Giddings v. Coal Operators Casualty Co.

205 So. 2d 189
CourtLouisiana Court of Appeal
DecidedNovember 28, 1967
DocketNo. 10896
StatusPublished
Cited by3 cases

This text of 205 So. 2d 189 (Giddings v. Coal Operators Casualty Co.) 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
Giddings v. Coal Operators Casualty Co., 205 So. 2d 189 (La. Ct. App. 1967).

Opinion

BARHAM, Judge.

The plaintiff, Marion Edward Giddings, sustained an inguinal hernia July 12, 1966, in lifting a heavy object while helping to build a bridge for the Red River Parish Police Jury. This is an action for workmen’s compensation benefits against his employer’s insurer. The defendant appeals from an adverse judgment awarding compensation at the maximum rate for a period of 400 weeks, medical expenses not to exceed $2,500.00, and penalties and attorney’s fees for arbitrary non-payment of compensation.

Shortly after the accident, Giddings underwent surgical repair of the hernia and was discharged from the hospital after a week’s convalescence. He was discharged from medical care by the operating physician on December 1, 1966, and upon receipt of notice of such discharge the insurer discontinued compensation benefits. The report of the accident submitted by the employer to the insurer showed that Gid-dings worked only two days a week at the rate of $6.00 per day. The insurer paid the minimum rate of $10.00 per week from the date of accident to the date of discharge. Without prior demand, and immediately after suit was filed, on December 20, 1966, defendant paid to plaintiff compensation benefits which adjusted the previous payments based upon a $10.00 per week rate so as to equal a $35.00 per week rate from the time of injury through December 1, 1966. The record is devoid of evidence that Giddings, or anyone acting in his behalf, made any demand for an increase in the rate of compensation. The suit for compensation was the first demand that compensation be predicated upon the basis of a six-day week.

It is conceded that Giddings had a com-pensable injury and that the rate of compensation for that compensable injury was $35.00 per week until December 1, 1966. Plaintiff alleged that he was unable as of December 1st, or the time of trial, to resume the manual labor which was re[191]*191quired of him in his employment. Defendant answered denying any disability and contended that they were neither arbitrary nor capricious in making the $10.00 weekly payments and in terminating compensation based upon the medical report received December 1, 1966. They further contended that plaintiff failed to give them the required sixty day notice or demand as a further bar to penalties and attorney’s fees.

Dr. J. D. Huckabay was the plaintiff’s attending physician and a general practitioner who referred plaintiff to Dr. Harry E. Fair, Jr., a surgeon, for the hernia repair. Both of these doctors and Dr. James W. Tucker, a surgeon, examined plaintiff in January of 1967, just prior to the date of trial. Each of them found tenderness of the operational scar which they attributed to either involvement or neuroma of the ilioinguinal nerve. This nerve traverses the tissues of the abdomen where the normal surgical incision is made for inguinal hernia repair. A neuroma is a small “knot” or “body” that is formed on a nerve or which is caused by scar tissue forming on the nerve.

Plaintiff testified that because of intense pain he could not perform his usual duties. All of the medical testimony confirmed tenderness and pain and. conceded that a neuroma would cause pain in the exertion of heavy physical activity. It was generally Dr. Fair’s opinion that a gradual return to physical activity should be undertaken by the defendant. Dr. Tucker believed plaintiff to suffer from the neuroma, to be in pain at the time of the examination, and that such pain would be aggravated by physical activity. The treating and attending physician did not believe that plaintiff was able to return to the heavy physical activity required in his employment. Lay witnesses substantiated plaintiff’s claim of such severe pain as to render him disabled.

The conclusion as to whether or not the plaintiff suffered a total disability at the time of trial is a factual determination. Both expert testimony and lay testimony may be relied upon by the Court in determining this question. The trial court is in the best position to make a judgment in this regard. We concur in the finding of the lower court that at the date of trial the plaintiff was disabled from returning to his employment and was entitled to compensation during the period of disability.

LSA-R.S. 22:658 provides:

“All insurers * * * shall pay the amount of any claim due any insured including any employee under Chapter 10 of Title 23 of the Revised Statutes of 1950 [workmen’s compensation] within sixty days after receipt of satisfactory proofs of loss from the insured, employee or any party in interest. Failure to make such payment within sixty days after receipt of such proofs and demand therefor, when such failure is found to be arbitrary, capricious, or without probable cause, shall subject the insurer to a penalty, * * * together with all reasonable attorney’s fees. * * * ” (Emphasis supplied)

Defendant should have known that our State’s jurisprudence requires that compensation payments be based upon a six-day work week, regardless of the number of actual days in employment. Prior to 1956 there was some question as to what composed a “work week”. The Supreme Court in Carrington v. Consolidated Underwriters, 230 La. 939, 89 So.2d 399, clarified this question and make the absolute pronouncement that a six-day work week must be employed in computing workmen’s compensation benefits. (See Malone, Louisiana Workmen’s Compensation, Section 323).

Darby v. Johnson, La.App., 118 So.2d 707 (1st Cir., 1960), treated a problem similar to that which faces us in the instant case. However, the Darby case dealt with an employer under LSA-R.S. [192]*19223:1201.2 instead of the insurer under LSA-R.S. 22:658. The employer in the Darby case had always worked on a five-day work week and an eight-hour work day and he computed, upon legal advice, a five-day work week in paying compensation at the rate of $26.00 instead of the actual compensable rate of $35.00. The Court states therein:

“Although the employer may have been in good faith in paying compensation at an insufficient rate prior to the present suit, the allegations of the present petition specifically call to his attention that such compensation rate was ‘inadequate’ and that ‘the law of this State is now well-settled’ that a compensation rate of $35.00 per week (based on the rate of pay for a six-day work-week and not for a five-day week), was the correct one under the circumstances.”

The Darby case finally turned upon adequate sixty day demand by the filing of suit. It should be noted, however, that it was rendered against an employer and only a few years after the Supreme Court pronouncement in Carrington v. Consolidated Underwriters, supra. We believe the law to be so “well settled” and of such long duration now and this defendant to be such an informed one, that the refusal to compute the compensation rate on the basis of a six-day work week upon receipt of notice of injury was in itself arbitrary and capricious.

The notice received by them came only from the employer immediately after the accident and set forth a rate of pay of only $6.00 per day. The actual rate of pay exceeded $6.00. The correct rate of pay per day was not given to them by notice or demand until suit was filed. The notice from the employer was sufficient notice and demand so that defendant’s failure to compute compensation on a $36.00 weekly pay rate renders them liable for the imposition of penalties.

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Bluebook (online)
205 So. 2d 189, Counsel Stack Legal Research, https://law.counselstack.com/opinion/giddings-v-coal-operators-casualty-co-lactapp-1967.