Griffin v. Universal Underwriters Insurance Co.

268 So. 2d 702, 1972 La. App. LEXIS 6333
CourtLouisiana Court of Appeal
DecidedOctober 2, 1972
DocketNo. 8975
StatusPublished
Cited by3 cases

This text of 268 So. 2d 702 (Griffin v. Universal Underwriters Insurance 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
Griffin v. Universal Underwriters Insurance Co., 268 So. 2d 702, 1972 La. App. LEXIS 6333 (La. Ct. App. 1972).

Opinion

TUCKER, Judge.

This suit involves a workmen’s compensation action for total and permanent disability sustained by plaintiff-appellant due to injuries received in an accident on June 29, 1970, on U. S. Highway 61, in Ascension Parish, State of Louisiana, when the truck which plaintiff was driving was struck by an automobile owned by Leslie S. Richard, and driven by his wife Connie C. Richard, said automobile being insured by State Farm Mutual Automobile Insurance Company. Plaintiff’s injuries required him to be hospitalized at the Baton Rouge General Hospital for four and one-half months following the accident, and he has remained in the care of a Baton Rouge orthopedist, Dr. Allen Jackson, ever since the accident.

Plaintiff, a resident of and domiciled in Houston, Texas, was employed as a truck driver in Houston, Texas, by Keller Industries, Inc., a Houston corporation whose president was Marvin Keller, plaintiff’s stepson. Keller Industries, Inc. as a member of Motor Truck Owners Conference, Inc., of Kansas City, Missouri, was covered by a workmen’s compensation policy issued by Universal Underwriters Insurance Company, also of Kansas City, Missouri, which, according to the “Certificate of Insurance” issued by Universal Underwriters to Keller Industries, Inc., protects all of its members and employees in accordance with the “Workmen’s Compensation Benefits applicable in each state.”

The accident in which plaintiff was injured was routinely reported by Motor Truck Owners Conference, Inc., to Universal Underwriters which, under date of July 21, 1970, made a “Report of Initial Payment of Compensation” to the Industrial Accident Board of the State of Texas. On July 31, 1970, the Texas Industrial Accident Board established a file on plaintiff’s claim and sent Universal Underwriters a letter so stating. The Industrial Accident Board directed correspondence to the plaintiff requesting him to direct all future correspondence regarding this claim to the Industrial Accident Board. There is no proof, however, that the plaintiff actually received this notice, nor that he ever directed any claim for compensation or other similar form to the Industrial Board, or signed any such form used by the Board. Universal Underwriters began to pay plaintiff at the rate of Forty-nine and no/100 ($49.00) Dollars per week, on June 29, 1970, and continued to make payments to plaintiff for fifty-one (51) weeks, and all of these payments were accepted by plaintiff, plus a payment of Eighteen Thousand Six Hundred Eighty-one and 62/100 ($18,681.62) Dollars for medical expenses.

On April 22, 1971, while still receiving compensation payments from Universal Underwriters, and without any notification [704]*704to Universal, the plaintiff and his attorney executed at Houston, Texas, an instrument entitled, “Release, Indemnity, and Warranty Agreement”, which provided in part as follows:

“Received of Connie C. Richard, Leslie S. Richard, and State Farm Mutual Automobile Insurance Company the sum of Ten Thousand no/100 ($10,000.00) Dollars, in consideration of which the undersigned Newell W. Griffin releases and discharges the said parties from any and all claims resulting from the automobile accident of 29 June 1970.
* $ * * * *
“As an inducement for State Farm Mutual Automobile Insurance Company to pay him its policy limit of Ten Thousand and no/100 ($10,000.00) Dollars, for bodily injury to one person under the terms of its automobile liability policy issued to Leslie S. Richard, and as a further consideration for such payment, Newell W. Griffin hereby agrees to indemnify and protect State Farm Mutual Automobile Insurance Company and hold it harmless, against any workers’ compensation subrogation claim, or claim for damages, or other claims, that may be asserted against State Farm Mutual Automobile Insurance Company by New-ell W. Griffin’s employer and/or the workmens compensation insurer of said employer * * * ”

Universal Underwriters did not learn of the execution of tliis- instrument until sometime in June 1971. Thereafter, on June 29, 1971, it notified plaintiff of its intention to suspend compensation benefits, and on July 14, 1971, it requested the Industrial Accident Board to grant a suspension of compensation benefits on the basis of Vernon’s Ann.Texas Revised Civil Statutes Art. 8307, sec. 6a, which provides in part as follows:

“Sec. 6a. Where the injury for which compensation is payable under this law was caused under circumstances creating a legal liability in some person other than the subscriber to pay damages in respect thereof, the employé may at his option proceed either at law against that person to recover damages or against the association for compensation under this law, but not against both, and if he elects to proceed at law against the person other than the subscriber, then he shall not be entitled to compensation under this law. If compensation be claimed under this law by the insured employé or his legal beneficiaries, then the association shall be subrogated to the rights of the injured employé * * * ”

Plaintiff made demand upon Universal Underwriters for resumption of compensation benefits, which was denied, and on July 27, 1971, plaintiff filed the instant suit against Universal for workmen’s compensation benefits under the Louisiana statute, which provides compensation for total and permanent disability for 500 weeks instead of 400 weeks as provided in Texas, and which also permits the injured employee to proceed against both the third party who caused the injury, as well as against the employer’s insurer for workmen’s compensation benefits. In his suit plaintiff asked that credit be given for workmen’s compensation and medical payments already made, and that he be awarded statutory penalties on all sums owing, due to defendant’s arbitrary refusal to make further payment after June 29, 1971, and for attorney fees and interest as provided by law from the date of judicial demand, plus all costs.

On August 18, 1971, the Texas Industrial Accident Board rendered a final award stating:

“The Board finds that by reason of said Release, Indemnity and Guaranty Agreement with the Third Party, said employee has made a final election, and all additional claims for benefits under the Texas Workmen’s Compensation Act are denied.”

The plaintiff and his attorney were both individually furnished with a copy of this [705]*705final award and notified of the right to “appeal therefrom within 20 days from the date of this final award.” No appeal was taken within the' stipulated time, and the award became final.

Meanwhile plaintiff, on August 6, 1971, had set a pre-trial conference on the Louisiana suit for August 27, 1971. On August 18, 1971, defendant filed a peremptory exception of no right or cause of action based on the payments being made to plaintiff under Texas contract, according to Texas Industrial Board Claim, File No. X63541-H; and also a dilatory exception of prematurity based on the action pending in Texas in regard to the compromise settlement and release of liability plaintiff had effected with some one other than the subscriber and his insurer, which allegedly impaired defendant’s right of recovery against the tortfeasor herein. The pretrial conference date was later moved to September 22, 1971, to give time for an appeal from the final determination of the Texas Industrial Accident Board.

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

Related

Wade v. Consolidated Freight
749 So. 2d 706 (Louisiana Court of Appeal, 1999)
Griffin v. Universal Underwriters Insurance Co.
283 So. 2d 748 (Supreme Court of Louisiana, 1973)
Griffin v. Universal Underwriters Insurance
271 So. 2d 258 (Supreme Court of Louisiana, 1973)

Cite This Page — Counsel Stack

Bluebook (online)
268 So. 2d 702, 1972 La. App. LEXIS 6333, Counsel Stack Legal Research, https://law.counselstack.com/opinion/griffin-v-universal-underwriters-insurance-co-lactapp-1972.