Jackson v. Creger Automotive Co., Inc.

691 So. 2d 824, 1997 WL 175086
CourtLouisiana Court of Appeal
DecidedApril 2, 1997
Docket29249-WCA
StatusPublished
Cited by18 cases

This text of 691 So. 2d 824 (Jackson v. Creger Automotive Co., 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
Jackson v. Creger Automotive Co., Inc., 691 So. 2d 824, 1997 WL 175086 (La. Ct. App. 1997).

Opinion

691 So.2d 824 (1997)

Billy Joe JACKSON, Plaintiff-Appellant/Appellee,
v.
CREGER AUTOMOTIVE CO., INC., Defendant-Appellee/Appellant.

No. 29249-WCA.

Court of Appeal of Louisiana, Second Circuit.

April 2, 1997.
Rehearing Denied May 1, 1997.

*826 Law Offices of Jack M. Bailey, Jr. by J. Allen Cooper, Jr., for Plaintiff-Appellant/Appellee Billy Joe Jackson.

W. Michael Stemmans, Baton Rouge, for Defendant-Appellee/Appellant Creger Automotive.

Before NORRIS, STEWART and CARAWAY, JJ.

NORRIS, Judge.

The claimant, Billy Joe Jackson, appeals a decree of the Office of Worker's Compensation ("OWC") which refused to reinstate Jackson's supplemental earnings benefits ("SEB"), and denied penalties and attorney fees. His employer, Creger Automotive Co., Inc., ("Creger") answers the appeal, contesting finding of a work-related injury to Jackson's knee and back, and requesting a credit for overpayment of benefits. For the following reasons, we affirm in part, reverse in part and remand.

Factual background

Jackson, an automobile suspension chassis specialist, was employed with Creger as the assistant manager and a service technician. His responsibilities included booking, assigning, performing, and supervising service jobs. While at work on April 3, 1990, Jackson climbed up to a car that was on a service rack to read its model and serial number for ordering parts. As he turned to get off, he slipped and fell into the pit below the rack. Jackson initially landed on his feet, thereby twisting his right ankle and knee before coming to rest on his back. He felt a "sharp, tremendous" pain in his leg. Jackson claimed that he never had any prior back, hip or knee injuries other than when he was in high school or any prior on-the-job injury.

*827 When Jackson telephoned his wife to report the injury, she asked that he come home. However, the service manager was out sick that day, and Jackson decided to remain at work. When he returned to his home in Bossier City that evening, his right leg and foot were swollen. Mrs. Jackson took her husband to Bossier Medical Center, where the attending staff took x-rays of his leg and foot, prescribed some pain relief medication, and referred him to see Dr. Clinton McAlister, an orthopedic surgeon. Dr. McAlister in turn referred Jackson to Dr. Thomas Edwards for treatment of his knee.

Dr. Edwards performed surgery on Jackson's knee on May 15, 1990. Dr. Edwards performed "an arthroscopically aided anterior cruciate ligament ("ACL") reconstruction, medial and lateral meniscectomies arthroscopically and debridement of his lateral compartment." Dr. Edwards opined that Jackson was limited in his ability to stand, walk, stoop, bend, squat, and work on hard surfaces because of his knee injury. He concluded that Jackson was unable to return to his job as a service technician because it required standing. Dr. Edwards assigned a 50% permanent partial disability of Jackson's right leg.

In December of 1990, Jackson also reported back pain for the first time to Dr. Edwards, who referred him to Dr. Carl Goodman for examination in July of 1991. Dr. Goodman's diagnosis was degenerative lumbar disc disease with radiculitis on the left. He recommended non-operative care, with an MRI and surgery if radicular symptoms increased. Dr. Goodman did not believe Jackson injured his back in the fall at Creger, but thought the use of crutches as a result of the knee surgery possibly caused the back problem. Because Jackson was displeased with his treatment under Dr. Goodman, Dr. Edwards referred him to Dr. Marcos Ramos. Jackson initially saw Dr. Ramos in August of 1993. Dr. Ramos requested an MRI of the lumbar spine, but Creger refused to authorize the procedure.

At the time his work-related injury, Jackson earned an average of $450 per week at Creger. The company therefore paid him maximum temporary total disability ("TTD") benefits of $276 per week from April 6, 1990, through June 11, 1992. Thereafter, Creger reduced the benefits to SEB because of Jackson's alleged failure to report his correct earnings as a pastor to Susan Mack, a representative of the Claims Center, Creger's adjustor, and because of jobs allegedly available to him identified by General Rehabilitation and Glenn-Mar, rehabilitation companies retained by Creger. The Claims Center learned in early 1992 that Jackson was serving as pastor at the United Pentecostal Church of Pittsburg, Texas, and claimed that he continuously neglected or failed to report his wages and other earnings from this job. Creger paid SEB at the weekly rate of $186.67 from June 12, 1992 until August 19, 1993. Thereafter, Creger terminated Jackson's benefits because of his alleged failure to correctly report his earnings as pastor and because it believed there were jobs available to Jackson enabling him to earn 90% of his pre-injury wage.

On September 24, 1993, Jackson filed the instant claim with the OWC. Jackson alleged that Creger failed to pay indemnity and medical benefits and requested penalties and attorney fees. The OWC conducted a hearing on Jackson's claim on May 1, 1995, and July 13 and 14, 1995.

Action of the hearing officer

On September 25, 1995, the hearing officer issued a decree finding that Jackson injured his knee "while in the course and scope of his employment" with Creger. She determined that Jackson's back complaints were workrelated and that he was entitled to an MRI. However, she stated that Creger had properly reduced Jackson's TTD benefits to SEB because of his failure to report his earnings as pastor. The hearing officer further determined that Jackson had chosen to work as a pastor, although there were other jobs and rehabilitation by retraining available to him. Thus, she concluded that with regard to SEB, Jackson was voluntarily earning less than 90% of his pre-injury wages, also justifying the termination of benefits. Finally, the hearing officer denied Jackson's claim for penalties and attorney fees. Jackson has appealed, advancing five assignments of error. *828 Creger has answered, also advancing five assignments of error.

Applicable law

A claimant who suffers "personal injury by accident arising out of and in the course of his employment" is entitled to compensation benefits. La.R.S. 23:1031 A. A work-related accident is "an unexpected or unforseen actual, identifiable, precipitous event happening suddenly or violently, with or without human fault, and directly producing at the time objective findings of an injury which is more than simply a gradual deterioration or progressive degeneration." La.R.S. 23:1021(1). An employee's preexisting disease or infirmity does not disqualify his workers' compensation claim if the workrelated injury either aggravated or combined with, the disease or infirmity to produce the disability for which compensation is claimed. Andrews v. Music Mountain Water Co., 25,634 (La.App.2d Cir. 4/6/94), 637 So.2d 571, writ denied, 94-1190 (La. 6/24/94), 640 So.2d 1356.

The claimant in the worker compensation case has the burden of proving a workrelated accident by a preponderance of the evidence. Bruno v. Harbert Int'l Inc., 593 So.2d 357 (La.1992); Chitman v. Davison Trucking, 28,073 (La.App.2d Cir. 2/28/96), 669 So.2d 671. Proof by a preponderance of the evidence is sufficient when the evidence, taken as a whole, shows that the fact sought to be proved is more probable than not. Chitman v. Davison Trucking, supra.

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691 So. 2d 824, 1997 WL 175086, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jackson-v-creger-automotive-co-inc-lactapp-1997.