Kimsey v. National Automotive Insurance Co.

153 So. 3d 1035, 13 La.App. 3 Cir. 856, 2014 WL 550994, 2014 La. App. LEXIS 333
CourtLouisiana Court of Appeal
DecidedFebruary 12, 2014
DocketNo. 13-856
StatusPublished
Cited by12 cases

This text of 153 So. 3d 1035 (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
Kimsey v. National Automotive Insurance Co., 153 So. 3d 1035, 13 La.App. 3 Cir. 856, 2014 WL 550994, 2014 La. App. LEXIS 333 (La. Ct. App. 2014).

Opinion

AMY, Judge.

[,The plaintiff alleged injury to his knee following an automobile accident. Although the plaintiffs insurer provided some medical treatment for the knee injury, it denied a recommended knee reconstruction. Thereafter, the plaintiff filed suit against his insurer as well as the driver of the other vehicle and the defendant driver’s insurer. The trial court found in favor of the plaintiff, awarding lost wages and ordering the plaintiffs insurer to provide knee surgery within a year if pursued by the plaintiff. The trial court also awarded loss of future earnings in the event the plaintiff pursued surgery. Although the plaintiff appeals, and upon a finding that the ruling under review is not a final appealable judgment, we dismiss the appeal and the insurer’s answer. We further deny the plaintiffs request that this matter be converted to an application for supervisory writ. We remand this matter for further proceedings.

Factual and Procedural Background

The plaintiff, Karl E. Kimsey, alleges that he sustained left knee injury in an automobile accident on February 3, 2010. At the time of the accident, Mr. Kimsey was seventeen years of age and was driving a vehicle owned by his father. The vehicle was insured by State Farm Mutual Automobile Insurance Company. The pertinent policy included, not only liability and medical payments coverage, but $50,000.00 in uninsured-economic only coverage as well. The other vehicle in the accident was driven by Terry Dickens and owned by Mr. Dickens’s brother. That vehicle was insured by a $10,000.00 policy issued by National Automobile Insurance Company (NAIC).

Mr. Kimsey reported that following the accident, he began experiencing left knee pain. He ultimately began treatment with Dr. John Park, an orthopedic ^surgeon, for a partial ACL tear of the left knee. That treatment included physical therapy and, eventually, an arthroscopic procedure to better balance the kneecap. The testimony indicated that Mr. Kimsey did not return to work during his period of rehabilitation after the arthroscopic surgery and that, upon .his return, he was subject [1037]*1037to certain physical limitations. Although Mr. Kimsey indicated that he would like to have a knee reconstruction, as recommended by Dr. Park, he was unable to afford the surgery.

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.

The trial court ruled in favor of Mr. Kimsey, awarding the plaintiff the limits of the NAIC policy, less a sum previously tendered by NAIC to State Farm. The trial court further ordered State Farm to pay past and present lost wages in the amount of $3,850.00, reflecting Mr. Kim-sey’s period of recovery following the arthroscopic procedure performed by Dr. Park. Further, the trial court determined that Mr. Kimsey was entitled to future medical expenses relating to the knee reconstruction recommended by Dr. Park and estimated those expenses to be approximately $34,602.00. It ordered the plaintiffs expert in vocational rehabilitation to facilitate the scheduling of that surgery and subsequent physical therapy. The trial court ordered State Farm to approve any scheduled surgery within one year and determined that State Farm’s associated responsibility was | .¡limited to the remaining balance of its uninsured economic only policy, $36,400.00.

The trial court further ordered State Farm to pay loss of future earnings for a specified time in the event that surgery was scheduled and for a contingent award in the event surgery was not scheduled.

In the event that Mr. Kimsey did not undergo surgery within one year, the trial court determined that any party could return to the court “to address whether or not these costs should be paid at a future date or whether the obligation should be terminated.” The trial court awarded an expert fee of $1,000.00 to the plaintiffs vocational rehabilitation expert for his services at trial.

As for State Farm’s cross claim, the trial court determined that its claim against NAIC was extinguished by NATO’s payment of its policy limits. Additionally, the trial court granted State Farm’s claim against Mr. Dickens for the payment of past lost wages. Finally, the trial court granted the claim against Mr. Dickens for “any future amounts payable to Karl Kim-sey or on his behalf for medical services or treatment as a result of this Court’s ruling with regard to future medicals.”

Mr. Kimsey appeals. State Farm answers the appeal, arguing that the award of future medical expenses should be reversed.

Discussion

Final Judgment — Subject Matter Jurisdiction

Among other assignments, Mr. Kimsey objects to the trial court’s ruling insofar as the trial court determined that he was entitled to the knee reconstruction surgery recommended by Dr. Parks, but that the trial court did not award monetary costs associated with surgery. Instead, the trial court ordered Mr. Kimsey’s | ¿vocational rehabilitation expert, Mr.-Hebert, to facilitate the scheduling of surgery with certain area physicians. In turn, the trial court ordered State Farm to approve the surgery in the event that surgery was scheduled within one year and that if the plaintiff failed to do so within one year, “any party may return to this Honorable Court [1038]*1038to address whether or not these costs should be paid at a future date or whether the obligation for payment of same should be terminated.” Mr. Kimsey challenges the award insofar as it orders Mr. Hebert, a third party, to facilitate the surgery and, further, did not make a specific monetary award. In its answer, State Farm asserts that the trial court’s hesitancy to award specific monetary damages reveals a lack of evidence regarding the necessity of the surgery.

We do not reach the merits of the parties’ objections to the trial court’s ruling in this respect. Instead, as is evident from the parameters of plaintiffs assignment of error in which he challenges the judgment’s specific performance by the insurer and lack of a monetary award, the court’s ruling does not constitute a final appealable judgment. Certainly, and although indirectly raised by the plaintiffs assignment of error, an appellate court has an independent duty to consider whether it has subject matter jurisdiction over the matter. Brooks v. Sibille, 12-1098, 12-1094 (La.App. 3 Cir. 1/30/13), 107 So.3d 826 (quoting Gaten v. Tangipahoa Parish. Sch. Sys., 11-1133 (La.App. 1 Cir. 3/23/12), 91 So.3d 1073).

With regard to an appeal, La.Code Civ.P. art. 2083(A) provides that “[a] final judgment is appealable in all causes in which appeals are given by law....” “An interlocutory judgment[,]” however, “is ap-pealable only when expressly provided by law.” La.Code Civ.P. art. 2083(C). In consideration of whether a Rruling is a final or interlocutory judgment, and therefore important to the question of whether a ruling is suitable for appeal, La.Code Civ.P. art. 1841 provides that:

A judgment is the determination of the rights of the parties in an action and may award any relief to which the parties are entitled.

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Cite This Page — Counsel Stack

Bluebook (online)
153 So. 3d 1035, 13 La.App. 3 Cir. 856, 2014 WL 550994, 2014 La. App. LEXIS 333, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kimsey-v-national-automotive-insurance-co-lactapp-2014.