Johnson v. Vinson Guard Service, Inc.

636 So. 2d 914, 1994 WL 86122
CourtLouisiana Court of Appeal
DecidedApril 12, 1994
DocketCA 92 2187
StatusPublished
Cited by23 cases

This text of 636 So. 2d 914 (Johnson v. Vinson Guard Service, 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
Johnson v. Vinson Guard Service, Inc., 636 So. 2d 914, 1994 WL 86122 (La. Ct. App. 1994).

Opinion

636 So.2d 914 (1994)

Melvin JOHNSON
v.
VINSON GUARD SERVICE, INC., et al.

No. CA 92 2187.

Court of Appeal of Louisiana, First Circuit.

March 11, 1994.
Dissenting Opinion April 12, 1994.
Rehearing Denied May 18, 1994.

*915 Charles A. Schutte, Jr., Matthews, Atkinson, Guglielmo, Marks & Day, Baton Rouge, for defendant-appellant Vinson Guard Service, Inc.

C.E. Bourg, II, Morgan City, for plaintiff-appellee Melvin Johnson.

Before CARTER, GONZALES and WHIPPLE, JJ.

Dissenting Opinion of Judge Gonzalez April 12, 1994.

WHIPPLE, Judge.

This worker's compensation case is again before us on appeal.[1] Following a third trial on the merits, held on December 3, 1991, judgment was rendered in favor of plaintiff, Melvin Johnson (Johnson), and against defendants, Vinson Guard Service, Inc. (Vinson), Johnson's employer, and the Louisiana Insurance Guaranty Association (LIGA), as statutory guarantor of Vinson's worker's compensation insurer, Western Preferred Casualty Company (Western), awarding plaintiff compensation benefits and unpaid medical expenses. The judgment also ordered Vinson to pay statutory penalties of 12% on the past due weekly compensation benefits and on the unpaid medical expenses awarded, and attorney's fees. From the portion of the judgment awarding penalties and attorney's fees, Vinson appeals.

The parties jointly stipulated, prior to trial, that the transcripts and certain exhibits from the two previous trials would be considered as evidence. The parties further stipulated that Johnson was employed by Vinson on the date of the accident and was acting within the course and scope of his employment when the accident occurred; that the total amount of medical expenses incurred was $38,905.84; and that the correct amount of Johnson's weekly benefits was $128.01.

The issues presented in this appeal concern the trial court's award of penalties and attorney's fees. On appeal, Vinson asserts the following as error by the trial court:

1. The court erred in finding Vinson liable for a penalty of 12% on the indemnity benefits awarded to Johnson.
2. The court erred in finding Vinson liable for a 12% penalty on the medical expenses awarded to Johnson.
*916 3. The trial court erred in making an award of attorney's fees.
4. R.S. 23:1201.2 is not applicable to Vinson because Vinson had worker's compensation insurance.
5. The award of $40,000.00 in attorney's fees is unreasonable.

STATUTORY PENALTIES

(Assignment of Error No. 1)

Appellant contends that the trial court erred in awarding Johnson penalties on the weekly indemnity benefits. Appellant argues that the trial court made the award because it applied an incorrect legal standard in determining whether to impose penalties. According to appellant, the trial court incorrectly applied the pre-1983 standard in determining whether to impose penalties, instead of the post-1983 standard, which appellant argues is a less burdensome standard for judging the employer's actions.

As appellant correctly notes, following the 1983 amendments to the Louisiana Worker's Compensation Law, "arbitrary and capricious" standard continues to apply to attorney's fee awards under LSA-R.S. 23:1201.2. However, the "arbitrary and capricious" standard no longer applies to an award of penalties which are now governed by LSA-R.S. 23:1201. The assessment of penalties after 1983 is determined by inquiring whether the employer or its insurer has "reasonably controverted" the compensation claims. LSA-R.S. 23:1201(E); Winn v. Thompson-Hayward Chemical Company, 522 So.2d 137, 144 (La.App. 2nd Cir.1988).

The trial court, in its written reasons for judgment, stated that "[t]he action of Vinson has been arbitrary and subjects them to statutory penalty under [R.S.] 23:1201,2 [sic]...". Further, the judgment of the lower court also states that an award is made in favor of plaintiff for "the statutory twelve (12%) percent penalty allowed under R.S. 23:1201.2 together with attorney's fees...."

Whether the refusal to pay benefits warrants the imposition of penalties and attorney's fees is a factual question which will not be disturbed on appeal in the absence of manifest error. Pitcher v. Hydro-Kem Services, Inc., 551 So.2d 736, 740 (La.App. 1st Cir.), writ denied, 553 So.2d 466 (La.1989). However, where, as in the instant case, the trial court commits legal error by applying the incorrect legal standard or principle, this Court is required to determine the facts de novo from the entire record and render a decision on the merits. See Gonzales v. Xerox, 320 So.2d 163, 169 (La.1975).

The test to determine whether the employee's right to benefits was reasonably controverted by the employer is set forth in Watson v. Amite Milling Co., Inc., 560 So.2d 902 (La.App. 1st Cir.), writ denied, 567 So.2d 614 (La.1990), as follows:

[G]iven the facts, medical and otherwise, known to the employer or his insurer, did the employer or insurer have a reasonable basis to believe that medical expenses and compensation benefits were not due the employee. Stated another way, did the employer or his insurer have sufficient factual and medical information to reasonably counter the factual and medical information presented by the claimant.

Watson, 560 So.2d at 906.

Vinson contends that penalties are inappropriate because Johnson's entitlement to benefits was reasonably controverted. In support of its contention that plaintiff's entitlement to benefits was reasonably controverted, Vinson notes that, following the judgment rendered on January 27, 1986, (after the first trial held on July 2, 1985), Vinson conducted an investigation of plaintiff's claim, which revealed that Johnson had been employed in 1985 and had earned wages. Vinson also relies on the evidence adduced at the second trial, held on December 11, 1987, and January 21, 1988, wherein Johnson did not deny that he had been employed for a period of time in 1985 (after the first trial) and had earned wages.

Vinson's reliance on these facts is misplaced. Johnson testified that the accident in question occurred on January 27, 1984. Johnson further testified that he received compensation benefits through September of 1984, when compensation and medical benefits *917 were stopped.[2] At this point in time, Johnson had attempted to return to work at Vinson, but was unable to do so because of his injuries. Moreover, Johnson testified that he attempted to work in January of 1985, but was again unable to do so. However, Vinson contended that as of January 3, 1985, Johnson was able to engage in gainful employment and, accordingly, was no longer entitled to benefits.

As the record clearly shows, at the time Vinson terminated payment of compensation benefits and refused to pay medical expenses, Vinson did not have knowledge that Johnson had allegedly become employed and was earning wages. Thus, Vinson cannot claim that its subsequently acquired knowledge of plaintiff's alleged employment justified termination or provided a sufficient basis for the employer to reasonably believe that medical expenses and compensation benefits were not due at the time benefits were terminated and medical expenses were denied.

The extensive medical evidence in the record establishes that in the latter part of 1984, Johnson was still under treatment for the injuries he had sustained.

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