Kimsey v. National Automotive Insurance Co.

191 So. 3d 1172, 15 La.App. 3 Cir. 1130, 2016 WL 2342648, 2016 La. App. LEXIS 878
CourtLouisiana Court of Appeal
DecidedMay 4, 2016
DocketNo. CA 15-1130
StatusPublished

This text of 191 So. 3d 1172 (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., 191 So. 3d 1172, 15 La.App. 3 Cir. 1130, 2016 WL 2342648, 2016 La. App. LEXIS 878 (La. Ct. App. 2016).

Opinion

SAVOIE, Judge.

|Jn this automobile accident case, we previously dismissed’the plaintiffs appeal of the trial court’s judgment that, among other things, ordered the insurer to provide for a knee surgery only if the plaintiff scheduled the surgery within one year, finding that the conditional judgment was interlocutory and not appealable. Kimsey v. N.at’l Auto. Ins. Co., 13-856 (La.App. 3 Cir, 2/12/14), 153 So.3d.1035. Following our decision,,.the trial court rendered,a final judgment in this matter, and the plaintiff again appeals. For the reasons that follow, we affirm.

FACTUAL AND PROCEDURAL HISTORY

This case arises out.of an automobile accident that occurred on February 3, 2010, in DeRidder, Louisiana, between Plaintiff Karl Kimsey, who was eighteen years old at the time, and Defendant Terry Dickens. The vehicle driven by Mr. Kim-sey was insured by State Farm Mutual Automobile Insurance Company (State Farm), and the policy included medical payments coverage as well as $50,000.00 in uninsured motorist, economic-only coverage. The vehicle driven by Mr. Dickens was insured by a $10,000.00 liability policy issued by National Automotive Automobile Insurance Company (NAIC).

Mr. Kimsey alleges that he sustained a left knee injury as a result of the accident. On July 26,-2010, he first, saw Dr. John Park, an orthopedic surgeon, for treatment of a partial ACL tear of his left knee and underwent an arthroscopic procedure on November 2, 2010. Dr. Park further recommended ACL reconstruction. Following the November 2, 2010 arthroscopic procedure, Mr. Kimsey saw Dr, Park once more on January 7; 2010, but did not return until June 11, 2012, when he and his mother met with Dr. Park in preparation for his deposition.

' 1¾At the time of the accident, Mr. Kim-sey was working for his father’s vending business, and he testified that he was earning between $250 and $300 per week working for his father. He did not work for approximately three months due to his injury and arthroscopic procedure. Beginning May 1, 2011, Mr. Kimsey began working for his mother’s vending business delivering for Pepperidge Farm. He testified that he earned between $200 and $250 per week.

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.

Kimsey, 153 So.3d at 1036.

"A bench trial was held August 22, 2012. The trial court rendered an initial judgment 'on March 27, 2013, against Mr. Dickens and NAIC for the remainder of the policy limits in the amount of $9,058.16, which, according to the trial court’s written reasons- for judgment, represented damages for pain .and suffering. The trial court awarded an -additional $3,850.00 in past lost wages, representing $50 per week for seventy-seven weeks beginning May 1, 2011, after considering amounts that State [1175]*1175Farm had already paid. The trial court found this to be “the average amount he loses per week as a result of his residual pain and suffering and knee injury.” In addition, Mr. Kimsey was awarded $50 per week for an additional eight weeks ($400.00) to allow time to schedule the second surgery.

The March 27, 2013 judgment also directed Mr. Kimse/s vocational rehabilitation expert, Mr. Glenn Hebert, to facilitate the recommended ACL reconstructive surgery and post-operative physical therapy and ordered State Farm |ato approve and pay for it, provided that the surgery was scheduled within one year. The judgment also awarded future lost wages at $300 per week during recovery from the recommended surgery if it was scheduled within one year. In the event Mr. Kimsey did not undergo the surgery within one year, the trial court indicated that any party could return to court “to address whether or not these costs should be paid at' a future date or whether the obligation should be terminated.”

Both Mr. Kimsey and State Farm ‘appealed the March' 27, 2013 judgment. Their appeals were dismissed for lack of jurisdiction because the judgment wa's found to be conditional and therefore not final and appealable. Kimsey, 153 So.3d 1035.

The trial court heard the matter again on June 22, 2015, at the request of the parties, to determine whether or not additional amounts should be paid to Mr. Kim-sey. As of the second hearing, Mr. Kim-sey had not undergone, or otherwise scheduled, the recommended ACL reconstruction surgery. ’The trial court rendered a final judgment on July 24, 2015, against Mr. Dickens and NAIC for the remaining amount of the policy limits ($9,056.16) plus interest, and against State Farm for $400.00 for future lost wages at $50 per week for eight weeks. State Farm had already paid the- $3,850.00 in lost wages contemplated by the March 27, 2013 judgment. In addition, the trial court set Mr. Hebert’s expert fee at $1,000.00 and divided the court' costs- equally between NAIC and State Farm. The trial court refused to award Mr. Kimsey with the estimated costs of the ACL surgery or any increased amount for future lost wages. Mr. Kimsey appeals.

ASSIGNMENTS OF ERROR

On appeal, Mr.- Kimsey asserts the following as an assignment of error:

1 ¿After having the district court’s ’judgment vacated by this Honorable Court, the district court again erred in faulting Karl Kimsey for not forcing State Farm Mutual Automobile Insur-anee Company to authorize and pay for surgery when such order had been vacated by this Honorable Court[.]

■In addition, Mr. Kimsey states in his brief that he is re-urging the assignments of .error he originally submitted in connection with the appeal of the March 27, 2013 judgment, which, were not considered, and asserts that:

1; The trial court erred “in awarding an offset of damages' under the liability policy issued by National Au- ’ tomotive Insurance Company to pay ' a subrogation claim for State Farm Mutual Automobile Insurance Company for medical payments when the ' subrogation was inferior.”
2. The trial court erred “in failing to award full economic damages including economic-only uninsured motorist coverage for the lost earning capacity of Karl Kimsey.”
3. The trial court erred “in awarding future medical expenses by directing the plaintiffs vocational rehabilitation expert to facilitate the same [1176]*1176instead of awarding the actual costs of the future medical expenses.”
4. The trial court erred “in the award of- expert fee for Glenn Hebert’s work and testimony, or future work associated with scheduling a knee ACL repair.”

ANALYSIS

Standard of Review:

As set forth by the Louisiana Supreme Court in Stobart v. State through Department of Transportation and Development, 617 So.2d 880, 882 (La.1993) (citations omitted):

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Bluebook (online)
191 So. 3d 1172, 15 La.App. 3 Cir. 1130, 2016 WL 2342648, 2016 La. App. LEXIS 878, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kimsey-v-national-automotive-insurance-co-lactapp-2016.