Lewis v. TEMPLE INLAND

80 So. 3d 52, 2011 La. App. LEXIS 1342, 2011 WL 5386631
CourtLouisiana Court of Appeal
DecidedNovember 9, 2011
Docket2011 CA 0729, 2011 CA 0730
StatusPublished
Cited by10 cases

This text of 80 So. 3d 52 (Lewis v. TEMPLE INLAND) 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. TEMPLE INLAND, 80 So. 3d 52, 2011 La. App. LEXIS 1342, 2011 WL 5386631 (La. Ct. App. 2011).

Opinion

WHIPPLE, J.

|2In this workers’ compensation case, the employer appeals a judgment awarding the injured employee supplemental earnings benefits, vocational rehabilitation services, and mileage reimbursement and assessing various penalties and attorney’s fees. For the following reasons, we reverse in part, amend in part, and affirm as amended.

FACTS AND PROCEDURAL HISTORY

Elgrie Lewis was employed by Temple Inland as a process operator and had been employed by Temple Inland for thirty-three years at the time of the accident at issue. On July 5, 2009, Elgrie Lewis tripped over a hose while working for Temple Inland and fractured his right ankle. Lewis was treated by Dr. H. Reiss Plauche, an orthopedic surgeon, and he ultimately underwent two surgeries, an open reduction with internal fixation on July 8, 2009, and open hardware removal on January 13, 2010. Dr. Plauche restricted Lewis from work through the date of the second surgery on January 13, 2010.

Meanwhile, Dr. Plauche recommended that Lewis undergo a functional capacity evaluation (FCE). The evaluation, performed on December 10, 2009, indicated that Lewis could return to light- to medium-duty work for six to eight hours a day with various restrictions. The restrictions included working a six- to eight-hour workday, occasional lifting of up to thirty-four pounds, occasional modified squatting, 1 occasional climbing and use of stairs, and standing for up to six hours a day.

On February 9, 2010, a rehabilitation conference was held with the Temple Inland case manager, Lewis, and Dr. Plauche *56 in attendance. |sDespite the fact that the physical requirements of Lewis’s job at Temple Inland exceeded the restrictions set forth in the FCE, 2 the parties agreed that Lewis would attempt to go back to work, although Temple Inland would not make a job within his restrictions available to him. 3 Dr. Plauche considered this to be a conditional release to return to work to determine if Lewis could tolerate the job.

Thereafter, on February 15, 2010, Lewis attempted to return to work with a walking cane, which he had been using since the surgery and the use of which had been approved by Dr. Plauche for pain relief. However, taking the position that the release to return to work did not indicate that Lewis was cane-dependent, and that Temple Inland only allows employees to return to work when they can work at full-duty capacity, the safety manager informed Lewis that he would not be allowed to enter the mill with the cane. Thus, Lewis was not allowed to return to his job that day. Temple Inland subsequently terminated Lewis’s weekly indemnity benefits as of that date, taking the position that he had been released to full duty by Dr. Plauche.

Lewis then returned to Dr. Plauche on February 22, 2010. At that visit, Lewis related to Dr. Plauche that his boss would not allow him to use the cane at work, and that there was no diminished work schedule and no adjustments at work. While Dr. Plauche believed that Lewis could perform work within the FCE restrictions, because nothing within those restrictions |4was available to Lewis at Temple Inland, he again restricted Lewis from work on that date.

Despite the fact that Dr. Plauche again restricted Lewis from work, Temple Inland refused to reinstate his weekly indemnity benefits. Accordingly, on March 12, 2010, Lewis filed a Disputed Claim for Compensation, seeking, among other things, reinstatement of weekly indemnity benefits and vocational rehabilitation services. Lewis later amended his claim to request reimbursement for mileage expenses and penalties and attorney’s fees for failure to timely pay mileage reimbursement, failure to pay indemnity benefits, and failure to timely provide Lewis with the FCE report. Subsequently, Lewis filed a second Disputed Claim for Compensation, seeking penalties and attorney’s fees pursuant to LSA-R.S. 23:1208, based on certain fraudulent misrepresentations of the employer, Temple Inland. This claim was based on the statements of Robin Chapman and Timony Winstead, the claims adjuster and supervisor of the nurse case manager handling the claim for Temple Inland. This second claim was consolidated with his prior claim, and both matters proceeded to trial together.

Following a trial on October 7, 2010, and November 19, 2010, the workers’ compensation judge rendered judgment dated January 11, 2010, 4 in favor of Lewis as follows:

*57 (1) ordering Temple Inland to pay Lewis $1,070.25 in mileage reimbursement, together with interest, a penalty of $2,000.00, and attorney’s fees of $5,000.00 for failure to reasonably controvert the claim for mileage reimbursement;
ls(2) ordering Temple Inland to pay Lewis supplemental earnings benefits (SEBs) in the amount of $2,366.00 per month, retroactive to February 15, 2010, and continuing, together with interest, and a penalty of $2,000.00 and attorney’s fees of $5,000.00 for failure to reasonably controvert Lewis’s claim for SEBs;
(3) ordering Temple Inland to provide vocational rehabilitation services to Lewis and assessing a $2,000.00 penalty and $5,000.00 in attorney’s fees for failure to provide prompt vocational rehabilitation services;
(4) ordering Temple Inland to pay Lewis a $250.00 penalty and $1,000.00 in attorney’s fees for failure to timely provide Lewis with a copy of the FCE report;
(5) ordering Timony Winstead and Robin Chapman to each pay a $1,000.00 civil penalty to the Kids Chance Scholarship Fund, Louisiana Bar Foundation, for violating the provisions of LSA-R.S. 23:1208; and
(6) ordering Temple Inland to pay costs.

From this judgment, Temple Inland appeals, contending that the workers’ compensation judge erred in: (1) assessing a penalty and attorney’s fee for the failure to provide prompt vocational rehabilitation services; (2) assessing a penalty and attorney’s fee for failure to reasonably controvert Lewis’s claim for SEBs; (3) failing to address Temple Inland’s retirement argument; and (4) finding that Robin Chapman and Timony Winstead violated the provisions of LSA-R.S. 23:1208. Lewis answered the appeal, contending that the workers’ compensation judge erred in failing to award penalties and attorney’s fees pursuant to LSA-R.S. 23:1201(1) for Temple Inland’s improper termination of benefits and seeking an additional award of attorney’s fees for the work performed on appeal.

^PENALTIES AND ATTORNEY’S FEES

Regarding penalties and attorney’s fees for failure to commence payment of benefits, LSA-R.S. 23:1201(F) provides, in pertinent part:

Failure to provide payment in accordance with this Section ...

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Bluebook (online)
80 So. 3d 52, 2011 La. App. LEXIS 1342, 2011 WL 5386631, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewis-v-temple-inland-lactapp-2011.