Life Flight of New Orleans v. Homrighausen

952 So. 2d 45, 2005 La.App. 1 Cir. 2538, 2006 La. App. LEXIS 2990, 2006 WL 3804670
CourtLouisiana Court of Appeal
DecidedDecember 28, 2006
Docket2005 CA 2538
StatusPublished
Cited by8 cases

This text of 952 So. 2d 45 (Life Flight of New Orleans v. Homrighausen) 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
Life Flight of New Orleans v. Homrighausen, 952 So. 2d 45, 2005 La.App. 1 Cir. 2538, 2006 La. App. LEXIS 2990, 2006 WL 3804670 (La. Ct. App. 2006).

Opinion

952 So.2d 45 (2006)

LIFE FLIGHT OF NEW ORLEANS
v.
Paul HOMRIGHAUSEN.

No. 2005 CA 2538.

Court of Appeal of Louisiana, First Circuit.

December 28, 2006.
Rehearing Denied February 14, 2007.

*48 Collins Rossi, Covington, for Plaintiff/Appellant, Life Flight of New Orleans.

Craig Robichaux, Mandeville, for Defendant/Appellee, Paul Homrighausen.

Before: CARTER, C.J., WHIPPLE and McDONALD, JJ.

CARTER, C.J.

Life Flight of New Orleans, Inc. ("Life Flight") appeals a judgment of the Office of Workers' Compensation that dismissed its claim under LSA-R.S. 23:1208 and awarded its former employee, Paul Homrighausen, benefits, penalties and attorney's fees and also appointed a vocational rehabilitation counselor.

FACTS AND PROCEDURAL HISTORY

Paul Homrighausen claimed to have injured his back in March 2000, during the course and scope of his employment with Life Flight of New Orleans, Inc. ("Life Flight"), a medical transportation company. Specifically, Homrighausen claimed that on March 4, 2000, while working with another employee to load an isolette[1] into an ambulance, the weight of the isolette shifted and he felt a pulling sensation in *49 his back. The sensation caused discomfort, but he continued to work. Then, on March 10, 2000, he again injured his back while loading an isolette into an ambulance. Homrighausen sought medical attention the following day and did not return to work thereafter.

Life Flight's claims administrator investigated the claim and began paying workers' compensation benefits in the form of temporary total disability benefits ("TTDs"). After further investigation and testing, Homrighausen's benefits were converted from TTDs to Supplemental Earnings Benefits ("SEBs"). Then, in October 2003, upon the belief that Homrighausen had committed fraud, Homrighausen's benefits were terminated.

In December 2003, Life Flight filed a disputed claim for compensation seeking forfeiture of benefits pursuant to LSA-R.S. 23:1208. Homrighausen reconvened, contending that Life Flight is liable for indemnity benefits and medical expenses, as well as for costs, penalties and attorney's fees for arbitrary and capricious termination of benefits and failure to provide vocation and rehabilitation training.

After a hearing, the workers' compensation judge ("WCJ") summarily dismissed Life Flight's 1208 claim. The WCJ took the remainder of the issues under advisement, then, after further consideration, issued a judgment awarding Homrighausen SEBs from November 2003 through June 2004 at a monthly rate of $1,651.20, and thereafter, pending further orders of the court, at a rate of $7.62 per hour. The WCJ awarded Homrighausen $7,500.00 in attorney's fees for Life Flight's arbitrary termination of benefits. The WCJ penalized Life Flight $2,000.00 for premature termination of vocational rehabilitation services and $2,000.00 for wrongful termination of medical benefits. Finally, the WCJ appointed a counselor to provide vocational rehabilitation services and ordered that Life Flight pay for Homrighausen's reasonable and necessary medical care. Life Flight has suspensively appealed.

DISCUSSION

Life Flight's 1208 Claim

Louisiana Revised Statute 23:1208 provides, in pertinent part:

A. It shall be unlawful for any person, for the purpose of obtaining or defeating any benefit or payment under the provisions of this Chapter, either for himself or for any other person, to willfully make a false statement or representation.
* * *
E. Any employee violating this Section shall, upon determination by workers' compensation judge, forfeit any right to compensation benefits under this Chapter.

The statute applies in all circumstances where: (1) there is a false statement or representation; (2) the statement or representation is willfully made; and (3) the statement or representation is made for the purpose of obtaining workers' compensation benefits. Angelo Iafrate Construction Co. v. Herring, 05-1461 (La.App. 1 Cir. 9/1/06), 943 So.2d 487, 490. The issue of whether an employee forfeited his workers' compensation benefits is one of fact, which is not to be reversed on appeal absent manifest error. Slidell Memorial Hospital v. Mull, 04-1309, 04-1310 (La. App. 1 Cir. 6/10/05), 916 So.2d 243, 245.

At the conclusion of the hearing, the WCJ stated:

In sum, credibility can be tarnished, it can be questioned, and it can be done so successfully. But for it to be impugned to the degree arising to the level of 1208, which is a much higher standard, simply *50 was not done today. That standard [has] not been met. And, therefore, I dismiss the 1208 claim.

On appeal, Life Flight argues that these comments by the WCJ indicate he held them to a higher evidentiary standard that is not supported by the jurisprudence. We disagree.

Statutory forfeiture of workers' compensation benefits is a harsh remedy and as such must be strictly construed. Chapman v. JD's Trucking Co., Inc., 01-1568 (La.App. 1 Cir. 7/24/02), 835 So.2d 480, 483. The burden of proof requires more than a mere showing of inconsistent statements or inadvertent omissions by the claimant. Slidell Memorial Hospital, 916 So.2d at 245. After proving a false representation, an employer seeking 1208 forfeiture must prove that the false representation was made willfully and that it was for the purpose of obtaining or defeating any benefit or payment. Revere v. Dolgencorp, Inc., 04-1758 (La.App. 1 Cir. 9/23/05), 923 So.2d 101, 106. The willful misconduct justifying forfeiture consists of more than just a credibility call. Reynolds Industrial Contractors v. Fox, 41,051 (La.App. 2 Cir. 6/28/06), 935 So.2d 783, 790. When considered in context, we find no error in the WCJ's statements regarding the employer's burden of proof on the issue.

Additionally, with regard to the 1208 claim, Life Flight contends the WCJ erred in failing to review the surveillance footage that it offered and was accepted into evidence. During the hearing, various witnesses testified about the surveillance footage and what the footage showed. The special investigator for Life Flight's claims administrator, who made the ultimate decision to terminate Homrighausen's benefits, testified that he would have terminated benefits without the surveillance footage, but believed the footage bolstered their case. In dismissing the 1208 claim, the WCJ stated that, like the special investigator, he did not feel the tapes were relevant enough for him to review before ruling. On appeal, Life Flight contends that by refusing to review all of the evidence it submitted, the WCJ violated his duty to review the entirety of the evidence before him.

The WCJ has great discretion to assign whatever weight he deems appropriate to evidence that has been admitted. Louisiana Workers' Compensation Corporation v. Gray, 34,731 (La.App. 2 Cir. 5/9/01), 786 So.2d 310, 314. In this case, the WCJ assigned no weight to the tapes, but did so before reviewing them. We agree that this was erroneous. The WCJ should have reviewed and considered the tapes. Compare Louisiana Workers' Compensation Corporation, 786 So.2d at 314. However, both Homrighausen and witnesses for Life Flight discussed the contents of the surveillance footage during the hearing. We have reviewed the footage and find that the witnesses' testimony accurately depicts the relevant portions thereof.

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952 So. 2d 45, 2005 La.App. 1 Cir. 2538, 2006 La. App. LEXIS 2990, 2006 WL 3804670, Counsel Stack Legal Research, https://law.counselstack.com/opinion/life-flight-of-new-orleans-v-homrighausen-lactapp-2006.