Wilbert Arnold v. Wal-Mart

CourtLouisiana Court of Appeal
DecidedNovember 5, 2003
DocketWCA-0003-0609
StatusUnknown

This text of Wilbert Arnold v. Wal-Mart (Wilbert Arnold v. Wal-Mart) 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
Wilbert Arnold v. Wal-Mart, (La. Ct. App. 2003).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

03-0609

WILBERT ARNOLD

VERSUS

WAL-MART STORES, INC.

**********

APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION - #3 PARISH OF CALCASIEU, NO. 01-00769 HONORABLE CONSTANCE ABRAHAM-HANDY WORKERS’ COMPENSATION JUDGE

MARC T. AMY JUDGE

Court composed of Ned E. Doucet, Jr., Chief Judge, Oswald A. Decuir, and Marc T. Amy, Judges.

AFFIRMED IN PART, REVERSED IN PART, AND REMANDED.

Michael B. Miller Post Office Drawer 1630 Crowley, LA 70527-1630 (337) 785-9500 COUNSEL FOR PLAINTIFF/APPELLANT: Wilbert Arnold

Charles Martin Kreamer, Sr. Allen & Gooch Post Office Box 3768 Lafayette, LA 70502-3768 (337) 291-1000 COUNSEL FOR DEFENDANT/APPELLEE: Wal-Mart Stores, Inc. AMY, Judge.

In this workers’ compensation matter, the employee filed a disputed claim

against his employer and its workers’ compensation insurer, contending that the

employer and its insurer had failed to approve the employee’s orthopedic surgery and

had neglected to properly pay workers’ compensation benefits. The workers’

compensation judge issued a ruling denying the employee’s claims and dismissing the

suit with prejudice. The employee filed the instant appeal. For the following reasons,

we affirm in part, reverse in part, and remand.

Factual and Procedural Background

Wilbert Arnold, the claimant herein, began working as a grocery stocker at the

Wal-Mart Supercenter in Jennings, Louisiana, in January 2000. One of Mr. Arnold’s

duties in his capacity as a stocker was to unload meat trucks and to store this meat in

Wal-Mart’s freezer. On October 22, 2000, during the graveyard shift, Mr. Arnold

slipped and fell as he attempted to push a pallet allegedly weighing 600-800 pounds

and stacked 8-12 feet high with meat across an ice-covered freezer floor. At the

disputed claim hearing on the matter, he explained that as a matter of course, it was

necessary to “get a running start to push the pallet jack over the ice [on the freezer

floor],” and he recalled that, in so doing, when he stepped onto the sheet of ice, he

slipped, fell head over heels in somersault fashion, and landed, supine, on the freezer

floor. Mr. Arnold noted in his statement to Wal-Mart’s insurance adjuster that he then

crawled to the door and pulled himself to his feet using a pole. He promptly informed

his supervisor and the store manager that he had been injured, and he then proceeded

to the emergency room of a nearby hospital, where he was treated and released. The

record indicates that soon thereafter, Mr. Arnold visited Dr. Robert Marshall, who had

been his family physician since 1999, presenting complaints of back pain. Although Mr. Arnold’s back pain eventually resolved itself, he began to experience considerable

neck pain, which grew worse. On January 10, 2001, Mr. Arnold consulted Dr. John

Cobb, an orthopedic surgeon in Lafayette, who recommended cervical discectomy,

decompression, and fusion. Wal-Mart and Claims Management, Inc., its third-party

claims administrator (hereinafter “CMI”), desired a second opinion as to the necessity

of surgery, and the record reflects that they arranged for Dr. Randall Lea, an

orthopedist in Baton Rouge, to examine Mr. Arnold. Dr. Lea’s report indicates that

he agreed with Dr. Cobb’s finding that surgical fusion and decompression was

warranted, opining that “surgery [was] needed for an acute aggravation of a

degenerative condition.”

On February 1, 2001, Mr. Arnold filed a disputed claim for compensation in

which he alleged that Wal-Mart and CMI (hereinafter collectively “Wal-Mart”) had

not authorized surgery as recommended by Mr. Arnold’s orthopedist. Mr. Arnold

further asserted that Wal-Mart had neglected to pay workers’ compensation benefits

and had not properly provided medical treatment and workers’ compensation. He also

requested penalties and attorney’s fees. A disputed-claim hearing was held on March

11, 2002. In August 2002, before a ruling was issued, the workers’ compensation

judge assigned to Mr. Arnold’s case, passed away. A different workers’ compensation

judge was assigned to consider the matter. On February 24, 2003, the workers’

compensation judge issued a ruling denying Mr. Arnold’s claims and dismissing the

complaint with prejudice.

Mr. Arnold asserts eleven assignments of error on appeal. Those assignments

are as follows:

1. It was error for the hearing officer to fail to find that Mr. Arnold was injured in the course and scope of his employment with Wal-Mart and entitled to temporary total disability benefits.

2 2. The hearing officer erred in using “arbitrary and capricious conduct” as the standard for assessing attorney’s fees. 3. It was error for the hearing officer to fail to include fringe benefits in the calculation of Mr. Arnold’s average weekly wage and assess a penalty for the failure to properly pay weekly benefits. 4. The hearing officer erred in failing to assess penalties due to defendant’s failure to timely pay Wilbert Arnold weekly compensation benefits for the weeks of June 15th through June 28th and June 29th through July 12th of 2001. 5. The hearing officer erred in failing to order Wal-Mart to pay for the prescription ordered by Dr. Mitchell and penalties for Wal-Mart’s failure to pay for the prescription of Dr. Mitchell. 6. It was error for the hearing officer to fail to order Wal-Mart to pay for the mileage submitted on January 31, 2001 and assess a penalty against Wal-Mart for failure to pay the mileage request. 7. The hearing officer erred in failing to order Wal-Mart to pay the MRI bills to Jeff Davis Radiology and Jeff Davis Diagnostics and in failing to order Wal-Mart to pay a penalty as a result of its failure to pay those MRI bills. 8. The hearing officer erred in failing to assess penalties against Wal- Mart for failure to timely guarantee the surgery recommended by Dr. Cobb. 9. The hearing officer erred in failing to assess back due weekly compensation benefits due Wilbert Arnold as a result of the miscalculation of Mr. Arnold’s average weekly wage and workers’ compensation rate. 10. It was error for the hearing officer to fail to award attorney’s fees due and expenses. 11. It was error to dismiss Mr. Arnold’s case, with prejudice.

Discussion

On appeal, Mr. Arnold generally asserts that the workers’ compensation judge

erred in denying his claims against Wal-Mart and CMI. He claims that the workers’

compensation judge erred as a matter of law in finding that Wal-Mart had properly

calculated his average weekly wage, in applying an incorrect standard to his requests

for penalties and attorney’s fees, and in failing to assess attorney’s fees and penalties

for late payments of workers’ compensation benefits. With respect to the other

assignments of error, Mr. Arnold asserts that the workers’ compensation judge erred

as a matter of fact. He requests that we reverse and remand for the taking of further

evidence on certain points.

3 In general, an appellate court is to review rulings issued in workers’

compensation matters according to the manifest error—clearly wrong standard, set

forth by the Louisiana Supreme Court in Banks v. Industrial Roofing & Sheet Metal

Works, Inc., 96-2840 (La. 7/1/97), 696 So.2d 551. Moreover, where errors of law are

asserted on appeal, the appellate court must determine whether the workers’

compensation judge’s ruling was legally correct. See McClain v. Pinecrest

Development Center, 00-1622 (La.App. 3 Cir. 2/28/01), 779 So.2d 1112.

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