Wallace v. Lavergne Transport

819 So. 2d 508, 2002 La.App. 3 Cir. 0123, 2002 La. App. LEXIS 1914, 2002 WL 1288695
CourtLouisiana Court of Appeal
DecidedJune 12, 2002
Docket2002-0123
StatusPublished
Cited by7 cases

This text of 819 So. 2d 508 (Wallace v. Lavergne Transport) 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
Wallace v. Lavergne Transport, 819 So. 2d 508, 2002 La.App. 3 Cir. 0123, 2002 La. App. LEXIS 1914, 2002 WL 1288695 (La. Ct. App. 2002).

Opinion

819 So.2d 508 (2002)

James WALLACE
v.
LAVERGNE TRANSPORT.

No. 2002-0123.

Court of Appeal of Louisiana, Third Circuit.

June 12, 2002.

*509 Thomas Joseph DeJean, DeJean & Leger, Opelousas, LA, for James Wallace.

Andrew Parker Texada, Stafford, Stewart & Potter, Alexandria, LA, for Lavergne Transport.

Court composed of MARC T. AMY, MICHAEL G. SULLIVAN and ELIZABETH A. PICKETT, Judges.

AMY, Judge.

The employer argues that the claimant violated the provisions of La.R.S. 12:1208 by cashing workers' compensation checks and engaging in other employment. The workers' compensation judge found in favor of the claimant and reinstated temporary total disability benefits. The employer appeals. For the following reasons, we affirm.

Factual and Procedural Background

The claimant, James Wallace, was injured on May 12, 1998 in a car accident while working as a truck driver for the defendant, Lavergne Trucking. Mr. Wallace explained that the truck that he usually drove was being repaired and that Lavergne Trucking supplied him with an older truck. He further explained that as he was driving and about to make a turn, "some air blew out of the truck and it locked the brakes up, it locked down the transmission and it disabled the power steering. And it jackknifed right there and the jackknife put it in—in the ditch." As a result of the accident, the claimant suffered a back injury. The claimant was subsequently placed on workers' compensation temporary total disability benefits. On January 11, 1999, Dr. Stephen Goldware and Dr. Louis Blanda performed back surgery on the claimant, which included a discectomy and a fusion.

In October of 1999, the claimant began selling fresh shrimp and crabs out of his van on a roadside in Nuba, Louisiana. According to the testimony of Bridgette Wallace, *510 the claimant's wife, she purchased a commercial license in order to be able to buy seafood at wholesale prices in Grand Isle, Louisiana and sell it to family members and friends. The license was issued in the name of "Cajun Seafood." According to the medical records and the claimant's testimony, the claimant expressed a desire to increase his activity level and considered selling seafood as a means of getting out of the house and being productive.

On December 6, 1999, the defendant ceased payment of workers' compensation benefits to the claimant alleging that the claimant engaged in deceptive acts that constituted fraud pursuant to La.R.S. 23:1208. On October 12, 2000, the claimant filed a disputed claim for workers' compensation. On November 8, 2001, the workers' compensation judge found in favor of the claimant and ordered that the benefits be reinstated. The defendant filed this appeal. We affirm the decision of the workers' compensation judge.

Discussion

The defendant appeals, assigning two points of error. First, the defendant argues that the workers' compensation judge "erred in ruling that the deceptive acts and statements of James Wallace did not constitute fraud under the provisions of La. R.S. 23:1208." Next, defendant argues that the workers' compensation judge "erred in holding that Plaintiff's benefits could not be terminated for misrepresentations unless Plaintiff had been provided the fraud warning set forth in form LDOL-WC-1025."

The issues before us appear to contain both questions of law and questions of fact. Accordingly,

[i]t is well-settled legal principle that factual findings in workers' compensation cases are entitled to great weight. Reasonable evaluations of credibility and reasonable inferences of fact will not be disturbed even though the appellate court may feel that its own evaluations and inferences are as reasonable. The trier of fact's factual determinations shall not be disturbed in the absence of a showing of manifest error. When the trier of fact's findings are reasonable in light of the entire record, an appellate court may not reverse a choice between two permissible views of the evidence. Therefore, the appellate standard of review applicable to the findings of a WCJ is the manifest error-clearly wrong test.

Mitchell v. Brown Builders, Inc., 35,022, pp. 8-9 (La.App. 2 Cir. 8/22/01); 793 So.2d 508, 515, citing, Shelton v. Wall, 614 So.2d 828 (La.App. 2 Cir.1993). See also, Richard v. Workover & Completion, 00-794 (La.App. 3 Cir. 12/12/00); 774 So.2d 361. Nonetheless, if it is determined that the workers' compensation judge committed manifest error in its factual determinations or a reversible error of law, the appellate court conducts a de novo review of the record. Jackson v. Iberia Parish Gov't, 01-0925 (La.App. 3 Cir. 3/20/02); 813 So.2d 589, citing, Rosell v. ESCO, 549 So.2d 840 (La.1989).

La.R.S. 23:1208

The defendant first argues that the claimant engaged in "deceptive acts" and statements that constitute fraud under the provisions of La.R.S. 23:1208(A). La. R.S. 23:1208 states in part:

§ 1208. Misrepresentations concerning benefit payments; penalty
A. It shall be unlawful for any person, for the purpose of obtaining or defeating any benefit or payment under the provisions of this Chapter, either for himself or for any other person, to willfully make a false statement or representation.
*511 . . . .
E. Any employee violating this Section shall, upon determination by workers' compensation judge, forfeit any right to compensation benefits under this Chapter.

Under La.R.S. 23:1208, in order for there to be a forfeiture of benefits, the claimant must have: (1) made a false statement or representation; (2) willfully made the statement or misrepresentation; and (3) made the statement or misrepresentation for the purpose of obtaining or defeating any benefits or payments[1]. Resweber v. Haroil Constr. Co., 94-2708 (La.9/5/95); 660 So.2d 7. Additionally, all of these requirements must be present before a claimant can be made to forfeit benefits. Harris v. Bancroft Bag, Inc., 30,431 (La. App. 2 Cir. 4/9/98); 714 So.2d 44. Furthermore, this statute is penal in nature and must be strictly construed. Smalley v. Intergrity, Inc., 31,247 (La.App. 2 Cir. 12/9/98); 722 So.2d 332, writ denied, 99-0072 (La.3/19/99); 739 So.2d 782.

The defendant's main contention is that the claimant signed each disability check and the back of each check contained a printed statement which read: "FRAUD WARNING by endorsing this check I certify that I have not worked or earned any wages during the period covered by this check." Thus, the defendant argues that by signing the checks, which contained the fraud warning, and working, selling the seafood, the claimant violated La.R.S. 23:1208 and should lose all workers' compensation benefits.

Nevertheless, the claimant explains that he never hid his intention to sell the seafood. In fact, the claimant expressed the desire to sell the seafood to his physical therapist and explained that he wanted to have "something to do." The plaintiff had advertising flyers printed and sold the seafood at a busy intersection in Nuba, Louisiana. The claimant testified that he sold the seafood approximately for a period of six to seven weeks and that he stopped selling the seafood before his weekly benefits were terminated because he was not making any money. In his brief, the claimant points out that he was advised by his physicians not to do any heavy lifting, but was encouraged to become more active.

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Bluebook (online)
819 So. 2d 508, 2002 La.App. 3 Cir. 0123, 2002 La. App. LEXIS 1914, 2002 WL 1288695, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wallace-v-lavergne-transport-lactapp-2002.