Watson v. Amite Mill. Co., Inc.

560 So. 2d 902, 1990 WL 47706
CourtLouisiana Court of Appeal
DecidedApril 10, 1990
DocketCA 89 0302
StatusPublished
Cited by37 cases

This text of 560 So. 2d 902 (Watson v. Amite Mill. Co., Inc.) 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
Watson v. Amite Mill. Co., Inc., 560 So. 2d 902, 1990 WL 47706 (La. Ct. App. 1990).

Opinion

560 So.2d 902 (1990)

Sylvester WATSON
v.
AMITE MILLING CO., INC.

No. CA 89 0302.

Court of Appeal of Louisiana, First Circuit.

April 10, 1990.
Rehearing Denied June 4, 1990.

*903 William Mustian, III, Metairie, for plaintiff-appellant.

Jeffrey C. Napolitano, New Orleans, for defendant-appellee.

Before LOTTINGER, CRAIN and LeBLANC, JJ.

LOTTINGER, Judge.

This is an appeal by a workmen's compensation claimant from a judgment awarding him permanent, total disability payments, both past due and prospectively throughout the period of his disability, subject to an offset for Social Security benefits.

The plaintiff, Sylvester Watson, appeals and lists three assignments of error:

1. The district court erred in failing to reserve petitioner's right to receive supplemental earnings benefits in any week in which it is the more favorable remedy than permanent total disability benefits.

2. The district court erred in applying the Social Security offset retroactively to past due compensation benefits which accrued before the defendant made judicial demand for the offset.

3. The district court erred in failing to award penalties and attorney's fees.

The defendant, Amite Milling Company, Inc. (Amite), has answered the appeal contending that Mr. Watson is capable of returning to work and that consequently no workmen's compensation benefits were due after June 13, 1985, the date Amite terminated temporary total benefits on the advice of the Office of Worker's Compensation Administration (OWCA). Amite seeks reimbursement for all amounts paid after this date. Alternatively, Amite contends that if workmen's compensation benefits are due Mr. Watson, they are only due from March 16, 1987. This is the date on which the Fifth Circuit Court of Appeal held that by failing to reject the recommendation of the OWCA, Mr. Watson accepted it by virtue of the "conclusive presumption" of La.R.S. 23:1310.1(A). Watson v. *904 Amite Milling Co., Inc., 504 So.2d 1149 (La.App. 5th Cir. 1987).

FACTS

Mr. Watson began working for Amite as a truck driver in 1952. He sustained the injuries which ultimately lead to this lawsuit when he was involved in an accident while making deliveries near New Iberia, Louisiana, in a company truck on October 20, 1983. As a result of that accident he sustained a lower back injury and a blow to the head which produced a cut on his right temple and possibly aggravated an existing work related injury to his right eye. After spending one or two days in a local hospital Mr. Watson was released and placed under the care of his family doctor in Amite, Louisiana. Amite subsequently began paying temporary total disability benefits to Mr. Watson.

Mr. Watson resumed working at Amite in January of 1984, but after a few weeks he was unable to continue due to pain in his lower back. Amite then resumed the temporary total disability benefits.

In April of 1985, Amite hired a private investigator who began surveillance of Mr. Watson. This resulted in a report that Mr. Watson was selling vegetables and a photograph of him with a 50 pound sack of potatoes on his shoulder. Amite presented this evidence to the OWCA and that office issued a recommendation on July 16, 1985, that temporary total benefits be terminated as of June 13, 1985. Mr. Watson did not timely reject this recommendation, and Amite terminated his benefits as of June 13, 1985.

Amite continued paying Mr. Watson's medical bills until July 30, 1986. At that time, Amite wrote a letter to Dr. Hiromu Shoji, the physician who was actively treating Mr. Watson, and indicated that it would no longer pay Mr. Watson's medical bills. As a result, even though the medical evidence was clear that Mr. Watson was at least partially disabled and in need of further treatment, Mr. Watson did not receive any medical treatment from July 30, 1986, until August 21, 1987, when Amite re-authorized medical payments.

Mr. Watson initially filed suit in the 24th Judicial District Court, Jefferson Parish, Louisiana, on December 26, 1985. That suit was dismissed with prejudice on exceptions of no cause of action and res judicata. On appeal, the Fifth Circuit held that Mr. Watson was conclusively presumed to have accepted the OWCA's recommendation pursuant to La.R.S. 23:1310.1, and, therefore, his suit was untimely in that he had not sought modification of the OWCA recommendation. The Fifth Circuit amended the judgment to make it a dismissal without prejudice based on prematurity, and otherwise set aside the judgment of the trial court. Watson, 504 So.2d 1149, 1153.

On June 10, 1986, while his appeal to the Fifth Circuit was pending, Mr. Watson sought modification of the OWCA recommendation. Modification was denied and the present suit was filed in the Twenty-First Judicial District Court, Parish of Tangipahoa on December 1, 1986. The trial court held that Mr. Watson was permanently and totally disabled and awarded benefits for his disability against Amite in the amount of $167.66 per week from June 13, 1985, throughout the period of his disability subject to an offset for social security benefits. The trial court declined to award penalties and attorney's fees. Mr. Watson appealed, and Amite answered the appeal.

PLAINTIFF'S FIRST ASSIGNMENT OF ERROR

The plaintiff complains in his first assignment of error that he should be allowed to receive supplemental earnings benefits (SEB) in any week in which it is more favorable than permanent total disability benefits. The plaintiff reasons that if he were receiving SEB payments instead of permanent total disability payments, no social security offset pursuant to La.R.S. 23:1225(A) could be deducted from his compensation payments and he would receive more total benefits.[1]

*905 The plaintiff relies on Jacks v. Banister Pipelines America, 418 So.2d 524 (La. 1982), for the proposition that he should be allowed to receive SEB payments in the weeks when it is more favorable, i.e. after he attains the age of 65.

Even if SEB payments are more favorable to the plaintiff, and still available to him once he reaches age 65 and is receiving social security benefits[2], questions which we do not decide, we do not think that SEB payments are available to plaintiff absent a reversal of the trial court's judgment of permanent total disability.

In Jacks, the case relied upon by plaintiff, the question over which benefit was payable was between a scheduled benefit under § 1221(4), i.e., for the loss of an eye, and partial disability under § 1221(3), which is now called SEB. Both of these types of benefits presupposes that the claimant can still do some work. The partial disability benefits of § 1221(3), or SEB as it is now called, provides for payments based on the difference between what the claimant can now earn and his pre-injury earnings. The schedule benefits of § 1221(4) provides a convenient precalculated time period during which benefits are payable for the loss of use of particular body parts, whether or not the claimant returns to work. The Louisiana Supreme Court held that these were parallel remedies and the claimant should have the benefit of whichever one was more favorable in any given week. Jacks, 418 So.2d at 529.

In the instant case, the question is between permanent total disability payments and SEB payments. These are not parallel remedies as was the case in Jacks.

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Bluebook (online)
560 So. 2d 902, 1990 WL 47706, Counsel Stack Legal Research, https://law.counselstack.com/opinion/watson-v-amite-mill-co-inc-lactapp-1990.