Matthews v. City of Alexandria

619 So. 2d 57, 1993 WL 174105
Supreme Court of Louisiana·Decided June 22, 1993·No. 92-C-1784·Published·Cited by 22 cases

Opinion

619 So.2d 57 (1993)

Randy MATTHEWS
v.
CITY OF ALEXANDRIA (Two Cases).
James NUGENT
v.
CITY OF ALEXANDRIA.

No. 92-C-1784.

Supreme Court of Louisiana.

May 24, 1993.
Application for Rehearing Dismissed June 22, 1993.

*58 Daniel E. Broussard, Jr., Broussard, Bolton, Halcomb & Vizzier, for applicant.

Steven W. Cook, Bolen, Erwin, Johnson & Coleman, for respondent.

HALL, Justice.[*]

We granted certiorari in these consolidated cases to examine the burden of proof placed upon an employer when claiming a credit against worker's compensation payments for "benefits under disability benefit plans in the proportion funded by an employer..." LSA-R.S. 23:1225(C)(1)(c). Finding that the employer is entitled to and has proven the amount of the credit, we affirm the judgments of the court of appeal which allowed the credit in specific amounts.

I.

Randy Matthews and James Nugent were firemen employed by the Alexandria Fire Department. Matthews was hired on April 25, 1977, and Nugent on August 18, 1973. Both were injured in 1986 while in the course and scope of their employment. Matthews and Nugent received temporary, total disability worker's compensation benefits and both took disability retirement in 1987 under the Firemen's Pension and Relief Fund for the City of Alexandria, LSA-R.S. 11:3101, et seq., in the amount of two-thirds of their former salaries.[1] The City terminated worker's compensation payments when the plaintiffs began receiving disability retirement benefits, claiming a credit under LSA-R.S. 23:1225. Thereafter, Matthews filed two separate suits seeking continuation of worker's compensation benefits in connection with two separate work-related accidents. Suit was also filed by Nugent, likewise for continuation of worker's compensation payments.

The statutorily authorized Alexandria Fireman's Pension and Relief Fund is a non-actuarially sound system, closed to new employees since 1980. The contributions made by the current employees are not invested to cover future benefits, but are used, along with the City's contributions, to pay current benefits. In other words, it is a pay-as-you-go system. The employees contribute 8% of their monthly salaries and the City matches that contribution, contributes various other amounts as required by statute and then makes up any *59 deficit in the system from year to year.[2]

Virgil Stanford, Director of Finance for the City of Alexandria, testified as to the specific amounts that had been contributed to the system from fiscal year 1978, beginning May 1, 1977, to April 30, 1987. No records for the years prior to fiscal year 1978 were introduced since those records could not be located. It was speculated that the records had either been destroyed or lost as the City has only had control over the fund since 1987. Stanford testified that over the period from fiscal year 1978 to fiscal year 1987, the year plaintiffs retired, the employees contributed 25.48% to the fund and the City contributed 74.52%. This testimony was supported by an exhibit, a copy of which is attached to this opinion as Exhibit A.

The trial court's judgment was in favor of plaintiffs, awarding supplemental earnings benefits and denying the City of Alexandria a credit for the disability retirement benefits received by plaintiffs.[3] The court of appeal amended the judgment and awarded the city a set-off against the worker's compensation payments for the disability pension benefits in proportion to the amount funded by the employer.[4] This court granted plaintiffs' writ application and remanded the case to the court of appeal for a determination of the amount of the credit, if any, established by the record. 592 So.2d 1285 (La.1992). Because more complete records were unavailable, the court of appeal used the 10-year average referred to above to find that the employees contributed 25.48% of the plan and the City, 74.52%.[5] Therefore, the City was entitled to a credit against worker's compensation benefits of 74.52% of disability benefits paid.[6] We granted plaintiffs' writ application to review that decision, 613 So.2d 958 (La.1993).

II.

In Cousins v. City of New Orleans, 608 So.2d 978, 979-80 (La.1992), this court held:

"Worker's compensation benefits are frequently part of an overall system by which an employer provides to its employees protection against loss of wages and continuation of a minimum amount of wages or support in the event of disability, unemployment, advanced age or death. See 4 Arthur Larson, Law of Workmen's Compensation § 97 (1990). The legislatures of several states, apparently recognizing that the employee who suffers only one wage loss may receive wage continuation benefits from several *60 sources for which the employer is wholly or partially responsible, have enacted provisions for coordination of wage-loss benefits which maintain the level of benefits to the employee while preventing duplication of benefits provided under different parts of the system. Id."

LSA-R.S. 23:1225 is such a provision. Specifically, LSA-R.S. 23:1225(C)(1) provided in pertinent part at the time the plaintiffs suffered their injuries as follows:

C. (1) If an employee receives remuneration from: (a) benefits under the Louisiana worker's compensation law, (b) old age insurance benefits received under Title II of the Social Security Act to the extent not funded by the employee, (c) benefits under disability benefit plans in the proportion funded by an employer, and (d) any other worker's compensation benefits, then compensation benefits under this Chapter shall be reduced..., so that the aggregate remuneration from (a) through (d) of this Subsection shall not exceed sixty-six and two-thirds percent of the average weekly wages of the employee at the time of the injury. [emphasis added][7]

LSA-R.S. 23:1225(C)(1)(c) allows a credit for disability retirement benefits in the proportion funded by the employer, but this does not include retirement benefits based on tenure. Cousins, supra; Domingue v. Hartford Ins. Co., 568 So.2d 221 (La.App. 3d Cir.1990), writ denied, 571 So.2d 654 (La.1990); McKenzie v. City of Bossier City, 585 So.2d 1229 (La.App.2d Cir.1991). The employer has the burden of proving both the entitlement to and amount of the credit. Vallery v. State, 605 So.2d 1380 (La.App. 3d Cir.1992), writ denied 609 So.2d 225 (La.1992); Holmes v. International Paper Co., 559 So.2d 970 (La.App.2d Cir.1990). We recognized in a footnote in Cousins, supra, that the requirement that the credit only be in proportion to the amount funded by the employer was apparently an effort to avoid a conflict with LSA-R.S. 23:1163, which prohibits an employer from collecting, directly or indirectly from an employee, premiums for worker's compensation insurance.

III.

Matthews and Nugent were not vested in the Alexandria Fireman's Pension and Relief Fund for tenure based retirement, having been employed by the fire department for less than 20 years. Unlike the plaintiffs in Mckenzie, supra, Domingue, supra, and Cousins, supra, the plaintiffs in these cases were not eligible for tenure-based retirement benefits. No such rights vested until after 20 years of service, LSA-R.S. 11:3113(3). Neither plaintiff had served the requisite amount of time and therefore only qualified for retirement based on their

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