Hernandez v. Eskco, Inc.

773 So. 2d 865, 2000 La. App. LEXIS 2962, 2000 WL 1716506
CourtLouisiana Court of Appeal
DecidedNovember 15, 2000
Docket2000-CA-0174
StatusPublished
Cited by15 cases

This text of 773 So. 2d 865 (Hernandez v. Eskco, 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
Hernandez v. Eskco, Inc., 773 So. 2d 865, 2000 La. App. LEXIS 2962, 2000 WL 1716506 (La. Ct. App. 2000).

Opinion

773 So.2d 865 (2000)

Gary HERNANDEZ
v.
ESKCO, INC.

No. 2000-CA-0174.

Court of Appeal of Louisiana, Fourth Circuit.

November 15, 2000.
Writ Denied February 9, 2001.

*866 Thomas L. Smith, New Orleans, LA, Counsel for Plaintiff/Appellant.

Philip J. Borne, Joseph M. Guillot, Christovich & Kearney, L.L.P., New Orleans, LA, Counsel for Defendant/Appellee.

Court composed of Judge WILLIAM H. BYRNES III, Judge STEVEN R. PLOTKIN, Judge MAX N. TOBIAS, Jr.

TOBIAS, Judge.

Gary Hernandez ("Hernandez") suspensively appeals a judgment of the Office of Workers' Compensation granting summary judgment in favor of the defendants, ESKCO, Inc. ("ESKCO"), and its insurer, Highlands Insurance Company. The judgment terminated Henandez's workers' compensation benefits pursuant to La. R.S. 23:1208. We conduct a de novo review of the record to determine if the judgment is manifestly erroneous or clearly wrong.

On 21 March 1989, Hernandez sustained head, neck and back injuries in a workrelated accident while employed by ESKCO. Hernandez filed a disputed claim for compensation on 19 November 1998, asserting ESKCO was paying an incorrect compensation rate, had failed to pay pharmacy bills, and would not authorize necessary back surgery. ESKCO deposed Hernandez on 10 March 1999. After further discovery, the defendants filed their motion for summary judgment, arguing that Hernandez made false statements at the deposition regarding his prior physical condition and employment history with Hernandez Mattress Company, his family business, thus forfeiting any right to workers' compensation benefits pursuant to La. R.S. 23:1208. In support of the motion, the defendants submitted Hernandez's 10 March 1999 deposition, medical records, and responses to their discovery requests. The defendants also submitted Hernandez's amended complaint, trial testimony, deposition, and discovery responses from a civil rights suit he had filed in federal court in 1996.[1] Following a hearing, the workers' compensation judge found ESKCO had satisfied its burden of proof in moving for summary judgment.

*867 On appeal, Hernandez asserts the following assignments of error:

(1) The workers' compensation judge erred in finding that Hernandez committed fraud, thus forfeiting his right to worker's compensation benefits;

(2) The workers' compensation judge erred in granting summary judgment as disputed facts exist;

(3) The workers' compensation judge erred as a matter of law by not applying the statute which was in effect at the time of Hernandez's accident and injury;

(4) The workers' compensation judge erred in concluding Hernandez's statements were intended for the purpose of obtaining workers' compensation benefits as contemplated by La. R.S. 23:1208 because Hernandez had suffered a work-related injury and was receiving benefits at the time the alleged false statements were made;

(5) The judge lacked subject matter jurisdiction to determine Hernandez forfeited workers' compensation benefits pursuant to La. R.S. 23:1208.

La. R.S. 23:1208 provides in part:

§ 1208. Misrepresentations concerning benefit payments; penalty
A. It shall be unlawful for any person, for the purpose of obtaining or defeating any benefit or payment under the provisions of this Chapter, either for himself or for any other person, to willfully make a false statement or representation.
* * * * *
E. Any employee violating this Section shall, upon determination by workers' compensation judge, forfeit any right to compensation benefits under this Chapter.

The only requirements for forfeiture of benefits under Section 1208 are: a false statement or representation that is willfully made for the purpose of obtaining or defeating any benefit or payment under the workers' compensation law. Resweber v. Haroil Construction Company, 94-2708, 94-3138 (La.9/5/95), 660 So.2d 7, 14. Section 1208 is a broadly worded statute that applies to any false statements or representations, including those concerning prior injuries, and the employer need not show that it has been prejudiced as a condition of forfeiture. Id. If the requirements are met, Section 1208 applies and its forfeiture provisions must be enforced. Id.

Statutory forfeiture is a harsh remedy and must be strictly construed. Benoit v. Frank's Casing Crew, 97-1522 (La.App. 3 Cir. 5/20/98); 713 So.2d 762, writ denied, 98-1697 (La.10/9/98); 726 So.2d 31. False statements that are inadvertent or inconsequential will not result in forfeiture. Menard v. Mama's Fried Chicken, 97-488 (La.App. 3 Cir. 3/6/98); 709 So.2d 303, writ denied, 98-956 (La.6/5/98); 720 So.2d 681.

At the 10 March 1999 deposition, Hernandez testified about his physical condition before and after the 1989 accident at ESKCO. He specifically denied having any automobile accidents or injuring his neck in an automobile accident in 1988. However, Dr. Emile Bertucci, Hernandez's treating physician, reported that Hernandez complained of neck pain in December 1985 following an automobile accident in September 1985. Three years later, on 10 September 1988, Dr. Bertucci noted that Hernandez had pain over the right side of his neck as the result of an injury sustained in a 1975 motorcycle accident and that he aggravated the condition in an automobile accident in July of 1988, eight months prior to his accident at ESKCO. In fact, Dr. Bertucci noted that Hernandez consistently complained of neck pain from 1987 through 1988.

When defense counsel questioned Hernandez at the March 1999 deposition regarding his headache complaints, Hernandez acknowledged that he had been treated for headaches prior to his accident *868 at ESKCO, but the pain was never severe and the headaches had ceased when he quit refinery work. He described his post-accident headaches as located behind his eyes, in his temples, and in the back of his neck, and claimed the nausea, vomiting, and light sensitivity accompanying them prevented him from working.

Contrary to Hernandez's deposition testimony, his past medical records disclose that he first suffered vascular headaches in 1979 and later received consistent treatment for them from 1982 through 1989. The records also indicate that Hernandez complained of severe headaches behind his eyes in 1987 and of frontal lobe headaches just two months before his accident at ESKCO. At an office visit in September 1988, Dr. Bertucci specifically noted that Hernandez complained of waking with headaches each morning.

Hernandez also testified in his deposition that he had never injured his lower back or experienced back pain prior to his March 1989 accident at ESKCO. Again, however, his medical records contradict his deposition testimony. Hernandez complained of lower back pain to Dr. Lucas DiLeo in September 1980. Later, in May 1982, Dr. DiLeo diagnosed Hernandez with severe lumbar-sacral strain with 25% restriction of mobility upon forward bending. Dr. Bertucci, too, noted that Hernandez suffered lower back pain in April and June 1987.

Although Hernandez testified that he first noticed lower back pain a day or two after the March 1989 accident at ESKCO and reported it to Dr. DiLeo within a week thereof, the medical records disclosed that he made his first complaint of lower back pain following the accident at an office visit on 13 November 1989. At that time, however, Hernandez told Dr. DiLeo that he injured his lower back walking up and down a steep levee.

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Bluebook (online)
773 So. 2d 865, 2000 La. App. LEXIS 2962, 2000 WL 1716506, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hernandez-v-eskco-inc-lactapp-2000.