Johnny Cousain v. Smitty's Supply, Inc. and National Union Fire Insurance Company

Supreme Court of Louisiana·Decided June 29, 2026·No. 2025-C-01318·Published

Opinion

FOR IMMEDIATE NEWS RELEASE NEWS RELEASE #030

FROM: CLERK OF SUPREME COURT OF LOUISIANA

The Opinions handed down on the 29th day of June, 2026 are as follows: BY Weimer, C.J.:

2025-C-01318 JOHNNY COUSAIN VS. SMITTY'S SUPPLY, INC. AND NATIONAL UNION FIRE INSURANCE COMPANY (Parish of St. Tammany)

AFFIRMED. SEE OPINION.

SUPREME COURT OF LOUISIANA No. 2025-C-01318

JOHNNY COUSAIN

VS.

SMITTY’S SUPPLY, INC. AND NATIONAL UNION FIRE INSURANCE COMPANY

On Writ of Certiorari to the Court of Appeal, First Circuit, Office of Workers’

Compensation, District 6

WEIMER, Chief Justice* A writ was granted in this matter to determine whether the forfeiture of workers’ compensation benefits, for making a willful misrepresentation in violation of La. R.S. 23:1208, applies prospectively from the date of the misrepresentation or requires the loss of all benefits from the date of the accident. After the work-related injury, the employer initially paid no benefits to the employee. Subsequently, the employer claimed the employee intentionally made false statements in his deposition for the purpose of obtaining benefits. At trial, the workers’ compensation judge (“WCJ”) found the employee was temporarily totally disabled from the accident, but that the employee forfeited his entitlement to benefits from the date of the deposition forward. The court of appeal affirmed that portion of the WCJ’s ruling, following its own First Circuit precedent in Leonard v. James Indus. Constructors, 03-0040 (La. App. 1 Cir. 5/14/04), 879 So.2d 724, and rejecting the employer’s argument that the forfeiture of benefits applies retroactively to the date of the accident–the approach later followed in the Fifth Circuit in Moran v. Rouse’s Enters., LLC, 19- 239 (La. App. 5 Cir. 12/26/19), 286 So.3d 1245.

* Judge Allison H. Penzato of the Court of Appeal, First Circuit, heard this case as Justice pro

tempore, sitting for the vacancy in the First District. She is now appearing as an ad hoc for Justice William Burris.

This court granted certiorari to resolve a circuit split in the appellate courts regarding whether a forfeiture of benefits applies prospectively from the date of the false statement or retroactively to the date of the accident. Finding the forfeiture of benefits is prospective only, we affirm the decision of the court of appeal in this matter.

FACTS AND PROCEDURAL HISTORY On June 30, 2021, Johnny Cousain was involved in a work-related motor vehicle accident, which he reported to his employer, Smitty’s Supply, Inc., on the same day, but reported no injuries at that time. He was terminated from his employment two days later. Mr. Cousain then reported neck and back injuries to Smitty’s by letter, through counsel, demanding authorization of an initial evaluation by his choice of orthopedic surgeon. Thereafter, he filed a disputed claim for compensation with the Office of Workers’ Compensation (“OWC”), alleging that Smitty’s had not paid any wage benefits or authorized any medical treatment.

The misrepresentation at issue arose from Mr. Cousain’s March 3, 2022 deposition, where Mr. Cousain testified that, two days after the accident, he sought emergency room care at North Oaks Medical Center for his injuries. He further testified that he underwent an x-ray and was placed off work for two days. The medical records, however, showed that Mr. Cousain did not receive emergency room care two days after his accident. Smitty’s filed an amended answer in the OWC, asserting that Mr. Cousain made an intentional misrepresentation for the purpose of obtaining workers’ compensation benefits and, thus, had forfeited his right to benefits.

At trial, Mr. Cousain testified that he had received care at North Oaks on many other occasions for other reasons and was merely confused about the dates of his care. The WCJ, however, did not find this claim of confusion credible, stating:

Mr. Cousain was asked in his March 3, 2022, deposition about his medical care related to his workplace injuries. Mr. Cousain reported that he had care at North Oaks emergency room within two days of the accident. Mr. Cousain went into detail about this care. However, the medical records introduced at trial show that Mr. Cousain did not get care at North Oaks for injuries from the June 30, 2021, accident. Mr.

Cousain alleges that because he had so many visits to North Oaks for other matters that he was confused and mistaken. Mr. Cousain’s testimony was clear and resolute. Mr. Cousain was not receiving benefits at the time of the deposition, and emphasizing medical care shortly after the accident would help to prove a contested injury. Mr.

Cousain was seeking benefits, and he seemed to be aware that whether he was injured was a contested matter. In observing Mr. Cousain’s testimony and demeanor during the trial, the court did not believe that Mr. Cousain accidentally confused receiving care at North Oaks for this accident. The court finds that Mr. Cousain willfully made false statements in his deposition for the purpose of obtaining workers’

compensation benefits.

The WCJ found that Mr. Cousain violated La. R.S. 23:1208 when he willfully made false statements in his deposition for the purpose of obtaining workers’ compensation benefits. Accordingly, under La. R.S. 23:1208(E), he forfeited any right to workers’ compensation benefits commencing on March 3, 2022, the date of the deposition in which the WCJ found the falsehood occurred. He was also assessed a $1,000 civil penalty payable to the Kids Chance Scholarship Fund, Louisiana Bar Foundation, pursuant to La. R.S. 23:1208(D), but Smitty’s was not awarded any restitution, as it had not proved it paid any benefits for which restitution could be granted. The WCJ further found that, before the misrepresentation occurred, Mr. Cousain was temporarily totally disabled for a period of 12 weeks and awarded him indemnity benefits in the amount of $6,437.40 and medical expenses of $1,251.00. Smitty’s was ordered to pay $5,000.00 in attorney’s fees for failing to pay indemnity benefits, $5,000.00 in attorney’s fees for failing to pay or authorize necessary and related medical care, and $2,000.00 in attorney’s fees for failing to authorize Mr. Cousain’s choice of physician. The WCJ imposed three separate penalties against Smitty’s in the amount of $2,000.00 for each of the three violations, pursuant to La. R.S. 23:1201(F).

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Johnny Cousain v. Smitty's Supply, Inc. and National Union Fire Insurance Company, (La. 2026).

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