Lastrapes v. Progressive Security Insurance Co.

51 So. 3d 659, 2010 La. LEXIS 2604, 2010 WL 4845288
CourtSupreme Court of Louisiana
DecidedNovember 30, 2010
Docket2010-C-0051
StatusPublished
Cited by7 cases

This text of 51 So. 3d 659 (Lastrapes v. Progressive Security Insurance Co.) 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
Lastrapes v. Progressive Security Insurance Co., 51 So. 3d 659, 2010 La. LEXIS 2604, 2010 WL 4845288 (La. 2010).

Opinion

PER CURIAM. *

| ]We granted certiorari in this case to determine (1) whether the court of appeal erred in affirming the judgment of the district court granting plaintiffs’ motion for judgment notwithstanding the verdict and awarding statutory penalties and attorney fees; and (2) whether the court of appeal erred in reversing the judgment of the district court denying plaintiffs’ motion for judgment notwithstanding the verdict, and increasing the jury’s damage award. For the reasons that follow, we now reverse the court of appeal’s judgment in part.

UNDERLYING FACTS

On November 13, 2004, James Las-trapes was involved in an automobile accident (hereinafter referred to as the “2004 accident”), in which the rear door of his 1999 Chevy van was struck by a vehicle driven by Lessie Vizinat as she attempted a left-hand turn. Mr. Lastrapes declined emergency medical care at the scene, but two days later he visited his family physician, Dr. Kirk Elliot, and complained of neck pain. Dr. Elliot initially diagnosed cervical acute myofascial strain, and recommended physical therapy three times per week.

|2Mr. Lastrapes regularly attended physical therapy until January of 2005. On February 18, 2005, Mr. Lastrapes underwent an MRI of the cervical spine. According to the report of radiologist, Dr. Robert L. Lapidus, Mr. Lastrapes’ MRI indicated multi-level spondylosis, C3-C4 spurring with posterior subligamentous disc bulge partially effacing ventral sub-arachnoid space, C5-C6 mild AP diameter stenosis of the central spinal canal, but no focal disc herniation. Mr. Lastrapes was referred to Dr. Steve Rees, a pain management specialist, who diagnosed him with chronic low back pain status post MVA, and quadratus lumborum myofascial pain syndrome. From August 2005 to January 4, 2006, Mr. Lastrapes received at least five treatments for his neck and back pain, including trigger point injections and nerve blocks.

On January 24, 2006, fourteen months after the 2004 accident, Mr. Lastrapes was involved in a second accident (hereinafter referred to as the “2006 accident”), in *661 which he rear-ended another vehicle. Mr. Lastrapes did not inform his doctors of the 2006 accident, but he did notify his uninsured motorist carrier, Progressive Security Insurance Company (“Progressive”). He continued to receive treatment from Dr. Rees, including a steroid injection, trigger point injections, and nerve blocks. He was then referred to an anesthesiologist and pain management specialist, Dr. Sanjiv Jindia, who administered four cervical epidural steroid injections to Mr. Las-trapes from December 2006 through October 2007.

On June 7, 2007, Mr. Lastrapes underwent another MRI of the cervical spine. According to the radiology report of Dr. Lapidus, there was “no significant change compared with February 18, 2005 examination.”

Meanwhile, on July 10, 2007, Mr. Las-trapes consulted an orthopedic surgeon, Dr. George Williams, who diagnosed him with cervical herniated nucleus pulposus. Based on the medical history provided by Mr. Lastrapes, which notably omitted any |,(¡mention of the 2006 accident, together with the MRI results from 2005 and 2007, Dr. Williams recommended that plaintiff undergo neck surgery. 1 Dr. Williams estimated the cost of surgery to be $94,300 to $114,300, exclusive of follow-up care beyond three months. Like Dr. Lapidus, Dr. Williams concluded there was no evident change in Mr. Lastrapes’ cervical spine between the 2005 and 2007 MRIs. Unlike Dr. Lapidus, Dr. Williams concluded the MRI films revealed disc herniations.

PROCEDURAL HISTORY

In November 2006, Mr. Lastrapes and his wife filed the instant suit against his uninsured motorist carrier, Progressive Security Insurance Company (“Progressive”), seeking damages for mental and physical pain and suffering, past and future medical expenses, loss of enjoyment of life, and loss of consortium arising from the 2004 accident. 2

In January 2008, Progressive’s claims adjuster, Sheryl Tardo, received Dr. Williams’ July 10, 2007 report in which he recommended surgery. Ms. Tardo declined to make an unconditional UM tender to plaintiffs, and did not schedule Dr. Williams’ deposition or otherwise follow up with him.

Thereafter, plaintiffs filed their first supplemental and amending petition for damages, alleging Progressive was “arbitrary and capricious for failing to timely pay benefits to plaintiffs under the uninsured/underinsured portion of its policy.” Plaintiffs sought penalties and attorney fees.

The case proceeded to a three-day jury trial. At the conclusion of trial, the jury returned a verdict awarding plaintiff $88,000 in past medical expenses, and $125,00014in past pain and suffering. The jury declined to award plaintiffs any damages for future medical expenses, future pain and suffering, past mental anguish, loss of enjoyment of life, loss of consortium, and statutory penalties and attorney fees.

Plaintiffs moved for a judgment notwithstanding the verdict (“JNOV”), and alternatively for additur and/or new trial. The district court denied plaintiffs’ motion for additur, but granted a JNOV in part, finding Progressive was arbitrary and capricious in its handling of the UM claim. In *662 particular, the district court found Progressive acted contrary to its duty of good faith and fair dealing by failing to tender payment for the surgery recommended by Dr. Williams within thirty days of receiving his report. Accordingly, the district court awarded plaintiffs $72,575 in penalties, and $24,192 in attorney fees.

Progressive appealed. Plaintiffs answered the appeal, seeking an increase in the amount of damages, and seeking damages for the items the jury declined to award. The court of appeal affirmed the district court in part, and reversed in part. Lastrapes v. Progressive Security Insurance Company, 2009-367 (La.App. 3 Cir. 12/9/09), 24 So.3d 993.

In its opinion, the court of appeal affirmed the jury’s award of $88,000 for past medical expenses, and $125,000 for past pain and suffering. It also affirmed the district court’s judgment granting JNOV and awarding plaintiffs $72,575 in penalties, and $24,192 in attorney fees.

However, the court of appeal went on to find the jury’s failure to award future medical expenses, future pain and suffering, loss of enjoyment of life, and loss of consortium was “not supported by the record and is an abuse of the jury’s vast discretion.” Accordingly, the court of appeal reversed “the trial court’s refusal to award additional sums for loss of consortium and future damages.” It then proceeded |fito render judgment in favor of plaintiffs in the amount of $100,000 for future medical expenses, $50,000 for future pain and suffering, and $20,000 for loss of enjoyment of life. Additionally, the court of appeal rendered judgment in favor of Mrs. Lastrapes in the amount of $10,000 for loss of consortium.

Upon Progressive’s application, we granted certiorari to consider the correctness of these rulings. Lastrapes v. Progressive Security Insurance Company, 10-0051 (La.4/9/10), 31 So.3d 375.

DISCUSSION

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Bluebook (online)
51 So. 3d 659, 2010 La. LEXIS 2604, 2010 WL 4845288, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lastrapes-v-progressive-security-insurance-co-la-2010.