Gloria Clay v. Our Lady of Lourdes Regional Medical Center, Inc.

STATE OF LOUISIANA
COURT OF APPEAL, THIRD CIRCUIT

09-1219

GLORIA CLAY

VERSUS

OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC.

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APPEAL FROM THE
OFFICE OF WORKERS’ COMPENSATION - # 4
PARISH OF LAFAYETTE, NO. 06-03500
SHARON MORROW, WORKERS’ COMPENSATION JUDGE

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ON REMAND
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ULYSSES GENE THIBODEAUX
CHIEF JUDGE

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Court composed of Ulysses Gene Thibodeaux, Chief Judge, Jimmie C. Peters, and J.
David Painter, Judges.

AFFIRMED IN PART ON REMAND.

Philip E. Roberts
Leake & Anderson, L.L.C.
P. O. Drawer Z
Lafayette, LA 70502
Telephone: (337) 233-7430
COUNSEL FOR:
Defendant/Appellee - Our Lady of Lourdes Regional Medical Center, Inc.

Michael Benny Miller
Miller & Miller
P. O. Drawer 1630
Crowley, LA 70527-1630
Telephone: (337) 785-9500
COUNSEL FOR:
Plaintiff/Appellant - Gloria Clay

OPINION ON REMAND

THIBODEAUX, Chief Judge.

The claimant/appellant, Gloria Clay, brought a workers’ compensation

claim against her employer, defendant/appellee, Our Lady of Lourdes Regional

Medical Center, Inc. (Lourdes), for injury to her back while lifting solution supplies.

Following surgery, a rehabilitation counselor provided information regarding

potential employers. Ms. Clay applied for but did not obtain employment. The

Office of Workers’ Compensation (OWC) terminated her benefits. Ms. Clay

appealed the termination of benefits and the calculation of her average weekly wage

(AWW).

We found that Ms. Clay had attempted to obtain all positions suggested

and that the OWC had applied an overly restrictive interpretation of the applicable

law. We reversed the termination of benefits and further reversed the OWC’s

calculation of Ms. Clay’s AWW at $378.05 because it did not appear to include fringe

benefits earned by Ms. Clay in her twenty years with Lourdes. Our calculation

included an enhancement for fringe benefits which increased Ms. Clay’s AWW to

$416.71.

The Louisiana Supreme Court has remanded Ms. Clay’s case based upon

its recent decision finding that a value for fringe benefits to be paid in the future

cannot be used to enhance the calculation of an hourly employee’s AWW. See

Hargrave v. State of Louisiana, Through Department of Transportation and

Development, 10-1044 (La. 1/19/11), 54 So.3d 1102.

I.

ISSUE

On remand, we will reconsider whether the OWC erred in calculating

Ms. Clay’s AWW, “in light of the Louisiana Supreme Court’s recent decision in

Hargrave,” regarding the interpretation and legislative intent of La.R.S.

23:1021(12)(a)(i) and (12)(f).

II.

FACTS AND PROCEDURAL HISTORY

This case is before us on remand from the Louisiana Supreme Court on

the issue of fringe benefits used in the calculation of Ms. Clay’s AWW. Our reversal

of the OWC’s termination of her benefits and the reinstatement of those benefits from

the date of termination, August 25, 2008, forward, along with our award of additional

attorney fees for her counsel’s work on the appeal, are not at issue and remain

undisturbed.

In our original opinion, after a de novo review pursuant to Rosell v.

ESCO, 549 So.2d 840 (La.1989), we reversed the OWC’s calculation of Ms. Clay’s

AWW at $378.05. Where her pay rate with Lourdes was $9.25 per hour, we found

that her normal weekly wage was $370.00 ($9.25 x 40). We then added averaged

weekly fringe benefits of $27.75 for paid time off (PTO), $11.56 for extended illness

time (EIT), and a bonus averaged at $7.40 per week. We found that this total fringe

benefit amount of $38.66 increased Ms. Clay’s normal weekly wage of $370.00 to a

total AWW of $416.71, for the purpose of calculating her workers’ compensation

benefit.

The Louisiana Supreme court remanded the case to us “for consideration

in light of Hargrave,” 54 So.3d 1102, which held that the value of annual and sick

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leave, earned, but not previously taxed, does not enhance the calculation of an hourly

employee’s AWW in determining the worker’s compensation wage benefit.

III.

LAW AND DISCUSSION

Ms. Clay was a forty-hour-per-week, full-time, hourly employee, paid

every two weeks, in twenty-six checks per year. The calculation of Ms. Clay’s AWW

is governed by La.R.S. 23:1021(12)(a)(i), which provides in pertinent part as follows

(emphasis added):

If the employee is paid on an hourly basis and the
employee is employed for forty hours or more, his hourly
wage rate [is] multiplied by the average actual hours
worked in the four full weeks preceding the date of the
accident or forty hours, whichever is greater[.]

Accordingly, if a full-time, forty-hour employee actually works less than

forty hours per week in the four full weeks prior to a work accident or injury, the

employee is entitled to the “greater” presumption of forty hours per week. See

Hargrave, 54 So.3d 1102.

Here, Ms. Clay used paid time off and vacation time during the four full

weeks preceding her injury, such that she did not actually work forty hours per week

during that period. Because Ms. Clay was a full-time employee, however, she is

entitled to the presumption of having worked at least forty hours under La.R.S.

23:1021(12)(a)(i) and under Hargrave.

In Hargrave, the court found that Mr. Hargrave had used thirty-two

hours of annual leave and eight hours of sick leave during the four full weeks prior

to his accident and that he was entitled to the greater presumption of having worked

forty hours under La.R.S. 23:1021(12)(a)(i). Mr. Hargrave’s bi-monthly wage was

$1,095.76 for eighty hours of work, and his forty-hour wage was $547.88. The court

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found that he did not work any over-time during the four-week period prior to his

injury and that, based upon a normal forty-hour work-week, his AWW was $547.88

(his hourly wage was roughly $13.70). The court in Hargrave found that there was

no need to calculate further and, affirming the majority opinion from a panel of this

court, denied Mr. Hargrave’s request for an enhanced AWW based upon fringe

benefits not yet paid.

There, the court discussed the legislative intent in La.R.S.

23:1021(12)(f), which provides in pertinent part as follows (emphasis added):

Income tax. In the determination of “wages” and the
average weekly wage at the time of the accident, no
amount shall be included for any benefit or form of
compensation which is not taxable to an employee for
federal income tax purposes.

In Hargrave, the court stated that it did not believe that the word

“taxable” was intended by the legislature to be expanded to include “potentially”

taxable fringe benefits that had not yet been received (or used) by the employee but

would be received only “at some uncertain point in the future.” Hargrave, 54 So.3d

at 1107 (footnote omitted). Accordingly, Ms. Clay’s disability benefit must be based

only upon wages and fringe benefits actually paid and taxed during the four full

weeks prior to her injury.

Ms. Clay’s injury was June 28, 2005. She was paid every two weeks for

eighty hours of work. Her normal hourly wage was $9.25. Hence, a normal, eighty-

hour paycheck for Ms. Clay showed gross earnings of $740.00, and her normal forty-

hour AWW was $370.00 ($9.25 x 40). If, however, she received payment for

overtime hours during the four full weeks prior to her injury, her AWW is calculated

on averaged actual hours worked, pursuant to La.R.S. 23:1021(12)(a)(i), because

they are “greater” than the normal and presumptive forty-hour week.

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Here, the pertinent paychecks are dated June 11 and June 25 of 2005.

Ms. Clay’s gross earnings on the check stub for the two-week period ending June 11,

2005, was the normal $740.00 for eighty hours of work. Her gross earnings on the

check stub for the two-week period ending June 25, 2005, however, was $772.19.

This check included pay for over eighty hours of time. More specifically, it included

eighty-seven hours of pay, some of which represented paid time off (“PTO”); some

of which represented regular time; and some of which represented night-time/other,

a form of special or overtime pay.1 The portion of the paycheck indicating sixty-four

hours of “PTO” represents a fringe benefit already included, earned, used, received,

paid, and taxed, during the full four-week pay period prior to Ms. Clay’s accident; it

is, therefore, includable in the calculation of AWW pursuant to La.R.S.

23:1021(12)(f). This check included nineteen hours of regular pay and four hours of

pay for night-time/other work, which appears to be special or overtime pay. These

hours are used in the calculation of AWW because they represent actual hours worked

under La.R.S. 23:1021(12)(a)(i).

Accordingly, the two weeks of pay at $740.00 plus the two weeks of pay

at $772.19 equal four weeks of pay at $1,512.19, which, divided by four, results in

an AWW of $378.05. This figure represents Ms. Clay’s averaged actual earnings

received by her and taxed in the four full weeks prior to her injury, pursuant to

La.R.S. 23:1021(12)(a)(i) and La.R.S. 23:1021(12)(f), and pursuant to Hargrave. To

the extent that the OWC calculated Ms. Clay’s total AWW at $378.05, we affirm that

portion of the OWC judgment.

1
While the calculation of night-time/other pay (shown on the pay stub as “NgtOthr”) is not
discussed or examined in the record, Ms. Clay’s time-card summary shows that she worked an extra
long shift beginning at 3:00 a.m. on June 18, 2005. On her pay stub for June 25, 2005, out of the
eighty-seven hours for which she was paid, four hours were designated as “NgtOthr” pay.

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IV.

CONCLUSION

Based upon the Louisiana Supreme Court’s remand of Ms. Clay’s case

to us “for consideration in light of Hargrave v. State, through DOTD, 2010-1044 (La.

1/19/11),” 54 So.3d 1102, we find that Ms. Clay’s AWW is $378.05, and we affirm

the OWC judgment on that issue.

Costs are assessed to the defendant.

AFFIRMED IN PART ON REMAND.

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