The Consequences of Lying in A Louisiana Workers’ Compensation Claim

lying_promises_deception_dishonesty-1024x768What are the consequences of lying in a workers’ compensation claim? They can be harsh, as shown in the following lawsuit. Betty Reeder, a Certified Nursing Assistant (CNA) at Hardtner Medical Center, found herself embroiled in a legal battle after suffering an injury on the job. This article examines the details of the lawsuit, delves into the relevant Louisiana workers’ compensation law, and analyses the Appeals Court decision that shaped the outcome.

The chain of events leading to the lawsuit began in January 2013, when Betty Reeder tripped and fell on a wheelchair while performing her duties as a CNA. Following the accident, she received financial and medical support from the Louisiana Hospital Association Workers’ Compensation Interlocal Risk Management Agency through its agent, HSLI. She received weekly payments based on her average weekly wage for over a year, totaling approximately $23,000. 

However, the situation took a contentious turn when HSLI accused Reeder of making false statements to obtain compensation. The case went to trial, with Reeder having to forfeit her right to workers’ compensation benefits by violating La.R.S. 23:1208. Faced with the Workers Compensation Judge’s (WCJ) initial ruling against her, Reeder appealed the decision and sought a reconsideration of her case.

To understand the legal intricacies of the case, it is essential to understand Louisiana’s workers’ compensation law, specifically La.R.S. 23:1208. This statute makes it unlawful to intentionally make a false statement or representation to obtain workers’ compensation benefits. To prove a violation, the court must find that the false statements were made intentionally and for the sole purpose of obtaining a financial benefit. The court’s focus on intent is crucial because the law does not penalize minor or inadvertent statements but targets deliberate attempts to defraud.

The legal battle proceeded to the Louisiana Appeals Court, where the evidence was thoroughly examined. Ultimately, the appeals court upheld the initial judgment in favor of Hardtner Medical Center. The ruling was predicated on the discovery of several false statements made by Betty Reeder concerning her medical history and pre-existing conditions. These statements directly related to the physical complaints she attributed to her workplace injury. The court also considered Reeder’s background as a certified nursing assistant, which raised questions about her claim of forgetting a decade-long medical history filled with similar complaints.

Consequently, the appeals court concluded that Reeder’s actions constituted fraudulent behavior aimed at deceitfully securing workers’ compensation benefits. This finding justified the denial of her claim and led to the dismissal of the case with prejudice.

This case involving Betty Reeder’s workers’ compensation in Baton Rouge, Louisiana, exemplifies the complexities surrounding such legal disputes. The Appeals Court’s ruling underscored the significance of intent when evaluating false statements related to workers’ compensation claims. This case reminds us of the importance of honesty and integrity throughout the workers’ compensation process, emphasizing the legal repercussions of fraudulent actions. This legal journey highlights the intricacies involved and reinforces the necessity of strict adherence to the law to ensure a just resolution for all parties involved.

Additional Sources: APPEAL FROM THE OFFICE OF WORKERS’ COMPENSATION, DISTRICT 1-E PARISH OF OUACHITA, NO. 13-02318

Written by Berniard Law Firm Blog Writer: Oprah Jerome

Other Berniard Law Firm Articles on Workers Compensation: How do Conditions on Payments in Louisiana Workers’ Compensation Work?

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