Maricle v. Sunbelt Builders, Inc.

916 So. 2d 1226, 2005 La. App. LEXIS 2334, 2005 WL 2864577
CourtLouisiana Court of Appeal
DecidedNovember 2, 2005
Docket05-398
StatusPublished
Cited by13 cases

This text of 916 So. 2d 1226 (Maricle v. Sunbelt Builders, 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
Maricle v. Sunbelt Builders, Inc., 916 So. 2d 1226, 2005 La. App. LEXIS 2334, 2005 WL 2864577 (La. Ct. App. 2005).

Opinion

916 So.2d 1226 (2005)

Clifton MARICLE
v.
SUNBELT BUILDERS, INC.

No. 05-398.

Court of Appeal of Louisiana, Third Circuit.

November 2, 2005.

*1228 Eric Waltner, Allen & Gooch, Lafayette, LA, for Defendants/Appellants, Sunbelt Builders, Inc. and Ohio Casualty Group.

George A. Flournoy, Flournoy & Doggett, Alexandria, LA, for Plaintiff/Appellee, Clifton Maricle.

Court composed of GLENN B. GREMILLION, J. DAVID PAINTER, and JAMES T. GENOVESE, Judges.

GENOVESE, Judge.

In this workers' compensation case, the employee, his employer and its workers' compensation insurer seek review of a judgment on the issues of penalties and attorney fees under La.R.S. 23:1201. The employer and its insurer have appealed and the employee has answered the appeal. For the following reasons, we affirm in part, reverse in part, and render. We also award an additional $2,500.00 in attorney fees for work done on appeal.

FACTS

Plaintiff, Clifton Maricle ("Maricle"), sustained a work related injury while employed with Defendant, Sunbelt Builder's, Inc. ("Sunbelt"), on July 11, 2002. Sunbelt's workers' compensation insurer, The Ohio Casualty Group, paid Maricle workers' compensation benefits. Maricle filed a disputed claim for compensation, commonly referred to as a 1008, alleging untimely payment of medical benefits, failure to provide medical treatment, and failure to timely pay indemnity benefits.

After trial on the merits, the workers' compensation judge ("WCJ") assessed the Defendants with six different penalties in the amount of $2,000.00 each for their: (1) failure to approve physical therapy; (2) failure to timely authorize surgery; (3) payment of indemnity benefits on a biweekly basis; (4) failure to pay the first week of indemnity benefits; (5) late payment of various installments of benefits; and (6) failure to timely reinstate indemnity benefits following surgery. The WCJ also assessed a $10,000.00 attorney fee, and awarded Maricle the first unpaid week of indemnity benefits. It is from these rulings that Defendants appeal.

Maricle filed an answer to the appeal asserting his entitlement to an increase in attorney fees as a result of the work necessitated by Defendants' appeal and by the WCJ's refusal to award a separate attorney fee under La.R.S. 23:1201.2.[1] Maricle also claimed that he was entitled to an increase in penalties as a result of the Defendants' failure to timely pay medial expenses.

ISSUES

The following issues are presented by Defendants for our review:

I. Whether the trial judge committed legal error or, in the alternative, manifest error in litigating extraneous issues;
II. Whether the trial judge committed legal error or, in the alternative, manifest error in concluding that there was a failure to approve the physical therapy recommended by Dr. DeLapp on September 24, 2002, *1229 and awarding penalties and attorney fees;
III. Whether the trial judge committed legal error or, in the alternative, manifest error in concluding that there was a failure to authorize the surgery on time and awarding penalties and attorney fees;
IV. Whether the trial judge committed legal error or, in the alternative, manifest error in awarding penalties and attorney fees in reference to the following: (1) the payment of indemnity benefits on a biweekly basis as opposed to a weekly basis; (2) the failure to pay the first week of indemnity benefits (December 7, 2002 to December 13, 2002); (3) the payment of various installments of benefits on a late basis, including the first installment of indemnity benefits that was never actually paid; and (4) the failure to timely reinstate indemnity benefits after the surgery was performed; and
V. Whether the trial judge committed legal error or, in the alternative, manifest error in awarding more than $8,000.00 in penalties, thereby disregarding the penalty cap.

Additionally, Maricle raises the following issues in his answer to appeal:

I. Whether he is entitled to an increase in the attorney fee award due to the work necessitated by the appeal.
II. Whether the WCJ judge erred in denying his claims for penalties due to the untimely payment of medical expenses relating to treatment at the Lord Clinic and with Dr. Gunderson.

LAW AND DISCUSSION

Standard of Review

The factual findings of the WCJ in a workers' compensation case are subject to a manifest error or clearly wrong standard of review. George v. Guillory, 00-591 (La.App. 3 Cir. 11/2/00), 776 So.2d 1200. "In applying the manifest error-clearly wrong standard, the appellate court must determine not whether the trier of fact was right or wrong, but whether the fact finder's conclusion was a reasonable one." Id. at 1206, quoting Stobart v. State, Dep't of Transp. & Dev., 617 So.2d 880 (La.1993). Additionally, as recognized by this court in Corbello v. Coastal Chemical Co., Inc., 02-1241, p. 3 (La.App. 3 Cir. 3/5/03), 839 So.2d 1152, 1154, writ denied, 03-0994 (La.5/30/03), 845 So.2d 1051 quoting Mitchell v. Brown Builders, Inc., 35,022, p. 8 (La.App. 2 Cir. 8/22/01), 793 So.2d 508, 515, writ denied, 01-2649 (La.12/14/01), 804 So.2d 636:

It is a well-settled legal principle that the factual findings in workers' compensation cases are entitled to great weight. Reasonable evaluations of credibility and reasonable inferences of fact will not be disturbed even though the appellate court may feel that its own evaluations and inferences are as reasonable. The trier of fact's factual determinations shall not be disturbed in the absence of a showing of manifest error. When the trier of fact's findings are reasonable in light of the entire record, an appellate court may not reverse a choice between two permissible views of the evidence.

Finally, "[t]he determination of whether an employer should be cast with penalties and attorney fees is a question of fact which should not be reversed absent manifest error." Sigler v. Rand, 04-1138, pp. 10-11 (La.App. 3 Cir. 12/29/04), 896 So.2d 189, 196, writ denied, 05-0278 (La.4/1/05), 897 So.2d 611, citing Romero v. Northrop-Grumman, 01-24 (La.App. 3 Cir 5/30/01), 787 So.2d 1149, writ denied, 01-1937 (La.10/26/01), 799 So.2d 1144.

*1230 Extraneous Issues

Defendants contend that the WCJ erred in allowing Maricle to introduce evidence at trial that went beyond the scope of the pleadings. We disagree and affirm the ruling of the WCJ on this issue.

In his oral reasons for judgment, the WCJ explained his ruling on this issue. The court noted that "[a] review of the record and the 1008 dispute filed on behalf of Mr. Maricle discloses that all of the issues raised in the post-trial memorandum and with the introduction of evidence are contained in the issues presented in the 1008 filed on behalf of Mr. Maricle." This court has also reviewed the record of these proceedings, including the Plaintiff's disputed claim for compensation, and finds that the issues concerning penalties and attorney fees arising from allegations of nonpayment or incorrect payment of indemnity benefits, failure to authorize medical treatment, nonpayment or untimely payment of medical expenses are contained therein. Defendants were aware of these allegations which they denied in their answer.

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Bluebook (online)
916 So. 2d 1226, 2005 La. App. LEXIS 2334, 2005 WL 2864577, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maricle-v-sunbelt-builders-inc-lactapp-2005.