Servpro of Metairie v. Cannata

862 So. 2d 177, 3 La.App. 5 Cir. 825, 2003 La. App. LEXIS 3276, 2003 WL 22798986
CourtLouisiana Court of Appeal
DecidedNovember 25, 2003
DocketNo. 03-CA-825
StatusPublished

This text of 862 So. 2d 177 (Servpro of Metairie v. Cannata) 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
Servpro of Metairie v. Cannata, 862 So. 2d 177, 3 La.App. 5 Cir. 825, 2003 La. App. LEXIS 3276, 2003 WL 22798986 (La. Ct. App. 2003).

Opinion

WALTER J. ROTHSCHILD, Judge.

This worker’s compensation case arises from a motor vehicle accident that occurred on April 1, 1999. The claimant, Peter Cannata, was a passenger in a company vehicle when it was struck two times from the rear by another vehicle. Mr. Cannata suffered injuries in the accident, primarily to his lower back. He was in the course and scope of his employment with Servpro of Metairie at the time of the accident.

Mr. Cannata has not worked since the date of the accident. He was paid temporary total disability benefits from the date of the accident until February 2001, when Servpro began paying him Supplemental Earnings Benefits (SEB). He was paid full SEB until November 2001 when they were reduced by Servpro.

On December 14, 2001, Mr. Cannata filed a disputed claim for compensation, seeking full benefits, as well as penalties and attorney fees, from Servpro for arbitrarily reducing his benefits. Trial of this matter was held on November 14, 2002. Mr. Cannata and his wife testified at trial, and the remainder of the case was submitted via exhibits. On March 7, 2003, the worker’s compensation judge rendered a judgment finding that Mr. Cannata was entitled to SEB at the full compensation rate of $193.35 per week and finding the employer, Servpro, to be arbitrary and capricious in its refusal to pay worker’s compensation benefits at the correct rate. The worker’s compensation judge further assessed a $2,000.00 penalty and $2,000.00 in attorney fees against Servpro.1 It is from this judgment that Servpro appeals.

DISCUSSION

On appeal, Servpro assigns the following two errors:

1) The worker’s compensation judge was legally incorrect and manifestly erroneous in awarding Supplemental Earnings Benefits to the claimant, because the claimant did not prove entitlement to such benefits since he did not make any effort to attempt to return to work.
2) The worker’s compensation judge was legally incorrect and manifestly erroneous in finding that Servpro was arbitrary and capricious and awarding penalties and attorney fees, because Servpro had a reasonable legal and factual basis for all actions taken in this case.

Servpro does not dispute that Mr. Cannata suffered lower back injuries in the accident and that he still has pain resulting from the accident. However, it asserts that he is able to return to work with light duty restrictions. Mr. Cannata argues that he cannot return to any employment due to his pain and therefore, he is entitled to SEB benefits at the full compensation rate.

LSA-R.S. 23:1221(3) sets forth the law pertaining to a claim for SEB, and it provides in pertinent part as follows:

(a) For injury resulting in the employee’s inability to earn wages equal to ninety percent or more of wages at time of injury, supplemental earnings benefits equal to sixty-six and [179]*179two-thirds .percent of the difference between, the average monthly wages at time of injury and average monthly wages earned or average monthly wages the employee is able to earn in any month thereafter in any employment or self-employment, whether or not the same or a similar occupation as that in which the employee was customarily engaged when injured and whether or not' an occupation for which the employee at the time of the injury was particularly fitted by reason of education, training, and experience, such comparison to be made on a monthly basis. Average monthly wages shall be computed by multiplying his “wages” by fifty-two and then dividing the quotient by twelve.
(b) For purpose of Subparagraph (3)(a), of this Paragraph, the amount determined to be the wages employee is able to earn in any month shall in no case be less than the sums actually received by the employee, including, but not limited to, earnings from odd-lot employment, sheltered employment, and employment while working in any pain.
(c)(i) Notwithstanding the provisions of Subparagraph (b) of this .Paragraph, for purposes of Subpara-graph (a) of this Paragraph, if the employee is not engaged in any employment or self-employment, as described in Subparagraph (b) of this paragraph, or is earning wages less than the employee is able to earn, the amount determined to be the wages the employee is able to earn in any month shall in no case be less than the sum the employee would have earned in any employment or self-employment, as described in Sub-paragraph (b) of this Paragraph, which he was .physically able to perform, and 1) which he was offered or .tendered by the employer or any other employer, or 2) which is proven available to the employee in the employee’s or employer’s community or reasonable geographic region.
(ii) For purposes of Subsubparagraph (i) of this Subparagraph, if the employee establishes by clear and convincing evidence, unaided by any presumption of disability, that solely as a consequence of substantial pain, the employee cannot perform employment offered, tendered, or otherwise proven to be available to him, the employee shall be deemed incapable of performing such employment.

In order to recover SEB, the initial burden is on the employee to prove by a preponderance of the evidence that he is unable to earn at least ninety percent of the wages that he earned prior to the accident. McKenzie v. Evans Quality Temporaries, 99-518 (La.App. 5 Cir. 10/26/99), 746 So.2d 163, 168-169. If the employee meets this burden, the burden shifts to the employer to demonstrate by a preponderance of the evidence that the employee is physically capable of performing certain jobs and that the jobs were offered or available. Joffrion v. Bryant, 98-1439 (La.App. 3 Cir. 4/14/99), 732 So.2d 767, 770; writ denied, 99-1425 (La.10/1/99), 748 So.2d 440; Blanchard v. Federal Express Corporation, 95-0349 (La.App. 1 Cir. 11/9/95), 665 So.2d 11, 13.

Mr. Cannata saw several doctors after the accident. Dr. Bruce Razza, who was one of the claimant’s treating physicians, and Dr. Robert Múñeles, who saw the claimant at the employer’s request, agree that the claimant suffered severe injuries [180]*180to his back, and both doctors have indicated that Mr. Cannata is a candidate for surgery.

At trial, Mr. Cannata testified that he is 81 years old and he was 27 at the time of the accident. He stated that his back is always in pain and that his leg is in pain at times. He testified that he can only sit for 10-15 minutes and stand for 5-10 minutes before the pain gets too bad. He stated that he can drive a car on short trips and he picks up his son every day from school. He indicated that he sometimes cooks and washes dishes and clothes, but he stops when his back hurts too badly. He spends most of the day lying around the house watching television. He has not taken pain medication for two years because it makes him feel sick and he has not seen any doctors since he last saw Dr. Razza in November 2001, because there is nothing that they can do, except surgery. Mr. Cannata testified that he has elected not to have the surgery, because it is not guaranteed to relieve his pain and he believes that it could possibly make the pain worse.

Mr. Cannata testified that he has not looked for or tried to work, and he has not talked to any of his doctors about whether or not he could work. Mr. Cannata’s attorney referred him to a vocational evaluation specialist who performed a vocational evaluation on February 20, 2001.

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Related

Joffrion v. Bryant
732 So. 2d 767 (Louisiana Court of Appeal, 1999)
Blanchard v. Federal Exp. Corp.
665 So. 2d 11 (Louisiana Court of Appeal, 1995)
McKenzie v. Evans Quality Temporaries
746 So. 2d 163 (Louisiana Court of Appeal, 1999)
Araujo v. Marriott Corp.
731 So. 2d 432 (Louisiana Court of Appeal, 1999)

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Bluebook (online)
862 So. 2d 177, 3 La.App. 5 Cir. 825, 2003 La. App. LEXIS 3276, 2003 WL 22798986, Counsel Stack Legal Research, https://law.counselstack.com/opinion/servpro-of-metairie-v-cannata-lactapp-2003.