Gibson v. ITT Hartford Ins. Co.

621 N.W.2d 388, 2001 Iowa Sup. LEXIS 7, 2001 WL 40299
CourtSupreme Court of Iowa
DecidedJanuary 18, 2001
Docket99-0386
StatusPublished
Cited by135 cases

This text of 621 N.W.2d 388 (Gibson v. ITT Hartford Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gibson v. ITT Hartford Ins. Co., 621 N.W.2d 388, 2001 Iowa Sup. LEXIS 7, 2001 WL 40299 (iowa 2001).

Opinion

LAVORATO, Chief Justice.

Lee Gibson filed this action against ITT Hartford Insurance Company (ITT) alleging multiple theories of recovery and punitive damages arising out of ITT’s handling of Gibson’s claim for workers’ compensation benefits. Before submitting the case to the jury, the district court granted ITT’s motion for directed verdict on several of the liability theories and on punitive damages. The court then submitted the balance of the liability theories to the jury, which returned a verdict on each of them. Later, the court granted ITT’s motion for judgment notwithstanding the verdict on all but two of the theories.

Gibson appealed, challenging the ruling on the motion for directed verdict only as to punitive damages and challenging the district court’s ruling sustaining the motion for judgment notwithstanding the verdict. ITT has not appealed. We reverse the directed verdict ruling on punitive damages and affirm the ruling on ITT’s *391 motion for judgment notwithstanding the verdict.

I. Scope of Review.

Our review of rulings granting motions for directed verdict is for correction of errors at law. Iowa R.App. P. 4; Balmer v. Hawkeye Steel, 604 N.W.2d 639, 640 (Iowa 2000). In our review, “we view the evidence in the same light as the district court to determine whether the evidence generated a jury question.” Id. at 640-41. We therefore view the evidence in the light most favorable to the party opposing the motion, who in this case is Gibson. See Iowa R.App. P. 14(f)(2); Econ. Roofing & Insulating v. Zumaris, 538 N.W.2d 641, 649 (Iowa 1995). If reasonable minds could differ on an issue of fact, the issue is for the jury. Id.

In ruling on such motions, the district court must decide whether the nonmoving party has presented substantial evidence on each element of the claim. Balmer, 604 N.W.2d at 641. “Evidence is substantial if a jury could reasonably infer a fact from the evidence.” Id. A directed verdict is appropriate if the evidence is not substantial. Id.

We likewise review a district court ruling on a motion for judgment notwithstanding the verdict for correction of errors at law. Iowa R.App. P. 4; Midwest Home Distrib., Inc. v. Domco Indus. Ltd., 585 N.W.2d 735, 738 (Iowa 1998). We inquire whether substantial evidence exists to support each element of the plaintiffs claim, justifying submission of the case to the jury. See Midwest, 585 N.W.2d at 738. In making this determination, we view the evidence in the light most favorable to the nonmoving party. Iowa R.App. P. 14(f)(2); Midwest, 585 N.W.2d at 738.

II. Facts.

Viewing the evidence in the light most favorable to Gibson, we think the evidence supports the following facts. In November 1990, Gibson, while employed by a Nebraska employer, sustained a work-related injury to his lower back. Dr. Patrick Bowman, after performing five surgeries on Gibson, rated him as having a twenty-two percent permanent partial impairment.

In May 1992, Gibson began working for The Garden Café as a line cook and later as a prep-cook. In March 1993, he sustained a temporary aggravation to his preexisting low back condition when his vehicle was struck from the rear by another vehicle. Dr. Bowman diagnosed and treated Gibson for “posttraumatie cervical and lumbar strain with a history of inter-body fusion” of vertebrae.

Following the accident, Gibson missed several weeks of work. Dr. Bowman allowed him to return to light-duty work at The Garden Café. On May 6, 1993, Dr. Bowman released Gibson to return to full-duty work at The Garden Café. The following day, Gibson slipped and fell while removing food from one of the restaurant coolers. He was hospitalized for a week. At the hospital, Dr. John Marshall treated Gibson’s injury, which he diagnosed as “back pain related to musculoskeletal strain of the lumbosacral region aggravated by-trauma.”

Gibson filed a claim for workers’ compensation benefits. ITT was the workers’ compensation carrier for The Garden Café. ITT assigned Gibson’s claim to Darlene Haverstock, a claims representative for ITT. Haverstock investigated the incident and determined Gibson had in fact suffered an injury arising out of and in the course of his employment on May 7, 1993. On May 18, ITT began making weekly benefit payments to Gibson and began paying Gibson’s medical expenses, including those related to his hospitalization. ITT did not file with the Iowa Industrial Commissioner a Commissioner’s Form 2 denying liability on Gibson’s claim. See Iowa Admin. Code r. 876 — 3.1(2) (1998). Nor did ITT advise Gibson that it denied he had suffered a work-related injury.

*392 After his release from the hospital, Gibson returned to Dr. Bowman’s care. Dr. Bowman diagnosed Gibson’s condition as “an aggravation of a preexisting condition.” The doctor prescribed medication and directed Gibson to begin physical therapy and restricted him from working.

Sometime in May, Haverstock obtained a neurological consultation report from Dr. Behrouz Rassekh concerning Gibson’s May 7 injury. At the time of the consultation, Gibson was complaining of severe back pain, had difficulty standing in an upright position, and could not extend his spine because of “the recent fall.”

On July 12, Haverstock submitted her “Initial Report” to ITT and reported her conclusion that Gibson’s injury was com-pensable as an aggravation of his preexisting lumbar spine condition.

In the same month, Dr. Bowman prescribed a myelogram, a diagnostic procedure. Following ITT’s refusal to pay for the procedure, Gibson filed an application for alternate care in September. See Iowa Code § 85.27 (1993) (“If the employer and employee cannot agree on such alternate care, the commissioner may, upon application and reasonable proofs of the necessity therefor, allow and order other care.”); see also Iowa Admin. Code r. 876 — 4.48 (1998). At the hearing on the application, Haver-stock told the presiding deputy commissioner that Gibson had suffered a compen-sable injury arising out of and in the course of his employment on May 7, 1993, and that ITT was liable on his claim for compensation benefits. Following a hearing, the Iowa Industrial Commissioner issued an alternate care decision on October 6.

The deputy commissioner who handled the application concluded that Dr. Bowman was an authorized treating physician in this matter and that ITT had acquiesced in Gibson’s care since the May 7 injury. The deputy commissioner further concluded that (1) Dr.

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Bluebook (online)
621 N.W.2d 388, 2001 Iowa Sup. LEXIS 7, 2001 WL 40299, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gibson-v-itt-hartford-ins-co-iowa-2001.