Karl E. Kimsey v. National Automotive Insurance Co.

CourtLouisiana Court of Appeal
DecidedMay 4, 2016
DocketCA-0015-1130
StatusUnknown

This text of Karl E. Kimsey v. National Automotive Insurance Co. (Karl E. Kimsey v. National Automotive 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
Karl E. Kimsey v. National Automotive Insurance Co., (La. Ct. App. 2016).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

CA 15-1130

KARL E. KIMSEY

VERSUS

NATIONAL AUTOMOTIVE INSURANCE CO., ET AL

**********

APPEAL FROM THE THIRTY-SIXTH JUDICIAL DISTRICT COURT PARISH OF BEAUREGARD, NO. C20110102 HONORABLE MARTHA ANN O’NEAL, DISTRICT JUDGE

DAVID KENT SAVOIE JUDGE

Court composed of Billy Howard Ezell, Shannon J. Gremillion, and David Kent Savoie, Judges.

GREMILLION, J., concurs in the result.

AFFIRMED. R. Scott Iles P. O. Box 3385 Lafayette, LA 70502 (337) 234-8800 COUNSEL FOR PLAINTIFF/APPELLANT: Karl Kimsey

Allen J. Mitchell, II Mitchell & Blanco One Lakeshore Dr., Suite 1495 Lake Charles, LA 70629 (337) 436-8686 COUNSEL FOR DEFENDANT/APPELLEE: State Farm Mutual Auto Ins. Co.

Brent Nicolas Carriere Allen & Gooch P. O. Box 81129 Lafayette, LA 70598-1129 (337) 291-1000 COUNSEL FOR DEFENDANT/APPELLEE: National Automotive Insurance Co. SAVOIE, Judge.

In this automobile accident case, we previously dismissed the plaintiff’s

appeal of the trial court’s judgment that, among other things, ordered the insurer to

provide for a knee surgery only if the plaintiff scheduled the surgery within one

year, finding that the conditional judgment was interlocutory and not appealable.

Kimsey v. Nat’l Auto. Ins. Co., 13-856 (La.App. 3 Cir. 2/12/14), 153 So.3d 1035.

Following our decision, the trial court rendered a final judgment in this matter, and

the plaintiff again appeals. For the reasons that follow, we affirm.

FACTUAL AND PROCEDURAL HISTORY

This case arises out of an automobile accident that occurred on February 3,

2010, in DeRidder, Louisiana, between Plaintiff Karl Kimsey, who was eighteen

years old at the time, and Defendant Terry Dickens. The vehicle driven by Mr.

Kimsey was insured by State Farm Mutual Automobile Insurance Company (State

Farm), and the policy included medical payments coverage as well as $50,000.00

in uninsured motorist, economic-only coverage. The vehicle driven by Mr.

Dickens was insured by a $10,000.00 liability policy issued by National

Automotive Automobile Insurance Company (NAIC).

Mr. Kimsey alleges that he sustained a left knee injury as a result of the

accident. On July 26, 2010, he first saw Dr. John Park, an orthopedic surgeon, for

treatment of a partial ACL tear of his left knee and underwent an arthroscopic

procedure on November 2, 2010. Dr. Park further recommended ACL

reconstruction. Following the November 2, 2010 arthroscopic procedure, Mr.

Kimsey saw Dr. Park once more on January 7, 2010, but did not return until June

11, 2012, when he and his mother met with Dr. Park in preparation for his

deposition. At the time of the accident, Mr. Kimsey was working for his father’s

vending business, and he testified that he was earning between $250 and $300 per

week working for his father. He did not work for approximately three months due

to his injury and arthroscopic procedure. Beginning May 1, 2011, Mr. Kimsey

began working for his mother’s vending business delivering for Pepperidge Farm.

He testified that he earned between $200 and $250 per week.

Mr. Kimsey filed the present matter, naming Mr. Dickens, State Farm, and NAIC as defendants. State Farm thereafter filed a cross- claim, asserting a subrogation claim for sums paid under its policy. Prior to trial, Mr. Kimsey stipulated that his damages did not exceed $50,000.00. By the time of the resulting bench trial, State Farm continued to contest its responsibility for the left knee reconstruction recommended by Dr. Park. State Farm further contested Mr. Kimsey’s claim for future loss of earning capacity.

Kimsey, 153 So.3d at 1036.

A bench trial was held August 22, 2012. The trial court rendered an initial

judgment on March 27, 2013, against Mr. Dickens and NAIC for the remainder of

the policy limits in the amount of $9,058.16, which, according to the trial court’s

written reasons for judgment, represented damages for pain and suffering. The

trial court awarded an additional $3,850.00 in past lost wages, representing $50 per

week for seventy-seven weeks beginning May 1, 2011, after considering amounts

that State Farm had already paid. The trial court found this to be “the average

amount he loses per week as a result of his residual pain and suffering and knee

injury.” In addition, Mr. Kimsey was awarded $50 per week for an additional

eight weeks ($400.00) to allow time to schedule the second surgery.

The March 27, 2013 judgment also directed Mr. Kimsey’s vocational

rehabilitation expert, Mr. Glenn Hebert, to facilitate the recommended ACL

reconstructive surgery and post-operative physical therapy and ordered State Farm

2 to approve and pay for it, provided that the surgery was scheduled within one year.

The judgment also awarded future lost wages at $300 per week during recovery

from the recommended surgery if it was scheduled within one year. In the event

Mr. Kimsey did not undergo the surgery within one year, the trial court indicated

that any party could return to court “to address whether or not these costs should be

paid at a future date or whether the obligation should be terminated.”

Both Mr. Kimsey and State Farm appealed the March 27, 2013 judgment.

Their appeals were dismissed for lack of jurisdiction because the judgment was

found to be conditional and therefore not final and appealable. Kimsey, 153 So.3d

1035.

The trial court heard the matter again on June 22, 2015, at the request of the

parties, to determine whether or not additional amounts should be paid to Mr.

Kimsey. As of the second hearing, Mr. Kimsey had not undergone, or otherwise

scheduled, the recommended ACL reconstruction surgery. The trial court rendered

a final judgment on July 24, 2015, against Mr. Dickens and NAIC for the

remaining amount of the policy limits ($9,056.16) plus interest, and against State

Farm for $400.00 for future lost wages at $50 per week for eight weeks. State

Farm had already paid the $3,850.00 in lost wages contemplated by the March 27,

2013 judgment. In addition, the trial court set Mr. Hebert’s expert fee at $1,000.00

and divided the court costs equally between NAIC and State Farm. The trial court

refused to award Mr. Kimsey with the estimated costs of the ACL surgery or any

increased amount for future lost wages. Mr. Kimsey appeals.

ASSIGNMENTS OF ERROR

On appeal, Mr. Kimsey asserts the following as an assignment of error:

3 After having the district court’s judgment vacated by this Honorable Court, the district court again erred in faulting Karl Kimsey for not forcing State Farm Mutual Automobile Insurance Company to authorize and pay for surgery when such order had been vacated by this Honorable Court[.]

In addition, Mr. Kimsey states in his brief that he is re-urging the

assignments of error he originally submitted in connection with the appeal of the

March 27, 2013 judgment, which were not considered, and asserts that:

1. The trial court erred “in awarding an offset of damages under the liability policy issued by National Automotive Insurance Company to pay a subrogation claim for State Farm Mutual Automobile Insurance Company for medical payments when the subrogation was inferior.”

2. The trial court erred “in failing to award full economic damages including economic-only uninsured motorist coverage for the lost earning capacity of Karl Kimsey.”

3.

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