Ingram v. Aetna Casualty & Surety Co.

876 S.W.2d 91, 1994 Tenn. LEXIS 92
CourtTennessee Supreme Court
DecidedMarch 21, 1994
StatusPublished
Cited by2 cases

This text of 876 S.W.2d 91 (Ingram v. Aetna Casualty & Surety Co.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ingram v. Aetna Casualty & Surety Co., 876 S.W.2d 91, 1994 Tenn. LEXIS 92 (Tenn. 1994).

Opinions

OPINION

O’BRIEN, Justice.

Plaintiff, Rodney Keith Ingram appeals dismissal of his Workers’ Compensation claim on defendants’ motion for summary judgment in the trial court.

Between 1973 and 1979, while working for Union Carbide Corporation in Oak Ridge, Tennessee, appellant was exposed to asbestos insulation dust. As a result of this exposure Mr. Ingram was diagnosed by pulmonary specialist, Dr. Ronald Cherry, as suffering from an asbestos related disease referred to as “benign asbestos pleural plaques.”

The parties have stipulated to expert medical evidence presented in form of an affidavit by Dr. Cherry in which he states that while Mr. Ingram is not presently disabled by his condition, he is at a substantially increased risk of developing pulmonary asbestosis, which is the scarring of lung tissue, and which frequently leads to impaired pulmonary functions. Dr. Cherry also states that Mr. Ingram’s condition places him in more danger of developing lung cancer or malignant mesothelioma than individuals who have not contracted asbestos pleural plaques. By stipulating to the medical evidence in the affidavit, the parties have further agreed that it is impossible for the medical community to [93]*93predict when, if ever, the plaintiff will develop decreased pulmonary functions.

However, according to Dr. Cherry, the progressive nature of the condition with which Mr. Ingram has been diagnosed may result in any degree of disability, including death. Such disability, if it does occur, may take as long as twenty years to develop.

Since the medical community cannot predict when Mr. Ingram may become disabled, or to what extent, Dr. Cherry has advised that it is medically necessary for the plaintiff to be subjected to annual pulmonary examinations for the early detection of any developing malignant condition. Such examinations, according to the doctor’s affidavit, are the best to be presently offered by medical science to monitor the health and detect early any malignant condition of someone in the early clinical stages of an asbestosis related disease as a preventive measure.

Despite the defendants’ stipulation to the medical necessity for annual check-ups, they deny any liability for medical benefits or to pay for the plaintiffs yearly examinations.

The plaintiff claims a statutory right to medical benefits under the provisions of T.C.A. § 50-6-204(b). The plaintiff also sues to preserve his claim for future workers’ compensation disability benefits. Alternatively, the defendants argue that where there is no proof of disability or incapacitation there can be no right to bring suit for any benefits.

As noted the trial court overruled plaintiffs motion for summary judgment and dismissed the suit as premature. We disagree and, for the following reasons, reverse on the issue of liability for medical expenses incurred as a result of the plaintiffs condition.

T.C.A. § 50-6-204(b) states in pertinent part:

Where the nature of the injury or occupational disease ... is such that it does not disable the employee but reasonably requires medical, surgical or dental treatment or care, medicine, surgery and dental treatment, medicine, medical and surgical supplies, crutches, artificial members, and other apparatus shall be furnished by the employer.

Considering the progressive nature of occupational diseases caused by exposure to asbestos, preventive medicine in the form of examinations designed to lead to early discovery and thus enabling early treatment, clearly falls within the term “reasonably required” medical care as contemplated in § 204(b).

Accordingly, we find that plaintiff is entitled to medical benefits, to be furnished by the employer, for the periodic evaluation of his pulmonary condition and any necessary subsequent treatment related to his occupational disease.

The plaintiff further requests that we order the case remanded and retired, with the provision that it be reinstated upon evidence that Mr. Ingram has developed a measurable disability, citing Brown v. Consolidated Coal Company, 224 Tenn. 144, 451 S.W.2d 684 (Tenn.1970), as precedent upon which we may base our order.

The defendants contend that a remand and retiring of the case, to be reinstated at such time that Mr. Ingram’s disease becomes disabling, “carries with it a multitude of problems.” The defendants cite primarily the judicial logistics of keeping the record inactive, yet still on file, and that a retired, although non-judicated case, requires an insurance company to carry a risk on its books. The defendants also contend that confusion of liability will arise if the employee should change jobs, or if the employer changes insurance carriers.

The possibility of future confusion of liability for Mr. Ingram’s injury is remote. Issues of liability are often raised as a defense in injuries of this type and are often the subject of appeal. Such claims are subject to adjudication at the appropriate time.

There is no statutory or procedural prohibition to prevent Mr. Ingram from filing a claim for disability benefits if, and when, his condition advances to the point that some compensable degree of disability may be established. The one-year statutory limitation on an injury involving an occupational disease does not begin to run until “after the [94]*94beginning of the incapacity for work.” T.C.A. § 50-6-306(a). We find that plaintiffs claim for disability benefits is not yet ripe for adjudication.

The trial judge in this case expressed considerable concern about the present efficacy of this Court’s decision in Brown v. Consolidated Coal Co., supra, upon which the plaintiff has relied seeking retirement of the case, after judgment for medical expenses, until such time as the plaintiff may possibly incur some compensable disability. He expressed the view in his findings of fact that it would be beneficial for this Court to provide some current guidance for the trial courts in those cases involving the problem of long-term related disease.

We disagree with the judgment dismissing plaintiffs action however, we are in accord that further explication is needed of the current state of the law involving adjudication of the rights of individuals affected with long-term latent disease. While the statutes across the spectrum of the states are generally similar in their basic structure, the case laws are somewhat in disarray. In our review of these various decisions we have concluded that the California Workers’ Compensation Act is similar in substance to the Tennessee Act, insofar as the issues at hand are concerned. We have borrowed heavily from the California case of J.T. Thorp, Inc., v. Workers’ Compensation Appeals Board, 153 Cal.App.3d 327, 200 Cal.Rptr. 219 (1984), in reaching the conclusions we have.

On the facts of this case, we note that neither of the parties in their stipulation or affidavits, indicated how Mr. Ingram first came under the observation of Dr. Cherry whose affidavit established Mr. Ingram’s malady. It appears that Mr.

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876 S.W.2d 91, 1994 Tenn. LEXIS 92, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ingram-v-aetna-casualty-surety-co-tenn-1994.