Donald Blaine Stelly v. Cna Insurance Co.

Louisiana Court of Appeal·Decided October 21, 2015·No. WCA-0015-0379·Unknown

Opinion

STATE OF LOUISIANA

COURT OF APPEAL, THIRD CIRCUIT 15-379

DONALD BLAINE STELLY VERSUS

CNA INSURANCE COMPANY AND FRESENIUS MEDICAL CARE

************

APPEAL FROM THE

OFFICE OF WORKERS’ COMPENSATION, DISTRICT 4 PARISH OF ST. LANDRY, NO. 14-01819 ANTHONY PALERMO, WORKERS’ COMPENSATION JUDGE

************

JAMES T. GENOVESE

JUDGE

************

Court composed of Sylvia R. Cooks, James T. Genovese, and John E. Conery, Judges.

Cooks, J., concurs and assigns written reasons.

AFFIRMED IN PART;

REVERSED IN PART;

AND RENDERED.

Howard C. Dejean Law Office of Howard C. Dejean, APLC 111 North Court Street Opelousas, Louisiana 70570 (337) 942-1149 COUNSEL FOR PLAINTIFF/APPELLANT Donald Blaine Stelly

Roger A. Javier Eric K. Buerger The Javier Law Firm, LLC 2010 Energy Centre 1100 Poydras Street New Orleans, Louisiana 70163 (504) 599-8570 COUNSEL FOR DEFENDANTS/APPELLEES:

Fresenius Medical Care NA and CNA Insurance Company

GENOVESE, Judge.

In this workers’ compensation case, Claimant, Donald Blaine Stelly, appeals a judgment of the Office of Workers’ Compensation (OWC) in favor of his employer, Fresenius Medical Care NA,1 and its insurer, CNA Insurance Company (collectively Fresenius), denying his Motion for Summary Judgment,2 finding him to be temporarily and totally disabled, and ordering that he submit to vocational rehabilitation. For the reasons that follow, we affirm in part, reverse in part, and render.

FACTS AND PROCEDURAL HISTORY Mr. Stelly was injured in a work-related accident on September 10, 2005, when he fell from a ladder. Consequently, Fresenius paid Mr. Stelly’s related medical expenses and also paid him workers’ compensation indemnity benefits. In connection with his injury, Mr. Stelly underwent vocational rehabilitation.

However, on March 19, 2014, Mr. Stelly filed a Disputed Claim for Compensation (1008), claiming that there existed a bona-fide dispute as to whether

1 This entity is sometimes identified in the record as Fresenius Medical Care, Fresenius Medical Care NA, and Fresenius Medical Care Holdings, Inc.

2 Relative to an appeal from the denial of a motion for summary judgment, this court stated in Mackmer v. Estate of Angelle, 14-665, p. 1 n.2 (La.App. 3 Cir. 12/10/14), 155 So.3d 125, 126, writ denied, 15-69 (La. 4/2/15), -- So.3d --:

Generally, pursuant to La.Code Civ.P. art. 968, the denial of a motion for summary judgment is an interlocutory judgment from which an appeal may not be taken. However, when there is also an appeal from a final judgment, such as a trial court’s grant of summary judgment, an appellate court may also review the interlocutory ruling. See In re Succession of Carlton, 11-288 (La.App. 3 Cir.

10/5/11), 77 So.3d 989, writ denied, 11-2840 (La. 3/2/12), 84 So.3d 532.

See also Starkey v. Livingston Parish Council, 12-1787 (La.App. 1 Cir. 8/6/13), 122 So.3d 570 (finding it appropriate for the appellate court to review an OWC ruling denying the employee’s motion for summary judgment when also reviewing an OWC judgment on the merits).

his current disability status was temporary total or permanent total. Also in dispute was Fresenius’ entitlement to have an additional functional capacity evaluation (FCE) performed. Mr. Stelly sought permanent and total disability status along with penalties and attorney fees. Concomitant with the 1008, Mr. Stelly filed a Motion for Determination of Permanent, Total Disability, Disallowance of Demand for Functional Capacity Examination and Opposition to Motion to Suspend Benefits.

Additionally, on May 12, 2014, Mr. Stelly filed a Motion for Summary Judgment, contending “that there is no dispute as to any material fact, since his treating physician, Dr. George R. Williams[,] and defendant’s physician, Dr. Thad Broussard[,] have both declared that plaintiff, DONALD BLAINE STELLY, is permanently and totally disabled[] and that he is entitled to judgment as a matter of law.”3 The hearing on that motion was deferred to trial on the merits.

In response, Fresenius filed an answer generally denying the allegations contained in Mr. Stelly’s 1008. It also filed a motion for the suspension of benefits and a motion to compel an FCE. Additionally, Fresenius argued that Mr. Stelly’s Motion for Summary Judgment was premature since Mr. Stelly failed to attend the FCE and that material facts remained in dispute since the physicians disagreed on whether Mr. Stelly was permanently and totally disabled.

Considering the motions filed, on July 1, 2014, the workers’ compensation judge (WCJ) ordered that an independent medical examination (IME) be performed by Dr. Clark Gunderson, an orthopedic surgeon. Dr. Gunderson’s

3 Dr. Williams and Dr. Broussard are both orthopedic surgeons.

opinion was sought on the issues of Mr. Stelly’s disability status and the need for the additional FCE.4 The IME was performed on August 7, 2014.

Fresenius, thereafter, scheduled an FCE for September 26, 2014. Mr. Stelly sought to quash the FCE, arguing that Fresenius was not entitled to an additional FCE, having already had one performed by a medical professional of its choosing. After the issue was submitted on briefs, the WCJ signed a judgment on September 24, 2014, denying Fresenius’ motion to compel an additional FCE.

Mr. Stelly subsequently re-urged his motion for summary judgment and attached two additional items in support thereof, a 2009 FCE report by the Fontana Center and the reports of Genex Services, the rehabilitation counseling service. This motion was also deferred to the trial on the merits.

Following a trial on the merits, the WCJ: (1) denied Mr. Stelly’s Motion for Summary Judgment; (2) found Mr. Stelly to be temporarily and totally disabled; and, (3) ordered that Mr. Stelly submit to vocational rehabilitation. From said judgment, Mr. Stelly appeals.

ASSIGNMENTS OF ERROR

Mr. Stelly presents the following assignments of error for our review on appeal:

ASSIGNMENT OF ERROR #1

The [t]rial [c]ourt erred in failing to grant the Motion for Summary Judgment, as the evidence uncontrovertedly establishes that [Mr. Stelly] is physically disabled and has undergone a failed attempt at rehabilitation[.]

ASSIGNMENT OF ERROR #2 The [t]rial [c]ourt erred in failing to recognize that [Mr. Stelly]

has already undergone a failed attempt at rehabilitation and in

4 Mr. Stelly had undergone an FCE at The Fontana Center in 2009.

applying a standard of “some physical activities” to the determination of disability, rather than “to engage in any self-employment or occupation for wages of any kind” under [La.R.S.] 23:1221(2).

ASSIGNMENT OF ERROR #3 The [t]rial [c]ourt erred in finding [Mr. Stelly] temporarily totally disabled rather than permanently totally disabled under [La.R.S.] 23:1221(2), as the evidence clearly shows that [he] is permanently unable [“]to engage in any self-employment or occupation for wages of any kind.[”]

LAW AND DISCUSSION

In his first assignment of error, Mr. Stelly contends that the WCJ erred in denying his motion for summary judgment. We disagree.

In Hitchcock v. Heritage Manor Nursing Home, 05-1010, pp. 4-5, (La.App.

3 Cir. 2/1/06), 922 So.2d 764, 767, (emphasis added) this court, discussing motions for summary judgment, stated:

In considering whether a genuine issue exists, courts cannot consider the merits, make credibility determinations, evaluate testimony or weigh evidence.

Pritchard v. American Freightways Corp., 37,962, pp. 3-4 (La.App. 2 Cir. 12/10/03), 862 So.2d 476, 478 (emphasis added) (citations omitted). If in evaluating the evidence, the court considered the merits, made credibility determinations, evaluated testimony, or weighed evidence, summary judgment must be reversed.

Strickland v. Doyle, 05-11, p. 4 (La.App. 3 Cir. 4/6/05), 899 So.2d 849, 852, writ denied, 05-1001 (La. 6/3/05), 903 So.2d 466.

Free access — add to your briefcase to read the full text and ask questions with AI

Donald Blaine Stelly v. Cna Insurance Co., (La. Ct. App. 2015).

Donald Blaine Stelly v. Cna Insurance Co. (Donald Blaine Stelly v. Cna Insurance Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Batiste v. Tenet Healthcare Corp.
35 So. 3d 352 (Louisiana Court of Appeal, 2010)
Smith v. Dresser Industries
6 So. 3d 961 (Louisiana Court of Appeal, 2009)
Comeaux v. City of Crowley
793 So. 2d 1215 (Supreme Court of Louisiana, 2001)
Hitchcock v. Heritage Manor Nursing Home
922 So. 2d 764 (Louisiana Court of Appeal, 2006)
Strickland v. Doyle
899 So. 2d 849 (Louisiana Court of Appeal, 2005)
Severio v. JE Merit Constructors, Inc.
845 So. 2d 465 (Louisiana Court of Appeal, 2003)
Pritchard v. AMERICAN FREIGHTWAYS CORP.
862 So. 2d 476 (Louisiana Court of Appeal, 2003)
Starkey v. Livingston Parish Council
122 So. 3d 570 (Louisiana Court of Appeal, 2013)
Colwell v. Summit Retirement Center
128 So. 3d 1029 (Louisiana Court of Appeal, 2013)
Mackmer v. Estate of Angelle
155 So. 3d 125 (Louisiana Court of Appeal, 2014)
Succession of Carlton
77 So. 3d 989 (Louisiana Court of Appeal, 2011)
Stenson v. Pat's of Henderson Seafood
84 So. 3d 661 (Louisiana Court of Appeal, 2012)
Root Glass Co. v. Gagliano
124 So. 844 (Louisiana Court of Appeal, 1929)
Smith v. Season's Manufacturing
815 So. 2d 899 (Louisiana Court of Appeal, 2002)