Jack v. Fidelity & Casualty Company of New York

306 So. 2d 806, 1975 La. App. LEXIS 4187
CourtLouisiana Court of Appeal
DecidedJanuary 23, 1975
Docket4848
StatusPublished
Cited by17 cases

This text of 306 So. 2d 806 (Jack v. Fidelity & Casualty Company of New York) 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
Jack v. Fidelity & Casualty Company of New York, 306 So. 2d 806, 1975 La. App. LEXIS 4187 (La. Ct. App. 1975).

Opinion

306 So.2d 806 (1975)

Herbert Ray JACK, Plaintiff-Appellee,
v.
The FIDELITY & CASUALTY COMPANY OF NEW YORK, Defendant-Appellant.

No. 4848.

Court of Appeal of Louisiana, Third Circuit.

January 23, 1975.

*807 Allen, Gooch & Bourgeois by Paul J. Breaux, Lafayette, for defendant-appellant.

Preston N. Aucoin, Ville Platte, for plaintiff-appellee.

Before HOOD, CULPEPPER and MILLER, JJ.

HOOD, Judge.

Herbert Ray Jack instituted this suit for workmen's compensation benefits, plus penalties and attorney's fees. The defendant is The Fidelity & Casualty Company of New York, the compensation insurer of plaintiff's employer. Defendant filed an exception of prematurity and an answer. The exception was referred to the merits. After trial, judgment was rendered by the trial court in favor of plaintiff, awarding him the compensation benefits claimed and travel expenses, but making no award of penalties and attorney's fees. The judgment did not purport to dispose of the exception of prematurity filed by defendant.

Defendant appealed from the judgment insofar as it impliedly overruled its exception of prematurity and awarded plaintiff workmen's compensation benefits and travel expenses. Plaintiff answered the appeal, praying that the judgment be amended to award him penalties and attorney's fees.

One issue presented is whether the suit was filed prematurely, and thus whether it should be dismissed under the provisions of LSA-R.S. 23:1314. We have decided that a resolution of that issue disposes of the case.

Plaintiff sustained an injury on November 30, 1973, while working as a roughneck on an oil rig for Hercules Drilling Company. His injury was diagnosed as a comminuted fracture of the distal phalanx of the great toe of his left foot. He went to a doctor the day after the accident occurred, where his injury was diagnosed as a fractured toe, and he then was referred for treatment to his family physician, Dr. Ramson K. Vidrine, of Ville Platte.

Dr. Vidrine first examined plaintiff on December 3, 1973, and he treated him from that date until he discharged him on March 18, 1974. He found that plaintiff was disabled during most of the time this treatment was being administered, but he concluded that plaintiff had recovered fully and was able to return to his regular employment by March 11, 1974. Dr. Vidrine wrote a letter to Hercules Drilling Company, plaintiff's employer, on March 18, 1974, stating that:

"This is to inform you that I have discharged Herbert Ray Jack as fully recovered and able to return to full time work. My final bill is enclosed with this letter."

Hercules promptly forwarded that letter to the defendant insurer.

On January 23, 1974, while plaintiff was being treated by Dr. Vidrine, the latter referred him to Dr. Frazier Gaar, an orthopaedic surgeon. Dr. Gaar found that the fracture of plaintiff's toe was in good alignment and was undergoing healing, but that Jack was still disabled from performing manual labor at that time. He treated plaintiff from January 23 until March 6, 1974. On the last mentioned date, Dr. Gaar found that the fracture had healed, that plaintiff walked without a limp, that he complained of no pain, that he had a normal range of motion in the joints and big toe, and that he was no longer disabled from performing manual labor. He released plaintiff on that date to return to his former type work, although he advised him to wear a shoe with a steel toe. He testified "I thought that he had no significant problem or disability." Dr. Gaar wrote to Dr. Vidrine on March 6, 1974, sending a copy of the letter to Hercules Drilling Company, and in that letter he reviewed the treatment which had been *808 administered to plaintiff and concluded with the statement that:

"I am releasing the patient today and he can return to his former type work. I advised him to wear steel toe boots should he have the occasion. There appears to be no disability."

Hercules promptly sent that report from Dr. Gaar to the defendant insurer.

Defendant, Fidelity & Casualty, received a report of plaintiff's injury from its insured, Hercules Drilling Company, on December 17, 1973. That was the first report which defendant had of the injury, and it was the first knowledge that it acquired of the fact that an accident had occurred. On the same day that report was received, defendant referred it to an investigator, who investigated the claim promptly. On December 28, 1973, exactly four weeks after the accident occurred, defendant mailed to plaintiff a draft for $195.00, representing the payment of compensation benefits at the maximum rate of $65.00 per week for the period beginning December 8 and ending December 28, 1973. Payment of compensation for the first week was withheld at that time, as authorized by LSA-R.S. 23:1224, but the amount due for the first week was paid promptly after the disability had lasted six weeks.

Plaintiff engaged an attorney to represent him on or about December 28, 1973, and on that date the latter's counsel wrote to Hercules Drilling Company advising that he represented plaintiff, demanding payment of compensation benefits at the maximum rate, requesting the name of the insurer, and asking for copies of medical reports. That letter was written to Hercules on the same day that the latter's insurer, Fidelity & Casualty, mailed a draft to plaintiff to cover all compensation benefits due up to date. Defendant received that letter after the payment had been made.

Defendant paid all compensation benefits due plaintiff promptly thereafter, until March 27, 1974, when it discontinued making such payments. The payments were stopped after defendant received the above mentioned letters from the two treating physicians, Dr. Vidrine and Dr. Gaar, advising that plaintiff had fully recovered from his injury, that he could return to his former type of employment, and that he had no disability.

The instant suit was filed on April 18, 1974, or 24 days after the payment of compensation benefits was discontinued. No demand was made on defendant or the employer for compensation benefits between March 27, when the payment of benefits was discontinued, and April 18, when this suit was filed. No medical report was furnished to defendant during that time, and defendant received no information from any source that plaintiff was having trouble with his foot after having been discharged by his treating physicians and prior to the filing of this suit.

Plaintiff testified that after he had been discharged by Dr. Vidrine and by Dr. Gaar, his injured toe continued to bother him to the extent that he could not wear a shoe without suffering pain, and that the nailbed became infected sometime during the early part of April. He, however, did not seek any medical attention between the time he was discharged by his doctors and the date this suit was filed. He did go to Dr. Gaar for treatment on May 6, 1974, about 19 days after the suit was filed, and Dr. Gaar immediately resumed treating him. The treatment administered included the removal of the nail and nailbed of plaintiff's left great toe on May 10, 1974.

Defendant, through its attorney, received a report from Dr. Gaar on May 13, 1974, containing information about the post-discharge complications which had developed in plaintiff's toe. Three days after that report was received, that is, on May 16, 1974, defendant resumed the payment of maximum weekly compensation benefits to plaintiff. On that date, defendant sent plaintiff a draft for $455.00, which included compensation up to date, including the *809

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Bluebook (online)
306 So. 2d 806, 1975 La. App. LEXIS 4187, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jack-v-fidelity-casualty-company-of-new-york-lactapp-1975.