Doyle v. United General Ins. Co.

458 So. 2d 152, 1984 La. App. LEXIS 9686
CourtLouisiana Court of Appeal
DecidedOctober 10, 1984
Docket83-917
StatusPublished
Cited by9 cases

This text of 458 So. 2d 152 (Doyle v. United General Ins. Co.) 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
Doyle v. United General Ins. Co., 458 So. 2d 152, 1984 La. App. LEXIS 9686 (La. Ct. App. 1984).

Opinion

458 So.2d 152 (1984)

Janis DOYLE, et al., Plaintiffs-Appellants,
v.
UNITED GENERAL INSURANCE CO., et al., Defendants-Appellees.

No. 83-917.

Court of Appeal of Louisiana, Third Circuit.

October 10, 1984.

*153 Donald L. Mayeux of Guillory, McGee & Mayeux, Eunice, for plaintiffs-appellants.

Joseph Bradley Ortego of Young & Burson, Eunice, for defendants-appellees.

Before GUIDRY, LABORDE and YELVERTON, JJ.

*154 LABORDE, Judge.

Plaintiffs-appellants are the major children and grandchildren of Steve Doyle, Jr., who died on July 3, 1980, after suffering a stroke. Decedent was employed as a laborer by defendant-appellee Oilfield Construction Company. Defendant-appellee United General Insurance Company is the compensation underwriter for Oilfield Construction Company. The trial court found that the stroke was a compensable accident arising out of and in the course of decedent's employment. Plaintiffs were awarded medical and funeral expenses, but plaintiffs' claims for dependency benefits, penalties, and attorney fees were denied. Plaintiffs appeal. We affirm.

FACTS AND PRIOR PROCEEDINGS

On July 2, 1980, Steve Doyle, Jr. worked on a board road near Bossier City, Louisiana, for his employer, Oilfield Construction Company. Mr. Doyle had been a laborer for Oilfield Construction Company for many years. After completing work, Mr. Doyle and the other members of the work crew returned to the motel at which they were staying.

According to deposition testimony of Steve Doyle, III, one of the plaintiffs in this case and a member of the work crew, his father purchased some fried chicken and Gator Aid on the way to the motel. Upon arriving at the motel, approximately forty-five minutes after leaving the job site, Mr. Doyle was unable to get out of the truck. Co-workers helped him enter his room, but Mr. Doyle remained ill and shortly thereafter was taken by ambulance to a local hospital.

Mr. Doyle remained in the intensive care unit for approximately forty-eight hours before he died. An autopsy established the cause of death as basilar artery thrombosis, commonly known as a stroke. The autopsy also revealed that Mr. Doyle had long suffered from generalized arteriosclerosis, which had progressed to an advanced stage at the time of death.

The defendants refused to pay any benefits upon the claim and demand of decedent's children, and plaintiffs subsequently filed suit. Plaintiffs are the major children[1] and grandchildren[2] of decedent. The trial court found that decedent's stroke and subsequent death was a compensable accident arising out of and in the course of decedent's employment. The court ordered defendants to pay plaintiffs' expenses for decedent's hospitalization, medical care, and burial. Defendants have complied with this order and do not contest its propriety on appeal.

The trial court also found that plaintiffs did not meet their burden of proof under LSA-R.S. 23:1252 that they were legally and actually dependent, in whole or in part, on decedent. The trial court further found that defendants' refusal to pay benefits upon plaintiffs' demand had not been "arbitrary, capricious, or without probable cause" and therefore defendants were not liable for statutory penalties and attorney fees under LSA-R.S. 22:658. Plaintiffs appeal from these latter two findings.

ISSUES

The plaintiffs assign as error two findings by the trial court; plaintiffs contend:

(1) It was error to find that plaintiffs had not met their burden of proof that they were legally and actually dependent upon decedent.
(2) It was error to find that defendants had not arbitrarily, capriciously, or without probable cause denied benefits to plaintiffs when presented with a claim.

DEPENDENCY BENEFITS

Plaintiffs contend that, though no plaintiff was entirely dependent upon decedent, they relied upon his gifts of money, food, and shelter to some degree and therefore *155 should receive partial dependency benefits. No plaintiff is within the class of conclusively presumptive dependents set forth by LSA-R.S. 23:1251 (surviving spouse or incapacitated children with whom decedent resided, minor children, children under twenty-three years of age that are full-time students). If any plaintiff is to recover dependency benefits, he or she must prove dependency under LSA-R.S. 23:1252, which provides:

"In all other cases, the question of legal and actual dependency in whole or in part, shall be determined in accordance with the facts as they may be at the time of the accident and death; in such other cases if there are a sufficient number of persons wholly dependent to take up the maximum compensation, the death benefit shall be divided equally among them, and persons partially dependent, if any, shall receive no part thereof."

There are two prongs that plaintiffs must meet under this section: first, they must show actual dependency; second, this dependency must be of sufficient magnitude, as a matter of law, to amount to legal dependency. If any one or more of plaintiffs can meet the test under section 1252, they may recover partial benefits because of their relationship to decedent as lineal descendants, LSA-R.S. 23:1253, provided that they can show such dependency existed at the time of decedent's accident and death. LSA-R.S. 23:1254.

Plaintiffs must prove actual dependency by a preponderance of credible evidence; a finding of actual dependency under section 1252 is essentially a factual determination. Castle v. Prudhomme Tank Truck Line, Inc., 417 So.2d 1205, 1208 (La.App. 1st Cir.), writ denied, 422 So.2d 423 (La.1982); Griffitts v. Tiger Well Service, Inc., 226 So.2d 175, 176 (La.App.3d Cir.), writ denied, 254 La. 852, 227 So.2d 594 (1969); see McDermott v. Funel, 258 La. 657, 247 So.2d 567 (1971); Turner v. Consolidated Underwriters, 170 So.2d 199 (La.App.3d Cir.), affirmed, 248 La. 37, 176 So.2d 420 (1965). A finding of actual dependency or the absence thereof by the trial court is entitled to great weight. Unless a factual finding is shown to be clearly wrong, it will not be disturbed on appeal. Harris v. State Through Huey P. Long Memorial Hospital, 378 So.2d 383, 389 (La. 1979); Arceneaux v. Domingue, 365 So.2d 1330, 1333 (La.1978); Roussel v. Colonial Sugars Company, 318 So.2d 37, 39 (La. 1975).

On the subject of actual dependency, the record contains conflicting and inconsistent testimony between the plaintiffs, and often inconsistencies between different portions of the testimony of a single plaintiff. We particularly note that plaintiffs' deposition testimony often differed from that given at trial. The trial testimony was, of course, the more favorable of the two for showing dependency. Plaintiffs' only evidence of dependency was testimony.

On the basis of the record, we cannot say that the trial judge was clearly wrong in finding no actual dependency. To the contrary, we observe ample support for his finding.

Even if we fully accepted plaintiffs' contentions on appeal, which we clearly do not have to do, we would find, as a matter of law, that plaintiffs have not established legal dependency. The strongest claim is that decedent occasionally provided certain plaintiffs with temporary shelter, food, or small sums of cash. Such occasional gifts or aid do not amount to legal dependency under section 1252. See Durbin v. Argonaut Insurance Co., 393 So.2d 385 (La. App. 1st Cir.1980); Affiliated Foods, Inc. v.

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458 So. 2d 152, 1984 La. App. LEXIS 9686, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doyle-v-united-general-ins-co-lactapp-1984.