Frederick v. Port Aggregates, Inc.

968 So. 2d 1169, 7 La.App. 3 Cir. 552, 2007 La. App. LEXIS 2016, 2007 WL 3171131
CourtLouisiana Court of Appeal
DecidedOctober 31, 2007
Docket07-552
StatusPublished
Cited by5 cases

This text of 968 So. 2d 1169 (Frederick v. Port Aggregates, 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
Frederick v. Port Aggregates, Inc., 968 So. 2d 1169, 7 La.App. 3 Cir. 552, 2007 La. App. LEXIS 2016, 2007 WL 3171131 (La. Ct. App. 2007).

Opinion

968 So.2d 1169 (2007)

Chester J. FREDERICK
v.
PORT AGGREGATES, INC.

No. 07-552.

Court of Appeal of Louisiana, Third Circuit.

October 31, 2007.

*1170 Robert T. Jacques, Jr., Lake Charles, LA, for Plaintiff/Appellee, Chester J. Frederick.

Shaun S. Gill, Yul D. Lorio, Blaine A. Doucet, Doucet Lorio, L.L.C., Lake Charles, LA, for Defendant/Appellant, Port Aggregates, Inc.

Court composed of MARC T. AMY, MICHAEL G. SULLIVAN, and JAMES T. GENOVESE, Judges.

MARC T. AMY, Judge.

The claimant received indemnity and medical benefits for a work-related accident and injury. His medical benefits were subsequently terminated when his employer discovered that he was selling watermelons. Filing a disputed claim form, the claimant sought medical benefits, penalties, and attorney fees. Following a hearing, the workers' compensation judge found in the claimant's favor. The employer appeals. For the following reasons, we affirm. Additional attorney fees are awarded for work performed on appeal.

Factual and Procedural Background

The claimant, Chester J. Frederick (Frederick), began working for the defendant, Port Aggregates, Inc. (PAI), in November 2003 as a cement truck driver. According to Frederick, on October 12, *1171 2004, he was "[t]rying to get the cement chute off the back of the truck . . . I went to twist it, get it off when I pulled something in my left arm. . . ." Frederick testified that when he returned to the work premises, he reported the accident to Howard Manuel (Manuel), who advised him to come back if his pain worsened. His pain persisted; therefore, on the following day, Frederick requested that Warner Hanks (Hanks), plant supervisor, be notified of his accident.

Frederick testified that:

They took me to Business Health Partners the following week, and they put me on light duty, told me no straining, pushing, and pulling with that arm. They kept me on light duty one day, then Hanks — Warner Hanks called and told Manuel to put me back on the truck and he said that he needed everybody on the truck; and if I got to hurting too bad, he would pull me off the truck.

Frederick testified that he drove the truck for a brief period of time before he made the decision to stop. Frederick returned to Business Health Partners and the treating physician referred him to Dr. Alan Hinton, an orthopedic surgeon. He testified that Dr. Hinton administered a cortisone shot in his arm, which did not alleviate his pain. Dr. Hinton put him on light duty and referred him to Dr. James Perry, an orthopedic surgeon, for neck and back pain that, according to Frederick, began "when they put me back on the truck and . . . they wasn't supposed to do that." Frederick stated that Dr. Perry gave him a cortisone shot in his neck to no avail.

Frederick stated that Dr. Perry placed him on light duty, which he worked for a couple of days. However, Frederick alleged that Hanks told him that "he didn't fing need me, to go home. . . . If you can't get on the truck, I don't f'ing [need] you." Frederick maintained that Hanks "made me stop coming to work. He sent me home, told me not to come back." Frederick complied and subsequently began receiving workers' compensation benefits.

Frederick filed a disputed claim for compensation form on December 2, 2004, in which he alleged that wage benefits had not been paid, medical treatment had not been authorized, he had not been allowed to select his choice of physician, and vocational rehabilitation had not been provided. He sought penalties and attorney fees, costs, and interest on all amounts.

Although his requests to see Dr. Clark Gunderson, his choice of orthopedic surgeon, were initially denied, the record indicates that Frederick visited with Dr. Gunderson on March 9, 2005. On March 24, 2005, Dr. Gunderson requested that Frederick undergo a cervical discogram at the C3-4 and C4-5 levels. Because two ruptured discs were discovered in Frederick's neck, Dr. Gunderson recommended surgery. Dr. Perry concurred.

Frederick testified that in October 2005, he was presented with several "Employee's Monthly Report of Earnings" forms that he was told to complete. A review of the forms shows that Frederick was asked if he was "self-employed or involved in any business enterprise." He was also asked if he received wages. Frederick testified that although he had sold watermelons during June and July 2005, he did not disclose this information on the forms. He maintained that he did not understand the questions and that he simply complied with his attorney's instructions to sign the forms.

Frederick stated that he sold watermelons out of his truck on the side of the road, not for profit but, "to get out of the house, give me something to do because I was getting bored there being in the house all the time, cooped up. I was fixing to lose *1172 it. I couldn't do anything." He testified that he sold watermelons a couple of days a week, usually for three or four hours per day. Frederick claimed that he did not sell many melons and that in fact, he came "out in the hole." He acknowledged that he was receiving workers' compensation benefits at that time.

According to Frederick, PAI terminated his medical benefits when it learned of this activity; however, it continued to pay his indemnity benefits. He explained that "I didn't think I was doing anything wrong. . . . Dr. Perry and Dr. Hinton said that I could be on light duty, so I figured doing that shouldn't affect the money. Sitting there collecting money wasn't nothing." He emphasized that when he purchased the melons, they were loaded into his truck for him. Furthermore, when his customers "came to buy them, I told them, `if you want the melon, you will have to pick it up because I can't do it. I have tried and I couldn't do it. It make me hurt too bad.'"

Frederick subsequently filed a supplemental disputed claim form in which he alleged, among other things, that medical treatment had not been authorized. He sought penalties, attorney fees, and interest. Thereafter, PAI filed a motion for summary judgment alleging that Frederick "admittedly made false statements and representations while receiving workers' compensation benefits." Specifically, PAI contended that Frederick made false statements/misrepresentations about his work ability and condition, his employment status, and wages received. Thus, PAI argued that Frederick violated La.R.S. 23:1208, thereby forfeiting his right to receive benefits. After a hearing, PAI's motion for summary judgment was denied.

On October 30, 2006, a hearing was held in which the workers' compensation judge found that Frederick did not commit fraud in violation of La.R.S. 23:1208. PAI was ordered to pay a $2,000.00 penalty "for failure to reasonably controvert Chester J. Frederick's entitlement to authorization of regular continued medical treatment" and a $2,000.00 penalty for "failure to reasonably controvert Chester J. Frederick[']s entitlement to surgery, the necessity of which, was verified by Port Aggregates, Inc.'s physician, Dr. James Perry, M.D." The workers' compensation judge additionally held that Frederick was entitled to surgery. Frederick was awarded $7,000.00 in attorney fees plus legal interest.

It is from this ruling that PAI appeals, designating the following as error:

A. The Trial Court was clearly wrong and committed a manifest error in establishing that the Claimant did not willfully defraud the workers compensation system.
B.

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Bluebook (online)
968 So. 2d 1169, 7 La.App. 3 Cir. 552, 2007 La. App. LEXIS 2016, 2007 WL 3171131, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frederick-v-port-aggregates-inc-lactapp-2007.