Lavalais v. Gilchrist Construction Co.

158 So. 3d 195, 14 La.App. 3 Cir. 785, 2015 La. App. LEXIS 176, 2015 WL 444951
CourtLouisiana Court of Appeal
DecidedFebruary 4, 2015
DocketNo. 14-785
StatusPublished

This text of 158 So. 3d 195 (Lavalais v. Gilchrist Construction Co.) 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
Lavalais v. Gilchrist Construction Co., 158 So. 3d 195, 14 La.App. 3 Cir. 785, 2015 La. App. LEXIS 176, 2015 WL 444951 (La. Ct. App. 2015).

Opinion

CONERY, Judge.

| fin this workers’ compensation case, Gilchrist Construction Company, LLC (Gilchrist) appeals the judgment entered in favor of its former employee, Mr. Marlon Lavalais (Mr. Lavalais), ordering Temporary Total Disability Benefits (TTDs), payment for past medical expenses, future medical treatment and expenses, past and future travel expenses, penalties, attorney fees and costs, and denying Gilchrist’s special defense based on La.R.S. 23:1208.1, which would have required that all workers’ compensation benefits be denied to Mr. Lavalais based on false answers to a pre-employment medical questionnaire. Mr. Lavalais answered the appeal and seeks attorney fees for appellate work. For the following reasons, we affirm as amended.

FACTS AND PROCEDURAL HISTORY

On November 2, 2012, Mr. Lavalais was injured in a one car accident in the course and scope of his employment with Gilchrist while he was riding as a guest passenger in a vehicle owned by Gilchrist. The Gilchrist vehicle struck a sign that had fallen off a transport truck on Interstate — 49. Mr. Edward Walker, Jr., the driver of the Gilchrist vehicle and also a' Gilchrist employee, then lost control and ran off the road. Mr. Lavalais allegedly sustained injuries to his neck, back, and right knee as a result of the accident.

Mr. Lavalais complained that his back hurt immediately after the accident and felt like he could not go on to work with Mr. Walker. In light of his condition, Mr. Butch Mackey, a Gilchrist’s supervisor, went to the scene of the accident, conducted an inspection, took pictures, and then drove Mr. Lavalais home. Mr. Lavalais has not returned to work since the November 2, 2012 accident.

|2Mr. Lavalais began working for Gilchrist in August/September 2012, some three months prior to his November 2, 2012 accident. Subsequent to his hiring, on August 28, 2012, Mr. Lavalais completed and signed a medical questionnaire in conjunction with his company-required physical examination by Gilchrist’s doctor. Based on the answers given and the medi[198]*198cal examination conducted, the doctor found that Mr. Lavalais could “work with no accommodations.”

The Gilchrist medical questionnaire states in boldface, underlined, capital letters at the top of the page, “YOUR FAILURE TO ANSWER ANY OF THE QUESTIONS ON THIS FORM TRUTHFULLY MAY RESULT IN YOUR FORFEITURE OF WORKER’S COMPENSATION BENEFITS UNDER LA.R.S. 23:1208.1.”

Underneath the bold capitalized warning, the next sentence reads, “Indicate whether or not you currently have, have previously had, or have ever been treated for any of the following conditions. (Check box to indicate ‘YES’).” Mr. Lava-lais answered “NO” to all of the conditions including, “KNEE INJURY, NECK INJURY AND BACK INJURY.”

The next portion asks “Are you presently' under any medical treatment?” Mr. Lavalais also responded “NO.” To the next question, “Are you presently taking medication[,]” Mr. Lavalais also responded, “NO.” Mr. Lavalais contests that it was his handwriting in the response to the follow up medication question, discussing his use of medication. The answer to this portion of the questionnaire stated, “Not Regular. Lortab PRN. Left arm pain due to old football injury.” Mr. Lavalais testified that he did not write the answer to this portion of the questionnaire, which appears to be signed by Dr. Edwards, who conducted the pre-hire physical on Mr. Lavalais.

laFollowing the rest of the questions, to which Mr. Lavalais responded “N/A.”1 is another statement, also capitalized, in boldface, and underlined, which provides: “WARNING-PURSUANT TO LSA 1208.1, I UNDERSTAND THAT THE FAILURE TO ANSWER ANY OF THESE QUESTIONS TRUTHFULLY MAY RESULT IN THE DENIAL OF ANY RIGHT I OR MY DEPENDENTS MAY HAVE TO [WORKERS’] COMPENSATION BENEFITS, INCLUDING WEEKLY BENEFITS, MEDICAL TREATMENT AND EXPENSES, UNDER R.S. 23:1208.1.”

Mr. Lavalais then signed and dated the document “8/28/2012,” underneath the statement, “I HAVE READ AND UNDERSTOOD THE MEDICAL QUESTIONNAIRE. I HAVE ALSO REVIEWED THE ANSWERS TO THE MEDICAL QUESTIONNAIRE AND THEY ARE CORRECT.”

In connection with their investigation of the November 2, 2012 accident, through a conversation between Mr. Lavalais and Ms. Kim Sandrock, the adjuster for Gilchrist’s workers’ compensation carrier, Travelers Insurance Company, Gilchrist learned that Mr. Lavalais had previously injured his neck, back, and right knee, had received medical treatment for those injuries, and had failed to disclose same on his pre-employment questionnaire and medical examination. Gilchrist then denied Mr. Lavalais request for workers’ compensation payments, based on La.R.S. 23:1208.1 (emphasis added), which states:

Nothing in this Title shall prohibit an employer from inquiring about previous injuries, disabilities, or other medical conditions and the employee shall answer truthfully; failure to answer truthfully shall result in the employee’s forfeiture of benefits under this Chapter, provided said failure to answer directly relates to the medical condition for which a claim for benefits is made or affects the employer’s ability to receive reimbursement from the second injury j/und. This Section shall not be en[199]*199forceable unless the written form on which the inquiries about previous medical conditions are made contains a notice advising the employee that his failure to answer truthfully may result in his forfeiture of worker’s compensation benefits under R.S. 23:1208.1. Such notice shall be prominently displayed in bold faced block lettering of no less than ten point type.

Based on Gilchrist’s denial of benefits, on February 8, 2013, Mr. Lavalais filed a Louisiana Department of Labor (LDOL) Form 1008, seeking workers’ compensation benefits and medical care in connection with the November 2, 2012 accident. On March 19, 2013, Gilchrist filed an answer to the workers’ compensation claim/petition filed by Mr. Lavalais on Form 1008 stating, “Marlon Lavalais the employee, violated the provisions of 23:1208.1 and therefore forfeits any benefits that would otherwise have been owed to him.”2

After a trial on the merits, the workers’ compensation judge (WCJ) found:

[A]nd the employer took a recorded statement, their adjuster took a recorded statement from him and they learned in the recorded statement that Mr. La-valais had, in the past, sustained a right-knee injury and had some neck and back problems in the past. Based on the medical questionnaire that Mr. Lavalais signed at the time of his employment with Gilchrist Construction Company, they contended that he violated Revised Statute 23:1208, misrepresentation statute, and was not entitled to receive any workers’ compensation benefits. Accordingly, they never began paying any indemnity or authorized any medical care for Mr. Lavalais.[ 3]

The WCJ nevertheless concluded that Gilchrist “failed to establish forfeiture under La. Revised Statute 23:1208.1,” and awarded Mr. Lavalais TTDs at the rate of $320.43 per week beginning November 3, 2012, and continuing, plus legal interest. The WCJ ordered that Mr. Lavalais was entitled to continuing medical | ^treatment from his treating physicians Dr. Mounayar and Dr. Blanda, including but not limited to lumbar surgery, knee surgery, and cervical surgery in accordance with the Louisiana Fee Schedule.

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Bluebook (online)
158 So. 3d 195, 14 La.App. 3 Cir. 785, 2015 La. App. LEXIS 176, 2015 WL 444951, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lavalais-v-gilchrist-construction-co-lactapp-2015.