Kelly v. CNA Ins. Co.

706 So. 2d 198, 1998 La. App. LEXIS 59, 1998 WL 21838
CourtLouisiana Court of Appeal
DecidedJanuary 23, 1998
Docket29455-CA
StatusPublished
Cited by7 cases

This text of 706 So. 2d 198 (Kelly v. CNA Ins. 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
Kelly v. CNA Ins. Co., 706 So. 2d 198, 1998 La. App. LEXIS 59, 1998 WL 21838 (La. Ct. App. 1998).

Opinion

706 So.2d 198 (1998)

Linda S. KELLY, Plaintiff-Appellant,
v.
CNA INSURANCE COMPANY, et al., Defendants-Appellees.

No. 29455-CA.

Court of Appeal of Louisiana, Second Circuit.

January 23, 1998.

*199 Travis M. Holley, Bastrop, for Plaintiff-Appellant.

Jan P. Christiansen, Monroe, for Defendants-Appellees.

Before MARVIN, C.J., and NORRIS, HIGHTOWER, BROWN, WILLIAMS, STEWART, GASKINS, CARAWAY and PEATROSS, JJ.

NORRIS, Judge.

The plaintiff, Linda Kelly, appeals a judgment sustaining the defendants' exception of no cause of action and dismissing her suit. Because of conflicting authority from this court,[1] the matter was referred to an en banc hearing. URCA Rule 1-5. For the reasons expressed, we now affirm but remand the case to the District Court to grant Ms. Kelly the opportunity to amend her petition to state a cause of action.

Ms. Kelly, an industrial worker, filed this tort suit against her employer, Shield Pack, and its insurer, CNA Insurance Co., alleging that because of the repetitive nature of her work, she developed a condition known as carpal tunnel syndrome bilateral epicondylitis. She further alleged that she underwent surgery to treat the condition and then returned *200 to her old job at Shield Pack. Resumption of work, however, caused a recurrence of her pain. CNA placed her on workers' compensation weekly and medical benefits for a period of time, but then, "for no reason whatsoever," terminated these benefits. She further alleged that this action devastated her financially, cast her into clinical depression and made her suicidal. She specifically alleged that CNA and Shield Pack knew of her deteriorating condition but took no steps to assist her; continuing to withhold benefits, they aggravated her condition. In addition to her mental condition, Ms. Kelly alleged that the defendants' action caused her physical condition to deteriorate for lack of proper care. She concluded, in ¶ 11, that the worsening of her condition resulted from "either intentional conduct on the part of the Defendants or conduct that they should have known would cause Petitioner's injury to worsen, and that this worsening is separate and distinct from the injury sustained on the job."

The defendants filed an exception of no cause of action, alleging that Ms. Kelly's exclusive remedy was under the Louisiana Workers' Compensation Act, and that they were entitled to tort immunity under the act. La. R.S. 23:1032; Rusher v. Winningham Nissan Volvo Inc., 550 So.2d 784 (La.App. 2d Cir.1989).

The District Court sustained the exception and dismissed the suit. On appeal, Ms. Kelly urges this was error because of the holding of Weber v. State, 93-0062 (La.4/11/94), 635 So.2d 188.

In Weber, a worker sustained an occupational disease, and his doctors told him his only hope of survival was to have a heart transplant. The employer refused to authorize the transplant, but the Office of Workers' Compensation recommended payment. Before the worker could seek judicial review, he died. His survivors filed a tort suit for wrongful death; the employer filed an exception of no cause of action, which the District Court and the Court of Appeal sustained. The Supreme Court, however, reversed. It held that the employer's "alleged conduct in intentionally and arbitrarily denying necessary medical expenses," if proved, "may result in liability for damages beyond the remedies provided in the Workers' Compensation Act[.]" The court held that such damages were appropriate when the conduct and the resulting injury did not occur in the course of employment and only marginally arose out of employment, "and when the employer knew to a substantial certainty the denial would cause death that would not otherwise have occurred."

Apparently because the case was one in which death had intervened, the Supreme Court specifically reserved the decision on whether the exception would apply if the employer denied payment of necessary medical expenses despite knowledge "that a significant worsening of the employee's condition is substantially certain to follow." Id., at p. 10, 635 So.2d at 194, fn. 9.

This court initially visited the issue in Berry v. Insurance Company of N. Amer., 28,580 (La.App.2d Cir. 10/30/96), 683 So.2d 310, writ denied 97-0091 (La.3/7/97), 689 So.2d 1374. The plaintiff in Berry suffered from work-related reflex sympathetic dystrophy; he had requested, and the insurer had refused to provide, experimental treatment which allegedly would have prevented the plaintiff from losing the use of his leg. The plaintiff contended that his allegations stated a cause of action for a tort claim based on a non-fatal condition, the issue reserved in Weber, supra. This court found that on the allegations made, the penalty and attorney fee provision of the Compensation Act, R.S. 23:1201 E and 1201.2, provided a sufficient remedy for the plaintiff. The court declined to extend Weber to cover the non-death claim, and sustained the exception of no cause of action.

The court then re-visited the issue in Stevens v. Wal-Mart Stores Inc., 29,124 (La. App.2d Cir. 1/24/97), 688 So.2d 668, writ denied 97-0671 (La.5/9/97), 693 So.2d 768. In that case the plaintiff injured his shoulder while on the job; although the employer initially denied his compensation claim, a Workers' Compensation Hearing Officer declared that the injury was work-related and ordered the employer to pay weekly and medical benefits. While a suspensive appeal was pending, the plaintiff's treating physician *201 advised the employer that immediate physical and mental treatment was necessary to avert further, irreversible deterioration and possible suicide. As in Berry, supra, the plaintiff countered the employer's exception of no cause of action by urging that his allegations were sufficient under Weber. A different panel of this court agreed, noting that although the specific holding in Weber was narrow, "we find the reasoning [in Weber] persuasive, at least to the extent that we are constrained to find that plaintiffs have stated a cause of action."

We now address the issue for the third time. As the Supreme Court noted in Weber, R.S. 23:1032 is an immunity statute, and it must be strictly construed against the party seeking the immunity. See also Roberts v. Sewerage & Water Bd., 92-2048 (La.3/21/94), 634 So.2d 341. Every presumption must be indulged on the side of preserving the general tort rights of an injured worker against the actual wrongdoer, in the absence of explicit statutory language limiting or excluding such rights. Id. In our view, the interests that the Supreme Court acknowledged and preserved in Weber, a death case, may arise in a non-death case such as Stevens, supra, or the instant case. We find that these interests are no less worthy of preservation in a non-death case. In the absence of clear legislation to reverse the holding of Weber, we will recognize the jurisdiction of the District Court to hear tort cases in which the plaintiff's entitlement to tort-based remedy is properly alleged.

Applying the rationale of Weber,

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Bluebook (online)
706 So. 2d 198, 1998 La. App. LEXIS 59, 1998 WL 21838, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kelly-v-cna-ins-co-lactapp-1998.