Freeman v. Chase

974 So. 2d 25, 2007 WL 4246038
CourtLouisiana Court of Appeal
DecidedDecember 5, 2007
Docket42,716-WCA
StatusPublished
Cited by10 cases

This text of 974 So. 2d 25 (Freeman v. Chase) 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
Freeman v. Chase, 974 So. 2d 25, 2007 WL 4246038 (La. Ct. App. 2007).

Opinion

974 So.2d 25 (2007)

Billie FREEMAN, Plaintiff-Appellee
v.
J.P. Morgan CHASE, Defendant-Appellant.

No. 42,716-WCA.

Court of Appeal of Louisiana, Second Circuit.

December 5, 2007.

*27 Ungarino & Eckert, L.L.C. by Brian D. Smith, J. Michael Nash, Shreveport, Christopher C. Broughton, for Appellant.

Law Offices of Street & Street by C. Daniel Street, Monroe, for Appellee.

Before PEATROSS, MOORE and LOLLEY, JJ.

MOORE, J.

The employer and its insurer, J.P. Morgan Chase and Liberty Mutual Insurance Company (collectively referred to as "Chase"), appeal a judgment that refused to order either a forfeiture of workers' compensation benefits for intentional misrepresentations by the claimant or a reduction of benefits for the claimant's failure to accept rehabilitation services. The claimant, Billie Freeman, responds that Chase did not properly plead these defenses and, at any rate, the Workers' Compensation Judge ("WCJ") was not plainly wrong to reject them. By answer, she seeks additional attorney fees for defending the appeal. We affirm the judgment and award additional attorney fees.

Factual and Procedural Background

Ms. Freeman was employed as a research analyst at the Chase Bank branch on Delta Drive in Monroe at an average weekly wage of $409.56. On April 25, 2002, she was moving a gondola of office files that weighed about 500 lbs. As she was pushing the gondola, her "back slipped" and she "felt a pop" in her back. She reported the accident and finished that day's work, but did not come in the next *28 day; after that, she worked intermittently but could never finish a day because of back pain. She has not worked at all since October 2002.

Ms. Freeman went to her family doctor, Dr. Floyd Jones, who referred her to a pain management doctor, Dr. Vincent Forte. She testified that Dr. Forte used medications and physical therapy; these gave her temporary relief but the lower back pain always returned. Dr. Forte referred her to an orthopedic surgeon, Dr. Brian Bulloch, who initially thought she was not a good candidate for surgery. However, he eventually performed a fusion at L4-5 and inserted four screws in her spine in October 2003. He then placed her on physical therapy. Ms. Freeman saw Dr. Bulloch for the final time in July 2004, and was certain that he has never released her to return to work.

Ms. Freeman also continued to see Dr. Forte, who apparently kept her well medicated; she admitted taking, simultaneously, Zanaflex, Ambien, Neurontin, Remeron, Seroquel, Dantrium, Cymbalta, Protonix and Synthroid; by mid-2005, she was also taking OxyContin and Duragesic, strong narcotics. She admitted that her sister checked her into the detox center at E.A. Conway, and she got off the OxyContin, but testified that the drugs she continues to take for her pain leave her dizzy and "wiped out."

Chase did not contest the work-related accident and injury; it began paying temporary total disability ("TTD") benefits of $273 a week and covered her doctor visits, surgery, therapy and pharmacy expenses.

In 2003, Chase hired Cascade Disability Management to try to return Ms. Freeman to work. Cascade's agent; Sonya Sims, took no action while Ms. Freeman was recovering from surgery, but in early 2004 asked Dr. Bulloch about her progress; he replied that Ms. Freeman would reach maximum medical improvement by the end of April 2004 and he would refer her to the FIT program. In June, Dr. Bulloch reported that Ms. Freeman had finished the FIT program but still needed additional therapy; a functional capacity evaluation taken around this time found she could perform sedentary work with restrictions on occasional lifting, pulling, climbing and other activities.

Ms. Sims then ran a labor market survey, identifying four jobs that were available within Ms. Freeman's medical restrictions, paying $6.50 to $7.00 an hour. Ms. Sims testified that she sent this information to Ms. Freeman by certified mail, return receipt requested, and that Ms. Freeman signed the receipt on September 20, 2004; Ms. Freeman did not recall receiving it, but acknowledged her signature on the receipt. Ms. Sims also sent the survey to Dr. Bulloch, who approved the jobs on October 15. Meanwhile, Ms. Sims phoned Ms. Freeman to ask why she had not followed up on any of the job leads. According to Ms. Sims, Ms. Freeman said she was still taking Lortab and Zanaflex, and could not drive; Ms. Freeman did not recall this phone call.

In January 2005, Ms. Sims identified another job within Ms. Freeman's restrictions; Dr. Bulloch approved it on February 10 and Dr. Forte deferred to Dr. Bulloch's judgment. However, Ms. Freeman still took no action. Ms. Sims testified that since that time, she had not located any more available jobs for Ms. Freeman.

On October 1, 2005, Chase reduced Ms. Freeman's benefits to $561.43 a month of supplemental earnings benefits ("SEB"). Ms. Freeman filed the instant contested claim in January 2006, seeking a reinstatement of benefits, a lump sum of past-due benefits, penalties and attorney fees.

*29 Chase filed a standard form answer, denying all allegations. Under "affirmative defense" it alleged, "The claimant has violated Section 1208 by misrepresenting the occurrence of an accident and/or the manner in which the accident occurred and/or his/her complaints regarding the alleged accident." A scheduling conference order in May 2006 listed five issues for trial, but not the defense of fraud under § 1208. However, Chase's pretrial statement, filed June 22, 2006, listed as an issue for trial, "Whether the claimant committed a violation of Section 1208 by misrepresenting the manner in which the accident occurred, the extent of her complaints or physical symptoms and/or medical history" (emphasis added).

Trial Evidence and Judgment

At trial in December 2006, Ms. Freeman objected to the § 1208 defense of fraud on grounds that Chase had not properly pled it. The WCJ overruled the objection, ruling the pretrial statement placed her on adequate notice.

Ms. Freeman described her accident and course of treatment; she maintained that even after the fusion, she is still getting progressively worse. She admitted going to detox in June 2005 and getting off Oxy-Contin, but still taking lots of drugs. She was certain that Dr. Bulloch had never released her to return to work, but Chase suddenly reduced her benefits in October 2005. She was also certain that no one from Chase or Cascade contacted her before this reduction. After the reduction, she called and was told that it happened because she turned down offered work; she testified that with all the drugs she was taking, she could not possibly work.

On cross-examination, she admitted giving a deposition in September 2006 in which she stated that all her prior back problems were "menstrual" in nature, and that she was in one auto accident in 2003 (after the instant injury). However, when confronted with a sheaf of medical records going back to the 1970s, she conceded that she had suffered a host of medical problems, including lower back pain dating back to 1987, for which she received frequent medical treatment and drugs. She also admitted a 1987 car accident. She did not deny her signature on the return receipt of the labor market survey, but explained that she was probably so drugged up she just did not remember signing it. She also admitted that for a period in the late 1990s, she was drawing SSI, and applied to work at Chase when those benefits ran out. She insisted, nonetheless, that she never intended to defraud Chase with this claim.

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Cite This Page — Counsel Stack

Bluebook (online)
974 So. 2d 25, 2007 WL 4246038, Counsel Stack Legal Research, https://law.counselstack.com/opinion/freeman-v-chase-lactapp-2007.