STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
22-207
PERRY GEORGE
VERSUS
COCA-COLA BOTTLING COMPANY UNITED, INC.
********** ON APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT # 04 PARISH OF LAFAYETTE, NO. 21-05780 ADAM JOHNSON, WORKERS’ COMPENSATION JUDGE
********** JONATHAN W. PERRY JUDGE
**********
Court composed of Van H. Kyzar, Jonathan W. Perry, and Sharon Darville Wilson, Judges.
AFFIRMED. Lance S. Ostendorf John S. Alsobrook Philip A. Costa Ostendorf Tate Barnett, LLP 650 Poydras Street, Suite 1460 New Orleans, Louisiana 70130 504-324-2244 COUNSEL FOR EMPLOYER/APPELLANT: Coca-Cola Bottling Company United, Inc.
Taylor J. Bassett Morrow, Morrow, Ryan, Bassett & Haik 324 W. Landry St. Opelousas, Louisiana 70570 337-948-4483 COUNSEL FOR CLAIMANT/APPELLEE: Perry George PERRY, Judge.
In this workers’ compensation case, the employer appeals the Workers’
Compensation Judge’s grant of summary judgment in favor of the claimant. The
claimant answered the appeal, seeking an increase in attorney fees. We affirm.
FACTS AND PROCEDURAL HISTORY
On March 5, 2021, Mr. Perry George (“Mr. George”) was employed as a
delivery driver for Coca-Cola Bottling Company United (“Coca-Cola”) and was
involved in a unique motor vehicle accident while in the course and scope of his
employment. While conducting a delivery, the Coca-Cola truck was struck by
another vehicle. Mr. George was injured as a result of the impact. Thereafter, Mr.
George filed a claim for workers’ compensation benefits and began receiving
indemnity payments and reimbursements for medical costs.
On September 14, 2021, Dr. Jayme Trahan (“Dr. Trahan”), Mr. George’s
treating neurosurgeon, filed a form LWC-WC-1010 with Coca-Cola, requesting
approval of a 3-level anterior cervical discectomy and fusion, which he related to
Mr. George’s accident on March 5, 2021. Coca-Cola denied Dr. Trahan’s request.
On September 23, 2021, Mr. George filed a form LWC-WC-1009 appeal with
the Office of Workers’ Compensation Administration Medical Services Division.
On October 12, 2021, the Medical Director approved the surgery, finding it
medically necessary. Thereafter, Dr. Trahan submitted another LWC-WC-1010 to
Coca-Cola, requesting approval of the surgery. Once more, Coca-Cola denied
approval.
Later, on October 19, 2021, Mr. George filed a form LWC-WC-1008 with the
Office of Workers’ Compensation (“OWC”), seeking approval of the surgery; at the
same time, he asked for penalties and attorney fees for Coca-Cola’s failure to timely
authorize the surgery. Simultaneously, Mr. George filed a motion for summary judgment seeking the relief prayed for on October 19, 2021.1 Attached to Mr.
George’s motion for summary judgment were six exhibits: (1) the LWC-WC-1010
which Dr. Trahan’s office submitted on September 14, 2021; (2) the LWC-WC-
1010A submitted by Coca-Cola to Dr. Trahan on September 14, 2021; (3) Dr.
Trahan’s response to Coca-Cola’s LWC-WC-1010A on September 15, 2021; (4) the
Medical Director’s Approval of 3-Level ACDF with instrumentation; (5) the denial
by Coca-Cola of Dr. Trahan’s LWC-WC-1010 submitted by the doctor’s office on
October 14, 2021; and (6) Mr. George’s motion, memorandum, and reply
memorandum.
On October 25, 2021, the WCJ set the hearing on Mr. George’s motion for
summary judgment for December 3, 2021.
On November 11, 2021, Coca-Cola filed an opposition memorandum to Mr.
George’s motion for summary judgment. Attached to the memorandum were six
exhibits: (1) the Second Injury Board Response Questionnaire, which Mr. George
completed when he was hired; (2) the visit notes of March 4, 2021, completed by
the nurse practitioner, Jennifer Navarre; (3) the transitional work assessment offer
dated March 8, 2021; (4) Mr. George’s interview dated March 5, 2021; (5) the notes
of Dr. Trahan; (6) an email between Mr. George’s attorney, Taylor Bassett, and the
nurse Brittani Daigle, RN, BSN, Coca-Cola’s field case manager.
1 Louisiana Code of Civil Procedure Article 966(A)(1) provides that “[a] plaintiff’s motion [for summary judgment] may be filed at any time after the answer has been filed.” As the WCJ stated in its oral reasons for judgment:
In this matter, no answer has been filed and an opposition to the motion for summary [judgment] was filed. Any objection on the basis that the motion for summary judgment was filed before an answer was filed was waived when the defendant opposed Mr. Perry’s motion without filing a dilatory exception of prematurity. Additionally, the defendant did not file a motion to continue.
Although the record confirms the WCJ’s comments, the record does show Coca-Cola ultimately filed an answer after the WCJ issued its oral reasons and well after the hearing on Mr. George’s motion for summary judgment. 2 In response to Coca-Cola’s opposition memorandum, Mr. George filed a reply
memorandum on November 29, 2021. Among other arguments, Mr. George
objected to the admissibility of Coca-Cola’s six exhibits. As none of Coca-Cola’s
exhibits were pleadings, memoranda, affidavits, depositions, answers to
interrogatories, certified medical records, written stipulations or admissions, as
required by La.Code Civ.P. art. 966, he contended that they could not be admitted
into evidence and considered by the WCJ at the hearing on the motion for summary
judgment.
At the hearing on December 3, 2021, the WCJ granted Mr. George’s objection
to Coca-Cola’s inclusion of the six exhibits attached to its opposition to the motion
for summary judgment. In response to that exclusion of the exhibits, Coca-Cola
proffered them into evidence. Additionally, the WCJ concluded at the hearing that
Coca-Cola had not objected to Mr. George’s exhibits in its memorandum in
opposition to the motion for summary judgment. It further found that Coca-Cola’s
oral objections to Mr. George’s exhibits, raised for the first time at the hearing on
the motion for summary judgment, came too late. Accordingly, the WCJ determined
it was required to consider Mr. George’s exhibits. It then requested post-hearing
briefs to be filed by December 8, 2021.
After receiving additional briefs from the parties, the WCJ provided oral
reasons for judgment on December 20, 2021. In its oral reasons, the WCJ confirmed
its earlier evidentiary rulings and further granted Mr. George’s motion for summary
judgment, finding Mr. George was entitled to the surgery as requested. It also found
that Mr. George was entitled to a $2,000.00 penalty for Coca-Cola’s failure to
approve the surgery and attorney fees of $3,500.00.
3 Coca-Cola perfected a suspensive appeal. And Mr. George answered the
appeal, seeking an increase of attorney fees.
APPELLANT’S ASSIGNMENTS OF ERROR
Coca-Cola designated eight assignments of error2:
(1) The workers’ compensation court erred in granting summary judgment because the surgical procedure requested by the treating physician requires a Second Medical Opinion.
(2) The workers’ compensation court erred in granting summary judgment because more time was needed in order to compile a complete medical history for the Second Medical Opinion.
(3) The workers’ compensation court erred in granting summary judgment as genuine issues of material fact exist.
(4) The workers’ compensation court erred in its determination of what constituted material facts.
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STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
22-207
PERRY GEORGE
VERSUS
COCA-COLA BOTTLING COMPANY UNITED, INC.
********** ON APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT # 04 PARISH OF LAFAYETTE, NO. 21-05780 ADAM JOHNSON, WORKERS’ COMPENSATION JUDGE
********** JONATHAN W. PERRY JUDGE
**********
Court composed of Van H. Kyzar, Jonathan W. Perry, and Sharon Darville Wilson, Judges.
AFFIRMED. Lance S. Ostendorf John S. Alsobrook Philip A. Costa Ostendorf Tate Barnett, LLP 650 Poydras Street, Suite 1460 New Orleans, Louisiana 70130 504-324-2244 COUNSEL FOR EMPLOYER/APPELLANT: Coca-Cola Bottling Company United, Inc.
Taylor J. Bassett Morrow, Morrow, Ryan, Bassett & Haik 324 W. Landry St. Opelousas, Louisiana 70570 337-948-4483 COUNSEL FOR CLAIMANT/APPELLEE: Perry George PERRY, Judge.
In this workers’ compensation case, the employer appeals the Workers’
Compensation Judge’s grant of summary judgment in favor of the claimant. The
claimant answered the appeal, seeking an increase in attorney fees. We affirm.
FACTS AND PROCEDURAL HISTORY
On March 5, 2021, Mr. Perry George (“Mr. George”) was employed as a
delivery driver for Coca-Cola Bottling Company United (“Coca-Cola”) and was
involved in a unique motor vehicle accident while in the course and scope of his
employment. While conducting a delivery, the Coca-Cola truck was struck by
another vehicle. Mr. George was injured as a result of the impact. Thereafter, Mr.
George filed a claim for workers’ compensation benefits and began receiving
indemnity payments and reimbursements for medical costs.
On September 14, 2021, Dr. Jayme Trahan (“Dr. Trahan”), Mr. George’s
treating neurosurgeon, filed a form LWC-WC-1010 with Coca-Cola, requesting
approval of a 3-level anterior cervical discectomy and fusion, which he related to
Mr. George’s accident on March 5, 2021. Coca-Cola denied Dr. Trahan’s request.
On September 23, 2021, Mr. George filed a form LWC-WC-1009 appeal with
the Office of Workers’ Compensation Administration Medical Services Division.
On October 12, 2021, the Medical Director approved the surgery, finding it
medically necessary. Thereafter, Dr. Trahan submitted another LWC-WC-1010 to
Coca-Cola, requesting approval of the surgery. Once more, Coca-Cola denied
approval.
Later, on October 19, 2021, Mr. George filed a form LWC-WC-1008 with the
Office of Workers’ Compensation (“OWC”), seeking approval of the surgery; at the
same time, he asked for penalties and attorney fees for Coca-Cola’s failure to timely
authorize the surgery. Simultaneously, Mr. George filed a motion for summary judgment seeking the relief prayed for on October 19, 2021.1 Attached to Mr.
George’s motion for summary judgment were six exhibits: (1) the LWC-WC-1010
which Dr. Trahan’s office submitted on September 14, 2021; (2) the LWC-WC-
1010A submitted by Coca-Cola to Dr. Trahan on September 14, 2021; (3) Dr.
Trahan’s response to Coca-Cola’s LWC-WC-1010A on September 15, 2021; (4) the
Medical Director’s Approval of 3-Level ACDF with instrumentation; (5) the denial
by Coca-Cola of Dr. Trahan’s LWC-WC-1010 submitted by the doctor’s office on
October 14, 2021; and (6) Mr. George’s motion, memorandum, and reply
memorandum.
On October 25, 2021, the WCJ set the hearing on Mr. George’s motion for
summary judgment for December 3, 2021.
On November 11, 2021, Coca-Cola filed an opposition memorandum to Mr.
George’s motion for summary judgment. Attached to the memorandum were six
exhibits: (1) the Second Injury Board Response Questionnaire, which Mr. George
completed when he was hired; (2) the visit notes of March 4, 2021, completed by
the nurse practitioner, Jennifer Navarre; (3) the transitional work assessment offer
dated March 8, 2021; (4) Mr. George’s interview dated March 5, 2021; (5) the notes
of Dr. Trahan; (6) an email between Mr. George’s attorney, Taylor Bassett, and the
nurse Brittani Daigle, RN, BSN, Coca-Cola’s field case manager.
1 Louisiana Code of Civil Procedure Article 966(A)(1) provides that “[a] plaintiff’s motion [for summary judgment] may be filed at any time after the answer has been filed.” As the WCJ stated in its oral reasons for judgment:
In this matter, no answer has been filed and an opposition to the motion for summary [judgment] was filed. Any objection on the basis that the motion for summary judgment was filed before an answer was filed was waived when the defendant opposed Mr. Perry’s motion without filing a dilatory exception of prematurity. Additionally, the defendant did not file a motion to continue.
Although the record confirms the WCJ’s comments, the record does show Coca-Cola ultimately filed an answer after the WCJ issued its oral reasons and well after the hearing on Mr. George’s motion for summary judgment. 2 In response to Coca-Cola’s opposition memorandum, Mr. George filed a reply
memorandum on November 29, 2021. Among other arguments, Mr. George
objected to the admissibility of Coca-Cola’s six exhibits. As none of Coca-Cola’s
exhibits were pleadings, memoranda, affidavits, depositions, answers to
interrogatories, certified medical records, written stipulations or admissions, as
required by La.Code Civ.P. art. 966, he contended that they could not be admitted
into evidence and considered by the WCJ at the hearing on the motion for summary
judgment.
At the hearing on December 3, 2021, the WCJ granted Mr. George’s objection
to Coca-Cola’s inclusion of the six exhibits attached to its opposition to the motion
for summary judgment. In response to that exclusion of the exhibits, Coca-Cola
proffered them into evidence. Additionally, the WCJ concluded at the hearing that
Coca-Cola had not objected to Mr. George’s exhibits in its memorandum in
opposition to the motion for summary judgment. It further found that Coca-Cola’s
oral objections to Mr. George’s exhibits, raised for the first time at the hearing on
the motion for summary judgment, came too late. Accordingly, the WCJ determined
it was required to consider Mr. George’s exhibits. It then requested post-hearing
briefs to be filed by December 8, 2021.
After receiving additional briefs from the parties, the WCJ provided oral
reasons for judgment on December 20, 2021. In its oral reasons, the WCJ confirmed
its earlier evidentiary rulings and further granted Mr. George’s motion for summary
judgment, finding Mr. George was entitled to the surgery as requested. It also found
that Mr. George was entitled to a $2,000.00 penalty for Coca-Cola’s failure to
approve the surgery and attorney fees of $3,500.00.
3 Coca-Cola perfected a suspensive appeal. And Mr. George answered the
appeal, seeking an increase of attorney fees.
APPELLANT’S ASSIGNMENTS OF ERROR
Coca-Cola designated eight assignments of error2:
(1) The workers’ compensation court erred in granting summary judgment because the surgical procedure requested by the treating physician requires a Second Medical Opinion.
(2) The workers’ compensation court erred in granting summary judgment because more time was needed in order to compile a complete medical history for the Second Medical Opinion.
(3) The workers’ compensation court erred in granting summary judgment as genuine issues of material fact exist.
(4) The workers’ compensation court erred in its determination of what constituted material facts.
(5) The workers’ compensation court erred in granting summary judgment for the reason that it made credibility determinations based upon uncertified and unauthenticated documents.
(6) The workers’ compensation court erred in granting summary judgment when it allowed into evidence the uncertified and unauthenticated documents introduced by Mr. George in spite of the objections of Coca-Cola.
(7) The workers’ compensation court erred in granting summary judgment for the reason that Coca-Cola was entitled to a Second Medical Opinion.
(8) The workers’ compensation court erred in granting summary judgment in spite of the fact that discovery was incomplete.
STANDARD OF REVIEW
Appellate courts review summary judgments de novo, using the same criteria
applied by trial courts to determine whether summary judgment is appropriate.
Succession of Holbrook, 13-1181 (La. 1/28/14), 144 So.3d 845. Summary judgment
procedure is favored and shall be construed “to secure the just, speedy, and
2 Coca-Cola has not assigned as error the amount of the penalty assessed or the amount of attorney fees awarded. 4 inexpensive determination of every action.” La.Code Civ.P. art. 966(A)(2). A
motion for summary judgment will be granted “if the motion, memorandum, and
supporting documents show that there is no genuine issue as to material fact and that
the mover is entitled to judgment as a matter of law.” La.Code Civ.P. art. 966(A)(3).
The party seeking summary judgment must show that no genuine issue of
material fact exists. La.Code Civ.P. art. 966(D)(1). “[I]f the mover will not bear the
burden of proof at trial,” he need not “negate all essential elements of the adverse
party's claim,” but he must show “that there is an absence of factual support for one
or more elements essential to the adverse party’s claim.” La.Code Civ.P. art.
966(D)(1). If the movant meets his initial burden of proof, the burden shifts to the
adverse party “to produce factual support sufficient to establish the existence of a
genuine issue of material fact or that the mover is not entitled to judgment as a matter
of law.” Id.
“When appropriate under Articles 966 and 967, summary judgment is
available in workers’ compensation cases.” Craig v. Bantek W., Inc., 04-229, p. 5
(La.App. 1 Cir. 9/17/04), 885 So.2d 1241, 1244. See also Mitchell v. Alliance
Compressors, 18-857 (La.App. 3 Cir. 5/1/19), 269 So.3d 977, writ denied, 19-1147
(La. 10/8/19), 280 So.3d 589; Potier v. Acadian Ambulance Serv., Inc., 13-914
(La.App. 3 Cir. 2/12/14), 153 So.3d 1082, writ denied, 14-527 (La. 4/25/14), 138
So.3d 647.
LAW AND DISCUSSION
We will first turn our attention to the objection Coca-Cola made to the exhibits
attached to Mr. George’s memorandum in support of his motion for summary
judgment. The WCJ denied Coca-Cola’s objection to Mr. George’s exhibits, finding
its oral objection to the exhibits made for the first time at the hearing did not comply
5 with La.Code Civ.P. art. 966(D)(2). Coca-Cola contends that its oral objection to
Mr. George’s exhibits was sufficient because the rules of evidence are relaxed in
workers’ compensation cases. Mr. George contends that the law relative to summary
judgment does not carve out an exception to the objection rules set out in La.Code
Civ.P. art. 966(D)(2).
In Chaisson v. Cajun Bag & Supply Co., 97-1225, pp. 9-10 (La. 3/4/98), 708
So.2d 375, 381, the court stated that “under the express language of LSA-RS
23:1317, worker’s compensation hearing officers are ‘not bound by the technical
rules of evidence.’ Id. In other words, the hearing officer has the discretion to admit
evidence that would otherwise be inadmissible under the Louisiana Code of
Evidence.”
In the present case, the WCJ was not faced with a question of the admissibility
of evidence under the Code of Evidence. Rather, its attention was particularly drawn
to the procedure to object to exhibits attached to a memorandum filed in a summary
judgment proceeding. Specifically, La.Code Civ.P. art. 966(D)(2) provides as
follows:
The court may consider only those documents filed in support of or in opposition to the motion for summary judgment and shall consider any documents to which no objection is made. Any objection to a document shall be raised in a timely filed opposition or reply memorandum. The court shall consider all objections prior to rendering judgment. The court shall specifically state on the record or in writing which documents, if any, it held to be inadmissible or declined to consider.
Addressing this provision, Comment (k) to La.Code Civ.P. art. 966 states that “[t]his
Subparagraph also makes explicit that an oral objection to any document cannot be
raised at the hearing on the motion for summary judgment[.]”
It is well established that the purpose of summary judgment procedure is the
just and speedy determination of actions. See e.g., Cupit o/b/o Cupit v. Twin City 6 Fire Ins. Co., 17-918 (La.App. 3 Cir. 3/14/18), 240 So.3d 993. With that as its
purpose, summary judgment procedure has established specific rules for the
presentation of supporting and opposing documents, as well as a specified method
of objecting to those documents. Such a provision meets the “just” element of such
a procedure, helps secure that such issues do not blindside litigants at the last
moment, and allows the court to truly assess the proof to see whether there is a
genuine need for trial.
In the present case, the WCJ followed the authority set out for summary
judgment procedure and correctly assessed Coca-Cola’s oral objection raised for the
first time at the hearing on the motion for summary judgment. We find no error in
the WCJ’s rejection of Coca-Cola’s oral objection to Mr. George’s exhibits attached
to his motion for summary judgment.
Louisiana Code of Civil Procedure Article 966(D)(2) (emphasis added)
provides that “[t]he court may consider only those documents filed in support of or
in opposition to the motion for summary judgment and shall consider any documents
to which no objection is made.” In the present case, the record shows that Coca-
Cola raised an objection for the first time at the hearing on the motion for summary
judgment—an objection it raised orally. In addressing this, the WCJ rejected Coca-
Cola’s late-filed, oral objection. As provided in La.Code Civ.P. art. 966(D)(2), we
find the WCJ correctly considered the exhibits Mr. George attached to his motion
for summary judgment because Coca-Cola failed to object to them in the required
manner. See Aucoin v. Larpenter, 20-792 (La.App. 1 Cir. 4/16/21) 324 So.3d 626,
writ denied, 21-688 (La. 9/27/21), 324 So.3d 87; Mariakis v. N. Oaks Health Sys.,
18-165 (La.App. 1 Cir. 9/21/18), 258 So.3d 88. We conclude that we are also
7 mandated to consider Mr. George’s exhibits because Coca-Cola failed to lodge a
proper and timely objection to them.
We now turn our attention to Mr. George’s objection to the exhibits Coca-
Cola attached to its opposition memorandum. In contrast to Coca-Cola’s objection
raised for the first time at the hearing on the motion for summary judgment, Mr.
George objected to Coca-Cola’s exhibits in a reply memorandum in advance of the
hearing. In that objection, Mr. George contended that Coca-Cola’s exhibits did not
meet the requirements of La.Code Civ.P. art. 966(A)(4). We have reviewed the
proffered exhibits, as well as Mr. George’s objection to those exhibits, and find, as
did the WCJ, that these exhibits do not meet the requirements of La.Code Civ.P. art.
966(A)(4). Therefore, we conclude that these exhibits in opposition to summary
judgment are not to be considered.
We will now address the merits of Mr. George’s motion for summary
judgment and Coca-Cola’s arguments raised in its opposition memorandum and
brief to this court. In doing so, we not only examine whether there are no genuine
issue as to material fact and whether Mr. George as the mover is entitled to judgment
as a matter of law, we will also address these issues raised in Coca-Cola’s
assignments of error, namely: (1) that more time was needed to complete a complete
medical history of Mr. George; (2) that more time was needed to complete discovery;
and (3) that the documents which would have been produced in the above
assignments of error were needed for a Second Medical Opinion.
“A motion to continue has been held to be the proper method for asserting that
a motion for summary judgment is premature because the adverse party has not been
able to conduct adequate discovery.” Laforge v. Golden Nugget Lake Charles, LLC,
20-110, p. 6 (La.App. 3 Cir. 11/4/20), 307 So.3d 266, 270. In Miller v. Acadian
8 Ambulance Serv., Inc., 17-1096, pp.8-9 (La.App. 3 Cir. 5/23/18), 248 So.3d 469,
475-76, (emphasis added), writ denied, 18-1452 (La. 11/20/18), 256 So.3d 990, we
stated:
Louisiana Code of Civil Procedure Article 1601 provides that “[a] continuance may be granted in any case if there is good ground therefor.” Under La.Code Civ.P. art. 1602, a continuance must be granted if “the party applying for the continuance shows that he has been unable, with the exercise of due diligence, to obtain evidence material to his case; or that a material witness has absented himself without the contrivance of the party applying for the continuance.” The court in Suarez v. Acosta, 15-750, pp. 9-10 (La.App. 5 Cir. 3/16/16), 194 So.3d 626, 632 (citations omitted) discussed the trial court’s discretion in granting or denying a continuance and stated in pertinent part:
In determining whether to grant a continuance, the trial court must consider the particular facts in each case. Some factors to consider are diligence, good faith, and reasonable grounds. The trial court may also weigh the condition of the court docket, fairness to the parties and other litigants before the court, and the need for orderly and prompt administration of justice. A trial court has great discretion in granting or denying a motion for a continuance under La. C.C.P. art. 1601, and that discretion will not be disturbed on appeal in the absence of clear abuse of discretion.
Our review of the record shows that Coca-Cola neither sought discovery during the
course of this litigation nor filed a motion for continuance. The record also shows
that even after Coca-Cola denied Dr. Trahan’s request for surgery, it never sought a
Second Medical Opinion. Thus, we find no merit to Coca-Cola’s assertion of these
issues.
Louisiana Revised Statutes 23:1203(A) states, in pertinent part, that “the
employer shall furnish all necessary drugs, supplies, hospital care and services,
medical and surgical treatment[.]” In Roussell v. St. Tammany Parish School Board,
04-2622 (La.App. 1 Cir. 8/23/06), 943 So.2d 449, the court held that a workers’
compensation claimant may recover medical expenses that are reasonably necessary
9 for the treatment of a medical condition caused by a work-related injury. The
plaintiff must prove the necessity of the treatment and the causal connection between
the treatment and the employment-related accident. Id. Accordingly, it was Mr.
George’s burden as the mover on the motion for summary judgment to establish by
a preponderance of the evidence that the recommended surgery was reasonably
necessary and that the March 5, 2021 motor vehicle accident was the cause of his
need for the surgery.
On September 21, 2021, Dr. Trahan, the treating neurosurgeon of Mr. George,
submitted signed evidence to Coca-Cola requesting approval of cervical surgery.
Attached to this submission were medical records from the claimant’s office visits
with Dr. Trahan on May 17, 2021, June 23, 2021, and August 6, 2021, as well as a
C-spine MRI dated April 21, 2021, which noted disk protrusions at C-3/4, C-4/5,
and C-5/6.
In Dr. Trahan’s office note dated August 6, 2021, he recommended an anterior
cervical discectomy and fusion spanning C3-C4 to address the anterior column
symptoms and cervical radiculopathy. At that time, Dr. Trahan opined that “more
likely than not, the symptoms and subsequent treatment to [Mr. George’s cervical
spine are both temporally] and causally related to the injuries sustained during the
accident on March 5, 2021.”
Mr. George also entered into evidence Coca-Cola’s denial of that request for
cervical surgery, which stated, “at this time we are unable to forward the request
through precert prior to obtaining medical records from prior treatment Mr. George
had for the cervical. Mr. George indicated prior cervical injury in an MVA in 2019.”
Subsequently, Mr. George appealed Coca-Cola’s implied denial to the OWC
Medical Director. In approving Dr. Trahan’s request for cervical surgery, the OWC
10 Medical Director stated, “Care covered by the medical treatment schedule. All
records submitted were reviewed. The documentation submitted does support the
approval of the requested services in review for compliance with the Medical
Treatment Schedule.” In addition, Jason Picard, the Medical Director, noted, “There
is radiculopathy and conservative failure and criteria for the procedure as per the
guidelines.”
Considering the law and the evidence, we find there are no genuine issues of
material fact, and Mr. George is entitled to summary judgment as a matter of law.
Mr. George has answered the appeal, seeking an increase in attorney fees for
additional legal work rendered at the appellate level. Considering the record,
including the fact that Coca-Cola perfected a suspensive appeal, and the argument
provided in support of summary judgment, we find that an increase in attorney fees
of $3,500.00 is justified in the present case.
DECREE
For the foregoing reasons, we affirm the judgment of the Workers’
Compensation Judge. Additionally, the judgment of the Workers’ Compensation
Judge is amended, and judgment is rendered in favor of Lyman Smith and against
Coca-Cola Bottling Company United in the amount of $ 3,500.00 as additional
attorney fees for the work necessitated by this appeal. All costs of this appeal are
assessed against Coca-Cola Bottling Company United.
AFFIRMED.