Carter v. Tri-State Insurance

259 So. 2d 433, 1972 La. App. LEXIS 5659
CourtLouisiana Court of Appeal
DecidedFebruary 29, 1972
DocketNo. 11783
StatusPublished
Cited by7 cases

This text of 259 So. 2d 433 (Carter v. Tri-State Insurance) 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
Carter v. Tri-State Insurance, 259 So. 2d 433, 1972 La. App. LEXIS 5659 (La. Ct. App. 1972).

Opinion

AYRES, Judge.

This is an action under the Workmen’s Compensation Act, LSA-R.S. 23:1021 et seq. The pleadings, complex in themselves, present an equally complex factual situation. Plaintiff sustained accidental injuries in three separate accidents in the course of his employment with two employers. In each of these accidents, he claimed to have sustained disabling injuries contributing to his total disability. Each accident was covered by a different insurer.

Plaintiff, whose occupation was that of an iron worker, was involved in two accidents while employed by Riggers & Erectors, Inc. The first accident occurred on March 20, 1968, at which time Tri-State Insurance Company was the employer’s compensation insurer, and the second accident occurred on June 7, 1968, when The Phoenix Insurance Company was the compensation insurer. Plaintiff also sustained accidental injuries in a third accident on September 17, 1970, while employed by Southland Fabricators and Erectors, insured by Westchester Fire Insurance Company.

Included in the pleadings are plaintiff’s original petition and three separate supplemental petitions; answers to these several petitions filed by Tri-State, named defendant in all petitions; by Phoenix, named defendant in the second and third amended petitions; third-party petitions filed by both defendants against each other and against Southland and its insurer, West-chester; as well as answers to these third-party petitions by all third-party defendants.

In the original and first supplemental petitions, petitioner sought recovery of only certain alleged medical expenses. These petitions alleged that accidental injuries were sustained on March 20, 1968; that Tri-State, as the insurer of his employer, though paying compensation benefits, had refused to pay the medical expenses incurred in his treatment by Dr.' Paul M. Campbell, an osteopath.

In the second supplemental petition, Phoenix was named as a codefendant with Tri-State. There it is alleged that plaintiff sustained for a second time accidental injuries on June 7, 1968, on which date Phoenix was the compensation insurer of his employer. Plaintiff alleged therein that subsequent to the first injury but prior to the second injury, he was, in fact, engaged in his chosen profession, but thereafter, because of the injuries sustained, he was not able to work. He accordingly asserted his entitlement to compensation as for total and permanent disability and sought recovery therefor, as well as reimbursement of medical expenses incurred in the treatment of his injuries, from both defendants, Tri-State and Phoenix.

In the third supplemental petition, filed on November 2, 1970, plaintiff alleged that he was involved in a third accident September 17, 1970, while working for South-land Fabricators. In neither of plaintiff’s four petitions did he make this employer or its insurer defendants. Nor did he seek to recover compensation from either. He prayed for judgment against Tri-State and Phoenix only, “as prayed for in his original petition,” which was, as noted, for the recovery of only certain medical expenditures.

Tri-State, in answer to the original and first supplemental petitions, admitted the continuing payment of weekly compensation and the furnishing of medical attention by two physicians, who remained available to plaintiff, but denied that the treatments allegedly rendered by Dr. Campbell were either reasonable or required for any condition resulting from the first alleged accident, and averred that the greater part of those treatments was rendered subsequent to the second accident.

Answers to the second and third supplemental petitions were filed by Tri-State and Phoenix. Tri-State filed its third-par[436]*436ty petition naming Phoenix, Southland Fabricators, and Westchester as third-party defendants. Tri-State sought contribution from Phoenix for all sums paid as compensation and medical expenses from and after June 7, 1968, as well as all such sums which Tri-State may be ordered to pay thereafter.

In connection with the above, it was contended that the continuing complaints of plaintiff after June 7, 1968, were caused, aggravated or contributed to by the accident of that date. Moreover, Tri-State contended that plaintiff had recovered from any disability attributable to the first and second accidents prior to the third accident, and that whatever disability plaintiff then complained of resulted solely from the third accident. Accordingly, Tri-State sought contribution from plaintiff’s last employer and its insurer for the amount of any judgment for workmen’s compensation benefits which might be rendered against it accruing after September 17, 1970.

Likewise, in answer to the third supplemental petition, Phoenix also instituted a third-party claim against Southland Fabricators and Westchester which appear, as already noted, only as third-party defendants under third-party petitions filed by the original defendants, Tri-State and Phoenix. In his third supplemental petition, plaintiff alleged, as aforesaid, the occurrence of a disabling accident on September 17, 1970, for which Westchester was making payment of workmen’s compensation benefits on an undisclosed pro rata basis. Therein followed plaintiff’s prayer for judgment against Tri-State and Phoenix in solido “as prayed for in his original petition.”

In the original petition, as already noted, plaintiff’s recovery was limited to medical expenses only, and plaintiff prayed accordingly. In none of his petitions did plaintiff pray for judgment for compensation benefits against either defendant.

On these pleadings, the case was tried. The court found that plaintiff sustained accidental injuries in the first and third accidents as enumerated above, and on account of which plaintiff was permanently and totally disabled within the purview of the workmen’s compensation statute. A finding was made that plaintiff received no injury to his back by virtue of the second accident. There was judgment accordingly in favor of plaintiff against Tri-State for the full sum and weekly compensation of $35.00 per week for the period of March 20, 1968, to September 17, 1970; at the rate of $35.00 per week and 50% of the weekly installments, or $17.50 per week, from September 17, 1970, for the period of plaintiff’s disability, not to exceed 400 weeks dating from March 20, 1968. Plaintiff was also awarded judgment for medical services rendered by Dr. Campbell in the sum of $1,000.00. The demands of plaintiff against Phoenix were rejected as were the third-party demands of Tri-State against Phoenix, Southland Fabricators, and Westchester, as were the demands of Phoenix in its third-party proceeding against Southland Fabricators and West-chester. From the judgment accordingly signed on September 8, 1971, plaintiff de-volutively and defendant Tri-State suspen-sively and devolutively appealed.

In view of the liberality accorded the construction and interpretation of pleadings under the Workmen’s Compensation Act and, further, in view of the provisions in LSA-C.C.P. Art. 2164, to the effect that appellate courts shall render any judgment which is just, legal, and proper upon the record on appeal, with complete freedom to do justice thereon irrespective of whether a particular legal point or theory was made, argued, or passed on by the court below, we deem the insufficiency of plaintiff’s prayers in his several petitions, with respect to the recovery of workmen’s compensation, is now a matter of little or no consequence.

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Bluebook (online)
259 So. 2d 433, 1972 La. App. LEXIS 5659, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carter-v-tri-state-insurance-lactapp-1972.