Jones v. General Motors Corp.

847 So. 2d 6, 2003 La. App. LEXIS 1516, 2003 WL 1824623
CourtLouisiana Court of Appeal
DecidedMay 16, 2003
Docket37,167-WCA
StatusPublished
Cited by5 cases

This text of 847 So. 2d 6 (Jones v. General Motors Corp.) 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
Jones v. General Motors Corp., 847 So. 2d 6, 2003 La. App. LEXIS 1516, 2003 WL 1824623 (La. Ct. App. 2003).

Opinion

847 So.2d 6 (2003)

Alma M. JONES, Plaintiff-Appellant,
v.
GENERAL MOTORS CORPORATION, Defendant-Appellee.

No. 37,167-WCA.

Court of Appeal of Louisiana, Second Circuit.

April 9, 2003.
Opinion on Rehearing May 16, 2003.

*8 Alex S. Lyons, Counsel for Appellant.

Lunn, Irion, Salley, Carlisle & Gardner By: Walter S. Salley, J. Martin Lattier, Shreveport, Counsel for Appellee.

Before GASKINS, MOORE and KOSTELKA (Pro Tempore), JJ.

KOSTELKA, Judge Pro Tempore.

This appeal by claimant Alma Jones ("Jones") arises from a judgment awarding her temporary total disability benefits ("TTD") and supplemental earnings benefits ("SEB") but reducing the award by amounts paid under a disability plan. The employer, General Motors Corporation ("GM"), has answered the appeal and urges that the Workers' Compensation Judge ("WCJ") erred in awarding Jones additional benefits. We amend and affirm.

FACTS

Jones commenced employment with GM at its Shreveport truck assembly plant in 1983. She had various duties but primarily worked as a cab assembly machine operator *9 and described her work as "men's jobs ... hard jobs." In her deposition, Jones said that her job as an assembly machine operator required her to lift eight "light parts" and put them into the machine before the machine moved the parts to a robot.

GM had a policy requiring employees to report work-related injuries and between 1983 and 1999, Jones reported approximately thirty-nine different injuries. Among these injuries were some serious events including a neck and back injury and carpal tunnel syndrome. Jones also reported more minor events such as muscle strains. The more serious of her injuries restricted Jones from working with power tools and from lifting, bending and pushing.

On January 15, 1999, Jones, who is right handed, was working next to an assembly machine when a lever on the machine struck her right thumb. Orthopedic surgeon, Dr. John Knight ("Dr.Knight"), performed surgery on Jones' thumb which required partial amputation.

Jones thereafter received TTD benefits of $367.00 per week from February 1, 1999 through March 28, 1999, and permanent partial disability benefits from April 5, 1999 through May 21, 1999. She also received medical payments for reconstructive surgery for her thumb. Jones further sought and received Social Security disability benefits from February 1, 1999 through March 22, 2000.

In addition, Jones received payments from a sickness and accident policy entirely funded by GM. On January 25, 1999, Jones signed the following agreement:

REIMBURSEMENT AGREEMENT SICKNESS AND ACCIDENT AND EXTENDED DISABILITY BENEFITS

....

AGREEMENT RE: Sickness and Accident and Extended Disability Benefit payments covering a period or periods for which Workers Compensation may later be paid.
In consideration of Sickness and Accident and Extended Disability Benefits paid to me under the General Motors Life and Disability Benefits Program ("the Program"), and pursuant to the provisions of the Program, I, the undersigned, for myself, my heirs, assignees, executors, administrators, or personal representatives, hereby agree to repay to my employer a sum equal to the overpayment of Program benefits which is equal to the lesser of the total of any Workers Compensation benefits for loss of wages which becomes due me as the result of voluntary agreement or by award for the period or periods that such Sickness and Accident and Extended Disability Benefit payments were made, or the total of such Sickness and Accident and Extended Disability Benefit payments. I understand that under the General Motors Life and Disability Benefits Program, the scheduled amount of Sickness and Accident and Extended Disability Benefits, for such period or periods, should be reduced by any weekly Workers Compensation benefits to which I am entitled, and if such repayment is not made within sixty days after request is made by the Corporation for repayment thereof, the amount may be deducted, to the extent allowed by applicable law, by the Corporation from any amounts, including, but not limited to, wages thereafter payable to me.
....

Jones underwent a functional capacity evaluation ("FCE"). The lengthy evaluation concluded that Jones was capable of returning to light work (lifting ten pounds *10 frequently, twenty pounds occasionally, and negligible lifting constantly) so long as she was not required to perform with her right hand tasks requiring repetitive, forceful grasping, pinching, or fine fingering. The evaluator observed that Jones made good physical effort during the test but exhibited "at least some degree" of symptom magnification. With regard to symptom magnification, the evaluator stated:

In describing symptom magnification, I am by no means implying intent. Rather, I am simply stating that Ms. Jones can do more than she currently states or perceives. While her subjective reports should not be disregarded, they should be considered within the context of symptom magnification findings.

On March 24, 1999, Jones underwent an impairment and disability evaluation, and the evaluator concluded that she had a total impairment of her right thumb of 36 percent, which is equal to an 8 percent whole-person impairment.

Dr. Knight released Jones to return to work on March 29, 1999. The doctor's release specified:

Ms. Jones may return to her regular job. If this job is not available one must be found the (sic) fits within the restrictions outlined in the FCE.

Jones testified that she returned to the GM plant after her release to work sometime near the end of March, but "the plant doctor" told her that GM had no job which met her restrictions. Jones testified that from that point forward, GM did not pay her workers' compensation benefits, but instead paid her sickness and accident benefits under the GM-funded disability plan.

Although Dr. Knight's records reflect no complaints by Jones at her last visit, Jones testified that her hand was still swollen and hurting and that she did not like Dr. Knight's service because she believed he spent too little time evaluating and treating her problem and had released her too soon. She elected to see Dr. John Ferrell ("Dr.Ferrell"), another orthopedist, in April 1999. GM refused to pay for this additional evaluation and treatment. Dr. Ferrell's records reflect findings of painful and reduced motion in Jones' right thumb. His orders were for Jones to undergo three weeks of physical therapy and not to use her right hand. In late April, Dr. Ferrell maintained his order that Jones not use her right hand and indicated that she was to undergo partial nail removal surgery on May 12, 1999, which Dr. Ferrell performed.

On May 20, 1999, Dr. Ferrell again examined Jones and recommended that she undergo another FCE. His records indicate that he allowed Jones to return to work with limited use of her right hand and thumb on June 7, 1999. In the absence of a second FCE, Dr. Ferrell indicated that Jones' old FCE "... would be fairly similar to her restrictions at this point, as well as restrictions of pinching and pulling...." Dr. Ferrell executed a release for Jones to return to light work on that day. At a visit on July 30, 1999, Dr. Ferrell noted that "[W]e need to look at her old Functional Capacity Evaluation.

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Bluebook (online)
847 So. 2d 6, 2003 La. App. LEXIS 1516, 2003 WL 1824623, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-general-motors-corp-lactapp-2003.