Kendrick v. Bill Liberto Enterprises

698 So. 2d 22, 96 La.App. 3 Cir. 979, 1997 La. App. LEXIS 1649, 1997 WL 331015
CourtLouisiana Court of Appeal
DecidedJune 18, 1997
Docket96-979
StatusPublished
Cited by4 cases

This text of 698 So. 2d 22 (Kendrick v. Bill Liberto Enterprises) 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
Kendrick v. Bill Liberto Enterprises, 698 So. 2d 22, 96 La.App. 3 Cir. 979, 1997 La. App. LEXIS 1649, 1997 WL 331015 (La. Ct. App. 1997).

Opinion

698 So.2d 22 (1997)

Helen KENDRICK, Plaintiff-Appellee,
v.
BILL LIBERTO ENTERPRISES, Defendant-Appellant.

No. 96-979.

Court of Appeal of Louisiana, Third Circuit.

June 18, 1997.

*23 Knight Edward Doggett, Alexandria, for Helen Kendrick.

Jay P. Adams, Monroe, for Bill Liberto Enterprises.

Before YELVERTON, SAUNDERS, PETERS, AMY and GREMILLION, JJ.

SAUNDERS, Judge.

In this workers' compensation proceeding, the employer-appellant asks that we reverse its being found liable for penalties, attorney fees and travel expenses associated with plaintiff's need to obtain medical services.

FACTS

On March 7, 1995, claimant, Helen Kendrick, was injured when she slipped while working at the Dairy Queen in Ball, Louisiana. Ms. Kendrick was taken by the store manager to see Dr. William Brown at the Cabrini Center immediately after the accident. Dr. Brown initially diagnosed plaintiff with a low back strain and later referred Ms. Kendrick to Dr. Beurlot, a physiatrist in Alexandria, who, like himself, was chosen by the employer.[1] After examining Ms. Kendrick, Dr. Beurlot noted that he found no evidence of a bony or neurological injury and recommended that she return to her normal activities on April 4,1995.

On April 7, 1995, claimant was released to return to work by Dr. Brown, where she continued through April 13, 1995, when her continuing pain prompted Ms. Kendrick to see Dr. Baer Rambach, an orthopedic surgeon, in Shreveport. Correspondence dated April 19, 1995, indicated that Dr. Rambach diagnosed Ms. Kendrick with an injury to the cervical and lumbar spines and further indicated that Dr. Rambach concluded that claimant was temporarily totally disabled from gainful employment and would remain so until further notice.

On a second visit to Dr. Rambach on April 18, 1995, a physical examination and X-ray revealed that Ms. Kendrick suffered contusions and sprains to the cervical and lumbosacral regions of her spine as well as her right elbow and forearm. Dr. Rambach further recommended physical therapy rather than sophisticated testing, such as MRI's, a myelogram, or CAT scans, and suggested that claimant be referred to the Alexandria Physical Therapy Center. It is clear that on this second visit, Dr. Rambach was still of the opinion that Ms. Kendrick was unable to return to work.

This controversy arose when her employer, notwithstanding its receipt of Dr. Rambach's reports, concluded that Ms. Kendrick was able to return to the workplace and, on that basis, discontinued her compensation benefits.[2] The adjuster for the defendant, Karen *24 Junot, advised plaintiff's lawyer of her decision by letter dated May 11,1995.

Despite the fact that Ms. Junot was made aware of her misinformation, she did not reinstate the payment of benefits due, but instead arranged for a second opinion with Dr. Cline, an orthopedic surgeon in Monroe.[3] It was only after July 28, 1995, when Ms. Kendrick saw Dr. Cline, a physician for the employer, that Ms. Junot expressed a willingness on August 11,1995, to make claimant whole for the amounts due.

Additionally, the record reveals that Ms. Junot reimbursed Ms. Kendrick's expenses for her three Alexandria visits; however, she was not willing to pay for total mileage reimbursement for the visits to Dr. Rambach in Shreveport due to the belief that only reasonable mileage should be reimbursed. As a result, Ms. Junot reimbursed Ms. Kendrick for the distance she would have normally traveled if she had acquired a treating physician in the vicinity which equaled $16.80 to cover seventy miles of travel.

In her Form 1008 filed with the Office of Workers' Compensation on April 10, 1995, claimant sought temporary total disability benefits, medical expenses, mileage, penalties and attorney fees. Following defendant's answer, the matter was tried on February 22, 1996, after which the hearing officer rendered judgment as follows:

(1) Dr. Brown, Dr. Beurlot and Dr. Cline were employer's choices of physicians.
(2) Dr. Rambach was employee's choice of physician.
(3) Insurer and Employer failed to adequately investigate claimant's request for her choice of physician; claimant is awarded penalties of $250.00 and attorney's fees of $250.00.
(4) Employer failed to timely pay and/or reimburse claimant for the medical bill of Dr. Rambach. Employee is awarded penalties of $2,000.00 and attorney's fees of $2,210.00.
(5) Claimant is entitled to payment for her total mileage; employer did not have the authority to reduce payment for these expenses. Claimant is awarded penalties of $500.00 and attorney's fees of $500.00.
(6) Employer failed to pay indemnity benefits in a timely fashion; employee is awarded penalties of $1,100.00 and attorney's fees of $2,000.00.
(7) Employee is entitled to physical therapy.
(8) Employer is assessed with all costs of these proceedings.

From this judgment, defendant assigns the following errors on appeal:

(1) The hearing officer erred in awarding penalties and attorney fees, and in the alternative, defendant argues that the amount of attorney fees awarded by the hearing officer is excessive.
(2) The lower court erred in awarding penalties which exceeded the maximum amount allowable under La.R.S. 23:1201.

LAW

The obligations imposed upon an employer in dealing with its injured employees could not be more clear. A worker injured in the course and scope of his employment is entitled not only to wage replacement compensation in accordance with La.R.S. 23:1221, but also to vocational rehabilitation in accordance with La.R.S. 23:1226 and medical treatments and mileage reimbursement as required by La.R.S. 23:1203.

La.R.S. 23:1203 provides in pertinent part:

Duty to furnish medical expenses; prosthetic devices; other expenses
A. In every case coming under this Chapter, the employer shall furnish all necessary drugs, supplies, hospital care and services, medical and surgical treatment, and any nonmedical treatment recognized *25 by the laws of this state as legal....
....
C. In addition, the employer shall be liable for the actual expenses reasonably and necessarily incurred by the employee for mileage reasonably and necessarily traveled by the employee....

Compensation benefits must be commenced in most cases on the fourteenth day after the employer has knowledge of its employee's injury, La.R.S. 23:1201(B) and (C), and failure to pay medical benefits timely also constitutes a basis for an award of penalties. Failure to timely pay "compensation or medical benefits" mandates assessment of a penalty in an amount equal to the greater of twelve percent of any unpaid "compensation or medical benefits" or fifty dollars per calendar day, whichever is greater when the employee's right to compensation or medical expenses has not been reasonably controverted. La.R.S. 23:1201(E). Attorney fees may be awarded in an appropriate case under La.R.S. 23:1201.2.

Having set forth the law, we now turn to that portion of defendant's first assigned error which initially complains that the hearing officer erred in assessing it with any sanctions.

After reviewing the evidence, we find merit in each of the four grounds upon which the hearing officer found fault in defendant's actions.

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Cite This Page — Counsel Stack

Bluebook (online)
698 So. 2d 22, 96 La.App. 3 Cir. 979, 1997 La. App. LEXIS 1649, 1997 WL 331015, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kendrick-v-bill-liberto-enterprises-lactapp-1997.