Kim D. Simon Versus Automobile Club Inter-Insurance Exchange, State Farm Mutual Automobile Insurance Company, and Shannon D. Singleton

Louisiana Court of Appeal·Decided October 13, 2021·No. 20-CA-156·Unknown

Opinion

KIM D. SIMON NO. 20-CA-156 VERSUS FIFTH CIRCUIT

AUTOMOBILE CLUB INTER-INSURANCE COURT OF APPEAL EXCHANGE, STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, STATE OF LOUISIANA AND SHANNON D. SINGLETON

ON APPEAL FROM THE TWENTY-FOURTH JUDICIAL DISTRICT COURT PARISH OF JEFFERSON, STATE OF LOUISIANA NO. 735-056, DIVISION "E"

HONORABLE FRANK A. BRINDISI, JUDGE PRESIDING

October 13, 2021

HANS J. LILJEBERG

JUDGE

Panel composed of Judges Fredericka Homberg Wicker, Jude G. Gravois, Marc E. Johnson, Stephen J. Windhorst, and Hans J. Liljeberg

AFFIRMED IN PART AND REVERSED IN PART; JNOV GRANTED IN PART AND AWARD AMENDED HJL JGG

WICKER, J., CONCURRING IN PART, DISSENTING IN PART FHW

JOHNSON, J., CONCURS, IN PART, AND DISSENTS, IN PART, FOR THE REASONS ASSIGNED BY JUDGE WICKER MEJ

WINDHORST, J., DISSENTS IN PART SJW

COUNSEL FOR PLAINTIFF/APPELLANT, KIM D. SIMON George B. Recile Walter R. Woodruff, Jr.

COUNSEL FOR DEFENDANT/APPELLEE, STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY Matthew A. Mang Victoria H. Fabre

LILJEBERG, J.

This matter involves a lawsuit for injuries allegedly sustained by plaintiff, Kim D. Simon, during a motor vehicle accident that occurred on February 11, 2013 (“2013 accident”). At trial, Ms. Simon sought damages for alleged injuries to her back and hip from her uninsured/underinsured insurer, defendant State Farm Mutual Automobile Insurance Company. The jury awarded Ms. Simon $313,928.00, which included $188,928.00 for past medical expenses, $90,000.00 for future medical expenses and $35,000.00 in general damages for past, present and future physical pain and suffering. The jury did not award any amounts to Ms. Simon for past and future lost wages or for loss of earning capacity.

Ms. Simon now appeals the jury’s verdict, as well as the trial court’s denial of her motion for judgment notwithstanding the verdict (“JNOV”) and/or alternative motion for new trial and additur, on two grounds. First, she contends it was inconsistent and an abuse of discretion to award such a low amount for her past, present and future physical pain and suffering, when the jury awarded significant past and future medical expenses, including costs for two back surgeries and a third surgery on her hip. Second, Ms. Simon argues the jury and trial court abused their discretion by failing to award her past and future lost wages, as well as loss of earning capacity, because she was no longer able to work as an occupational therapist after the 2013 accident. State Farm conversely argues Ms. Simon cannot meet her heavy burden to upset the jury verdict because this matter involves a low impact accident and the evidence established Ms. Simon had pre- existing conditions caused by a prior motor vehicle accident in 2011.

For the reasons that follow, we reverse the denial of the JNOV in part and amend the jury verdict to award $200,000.00 for Ms. Simon’s past, present and future physical pain and suffering arising from the injuries to her back and hip. We find that the jury undoubtedly determined that the 2013 accident caused Ms.

Simon to undergo three surgeries in light of its decision to award past medical expenses. The jury further determined that she will continue to require treatment for her back due to the 2013 accident based on its decision to award $90,000.00 in future medical expenses. This inconsistency constitutes an abuse of discretion that requires an increase in the general damages award.

However, we decline to reverse the denial of the JNOV with respect to lost wages and loss of earning capacity, and affirm the jury’s verdict as to this issue. Conflicting evidence exists regarding the debilitating nature of Ms. Simon’s injuries from the prior 2011 accident that could have lead reasonable and fair- minded jurors to reach different conclusions. PROCEDURAL HISTORY AND FACTS On February 11, 2013, a 2006 GMC Yukon operated by defendant, Shannon Singleton, rear-ended a 2006 Toyota Sequoia operated by Ms. Simon in Jefferson Parish. Ms. Simon’s SUV had no visible damage from the accident. The front bumper of Ms. Singleton’s SUV had slight damage caused by the trailer hitch on the back of Ms. Simon’s SUV. Ms. Simon filed this lawsuit against Ms. Singleton and her insurer, Automobile Club Inter-Insurance Exchange (“ACIIE”), for injuries allegedly sustained during the accident.1 Ms. Simon also named State Farm, in its capacity as Ms. Simon’s uninsured/underinsured insurer, as a defendant.

At the time of the accident, Ms. Simon worked as an occupational therapist for Ochsner Home Health and was on her way to an appointment with a patient. Ms. Simon claimed that as a result of the accident, she sustained injuries to her neck, lower back and hip.2 Shortly after the accident, Ms. Simon experienced

1 Prior to trial, Ms. Simon entered into a settlement with Ms. Singleton and ACIIE, and dismissed her claims against them with prejudice. 2 As discussed more fully below, during trial, Ms. Simon and her counsel informed the jury that she was not seeking any damages resulting from alleged injuries to her neck because she could not determine whether the 2013 accident, or the prior 2011 accident caused the injury.

severe lower back pain and underwent an MRI, which revealed a disc herniation at the L3-L4 level. Ms. Simon was referred to a neurosurgeon, Dr. Lucien Miranne, who initially recommended epidural steroid injections. However, after the injections did not relieve Ms. Simon’s increasing back pain and radiating leg pain, Dr. Miranne recommended a microdiscectomy at the L3-L4 level, which occurred in June 2013. Ms. Simon continued to experience lingering back and leg pain, and after exhausting all conservative measures, Dr. Miranne performed a spinal fusion on August 10, 2017.

Ms. Simon also claimed that after the accident, she experienced increased pain in her hip. She saw an orthopedic surgeon, Dr. Chad Millet, and he diagnosed a labral tear in her hip following an MRI. He performed arthroscopic surgery on Ms. Simon’s hip on March 4, 2015. Ms. Simon also sought past and future lost wages, as well as damages for loss of earning capacity, based on her claim that she was no longer able to work as an occupational therapist after the 2013 accident.

On September 16, 2019, the case proceeded to trial against State Farm before a jury. The parties stipulated that (1) Ms. Singleton was 100% at fault for the 2013 accident; (2) Ms. Simon’s past medicals were in the amount of $188,927.78; and (3) Ms. Simon’s past lost wages were in the amount of $345,542.02.3 On September 20, 2019, the jury returned a verdict in favor of Ms. Simon and against State Farm in the amount of $313,928.00. The jury awarded Ms. Simon the following damages: GENERAL DAMAGES:

Past, present & future Physical Pain and Suffering $35,000.00 Past, present & future Mental Anguish $—

3 As part of the stipulation, the parties agreed that State Farm was due a credit of $133,522.42, the amount paid by Ms. Simon’s workers’ compensation carrier. However, the trial court did not instruct the jurors regarding this portion of the stipulation as they were not permitted to learn information regarding the workers’ compensation payments Ms. Simon received for the 2013 accident.

LOST OF ENJOYMENT OF LIFE:

Past, present & future $—

PAST MEDICAL EXPENSES: $188,928.00 FUTURE MEDICAL & LIFE CARE EXPENSES: $ 90,000.00 PAST LOST WAGES: $— FUTURE LOST WAGES & LOSS OF EARNING CAPACITY: $—

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Kim D. Simon Versus Automobile Club Inter-Insurance Exchange, State Farm Mutual Automobile Insurance Company, and Shannon D. Singleton, (La. Ct. App. 2021).

Kim D. Simon Versus Automobile Club Inter-Insurance Exchange, State Farm Mutual Automobile Insurance Company, and Shannon D. Singleton (Kim D. Simon Versus Automobile Club Inter-Insurance Exchange, State Farm Mutual Automobile Insurance Company, and Shannon D. Singleton) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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