Livings v. LANGSTON COMPANIES

685 So. 2d 405, 1996 WL 694451
CourtLouisiana Court of Appeal
DecidedDecember 5, 1996
Docket96-636
StatusPublished
Cited by15 cases

This text of 685 So. 2d 405 (Livings v. LANGSTON COMPANIES) 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
Livings v. LANGSTON COMPANIES, 685 So. 2d 405, 1996 WL 694451 (La. Ct. App. 1996).

Opinion

685 So.2d 405 (1996)

Agnes LIVINGS, Plaintiff—Appellant,
v.
LANGSTON COMPANIES, INC./CONTINENTAL BAG DIVISION and Insurance Company of North America, Defendants—Appellees,

No. 96-636.

Court of Appeal of Louisiana, Third Circuit.

December 5, 1996.

*407 Michael Benny Miller, Crowley, for Agnes Livings.

Lelia Anne Collier, Lafayette, for Langston Companies, Inc.

Before THIBODEAUX, COOKS and GREMILLION, JJ.

THIBODEAUX, Judge.

Plaintiff, Agnes Livings, appeals a judgment of the Office of Workers' Compensation in favor of her employer, Langston Companies, Inc.-Continental Bag Division and its insurer, Cigna Insurance Co., which denied her supplemental earnings benefits. The hearing officer terminated temporary total disability benefits and concluded that, because the claimant refused a reasonable offer of employment, she was not entitled to supplemental earnings benefits (SEB). Ms. Livings was awarded penalties and attorney's fees for the employer's failure to timely pay indemnity benefits.

For the following reasons, we affirm in part, reverse in part and amend the judgment. We award SEB and additional penalties and increase the attorney's fees from $1,500.00 to $7,500.00.

I.

ISSUES

The issues presented in this appeal are the following:

*408 (1) whether Ms. Livings is entitled to penalties pursuant to La.R.S. 23:1125 due to Cigna's failure to respond to a written request for her medical records;
(2) whether the hearing officer erred in failing to assign penalties under La. R.S. 23:1201(E) for its arbitrary and capricious handling of Livings' claim;
(3) whether Ms. Livings' compensation payments were improperly terminated between August 29, 1992 to March 11, 1993;
(4) whether there was a basis for Cigna's refusal to guarantee medical treatment from Dr. Cobb;
(5) whether physical therapy was properly terminated;
(6) whether Ms. Livings is entitled to supplemental earnings benefits under La. R.S. 23:1221 et seq.; and
(7) whether the hearing officer's award of attorney's fees is adequate.

II.

FACTS

On May 11, 1992, Agnes Livings sustained an injury in the course and scope of her employment. She injured her back as a result of tripping and falling on a trip lock near her work station at Langston Companies-Continental Bag Division. Shortly after the accident, Ms. Livings reported it to a supervisor and to the manager on duty, Kate Mills. That same day, Mills sent Ms. Livings to Dr. Neal Duhon for an examination. In addition to Dr. Duhon, Ms. Livings subsequently saw Drs. Ronald Menard and John Cobb. Langston's insurer, Cigna Insurance Co., handled the claim.

Langston and Cigna commenced indemnity payments on July 24, 1992. Those benefits were terminated from August 29, 1992 to March 11, 1993.

On August 6, 1992, Ms. Livings, through her attorney, made a written request upon Cigna for copies of its medical records. Cigna did not respond until September 29, 1992. Cigna similarly delayed its response to Ms. Livings' request for authorization for treatment by Dr. Cobb. Ms. Livings made the request on August 10, 1992 but did not receive authorization until approximately one year later. Additionally, Cigna and Langston terminated Ms. Livings' physical therapy treatments.

On January 25, 1993, Ms. Livings' attorney filed a claim against Langston and Cigna with the Office of Workers' Compensation Administration. Defendants hired Carthy McMahon Wilson, a vocational rehabilitation counselor, in April of 1995 to work on Ms. Livings' file. Wilson never personally contacted Ms. Livings, but did, however, meet with Ms. Livings' treating physician, Dr. Cobb, in order to obtain medical information on her client. That meeting and the ensuing compilation of information were accomplished through the use of a medical authorization provided by defendants, not by Ms. Livings. The claimant was completely uninformed and unaware of Wilson's activities or even of her existence.

The first contact Wilson had with Ms. Livings' attorney was in a letter he received on February 12, 1996. In that letter, Wilson stated that she had found two possible job opportunities with Langston. Ms. Livings' attorney responded to Wilson's communication as requested, but his February 13, 1996 response and request for more information went unanswered. No job offer was ever extended to Ms. Livings.

A hearing was conducted on March 6, 1996 and a judgment was entered on May 2, 1996. In her written reasons for judgment, the hearing officer concluded that Ms. Livings was no longer entitled to temporary total disability benefits and had failed to meet her burden of proving she was unable to engage in any employment due to physical pain associated with her injury. The hearing officer indicated that she relied in large part on the vocational rehabilitation counselor's findings. She further stated that Ms. Livings was ineligible for supplemental earnings benefits because she refused a reasonable offer of employment. Although Langston was found to be arbitrary and capricious in its handling of Ms. Livings' claim, no penalties were assigned. An attorney's fee award of $1,500.00 was, however, awarded.

*409 III.

LAW AND ARGUMENT

Failure to Provide Requested Medical Reports

Ms. Livings argues that she is entitled to penalties pursuant to La.R.S. 23:1125 due to Cigna's failure to respond to a written request for her medical records. The statute states in pertinent part that an employee "shall be entitled to a copy of the written report of the results of said examination within thirty days from the date of the written demand upon the employer for such report." Furthermore, the statute provides a penalty of $250.00 and a reasonable attorney's fee for its collection.

Our supreme court recently addressed this issue in Daugherty v. Domino's Pizza, 95-1394 (La.05/21/96); 674 So.2d 947. In that case, the employee's requests for medical records went ignored and the employer did not justify its refusal to comply. The court stated that an employer's failure to comply with La.R.S. 23:1125 by providing medical records within thirty days of an employee's written request rendered the employer liable to the employee for a civil penalty in the amount of $250.00 and a reasonable attorney's fee for its collection. Id. Furthermore, it stated that the lower courts' denial of the penalty and attorney's fees was manifest error. Id.

In a letter to Cigna dated August 6, 1992, Ms. Livings' attorney requested copies of medical records related to the May 11, 1992 accident. The record indicates that the adjuster for Cigna received the written request on August 10, 1992, but did not provide the medical reports until September 29, 1992, nearly fifty days later. Defendant Langston asserts that the statute is not applicable because Ms. Livings was not referred to Dr. Duhon by either the company or its insurer. The record indicates, and attorney for defendants conceded at oral arguments, however, that Kate Mills, an employee of Langston, sent Ms. Livings to Dr. Duhon the very day the accident occurred. Such unjustified behavior violates La.R.S. 23:1125 which sets forth a thirty day response period, thus, warranting the assignment of the $250.00 penalty and a reasonable attorney's fee for the collection of the penalty.

We note that the final judgment fails to address the issue of the La.R.S.

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Bluebook (online)
685 So. 2d 405, 1996 WL 694451, Counsel Stack Legal Research, https://law.counselstack.com/opinion/livings-v-langston-companies-lactapp-1996.