Martin v. Elmwood Medical Center

707 So. 2d 1287, 1998 La. App. LEXIS 95, 1998 WL 45019
CourtLouisiana Court of Appeal
DecidedJanuary 27, 1998
Docket97-CA-826
StatusPublished
Cited by6 cases

This text of 707 So. 2d 1287 (Martin v. Elmwood Medical Center) 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
Martin v. Elmwood Medical Center, 707 So. 2d 1287, 1998 La. App. LEXIS 95, 1998 WL 45019 (La. Ct. App. 1998).

Opinion

707 So.2d 1287 (1998)

Gay S. MARTIN
v.
ELMWOOD MEDICAL CENTER.

No. 97-CA-826.

Court of Appeal of Louisiana, Fifth Circuit.

January 27, 1998.
Rehearing Denied March 17, 1998.

*1288 Kerry E. Shields, Gretna, for Plaintiff/Appellee Gay S. Martin.

Brian D. Roth, Deana D. Palmisano, Sessions & Fishman, New Orleans, for Defendant/Appellant Elmwood Medical Center.

Before BOWES, DUFRESNE and CANNELLA, JJ.

BOWES, Judge.

Plaintiff-appellee, Gay S. Martin, filed her first action on November 24, 1993 seeking compensation benefits for a work related injury sustained on December 3, 1992. At the trial on the merits, it was stipulated that plaintiff was employed by Elmwood (defendant and appellant herein), that her average weekly wage was $151.00 and that appropriate weekly compensation benefits would be $100.66.

After trial on the merits, the hearing officer found that plaintiff suffered a lower back injury of short term duration and he awarded indemnity and medical benefits from the date of the injury until February 19, 1993. The judgment of the workers compensation judge was affirmed by this Court on November 15, 1995. Martin v. Elmwood Medical Center, 95-415 (La.App. 5 Cir. 11/15/95), 665 So.2d 470. Elmwood did not appeal from that decision.

On July 8, 1996, Elmwood tendered a check in the amount of $4,402.38, which amount represented indemnity benefits and interest thereon, but no medical bills.

Plaintiff filed her second claim, the subject of this suit, on August 16, 1996, alleging that defendant failed pay the judgment on a timely basis. Elmwood filed an exception of res judicata, alleging that plaintiff had compromised her claim by negotiation of the check and release tendered by it. The trial judge denied the exception of res judicata.

After a hearing, on April 29, 1997, the trial court found that defendant failed to pay the judgment within 30 days as mandated by statute. The court assessed a penalty of $3,000.00 and attorney fees of $1,500.00 against defendant.

Elmwood appeals from this judgment of the trial court and presents four issues for review.

PENALTIES

Elmwood first alleges that the trial court's award of statutory penalties and attorney's fees, pursuant to La. R.S. 23:1201, was unjustified and unreasonable.

The applicable statute is the one in effect at the time of the injury. See Geason v. Harmony Const., 95-367 (La.App. 5 Cir. 11/15/95), 665 So.2d 485, n. 3. At the time of the injury, on December 3, 1992, La. R.S. 23:1201(F)[1] provided:

*1289 F. If any compensation payable under the terms of a final, nonappealable judgment is not paid within thirty days after it becomes due, there shall be added to such unpaid compensation an amount equal to twenty-four percent thereof, which shall be paid at the same time as, and in addition to, such compensation, unless the order is appealed as provided by law or unless such nonpayment results from conditions over which the employer had no control.

Elmwood argues that the nonpayment of the judgment resulted from conditions not within its control and, therefore, the trial court erred in awarding penalties and attorney fees. More specifically, Elmwood argues that plaintiff failed to provide receipts of her medical expenses (her visits to Behrman Chiropractic Clinic) and, therefore, Elmwood could not calculate medicals owed. This, alleges Elmwood, constituted a condition over which it had no control, and its failure to pay timely on the judgment is not subject to penalty.

Evidence introduced at trial, namely Elmwood's counsel's time sheet, reflects that Elmwood's counsel and plaintiff's counsel entered into a telephone conversation on December 14, 1995; however, the matter discussed during the conversation is not disclosed. Counsel for defendant testified that he asked plaintiff's counsel about the medical expenses during that conversation. There was no evidence of any contact between the two parties from December 14, 1995 until June 19, 1996, although counsel's time sheet reflects that he spoke with his client (Elmwood) on February 2, 1996.

It was stipulated at trial that counsel entered into discussions concerning settlement of the judgment on June 19, 1996, June 26, 1996, July 1, 1996 and July 2, 1996. On July 8, 1996, Elmwood tendered a check in the amount of $4,402.38, which amount represented indemnity benefits and interest thereon, plus the penalty and attorney fees awarded in the October judgment, but no medical bills. The right to collect medical benefits at a future time was specifically reserved in the release agreement accompanying the check. See Release, infra.

The trial court reviewed the evidence and found that,

The judgment was paid more than six months after it became final. The Court heard the conflicting testimony concerning the reasons for delay in payment of the judgment. The Court recognizes communications and correspondence between the parties in June of 1996. Nevertheless, defendant made no attempts to pay the judgment, deposit in the registry of the Court or communicate with claimant's counsel until the thirty day period had expired. The first attempt to resolve the matter was more than five months after the final judgment. This is in direct contravention of the statute. The testimony and evidence did not establish a reasonable basis or good cause as to why the judgment was not paid in accordance with the law.

A trial court's determination of whether an employer's actions in refusing to pay benefits were arbitrary and capricious is a factual question which will not be disturbed *1290 in the absence of manifest error. Garvin v. Perret, 95-217 (La.App. 5 Cir. 2/14/96), 670 So.2d 1250, writ denied, 96-0674 (La.5/10/96), 672 So.2d 922. We find that the issue of whether the employer had "good cause" to fail to timely pay on a judgment is also a factual question subject to the manifest error rule.

Correspondence in evidence indicates that the amount tendered was for unpaid indemnity benefits and legal interest, penalties and attorney fees for arbitrary and capricious refusal to pay benefits, which amounts were easily ascertainable from the date of judgment. While defendant contends that it could not have timely paid the judgment because the medical benefits were not ascertainable, we note that the payment ultimately made by defendant does not contain any medicals benefits, which are specifically reserved.

After our review of the record in this matter, we find that the trial judge was not manifestly erroneous in ruling that Elm wood did not have good cause to delay payment of the judgment of October 27, 1994 (affirmed by this Court on November 15, 1995), after it became final.

We note, however, that the amount of penalty assessed by the worker's compensation judge was in error, as the court mistakenly applied the wrong statute.

At the time of plaintiff's injury on December 3, 1992, the worker compensation statutes provided for a penalty of twenty-four percent of the judgment in the event of an employer's arbitrary and capricious failure to pay that judgment—and it did not provide for any attorney fees. La. R.S. 23:1201(F), as amended by Acts 1989, No. 24, supra.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Lopez v. Marques Food Distributors
110 So. 3d 1132 (Louisiana Court of Appeal, 2013)
Batson v. South Louisiana Medical Center
965 So. 2d 890 (Louisiana Court of Appeal, 2007)
Navarre v. K-Mart Corp.
807 So. 2d 893 (Louisiana Court of Appeal, 2002)
Aufrichtig v. Aufrichtig
796 So. 2d 57 (Louisiana Court of Appeal, 2001)
McCoy v. KMB Transport, Inc.
734 So. 2d 886 (Louisiana Court of Appeal, 1999)
Guarino v. KAISER ALUM. CHEMICAL CORP.
726 So. 2d 1109 (Louisiana Court of Appeal, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
707 So. 2d 1287, 1998 La. App. LEXIS 95, 1998 WL 45019, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martin-v-elmwood-medical-center-lactapp-1998.