Herrera v. Cajun Co.

960 So. 2d 1161, 2007 WL 1952384
CourtLouisiana Court of Appeal
DecidedJune 6, 2007
Docket2006-CA-1627
StatusPublished
Cited by5 cases

This text of 960 So. 2d 1161 (Herrera v. Cajun 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
Herrera v. Cajun Co., 960 So. 2d 1161, 2007 WL 1952384 (La. Ct. App. 2007).

Opinion

960 So.2d 1161 (2007)

Marcelino HERRERA
v.
The CAJUN COMPANY.

No. 2006-CA-1627.

Court of Appeal of Louisiana, Fourth Circuit.

June 6, 2007.

*1162 Marcelino Herrera, Lufkin, TX, In Proper Person, Plaintiff/Appellant.

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

(Court composed of Chief Judge JOAN BERNARD ARMSTRONG, Judge MICHAEL E. KIRBY and Judge ROLAND L. BELSOME).

JOAN BERNARD ARMSTRONG, Chief Judge.

The plaintiff, Marcelino F. Herrera, appeals from a judgment of the Office of Workers' Compensation dated April 2, 2005. The trial judge found that Mr. *1163 Herrera had not carried his burden of proving that he suffered a work-related accident that resulted in any disability or aggravation of any pre-existing condition. The trier of fact found further that Mr. Herrera is not entitled to any workers' compensation medical or indemnity benefits for the alleged accident. The final judgment dismissed Mr. Herrera's claim with prejudice, and assessed all costs to him. The judgment also dismissed the fraud claim filed pursuant to La.R.S. 23:1208 by Mr. Herrera's employer, The Cajun Company (Cajun).

The Workers' Compensation Judge granted a suspensive appeal by orders dated April 29, 2005 and May 3, 2005[1], returnable to this Court on August 21, 2005. The trial court granted Mr. Herrera's request to proceed in forma pauperis on July 6, 2006.

On February 22, 2007, Mr. Herrera filed in this court an unsigned, one single-spaced eight and one-half inch by eleven inch page entitled "Brief". This document consists of Mr. Herrera's statement of the facts surrounding his alleged work-related accident[2].

Mr. Herrera's brief does not claim that the trial court committed any legal error or that its factual findings were manifestly wrong. In light of the absence of any allegation of legal or factual error, we affirm the judgment of the trial court insofar as it dismisses Mr. Herrera's claim with prejudice and assesses all costs against Mr. Herrera.

Cajun answered the appeal, seeking restitution pursuant to the provisions of La. R.S. 23:1208.

In its reasons for judgment, the trial court made the following factual findings:

(1) Despite having carefully considered that any answers or actions by Mr. Herrera might have been caused by his confusion in testifying in English, which is not his native language, he was not a credible witness at trial or elsewhere.

(2) Although Mr. Herrera has some major medical disabilities, he did not prove that they were caused by a work-related accident. The court-appointed independent medical expert, Dr. George Murphy, opined that he could not relate Mr. Herrera's medical problems to the alleged accident.

(3) "It was a close call" but the trial court did not find that Mr. Herrera had the intent to defraud his employer and denied relief under La.R.S. 23:1208.

It is with respect to this third finding that Cajun appeals.

Louisiana Revised Statutes 23:1208 provides in pertinent part:

*1164 A. It shall be unlawful for any person, for the purpose of obtaining . . . any benefit or payment under the provisions of this Chapter, . . . 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.

Cajun has the burden of showing that (1) Mr. Herrera made a false statement or representation; (2) that he made it willfully; and (3) that he made it for the purpose of obtaining a benefit or payment under the workers' compensation statute. Resweber v. Haroil Const. Co., 94-2708 (La.9/5/95), 660 So.2d 7. The Louisiana Supreme Court discussed the application of the statute in these terms:

Louisiana Revised Statutes 23:1208 applies to any false statement or misrepresentation, including one concerning a prior injury, made specifically for the purpose of obtaining workers' compensation benefits and therefore generally becomes applicable at the time of an employee's accident or claim. This broadly worded statute encompasses false statements or misrepresentations made to anyone, including the employer, physicians, or insurers, when made willfully or deliberately for the purpose of obtaining benefits. Resweber v. Haroil Const. Co., at pp. 1-2, 660 So.2d at 9.

The Supreme Court found Section 1208 to be "clear and unambiguous" and to be "applied as written". Id. at p. 7, 660 So.2d at 12. The court also addressed the legislative intent of the anti-fraud statute:

The history of Section 1208 indicates a clear legislative intent to prevent and discourage fraud in relation to workers' compensation claims, and Section 1208 should not be subjected to a strained interpretation which would undercut that legislative intent. Prior to 1989, Section 1208 required a criminal conviction under its provisions before the employee forfeited his benefits. However, the legislature eliminated the necessity of a criminal conviction as a prerequisite for a claimant's forfeiture of benefits by amending Section 1208 to require only a "violation" of the Section. 1989 La. Acts. No. 454. Thus, the legislature chose to make it easier to establish grounds for a claimant's forfeiture of benefits. H. Alston Johnson, Workers' Compensation Developments in the Law, 50 La.L.Rev. 391, 401 (1989). A 1992 amendment to Section 1208 added civil penalties to the criminal penalties and made clear that a hearing officer is to determine whether a claimant violated the section, resulting in the disqualification from receiving benefits.[3] 1992 La. Acts. No. 763. See generally, Denis Paul Juge, Louisiana Workers' Compensation § 6:3 (1995). The legislature has determined workers' compensation fraud is a severe and growing problem and has continually amended Section 1208 to make it easier to enforce and to make the penalties stiffer. It is clear from the history of the statute that the legislature intended that any false statements or representations willfully made for the purpose of obtaining benefits would result in forfeiture of those benefits, and this legislative intent cannot be ignored. Id. at pp. 7-8, 660 So.2d at 12-13.

Applying the manifest error standard of review, the court reinstated the workers' compensation judge's imposition of the *1165 statutory penalty in Mr. Resweber's case based on his denial of any prior back injury more serious than a pulled muscle. He denied prior serious medical problems and intermittent low back pain with left lower extremity symptoms below the knee to the ankle prior to the date of his alleged on-the-job injury. These statements were contradicted by the evidence, showing that in 1989 he was treated for a two month history of low back pain with radiating pain in the right leg, which he incurred when weight lifting. Because Mr. Resweber and his parents were present in 1989 when the doctor discussed the weight-lifting injury in detail, the hearing officer concluded that both Mr. Resweber and his parents knew that he had a possible herniated disc at that time. The officer rejected Mr. Resweber's claim that he "maybe just did not remember", noting that this kind of pain is not easily forgotten and found it incredible that Mr. Resweber could not remember in August of 1992 the pain he described to the attending physician in 1989.

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Bluebook (online)
960 So. 2d 1161, 2007 WL 1952384, Counsel Stack Legal Research, https://law.counselstack.com/opinion/herrera-v-cajun-co-lactapp-2007.