Smith v. Morris

858 So. 2d 443, 2002 WL 31894844
CourtLouisiana Court of Appeal
DecidedDecember 20, 2002
Docket2002 CA 0103
StatusPublished
Cited by5 cases

This text of 858 So. 2d 443 (Smith v. Morris) 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. Morris, 858 So. 2d 443, 2002 WL 31894844 (La. Ct. App. 2002).

Opinion

858 So.2d 443 (2002)

Sheila Morales SMITH
v.
PHILLIP MORRIS, U.S.A. and Hartford Insurance Company

No. 2002 CA 0103.

Court of Appeal of Louisiana, First Circuit.

December 20, 2002.

*445 Charest Thibaut, III, Baton Rouge, Counsel for Plaintiff/Appellee Sheila Morales Smith.

*446 Denis Paul Juge, Metairie, Counsel for Defendants/Appellants Phillip Morris, U.S.A. and Hartford Insurance Company.

Before: KUHN, DOWNING and GAIDRY, JJ.

DOWNING, J.

This appeal arises from a workers' compensation claim brought by Sheila Morales Smith (Smith) against her employer, Phillip Morris U.S.A., and its insurer, Hartford Insurance Company. The Workers' Compensation Judge (WCJ) reinstated Smith's temporary total disability benefits (TTD) and awarded $10,000 in attorney fees, finding that defendants arbitrarily and capriciously terminated benefits they agreed by stipulation to pay in a prior judgment. For the following reasons, we affirm the conclusions of the WCJ and remand for the WCJ to articulate a basis for the $10,000 attorney fee award or revise it accordingly. On Smith's Answer to Appeal, we award additional attorney fees for work in connection with this appeal.

FACTS AND PROCEDURAL HISTORY

Smith was injured on April 25, 1990, while delivering products for Phillip Morris U.S.A. An orthopedic surgeon initially treated her for what he perceived as an injury to an upper right extremity. He later referred her to a vascular, surgeon. The vascular surgeon, Dr. John Frusha, diagnosed Smith with thoracic outlet syndrome (TOS) and performed rib resection surgery on April 10, 1991. When Smith's complaints persisted, Dr. Frusha recommended a reevaluation by Dr. David Roos, a specialist in Denver, Colorado. Defendants refused. On October 12, 1992, Smith filed a Disputed Claim for Compensation seeking authorization to see Dr. Roos. On January 18, 1993, Smith had an independent medical exam (IME). The IME physician agreed with Dr. Frusha.

A Consent Judgment was signed on March 25, 1993 memorializing that the parties agreed to Smith being treated by Dr. David Roos and being paid $182.33 per week throughout the period of "plaintiff's total disability." TTD compensation continued until May 22, 2000 when it was terminated because a report by Dr. Joe Morgan declared Smith able to return to light duty work. Smith then filed this lawsuit.

After a May 30, 2001 hearing, defendants filed a Motion To Re-Open Record in order to allow the testimony of Dr. Morgan. The WCJ denied the Motion. A Judgment was signed July 2, 2001 declaring that Smith was entitled to TTD benefits at the rate of $182.33 per week throughout her period of disability. The WCJ declared defendants arbitrary and capricious for terminating benefits and condemned defendants to pay Smith $10,000 in attorney fees. Defendants appealed alleging the following assignments of error:

1. The trial court erred in concluding that the 1993 judgment constituted an award of TTD benefits.

2. The trial court committed legal error in awarding TTD benefits for a period beyond six months in violation of La. R.S. 23:1221(1)(d).

3. The trial court abused its discretion in denying defendant's motion to reopen the record for the limited purpose of obtaining Dr. Morgan's deposition testimony in response to an attack by plaintiff on the credibility of his report: despite plaintiff's stipulation to the report.

4. The trial court erred in concluding that plaintiff is entitled to continued TTD benefits.

*447 5. The trial court abused its discretion in awarding $10,000 in attorney fees for the arbitrary and capricious termination of plaintiff's TTD benefits.

Plaintiff's Answer to Appeal requested an additional $5,000 in attorney fees for having to defend the appeal and requested this Court to declare Smith totally and permanently disabled (TPD).

STANDARD OF REVIEW

In a workers' compensation case, the appellate court's review of factual findings is governed by the manifest error standard. Howard v. Our Lady of the Lake Regional Medical Center, 99-1826, p. 4 (La.App. 1 Cir. 9/22/00), 768 So.2d 293, 295. On legal issues, the appellate court gives no special weight to the factfinder's conclusions, but exercises its constitutional duty to review questions of law and render judgment on the record. Id.

DISCUSSION

TEMPORARY TOTAL DISABILITY BENEFITS

Assignment of Error Number One

The first assignment of error alleges the WCJ erred in concluding that the 1993 Consent Judgment constituted an "award" of TTD benefits. That judgment says that Smith will be paid throughout the period of disability. The WCJ found that on the face of the Consent Judgment alone defendants were obligated. Defendants maintain that the WCJ did not consider the entire context of the prior proceedings, and her finding is contrary to this Court's decision in Succession of Brantley, 96-1307, pp. 8-9 (La.App. 1 Cir. 6/20/97), 697 So.2d 16, 20. Defendants contend the 1993 matter was merely a choice of treating physician and a minor wage dispute and that the parties were not in litigation over the entitlement to benefits. They contend the issue of TTD was not before the court and should not have been memorialized in the Judgment.

Usually, once a judgment has become final and definitive, parties are bound by it, regardless of any future change of circumstance. Critser v. Dillard's Department Store, Inc., 99-3113, p. 5 (La.App. 1 Cir. 2/16/01), 791 So.2d 702, 706. Workers' compensation judgments, however, are treated differently from ordinary civil judgments. Id. The legislature has expressly provided that a workers' compensation judgment can be modified pursuant to the procedure set forth in La. R.S. 23:1310.8. Id. In this case, while the facts surrounding the 1993 hearing are at best murky, defendants did not seek modification. Thus, the judgment controls.

The Consent Judgment clearly states that Smith is entitled to indemnity benefits in the amount of $182.33 per week "throughout the period of plaintiff's total disability." This Consent Judgment was approved as to form and substance. The judgment was not appealed and therefore stands until it is modified. Thus, the parties have stipulated that benefits will be paid to Smith throughout her disability.

Therefore, this assignment of error is without merit.

Assignment of Error Number Two

The second assignment of error alleges that the WCJ's award of TTD benefits for a period beyond six months is in violation of La. R.S. 23:1221(1)(d), which provides the following:

An award of benefits based on temporary total disability shall cease when the physical condition of the employee has resolved itself to the point that a reasonably reliable determination of the extent of disability of the employee may be made, and the employee's physical condition *448 has improved to the point that continued, regular treatment by a physician is not required, or six months after the injury, whichever occurs first. If the claimant contends that his disability is of a temporary nature, but extends beyond this six-month period, he must submit a claim for extension of the period of temporary total disability under R.S. 23:1310.3. (Emphasis added.)

Defendants allege that the WCJ's award of continued TTD benefits must be reversed because the statute precludes awarding TTD benefits beyond six months.

While it is true that La. R.S.

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Bluebook (online)
858 So. 2d 443, 2002 WL 31894844, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-morris-lactapp-2002.