Simon v. Western Preferred Casualty Co.

491 So. 2d 28, 1986 La. App. LEXIS 6783
CourtLouisiana Court of Appeal
DecidedMay 6, 1986
DocketNo. 85-94
StatusPublished
Cited by1 cases

This text of 491 So. 2d 28 (Simon v. Western Preferred Casualty 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
Simon v. Western Preferred Casualty Co., 491 So. 2d 28, 1986 La. App. LEXIS 6783 (La. Ct. App. 1986).

Opinion

WARREN E. HOOD, Judge Pro Tern.

Plaintiff, Michael J. Simon, sued his former employer, United Service Contractors, Inc., (United), and its insurer, Western Preferred Casualty Company, for workmen’s compensation benefits. From a judgment awarding benefits for total and permanent disability, penalties and attorney’s fees, the defendants have appealed.

Plaintiff suffered an injury to his lower back on November 8, 1982, as the result of an accident arising out of and in the course and scope of his employment as operations manager with United. His average weekly wage at the time of the accident was stipulated to be $426.92. He was paid compensation for a period of forty-four (44) weeks from February 6, 1983, through December [29]*2910, 1983, at the rate of $204.00 per week. He returned to work December 9, 1983. His employment was subsequently terminated on March 9,1984, due to an economic downturn in United’s business.

The trial court determined that plaintiff fell into the odd lot category due to his inability to obtain work as a result of pain associated with his injury, and, therefore, found that he was totally and permanently disabled.

The trial judge further found that there was no medical evidence upon which the employer could reasonably have refused to reinstate compensation payments, after demand, and awarded plaintiff attorney’s fees of $3,000.00 and statutory penalties.

Defendants appealed, asserting three assignments of error:

1) The trial court committed manifest error in finding that the plaintiff was an odd lot worker and therefore was totally and permanently disabled.
2) The trial court committed manifest error in not finding the plaintiff physically capable of performing his former job duties.
3) The trial court committed manifest error in finding defendants were arbitrary and capricious in not reinstating compensation benefits to plaintiff.

The first two assignments of error will be combined for discussion.

At the time of the accident, R.S. 23:1221 read in part:

“Compensation shall be paid under this Chapter in accordance with the following schedule of payments:
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“(2) For injury producing permanent total disability of an employee to engage in any gainful occupation for wages, 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 injury, was particularly fitted by reason of education, training, and experience, sixty-six and two thirds per centum of wages during the period of such disability.
“(3) For injury producing partial disability of the employee to perform the duties in which he was customarily engaged when injured or duties of the same or similar character, nature or description for which he was fitted by education, training, and experience, sixty-six and two-thirds per centum of the difference between the wages the employee was earning at the time of the injury and any lesser wages which the injured employee actually earns in any week thereafter in any gainful occupation for wages, 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 injury, was particularly fitted by reason of education, training, and experience, during the period of disability, but not beyond .a maximum of four hundred fifty weeks.”

The jurisprudence developed the “odd lot” doctrine. This doctrine is explained by our Supreme Court in Lattin v. Hica Corporation, 395 So.2d 690 (La.1981):

“Under the odd lot doctrine, a claimant is considered totally disabled if his injury makes him an odd lot in the labor market, that is, one capable of obtaining employment periodically but one whose services are so limited in quality, dependability or quantity that a reasonably stable market for his services does not exist. An odd lot claimant need not be absolutely helpless to qualify for total disability. If the claimant can prove that his physical condition, mental capacity, education, training, age or other factors combine to place him at a substantial disadvantage in the competitive labor market, he has made out a prima facie case for classification in the odd lot category. This satisfies his burden of proving that he should be awarded benefits for permanent and total disability. The employer or insurer must then show that some form of gainful occupation is regularly and continuously available to the [30]*30employee within reasonable proximity to the employee’s residence.”

After the accident, plaintiff was first seen by Dr. Howard Alleman, who later referred him to Dr. Roland Miller, an orthopedic surgeon.

Dr. Miller made the determination that plaintiff’s accident resulted in two herniated discs. On February 6, 1983, he performed a laminectomy and a diskectomy at the L 4-5 level. Plaintiff was discharged from Abbeville General Hospital on February 13, 1983. Dr. Miller continued to see the plaintiff approximately once a month through August 3, 1983. On his next examination on December 7, 1983, he was discharged by Dr. Miller. The doctor assigned plaintiff a 25% disability of the whole body.

On December 9, 1983, plaintiff returned to work and continued to work until he was terminated on March 9, 1984. Although he did not go back to see Dr. Miller until after he was terminated, he continued to take medication for his pain while he was working.

At the time of his injury, plaintiff was employed as the operations manager for United. This was a managerial position in which he supervised 80-100 employees. Within the company structure, there were only three persons with a higher position than that of plaintiff’s.

Prior to the accident, plaintiff did in fact perform some manual labor. He testified that his position required 70% managerial work and 30% manual labor. In contrast to this testimony, the vice president of the company, Mark Lejeune, testified that plaintiff's position did not require him to personally perform manual labor.

From the time plaintiff returned to work on December 9, 1983, until he was terminated, he was neither required to nor did he do any manual labor.

The trial court made a finding of fact that plaintiff’s employment at the time of the accident required the physical labor he was then doing. We find no manifest error in this conclusion and in the conclusion that he is presently disabled from performing the same or similar duties in which he was engaged when injured. Therefore, we reject appellant’s second assignment of error.

We do find error, however, in the trial court’s finding that plaintiff falls into the odd lot category and is consequently totally and permanently disabled.

At the time of the accident, plaintiff was 29 years old and had obtained a high school education. His prior work experience included work in sales, work as a deck hand on a crew boat, and as an air conditioning installer.

Plaintiff admitted that in his application for unemployment compensation following the termination of his employment, he had certified that he could work in a sales position.

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Bluebook (online)
491 So. 2d 28, 1986 La. App. LEXIS 6783, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simon-v-western-preferred-casualty-co-lactapp-1986.