Ocon v. Regency Motors of Metairie, LLC

957 So. 2d 816, 6 La.App. 5 Cir. 834, 2007 La. App. LEXIS 705, 2007 WL 1079899
CourtLouisiana Court of Appeal
DecidedApril 11, 2007
Docket06-CA-834
StatusPublished
Cited by7 cases

This text of 957 So. 2d 816 (Ocon v. Regency Motors of Metairie, LLC) 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
Ocon v. Regency Motors of Metairie, LLC, 957 So. 2d 816, 6 La.App. 5 Cir. 834, 2007 La. App. LEXIS 705, 2007 WL 1079899 (La. Ct. App. 2007).

Opinion

957 So.2d 816 (2007)

Elvis OCON
v.
REGENCY MOTORS OF METAIRIE, LLC.

No. 06-CA-834.

Court of Appeal of Louisiana, Fifth Circuit.

April 11, 2007.

*818 Charlsey Wolff, New Orleans, Louisiana, Counsel for Plaintiff/Appellee.

Collins C. Rossi, Covington, Louisiana, Counsel for Defendant/Appellant.

Panel composed of Judges EDWARD A. DUFRESNE, Jr., WALTER J. ROTHSCHILD, and GREG G. GUIDRY.

WALTER J. ROTHSCHILD, Judge.

In 2003, Elvis Ocon was employed by Regency Motors of Metairie, LLC as an automobile mechanic. He suffered a work-related injury on November 24, 2003 while he was removing a tire from a vehicle. Ocon received medical treatment for his finger injury and workers' compensation benefits which were terminated sometime in 2004. On May 10, 2004, Regency Ford filed a disputed claim for compensation alleging that the claimant was not disabled and that he had made false statements to obtain compensation benefits in violation of La. R.S. 23:1208. On May 11, 2004, Ocon filed a disputed claim for worker's compensation seeking the continuation of benefits, penalties and attorney's fees for the arbitrary termination of benefits. He also alleged that he required additional medical treatment as a result of the injuries *819 sustained in the accident, including referral to a psychiatrist and evaluation of the MRI of his thoracic spine.

Trial was originally scheduled for February 24, 2005. On February 22, 2005 defendant moved to continue this date, and claimant opposed the continuance. By order dated February 23, 2005, the matter was continued and was eventually tried on March 28, 2005. By judgment rendered on May 24, 2005, the trial court ruled in favor of claimant, specifically finding that claimant did not make material misrepresentations which would preclude him from the continuation of benefits. The trial court also imposed penalties and attorney's fees on defendant based on a finding of arbitrary termination of medical treatment and benefits.

Regency Motors now appeals from this judgment on the basis of several assignments of error. For the reasons stated herein, we affirm in part and reverse in part the judgment.

Standard of Review and Applicable Law

To be entitled to workers' compensation benefits, the claimant must prove that there was a work related accident, resulting in a disability that was caused by the accident. Wiley v. Dijon Services, Inc., 02-242 (La.App. 5th Cir.10/16/02), 831 So.2d 317, 319, writ denied, 02-2612 (La.12/13/02), 831 So.2d 990. The claimant bears the burden of establishing this causal connection by a reasonable preponderance of the evidence. Id.; Quinones v. U.S. Fidelity and Guar. Co., 93-1648 (La.1/14/94), 630 So.2d 1303, 1306-07.

The appellate court's review of a workers' compensation case is governed by the manifest error or clearly wrong standard. Blanchard v. Rental Service Corp., U.S.A., 05-460 (La.App. 5 Cir. 1/17/06), 920 So.2d 911, 915-16; Wiley, 831 So.2d at 318. In applying the manifest error or clearly wrong standard, the court must determine not whether the trier of fact was right or wrong, but whether the factfinder's conclusion was a reasonable one. Chaisson v. Cajun Bag & Supply Co., 97-1225 (La.3/4/98), 708 So.2d 375, 380; Hookfin v. Advantage Nursing Services, Inc., 03-340 (La.App. 5 Cir.10/15/03), 860 So.2d 57, 59. When there is a conflict in the testimony, reasonable evaluations of credibility and reasonable inferences of fact should not be disturbed, even though the court may feel that its own evaluations and inferences are as reasonable. Stobart v. State, Through DOTD, 617 So.2d 880, 882 (La.1993); Hookfin, 860 So.2d at 59. Thus, if there are two permissible views of the evidence, a factfinder's choice of them can never be manifestly erroneous or clearly wrong. Chaisson, 708 So.2d at 381; Hookfin, 860 So.2d at 59. Accordingly, if the factfinder's findings are reasonable in light of the record, the appellate court may not reverse or modify the judgment. Chaisson, 708 So.2d at 381; Hookfin, 860 So.2d at 59.

La.R.S. 23:1208 A provides that "[i]t 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." La.R.S. 23:1208 E provides that, "[a]ny employee violating this Section shall, upon determination by workers' compensation judge, forfeit any right to compensation benefits under this Chapter."

La. R.S. 23:1208 requires proof of 1) a false statement or representation, 2) made willfully, 3) for the purpose of obtaining or defeating any benefit or payment. Parker v. ADM Milling Co., 01-649 (La.App. 5 Cir.11/27/01), 804 So.2d 120, 125; Scuderi v. Crazy Johnnie Cafe, Inc., 02-243 (La.App. 5 Cir.10/16/02), 831 So.2d *820 1037, 1049. In determining whether the statement was made willfully in an attempt to obtain or defeat benefits, "[t]he relationship between the false statement and the pending claim will be probative. . . ." Parker, 804 So.2d at 125; Scuderi, 831 So.2d at 1049. False statements that are inadvertent or inconsequential will not result in forfeiture. Parker, 804 So.2d at 125; Scuderi, 831 So.2d at 1049.

Further, La. R.S. 23:1208.1 allows an employer to inquire about previous injuries sustained by the employee and the employee's failure to answer truthfully shall result in forfeiture of benefits, provided the failure to answer directly relates to the medical condition for which a claim for benefits is made. By its express terms, LSA-R.S. 23:1208.1 provides for forfeiture under three circumstances. There must be (1) an untruthful statement; (2) prejudice to the employer; and (3) compliance with the notice requirements of the statute. The employer has the burden of proving each of the elements required by the statute. The lack of any one of the elements is fatal to the employer's avoidance of liability under the statute. Nabors Drilling USA v. Davis, 03-136 (La.10/21/03), 857 So.2d 407, 414.

Forfeiture of worker's compensation benefits is a harsh remedy. Marler v. New Orleans Area Council, Boy Scouts of America, 01-1167 (La.App. 5 Cir.3/13/02), 815 So.2d 131, 135. Because both La. R.S. 23:1208 and 23:1208.1 are penal in nature, they must be strictly construed, both substantively and in the penalty provisions. Parker, 804 So.2d at 125; Scuderi, 831 So.2d at 1049; Gibbs v. Delasandro Painting and Decorating, 03-1144 (La.App. 5 Cir.2/10/04), 868 So.2d 804, 810; Wise v. J.E. Merit Constructors, Inc., 97-0684 (La.1/21/98), 707 So.2d 1214, 1218. The issue of whether an employee has forfeited his right to workers' compensation benefits is a factual question that should not be disturbed on appeal absent manifest error. Parker, 804 So.2d at 125; Scuderi, 831 So.2d at 1049.

Impeachment Evidence

Regency Motors first contends on appeal that the workers' compensation judge abused his discretion in excluding from evidence certain surveillance materials sought to be introduced at trial. The record in this matter contains the exhibit and witness lists and pre-trial statement filed by defendant Regency Motors on March 28, 2005, the morning of trial. The exhibit list contained surveillance reports and videotapes which defendant planned to introduce at trial, and the witness list contained the name of an investigator who prepared the reports.

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957 So. 2d 816, 6 La.App. 5 Cir. 834, 2007 La. App. LEXIS 705, 2007 WL 1079899, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ocon-v-regency-motors-of-metairie-llc-lactapp-2007.