered in this matter on October 2, 2003. Chesne appealed this judgment, as did Elevated Tank. However, Elevated Tank's appeal was abandoned for failure to pay appeal costs.

ISSUES

Chesne raises two assignments of error on appeal. First, he argues that the workers' compensation judge erred in finding that American Home was not required to send Elevated Tank notice of nonrenewal pursuant to La.R.S. 22:636.4, based on an agreement that it would not seek renewal of its workers' compensation policy. Second, he argues that the workers' compensation judge erred in not awarding him penalties based on Elevated Tank's false accusation of marijuana use and the submission of a false accident date.

*336 NOTICE OF NON-RENEWAL

In his first assignment of error, Chesne argues that the workers' compensation judge erred in finding that American Home was not required to send Elevated Tank notice of its intent not to renew its workers' compensation policy. In support, he cites La.R.S. 22:636.4(D) and an endorsement contained within Elevated Tank's workers' compensation policy, which required American Home to notify Elevated Tank of its intent not to renew no later than thirty days prior to the anticipated termination date of the policy.

After reviewing the record in its entirety, we find that neither La.R.S. 22:636.4 nor the specified endorsement applies in this instance. Louisiana Revised Statute 22:636.4 does contain a provision requiring sixty days notice if an insurer does not intend to renew an insured's commercial insurance policy. La.R.S. 22:636.4(D)(1). Such notice is not required if "the named insured has obtained replacement coverage or has agreed in writing to obtain replacement coverage." La.R.S. 22:636.4(D)(2). However, as pointed out by American Home, La.R.S. 22:636.4, as written at the commencement of the policy in question, specifically did not apply to policies of workers' compensation insurance. The statute was amended during the 2001 legislative session to include workers' compensation insurance in the types of policies subject to the requirements contained therein. Acts 2001, No. 1052, § 1. This amendment became effective August 15, 2001, three days prior to the expiration the workers' compensation policy issued by American Home.

Louisiana Civil Code Article 6 provides that, "In the absence of contrary legislative expression, substantive laws apply prospectively only. Procedural and interpretative laws apply both prospectively and retroactively, unless there is a legislative expression to the contrary." In this instance, the legislature did not specify that Acts 2001, No. 1052, § 1 should apply retroactively. However, a review of the law reveals its substantive nature in that it establishes new duties on the part of the commercial insurers to notify their workers' compensation insureds of their intent not to renew their policy. "`Substantive laws,' for purposes of determining whether a law should be applied retroactively, are those which establish new rules, rights, and duties, or change existing ones." Landry v. Avondale Indus., Inc., 03-0719, p. 6 (La.12/3/03), 864 So.2d 117, 123 (quoting Anderson v. Avondale Indus., 00-2799 (La.10/16/01), 798 So.2d 93, 97; Aucoin v. State Through Dept. of Transp. and Dev., 97-1938, 97-1967 (La.4/24/98), 712 So.2d 62, 67). Thus, the duty established in the 2001 amendment is substantive in nature and should only be applied prospectively. Accordingly, La.R.S. 22:636.4, as written today, does not apply to this factual situation.

Chesne further argues that an endorsement contained in the workers' compensation policy issued by American Home provides that it receive notice of nonrenewal at least thirty days prior to the anticipated expiration of the policy. The referenced endorsement entitled, "Texas Amendatory Endorsement," provides in Part Six-Conditions, Section D:

....

2. We may cancel this policy. We may also decline to renew it. We must give you written notice of cancelation or nonrenewal. That notice will be sent certified mail or delivered to you in person.

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Bluebook (online)
874 So. 2d 333, 4 La.App. 3 Cir. 46, 2004 La. App. LEXIS 1199, 2004 WL 1064808, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chesne-v-elevated-tank-applicators-inc-lactapp-2004.