117 So. 3d 315
La. Ct. App.2013Background
- Johnny L. Smith, Jr. worked for Christus Schumpert as an environmental technician and also for Caddo Parish School Board; he injured his right shoulder at work for Schumpert in August 2009.
- Schumpert paid indemnity (disability) benefits and medical bills from Smith’s treating physician, Dr. Eddie Anglin, and continued paying for prescribed medication and pain patches.
- On February 24, 2010 Dr. Anglin released Smith to full duty with no restrictions; indemnity payments ceased and Smith continued working (including the second job) until he was terminated by Schumpert for excessive tardiness about eight months later.
- Smith filed a claim with the Office of Workers’ Compensation seeking medical expenses, supplemental earnings benefits (SEBs), and temporary total disability (TTD) benefits.
- After Smith presented his case, Schumpert moved for involuntary dismissal under La. C.C.P. art. 1672(B); the OWC granted the motion and entered judgment for Schumpert. Smith appealed pro se.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the OWC erred in granting involuntary dismissal under La. C.C.P. art. 1672(B) | Smith argued the OWC improperly dismissed his claims and failed to award medical and indemnity benefits | Schumpert argued Smith failed to prove entitlement to any benefits and dismissal was proper because plaintiff did not meet his burden | Court affirmed: dismissal proper because Smith failed to prove entitlement by preponderance/clear and convincing evidence where applicable |
| Entitlement to indemnity benefits (TTD/SEBs) | Smith asserted he was entitled to continued indemnity benefits | Schumpert noted Smith was released to full duty, received indemnity until release, then worked (including a second job) and no physician said he was incapable of work | Held: Smith failed to meet burden to show inability to work; indemnity payments rightly stopped at release; no entitlement shown |
| Entitlement to additional medical benefits | Smith contended additional medical/indemnity benefits were due | Schumpert showed it paid Dr. Anglin’s bills and prescribed medication and that no physician ordered additional treatment | Held: No evidence of additional physician-ordered treatment; medical benefits claim failed |
Key Cases Cited
- Frye v. Olan Mills, 7 So.3d 201 (La. App. 2d Cir.) (burden for indemnity benefits: proof by clear and convincing evidence of inability to engage in any employment)
- Taylor v. Wal-Mart Stores, Inc., 914 So.2d 579 (La. App. 2d Cir.) (medical expense recovery requires proof of necessity and causal connection by a preponderance of the evidence)
- Barnes v. Barnes, 71 So.3d 1004 (La. App. 2d Cir.) (standard for involuntary dismissal: plaintiff must establish proof by a preponderance of the evidence)
- Atkins v. City of Shreveport, 48 So.3d 326 (La. App. 2d Cir.) (involuntary dismissal reviewed for manifest error; reasonable factual basis suffices)
- Brooks v. Minnieweather, 86 So.3d 684 (La. App. 2d Cir.) (trial court has broad discretion in granting involuntary dismissal)
