Johnson v. Star Enterprises

704 So. 2d 857, 1997 La. App. LEXIS 2899, 1997 WL 757720
CourtLouisiana Court of Appeal
DecidedDecember 10, 1997
DocketNo. 97-CA-461
StatusPublished
Cited by3 cases

This text of 704 So. 2d 857 (Johnson v. Star Enterprises) 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
Johnson v. Star Enterprises, 704 So. 2d 857, 1997 La. App. LEXIS 2899, 1997 WL 757720 (La. Ct. App. 1997).

Opinion

| xBOWES, Judge.

Defendant, Star Enterprises (“Star”), appeals a judgment of the Office of Worker’s Compensation in favor of petitioner, Johnny T. Johnson (“Johnson”), finding that Johnson is entitled to all outstanding medicals incurred following a settlement between Johnson and a third-party tortfeasor. We affirm for the following reasons.

The material underlying facts are not contested by either party. On July 14, 1989, Johnson was injured in the course and scope of his employment with Star. Star paid worker’s compensation indemnity and medical benefits.

^Johnson filed a third-party tort suit against the third-party tortfeasor, General Electric (“GE”). On March 3, 1995, Johnson settled his claims against GE; on May 16, 1995, Star entered into a compromise of its own with GE in the amount of $17,500.00, an amount less than the sum of benefits paid.1

In January, ■ 1996, Johnson filed a claim with the Office of Worker’s Compensation for payment of outstanding and future medical expenses. Star disputed the claim, averring that the compromise agreement without its consent released it from the obligation to pay future medical expenses associated with that claim. Star also sought reimbursement and/or credit for payment of medical expenses post settlement.

The settlement documents introduced at trial show that the compromise between Johnson and GE was not signed by Star, and no written approval of the compromise was ever entered into the record. We are aware that Johnson claims that Star was aware of the settlement, there is no evidence of this in the trial record. The compromise agreement is explicit in that it is for general damages only, and specifically excludes any claims of the intervenor/employer for reimbursement for past or future wages, compensation payments, or medical benefits.

The judge, after a hearing on the merits, found that:

bl. Johnson was not required to notify Star of the compromise settlement;

2. failure to do so did not prejudice his right to future compensation and medical benefits;

3. that defendant was not entitled to reimbursement for expenses already paid; and

4. that Johnson was entitled to future medical treatment and benefits to be paid by Star.

On appeal, Star strenuously argues that the law clearly requires the written consent of the employer whenever a compromise is made, and that Johnson’s failure to do so in this case caused him to forfeit his right to future compensation, including medical expenses.

Star further avers that Johnson’s right to future compensation was not reserved because he failed to “buy back” his right to future compensation by paying Star the total amount of compensation and benefits previously paid, subject to a ceiling of 50% of the total amount recovered from the compromise.

Star also urges that the trial judge should have assessed expenses and attorney fees because Johnson denied a request for admis[859]*859sion which was ultimately proven true at the trial.

\ ¿ANALYSIS

We find that the applicable law regarding worker’s compensation in this case is La. R.S. 23:1101-1103 as follows.

The applicable portion of La. R.S. 23:1101 permits the employee or the employer to bring a lawsuit against a third party tortfea-sor, as follows:

A. When an injury or compensable sickness or disease for which compensation is payable under this Chapter has occurred, under circumstances creating in some person (in this Section referred to as ‘third person’) other than those persons against whom the said employee’s rights and remedies are limited in R.S. 23:1032, a legal liability to pay damages in respect thereto, the aforesaid employee or his dependents may claim compensation under this Chapter and the payment or award of compensation hereunder shall not affect the claim or right of action of the said employee or his dependents, relations, or personal representatives against such third person, nor be regarded as establishing a measure of damages for the claim; and such employee or his dependents, relations, or personal representatives may obtain damages from or proceed at law against such third person to recover damages for the injury, or compensable sickness or disease.
B. Any person having paid or having become obligated to pay compensation under the provisions of this Chapter may bring suit against such third person to recover any amount which he has paid or becomes obligated to pay as compensation to such employee or his dependents. The recovery allowed herein shall be identical in percentage to the recovery of the employee or his dependents against the third person and, where the recovery of the employee is decreased as a result of comparative negligence, the recovery of the person who has paid compensation or has become obligated to pay compensation shall be reduced by the same percentage.

| sLa. R.S. 23:1102 read, at the time of Johnson’s accident, as follows:

A. If either the employee or his dependent or the employer or insurer brings suit against a third person as provided in R.S. 23:1101, he shall forthwith notify the other in writing of such fact and of the name of the court in which the suit is filed, and such other may intervene as party plaintiff in the suit.
B. If a compromise with such third person is made by the employee or his dependent, the employer or insurer shall be liable for compensation in excess of the amount recovered against such third person only if written approval of such compromise is obtained from the employer or insurer by the employee or his dependent, at the time of or prior to such compromise- If the employee or his dependent fails to notify the employer or insurer of the suit against the third person or fails to obtain written approval of the compromise from the employer and insurer at the time of or prior to such compromise, the employee or his dependent shall forfeit the right to future compensation, including medical expenses. Notwithstanding the failure of the employer to approve such compromise, the employee’s or dependent’s right to future compensation in excess of the amount recovered from the compromise shall be reserved upon payment to the employer or insurer of the total amount of compensation benefits, and medical benefits, previously paid to or on behalf of the employee, exclusive of attorney fees arising out of the compromise....
C. (1) When a suit has been filed against a third party defendant in which the employer or his insurer has intervened, if the third party defendant or his insurer fails to obtain written approval of the compromise fi*om the employer or his insurer at the time of or prior to such compromise and the employee fails to pay to the employer or his insurer the total amount of compensation benefits and medical benefits out of the funds received as a result of the compromise, the third party defendant or his 16insurer shall be required to reimburse the employer or his insurer to the extent of the total amount of compensation benefits and medical benefits previously paid to [860]*860or on behalf of the employee to the extent said amounts have not been previously paid to the employer or his insurer by the employee pursuant to the provisions of Subsection B of this Section.

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Cite This Page — Counsel Stack

Bluebook (online)
704 So. 2d 857, 1997 La. App. LEXIS 2899, 1997 WL 757720, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-star-enterprises-lactapp-1997.