STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
CA 03-1373
ELEANOR HAIK ETIE BAZER, ET AL.
VERSUS
HONDA MOTOR CO., LTD, ET AL.
**********
APPEAL FROM THE SIXTEENTH JUDICIAL DISTRICT COURT PARISH OF IBERIA, NO. 88974 HONORABLE EDWARD LEONARD JR., DISTRICT JUDGE
BILLY HOWARD EZELL JUDGE
Court composed of Glenn B. Gremillion, Billy Howard Ezell, and *Arthur J. Planchard, Judges.
* Honorable Arthur J. Planchard, Retired, participated in this decision by appointment of the Louisiana Supreme Court as Judge Pro Tempore.
AFFIRMED.
Lawrence J. Duplass Joseph George Glass Guyton Henri Valdin, Jr. Duplass, Zwain, Et Al. 3838 N. Causeway Blvd., #2900 Metairie, LA 70002 (504) 832-3700 Counsel for: Defendants/Appellees American Honda Motor Co., Inc. Honda R & D Co., LTD Honda Motor Co., LTD Joseph R. Joy, III Joseph Joy & Assoc. P. O. Box 4929 Lafayette, LA 70502 (337) 232-8123 Counsel for: Plaintiff/Appellee Eleanor Haik Etie Bazer
Morris Michael Haik, Jr. Attorney at Law 110 W. Washington Street New Iberia, LA 70560 (337) 560-4357 Counsel for: Plaintiff/Appellee Eleanor Haik Etie Bazer
Angela P. McCulloch Richard Nereaux Burtt Office of General Counsel P. O. Box 94095 Baton Rouge, LA 70804-9095 (225) 219-0244 Counsel for: Intervenor/Appellant Office of Group Benefits, State of Louisiana
Steve A. Bryant Attorney at Law 3618 Mount Vernon St., Ste A Houston, TX 77006-4238 (713) 526-7474 Counsel for: Plaintiff/Appellee Eleanor Haik Etie Bazer
Douglas Alan Thomas Attorney at Law 417 N. 20th St. Birmingham, AL 35203-3279 (205) 251-1193 Counsel for: Defendants/Appellees Honda R & D Co., LTD Honda Motor Co., LTD American Honda Motor Co., Inc. EZELL, JUDGE.
The Office of Group Benefits appeals a judgment denying its motion for new
trial which was filed in response to the trial court’s dismissal of its intervention claim
in a tort suit filed on behalf of its insured. Its insured, Renee Etie, was involved in
a one-vehicle accident which left her a quadriplegic and with permanent brain
damage. At the time of trial, Group Benefits had paid $611,142.02 for Etie’s medical
expenses. After several days of trial, Etie’s mother settled with Honda. After notice
of the settlement to counsel for Group Benefits, Group Benefits’ intervention claim
was dismissed with prejudice.
FACTS
Renee Etie was involved in a car accident on June 7, 1997. At the time, Etie
had health insurance coverage with State Employees Group Benefits Program,
predecessor to Group Benefits. Group Benefits paid medical expenses for Etie’s
medical care totaling $611,142.02 through December 31, 2001.
On June 3, 1998, Etie’s mother, Eleanor Etie Bazer, individually and on behalf
of Etie, sued Honda Motor Company, Ltd., American Honda Motor Company, Inc.
and Honda Research and Development Company, Ltd. (hereinafter collectively
referred to as Honda). Bazer claimed that Etie was harmed by the defective design
of the Honda that Etie was driving at the time of the accident. She also sued Iberia
Parish Government.
Group Benefits intervened in the suit on September 4, 1998. Prior to trial,
Iberia Parish Government settled with Bazer and Group Benefits. Group Benefits
received $30,000 as a result of the settlement.
On May 10, 2002, pretrial motions were heard, and trial by jury began on May
13, 2002. At that time, counsel for Group Benefits offered a written stipulation on
1 the issue of subrogation and reimbursement of benefits into evidence. Written
reasons for judgment indicate that counsel for Group Benefits then asked if she could
be excused from the rest of trial, which Group Benefits admits in brief. Trial
continued for six additional days.
After lunch on the sixth day, Bazer and Honda informed the court that they had
reached a settlement. At that time a call was placed by Bazer’s attorney in the
presence of the trial court to counsel for Group Benefits informing her of the
settlement. Group Benefits was told that if it wanted to pursue its intervention claim,
it would need to be at the courthouse within an hour-and-a-half. Group Benefits was
advised that the trial court would not hold the jury past this time.
By 1:00 p.m., no one had appeared on behalf of Group Benefits nor had anyone
called to advise the trial court of Group Benefits’ intentions or if it planned to take
any action. Thereafter, Bazer asked that Group Benefits’ intervention claim be
dismissed, and an order dismissing Group Benefits’ claims was signed on May 28,
2002. On June 7, 2002, Group Benefits filed a motion for new trial. A hearing on the
matter was held on July 26, 2002, with the trial court taking the matter under
advisement. On July 31, 2002, the trial court issued written reasons for judgment
denying Group Benefits’ motion for new trial. A judgment was signed on December
17, 2002. It is from this judgment that Group Benefits appeals.
DISCUSSION
Group Benefits argues that the trial court erred in dismissing its claim because
its claim was proven prior to trial. It relies on a pretrial stipulations and a stipulation
that it introduced as an exhibit prior to trial, which includes the reimbursement and
subrogation provisions from the plan document between it and Etie. It was also
stipulated that Group Benefits had issued benefits on behalf of Etie in the total
2 amount of $611,142.02 for the treatment of injuries she sustained in the accident.
Therefore, Group Benefits argues that it did not need to prove anything further.
However, what Group Benefits fails to recognize, and which was
acknowledged by the trial court in its reasons for judgment, the stipulation also
provided that Group Benefits was entitled to recover with preference and priority for
issued benefits if there is a “finding that any of the defendants are at fault.” A
settlement was reached between Bazer and Honda before there was any finding of
fault. As observed by the trial court, the stipulation only established the amount of
Group Benefits’ claim.
If Honda had admitted liability prior to trial, then there would have been no
need to have a trial on the issue. Group Benefits was asserting a claim based on
subrogation against Honda. “When subrogated to the rights of the insured, the insurer
stands in the shoes of the insured and thereby acquires the independent right to assert
the actions and rights of the insured.” Bailsco Blades & Casting, Inc. v. Fireman’s
Fund Ins. Co., 31,876, p.3 (La.App. 2 Cir. 5/5/99), 737 So.2d 164, 166(citing Barreca
v. Cobb, 95-1651 (La. 2/28/96), 668 So.2d 1129, and La.Civ.Code arts. 1825 and
1826). “Additionally, the subrogated insurer acquires no greater rights than those
possessed by its subrogor and is subject to all limitations applicable to the original
claim of the subrogor.” Id. at 167. Group Benefits still had to establish liability to
succeed on its subrogation or reimbursement claim.
However, the fact still remains that both Bazer and Honda had notice of Group
Benefits’ claim for medical expenses paid because it intervened in the proceedings.
In State Nat. Fire Ins. Co. v. Sykes, 527 So.2d 589 (La.App. 3 Cir. 1988), this court
held that where the plaintiff/subrogor settles with the tortfeasor and his insurer for the
full amount of the damages, and when the tortfeasor and his insurer are aware of the
3 subrogee’s claim for reimbursement, the subrogee can recover what it paid to the
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STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
CA 03-1373
ELEANOR HAIK ETIE BAZER, ET AL.
VERSUS
HONDA MOTOR CO., LTD, ET AL.
**********
APPEAL FROM THE SIXTEENTH JUDICIAL DISTRICT COURT PARISH OF IBERIA, NO. 88974 HONORABLE EDWARD LEONARD JR., DISTRICT JUDGE
BILLY HOWARD EZELL JUDGE
Court composed of Glenn B. Gremillion, Billy Howard Ezell, and *Arthur J. Planchard, Judges.
* Honorable Arthur J. Planchard, Retired, participated in this decision by appointment of the Louisiana Supreme Court as Judge Pro Tempore.
AFFIRMED.
Lawrence J. Duplass Joseph George Glass Guyton Henri Valdin, Jr. Duplass, Zwain, Et Al. 3838 N. Causeway Blvd., #2900 Metairie, LA 70002 (504) 832-3700 Counsel for: Defendants/Appellees American Honda Motor Co., Inc. Honda R & D Co., LTD Honda Motor Co., LTD Joseph R. Joy, III Joseph Joy & Assoc. P. O. Box 4929 Lafayette, LA 70502 (337) 232-8123 Counsel for: Plaintiff/Appellee Eleanor Haik Etie Bazer
Morris Michael Haik, Jr. Attorney at Law 110 W. Washington Street New Iberia, LA 70560 (337) 560-4357 Counsel for: Plaintiff/Appellee Eleanor Haik Etie Bazer
Angela P. McCulloch Richard Nereaux Burtt Office of General Counsel P. O. Box 94095 Baton Rouge, LA 70804-9095 (225) 219-0244 Counsel for: Intervenor/Appellant Office of Group Benefits, State of Louisiana
Steve A. Bryant Attorney at Law 3618 Mount Vernon St., Ste A Houston, TX 77006-4238 (713) 526-7474 Counsel for: Plaintiff/Appellee Eleanor Haik Etie Bazer
Douglas Alan Thomas Attorney at Law 417 N. 20th St. Birmingham, AL 35203-3279 (205) 251-1193 Counsel for: Defendants/Appellees Honda R & D Co., LTD Honda Motor Co., LTD American Honda Motor Co., Inc. EZELL, JUDGE.
The Office of Group Benefits appeals a judgment denying its motion for new
trial which was filed in response to the trial court’s dismissal of its intervention claim
in a tort suit filed on behalf of its insured. Its insured, Renee Etie, was involved in
a one-vehicle accident which left her a quadriplegic and with permanent brain
damage. At the time of trial, Group Benefits had paid $611,142.02 for Etie’s medical
expenses. After several days of trial, Etie’s mother settled with Honda. After notice
of the settlement to counsel for Group Benefits, Group Benefits’ intervention claim
was dismissed with prejudice.
FACTS
Renee Etie was involved in a car accident on June 7, 1997. At the time, Etie
had health insurance coverage with State Employees Group Benefits Program,
predecessor to Group Benefits. Group Benefits paid medical expenses for Etie’s
medical care totaling $611,142.02 through December 31, 2001.
On June 3, 1998, Etie’s mother, Eleanor Etie Bazer, individually and on behalf
of Etie, sued Honda Motor Company, Ltd., American Honda Motor Company, Inc.
and Honda Research and Development Company, Ltd. (hereinafter collectively
referred to as Honda). Bazer claimed that Etie was harmed by the defective design
of the Honda that Etie was driving at the time of the accident. She also sued Iberia
Parish Government.
Group Benefits intervened in the suit on September 4, 1998. Prior to trial,
Iberia Parish Government settled with Bazer and Group Benefits. Group Benefits
received $30,000 as a result of the settlement.
On May 10, 2002, pretrial motions were heard, and trial by jury began on May
13, 2002. At that time, counsel for Group Benefits offered a written stipulation on
1 the issue of subrogation and reimbursement of benefits into evidence. Written
reasons for judgment indicate that counsel for Group Benefits then asked if she could
be excused from the rest of trial, which Group Benefits admits in brief. Trial
continued for six additional days.
After lunch on the sixth day, Bazer and Honda informed the court that they had
reached a settlement. At that time a call was placed by Bazer’s attorney in the
presence of the trial court to counsel for Group Benefits informing her of the
settlement. Group Benefits was told that if it wanted to pursue its intervention claim,
it would need to be at the courthouse within an hour-and-a-half. Group Benefits was
advised that the trial court would not hold the jury past this time.
By 1:00 p.m., no one had appeared on behalf of Group Benefits nor had anyone
called to advise the trial court of Group Benefits’ intentions or if it planned to take
any action. Thereafter, Bazer asked that Group Benefits’ intervention claim be
dismissed, and an order dismissing Group Benefits’ claims was signed on May 28,
2002. On June 7, 2002, Group Benefits filed a motion for new trial. A hearing on the
matter was held on July 26, 2002, with the trial court taking the matter under
advisement. On July 31, 2002, the trial court issued written reasons for judgment
denying Group Benefits’ motion for new trial. A judgment was signed on December
17, 2002. It is from this judgment that Group Benefits appeals.
DISCUSSION
Group Benefits argues that the trial court erred in dismissing its claim because
its claim was proven prior to trial. It relies on a pretrial stipulations and a stipulation
that it introduced as an exhibit prior to trial, which includes the reimbursement and
subrogation provisions from the plan document between it and Etie. It was also
stipulated that Group Benefits had issued benefits on behalf of Etie in the total
2 amount of $611,142.02 for the treatment of injuries she sustained in the accident.
Therefore, Group Benefits argues that it did not need to prove anything further.
However, what Group Benefits fails to recognize, and which was
acknowledged by the trial court in its reasons for judgment, the stipulation also
provided that Group Benefits was entitled to recover with preference and priority for
issued benefits if there is a “finding that any of the defendants are at fault.” A
settlement was reached between Bazer and Honda before there was any finding of
fault. As observed by the trial court, the stipulation only established the amount of
Group Benefits’ claim.
If Honda had admitted liability prior to trial, then there would have been no
need to have a trial on the issue. Group Benefits was asserting a claim based on
subrogation against Honda. “When subrogated to the rights of the insured, the insurer
stands in the shoes of the insured and thereby acquires the independent right to assert
the actions and rights of the insured.” Bailsco Blades & Casting, Inc. v. Fireman’s
Fund Ins. Co., 31,876, p.3 (La.App. 2 Cir. 5/5/99), 737 So.2d 164, 166(citing Barreca
v. Cobb, 95-1651 (La. 2/28/96), 668 So.2d 1129, and La.Civ.Code arts. 1825 and
1826). “Additionally, the subrogated insurer acquires no greater rights than those
possessed by its subrogor and is subject to all limitations applicable to the original
claim of the subrogor.” Id. at 167. Group Benefits still had to establish liability to
succeed on its subrogation or reimbursement claim.
However, the fact still remains that both Bazer and Honda had notice of Group
Benefits’ claim for medical expenses paid because it intervened in the proceedings.
In State Nat. Fire Ins. Co. v. Sykes, 527 So.2d 589 (La.App. 3 Cir. 1988), this court
held that where the plaintiff/subrogor settles with the tortfeasor and his insurer for the
full amount of the damages, and when the tortfeasor and his insurer are aware of the
3 subrogee’s claim for reimbursement, the subrogee can recover what it paid to the
plaintiff/subrogor from the tortfeasor and his insurer. But the inquiry does not end
here.
The trial court in written reasons for judgment explains that the attorneys and
the court notified Group Benefits about the settlement but Group Benefits “made [a]
conscious decision, perhaps a bad decision, to absent itself from the trial.” The trial
court also observed that Group Benefits claims that the trial court did not identify
itself when the call was made to notify it of the settlement and that it needed to take
action to preserve its claim. The trial court explained that “[i]f the OFFICE OF
GROUP BENEFITS had any doubt, it certainly could have made a follow-up call to
the Court to confirm same.” In addressing Group Benefits’ claim that it could not
appear at the court within the time limitations set by the trial court, the trial court
stated:
The OFFICE OF GROUP BENEFITS had more than 1½ hours to come to a trial in New Iberia from Baton Rouge; a trial which it received notice of and should have been prepared to try. The Court does not find that it was impossible to come to New Iberia to reappear at trial. If Intervenor had a hardship, it again could have called the Court and asked for additional travel time. Intervenor never requested this from the Court which certainly would have been granted.
We are mindful of Motor Ins. Corp. v. O’Neal, 449 So.2d 1390 (La.App. 3 Cir.
1984), in which this court held that an insurer’s subrogation suit should not have been
dismissed pursuant to a settlement between its insured and defendant and her insurer,
where the insurer’s claim was never compromised, it never joined in the motion to
dismiss, and it never consented to dismissal. However, in that case the insurer was
not given an opportunity to pursue its subrogation claim. Group Benefits was given
the opportunity to establish its claim of Honda’s liability but instead chose to be
absent from the jury trial proceedings and to take no further action to preserve its
4 claim whatsoever when notified that a settlement had been reached between Bazer
and Honda. Based on the actions of Group Benefits, the trial court was within its
authority to assume that Group Benefits acquiesced in the settlement and dismiss its
intervention accordingly.
We also observe that Group Benefits may not have been successful in its
reimbursement claim against Bazer. When discussing the settlement with the trial
court, the trial court noted that the amount of the settlement had been revealed to it,
and it agreed, after listening to all the evidence up to that point, “that the amount of
the settlement is certainly significantly less than the amount that has been testified to
which would be required for future care.”
Louisiana Civil Code Article 1826(B) provides, in part, that “[a]n original
obligee who has been paid only in part may exercise his right for the balance of the
debt in preference to the new obligee.” The court in Fair Grounds Corp. v. ADT Sec.
Sys., 97-2375, p. 17 (La.App. 4 Cir. 9/23/98), 719 So.2d 1110, 1119, writ denied, 98-
3098 (La. 2/5/99), 738 So.2d 6, recognized that “under Louisiana law, the original
subrogor is always preferred to the subrogee in such a case, and the subrogee can only
claim that which remains after the subrogor has been paid.” The parties agreed, with
the trial court concurring, that Bazer’s settlement with Honda did not even satisfy all
of Etie’s expenses that would be required for just her future medical expenses.
For these reasons, the judgment of the trial court is affirmed. Costs of this
appeal are assessed to Office of Group Benefits.