American Indemnity Co. v. New York F. & M. Under., Inc.

196 So. 2d 592
CourtLouisiana Court of Appeal
DecidedMarch 13, 1967
Docket6890, 6891
StatusPublished
Cited by17 cases

This text of 196 So. 2d 592 (American Indemnity Co. v. New York F. & M. Under., Inc.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Indemnity Co. v. New York F. & M. Under., Inc., 196 So. 2d 592 (La. Ct. App. 1967).

Opinion

196 So.2d 592 (1967)

AMERICAN INDEMNITY COMPANY
v.
NEW YORK FIRE & MARINE UNDERWRITERS, INC., et al.
Nelson T. McQUISTON
v.
NEW YORK FIRE & MARINE UNDERWRITERS, INC., et al.

Nos. 6890, 6891.

Court of Appeal of Louisiana, First Circuit.

March 13, 1967.

*593 Foil, Gill & Beckner, Baton Rouge, for American Indemnity Co., appellant case No. 6890.

Seale, Hayes, Smith & Baine, Baton Rouge, for New York Fire & Marine Underwriters, Inc., et al.

Wray & Simmons, Baton Rouge, for Nelson T. McQuiston.

Before LANDRY, ELLIS and BAILES, JJ.

LANDRY, Judge.

These separate but related cases, consolidated for purposes of trial and appeal arise from a single automobile accident. They present for resolution the question of whether an insured, who has received payment of medical benefits pursuant to an automobile liability policy issued by his own insurer, or the insurer who has paid such a claim, is entitled to recover the amount thus paid from a third party tort-feasor when the policy is silent as to subrogation rights and both insured and insurer bring simultaneous actions against the third party and his insurer to recover the sum involved. The trial court ruled in favor of the insured granting him judgment against the third party and his insurer and rejected the claim of the insurer. We find that the trial court has correctly determined the question presented.

In lieu of a transcript of testimony, these matters were submitted upon an agreed statement of facts which shows that plaintiff McQuiston was the owner of an automobile insured against liability by plaintiff American Indemnity Company (American). Said policy contained a medical payment clause providing payment of medical expense in the maximum amount of $500.00 to each passenger injured as a result of the use or operation of the insured vehicle. On September 27, 1964, McQuiston's vehicle was involved in a collision with an automobile owned by defendant, Patrick R. Dungan, and insured by defendant, New York Fire & Marine Underwriters, Inc. (New York Fire). Because of injuries received in the accident, plaintiff McQuiston received from American medical payments totaling $500.00 on behalf of himself and $43.00 for similar expense to his wife. In addition, McQuiston was paid by his said insurer a sum equal to the damage sustained *594 by his vehicle in the accident, less the deductible provided in the policy.

Subsequently McQuiston instituted suit against Dungan and New York Fire seeking recovery for personal injuries as well as medical expense which included the sum of $543.00 previously received from his insurer, American. After institution of suit by McQuiston, American brought a separate action against Dungan and his aforenamed insurer praying for judgment for the sum paid its said insured for property damage and also for the sum of $543.00 paid McQuiston in medical benefits. The trial court found Dungan responsible for the accident and awarded judgment in the McQuiston suit in favor of plaintiff therein for a sum which included the medical expenses previously paid by American. In the action by American, the trial court rendered judgment in favor of said plaintiff for the amount paid McQuiston for property damage but rejected plaintiff's claim for the sum of $543.00 paid under the medical payments provision.

From that portion of the trial court decree rejecting its demand for the medical payments paid McQuiston, American has appealed. Defendants, Dungan and New York Fire, have appealed the judgment rendered against them in favor of McQuiston. They acknowledge the sole purpose of their appeal is to protect their interest in the event this court should reverse that portion of the judgment which denied American recovery for medical payments made to McQuiston and render judgment in favor of American for said disputed sum of $543.00.

It is conceded the policy issued McQuiston by American expressly provides for subrogation as regards the sum paid for property damage but contains no similar provisions with respect to the amounts paid pursuant to the medical payments clause. It is also admitted that American has not taken subrogation from its said insured with respect to the medical payments in question.

The dispute thus presented is essentially one between McQuiston and his said insurer. In substance American contends it is entitled to recover the medical payments involved under the well established law of this state to the effect that an insurer who pays a claim to its own insured because of injury or damage suffered as the result of some action of a third party tort-feasor is by law subrogated to the rights of the insured and may recover from such third party the amount thus paid despite the absence of either a subrogation clause in the policy or an express act of subrogation from the insured, or both. Plaintiff McQuiston maintains, however, that subrogation does not take place in such instances by operation of law. On this ground said insured argues that where the policy is silent as to subrogation, no subrogation takes place automatically by virtue of policy payments. Appellants, Dungan and New York Fire, acknowledge their liability to either McQuiston or American for the amount of medical payments in dispute but forcefully aver they should not, as a matter of equity, be compelled to respond in payment to both.

Prior to rendition of the Supreme Court decision of Forcum-James Co. v. Duke Transportation Co., 231 La. 953, 93 So.2d 228 (1957), we believe the law fairly well settled, as contended by counsel for American, to the effect that the insurer who pays a claim to his insured is subrogated to the rights of the insured against the negligent third party causing the damage as a matter of law, even though the policy contained no subrogation clause, and the insurer did not obtain an express subrogation from the insured. London, Guarantee & Accident Ins. Co. v. Vicksburg, S. & P. R. Co., 153 La. 287, 95 So. 771. In the London Guarantee case, supra, the Supreme Court reasoned that, in such instances, the right of subrogation takes place upon payment by virtue of the provisions of LSA-C.C. Article 2315. The rationale of the London case, supra, was that a party suffering a loss by virtue of his contractual obligation to another came within the purview of Article 2315, supra, which stipulates that "Every act whatever of man that causes damage *595 to another, obliges him by whose fault it happened, to repair it * * *." Subsequent to the London Guarantee case, supra, the rule therein enunciated was followed in numerous instances by the various courts of appeal. See for example, American Bankers Insurance Company of Florida v. Costa, 107 So.2d 76 (La.App. Orleans 1958); Lumber Mutual Fire Insurance Company v. Kemp, 102 So.2d 248 (La.App. 1st Circuit); John M. Walton, Inc., et al. v. McManus, 67 So.2d 130 (La.App. 1st Circuit); Lumbermen's Mutual Insurance Company v. Ruiz, 77 So.2d 84 (La.App. 1st Circuit). See also McDaniel v. Hearn, 158 So.2d 348 (La.App. 2nd Circuit) (1963).

The cases antedating Forcum-James Company v. Duke Transportation Company, supra, also evolved the rule that an insurer who paid his insured a claim arising from the negligence of a third party, was subrogated of right to the claim of the insured and could proceed against the tort-feasor therein without the necessity of either pleading or producing an act of subrogation. See John M. Walton, Inc. v. McManus, supra. See also McDaniel v. Hearn, supra, and cases therein cited.

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Bluebook (online)
196 So. 2d 592, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-indemnity-co-v-new-york-f-m-under-inc-lactapp-1967.