Lewis v. Malone & Hyde, Inc.

626 So. 2d 531, 1993 La. App. LEXIS 3345, 1993 WL 451541
CourtLouisiana Court of Appeal
DecidedNovember 3, 1993
Docket93-254
StatusPublished
Cited by12 cases

This text of 626 So. 2d 531 (Lewis v. Malone & Hyde, 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
Lewis v. Malone & Hyde, Inc., 626 So. 2d 531, 1993 La. App. LEXIS 3345, 1993 WL 451541 (La. Ct. App. 1993).

Opinion

626 So.2d 531 (1993)

Patrick A. LEWIS, Plaintiff-Appellee,
v.
MALONE & HYDE, INC., Defendant-Appellant.

No. 93-254.

Court of Appeal of Louisiana, Third Circuit.

November 3, 1993.

*532 Bret Christopher Beyer, Lafayette, for Malone & Hyde.

Christopher Richard Philipp, Lafayette, for Patrick A. Lewis.

Before DOMENGEAUX, C.J., and LABORDE and COOKS, JJ.

LABORDE, Judge.

In this workers compensation matter, appellant Malone & Hyde, Inc. suspensively appeals the judgment of temporary total benefits, penalties and attorneys fees awarded appellee-employee Patrick A. Lewis for the period after he left his sheltered employment in substantial pain at the invitation of his supervisor. Noting that workers are now ineligible for temporary total benefits under the "working in pain" doctrine, we reverse part of the hearing officer's award of temporary total disability, but finding that the disabled employee has shown that he was prevented by substantial pain from performing the only sheltered employment he was offered, we nonetheless affirm the monetary level he was awarded by the hearing officer.

FACTS

Plaintiff, Patrick A. Lewis, employed by defendant Malone & Hyde, Inc., injured his back lifting a box at work as an order selector on August 12, 1990. Except for the first week following his May 22, 1991 injury, when he received compensation only for accumulated sick time, Mr. Lewis was paid workers compensation benefits.

On March 26, 1992, this case was tried before a hearing officer who, on October 9, 1992, rendered judgment finding plaintiff eligible for temporary total disability benefits for the first week of claimed disability, in addition to the periods of May 22, 1991 through January 27, 1992, and February 27, 1992 prospectively. Although Malone & Hyde was additionally assessed a $250 fine for failing to provide medical reports, as well as penalties and attorneys fees, our issues principally emanate from the question of what compensation plaintiff was entitled to during these three periods.

ASSIGNMENT OF ERROR NUMBER ONE

Employer Malone & Hyde's first assigned error concerns plaintiff's first week of disability, during which Mr. Lewis received the equivalent of his regular pay as "sick leave."

*533 No workers compensation is owed for the first week after an employee's on-the-job injury unless the disability continues for six weeks or longer after the date of the accident, in which case compensation for the first week shall be paid after the first six weeks have elapsed. LSA-R.S. 23:1224.

In its Pre-Trial Memorandum, Malone & Hyde, Inc. admitted that plaintiff was not adequately compensated for his first week of disability, but now on appeal relies on LSA-R.S. 23:1225C to assert that the hearing officer erred in finding Mr. Lewis entitled to benefits beyond the "sick leave" payments he received for his first week of disability. The company also contests the penalties and attorneys fees awarded by the hearing officer. For his part, the claimant believes his employer erred in utilizing his sick leave to pay for its workers compensation obligations.

Resolution of the question turns on LSA-R.S. 23:1225C, which provides:

C. (1) If an employee receives remuneration from:
(a) Benefits under the Louisiana Worker's Compensation Law.
(b) Old-age insurance benefits received under Title II of the Social Security Act to the extent not funded by the employee.
(c) Benefits under disability benefit plans in the proportion funded by an employer.
(d) Any other worker's compensation benefits,
then compensation benefits under this Chapter shall be reduced, unless there is an agreement to the contrary between the employee and the employer liable for payment of the worker's compensation benefit, so that the aggregate remuneration from subparagraphs (a) through (d) of this Subsection shall not exceed sixty-six and two-thirds percent of his average weekly wage.

In LSA-R.S. 23:1225C the legislature authorized a credit for the employer against its workers compensation obligation when the employee receives enumerated benefits. Benefits enumerated under the provision may be offset, but benefits that are not enumerated may not be. Cousins v. City of New Orleans, 608 So.2d 978, 980 (La.1992).

Because sick leave benefits are not among the enumerated benefits to which an employer is entitled an offset under LSA-R.S. 23:1225 and neither we nor the hearing officer were able to conclude that the employee bargained away the sick leave benefits he earned before he was injured on the job, we affirm the hearing officer's award to Mr. Lewis of benefits for his initial week of disability. LSA-R.S. 23:1225C; Cousins, supra. Cf. Fontenot v. Schlumberger Well Service, 503 So.2d 1109, 1115-6 (La.App. 3d Cir.1987) ("Salary Continuation Plan" benefits offering disabled workers larger, longer-running benefits than required by law entitled employer to offset under LSA-R.S. 23:1225C(1)(c)).

"The Section 1225C credit constitutes a restriction on an injured employee's right to workers compensation benefits and must be strictly construed." Cousins, supra, at 981. Ordinarily, sick leave is accrued as compensation to provide for infirmities unrelated to employment and it would seem inequitable to permit an employer to require an employee hurt on the job to sacrifice his accrued sick leave in order that his employer might save its statutorily mandated workers compensation obligations.

In view of the clear public policy pronouncement predating its expression in Cousins, supra, we likewise affirm the hearing officer's award of penalties and attorney's fees for defendant's failure to pay compensation for the first week.

ASSIGNMENT OF ERROR NUMBER TWO

Malone and Hyde, Inc. next argues that the hearing officer erred in awarding Mr. Lewis temporary total disability benefits at the rate of $249.58 per week from May 22, 1991, the first date Mr. Lewis saw Dr. Franklin and date the employer reduced his benefits, through January 27, 1992, the date of his last visit with Dr. Franklin. The employer contends that during this period Mr. Lewis was physically able to continue Malone and Hyde's modified duty program and was thus entitled to no more than Supplemental Earnings Benefits.

*534 La.R.S. 23:1221(1) defines Temporary Total Benefits as:

(1) Temporary total.
(a) For any injury producing temporary total disability of an employee to engage in any self-employment or occupation for wages, whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured, and whether or not an occupation for which the employee at the time of injury was particularly fitted by reason of education, training, or experience, sixty-six and two-thirds percent of wages during the period of such disability.
(b) For purposes of Subparagraph (1)(a) of this Paragraph, compensation for temporary disability shall not be awarded if the employee is engaged in any employment or self-employment regardless of the nature or character of the employment or self-employment including but not limited to any and all odd-lot employment, sheltered employment, or employment while working in any pain.

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Bluebook (online)
626 So. 2d 531, 1993 La. App. LEXIS 3345, 1993 WL 451541, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewis-v-malone-hyde-inc-lactapp-1993.