Bazner v. American States Insurance Co.

820 S.W.2d 742, 1991 Tenn. LEXIS 462
CourtTennessee Supreme Court
DecidedNovember 18, 1991
StatusPublished
Cited by11 cases

This text of 820 S.W.2d 742 (Bazner v. American States Insurance Co.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bazner v. American States Insurance Co., 820 S.W.2d 742, 1991 Tenn. LEXIS 462 (Tenn. 1991).

Opinions

O’BRIEN, Justice.

This case, No. 1263000 R.D. in the Circuit Court of Shelby County, is one of three workers’ compensation claims between plaintiff and L.D. Powell & Company, defendant’s insured. Defendant has appealed a judgment directing payment of plaintiffs medical expenses, allegedly incurred as a result of treatment for an occupational disease.

In June 1987, Walter Bazner was diagnosed as having contracted the disease of asbestosis. It was determined the disease originated during the course of his employment as an insulator with L.D. Powell & Company, (L.D. Powell). In July 1987, Mr. Bazner filed a complaint in circuit court for workers’ compensation benefits against L.D. Powell in Cause No. 113519-8 R.D. After an initial denial of liability, the employer, through its insuror, American States Insurance Company (American), entered into an agreement with Mr. Bazner stipulating that he had incurred a compen-sable disability as the result of an occupational disease. The stipulation stated in particular that as of 12 June 1987 Mr. Bazner became temporarily totally disabled as the result of asbestosis and was entitled to temporary total disability benefits from that date through 16 July 1987. After the latter date plaintiff would be entitled to either permanent partial or permanent total disability benefits. The agreement also stipulated that plaintiffs earnings qualified him for the maximum statutory weekly benefit rate in effect at that time.

In addition to its response to the complaint, defendant filed a third-party action against the second injury fund alleging that in December, 1980 plaintiff sustained a compensable accidental injury while working for the same employer. He had filed suit in Cause No. 81646-7 R.D. and received an approved lump sum settlement in the amount of $23,800 for a fifty percent (50%) permanent partial disability to the body as a whole.

A trial to determine the total compensa-bility of Mr. Bazner’s condition was held in July, 1988. At trial the judge found that he was totally and permanently disabled as a result of the occupational disease of asbestosis. An order was entered which provided that American pay Mr. Bazner $945 for five weeks of temporary total disability and $189 per week for 200 weeks of permanent total disability. The second injury fund was ordered to pay 195 weeks at $189 per week. Total payments awarded equalled the, then, maximum benefit of $75,600, to be paid in a lump sum. Additionally, the trial court ordered the payment of “all reasonable medical expenses incurred by plaintiff through the date of the entry of this order.” (Emphasis ours). Both American and the second injury fund paid the sums ordered by the trial court and neither appealed.

Not surprisingly, Mr. Bazner incurred additional medical expenses after the date of entry of the trial court’s judgment. However, since the order specified payment of medical expenses only through the date of its entry, and made no provision as to liability for future medical expenses, American refused any further payment.

Based on American’s denial of liability, in 1989 Walter Bazner brought the current suit, No. 126300 R.D., naming American as defendant, to recover the post-judgment [745]*745medical expenses. On 23 March 1990, the court granted a motion for partial summary judgment, requiring American to pay Mr. Bazner’s post-judgment medical expenses, totalling $8,979. In a subsequent consent order, Count two of plaintiffs complaint was dismissed and final judgment entered as to Count one, encompassing the judgment for medical expenses, as noted heretofore. Defendant appealed. Upon plaintiff's motion to require a cash bond for appeal the trial judge required defendant to post an appeal bond in the amount of $12,-000.

Defendant has presented three (3) issues for review:

(1) It is insisted that an employee who has received a judgment for workers’ compensation benefits is required to consult with the employer before incurring post-judgment medical expenses.
(2) It is argued that the judgment in Cause No. 113519-3 R.D. awarding total and permanent disability benefits in a lump sum, and medical expenses incurred through the date of entry of the order, is res judicata and bars a claim for post-judgment medical expenses asserted in a subsequent law suit.
(3) Error is charged to the trial court in requiring defendant to file a supersedeas bond on its appeal.

We find it appropriate to consider defendant’s second complaint first, that is, whether plaintiff’s demand for post-judgment medical expenses was cut off by the judgment in the original action which did not contain a provision for payment of future medical expenses.

We hold that it was not. It is plain in this record that the defendant, the plaintiff, and the trial court, all were aware, at the time of the 1987 trial, that Mr. Bazner’s condition would not improve and that future medical expenses would necessarily accompany the natural progression of the disease. See Adams v. American Zinc Co., 205 Tenn. 189, 326 S.W.2d 425 (1959). Additionally, the record reveals that the plaintiff introduced evidence at that trial indicating that his asbestosis condition would require future medical attention. Defendant had every opportunity at that trial to refute its liability for future medical expenses and did not do so. In Underwood v. Liberty Mutual Insurance Co., 782 S.W.2d 175, 176 (Tenn.1989), this Court noted that under the provisions of T.C.A. § 50-6-204 an employee is entitled to recover any reasonable and necessary medical expenses in the future which are incurred as a result of a compensable injury. If and when application is made for any such future medical expenses, the trial judge will at that time and under the evidence then adduced have to determine whether the employer or its insurance carrier is liable for the payment of such expenses. We reiterated that rule in Roark v. Liberty Mutual Insurance Co., 793 S.W.2d 932, 935 (Tenn.1990). However, we think the better practice is that, an application made for post-judgment medical expenses should be made by petition in the original action in order that the records of all proceedings in the cause are before the court when such an award is requested.

In response to defendant’s assertion that an employee is required to consult with the employer before incurring post-judgment medical expenses, this Court clearly stated the procedure to be followed in Greenlee v. Care Inn of Jefferson City, 644 S.W.2d 679 (Tenn.1983). At page 680, 644 S.W.2d, the Court remarked:

“Though the statute is not entirely clear about the requirement of notice, the intention of the legislature is to allow the employer the opportunity to provide free necessary medical attention to the injured employee. Certainly, if the employer is not apprised of employee’s needs for medical attention, the employer cannot provide for that attention.

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Bazner v. American States Insurance Co.
820 S.W.2d 742 (Tennessee Supreme Court, 1991)

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Bluebook (online)
820 S.W.2d 742, 1991 Tenn. LEXIS 462, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bazner-v-american-states-insurance-co-tenn-1991.