Kerry Simmons v. Cornerstone Investments, LLC

CourtSupreme Court of Louisiana
DecidedMay 8, 2019
Docket2018-CC-0735
StatusPublished

This text of Kerry Simmons v. Cornerstone Investments, LLC (Kerry Simmons v. Cornerstone Investments, LLC) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kerry Simmons v. Cornerstone Investments, LLC, (La. 2019).

Opinion

Supreme Court of Louisiana FOR IMMEDIATE NEWS RELEASE NEWS RELEASE #021

FROM: CLERK OF SUPREME COURT OF LOUISIANA

The Opinions handed down on the 8th day of May, 2019, are as follows:

BY CLARK, J.:

2018-CC-0735 KERRY SIMMONS v. CORNERSTONE INVESTMENTS, LLC, ET AL. (Parish of Rapides)

In a tort case against a third party tortfeasor, the lower courts did not err in prohibiting a plaintiff from introducing the full amount of medical expenses billed and in allowing only evidence of the amount actually paid by the employer through workers’ compensation. We concluded the amount of medical expenses charged above the amount actually incurred is not a collateral source and its exclusion from the purview of the jury was proper. Accordingly, we affirmed the lower courts’ ruling. AFFIRMED.

HUGHES, J., concurs with reasons.

GENOVESE, J., dissents and assigns reasons. 05/08/19

SUPREME COURT OF LOUISIANA

No. 2018-CC-0735

KERRY SIMMONS

VERSUS

CORNERSTONE INVESTMENTS, LLC, ET AL.

ON SUPERVISORY WRITS TO THE NINTH JUDICIAL DISTRICT COURT, PARISH OF RAPIDES

CLARK, Justice

At issue is whether, in a tort case against a third party tortfeasor, the lower

courts erred in prohibiting a plaintiff from introducing the full amount of medical

expenses billed and allowing only evidence of the amount actually paid by the

employer through workers’ compensation. We granted this writ application to

determine the applicability of the collateral source rule to the instant facts. For the

reasons that follow, we conclude the amount of medical expenses charged above the

amount actually incurred is not a collateral source and its exclusion from the purview

of the jury was proper.

FACTS AND PROCEDURAL HISTORY

Kerry Simmons, (“Plaintiff”), was employed by Cintas Corporation No. 2,

(“Cintas”), at its warehouse in Pineville, Louisiana. Plaintiff was working in the

course and scope of his employment when he was injured on October 12, 2011, while

attempting to close a roll-up rear bay door that had become jammed. Plaintiff

received workers’ compensation benefits from Cintas, including disability and

medical expenses. The medical bills charged by Plaintiff’s healthcare providers

totaled $24,435; this amount was reduced to $18,435 in accordance with the

Louisiana Workers’ Compensation Act Medical Reimbursement Schedule. Thus,

there is a “written off” amount of $6,000 at issue. Subsequently, Plaintiff filed suit against Cornerstone and its insurer

(“Defendants”), as the owner of the builder. Plaintiff alleged the warehouse’s rear

bay door was defective, and that, but for this unreasonably dangerous defect his

accident would not have occurred. Cintas and its workers’ compensation carrier

intervened, asserting its right to reimbursement. Plaintiff settled with Cintas,

waiving his claims for additional workers’ compensation benefits in consideration

of Cintas waiving its intervention claim for reimbursement. Thereafter, Defendants

filed a motion in limine seeking to exclude evidence of the amount of medical

expenses “written off” due to workers’ compensation payments and include, as

evidence, only the medical expenses that were actually paid by workers’

compensation. Plaintiff filed a competing motion in limine seeking to have the entire

amount in medical bills admitted into evidence as a collateral source.

The trial court granted Defendants’ motion. Specifically, it prohibited

evidence of the amount of medical expenses “written off” due to workers’

compensation payments and found that the only evidence of medical expenses to go

to the jury would be the amount paid by workers’ compensation. The trial court also

denied Plaintiff’s motion in limine. The Court of Appeal, Third Circuit, denied the

writ in a 2-1 decision. The dissent found that the application of the collateral source

rule furthers the policy goal of tort deterrence and the trial court abused its discretion

in granting Defendants’ motion in limine. Plaintiff then applied to this court. We

granted the writ application to determine the applicability of the collateral source

rule to medical expenses “written off” pursuant to the Workers’ Compensation

reduced fee schedule. Simmons v. Cornerstone Investments, LLC, 18-735 (La.

9/21/18), 252 So.3d 491.

DISCUSSION

Jurisprudential Developments:

2 We begin our analysis with a review of the development of the collateral

source rule. In Louisiana Dept. of Transp. & Dev. v. Kansas City Southern Railway

Co., 02-2349, p. 6 (La. 5/20/03), 846 So.2d 734, 739, this court held:

Under the collateral source rule, a tortfeasor may not benefit, and an injured plaintiff’s tort recovery may not be reduced, because of monies received by the plaintiff from sources independent of the tortfeasor’s procuration or contribution. Under this well-established doctrine, the payments received from the independent source are not deducted from the award the aggrieved party would otherwise receive from the wrongdoer.

Subsequently, in Bozeman v. State, 03-1016 (La. 7/2/04), 879 So.2d 692, this

court considered whether the collateral source rule applied to medical expenses

which were “written off” under the Medicaid program. In analyzing this issue, this

court noted that the plaintiff paid no consideration for the “written off” amount. The

court provided:

[W]here the plaintiff pays no enrollment fee, has no wages deducted, and otherwise provides no consideration for the collateral source benefits he receives, we hold that the plaintiff is unable to recover the “write-off” amount. This position is consistent with the often-cited statement in Gordon v. Forsyth County Hospital Authority, Inc., 409 F.Supp. 708 (M.D.N.C. 1975), affirmed in part and vacated in part, 544 F.2d 748 (4th Cir. 1976), that “(i)t would be unconscionable to permit the taxpayers to bear the expense of providing free medical care to a person and then allow that person to recover damages for medical expenses from a tortfeasor and pocket the windfall.” (Emphasis by the court). After careful review, we conclude that Medicaid is a free medical service, and that no consideration is given by a patient to obtain Medicaid benefits. His patrimony is not diminished, and therefore, a plaintiff who is a Medicaid recipient is unable to recover the “write off” amounts. [Boldfacing in original].

In Bellard v. Amer. Cent. Ins. Co., 07-1335, (La. 4/18/08), 980 So.2d 654,

this court was tasked with deciding whether an employer’s uninsured motorist

carrier was entitled to a credit in the amount of workers’ compensation payments

paid to or on behalf of the plaintiff. In making the determination, we again focused

on whether the plaintiff’s patrimony was diminished, stating:

3 After Bozeman, two primary considerations guide our determination with respect to the collateral source rule. The first consideration is whether application of the rule will further the major policy goal of tort deterrence. The second consideration is whether the victim, by having a collateral source available as a source of recovery, either paid for such benefit or suffered some diminution in his or her patrimony because of the availability of the benefit, such that no actual windfall or double recovery would result from application of the rule.

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