Resweber v. Haroil Construction Co.

644 So. 2d 423, 94 La.App. 3 Cir. 297, 1994 La. App. LEXIS 2630, 1994 WL 542039
CourtLouisiana Court of Appeal
DecidedOctober 5, 1994
DocketNo. 94-297
StatusPublished
Cited by3 cases

This text of 644 So. 2d 423 (Resweber v. Haroil Construction Co.) 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
Resweber v. Haroil Construction Co., 644 So. 2d 423, 94 La.App. 3 Cir. 297, 1994 La. App. LEXIS 2630, 1994 WL 542039 (La. Ct. App. 1994).

Opinion

| iLABOBDE, Judge.

Appellant, having failed to admit to having previously sustained back injury, today complains of an adverse ruling by the hearing officer that found his failure to disclose previous injuries constituted grounds for forfeiture under LSA-R.S. 23:1208. We reverse. LSA-R.S. 23:1208 is intended for the defense of claims arising from fabricated work-related injuries, not to bar claims based on an employee’s failure to answer truthfully an employer’s inquiries into a worker’s previous injuries. Because defendant did not comply with the prerequisites set forth in LSA-R.S. 23:1208.1, the provision available for such defenses, we remand for a hearing on the merits.

FACTS

Claimant alleges he was injured in the course and scope of his employment in an otherwise unwitnessed accident on July 17, 1991, when he slipped and fell at a tank farm. He sustained herniated disks at L4-5 and L5-6. Defendant paid compensation benefits [425]*425through March 1993, when it discontinued compensation 12benefits alleging in a separate consolidated action that plaintiff was barred by LSA-R.S. 23:1208.

As to the 1208 proceeding, the parties submitted their cases on the basis of briefs, attachments, and medical records. Each party evidenced its intent to have such a truncated proceeding in letters forwarded to the hearing officer. This appeal follows the hearing officer’s determination that claimant’s failure to admit to injuries sustained in 1989 resulted in his forfeiture of benefits for a disability he alleges to have arisen from a 1991 accident. In pertinent part, the hearing officer’s written reasons state the following:

Having found that Resweber knew that he had a possible herniated disc as early as July of 1989, the Court also concludes that his failure to disclose that information to Mr. Deselle and to Dr. Franklin was deliberate and willful.

On appeal, claimant argues that we should treat defendant’s “Motion to Disqualify Pursuant to Rule 1208” as a motion for summary judgment, which would require us to reverse the hearing officer’s conclusion insofar as genuine issues of material fact abound. In support of this position claimant relies extensively on the ease of Coleman v. Sheraton Pierremont, 94-25, 452 (La.App. 2d Cir. 1/19/94), 631 So.2d 50, which we find inappo-site. In Coleman, the hearing officer unilaterally denied claimant her opportunity to have a fair hearing. In the present case, the parties agreed to waive the already relaxed evidentiary and procedural formalities of our state’s worker’s compensation scheme to limit the evidence the hearing officer could consider in making a determination as to whether claimant forfeited his benefits under LSA-R.S. 23:1208. The answer lies elsewhere.

LSA-R.S. 23:1208 vs. 23:1208.1

| aThe critical question is whether LSA-R.S. 23:1208 operates to bar the worker’s compensation claim of an allegedly injured worker who fails to truthfully answer his employer’s inquiry as to previous injuries. Before we answer this question, we observe that the hearing officer did not find that claimant forfeited his worker’s compensation benefits pursuant to LSA-R.S. 23:1208.1, which provides as follows:

§ 1208.1. Employer’s inquiry into employee’s previous injury claims; forfeiture of benefits
Nothing in this Title shall prohibit an employer from inquiring about previous injuries, disabilities, or other medical conditions and the employee shall answer truthfully; failure to answer truthfully shall result in the employee’s forfeiture of benefits under this Chapter, provided said failure to answer directly relates to the medical condition for which a claim for benefits is made or affects the employer’s ability to receive reimbursement from the second injury fund. This Section shall not be enforceable unless the written form on which the inquiries about previous medical conditions are made contains a notice advising the employee that his failure to answer truthfully may result in his forfeiture of worker’s compensation benefits under R.S. 23:1208.1. Such notice shall be prominently displayed in bold faced block lettering of no less than ten point type.
Added by Acts 1988, No. 938, § 2, eff. Jan. 1, 1989. Amended by Acts 1989, No. 454, § 5, eff. Jan. 1, 1990.
The tension wrought between the first and second sentences of LSA-R.S. 23:1208.1 is reflective of society’s need to balance the employer’s desire to avoid nonproduction attributable costs against the worker’s need to exchange for the practical necessities of life, the only commodities he has to offer in a competitive labor market, his time and labor. See generally, Malone & Johnson, Workers’ Compensation, 13 Louisiana Civil Law Treatise, Sections 32 and 232 n. 1 (and text accompanying) (West 1993).
Consistent with “the tenet that the worker’s compensation laws are to be liberally construed,” Peveto v. WHC Contractors, et al., 93-C-1402 (La. 1/14/94), at 3, 630 So.2d 689, 691, the provision is strictly construed against the employer, who is presumed to be in a better position to prevent workplace accidents through its hiring and firing decisions than is the [426]*426worker, who seldom has the luxury of opting out of the workplace.
While LSA-R.S. 23:1208.1 is designed to insulate the employer from costs arising from worker’s ailments which are completely foreign |4to their production of goods or services, it does so only when those costs are clearly not attributable to the worker’s occupation and the employer avails itself of the provision’s safe harbor provisions. Williams v. Holly Hill Nursing Home, 93-557 (La.App. 3d Cir. 3/30/94); [640] So.[2d] [383]. Cf. Carter v. Our Lady of Lake Regional Medical Center, 612 So.2d 805 (La.App. 1st Cir.1992).

Pickett v. Stine Lumber Company, 93-1534 (La.App. 3 Cir. 6/1/94), at 3, 640 So.2d 769, 771.

The forfeiture of workers compensation benefits contemplated by LSA-R.S. 23:1208.1 is expressly conditioned upon the presence of three factors: an untruthful statement; a direct relationship between the answer elicited and the claim for benefits or ability to receive reimbursement from the second injury form; and compliance with the notice requirements of the statute. Want of any of the three factors is fatal to the employer’s successful avoidance of workers compensation liability on grounds of past * artifice. (* footnote: LSA-R.S. 23:1208 pertains to more contemporaneous deceit.)

Williams, supra, at 385. Because defendant did not comply with the minimum notice requirements set forth in LSA-R.S. 23:1208.1, defendant cannot rely on that provision to deny claimant his opportunity to have a hearing for benefits which might otherwise be due him.

We therefore return to the central question, whether an employer may rely on LSA-R.S. 23:1208 to avoid the notice requirements of LSA-R.S. 23:1208.1 when it seeks to defend its failure of benefits on the grounds of its employee’s failure to report previous injuries.

On the date of claimant’s accident in July 1991 and a few months afterward when he allegedly misrepresented his medical history, LSA-R.S. 23:1208 read as follows:

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Related

Mayo v. CASCO Const. Co., Inc.
712 So. 2d 169 (Louisiana Court of Appeal, 1998)
Resweber v. Haroil Const. Co.
660 So. 2d 7 (Supreme Court of Louisiana, 1995)
Resweber v. Haroil Construction Co.
644 So. 2d 428 (Louisiana Court of Appeal, 1994)

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Bluebook (online)
644 So. 2d 423, 94 La.App. 3 Cir. 297, 1994 La. App. LEXIS 2630, 1994 WL 542039, Counsel Stack Legal Research, https://law.counselstack.com/opinion/resweber-v-haroil-construction-co-lactapp-1994.