Kelly Bailey v. Aig Insurance

Louisiana Court of Appeal·Decided December 6, 2006·No. CA-0006-0924·Unknown

Opinion

NOT DESIGNATED FOR PUBLICATION

STATE OF LOUISIANA

COURT OF APPEAL, THIRD CIRCUIT

06-0924

KELLY BAILEY AND ROBERT BAILEY

VERSUS AIG INSURANCE, ET AL.

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APPEAL FROM THE

ALEXANDRIA CITY COURT,

PARISH OF RAPIDES, NO. 100,573 HONORABLE RICHARD E. STARLING, JR., JUDGE

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JIMMIE C. PETERS

JUDGE

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Court composed of Jimmie C. Peters, Elizabeth A. Pickett, and J. David Painter, Judges.

AFFIRMED.

Wilbert J. Saucier, Jr., Inc. A Professional Law Corporation 2220 Shreveport Highway Pineville, LA 71360 (318) 473-4146 COUNSEL FOR PLAINTIFFS/APPELLEES:

Kelly Bailey and Robert Bailey

Michael L. Glass Attorney at Law 1733 White Street

Alexandria, LA 71301 (318) 484-2917 COUNSEL FOR PLAINTIFFS/APPELLEES:

Kelly Bailey and Robert Bailey

Thomas R. Hightower, Jr. Wade Kee John Andrew Durrett A Professional Law Corporation 1019 Lafayette Street Post Office Drawer 51288 Lafayette, LA 70505 (337) 233-0555 COUNSEL FOR DEFENDANT/APPELLANT:

Shelter Mutual Insurance Company

PETERS, J.

Shelter Mutual Insurance Company appeals a judgment of the Alexandria City Court rendered against it in favor of Kelly Bailey ($35,000.00, less a credit of $10,00.00 for sums paid by another insurer) and her husband, Robert Bailey ($10,000.00). For the following reasons, we affirm the trial court judgment in all respects.

DISCUSSION OF THE RECORD

This litigation arises from an automobile accident which occurred in Alexandria, Louisiana, on August 1, 2003. In the accident, a vehicle driven by Carrie Calhoun and owned by Louis Evans struck the rear of a vehicle driven by Kelly Bailey. The Baileys brought suit in Alexandria City Court against Ms. Calhoun; Illinois National Insurance Company (Illinois National),1 the insurer of Mr. Evans’ vehicle; Shelter Mutual Insurance Company (Shelter Mutual), Ms. Calhoun’s liability insurer; and State Farm Mutual Automobile Insurance Company (State Farm), the Baileys’ uninsured/underinsured insurance carrier.

Trial of this matter occurred on January 25, 2006, but, before that time, the issues of liability and insurance coverage were disposed of by summary judgment. Specifically, the trial court rendered a partial summary judgment on November 23, 2005, finding Ms. Calhoun 100% at fault in causing the accident and finding that the Illinois National policy, with $10,000.00/$20,000.00 liability limits, afforded primary liability coverage; that the Shelter Mutual policy, with $50,000.00/$100,000.00 liability limits, afforded secondary liability coverage; and that the State Farm policy provided underinsured motorist coverage with policy limits of

1 The original petition identified Mr. Evans’ liability insurer as AIG Insurance, a/k/a American International Group, Inc. However, it is not disputed that Illinois National is the proper party defendant.

$25,000.00/$50,000.00. Additionally, before trial, the Baileys settled with Illinois National for $10,000.00 and dismissed State Farm as a party defendant. Therefore, the only defendants remaining at trial were Ms. Calhoun and Shelter Mutual.

At trial, the evidence presented consisted of the deposition testimony of Ms.

Calhoun and the testimony of the plaintiffs and Dr. Gary J. Rubenstein, an Alexandria, Louisiana chiropractor. Additionally, the litigants filed a number of exhibits, including relevant insurance policies, medical bills, and records of chiropractors who had treated Mrs. Bailey before the accident of August 1, 2003. This evidentiary record establishes that there is little factual dispute surrounding the accident and subsequent events.

Mrs. Bailey did not seek medical attention immediately after the accident.

Instead, she went to the emergency room of the Rapides Regional Medical Center (Rapides Regional) the next day because of severe pain generalized throughout her spine. The staff at Rapides Regional treated her complaints with a prescription for pain medication. When the pain medication did not resolve her continuing complaints, Mrs. Bailey sought additional treatment from Dr. Rubenstein.

When Dr. Rubenstein first examined Mrs. Bailey on August 25, 2003, he concluded that she suffered from a cervical, thoracic, and lumbosacral sprain with an overlying myofascial fibrositis (inflammation of the connective tissue between the muscle fiber). Based on the history presented to him and his physical findings, he found all of these conditions to have been caused by the accident of August 1, 2003. Initially, Dr. Rubenstein followed Mrs. Bailey on a biweekly basis and treated her condition primarily with spinal manipulation and heat treatments. However, Mrs. Bailey did not seek treatment from Dr. Rubenstein from December of 2003 through

May of 2004 because she was required to address personal problems within her family that made regular treatment next to impossible.2 When she informed Dr. Rubenstein of her situation, he gave her instructions for home therapy.

When Mrs. Bailey returned to Dr. Rubenstein’s care on May 28, 2004, her original complaints had neither improved nor worsened since she ceased treatment in December of 2003. However, by this time she had developed serious headaches on a regular basis. The doctor renewed his prior treatments and continued to treat her until October of 2005. At that time, Mrs. Bailey was required to forgo her treatments because of her need for ovarian cystectomy surgery. The surgery was performed in November of 2005, and she ceased care with Dr. Rubenstein until released by her surgeon in January of 2006.

Mrs. Bailey returned to Dr. Rubenstein’s care on January 6, 2006, and her condition had not changed from October of 2005. Dr. Rubenstein renewed his treatment of Mrs. Bailey, and she was still under his care at the time of trial. With regard to long-term prognosis, Dr. Rubenstein was of the opinion that Mrs. Bailey’s problems with the inflammation of the fascicular connective tissue had become chronic. Thus, he opined that, with this permanent aspect of her injuries, her overall prognosis was guarded and the best one could do was to treat the symptoms from time to time rather than totally remediating those symptoms. Dr. Rubenstein’s charges for his services through trial were $5,192.00. He believed that Mrs. Bailey would require annual care of a chiropractor for the remainder of her life at a cost of from $400.00 to $500.00 per year.

2 Mrs. Bailey testified that in late 2003 her father was diagnosed with terminal cancer and her stepdaughter was involved in a serious automobile accident. From December of 2003 until May of 2004, Mrs. Bailey’s time was spent caring for the needs of her mother and father as well as her stepdaughter and her stepdaughter’s infant.

Mrs. Bailey and her husband owned and operated Omni Services, a business which sells dry cleaning and laundry equipment to commercial businesses. Prior to the accident, Mrs. Bailey’s basic obligation in that business was the operation of the business office. Mrs. Bailey’s duties in performing that task included, among other activities, lifting and stacking file boxes and operating a fork lift. Additionally, prior to the accident, she bore the primary responsibility of maintaining the family home and enjoyed bowling, riding horses, and even jet skiing. Mrs. Bailey’s uncontradicted testimony was that she had to drastically curtail all of those activities after the accident.

According to her husband, Mrs. Bailey was not a “quitter,” and she did her best to return to a normal life after the accident. However, it became necessary for Mr. Bailey to take over the basic obligations of the office as well as the home. In fact, often he would find her lying in their bed and crying because of her pain. Mr. Bailey testified that his wife’s injuries resulted in a significant negative change in their marital relationship, including their sex life.

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