JE Merit Constructors, Inc. v. Smith

806 So. 2d 842, 2000 La.App. 1 Cir. 2324, 2001 La. App. LEXIS 3133, 2001 WL 1659248
CourtLouisiana Court of Appeal
DecidedDecember 28, 2001
Docket2000 CA 2324
StatusPublished
Cited by2 cases

This text of 806 So. 2d 842 (JE Merit Constructors, Inc. v. Smith) 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
JE Merit Constructors, Inc. v. Smith, 806 So. 2d 842, 2000 La.App. 1 Cir. 2324, 2001 La. App. LEXIS 3133, 2001 WL 1659248 (La. Ct. App. 2001).

Opinion

806 So.2d 842 (2001)

J.E. MERIT CONSTRUCTORS, INC.
v.
Eric J. SMITH.

No. 2000 CA 2324.

Court of Appeal of Louisiana, First Circuit.

December 28, 2001.
Rehearing Denied February 21, 2002.

*843 Kirk L. Landry, Baton Rouge, LA, for plaintiff-appellee, J.E. Merit Constructors, Inc.

Michael L. Hebert, Baton Rouge, LA, for defendant-appellant, Eric J. Smith.

Before: CARTER, C.J., PARRO, and CLAIBORNE,[1] JJ.

CLAIBORNE, J.

Eric J. Smith appeals a judgment by a workers' compensation judge (WCJ)[2] that he had forfeited his entitlement to workers' compensation benefits due to his violation of La.R.S. 23:1208. The employer, J.E. Merit Constructors, Inc. (J.E. Merit), has also appealed, seeking an assessment of civil remedies against Mr. Smith, including penalties and restitution.

FACTS AND PROCEDURAL HISTORY

J.E. Merit had a contract to perform certain work at the Novartis plant. As part of this job, J.E. Merit hired Mr. Smith as a special duty worker. Mr. Smith's duties included working as a boilermaker, rigger, and pipe fitter at the plant. Specifically, his task was to remove an exchanger from the plant and replace it with a new one, which required that he wear a special suit with a hood. In this job, Mr. Smith worked twelve hours a day, seven days a week.

On July 12, 1998, Mr. Smith was working at the plant when he tripped and fell, injuring his knee. The foreman was present *844 at the time of the accident, but no action was taken to provide Mr. Smith with medical treatment at that time. In fact, Mr. Smith continued to work for some time until he took off the special suit he was wearing and noticed the swelling in his knee. He then reported the swelling to his foreman, who sent him to the medical trailer at the facility.

The medical staff examined Mr. Smith on the day of the accident but did not provide any treatment that day, because another worker was being treated for injuries that were believed to be more serious. Instead, the medical staff simply released Mr. Smith back to full duty work. Mr. Smith testified that he continued to be released for full duty work despite his daily complaints of pain. During this time, the medical staff treated the injury as a simple sprain with hot and cold packs, ibuprofen and creams.

After several days of this treatment, Mr. Smith's knee had not improved. Mr. Smith testified that in fact the pain had increased, his leg had become drawn up and bent, and he was required to lean on a stick to walk. Nevertheless, J.E. Merit continued to treat the injury as a sprain. Finally, Mr. Smith demanded that he be allowed to consult a doctor about his knee. J.E. Merit responded by sending him home and cutting his hours down from eighty-four to forty hours per week.

J.E. Merit did ultimately send Mr. Smith to see Dr. J. Thomas Kilroy, who diagnosed Mr. Smith with a ripped meniscus and a possible chipped bone in his knee. Dr. Kilroy performed surgery on Mr. Smith in August of 1998 to correct these problems.

When Mr. Smith returned to work after the surgery, he was placed in a light-duty position that had been created specifically for him because of his injury. J.E. Merit did not normally have a light-duty position, and such positions were only provided to workers' compensation claimants. Mr. Smith was advised that he was guaranteed forty hours of work per week in this position instead of the normal overtime hours he had previously been working. In addition, he continued to receive his normal hourly wage of $16.50 in this light-duty position. However, this position did not make any provision for the large decrease in the number of hours Mr. Smith had been working prior to the injury, either in terms of supplemental earnings benefits (SEB) or additional hours.

Initially, Mr. Smith was placed in a back room where he would simply sit at a desk during the day. He was subsequently required to stock and sweep the warehouse and wash trucks. Despite the assurances that he was guaranteed 40 hours per week, only one time during his tenure as a light-duty employee did Mr. Smith receive 40 hours of work and the corresponding pay. Mr. Smith repeatedly asked for the time and payment that he had been guaranteed, but J.E. Merit told him that certain paperwork would have to be completed to resolve the situation. No other response was given, and no other action was taken. In addition to not receiving the full 40 hours of work that he had been promised, Mr. Smith did not receive workers' compensation indemnity benefits or SEB during this time.

Mr. Smith attended physical therapy and doctor's appointments as he recovered from the injury and surgery. In addition to the traditional physical therapy treatment, he was required to undergo work hardening therapy.[3] This treatment consisted of extensive walking and climbing of *845 stairs and scaffolding instead of the simple stretching or flexing normally done in traditional physical therapy. Many of his physical therapy and work hardening sessions were scheduled to occur during work hours. When Mr. Smith attended those sessions during work hours, J.E. Merit would pay him his hourly wage for the time he attended. If he was not in therapy, Mr. Smith was expected to return to the plant to work in his light-duty capacity.

On October 26, 1998, Mr. Smith attended his first work hardening session from 8:00 a.m. to 11:15 a.m. Mr. Smith testified that after he had participated in this strenuous therapy, he was exhausted. Instead of returning to work after the appointment, he went home for the day. He did the same thing the next day after having been in work hardening therapy until 11:30 a.m. He later turned in to J.E. Merit two work excuse slips in which he falsely stated that he had in fact attended work hardening therapy until 4:30 p.m. on both days. Mr. Smith was paid his full wage for both afternoons that he claimed to be in treatment.

J.E. Merit subsequently discovered the false work excuses and confronted Mr. Smith, who acknowledged that he had not been in work hardening therapy for the full time stated on the forms. As a result, J.E. Merit suspended Mr. Smith for three days without pay and took back the wages paid for the two afternoons he had claimed to be in therapy. Mr. Smith continued to work for J.E. Merit in the light-duty position until November 17, 1998, when he was terminated as part of a reduction in force.

J.E. Merit paid all of Mr. Smith's medical expenses, but did not pay him any workers' compensation indemnity benefits. Based on the false statements made by Mr. Smith, J.E. Merit terminated all workers' compensation benefits and commenced these proceedings by filing a disputed claim for compensation alleging a violation of La.R.S. 23:1208. Mr. Smith filed an answer and reconventional demand seeking SEB and payment for additional medical treatment.

The WCJ determined that the submission of the falsified statements by Mr. Smith regarding the time he was attending physical therapy was fraud pursuant to La.R.S. 23:1208 resulting in the forfeiture of his workers' compensation benefits. Because of this determination, the WCJ never reached Mr. Smith's claims for SEB and additional medical treatment, and those claims were dismissed. Mr. Smith has appealed this decision, as has J.E. Merit, who seeks an award of civil penalties against Mr. Smith pursuant to La.R.S. 23:1208D.

ASSIGNMENTS OF ERROR

Mr. Smith has listed four assignments of error in his brief. The primary issue raised by Mr.

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Bluebook (online)
806 So. 2d 842, 2000 La.App. 1 Cir. 2324, 2001 La. App. LEXIS 3133, 2001 WL 1659248, Counsel Stack Legal Research, https://law.counselstack.com/opinion/je-merit-constructors-inc-v-smith-lactapp-2001.