STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
05-982
YVONNE GRILLETTE
VERSUS
ALLIANCE COMPRESSORS
**********
APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 02 PARISH OF RAPIDES, NO. 03-03455 HONORABLE SHERAL KELLAR, CHIEF JUDGE OFFICE OF WORKERS’ COMPENSATION
J. DAVID PAINTER JUDGE
Court composed of Jimmie C. Peters, J. David Painter, and James T. Genovese, Judges.
AFFIRMED IN PART; REVERSED IN PART; AND RENDERED.
Mark A. Watson P.O. Box 1711 Alexandria, LA 71309 Counsel for Defendant-Appellant: Alliance Compressors
Bray Williams P.O. Box 15 Natchitoches, LA 71458-0015 Counsel for Plaintiff-Appellee: Yvonne Grillette PAINTER, Judge.
This is a workers’ compensation case wherein the Defendant, Alliance
Compressors (“Alliance”), appeals the judgment of the Workers’ Compensation
Judge (“WCJ”) finding the injured employee, Yvonne Grillette (“Grillette”), to be
entitled to supplemental earnings benefits (“SEB”), awarding penalties and attorney’s
fees relative to that finding, and awarding attorney’s fees for untimely payment of
indemnity benefits. For the following reasons, we affirm in part, reverse in part, and
render.
FACTUAL AND PROCEDURAL BACKGROUND
Grillette was employed by Alliance in Natchitoches, Louisiana. Since
beginning her employment with Alliance on or about April 2, 2001, she had three
work-related accidents. The first accident was on May 6, 2001, when she injured her
right foot in a forklift accident; the second accident was on January 18, 2002, when
she suffered injuries to her back while lifting a box and was diagnosed with carpal
tunnel syndrome; and the third accident was on January 4, 2003, when she slipped
and fell, aggravating both her prior carpal tunnel syndrome and prior back injury. On
March 31, 2003, Grillette was terminated. The parties stipulated that the termination
was for cause. Beginning January 27, 2004, when Grillette’s treating orthopedist, Dr.
John D. Sandifer, declared her to be totally disabled due to her injuries, Grillette was
paid total temporary disability (TTD) benefits of $226.40 based on an average weekly
wage of $339.60.
Grillette filed a motion for partial summary judgment on the issue of late
payment of TTD benefits for the period of January 29, 2002 through April 5, 2002.
Alliance conceded that these benefits were paid late. Judgment was rendered finding
that benefits during this period were paid late and imposing a penalty of $2,000.00
1 for said late payment. The issue of attorney’s fees in conjunction with this issue was
referred to the merits. Grillette also moved for summary judgment on the issue of her
average weekly wage and TTD benefits from January 27, 2004; however, summary
judgment was denied on these issues.
The parties agreed to submit the matter on briefs along with joint stipulations
as to both issues and facts and depositions. Following consideration of the matter,
the WCJ rendered judgment in favor of Grillette with the following awards:
1. SEB for the period from March 31, 2003 through January 27, 2004 based on an average weekly wage of $379.60 and a workers’ compensation rate of $235.07;
2. Weekly indemnity benefits from January 27, 2004 until further order of the court, based on an average weekly wage of $379.60 and a workers’ compensation rate of $253.07, and subject to a credit for the amount of weekly benefits paid by Alliance from January 27, 2004;
3. A twelve percent penalty due on all wage benefits due under this judgment;
4. Attorney’s fee of $10,000.00;
5. Legal interest on all sums due, with legal interest on all weekly indemnity benefits due from the date of judicial demand until paid, and legal interest due on the penalty and attorney’s fee from the date of judgment until paid plus all costs of court.
Alliance appeals, seeking review of the following assignments of error:
1. The WCJ erred in holding that an employee is entitled to SEB when the employee is terminated “for cause” due to attendance violations from a job provided by the employer which was approved by the employee’s treating physician and which paid one hundred percent of the employee’s pre-accident wages;
2. The WCJ erred in finding that the employer was arbitrary and capricious, and thereby liable for penalties and attorney’s fees and in failing to pay SEB to an employee who was terminated for cause;
3. The WCJ erred in awarding attorney’s fees for the late payment of indemnity benefits which were brought current by the employer without the involvement of any attorney and prior to the institution of any disputed claim.
Grillette answered the appeal, seeking an award of attorney’s fees for work
done on appeal, and further asserting the following assignments of error:
2 1. The WCJ erred in awarding the lesser of two penalties allowed under La.R.S. 23:1201(F); and
2. The WCJ erred in failing to award multiple penalties and attorney’s fees under La.R.S. 23:1201(F) for the nonpayment of SEB and the improper calculation of TTD.
Apparently, Alliance does not appeal the award of TTD, or the WCJ’s
determinations of the average weekly wage as $379.60 and the workers’
compensation rate as $253.07. Thus, the pivotal issue in this case is Grillette’s
entitlement to SEB for the period from March 31, 2003 to January 27, 2004. For the
reasons that follow, we find that she is not entitled to SEB for this period and reverse
that portion of the judgment of the WCJ as well as the award of penalties and
attorney’s fees in that respect.
DISCUSSION
This court has recently recognized that “the determination of whether an
employee is entitled to SEB is necessarily a facts and circumstances inquiry in which
courts must be mindful of the jurisprudential tenet that workers’ compensation law
is to be construed liberally in favor of finding coverage.” Palmer v. Alliance
Compressors, 05-478 (La.App. 3 Cir. 11/02/05), ___ So.2d ___ (citing Manpower
Temporary Services v. Lemoine, 99-636 (La.App. 3 Cir. 10/20/99), 747 So.2d 153).
The factual findings of the WCJ may not be set aside in the absence of manifest error
or unless they are clearly wrong. Lacaze v. Alliance Compressors, 03-1566 (La.App.
3 Cir. 4/14/04), 870 So.2d 1150. However, in this case, we find that the WCJ erred
as a matter of law in finding Grillette was entitled to SEB. As such, where “legal
error is found and a complete record has been made, the appellate court is to conduct
a de novo review of the record.” Smith v. Smith, 615 So.2d 926 (La.App. 1 Cir.), writ
denied 617 So.2d 916 (La.1993).
3 In essence, Grillette contends that regardless of the reasons for her firing, she
was still restricted to light duty work for the relevant time period and is entitled to
SEB. Alliance contends that because of Grillette’s “for cause” termination, it is not
responsible for SEB.
We are mindful of the fact that “[t]he purpose of SEBs is to compensate an
injured employee for the wage-earning capacity lost as a result of a work-related
accident.” Lacaze, 870 So.2d at 1154 (citing City of Jennings v. Dequeant, 96-943
(La.App. 3 Cir. 11/5/97), 704 So.2d 264, writ denied 98-0610 (La. 4/24/98), 717
So.2d 1174). An employee bears the burden of proving, by a preponderance of the
evidence, that the injury resulted in his or her inability to earn ninety percent (90%)
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STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
05-982
YVONNE GRILLETTE
VERSUS
ALLIANCE COMPRESSORS
**********
APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 02 PARISH OF RAPIDES, NO. 03-03455 HONORABLE SHERAL KELLAR, CHIEF JUDGE OFFICE OF WORKERS’ COMPENSATION
J. DAVID PAINTER JUDGE
Court composed of Jimmie C. Peters, J. David Painter, and James T. Genovese, Judges.
AFFIRMED IN PART; REVERSED IN PART; AND RENDERED.
Mark A. Watson P.O. Box 1711 Alexandria, LA 71309 Counsel for Defendant-Appellant: Alliance Compressors
Bray Williams P.O. Box 15 Natchitoches, LA 71458-0015 Counsel for Plaintiff-Appellee: Yvonne Grillette PAINTER, Judge.
This is a workers’ compensation case wherein the Defendant, Alliance
Compressors (“Alliance”), appeals the judgment of the Workers’ Compensation
Judge (“WCJ”) finding the injured employee, Yvonne Grillette (“Grillette”), to be
entitled to supplemental earnings benefits (“SEB”), awarding penalties and attorney’s
fees relative to that finding, and awarding attorney’s fees for untimely payment of
indemnity benefits. For the following reasons, we affirm in part, reverse in part, and
render.
FACTUAL AND PROCEDURAL BACKGROUND
Grillette was employed by Alliance in Natchitoches, Louisiana. Since
beginning her employment with Alliance on or about April 2, 2001, she had three
work-related accidents. The first accident was on May 6, 2001, when she injured her
right foot in a forklift accident; the second accident was on January 18, 2002, when
she suffered injuries to her back while lifting a box and was diagnosed with carpal
tunnel syndrome; and the third accident was on January 4, 2003, when she slipped
and fell, aggravating both her prior carpal tunnel syndrome and prior back injury. On
March 31, 2003, Grillette was terminated. The parties stipulated that the termination
was for cause. Beginning January 27, 2004, when Grillette’s treating orthopedist, Dr.
John D. Sandifer, declared her to be totally disabled due to her injuries, Grillette was
paid total temporary disability (TTD) benefits of $226.40 based on an average weekly
wage of $339.60.
Grillette filed a motion for partial summary judgment on the issue of late
payment of TTD benefits for the period of January 29, 2002 through April 5, 2002.
Alliance conceded that these benefits were paid late. Judgment was rendered finding
that benefits during this period were paid late and imposing a penalty of $2,000.00
1 for said late payment. The issue of attorney’s fees in conjunction with this issue was
referred to the merits. Grillette also moved for summary judgment on the issue of her
average weekly wage and TTD benefits from January 27, 2004; however, summary
judgment was denied on these issues.
The parties agreed to submit the matter on briefs along with joint stipulations
as to both issues and facts and depositions. Following consideration of the matter,
the WCJ rendered judgment in favor of Grillette with the following awards:
1. SEB for the period from March 31, 2003 through January 27, 2004 based on an average weekly wage of $379.60 and a workers’ compensation rate of $235.07;
2. Weekly indemnity benefits from January 27, 2004 until further order of the court, based on an average weekly wage of $379.60 and a workers’ compensation rate of $253.07, and subject to a credit for the amount of weekly benefits paid by Alliance from January 27, 2004;
3. A twelve percent penalty due on all wage benefits due under this judgment;
4. Attorney’s fee of $10,000.00;
5. Legal interest on all sums due, with legal interest on all weekly indemnity benefits due from the date of judicial demand until paid, and legal interest due on the penalty and attorney’s fee from the date of judgment until paid plus all costs of court.
Alliance appeals, seeking review of the following assignments of error:
1. The WCJ erred in holding that an employee is entitled to SEB when the employee is terminated “for cause” due to attendance violations from a job provided by the employer which was approved by the employee’s treating physician and which paid one hundred percent of the employee’s pre-accident wages;
2. The WCJ erred in finding that the employer was arbitrary and capricious, and thereby liable for penalties and attorney’s fees and in failing to pay SEB to an employee who was terminated for cause;
3. The WCJ erred in awarding attorney’s fees for the late payment of indemnity benefits which were brought current by the employer without the involvement of any attorney and prior to the institution of any disputed claim.
Grillette answered the appeal, seeking an award of attorney’s fees for work
done on appeal, and further asserting the following assignments of error:
2 1. The WCJ erred in awarding the lesser of two penalties allowed under La.R.S. 23:1201(F); and
2. The WCJ erred in failing to award multiple penalties and attorney’s fees under La.R.S. 23:1201(F) for the nonpayment of SEB and the improper calculation of TTD.
Apparently, Alliance does not appeal the award of TTD, or the WCJ’s
determinations of the average weekly wage as $379.60 and the workers’
compensation rate as $253.07. Thus, the pivotal issue in this case is Grillette’s
entitlement to SEB for the period from March 31, 2003 to January 27, 2004. For the
reasons that follow, we find that she is not entitled to SEB for this period and reverse
that portion of the judgment of the WCJ as well as the award of penalties and
attorney’s fees in that respect.
DISCUSSION
This court has recently recognized that “the determination of whether an
employee is entitled to SEB is necessarily a facts and circumstances inquiry in which
courts must be mindful of the jurisprudential tenet that workers’ compensation law
is to be construed liberally in favor of finding coverage.” Palmer v. Alliance
Compressors, 05-478 (La.App. 3 Cir. 11/02/05), ___ So.2d ___ (citing Manpower
Temporary Services v. Lemoine, 99-636 (La.App. 3 Cir. 10/20/99), 747 So.2d 153).
The factual findings of the WCJ may not be set aside in the absence of manifest error
or unless they are clearly wrong. Lacaze v. Alliance Compressors, 03-1566 (La.App.
3 Cir. 4/14/04), 870 So.2d 1150. However, in this case, we find that the WCJ erred
as a matter of law in finding Grillette was entitled to SEB. As such, where “legal
error is found and a complete record has been made, the appellate court is to conduct
a de novo review of the record.” Smith v. Smith, 615 So.2d 926 (La.App. 1 Cir.), writ
denied 617 So.2d 916 (La.1993).
3 In essence, Grillette contends that regardless of the reasons for her firing, she
was still restricted to light duty work for the relevant time period and is entitled to
SEB. Alliance contends that because of Grillette’s “for cause” termination, it is not
responsible for SEB.
We are mindful of the fact that “[t]he purpose of SEBs is to compensate an
injured employee for the wage-earning capacity lost as a result of a work-related
accident.” Lacaze, 870 So.2d at 1154 (citing City of Jennings v. Dequeant, 96-943
(La.App. 3 Cir. 11/5/97), 704 So.2d 264, writ denied 98-0610 (La. 4/24/98), 717
So.2d 1174). An employee bears the burden of proving, by a preponderance of the
evidence, that the injury resulted in his or her inability to earn ninety percent (90%)
or more of the average pre-injury wage under the facts and circumstances of the
individual case. Lacaze, 870 So.2d at 1155 (quoting Freeman v. Poulan/Weed Eater,
93-1530, p. 7 (La. 1/14/94), 630 So.2d 733, 739); La.R.S. 23:1221(3)(a).
A stipulation operates as a judicial confession and is binding on all parties and
the court. La.Civ. Code art. 1853; Winford v. Conerly Corp., 04-1278 (La. 3/11/05),
897 So.2d 560. In this case, Grillette necessarily fails in meeting her burden of proof
by virtue of the stipulation that she was terminated for cause. We note with approval
the WCJ’s finding that the termination was for cause wholly unrelated to her accident,
and we further note that Grillette concedes this finding in her brief. This finding
leads us to the conclusion that there is no reason that Grillette could not have
continued to work for Alliance for the period from March 31, 2003 to January 27,
2004, but for her termination for cause. As we have said, this results in her inability
to meet her burden of proof, and the WCJ erred as a matter of law in finding
otherwise.
4 Grillette relies heavily on the cases of Palmer v. Schooner Petroleum Services,
02-397 (La.App. 3 Cir. 12/27/02), 834 So.2d 642, writ denied, 03-367 (La. 4/21/03),
841 So.2d 802, and Lacaze, which coincidently involves the same employer, for the
proposition that the termination of employment does not destroy that employee’s
entitlement to SEB. Reliance on these cases, however, is misplaced as we have
recently ruled in Palmer v. Alliance Compressors, ___ So.2d ___ . As we noted in
Palmer v. Alliance Compressors, this court, in the Palmer v. Schooner Petroleum
Services case, recognized that termination in and of itself does not end entitlement to
SEB. Schooner Petroleum Services contended that the termination at issue was due
to substandard job performance. However, this court found manifest error in the
WCJ’s factual determination of poor work performance such that the claimant was
entitled to SEB despite his termination.
In Palmer v. Alliance Compressors, we also discussed the Lacaze case wherein
the employee returned to work after being injured on the job and was immediately
suspended for two weeks. Benefits were terminated at that time. Lacaze returned to
work after the suspension, but was terminated several days later. Nonetheless, this
court found her entitlement to SEB did not cease upon her termination because
Lacaze did not refuse to accept employment, but rather was not permitted to work due
the suspension and termination imposed by Alliance.
We reiterate our conclusions in Palmer v. Alliance Compressors that an
employer cannot avoid paying benefits by creating a job that accommodates any work
restrictions and then firing the injured employee without cause and that an injured
employee cannot refuse to accept suitable employment or blatantly violate company
policy without the possibility of recourse by the employer.
5 “Where the claimant has been released to light duty work and refuses his
employer’s offer of light duty work at the same wage and hours, he is not entitled to
SEB.” Fusilier v. Slick Const. Co., 94-11, p.4 (La.App. 3 Cir. 6/1/94), 640 So.2d 788,
791. As in Palmer v. Alliance Compressors, we can decide the case at bar on this
rationale, consistent with our prior holdings in Palmer v. Schooner Petroleum
Services and Lacaze. Alliance provided several jobs to Grillette after her injury that,
according to her treating orthopedist, accommodated the restrictions placed upon her.
In fact, Dr. Sandifer testified in deposition that as of September 6, 2002, Alliance had
been following the restrictions he had placed upon her employment and that the job
she was doing at that time was within the range of her capabilities. Before March 3,
2003, Dr. Sandifer reviewed a video of two different jobs available to Grillette at
Alliance. The first was a masking type job which involved light lifting of a part
placed on a compressor and placing a small magnet of a compressor on an assembly
line which could be done while either standing or sitting. The other job involved
working in a sniffer booth. Dr. Sandifer testified that the masking type job would be
appropriate for her if she was allowed to wear her wrist splints and work for forty-five
minutes at a time with fifteen minute breaks in between for eight hour shifts. The fact
that a job is no longer available to Grillette due to her “for cause termination” is no
different from her refusing to accept the job in the first place and, thus, terminates her
entitlement to SEB.
Having found that Grillette failed to meet her burden of proving entitlement to
SEB, we further find that Alliance reasonably controverted Grillette’s claims and that
its actions were neither arbitrary nor capricious. Accordingly, we reverse the award
of penalties and attorney’s fees related to this issue.
6 With respect to the issue of attorney’s fees awarded for the untimely payment
of benefits for the period of January 29, 2002 through April 5, 2002, we note that the
WCJ awarded a total of $10,000.00 in attorney’s fees for both the failure to pay SEB
and the untimely payment of benefits during this period without specifically breaking
down the total amount awarded. Since the award was not itemized, we reverse the
total award of attorney’s fees and instead award $2,000.00 in attorney’s fees solely
attributable to the late payment of benefits for this period.
On a prior summary judgment, Alliance conceded the late payment of TTD
benefits for this period, and the WCJ awarded penalties of $2,000.00. Alliance did
not appeal the award of penalties. The late payment of TTD benefits for this period
was not at issue at trial; however, attorney’s fees for this period of time were at issue.
Grillette concedes that Alliance paid the benefits in 2002, prior to the filing of suit on
May 13, 2003. However, we do not agree with Alliance that it should not be held
liable for attorney’s fees for this late payment because it paid benefits before claimant
retained counsel. We find that this situation is analogous to the situation in Batiste
v. Capitol Home Health, 96–799, pp. 10-11 (La.App. 3 Cir. 5/7/97), 699 So.2d 395,
401, wherein we stated:
[A]s a narrow proposition, we are not in a position to so restrict our field of vision as to second-guess the finding of the hearing officer that it was the employer's prior inexcusable actions which compelled claimant to retain counsel, nor that the employer's actions were less than arbitrary and capricious. Second, in the broader perspective, we are not inclined to discourage the retention of counsel by an injured, vulnerable employee who is faced with the prospect of an adversary possessing far superior experience and resources; after all, it is precisely to eliminate such bilateral inequalities of bargaining strength that our society has erected its pillars of law, including those providing attorney fees in workers' compensation cases, in the first place.
This case is distinguishable from Guidry v. Cytec Industries, 00-197 (La.App. 3 Cir.
10/11/00), 772 So.2d 194, in that the claimant in Guidry never retained an attorney.
7 Thus, we award $2,000.00 in attorney’s fees for the late payment of benefits for the
period from January 29, 2002 through April 5, 2002.
Furthermore, as we have reversed the award of penalties and attorney’s fees,
our findings pretermit a discussion of Grillette’s assignments of error.
DECREE
For the foregoing reasons, we find that Yvonne Grillette was not entitled to
supplemental earnings benefits for the period from March 31, 2003 to January 27,
2004 and reverse the judgment of the WCJ in that respect. Having found that
Grillette was not entitled to SEB, we further find that Alliance reasonably
controverted her claims and that its actions in that regard were neither arbitrary nor
capricious. Thus, we also reverse the WCJ’s award of penalties and attorney’s fees
in that respect. We further award attorney’s fees in the amount of $2,000.00 for the
late payment of benefits for the period from January 29, 2002 through April 5, 2002.
In all other respects, the judgment is affirmed. Costs of this appeal are hereby
assessed equally between the parties.