Reeves v. Russo

302 So. 2d 332, 1974 La. App. LEXIS 4022
CourtLouisiana Court of Appeal
DecidedOctober 14, 1974
DocketNo. 9938
StatusPublished
Cited by3 cases

This text of 302 So. 2d 332 (Reeves v. Russo) 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
Reeves v. Russo, 302 So. 2d 332, 1974 La. App. LEXIS 4022 (La. Ct. App. 1974).

Opinion

BLANCHE, Judge.

On or about July 2, 1973, plaintiff, Mary W. Reeves, while employed by Robert Russo d/b/a Robie’s Food Center, Franklin, Louisiana, St. Mary Parish, allegedly sustained injuries to her lower back while lifting boxes of merchandise in the course and scope of her employment.

At the time of the accident plaintiff testified that she notified the manager of the store and also a fellow employee. Plain[333]*333tiff continued working after the accident until July 12, 1973, at which time she consulted Dr. Walter H. Daniels of Morgan City, Louisiana, who gave her a light duty slip requiring her to do no lifting on her job. Mrs. Reeves continued to work until July 18, 1973, at which time Dr. Daniels hospitalized her because of both abdominal and lower back pains. Mrs. Reeves remained in the Fairview Hospital eight days while various tests were run. She was treated with a muscle relaxant, given analgesics for relief of pain, placed in lumbar traction, and moist hot compresses were applied three times daily to the low back area. Upon her release, Dr. Daniels felt her complaints were worse than at the time she entered the hospital. Dr. Daniels saw her again on July 31 because she continued to have upper lumbar pain. Since he felt that a consultation with an orthopedist was indicated, an appointment was made with Dr. J. Lee Leonard, an orthopedic surgeon of Lafayette, Louisiana. The patient was seen on three more occasions by Dr. Daniels: on August 8, 1973, for an examination for the Louisiana Department of Welfare, at which time a disgnosis of lumbosacral sprain was given ; again on September 13, where the doctor found she still had pain referable to the lumbar region and radiating into the thighs; and again on December 11, 1973, at which time she was complaining of lumbar pain as before. On the last visit Dr. Daniels felt she should consult another orthopedic surgeon because she was continuing to have trouble, and those complaints possibly could be referable to a herniated disc. Dr. Daniels felt that Mrs. Reeves could return to work as a cashier in a grocery store beginning after the September 13 visit. September 13 was the day Dr. Daniels consulted with the plaintiff concerning the report of the orthopedist Dr. Leonard. It was Dr. Leonard’s recommendation that she be allowed to return to work. At that time, however, Dr. Daniels recommended that she start back to work only three hours per day. Notwithstanding these recommendations, Mrs. Reeves never returned to work following her hospitalization of July 18, 1973.

On September 18, 1973, counsel for plaintiff notified defendants of his representation of Mrs. Reeves and that formal demand was made for workmen’s compensation benefits. Defendants-appellees resisted the claim on the grounds that plaintiff sustained no accident and, in the alternative, pleaded that if she had sustained an accident it did not result in disability. Subsequently, suit was filed resulting in judgment dated January 16, 1974, favoring plaintiff-appellant, finding that plaintiff had, in fact, sustained an accident on July 2, 1973, which had disabled her from that date until September 13, 1973, and awarding compensation for that period of time at the rate of $58.50 per week, together with the medical expenses incurred in connection with the injury. Plaintiff’s demand for penalties and attorney’s fees was denied. Being dissatisfied with the judgment, plaintiff-appellant has perfected this devolutive appeal.

Plaintiff contends that the trial judge committed error in failing to hold that she was totally and permanently disabled, as well as in failing to award penalties and attorney’s fees under the circumstances of this case. Defendants-appellees have not answered the appeal, asking simply that the judgment of the trial court be affirmed.

LSA-R.S. 22:658 governs payment of claims and penalties on policies other than life, health and accident and reads, in part, as follows:

“All insurers issuing any type of contract other than those specified in R.S. 22:656 and 22:657 shall pay the amount of any claim due any insured including any employee under Chapter 10 of Title 23 of the Revised Statutes of 1950 within sixty days after receipt of satisfactory proofs of loss from the insured, employee or any party in interest. Failure to make such payment within sixty days after receipt of such proofs and demand therefor, when such failure is found to [334]*334be arbitrary, capricious, or without probable cause, shall subject the insurer to a penalty, in addition to the amount of the loss, of 12,% damages on the total amount of the loss, payable to the insured, or to any of said employees, together with all reasonable attorney’s fees for the prosecution and collection of such loss, or in the event a partial payment or tender has been made, 12% of the difference between the amount paid or tendered and the amount found to be due and all reasonable attorney’s fees for the prosecution and collection of such amount. * * * ”

Suit was brought by plaintiff within sixty days of her demand for workmen’s compensation benefits, and plaintiff correctly observes that a general denial of liability during the sixty-day period following demand waives the running of the sixty-day period and, therefore, penalties and attorney’s fees may he assessed. Smith v. Kelly Labor Service, 239 So.2d 685 (La.App. 4th Cir. 1970), writ refused, 257 La. 173, 241 So.2d 531, and Stagg v. New Amsterdam Casualty Company, 166 So.2d 82 (La.App.3rd Cir. 1964). However, regardless of general denial or not by the defendant, attorney’s fees and penalties may only be assessed when there is a finding fhat such refusal to pay was arbitrary or capricious.

The trial judge did not find these requisites but stated the following in his Oral Reasons for Judgment:

“ * * * In this case the defendant questioned the plaintiff’s right to workman’s compensation urging as it has at this trial that the plaintiff did not sustain an accident and/or that the accident, if sustained, was not disabling. The Court finds that both of these questions are extremely close and that there being these very serious close questions involving the plaintiff’s right to workman’s compensation, that the defendant did not act arbitrarily or capriciously in denying the plaintiff’s claim therefor.” (Oral Reasons for Judgment, Record, p. 192)

Plaintiff also asserts that the trial judge erred in failing to hold that Mrs. Reeves was totally and permanently disabled. The trial judge in his Oral Reasons for Judgment accepted the diagnosis of two physicians and determined that as a result of the accident the plaintiff did sustain a. lumbosacral strain which was disabling. With regard to the extent of disability, he stated:

“As to the extent of the disability, the Court finds that the plaintiff’s disability lasted no longer than September 13, 1973. It was on that day that the plaintiff was advised by her local treating physician, Dr. Daniels, that she was able to resume work. It is true that Dr. Daniels indicated that she should work only three hours daily and that she should not lift heavy objects; however, the report, which was stipulated to as being what Dr. Leonard would say had he been sworn and had he testified, recommends without limitation or exception that the plaintiff, as of the date of that examination on September 10th, should continue her previous employment, which was that of check out and doing some stock work at the food center in Franklin, Louisiana.

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Cite This Page — Counsel Stack

Bluebook (online)
302 So. 2d 332, 1974 La. App. LEXIS 4022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reeves-v-russo-lactapp-1974.