Smith v. Isle of Capri Casino & Hotel

47 So. 3d 642, 2010 La.App. 1 Cir. 0161, 2010 La. App. LEXIS 1217, 2010 WL 3516814
CourtLouisiana Court of Appeal
DecidedSeptember 10, 2010
Docket2010 CA 0161
StatusPublished
Cited by8 cases

This text of 47 So. 3d 642 (Smith v. Isle of Capri Casino & Hotel) 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
Smith v. Isle of Capri Casino & Hotel, 47 So. 3d 642, 2010 La.App. 1 Cir. 0161, 2010 La. App. LEXIS 1217, 2010 WL 3516814 (La. Ct. App. 2010).

Opinion

WELCH, J.

12Plaintiff, Kevin D. Smith, appeals a judgment sustaining a peremptory exception raising the objection of res judicata filed by defendants, St. Charles Gaming Co. d/b/a Isle of Capri Casino & Hotel (Isle of Capri) and Cambridge Integrated Services Group, Inc. (Cambridge) and dismissing his workers’ compensation claim. We affirm.

BACKGROUND

On June 1, 2009, plaintiff filed this disputed claim for compensation benefits in the Office of Workers’ Compensation (OWC) against Isle of Capri, his employer, and its claim administrator, Cambridge. Plaintiff alleged that on December 9, 2004, he was cleaning out a storage room and was bitten by a spider on his left hand, and also ruptured two discs in his neck on that day from heavy lifting.

Defendants filed a peremptory exception raising the objection of res judicata, urging that the parties entered into a valid compromise agreement releasing defendants from all past and future liability for plaintiff’s claims for compensation, medical expenses, and claims of whatever kind, arising out of any accident or injury occurring before the date of the agreement. Defendants asserted that the compromise agreement, entered into in order to settle an ongoing disputed claim for compensation previously filed in the OWC, satisfied all of the legal requirements set forth in the Louisiana Workers’ Compensation Act. In opposition to the exception, plaintiff argued that he settled only his claim for *644 the spider bite injury and never intended to settle his separate claim for the two ruptured discs, for which his employer had been paying compensation benefits, that he was not represented by counsel at the time the compromise agreement was approved by the Workers’ Compensation Judge (WCJ), and he was never apprised by the WCJ that he was settling both of his claims.

| ^Following a hearing, at which both parties presented evidence, the WCJ found that plaintiff settled any claims he had against defendants for any injuries arising on December 9, 2004, and sustained the exception of res judicata.

LAW AND DISCUSSION

The workers’ compensation law contains specific requirements which govern the compromise of claims. The requirements for effecting a compromise settlement of a workers’ compensation claim are set out in subsections “A,” “B,” and “C” of La. R.S. 28:1272 as follows:

A. A lump sum or compromise settlement entered into by the parties under R.S. 23:1271 shall be presented to the workers’ compensation judge for approval through a petition signed by all parties and verified by the employee or his dependent, or by recitation of the terms of the settlement and acknowl-edgement by the parties in open court which is capable of being transcribed from the record of the proceeding.
B. When the employee or his dependent is represented by counsel, and if attached to the petition presented to the workers’ compensation judge are affidavits of the employee or his dependent and of his counsel certifying each one of the following items: (1) the attorney has explained the rights of the employee or dependent and the consequences of the settlement to him; and (2) that such employee or dependent understands his rights and the consequences of entering into the settlement, then the workers’ compensation judge shall approve the settlement by order, and the order shall not thereafter be set aside or modified except for fraud or misrepresentation made by any party.
C.When the employee or his dependent is not represented by counsel, the workers’ compensation judge shall determine whether the employee or his dependent understands the terms and conditions of the proposed settlement, and shall approve it by order, unless he finds that it does not provide substantial justice to all parties, and the order shall not thereafter be set aside or modified except for fraud or misrepresentation made by any party.

There can be no settlement of a workers’ compensation claim in the absence of compliance with the procedure prescribed by La. R.S. 28:1272. Nguyen v. Lengsfield Bros., Inc., 417 So.2d 525, 527 (La.App. 4th Cir.1982). Once the procedural requirements of the workers’ compensation law have been complied with and an order approving a compromise settlement has been entered by the |4WCJ, the judgment is conclusive,. and it cannot be set aside except for fraud, misrepresentation, or ill practices. See Smith v. Cajun Insulation, Inc., 392 So.2d 398, 401-402 (La.1980); Morris v. East Baton Rouge Parish School Board, 93-2396 (La.App. 1st Cir.3/3/95), 653 So.2d 4, writ denied, 95-0852 (La.5/5/95), 654 So.2d 335; Condon v. Johns-Manville Sale Corp., 448 So.2d 169, 171 (La.App. 5th Cir.1984).

At the hearing on the exception of res judicata, defendants introduced documents confected in connection with the March 13, 2009 settlement of plaintiffs claims against them arising in connection with an earlier lawsuit seeking additional compensation *645 benefits for a spider bite injury to his hand on December 9, 2004. The first, a joint petition for approval of the compromise settlement setting forth the terms of the parties’ settlement, clearly refers to the December 9, 2004 spider bite as the basis for the parties’ dispute and sets forth that the parties disputed whether plaintiffs injuries had healed or were work-related. The agreement notes that plaintiff had been paid workers’ compensation indemnity benefits totaling $110,197.64 and medical benefits in the amount of $69,778.25. The agreement further states:

In order to compromise and settle the disputes existing among these parties, Employer has agreed to pay $19,000.00 in full settlement of Employee’s claim for all workers’ compensation benefits, medical expenses, penalties and attorney’s fees, including any of Employee’s medical expenses related in any way to the alleged work accident of December 9, 2004, or any work-related injuries incurred before this settlement is approved, in full and final settlement, satisfaction and compromise of any and all claims which Employee has now or might hereafter acquire against Employer, because of the alleged accidental injury described above, or anything else that occurred while Employee was employed by Employer.

Defendants also introduced a judgment of approval of the proposed settlement signed by the WCJ on March 13, 2009. Therein, the WCJ expressed the opinion that the proposed settlement was fair and equitable and entered into primarily to avoid continuing litigation and was in substantial accord with the workers’ | .^compensation law. The judgment decreed that upon payment of the sum of $19,000.00 to plaintiff, defendants “shall be forever released and relieved from all past and future liability” for claims asserted by plaintiff for compensation, medical expenses and claims arising from any accident or injury occurring prior to the date of the settlement agreement. Lastly, defendants offered a joint motion to dismiss the earlier disputed claim for compensation, setting forth that defendants paid $19,000.00 to plaintiff pursuant to the approved settlement agreement.

In opposition to the exception of res judicata,

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Bluebook (online)
47 So. 3d 642, 2010 La.App. 1 Cir. 0161, 2010 La. App. LEXIS 1217, 2010 WL 3516814, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-isle-of-capri-casino-hotel-lactapp-2010.