Landry v. Petroleum Helicopters, Inc.

165 So. 3d 1269, 15 La.App. 3 Cir. 108, 2015 La. App. LEXIS 1155, 2015 WL 3536692
CourtLouisiana Court of Appeal
DecidedJune 3, 2015
DocketNo. 15-108
StatusPublished
Cited by1 cases

This text of 165 So. 3d 1269 (Landry v. Petroleum Helicopters, 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
Landry v. Petroleum Helicopters, Inc., 165 So. 3d 1269, 15 La.App. 3 Cir. 108, 2015 La. App. LEXIS 1155, 2015 WL 3536692 (La. Ct. App. 2015).

Opinion

GREMILLION, Judge.

| Corner Landry1 appeals the judgment of the Workers’ Compensation Judge (WCJ) which awarded him penalties capped at $8,000, but denied his claim for reimbursement of caretaker or attendant care provided by Mrs. Tena Landry, his wife, and denied his demand to accelerate his benefits. That same judgment awarded him inpatient care not subject to reduction pursuant to statutory fee schedule, other medical benefits, weekly indemnity benefits, and attorney and expert witness fees. For the reasons that follow, we affirm.

FACTS

Mr. Landry was injured in 1997 while employed by Petroleum Helicopters, Inc. (PHI). He sustained a serious head injury that aggravated a pre-existing seizure condition. The injury also damaged his brain’s frontal lobes, which seriously impaired Mr. Landry’s ability to control his impulses. This resulted in Mr. Landry engaging in behaviors that, by the standards of a man in control of his faculties, would be considered, at best, highly inappropriate and even criminal. Mr. Landry’s treating physicians were forced to conclude that, for his own well-being and for society’s, he be institutionalized.

In an effort to obtain the appropriate services for Mr. Landry, his attorney and counsel for PHI agreed to retain the services of Dr. Cornelius Gorman, a licensed vocational rehabilitation counselor and certified life-care planner. Dr. Gorman arranged for Mr. Landry to be evaluated by the staff of NeuroRestorative Timber Ridge, a Benton, Arkansas, facility that houses and treats people with brain injuries. Mr. Landry was admitted to Timber Ridge and his course of treatment | gthere, including environmental engineering and medication, has been successful in helping him maintain impulse control.

Dr. Gorman’s life care plan estimates that the cost of Mr. Landry’s future care will total approximately $14 million. That plan also values Mr. Landry’s care given by his wife at $13,360,000.

Following trial on the merits, the WCJ rendered judgment in Mr. Landry’s favor declaring that his treatment at Timber Ridge is necessary and reasonable and ordering PHI’s insurer to pay for that treatment. That judgment also awarded Mr. Landry a $2,000 penalty for underpayment of his indemnity benefits, a $2,000 penalty for delaying Mr. Landry’s admission to Timber Ridge, and $2,000 penalties for each late payment of several medical bills. All penalties were subject to the $8,000 cap on such penalties pursuant to La.R.S. 23:1201(F). The judgment denied Mrs. Landry’s demand for reimbursement for attendant care she rendered Mr. Landry from the date of the accident until his admission to Timber Ridge.

Mr. Landry appeals the judgment’s cap on penalties and the denial of the attendant care claim of Mrs. Landry.

[1272]*1272ASSIGNMENTS OF ERROR

Mr. Landry assigns the following errors:

1) The Trial Judge erred in its application of res judicata to this case.

2) The Trial Judge erred in its failure to apply the law in effect on the date of the accident.

3) The Trial Court erred in its failure to award multiple penalties and/or the Trial Court’s cap of penalties at $8,000 as opposed to the award of multiple penalties which was the law applicable to this case constituted manifest error.

4) The Trial Court erred in its failure/refusal to award Tena Landry damages for attendant care.

|d5) The Trial Court erred in its failure to grant the Motion to Accelerate benefits due to defendant insurer’s bad faith failure to fulfill it’s [sic] obligations under the Judgment rendered in this case originally in the year 2000.

ANALYSIS

Because assignments of error one through three all deal with the issue of penalties, we shall treat them in a consolidated manner.

Penalties and res judicata

Penalties for failing to pay workers’ compensation benefits are governed by La. R.S. 23:1201. Before 2003, La.R.S. • 23:1201(F) read:

Failure to provide payment in accordance with this Section shall result in the assessment of a penalty in an amount equal to twelve percent of any unpaid compensation or medical benefits or fifty dollars per calendar day, whichever is greater for each day in which any and all compensation or medical benefits remain unpaid, together with reasonable attorney fees for each disputed claim; however, the fifty dollars per calendar day penalty shall not exceed a maximum of two thousand dollars in the aggregate for any claim.

The statute was amended by 2003 La. Acts No. 1204, to provide that the maximum amount of penalties that may be imposed is $8,000. The statute was further amended to provide that “an award of penalties and attorney fees at any hearing on the merits shall be res judicata as to any and all claims for which penalties may be imposed .... which precedes the date of the hearing.” 2003 La. Acts No. 1204.

In the context of the present matter, Mr. Landry claims that the $8,000 cap should not apply to his claim, as there were acts committed by his employer or its insurer that pre-dated the 2003 amendment. Mr. Landry argues that because the law in effect at the time of the commission of these acts must govern what penalties are assessed, the cap should not apply.

PHI argues that the present Disputed Claim for Compensation was not the first Mr. Landry has filed, and that a 2007 Disputed Claim for Compensation was |4filed that resulted in a stipulation between the parties that assessed a penalty and attorney fees. The WCJ agreed with PHI and maintained its exception of res judicata.

We, too, agree with PHI’s interpretation of the issue. The stipulation at issue converted Mr. Landry’s benefits from supplemental earnings benefits to temporary total disability benefits, and provided for a penalty and attorney fees. This stipulation was entered into in June 2008, after La.R.S. 23:1201 was amended. All claims for penalties and attorney fees that existed [1273]*1273at that time were merged into that stipulation, which became a judgment of the WCJ. See La.R.S. 23:1272. See also Flores v. A & Z Tobacco, LLC, 14-505 (La.App. 3 Cir. 11/19/14), 152 So.3d 1004, writ denied, 15-0326 (La.4/24/15), 169 So.3d 360, 2015 WL 2184386. From the entry of that stipulated judgment, only penalties and attorney fees that arose thereafter could be assessed.

Attendant care benefits

Medical reimbursement amounts (the “fee schedule”) are established by regulations found in the Louisiana Administrative Code in Title 40, Part I, Chapter 35 Sections 3507-3511 (2006). Under the fee schedule, specifically La.Admin.Code 40:3509, non-professional family members must be trained by the treating health care provider. Ordinary household duties are not reimbursed, but rather must be in the nature of services trained hospital or nursing home professionals would render. Lastly, “the medical evidence or record must be sufficient to identify the nature and approximate value of the services provided.” La.Admin.Code 40:3509(A)(6)(c).

IsThe WCJ denied such recovery for Mrs. Landry because the types of care she provided are not the types that are authorized by the administrative code The record provides a reasonable basis for the WCJ’s ruling.

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165 So. 3d 1269, 15 La.App. 3 Cir. 108, 2015 La. App. LEXIS 1155, 2015 WL 3536692, Counsel Stack Legal Research, https://law.counselstack.com/opinion/landry-v-petroleum-helicopters-inc-lactapp-2015.