Federated Rural Electric Insurance Exchange v. William R. Hill

CourtCourt of Appeals of Tennessee
DecidedMarch 26, 2007
DocketM2005-02461-COA-R3-CV
StatusPublished

This text of Federated Rural Electric Insurance Exchange v. William R. Hill (Federated Rural Electric Insurance Exchange v. William R. Hill) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Federated Rural Electric Insurance Exchange v. William R. Hill, (Tenn. Ct. App. 2007).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE AT NASHVILLE November 15, 2006 Session

FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE, ET AL. v. WILLIAM R. HILL, ET AL.

Appeal from the Circuit Court for Davidson County No. 05C-1284 The Honorable Barbara Haynes, Judge

No. M2005-02461-COA-R3-CV - Filed on March 26, 2007

Employer and its insurer filed suit against employee for fraud in the procurement of workers' compensation benefits. Employee and his wife filed a counter-complaint alleging intentional infliction of emotional distress. retaliatory discharge and loss of consortium. The trial court dismissed the counter-complaint for failure to state a claim. Employee sought to amend the counter- complaint to add procurement of breach of employment contract and a tortious interference claim against the insurer. The trial court also denied these claims. Employee and his wife appeal. We reverse in part, affirm in part, and remand.

Tenn. R. App. P. 3; Appeal as of Right; Judgment of the Circuit Court Reversed in Part, Affirmed in Part, and Remanded

W. FRANK CRAWFORD , P.J., W.S., delivered the opinion of the court, in which ALAN E. HIGHERS, J. and HOLLY M. KIRBY , J., joined.

Clifford E. Wilson of Madisonville, Tennessee for Appellants, Federated rural Electric Insurance Exchange and Fort Loudoun Electric Cooperative

W. Stuart Scott and Autumn L. Gentry of Nashville, Tennessee for Appellees, William R. Hill and Suzann C. Hill

OPINION

During the course of his employment with Fort Loudoun Electric Cooperative (“Fort Loudoun,”), William R. Hill allegedly suffered on-the-job injuries to his knees over the course of several years. In 1990, Fort Loudoun and its insurer, Federated Rural Electric Insurance Exchange (“Federated” and, together with Fort Loudoun, “Plaintiffs” or “Appellees”) accepted a workers compensation claim and voluntarily paid Mr. Hill $23,595.00 in temporary total disability benefits and $51,160.11 in medical benefits for alleged injuries to Mr. Hill’s knees. The 1990 settlement resulted in 70% permanent partial disability to the body as a whole. On July 9, 2003, Fort Loudoun and Federated entered into a second settlement with Mr. Hill whereby they agreed to pay Mr. Hill workers’ compensation benefits for an alleged 1998 injury to Mr. Hill’s knees. Under the Agreed Order, the Plaintiffs paid medical benefits in the amount of $114,064.49, case management costs of $8,464.13, and $14,346.42 in temporary disability benefits. This settlement, along with the 1990 settlement, totaled 100% permanent, partial disability benefits to the body as a whole. In addition, Federated and Fort Loudoun agreed to leave lifetime future medical benefits open for treatment of Mr. Hill’s injuries, and paid $2,500.00 as an advance payment toward future lifetime medical benefits. Combined, the 1990 and 2003 settlements brought Mr. Hill to over 100% in temporary, total and permanent, partial disability benefits, thereby exceeding the maximum amount to which a claimant is entitled under the Tennessee Workers’ Compensation Act, T.C.A. § 50-6-102.

In November 2004, Mr. Hill underwent an arthroscopic procedure on his knees, which was performed by Dr. Rick Parsons. Thereafter, Mr. Hill was offered light-duty desk work at Fort Loudoun. While Mr. Hill was out from work and collecting total disability benefits, he was caught on videotape building a barn. Over the course of several days, Mr. Hill was seen climbing up and down a ladder, walking over uneven ground, and walking across a roof without apparent difficulty. After reviewing the videotapes, Mr. Hill’s treating physician, Dr. Parsons, opined in an April 25, 2005 letter that “[Dr. Parsons] certainly do[es] not feel like Mr. Hill is totally disabled to work and given his documented physical activities . . . it is difficult to imagine the patient having restrictions given the physical labor he did on an ongoing basis . . . .”

By letter dated May 2, 2005, Fort Loudoun terminated Mr. Hill’s employment. On that same day, Fort Loudoun and Federated filed suit against Mr. Hill for fraud, pursuant to T.C.A. § 50-6- 225(a)(1) and the Workers’ Compensation Fraud Act, T.C.A. § 56-47-101 et seq., citing Mr. Hill’s ability to perform strenuous, physical activity as caught on videotape. The Plaintiffs requested a finding that Mr. Hill was improperly collecting temporary, total disability benefits and a finding that Mr. Hill had engaged in fraud. The Plaintiffs prayed that Mr. Hill be assessed appropriate penalties and that his right to any additional workers’ compensation benefits (which had been approved by the trial court’s order of July 9, 2003, supra) be terminated. At the time they filed the Complaint, the Plaintiffs also served interrogatories, requests for production of documents and requests for admissions on Mr. Hill. Mr. Hill was served with these discovery requests on or about May 7, 2005. Mr. Hill filed no responsive pleadings. Rather, on or about May 23, 2005, Mr. Hill served the Plaintiffs with notice to take depositions. On May 25, 2005, Plaintiffs filed a Motion to Quash the discovery requests and, on May 27, 2005, Mr. Hill responded to the Motion to Quash. The motions were heard on May 27, 2005 and, by order of June 6, 2005, the trial court granted the Motion to Quash.

On June 2, 2005, Mr. Hill filed a motion to dismiss, in which he first objected to venue in the Davidson County court. Plaintiffs filed a response to the motion to dismiss on July 8, 2005. The motion was heard on July 15, 2005. By order of July 27, 2005, the trial court entered an order denying Mr. Hill’s motion to dismiss and specifically retaining venue.

-2- On June 9, 2005, Mr. Hill filed an Answer to the Complaint. On July 29, 2005, Mr. Hill filed a Counter-Complaint against Federated and Fort Loudoun for intentional infliction of emotional distress and retaliatory discharge. Mr. Hill’s wife, Suzann (together with Mr. Hill, the “Hills” or “Appellants”) joined in the Counter-Complaint, asserting derivative causes of action and a loss of consortium claim stemming from the termination of Mr. Hill’s employment. On August 26, 2005, in response to the Counter-Complaint, Plaintiffs filed a “Motion to Dismiss the Counter-Complaint for failure to state a claim upon which relief may be granted, to strike the Counter-Complaint, to Request a more Definitive Statement.” The Hills filed a response to this motion on September 6, 2005 and the motion was heard on September 9, 2005.

On September 21, 2005, the trial court entered an Order, which reads, in relevant part, as follows:

3. William R. Hill has acknowledged that there is no valid tort of bad faith claim against the Plaintiffs or either of them. Insofar as the Counter-Complaint implied a tort of bad faith existed against the Plaintiffs or either of them, any and all such claims are stricken and dismissed with prejudice. The Defendant, however, William R. Hill, through his attorney has taken the position that the Counter- Complaint, which he previously filed, was not intended to include a tort of bad faith. There is, therefore, no tort of bad faith which has been asserted or which will or may be pursued in this lawsuit. This Court also finds that no tort of bad faith has ever been alleged against Federated Rural Electric Insurance Exchange and Fort Loudoun Electric Cooperative.

4. William R. Hill asserts intentional infliction of emotional distress and what appears to be outrageous conduct.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Clinard v. Blackwood
46 S.W.3d 177 (Tennessee Supreme Court, 2001)
Win Myint and wife Patti KI. Myint v. Allstate Insurance Company
970 S.W.2d 920 (Tennessee Supreme Court, 1998)
Tuggle v. Allright Parking Systems, Inc.
922 S.W.2d 105 (Tennessee Supreme Court, 1996)
Buckner v. Hassell
44 S.W.3d 78 (Court of Appeals of Tennessee, 2000)
White v. Vanderbilt University
21 S.W.3d 215 (Court of Appeals of Tennessee, 1999)
Buddy Lee Attractions, Inc. v. William Morris Agency, Inc.
13 S.W.3d 343 (Court of Appeals of Tennessee, 1999)
Valencia v. Freeland & Lemm Construction Co.
108 S.W.3d 239 (Tennessee Supreme Court, 2003)
Duncan v. Duncan
789 S.W.2d 557 (Court of Appeals of Tennessee, 1990)
Huckeby v. Spangler
521 S.W.2d 568 (Tennessee Supreme Court, 1975)
Perry v. Transamerica Ins. Group
703 S.W.2d 151 (Court of Appeals of Tennessee, 1985)
Cornpropst v. Sloan
528 S.W.2d 188 (Tennessee Supreme Court, 1975)
Anderson v. Standard Register Co.
857 S.W.2d 555 (Tennessee Supreme Court, 1993)
Corby v. Matthews
541 S.W.2d 789 (Tennessee Supreme Court, 1976)
Jackson v. Miller
776 S.W.2d 115 (Court of Appeals of Tennessee, 1989)
Napier v. Martin
250 S.W.2d 35 (Tennessee Supreme Court, 1952)
Payne v. Ramsey
591 S.W.2d 434 (Tennessee Supreme Court, 1979)
Fuerst v. Methodist Hospital South
566 S.W.2d 847 (Tennessee Supreme Court, 1978)
Hunley v. Silver Furniture Mfg. Co.
38 S.W.3d 555 (Tennessee Supreme Court, 2001)
Freeman v. Marco Transportation Co.
27 S.W.3d 909 (Tennessee Supreme Court, 2000)
Overstreet v. Shoney's, Inc.
4 S.W.3d 694 (Court of Appeals of Tennessee, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
Federated Rural Electric Insurance Exchange v. William R. Hill, Counsel Stack Legal Research, https://law.counselstack.com/opinion/federated-rural-electric-insurance-exchange-v-will-tennctapp-2007.