Landry v. Martin Mills, Inc.

737 So. 2d 58, 98 La.App. 3 Cir. 1395, 1999 La. App. LEXIS 471, 1999 WL 107023
CourtLouisiana Court of Appeal
DecidedMarch 3, 1999
Docket98-1395
StatusPublished
Cited by8 cases

This text of 737 So. 2d 58 (Landry v. Martin Mills, Inc.) 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
Landry v. Martin Mills, Inc., 737 So. 2d 58, 98 La.App. 3 Cir. 1395, 1999 La. App. LEXIS 471, 1999 WL 107023 (La. Ct. App. 1999).

Opinion

737 So.2d 58 (1999)

Clement LANDRY, Plaintiff-Appellant,
v.
MARTIN MILLS, INC., Defendant-Appellee.

No. 98-1395.

Court of Appeal of Louisiana, Third Circuit.

March 3, 1999.
Writ Denied June 4, 1999.

*59 Kenneth Neal Hawkins, Lafayette, for Clement Landry.

James Edward Diaz, Jr., Lafayette, for Martin Mills, Inc.

BEFORE: YELVERTON, COOKS, and PETERS, Judges.

YELVERTON, J.

Clement Landry, Sr. was injured in a truck accident in 1993. He was driving a truck owned by Martin Mills, Inc. He was in the course and scope of his employment with Martin Mills when the accident took place.

When a suit arising from this accident was filed, Mr. Landry and Martin Mills, Inc., intervened and sought recovery from the driver of the motorcycle which caused the accident, and from Travelers Indemnity Insurance Company (Travelers) as Martin Mills' uninsured motorist carrier, for the interveners' losses and damages. On November 20, 1996, judgment was rendered in favor of Clement Landry and against Travelers in the amount of $428,111.00, subject to a credit for $10,000.00 paid by the insurer of the motorcycle. The judgment was paid in April 1997 but, for reasons not disclosed by the record, the judgment paid was stipulated to have been in the amount of $271,444.67. Mr. Landry then issued a reimbursement to Martin Mills for workers' compensation benefits paid in the amount of $24,181.64. Mr. Landry eventually received, after deduction for this reimbursement, as well as payment of attorney's fees, costs, and other obligations, a net judgment of $138,215.94.

On or about May 9, 1997, following payment of the tort judgment, Martin Mills *60 ceased paying weekly indemnity benefits to Mr. Landry. On June 27, 1997, medical benefits were also suspended. Martin Mills suspended benefits because, under the dictates of La.R.S. 23:1103(A)(1), where an employee receives tort proceeds in an action against a third person arising from a work-related accident, the employer is entitled to suspend weekly indemnity and medical benefits until such time as the credit is exhausted. Essentially, Martin Mills considered Travelers to be a "third person" from whom Mr. Landry received tort proceeds thus entitling Martin Mills to suspend additional benefits. Engaging different counsel, Mr. Landry filed a disputed claim for compensation with the Office of Workers' Compensation.

Travelers' UM insurance policy contained the following exclusion:

C. Exclusions
This insurance does not apply to:
. . . .
2. The direct or indirect benefit of any insurer or self-insurer under any workers' compensation, disability benefits or similar law.

According to the record, Martin Mills is considered self-insured for workers' compensation purposes.

As previously stated, the tort judgment was in favor of Clement Landry and against Travelers; Travelers paid Mr. Landry; and Mr. Landry paid Martin Mills. During the litigation leading to this judgment neither Travelers nor anyone else raised the terms of the exclusion against payment of UM benefits to reimburse a self-insured for the payment of workers' compensation benefits.

On July 29, 1998, the workers' compensation judge rendered judgment on the present claim and found that Martin Mills was entitled to a credit as to its future workers' compensation obligations. He relied on La. R.S. 23:1103(A)(1). The workers' compensation judge disregarded the UM policy exclusion quoted above. He reasoned that, because the compensation exclusion was not invoked or argued by either the UM carrier or the tort claimant in the tort litigation, the UM exclusion was ineffective to prevent the defendant from obtaining its statutory credit under La. R.S. 23:1101. Mr. Landry appealed.

ISSUES

The first issue is whether the employer, Martin Mills, is entitled to a credit against its future workers' compensation obligations where its employee, Mr. Landry, received a payment from the employer's UM carrier, Travelers, despite the exclusionary clause in its policy which stated that it would not provide any direct or indirect benefit to any self-insurer under any workers' compensation law.

If the answer to the first issue is no, the second issue is whether Mr. Landry is entitled to attorney's fees and penalties.

CREDIT

The right of an employer to recover workers' compensation payments made to an employee injured in a workrelated accident by a third person is firmly established in our law. Louisiana Revised Statute 23:1101(B) specifically provides for a right in one who has paid compensation benefits to an injured worker to bring suit against the third person who has caused the injury to "recover any amount which he has paid or becomes obligated to pay as compensation to such employee or his dependents." Therefore, an employer can recover workers' compensation benefits it has paid to its injured employee from the third persons who are actually responsible for the damages incurred.

The Louisiana Supreme Court in Travelers Ins. Co. v. Joseph, 95-0200 (La.6/30/95); 656 So.2d 1000, confronted the question of whether a workers' compensation insurer can recover reimbursement of compensation benefits from an uninsured/underinsured motorist carrier. Considering the case of Johnson v. Fireman's Fund Ins. Co., 425 So.2d 224 (La. *61 1982) and the 1989 amendment to La.R.S. 23:1101 which redefined the term "third person," the court agreed that an employer's UM insurer is a "third person" legally liable to pay an employee damages arising from a work-related accident. Further, in Joseph the court made it clear that an employer's compensation insurer can recover compensation reimbursement against a UM insurer as a "third person" who is obligated to repair the harm done to the employee.

However, the more difficult question addressed by the supreme court in Joseph was whether an employer's UM policy may actually exclude compensation reimbursement paid to the UM policyholder's injured employee. In Joseph an employee of Enclean, Inc., was injured in the course and scope of his employment. Travelers, as Enclean's workers' compensation insurer, sought reimbursement of compensation benefits paid on behalf of its insured, Enclean. National Union Fire Insurance Company provided UM coverage to Enclean. National Union asserted that its policy excluded reimbursement of workers' compensation payments based on the following language:

C. EXCLUSIONS

This insurance does not apply to:

. . .
The direct or indirect benefit of any insurer or self-insurer under any workers compensation, disability benefits or similar law.

The supreme court held this exclusion to be valid recognizing the freedom of parties to contract for any object considered lawful, possible, and determinable by virtue of La.Civ.Code art. 1971. The court found that no statutory provision or policy precluded a UM carrier from contracting to exclude liability for compensation reimbursement. The court stated:

Although a compensation insurer may seek reimbursement from a UM insurer, a UM insurer may expressly exclude a compensation insurer's reimbursement in its UM policy under the Civil Code's freedom to contract on all matters not forbidden by law or public policy.

Joseph, 656 So.2d at 1005.

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Bluebook (online)
737 So. 2d 58, 98 La.App. 3 Cir. 1395, 1999 La. App. LEXIS 471, 1999 WL 107023, Counsel Stack Legal Research, https://law.counselstack.com/opinion/landry-v-martin-mills-inc-lactapp-1999.