Levatino v. Domengeaux and Wright, PLC

593 So. 2d 721, 1991 WL 317072
CourtLouisiana Court of Appeal
DecidedJanuary 2, 1992
DocketCA 91 0091
StatusPublished
Cited by11 cases

This text of 593 So. 2d 721 (Levatino v. Domengeaux and Wright, PLC) 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
Levatino v. Domengeaux and Wright, PLC, 593 So. 2d 721, 1991 WL 317072 (La. Ct. App. 1992).

Opinion

593 So.2d 721 (1991)

Hazel E. LEVATINO
v.
DOMENGEAUX AND WRIGHT, P.L.C. and Aetna Life and Casualty.

No. CA 91 0091.

Court of Appeal of Louisiana, First Circuit.

December 30, 1991.
Concurring and Dissenting Opinion January 2, 1992.
Writ Denied March 20, 1992.

*722 Christopher Moody, Hammond, La., for plaintiff.

Robert C. Funderburk, Jr., Baton Rouge, for defendant-appellant Aetna Life and Cas.

Before EDWARDS, SAVOIE, CRAIN, FOIL and GONZALES, JJ.

Concurring and Dissenting Opinion of Judge Foil January 2, 1992.

CRAIN, Judge.

Defendant, Aetna Casualty and Surety Company (Aetna), appeals from a trial court judgment denying their exception of prescription and awarding plaintiff medical expenses and other related expenses (travel, medication, etc.), penalties and attorney's fees. The judgment further directs Aetna to reinstate compensation benefits and to pay medical and travel expenses and other related worker's compensation claims as they accrue. We affirm.

FACTS

Plaintiff instituted this action for worker's compensation benefits against her employer, Domengeaux and Wright a professional law corporation, and its compensation insurer, Aetna. She alleges that an on-the-job injury occurred on April 17, 1987, when she hurt her back after lifting a word processor in order to set up a computer work station for a new employee. She reported back pain immediately and sought medical treatment. Over an extended period of time, she was treated by a family physician, chiropractors, and physical therapists. She was finally referred to Dr. R.C. Llewellyn, a neurosurgeon. He diagnosed a ruptured disc in plaintiff's lower back and performed disc surgery on January 4, 1988.

After the surgery, plaintiff's condition improved somewhat and she attempted to do light duty work at her home for her employer. The law firm paid her regular salary from January through October 15, 1988. Plaintiff had hoped to return to work after the surgery, but her condition deteriorated to the point that she was unable to work at her home. She had a second surgery on October 5, 1988, to repair an additional herniated disc. Dr. Llewellyn testified by deposition that plaintiff's present condition along with both operative procedures are related to the injury she received in April, 1987. Plaintiff has continued to have complications since the second surgery. Dr. Llewellyn felt that plaintiff is totally disabled and is in need of further neurosurgical care.

Plaintiff was taken off of the payroll at the law firm after her second surgery in October, 1988. Prior to that time, she was covered under a hospitalization policy, the cost of which was paid for by her employer. In fact, the hospitalization insurance carrier paid the medical expenses incurred by plaintiff through her first surgery, which amounted to $24,521.08. When plaintiff was removed from the payroll, she began paying the hospitalization premiums herself.

After her second surgery and the ensuing termination of her employment, plaintiff filed a claim with the Office of Worker's Compensation on December 29, 1988[1]. By check dated March 8, 1989, plaintiff received her first worker's compensation payment from Aetna in the amount of $4,923.20, for the period from October 16, 1988, through March 4, 1989. The OWC's recommendation was eventually rejected by one of the parties, and plaintiff filed the instant suit on April 10, 1989. Plaintiff testified at trial, on November 3, 1989, that she has received regular compensation benefits since the time Aetna made the first lump sum payment in March, 1989. However, she sought to recover medical expenses totalling $49,641.12 (which amount includes $24,521.08 paid her by her employer's hospitalization insurance carrier). Plaintiff further sought recovery of penalties and attorney's fees for Aetna's arbitrary and capricious refusal to pay her claim for medical expenses and for the late payment of disability compensation.

*723 After a trial on the merits, the trial court took the matter under advisement. Thereafter, on May 23, 1990, defendants filed a preemptory exception of prescription. In written reasons for judgment, the trial court ruled, in pertinent part, as follows:

(1) Defendant's preemptory exception was overruled. Prescription was interrupted by the employer's continuing payment of plaintiff's normal wages in lieu of worker's compensation benefits after the occurrence of her injury.
(2) Aetna, as the worker's compensation carrier, is responsible for payment of plaintiff's medical expenses and is not entitled to any credit or setoff for the amount paid by the employer's group health insurance provider, under the general collateral source rule.
(3) Aetna acted arbitrarily and capriciously in the denial of payment of the medical expenses and in the untimely late payment of worker's compensation. Aetna owes penalties of 12% on the weekly worker's compensation benefits from October 1, 1988, through March 4, 1989, and on the medical and other related expenses. Aetna owes attorney's fees in the amount of $12,500 (for 125 hours at the rate of $100 per hour).

Aetna brings the instant appeal, urging as follows:

1. The trial court erred in failing to sustain its preemptory exception of prescription on plaintiff's claim for medical expenses;
2. Alternatively, the trial court erred in failing to allow it an offset for medical expenses paid by defendant's health care insurance.
3. The trial court erred in determining that it acted arbitrarily and capriciously and in thus imposing penalties and attorney's fees; and
4. Alternatively, the amount of attorney's fees awarded was excessive.

PRESCRIPTION

Aetna argues that plaintiff's claim for medical expenses has prescribed because her accident occurred in April, 1987, her claim was not filed with the Office of Worker's Compensation until December, 1988, and suit was not filed until April, 1989. Appellant contends that receipt of wages in lieu of compensation benefits does not interrupt the running of prescription as to the medical benefits.

La.R.S. 23:1209 sets forth the prescriptive periods for all claims for worker's compensation. Part C of that section specifically applies to claims for medical expenses. Aetna argues that there are two distinct prescriptive periods set forth in La.R.S. 23:1209(A) and (C) for compensation benefits and medical expenses as a result of a 1986 amendment. They further argue that the claims are not interrelated and the prescription on a claim for medical expenses is interrupted only by a medical payment. We disagree with this argument. Neither the statutory law nor jurisprudence supports this position.

Prior to the 1986 amendment La.R.S. 23:1209 provided that all claims for payments were barred by failure to file a claim within one year of the accident or one year from "the last payment". Since payments were not distinguished the courts applied the same one year period to claims for compensation and medical expenses. Malone & Johnson, Worker's Compensation, 14 La.Civ.Law Treatise Sec. 384 at 122-123 (1991 Supp.). However, in Lester v. Southern Casualty Insurance Company, 466 So.2d 25 (La.1985) the court was faced with a claimant who had lost his left foot. He was fitted with an artificial limb and received 500 weeks of benefits.

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Bluebook (online)
593 So. 2d 721, 1991 WL 317072, Counsel Stack Legal Research, https://law.counselstack.com/opinion/levatino-v-domengeaux-and-wright-plc-lactapp-1992.