Hebert v. Aetna Cas. and Sur. Co.

400 So. 2d 695, 1981 La. App. LEXIS 4009
CourtLouisiana Court of Appeal
DecidedMay 26, 1981
Docket14137
StatusPublished
Cited by8 cases

This text of 400 So. 2d 695 (Hebert v. Aetna Cas. and Sur. 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
Hebert v. Aetna Cas. and Sur. Co., 400 So. 2d 695, 1981 La. App. LEXIS 4009 (La. Ct. App. 1981).

Opinion

400 So.2d 695 (1981)

Everette P. HEBERT
v.
AETNA CASUALTY AND SURETY COMPANY et al.

No. 14137.

Court of Appeal of Louisiana, First Circuit.

May 26, 1981.

*696 Joseph L. Waitz, Houma, for plaintiff and appellee.

J. Mark Graham, Houma, for defendant and appellant Aetna Cas. & Sur. Co.

Henry D. McNamara, Jr., Metairie, for defendant Diamond M Co.

Before COVINGTON, CHIASSON and LEAR, JJ.

COVINGTON, Judge.

The present action is a sequel to the proceedings entitled "Everette P. Hebert v. Diamond M Company, et al.", number 54,202 on the docket of the Thirty-Second Judicial District Court, Parish of Terrebonne, State of Louisiana, and reported in this Court as Hebert v. Diamond M Company, 385 So.2d 410 (La.App. 1 Cir. 1980), writs denied, 390 So.2d 203 (La.1980).

In the proceedings against Diamond M, Hebert sought to collect for damages sustained by him as a seaman employed by Dowell, Inc., a division of Dow Chemical Company, when he was dropped as he was being lifted from a crew boat, the M/V MASTER JODY, in a personnel carrier *697 which was suspended from a crane located aboard Diamond M's tender barge, S-25, which served as an Exxon fixed platform in the Gulf of Mexico, off the coast of the State of Louisiana. Aetna Casualty and Surety Company, as Dowell's insurer, intervened for maintenance and cure benefits and medical expenses it had to pay to the plaintiff as a result of the injury.

Prior to trial in the damage action against Diamond M, stipulations were made regarding the intervenor's claim whereby the parties recognized Aetna's right to reimbursement of maintenance benefits paid to plaintiff in the sum of $2,984.00, and for medical expenses in the sum of $10,613.40, which sums were to be added to any award to plaintiff, but were to be paid directly to Aetna. The matter then came on for jury trial on January 29, 1979. During trial, Diamond M admitted liability and that plaintiff was a seaman.

The jury rendered a verdict in plaintiff's favor against Diamond M in the sum of $470,000.00 for loss of future earnings, $104,000.00 for pain, suffering, mental anguish and disability, and $76,000.00 for future medical expenses, totalling $650,000.00 The jury also returned a general verdict in favor of the plaintiff in a like amount.

On March 8, 1979, the trial court, with written reasons for judgment, rendered and signed judgment in favor of Hebert against Diamond M in the sum of $1,046,000.00, together with legal interest from date of judicial demand and costs. Judgment was also entered in favor of intervenor, Aetna, in accordance with the pre-trial stipulations.

Diamond M appealed that portion of the judgment against it in favor of plaintiff; and paid that portion of the judgment against it in favor of Aetna, obtaining a satisfaction of judgment and release therefor. The judgment in favor of Everette P. Hebert and against Diamond M Company was modified on appeal by this Court.

After the trial, Aetna ceased paying maintenance and cure benefits to Hebert, giving rise to the filing of the instant proceedings on June 30, 1979. By his action, plaintiff seeks maintenance and cure and medical expenses, together with damages and attorney's fees against Aetna, Dowell and Diamond M, jointly and solidarily, along with damages for failure to pay.

Aetna answered plaintiff's petition denying any obligation to the plaintiff; and filed a third-party demand seeking, alternatively, indemnity or contribution from Diamond M, which responded to the plaintiff's petition and the third-party demand of Aetna.

The matter was set for trial on August 30, 1979, and was tried on that date. At the trial, on motion of plaintiff, his demand against Dowell was non-suited. After trial, the trial court rendered judgment, orally assigning reasons therefore, ordering Aetna to resume payment of benefits to Hebert until the judgment in the Hebert-Diamond M case was satisfied, and reserving to Aetna the right to claim reimbursement from Diamond M. Penalties and attorney's fees were denied. Judgment was signed on November 27, 1979. Plaintiff moved the court for a new trial; and subsequently, Aetna also moved for a new trial. A hearing was held on those motions, resulting in the court's ordering a new trial as to all parties and all claims.

The new trial was set for May 1, 1980. Aetna then filed a reconventional demand seeking, in the alternative, judgment against the plaintiff in a like amount for any judgment which was rendered in the instant proceedings against it in favor of plaintiff, with such judgment to be recoverable by Aetna only from proceeds received by plaintiff from Diamond M as a result of the initial proceedings filed against that defendant. Answer to the reconventional demand was filed and trial was held on that claim, as well as on the other claims.

After this trial, the matter was taken under advisement; and, on July 30, 1980, judgment was signed, with written reasons therefor, awarding benefits, damages, and attorney's fees in favor of Hebert against Aetna. Aetna has taken an appeal from that judgment, and Hebert has answered it, *698 seeking an increase in the award. We affirm.

First, appellant has a procedural objection that the plaintiff has no cause of action directly against his employer's insurer inasmuch as he has neither alleged nor proved that the insurance policy was issued or delivered in the State of Louisiana, or that the accident or injury occurred in this State as required by LSA-R.S. 22:655.

This objection is more properly an exception of no right of action. Vincent v. Penrod Drilling Co., 372 So.2d 807 (La.App. 3 Cir. 1979), writ denied, 375 So.2d 646 (La.1979). However, by whatever characterization, it is without merit. This is not only a suit against Aetna as Hebert's employer's insurer but as tortfeasor, so the requisites of the direct action statute need not be met. Nevertheless, they were met; the record clearly establishes that the present action is against the insurer for an "accident," or act producing the harm, to Hebert which occurred within this State. Sprow v. Hartford Insurance Company, 594 F.2d 412 (C.A. 5 Cir. 1979); Cambre v. St. Paul Fire and Marine Insurance Company, 331 So.2d 585 (La.App. 1 Cir. 1976), writ denied, 334 So.2d 434 (La.1976). The act producing the harm, or the accident, in the case at bar is alleged to be the capricious failure of the employer and its insurer to provide the seaman with maintenance and cure. Cortes v. Baltimore Insular Line, 287 U.S. 367, 53 S.Ct. 173, 77 L.Ed. 368 (1932); Picou v. American Offshore Fleet, Inc., 576 F.2d 585 (C.A. 5 Cir. 1978). The alleged act took place in Louisiana where the claim was administered and which was the home base of the insurer's representative who refused to continue paying maintenance and cure to Hebert. There is also a claim for damages for aggravation of Hebert's mental condition which could only have occurred in Louisiana. This claim for capricious failure to pay maintenance is a distinct claim from the claim for injuries against Diamond M for its tort on the high seas. See Cortes v. Baltimore Insular Line, supra.

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400 So. 2d 695, 1981 La. App. LEXIS 4009, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hebert-v-aetna-cas-and-sur-co-lactapp-1981.