Fredericks v. Associated Indem. Corp.

401 So. 2d 575, 1981 La. App. LEXIS 4225
CourtLouisiana Court of Appeal
DecidedJune 30, 1981
Docket8172
StatusPublished
Cited by8 cases

This text of 401 So. 2d 575 (Fredericks v. Associated Indem. Corp.) 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
Fredericks v. Associated Indem. Corp., 401 So. 2d 575, 1981 La. App. LEXIS 4225 (La. Ct. App. 1981).

Opinion

401 So.2d 575 (1981)

Melissa FREDERICKS, Plaintiff-Appellant,
v.
ASSOCIATED INDEMNITY CORPORATION, et al., Defendants-Appellees.

No. 8172.

Court of Appeal of Louisiana, Third Circuit.

June 30, 1981.

*576 Thomas & Dunahoe, Gerard F. Thomas, Jr., Natchitoches, for plaintiff-appellant.

Watson, Murchison, Crews, Arthur & Corkern, William P. Crews, Jr., Natchitoches, for defendants-appellees.

Before CUTRER, STOKER and BIENVENU,[*] JJ.

STOKER, Judge.

This is a worker's compensation suit. Plaintiff, Melissa Fredericks, filed suit against her employer Country Pride Foods, Ltd., and its insurer, Associated Indemnity Corporation, seeking benefits for total and permanent disability and penalties and attorney's fees pursuant to LSA-R.S. 22:658. The defendants filed an exception of prematurity, an answer, and a rule to show cause why compensation payments should not be terminated. A hearing on the exception, the rule and the merits came up at the same time. After the hearing all matters were taken under advisement. In its written reasons for judgment the trial court sustained defendant's exception of prematurity but proceeded to render judgment on the merits. Plaintiff appeals. The defendants answered the appeal urging this court to affirm the trial court judgment sustaining the exception of prematurity and to reverse the judgment on all other points.

This lawsuit presents several issues. The first issue is whether this suit was premature at the time it was filed. Assuming the suit is not premature other issues include the defendant-insurer's liability for penalties and attorney's fees pursuant to LSA-R.S. 22:658 and the nature of plaintiff's disability.

FACTS

The plaintiff injured her back on December 5, 1978, while on the job at the Country Pride Foods, Ltd. plant in Natchitoches, Louisiana. Plaintiff continued working until late December 1978. Plaintiff underwent disc surgery on January 22, 1979. At *577 the time of trial on June 11, 1980, plaintiff had not returned to work.

Defendant-insurer began compensation payments in late December 1978 and continued to make these payments until April 12, 1980. From April 12, 1980, to May 6, 1980, plaintiff did not receive compensation. Plaintiff filed suit on May 2, 1980. On May 6, 1980, plaintiff received a check to cover the three week delinquent period.

The plaintiff specifies as error:

1. The trial court's action in sustaining the defendants' exception of prematurity;

2. The trial court's action in classifying plaintiff's disability as temporary, total disability; and

3. The trial court's failure to assess penalties and attorney's fees.

When this suit came before the trial judge the three matters pending included plaintiff's suit on the merits, defendants' exception of prematurity and defendants' rule to show cause why benefits should not be terminated. The trial judge referred the exception of prematurity to the merits. Tr. 21. A ruling on the exception of prematurity should have been made prior to trial on the merits. See LSA-R.S. 23:1314.[1] Although it was error for the trial court to proceed as it did, we do not consider the error as a ground for reversal under the peculiar circumstances of this case. In our opinion the exception of prematurity should have been overruled.

I.

LSA-R.S. 23:1314 provides that an employee's compensation suit shall be dismissed upon an exception of prematurity unless the petition alleges:

1. That the employee is not being paid or has not been paid the maximum percent of wages to which he is entitled;

2. That the employee has not been furnished the proper medical attention; or

3. That the employee has not been furnished with copies of the medical reports after a written request.

Plaintiff's petition contains the following paragraphs:

"X.

"She has been paid some workmen's compensation by the defendants and some of her medical expenses have been paid by the defendants. She does not know the exact amount of compensation she has been paid, nor the exact amount of medical expenses paid by the defendant."

"XI.

"Petitioner has given due notice to her employer and the insurer of her accidental injury and has made demand upon the defendants for compensation benefits which she is entitled to be paid under the Louisiana Compensation Statute. Despite such demand and notice of her injury and disability, the defendant is not now paying her and, in fact, refuses to pay her, the maximum workmen's compensation benefits to which she is entitled *578 to be paid under the Louisiana Workmen's Compensation Statute."

The Supreme Court in Patton v. Silvey Companies, 395 So.2d 722 (La.1981) interpreted LSA-R.S. 23:1314. In discussing possible interpretations of this statute the Supreme Court said:

"One possible construction of these provisions of R.S. 23:14 is that justification `under the facts' for the claimant's allegation of nonpayment concerns whether plaintiff is or is not being paid his compensation, whether the employer has or has not refused to pay. Thus, according to this interpretive version of the statute, most favorable to plaintiff, if he is not being paid at the institution of suit, his suit is not premature.
"An alternate interpretation which we consider more reasonable and appropriate is that justification `under the facts' coupled with the outset requirement, among others, that plaintiff must allege and prove `the employer has refused to pay' requires the court to determine more than simply whether plaintiff is receiving compensation; rather, the court must determine whether the employer has unreasonably determined to terminate benefits, or has unreasonably refused to pay.
"It is by virtue of the latter interpretation that Malone espouses and Jack v. Fidelity and Casualty Co. of New York, supra, has applied the three considerations noted above, namely whether there existed a reasonableness in ceasing to make payments, promptness in resuming them, and manifestation of a desire to cooperate.
"Because in a case such as this where suit is filed shortly after termination, a defendant's resumption of payment and manifestation of willingness to cooperate is possibly prompted by the plaintiff's institution of suit, with defendant attempting to enhance its defense of prematurity, and considering that the exception of prematurity `... must be determined according to the facts and circumstances which existed at the time the suit was filed6 ...', our focus is necessarily on only the first of the three considerations mentioned above, namely, whether defendant's termination of benefits was reasonable."

"6 Jack v. Fidelity and Casualty Co. of New York, 306 So.2d 806 (La.App. 3rd Cir. 1975). See also Malone, Louisiana Civil Law Treatise, vol. 14, § 383, p. 236 (1980)."

* * * * * *

We now proceed to determine whether defendant's termination of benefits was reasonable. Upon trial of this matter an employee of the defendant-insurer testified that compensation was not paid for a three week period because of "an oversight". See Tr. 81. Benefits were terminated because the insurer's computer was not programmed to continue printing compensation checks for the plaintiff.[2]

We do not feel that a termination based on this type of "oversight" is reasonable.

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Bluebook (online)
401 So. 2d 575, 1981 La. App. LEXIS 4225, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fredericks-v-associated-indem-corp-lactapp-1981.