Tim Weaver v. Southern Erectors, Inc. of Florida

Louisiana Court of Appeal·Decided December 8, 2010·No. WCA-0010-0783·Unknown

Opinion

STATE OF LOUISIANA

COURT OF APPEAL, THIRD CIRCUIT

10-783

TIM WEAVER VERSUS SOUTHERN ERECTORS, INC. OF FLORIDA

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APPEAL FROM THE

OFFICE OF WORKERS’ COMPENSATION, DISTRICT 2 PARISH OF NATCHITOCHES, NO. 08-20679 JAMES L. BRADDOCK, WORKERS’ COMPENSATION JUDGE

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DAVID E. CHATELAIN*

JUDGE

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Court composed of Jimmie C. Peters, James T. Genovese, and David E. Chatelain, Judges.

AMENDED, AFFIRMED AS AMENDED, AND RENDERED.

Richard E. King Jennifer L. Simmons Jeffrey P. Green Galloway, Johnson, Tompkins, Burr & Smith 701 Poydras Street, 40th Floor New Orleans, Louisiana 70139 (504) 525-6802 Counsel for Defendants/Appellants:

The Hartford Insurance Company Southern Erectors, Inc. of Florida

*

Honorable David E. Chatelain participated in this decision by appointment of the Louisiana Supreme Court as Judge Pro Tempore.

Gregory J. Hubachek Attorney at Law 242B Keyser Avenue, PMB #105 Natchitoches, Louisiana 71457 (504) 838-8883 Counsel for Plaintiff/Appellee:

Tim Weaver

CHATELAIN, Judge.

The defendants, Southern Erectors, Inc. of Florida (Southern) and its workers’

compensation insurer, The Hartford Insurance Company (The Hartford), appeal a judgment the workers’ compensation judge (WCJ) rendered in favor of its former employee, Timothy Weaver (Weaver), finding that he was injured in a work-related accident and awarding him workers’ compensation benefits, along with penalties and attorney fees. Weaver answers the appeal seeking multiple penalties, attorney fees for work done on appeal, and costs. For the following reasons, we amend to award additional penalties, award attorney fees for appellate representation, and affirm.

FACTS AND PROCEDURAL HISTORY On August 25, 2008, Weaver filed a 1008 Disputed Claim for Compensation against Southern seeking benefits and medical treatment pursuant to the Louisiana Workers’ Compensation Act, La.R.S. 23:1021-1415, for injuries that he sustained in a workplace accident on August 13, 2008.1 Weaver further sought an award of statutory penalties and attorney fees. In answering Weaver’s claim, Southern admitted that he was in the course and scope of his employment with Southern at the time of the alleged accident and injury but denied that he was disabled and entitled to indemnity benefits. In addition, Southern denied any liability for penalties and attorney fees, contending that it had “reasonably investigated and handled” Weaver’s claim.2

1 Weaver amended his disputed claim on December 4, 2009, to include The Hartford as a party defendant.

2 The defendants twice amended their answer, first, to plead the affirmative defense of intoxication pursuant to La.R.S. 23:1081, and later, to affirmatively plead that Weaver had “advanced this claim with fraudulent intent and misrepresentations for the purpose of obtaining benefits” thereby subjecting him to the penalties of La.R.S. 23:1208. Nevertheless, the defendants neither presented evidence nor argument in support of these affirmative defenses at trial, and the WCJ denied the defenses in the judgment now being appealed. The defendants advance no argument

The matter was originally set for trial on July 7, 2009; however, Weaver filed an unopposed motion to continue the trial in order for him to complete necessary diagnostic testing that his treating physician recommended. Weaver attached to the motion correspondence from his attorney to Southern’s attorney documenting the fact that Southern’s workers’ compensation insurer had pre-authorized the tests referenced in the motion and that Southern had agreed to unconditionally tender twelve weeks of temporary total disability benefits (TTDs) to Weaver.

The matter was tried on December 9, 2009. Weaver offered twelve exhibits, including the medical bills that he incurred as a result of the accident and the deposition of Dr. Pierce Nunley, his treating orthopedist. The defendants offered ten exhibits, including the deposition of Lee Tillman, Weaver’s supervisor at the time of the accident, as well as the deposition of Dr. Gordon Mead, an orthopedist who performed an independent medical examination (IME) on Weaver at Southern’s request. All of the exhibits were admitted into evidence without objection. Weaver was the only witness to testify live. At the close of trial, the WCJ took the matter under advisement and requested that the parties file post-trial briefs.

Oral reasons for judgment were read into the record on March 22, 2010, and a written judgment in accordance therewith was signed on March 29, 2010. The WCJ determined that Weaver sustained personal injuries that were caused by the workplace accident that occurred on August 13, 2008. He found that Weaver had satisfied his burden of proving that he was entitled to TTDs from August 15, 2008 through June 30, 2009 and that he was entitled to supplemental earnings benefits (SEBs) from July 1, 2009. In addition, the WCJ found that Weaver had satisfied his burden of

on these issues in this court. Accordingly, these issues are not now before us.

proving that he was entitled to TTDs from September 1, 2009 through the present and continuing thereafter. He further found that Weaver had satisfied his burden of proving that he was entitled to payment of any unpaid claims for workers’ compensation medical benefits, without any discount, for treatment rendered to him by Dr. Gary Swart, Dr. Gregory Bell, and Dr. Nunley. The WCJ ruled that the defendants were entitled to a credit for the weeks of TTDs that had already been paid to Weaver and for any medical benefits that had been paid to any of Weaver’s healthcare providers. Two penalties were assessed against the defendants under La.R.S. 23:2101(F) in the amount of $2,000 each; one for failure to tender payment of indemnity benefits and one for failure to tender payment of medical benefits. Weaver was awarded $7,500 in attorney fees pursuant to La.R.S. 23:1201(F). Finally, the defendants were assessed all costs associated with the matter.

The defendants are now before this court asserting two errors. First, they contend that the WCJ erred in finding that Weaver was injured in a workplace accident and, thus, entitled to workers’ compensation benefits. Next, they contend that the WCJ erred in awarding Weaver penalties and attorney fees because they had articulable and objective reasons for denying his claim. Weaver answers the appeal requesting that this court amend the judgment to assess multiple penalties against the defendants and that this court award him additional attorney fees and costs for having to defend this appeal.

DISCUSSION

A worker bringing a compensation action against his employer bears the burden of proving, as a threshold requirement, that he suffered “‘personal injury by accident arising out of and in the course of his employment.’ [La.]R.S.

23:1031[(A)].” Bruno v. Harbert Int’l Inc., 593 So.2d 357, 360 (La.1992). The word “accident” as used in La.R.S. 23:1031 is defined as “an unexpected or unforeseen actual, identifiable, precipitous event happening suddenly or violently, with or without human fault, and directly producing at the time objective findings of an injury which is more than simply a gradual deterioration or progressive degeneration.” La.R.S. 23:1021(1).

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