Horne v. Lowe's Home Improvement

810 So. 2d 1235, 2002 La. App. LEXIS 459, 2002 WL 272371
CourtLouisiana Court of Appeal
DecidedFebruary 27, 2002
DocketNo. 35,683-WCA
StatusPublished
Cited by4 cases

This text of 810 So. 2d 1235 (Horne v. Lowe's Home Improvement) 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
Horne v. Lowe's Home Improvement, 810 So. 2d 1235, 2002 La. App. LEXIS 459, 2002 WL 272371 (La. Ct. App. 2002).

Opinion

h CARAWAY, J.

The injured employee in this workers’ compensation action obtained a default judgment and was awarded temporary total disability benefits, penalties, and attorney fees. The employer appeals asserting that the medical records used as evidence at the confirmation hearing were not in the form required by La. R.S. 23:1316.1(C) so as to serve as proof of the disability. [1236]*1236Finding merit in the employer’s argument, we reverse.

Facts

Lowe’s Home Improvement (“Lowe’s”) hired claimant, Paul Horne (“Horne”), in March 2000 as a sales associate in its Monroe store. On June 1, 2000, Horne was working in the warehouse, moving a roll of roofing felt from a high shelf, when he accidentally struck his elbow on a steel beam. He claims worker’s compensation benefits for this accident.

On August 7, 2000, Specialty Risk Services, apparently Lowe’s risk manager, mailed notice of the final cost report for Horne’s injury to the Office of Workers’ Compensation (“OWC”). The report indicated that Lowe’s paid Horne $400.02 in indemnity benefits and $450.02 in medical expenses through August 1, 2000 and then stopped paying benefits, because Horne was “working at equal or greater wage.”

On August 15, 2000, Horne filed a disputed claim for compensation with the OWC. On the “bona-fide dispute” section of the form, Horne checked only the box for wage benefits and wrote “7/31/00” in the blank to indicate when his wage benefits were terminated or reduced. Following mediation efforts, the OWC sent formal notice of Horne’s claim to Lowe’s |2on February 7, 2001, and according to OWC records, Lowe’s received notice of the claim on February 8, 2001. Lowe’s did not answer the proceedings.

On March 28, 2001, Horne filed a request for a preliminary default judgment with the OWC. On April 2, 2001, the Workers’ Compensation Judge (“WCJ”) entered the preliminary default in Horne’s favor. On April 30, 2001, the WCJ held a hearing to confirm the default, at which time Horne appeared and described his injury. He testified that he hit his elbow and shoulder on a steel beam and that, after the accident, his supervisor sent him to the doctor. Records show that Horne visited the OecuMed Clinic on June 2, 2000, where he was treated for a contusion to his right elbow, was prescribed Naprosyn, and was approved to return to light work, which is defined as “exerting up to 20 pounds of force occasionally.”

Horne further stated that after the accident, he “couldn’t move nothing with [his] right arm” and that in June 2000, he saw Dr. Douglas Brown, an orthopedist. Dr. Brown prescribed physical therapy for Horne. Dr. Brown’s records from July 12, 2000 show that he advised Horne to avoid using his arm until a follow-up appointment at the end of the month. Horne testified that on July 12, 2000, Lowe’s paid him $401. Horne did not work at all after July 12, 2000. Dr. Brown’s note dated July 24, 2000 indicates that Horne could resume “5 lbs. weight lifting restrictions” with his right arm.

Horne returned to Dr. Brown on July 31, 2000, and Dr. Brown released him to return to “light duty” work. The progress note for the July |a31 visit states: “Patient has not gone back to work despite instruction to do so. He says his shoulder and elbow still hurt.” Dr. Brown referred Horne for a functional capacity evaluation (“FCE”). Horne submitted to the FCE on August 4, 2000. Following the FCE, Dr. Brown’s progress note, dated August 22, 2000, states, in part: “He completed his FCE on 8/4/00 rating at a medium/heavy work level, lifting 100 pounds repetitively. There were some elements of invalidity using the right upper extremity and the patient appeared to ‘exaggerate his pain.’ ” Therefore, on August 22, Dr. Brown again released Horne to do light duty work “with lifting of 25 pounds which he is able to handle without difficulty.” The records indicate that Dr. Brown was of the opinion that Horne would reach maximum medical improvement by October 1, 2000.

[1237]*1237Horne said that he returned to work at Lowe’s in early August 2000. He described his return, as follows:

They called me to come to work, which I knew—and I’m off. So I go into the store. I’m in the store all day just sitting behind the counter answering the phone. About 5 o’clock that evening they had me in the office with the store investigator. They was saying something about they had tapes showing me stealing out of the store, and they had a tape showing me on the workers’ comp—they said they had a tape showing where I was moving furniture.... All the time they were trying to get me to tell them what stuff that was going on in the store with other employees, which I knew nothing about. They was trying to bluff me to talk about other stuff, and I wasn’t going to do it.

Horne said that Lowe’s told him that he was suspended “until we contact you,” and that he has not heard anything from Lowe’s since that time.

Horne testified that his elbow continued to trouble him, that it swelled every day, and that because of pain in his arm, he could not grasp objects. | ¿Horne further testified that although he had been pursuing employment elsewhere since October 2000, he had not worked since his employment with Lowe’s.

The WCJ found that Horne injured himself on June 1, 2000, and that his injury left him unable to “perform duties” until October 1, 2000. The WCJ awarded Horne temporary total disability benefits for the four-month period. The WCJ also awarded Horne all of his medical expenses for the same period, and offered Horne the opportunity of choosing another orthopedist to reevaluate his shoulder. Further, the WCJ found that Lowe’s, through its compensation claims manager, knew that Horne was injured but failed to pay him compensation benefits beyond July 31, 2000. Based on this finding, the WCJ imposed a $2,000 penalty on Lowe’s, and awarded Horne $5,000 in attorney fees. On May 17, 2001, the WCJ signed a judgment memorializing the above findings and awards. Lowe’s then filed this suspensive appeal, urging several errors.

Discussion

Lowe’s appeals the default judgment, citing Horne’s failure to comply with La. R.S. 23:1316.1 (Section 1316.1). Lowe’s claims that the medical evidence submitted at the confirmation hearing violated the statute and was insufficient to support the default judgment.

Although the provisions of Code of Civil Procedure article 1702 generally specify the procedure for the confirmation of default judgments, the Workers’ Compensation Act has a more specialized provision for workers’ compensation cases. La. R.S. 23:1316.1 provides:

| f¡A. A judgment by default on behalf of any party at interest must be confirmed by proof of the demand sufficient to establish a prima facie case. If no answer is filed timely, this confirmation may be made after two days, exclusive of holidays, from the entry of the judgment of default.
B. A prima facie case shall include but not be limited to proof of the following:
(1) The employee’s average weekly wage.
(2) The existence of an employer-employee relationship at the time of the work-related accident.
(3) The occurrence of an accident arising out of and in the course of the employment, or the existence of an occupational disease.

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Cite This Page — Counsel Stack

Bluebook (online)
810 So. 2d 1235, 2002 La. App. LEXIS 459, 2002 WL 272371, Counsel Stack Legal Research, https://law.counselstack.com/opinion/horne-v-lowes-home-improvement-lactapp-2002.