Jim Walter Homes, Inc. v. Guilbeau

934 So. 2d 239, 2006 La. App. LEXIS 1403, 2006 WL 1687152
CourtLouisiana Court of Appeal
DecidedJune 21, 2006
Docket2005-1473
StatusPublished
Cited by24 cases

This text of 934 So. 2d 239 (Jim Walter Homes, Inc. v. Guilbeau) 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
Jim Walter Homes, Inc. v. Guilbeau, 934 So. 2d 239, 2006 La. App. LEXIS 1403, 2006 WL 1687152 (La. Ct. App. 2006).

Opinion

934 So.2d 239 (2006)

JIM WALTER HOMES, INC.
v.
John C. GUILBEAU.

No. 2005-1473.

Court of Appeal of Louisiana, Third Circuit.

June 21, 2006.

*241 Harry Karl Burdette, Lafayette, LA, for Defendant/Appellant, John C. Guilbeau.

Matthew M. Putfark, Juge, Napolitano, Guilbeau, Ruli, Frieman & Whiteley, Baton Rouge, LA, for Secondary Plaintiff/Appellant, Jim Walter Homes, Inc.

Court composed of ULYSSES GENE THIBODEAUX, Chief Judge, MARC T. AMY, and MICHAEL G. SULLIVAN, Judges.

THIBODEAUX, Chief Judge.

Defendant and claimant, John Guilbeau (Mr. Guilbeau), and his former employer, Plaintiff, Jim Walter Homes, Inc. (JWH), through its workers' compensation insurance carrier, Lumbermen's Underwriting Alliance (LUA), both appeal the judgment of the Office of Workers' Compensation (OWC). Mr. Guilbeau appeals the judgment that he made a willfully false statement for the purpose of obtaining and continuing workers' compensation benefits in violation of La.R.S. 23:1208. JWH and LUA appeal the judgment that they unreasonably paid the first week of benefits to Mr. Guilbeau in a late and untimely manner, and therefore should be cast with a penalty and attorney fees. For the following reasons, we affirm the judgment of the OWC.

I.

ISSUE

We shall determine:

1. whether the workers' compensation judge (WCJ) committed manifest error in finding that Mr. Guilbeau made a willfully false statement for the purpose of continuing receipt of workers' compensation benefits, thereby violating La.R.S. 23:1208; and,
2. whether La.R.S. 23:1208, when violated, requires the forfeiture of benefits retroactive to the date of entitlement, or prospectively from the date the violation occurred.

II.

FACTS

In July of 1999, Mr. Guilbeau was employed by Corey Freeman to perform roofing and framing duties on new home construction projects. Corey Freeman was a subcontractor hired by JWH. On July 9, 1999, while in the course and scope of his work duties, Mr. Guilbeau fell off of a roof. He landed approximately twenty to twenty-five feet below on his buttocks and feet. As a result of this fall, he sustained serious injuries to his right ankle and heel. He also experienced serious back pain and injury as a result of the accident. He underwent a number of surgeries and still receives continuous medical treatment.

Mr. Guilbeau received indemnity and medical benefits from the date of his accident through the end of March, 2003. In order to receive his benefits, he was required to fill out an Employee Monthly Report of Earnings, called Louisiana Department of Labor-Workers' Compensation Form 1020. Mr. Guilbeau did not always timely send in Form 1020 every thirty days as required. He admitted that in 2003, he did not turn in his Form 1020 for the months of April, May, and June of that year until July of 2003.

*242 In April of 2003, LUA conducted a video-taped surveillance of Mr. Guilbeau which revealed that he was working on roofs and doing the work of a roofer by installing shingles. Mr. Guilbeau denied being able to climb roofs and to perform roofing duties. Video surveillance of Mr. Guilbeau was also conducted on May 9, 2003, showing him actively performing this work. JWH and LUA filed a Disputed Claim for Compensation Benefits with the OWC on May 12, 2003. On June 19, 2003, Mr. Guilbeau's deposition was taken by JWH and LUA for the purpose of prosecuting the claim against him. During the course of that deposition, the following colloquy occurred:

Q. You mentioned a bunch of different jobs that you've had as far as, like— I think, at some point, you said you owned a couple lounges. Have you been able—Have you tried to go back to work doing any of that type of work since your accident?
A. No, sir.
Q. You mentioned that you were a roofer by trade. Have you been able— Have you tried to go back to doing roofing work since your accident other than your limited basis with Corey?
A. No, sir.
Q. And I think you said, with Corey, all you were really doing was kind of moving the materials for him, bringing the material to him?
A. Bringing material to him.
Q. Not getting up on roofs or ladders or anything like that?
A. No, sir.
Q. Since your accident, you've kind of not been able to do that, as far as get up on roofs, do that type of work?
A. Yes, sir.
Q. Have you been self-employed in any capacity since your accident in 1999?
A. No sir.
Q. Have you done any type of odd jobs for friends, family members, since the accident—
A. No, sir.
Q. —in '99
A. No, sir.
Q. So, since 1999, your accident in July of '99, your only employment has been that one to one and a half weeks with Corey Freeman?
A. Yes, sir.

Based on his sworn statement that he could not get up on a roof or do roofing work compared with the video surveillance of Mr. Guilbeau clearly working on a roof, JWH and LUA alleged that Mr. Guilbeau had violated La.R.S. 23:1208, and should, therefore, forfeit all rights to any and all compensation benefits. Louisiana Revised Statutes 23:1208 authorizes a denial of all benefits to a claimant if that claimant has willfully made a false statement or representation for the purpose of obtaining benefits or payments under Louisiana workers' compensation laws.

The WCJ found that Mr. Guilbeau had made a false statement, willfully, for the purpose of receiving workers' compensation benefits, and therefore had violated La.R.S. 23:1208. Specifically, when Mr. Guilbeau stated in his deposition that he could not get up on roofs, and when he stated that he did not do any roofing work besides handling materials, he had made a willfully false statement. The videotape demonstrated that he had done those activities. His only explanation for his failure to admit that he had done those activities was that he wanted to continue receiving benefits. The WCJ further adjudged that La.R.S. 23:1208(E), requiring forfeiture of any right to benefits, applied only to benefits which might have been owed after the occurrence of the *243 violation. Therefore, the WCJ applied the statute prospectively from the date of the violation, not retroactively to the date when Mr. Guilbeau was first entitled to benefits.

Based on that judgment, the WCJ also found that LUA was late in paying the initial benefits owed to Mr. Guilbeau, and therefore assessed a penalty of $2,000.00 against it, and awarded Mr. Guilbeau $2,500.00 in attorney fees.

Mr. Guilbeau filed this appeal, arguing that his actions did not constitute willful false representations. JWH and LUA also appeal, arguing that La.R.S. 23:1208(E) should be applied retroactively to the date of entitlement to benefits; therefore, the judgment awarding penalties and attorney fees to Mr. Guilbeau for late payment was erroneous.

III.

LAW AND DISCUSSION

Standard of Review

Louisiana Revised Statutes 23:1208 governs the parameters for determining if a claimant has committed fraud for the purpose of obtaining workers' compensation benefits. The applicable sections of that statute read as follows:

§ 1208. Misrepresentations concerning benefit payments; penalty

A.

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Bluebook (online)
934 So. 2d 239, 2006 La. App. LEXIS 1403, 2006 WL 1687152, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jim-walter-homes-inc-v-guilbeau-lactapp-2006.