PER CURIAM.
In this workers' compensation matter, we are called upon to decide whether the Office of Workers' Compensation ("OWC") erred in awarding medical expenses to claimant in the amount of $625,168.27. For the reasons that follow, we conclude the OWC erred in awarding medical expenses under the facts of this case.
Claimant, Jerry Wayne Benoit, sought indemnity benefits and medical expenses compensation against his employer, Turner Industries Group, L.L.C. ("Turner").
After a trial on the merits, the OWC made a factual finding that claimant's AML was related to benzene exposure during his employment at Turner. Accordingly, the OWC awarded claimant indemnity benefits, total medical expenses in
Turner appealed. The court of appeal affirmed the OWC judgment in its entirety. Benoit v. Turner Industries Group, LLC, 10-1460 (La.App. 3 Cir. 5/4/11), 63 So.3d 443.
Upon Turner's application, we granted certiorari for the purpose of considering the correctness of the OWC award of medical expenses. Benoit v. Turner Industries Group, LLC, 11-1130 (La.9/23/11), 70 So.3d 809. Although Turner assigns other errors in its brief, it was not our intent to grant the application as to these issues. Accordingly, as to all assignments of error other than the assignment relating to medical expenses, we will recall and deny the writ. See Ruiz v. Oniate, 97-2412, p. 12 (La.5/19/98), 713 So.2d 442, 449; Sanders v. Zeagler, 96-1170, p. 6 (La.1/14/97), 686 So.2d 819, 823; Ledbetter v. Concord Gen. Corp., 95-0809, p. 8 (La. 1/6/96), 665 So.2d 1166, 1171.
The sole issue presented for our consideration is whether the OWC erred in awarding medical expenses to claimant under the facts of this case.
At the outset, we note claimant qualified for the Medicaid program. Of the total $625,168.27 charges submitted, Medicaid paid $203,124.68. According to Turner, the remaining $422,043.59 was written off under the Medicaid program. Turner argues claimant is not entitled to recover the $203,124.68 paid by Medicaid, nor the $422,043.59 written off amount. Because Turner makes different arguments with regard to these amounts, we will address them separately.
In determining the effect to be given to the $203,124.68 paid by Medicaid, the arguments of the parties focus on the language of La. R.S. 23:1212, which provides:
Turner relies on Paragraph A of the statute, which it interprets as extinguishing any claim for medical expenses against an employer for medical expenses which have been paid by Medicaid. However, claimant seizes on language in Paragraph B of the statute, which he maintains stands for the proposition that payments by Medicaid do not extinguish his claim for recovery.
To understand the parties' arguments, some background information on the evolution of La. R.S. 23:1212 is helpful. Prior to 1990, the law prohibited an employer from taking an offset for medical expenses paid by a health care insurer. See Bryant v. New Orleans Public Service, Inc., 414 So.2d 322 (La.1982) (holding a reduction or offset for benefits paid by an insurer "constitutes an indirect employee contribution to the cost of workers' compensation and is prohibited by La.R.S. 23:1163").
Responding to pressure from the business community in 1989, the legislature enacted a new section in the workers' compensation act to permit a medical offset, if the benefits were paid by someone other
In Granger v. Nelson Logging, 96-223, p. 6 (La.App. 3 Cir. 12/4/96), 685 So.2d 400, 403, the court of appeal, in an opinion by then-Judge Knoll, held that under the 1990 version of the statute, the payment of expenses by Medicare extinguished the obligation of an employer to pay medical expenses, although the court felt this resulted in a windfall to the employer:
In La. Acts 2001, No. 1062, which became effective August 15, 2001, the legislature amended La. R.S. 23:1212 to provide that "the medical expenses are not to be extinguished as an employer debt if paid by Medicaid or other state agencies." Morton v. Wal-Mart Stores, Inc., 36,398 (La.App. 2 Cir. 10/25/02), 830 So.2d 533; Blair v. Wal-Mart Stores, Inc., 01-2211 (La.App. 4 Cir. 5/15/02), 818 So.2d 1042. The amendment also gives Medicaid and the other state agencies the right to recover any payments from the employer. Juge, supra at § 12:7.
As seen by this history, it is obvious the 2001 amendment adding the language in Paragraph B was intended to address the dilemma raised in Granger. Reading the statute as a whole, it is clear that under La. R.S. 23:1212(A), the payment of medical expenses by Medicaid extinguishes any claim by the employee against the employer for those expenses. La. R.S. 23:1212(B) carves out a narrow exception, whereby the state is granted a right to recover these expenses from the employer.
Applying this reasoning to the case at bar, we find the direct payment of $203,124.68 in medical expenses by Medicaid extinguished any claim the claimant
Having found claimant is not entitled to recover the $203,124.68 in medical expenses paid by Medicaid, we now turn to the remaining $422,043.59 of the $625,168.27 medical expense award, which Turner refers to as the written off amount.
In Bozeman, we addressed the question of whether a plaintiff in a tort action was entitled to recover medical expenses written off pursuant to the Medicaid program. We discussed the nature of the Medicaid write-off process, explaining:
After reviewing jurisprudence from around the country, we concluded a plaintiff in a tort action could not recover medical expenses written off under the Medicaid program:
Claimant urges us to distinguish Bozeman from the instant case on the ground Bozeman arose in the context of a tort
Under the workers' compensation law, the employee relinquishes his right to be made whole in a civil suit, while the employer cedes his available tort defenses. Deshotel v. Guichard Operating Co., Inc., 03-3511 (La.12/17/04), 916 So.2d 72, 77. Generally speaking, the workers' compensation regime represents a quid pro quo compromise of interests, whereby "the employee receive[s] an absolute right to recover limited benefits in exchange for the employer's tort immunity." See Harris v. State, Dept. of Public Safety & Corrections, 05-2647 (La.App. 1 Cir. 11/3/06), 950 So.2d 795, 799, writ denied, 06-2817 (La.3/9/07), 949 So.2d 440.
In furtherance of this public policy, La. R.S. 23:1203(B) provides, "[t]he obligation of the employer to furnish such care, services, treatment, drugs, and supplies . . . is limited to the reimbursement determined to be the mean of the usual and customary charges for such care, services, treatment, drugs, and supplies, as determined under the reimbursement schedule annually pursuant to R.S. 23:1034.2 or the actual charge made for the service, whichever is less." Similarly, La. R.S. 23:1033 provides, "[n]o contract, rule, regulation or device whatsoever shall operate to relieve the employer, in whole or in part, from any liability created by this Chapter except as herein provided."
We recently interpreted these statutes in Agilus Health v. Accor Lodging North America, 10-800 (La.11/30/10), 52 So.3d 68, wherein a health care provider filed suit against an employer, seeking a determination of the validity of preferred provider organization ("PPO") contracts, whereby an employer pays a health care provider for services rendered to an injured employee at a negotiated amount below that statutorily provided by the reimbursement schedule. We concluded the reduction of the employer's liability for medical expenses below the amount set forth in the reimbursement schedule, pursuant to the rates agreed to by the health care provider in a PPO contract, does not relieve the employer of liability in violation of La. R.S. 23:1033:
Id. at p. 16, 52 So.3d at 78-79
We went on to recognize that nothing in the workers' compensation act "prohibits a health care provider from contracting to charge less than the reimbursement schedule whether through a PPO or other agreement." Id. at p. 17, 52 So.3d at 79. Accordingly, we held PPO discount agreements for workers' compensation services did not violate the provisions of the workers' compensation act.
Applying the reasoning of Agilus Health, we conclude the mere fact that the employer may have benefitted from a reduction of expenses through the Medicaid write-off process, does not impermissibly diminish the employer's liability for medical expenses. As discussed above, the employer remains liable for the reduced amount of medical expenses paid by Medicaid, although by operation of La. R.S. 23:1212, this reimbursement is owed to the state rather than the claimant.
Having found no conflict between the Medicaid write-off process and the workers' compensation law, we find the principles enunciated in Bozeman are equally applicable in a workers' compensation context. As we explained in Bozeman, Medicaid is a free medical service, and no consideration is given by a patient to obtain Medicaid benefits. As a result, claimant would receive an improper windfall if he was allowed to recover for medical expenses which have been reduced by health care providers as a result of their contractual arrangements with Medicaid. Such double recovery of damages is not permitted under Louisiana law. See Gagnard v. Baldridge, 612 So.2d 732, 736 (La.1993) ("Double recovery would be in the nature of exemplary or punitive damages which are not allowable under Louisiana law unless expressly provided for by statute"). Accordingly, the portion of the OWC's judgment permitting claimant to recover the written off amount of $422,043.59 is erroneous and must be reversed.
For the reasons assigned, the judgment of the court of appeal is reversed insofar as it affirms the judgment of the Office of Workers' Compensation awarding claimant total medical expenses in the amount of $625,168.27. As to the remaining assignments of error, the writ is recalled and denied.
I respectfully dissent from that part of the per curiam opinion which reverses the OWC's judgment permitting the claimant to recover $422,043.59 in medical expenses allegedly written off by Medicaid.
The record indicates Mr. Benoit was a faithful and hard-working employee of Turner Industries for over twenty years. Mr. Benoit worked as a laborer primarily at the CITGO refinery in Lake Charles, Louisiana. His work as a laborer required Mr. Benoit to do routine maintenance at the facility, which consisted of the "dirty work" of shoveling and disposing of chemical residue and muck from the sewers, ditches and sump collection points throughout the refinery's processing units. The record further demonstrates, and the lower courts found, Mr. Benoit sufficiently proved through expert testimony that his work exposed him to chemicals, specifically an overexposure to benzene, which caused him to develop acute myeloid leukemia ("AML"), resulting in his death.
Mr. Benoit became disabled and unable to work in July of 2006. In early September of 2006, he was diagnosed with AML. He filed a workers' compensation petition (Form 1008) on October 2, 2006. For more than two years, Turner continued to deny Mr. Benoit's claim, even after discovery was conducted and Mr. Benoit submitted expert reports and other documents evidencing his exposure to benzene and its causal connection to AML. Mr. Benoit died in November of 2007. It was not until October of 2008 that Turner supplied its own expert reports to attempt to controvert Mr. Benoit's claim.
I find Turner's conduct throughout its handling of Mr. Benoit's workers' compensation claim to be particularly egregious. Turner denied Mr. Benoit's claim from its inception, and continued to deny it for two years despite expert reports provided by the worker, and without any reports of its own to controvert them. Turner actively sought to defeat Mr. Benoit's claim and unduly delayed the proceeding for years by its failure to maintain and/or produce relevant documents. Although Turner eventually hired its own experts to dispute Mr. Benoit's expert reports, the primary underlying basis for its continued denial of his claim was the alleged failure of Mr. Benoit to demonstrate the extent and duration of his exposure to benzene while working for Turner. However, both the workers' compensation hearing officer and the court of appeal found Turner's position to be disingenuous. Turner sought this information from Mr. Benoit, yet failed to produce such records in discovery even though they are mandated. The hearing officer stated:
Further, the court of appeal noted:
Benoit, 63 So.3d at 446 n. 3. Despite these obstacles, Mr. Benoit produced sufficient expert testimony to support his claim and demonstrate a causal connection between his exposure to benzene during his Turner employment and AML.
Not only did Turner's actions deny Mr. Benoit payment of workers' compensation benefits, its refusal of the claim and its refusal to pay medical benefits forced Mr. Benoit to seek all of his medical treatment through the charity system. Turner's actions denied Mr. Benoit a right to chose his own doctors, which unquestionably would have provided him with more personal, experienced and specialized treatment for his leukemia.
Now, the majority of this Court is denying Mrs. Benoit an award of medical expenses incurred by Mr. Benoit, but alleged by Turner to have been "written off" by Medicaid. Notably, while Turner argues $422,043.59 of the total $625,168.27 in medical expenses was not actually paid by Medicaid, but instead represents the portion of the medical expenses attributable to the Medicaid write-off, I find nothing in the record to prove that this amount has been written off. Louisiana law does provide that medical providers who participate in the Medicaid program are required to accept Medicaid payment as payment in full and are prohibited from the billing or collecting additional amounts from the recipient or the recipient's responsible party. See La. R.S. 46:437.12(A)(10)(a). However, Mrs. Benoit asserted at oral argument that she has received lien/collection letters from health care providers requesting payment.
Additionally, I agree with Mrs. Benoit's argument that the portion of medical expenses that were not paid by Medicaid, and have not been paid by anyone, cannot be extinguished under La. R.S. 23:1212. This statute provides, in pertinent part:
La. R.S. 23:1212(A) provides that the employer's obligation to pay medical expenses is extinguished when a payment has been made by someone other than the employee, a relative or friend of the employee, or by Medicaid or other state medical assistance programs. Because Medicaid is the only entity that has paid any of the medical expenses, pursuant to the clear language of the statute, Medicaid's payment of Mr. Benoit's medical expenses does not extinguish Turner's responsibility for those medical expenses. Further, the amount of the write-off was not a payment made by anyone, and thus is does not fall under La. R.S. 23:1212(A).
The majority relies on this Court's opinion in Bozeman v. State, 03-1016 (La.7/2/04), 879 So.2d 692, where we concluded that a plaintiff in a tort action could not recover medical expenses written off
In Bozeman, this Court addressed the application of the collateral source rule to medical expenses written off by Medicaid. After looking at approaches developed by various courts regarding the medical expenses written-off by healthcare providers pursuant to the Medicaid agreement, we adopted an approach called the "benefit of the bargain," which awards the plaintiff the full value of his medical expenses, including the write-off amount, where the plaintiff has paid some consideration for the benefit of the written-off amount. Bozeman, 879 So.2d at 701, 703. In applying that approach, this Court distinguished Medicaid, a social service health care provider for persons with low income and limited assets, from Medicare, which is healthcare insurance funded by beneficiaries and their employers. Id. at 704-05. We articulated that while care of the nation's poor is an admirable social policy, "where the plaintiff pays no enrollment fee, has no wages deducted, and otherwise provides no consideration for the collateral source benefits he receives, we hold that the plaintiff is unable to recover the `write-off amount." Id. at 705. This Court concluded:
Id. at 705-06.
In my view, the holding in Bozeman cannot be applied to this workers' compensation case. Bozeman is premised on the finding that a tort plaintiff pays no consideration for the benefit of receiving Medicaid payments. Unlike tort defendants, a workers' compensation employer has a duty to be proactive and provide its injured employee with medical treatment and directly pay for the employee's medical expenses pursuant to the LWCA. Employers are statutorily obligated under La. R.S. 23:1203
Agilus Health v. Accor Lodging North America, 2010-0800 (La.11/30/10), 52 So.3d 68, 74 (internal citations removed). Here, Mr. Benoit was entitled to receive statutorily mandated medical treatment and payment of his medical bills. However, due to Turner's callous denial of his claim, Mr. Benoit was deprived of the benefits of the workers' compensation scheme, and was forced to rely on treatment available to indigents pursuant to the Medicaid program. Mr. Benoit was denied his choice of medical provider and denied his right to seek treatment from a non-Medicaid provider. In addition to being deprived of the right to choose his doctor, Mr. Benoit's patrimony was further diminished because he was forced to travel considerable distances for treatment. These trips were costly, resulting in expenses for gas and lodging. Thus, Medicaid was not a truly free service in Mr. Benoit's case.
Further, in my view, it is poor policy to apply the Bozeman rule in a workers' compensation context. Under the workers' compensation scheme, Turner had a statutory duty to provide all necessary medical treatment due to Mr. Benoit's medical condition. Allowing employers to receive the benefit of the Medicaid write-off makes it profitable for employers to deny claims at the outset despite their validity. This results in unnecessary pain and suffering, and sometimes an early death for claimants with limited financial resources, like Mr. Benoit. In such cases, it is financially beneficial for employers to deny these claims, and force the employee to rely on the Medicaid system for treatment. The majority's holding provides that, at most, the employers will have to pay the Medicaid lien, not the full amount of medical bills, thus shifting the real burden of taking care of injured employees to the State.
Turner, as Mr. Benoit's employer, had a statutory duty to provide Mr. Benoit with all medical care necessary to treat his AML, as well as a duty to pay the related medical expenses. In my view, it is an outrage that an employee injured on the job, such as Mr. Benoit, was forced to turn to Medicaid to pay for his medical treatment. In this case, Mr. Benoit was forced to seek medical treatment through Medicaid due to Turner's repeated failure to authorize treatment. If Turner had paid Mr. Benoit's medical expenses as they accrued, the employer would have expended an amount far exceeding the amount paid by Medicaid. By contrast, Turner paid
The per curiam opinion thus rewards Turner with a windfall, since this company purposefully avoided its responsibility to
The opinion gives Turner, and indeed all employers within the State an incentive to deny claims, deny treatment, and place the burden on the State to take care of these injured employees. This case creates a precedent where there is no real penalty imposed for Turner's behavior. While La. R.S. 23:1201 provides for penalties due to an employer's failure to pay medical expenses or benefits, the total amount of penalties is statutorily capped at $8,000.00.
KNOLL, J., concurring in part and dissenting in part.
I respectfully dissent from the portion of the per curiam holding defendant Turner Industries is not responsible for the $422,043.59 which was written off by the medical care providers. This result does not faithfully apply the relevant statute and leads to a manifestly inequitable outcome. Indeed, the majority rewards Turner for acting in bad faith by refusing to pay the medical bills rightly owed to plaintiff Jerry Wayne Benoit after he suffered catastrophic and terminal cancer. This is not the result required by the statute or intended by the Legislature.
Jerry Benoit worked for Turner Industries for twenty-seven years. For ten of those years he worked as a general laborer for a Lake Charles Citgo refinery, where Turner was contracted to perform general maintenance. Benoit's duties included cleaning chemical discharges and oily waste which collected in the drainage ditches, sewers, and processing units at the refinery. In the course of this work, he was exposed to any number of potentially dangerous or carcinogenic chemicals, including high levels of benzene. As may be imagined, it was unpleasant work, and co-workers and Benoit family members testified as to the "awful" conditions he worked in and his haggard appearance when he returned home from work. According to Benoit's wife and daughter, he often came home "covered in oily muck" and complained of headaches, dizziness, and vomiting, all of which are consistent with acute benzene exposure.
In July 2006, Benoit fell ill. He was soon diagnosed with acute myeloid leukemia ("AML"), a cancer known to be linked to high levels of benzene exposure.
The instant suit was filed in October 2006. Benoit passed away in November 2007, and his wife was substituted as claimant in his place. The case went to trial before a worker's compensation hearing officer, who credited the testimony of Benoit's expert witnesses over the testimony of Turner's expert, and found Turner fully liable for Benoit's medical bills. Benoit's widow was awarded back indemnity from August 2006 through November 2007; death benefits for back indemnity beginning in November 2007; total medical bills in the amount of $625,168.27; attorney fees in the amount of $22,000; statutory penalties in the amount of $8,000; and court costs and expert fees.
This case is about Turner's failure to satisfy its statutory obligations under the Worker's Compensation Act. Under the Act, when an employee "receives personal injury by accident arising out of and in the course of his employment, his employer shall pay compensation." La. Rev.Stat. § 23:1031. This compensation includes, but is not necessarily limited to, "all necessary drugs, supplies, hospital care and services, medical and surgical treatment," La.Rev.Stat. § 23:1203, and payment of medical benefits must be made "within sixty days after the employer or insurer receives written notice thereof." La.Rev.Stat. § 23:1201(E).
In return, the employer is granted immunity from tort claims. This is the quid pro quo at the center of the Worker's Compensation Act, "a compromise in which the employer surrenders immunity from liability, which he would otherwise be entitled to in cases wherein he was without fault, and, in return, the employee foregoes his right to full damages for his injury in exchange for limited but certain compensation." Austin v. Abney Mills, Inc., 01-1598 (La.9/4/02), 824 So.2d 1137, 1144-45. This compromise is the "quintessential characteristic of the workers' compensation movement." O'Regan v. Preferred Enterprises, Inc., 98-1602 (La.3/17/00), 758 So.2d 124, 134.
Turner thus has a statutory duty to promptly provide all necessary medical treatment related to Benoit's AML diagnosis. This duty is enshrined in public policy and is non-waivable: "No contract, rule, regulation or device whatsoever shall operate to relieve the employer, in whole or in part, from any liability created by this Chapter except as herein provided." La. Rev.Stat. § 23:1033. The primary legal question before this Court is whether Medicaid's actions in providing Benoit with medical care thus relieved Turner from its duty to provide such care. La.Rev.Stat. § 23:1212 provides:
(emphasis added).
The statute clearly provides any "payments" for medical care made by Medicaid extinguish any duty on the part of Turner to provide such care. The per curiam is therefore correct insofar as it finds the Benoits are not entitled to recover the $203,124.68 which Medicaid actually paid for Benoit's health care; this is settled law. However, the majority errs in also applying this statute to the $422,043.59 subject to Medicare "write-offs."
It is a fundamental precept of Louisiana's civilian legal system that any discussion of an issue must begin with a careful reading of the language of the statute. In re Succession of Faget, 10-0188 (La.11/30/10), 53 So.3d 414, 420. Where the statute is clear, unambiguous, and its application does not lead to absurd consequences, no further analysis is necessary and we must apply the statute as written. La. Civ.Code art. 9. At the same time, we are compelled to strictly construe any statute relieving an employer of its obligation to pay medical benefits, as La.Rev.Stat. § 23:1033 sets forth a strong public policy against allowing employers to avoid their statutory liability. Moreover, well-settled canons of construction require worker's compensation statutes to be construed liberally in favor of the employee, not the employer. Dufrene v. Video Co-Op, 02-1147 (La.4/9/03), 843 So.2d 1066, 1074-75; Lester v. Southern Casualty Ins. Co., 466 So.2d 25, 28 (La. 1985).
Here, La.Rev.Stat. § 23:1212(A) provides a "payment by any person or entity" to the medical care provider shall extinguish the employer's obligation to provide medical benefits. Because "payment" is not defined in the Act, we must give it is generally prevailing meaning. La. Civ. Code art. 11. The generally understood meaning of "payment" is to "give money to in return for goods or services rendered." American Heritage Dictionary of the English Language (4th ed.2000).
The per curiam does not perform a statutory analysis of La.Rev.Stat. § 23:1212. Instead it, relies on the cases of Bozeman v. State, 03-1016 (La.7/2/04), 879 So.2d 692 and Agilus Health v. Accor Lodging North America, 10-800 (La.11/30/10), 52 So.3d 68. These decisions are inapposite for several reasons.
Bozeman was correctly decided, but its holding is unique to tort law and does not extend to actions under the Worker's Compensation Act. As noted, Bozeman is a decision based on common law or jurisprudential authority, as there is no statute setting forth a collateral source rule within tort law. Worker's compensation law, unlike tort law, is governed by a comprehensive statutory scheme, and it is the duty of this Court to apply those statutes faithfully, not to set them aside in order to apply a judge-made common law doctrine as we did in Bozeman. When drafting the Worker's Compensation Act, the Legislature clearly considered the application of the collateral source rule, and codified a limited version of the rule as La.Rev.Stat. § 23:1212. It is La.Rev.Stat. § 23:1212, and not Bozeman, which controls this case.
Moreover, the policy considerations underlying worker's compensation law are entirely different from those underlying tort law. The tortfeasor in Bozeman had no duty to pay for the plaintiff's medical bills in the absence of a court judgment against him. This is not so under the Worker's Compensation Act. As Benoit's employer, Turner had an immediate and non-waivable duty to provide Benoit with any and all medical care necessary to treat his illness. Indeed, no employee injured on the job should ever have to turn to Medicaid for his medical treatment, as it is solely the employer's duty to pay.
The per curiam also relies on Agilus Health v. Accor Lodging North America, 10-800 (La.11/30/10), 52 So.3d 68, a lawsuit brought by a health services provider against an insurance company. In Agilus, it was undisputed that the defendant met its duty to furnish adequate medical treatment to its employees. The only question was whether the defendant was statutorily required to pay the hospital the full amount set forth in the worker's compensation fee reimbursement schedule, as opposed to the lesser figure set forth in the parties' contract. Id. at 75-76. This was effectively a contractual dispute between an insurer and the hospital, and the issues presented were not similar to those in the case at bar. Certainly, our decision in Agilus does not control this case and cannot overrule the express language of La. Rev.Stat. § 23:1212.
As a result, this majority opinion creates a strong incentive for Turner, and employers like it, to deny all worker's compensation claims for catastrophic and terminal illnesses when potential liability is measured in the hundreds of thousands of dollars. While an $8,000 penalty may be sufficient to deter employers from denying coverage for everyday injuries such as broken bones and strained backs, it is entirely insufficient where over $625,000 is at issue in medical bills alone.
The per curiam suggests the Benoits will receive an "improper windfall" if Turner were required to pay for the full amount of his medical care. This is backwards. The Benoits received no windfall; as a direct result of the chemicals he was exposed to while working at Turner, Jerry Benoit suffered from catastrophic and terminal cancer which took his life within a year of the diagnosis. The only party who is receiving a windfall is Turner. By arbitrarily denying Benoit's claim for benefits and shirking its duties under the Worker's Compensation Act, Turner profited in an amount over $625,000. This holding rewards Turner for its an undisputed violation of its statutory duties under the Act and creates a perverse incentive for other companies to do the same.
This result is in direct contradiction to the guiding principles of the Worker's Compensation Act and the clear statutory language of La.Rev.Stat. § 23:1033 and § 23:1212. As I stated in a similar context in Granger v. Nelson Logging, 96-223 (La. App. 3 Cir. 12/4/96), 685 So.2d 400, 403, "The statute's operation in the case sub judice undermines the basic principle of worker's compensation law, namely, that persons who enjoy the benefit of an employee's labor should be the ones to bear the cost of injuries incident to that labor." In response to the Granger opinion, the Legislature amended La.Rev.Stat. § 23:1212 to avoid the inequitable result reached in that case. Given the results of today's opinion, the Legislature should again address this inequitable result that fosters perverse incentives by unscrupulous employers.
WEIMER, J., concurring.
I concur. The employer's writ application was granted to address the award of medical expenses in this matter. Rather than recalling and denying the writ with respect to the employer's assignments of error that were not addressed in the opinion, I think it is more appropriate to simply pretermit those issues.