Lupo v. State, Division of the Administration, Office of Risk Management

531 So. 2d 1116, 1988 La. App. LEXIS 1827, 1988 WL 94900
CourtLouisiana Court of Appeal
DecidedSeptember 16, 1988
DocketNo. 88-CA-0574
StatusPublished
Cited by1 cases

This text of 531 So. 2d 1116 (Lupo v. State, Division of the Administration, Office of Risk Management) 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
Lupo v. State, Division of the Administration, Office of Risk Management, 531 So. 2d 1116, 1988 La. App. LEXIS 1827, 1988 WL 94900 (La. Ct. App. 1988).

Opinion

CIACCIO, Judge.

The State of Louisiana, plaintiff’s former employer, appeals from that portion of the district court judgment which declared that its Office of Risk Management was “arbitrary and capricious in their failure to pay workman’s compensation benefits ...” and in assessing them with attorney fees and penalties in the amount of $5,000. We affirm this portion of the judgment of the district court.

The sole issue on appeal is whether the actions of the defendant in terminating compensation to the plaintiff were arbitrary and capricious.

In February, 1982, plaintiff George Lupo was employed as a State Trooper, First Class with the Louisiana Department of Public Safety, Department of State Police. He sustained injuries which affected the cervical and lumbar areas of his spine, when in his attempts to subdue a subject during a carnival season, he was struck [1118]*1118with a night stick by an on duty St. Bernard Parish Sheriffs Deputy. Following this incident plaintiff applied for and began receiving worker’s compensation benefits.

In December, 1984 plaintiff filed suit against the St. Bernard Sheriffs Office and Ray Lauga as tort feasors responsible for his personal injuries. Defendant, State of Louisiana intervened in this tort suit to recover compensation benefits it had paid plaintiff for the injuries he received and which arose out of the incident of February, 1982. During trial plaintiff compromised his tort suit for $140,000, out of which plaintiff paid to the defendant compensation carrier, in compromise, the sum of $20,000 in settlement of defendant’s $50,000 claim for reimbursement.

The plaintiff had received compensation benefits from February 1982 until January 1985. Following his compromise of the tort claim the plaintiff was informed of the termination of compensation benefits and medical expenses. He was further informed that no further benefits would be paid until he exhausted the funds he had received in settlement of the tort suit.

On April 11, 1985 plaintiff filed this suit against defendant alleging entitlement to compensation benefits for total and permanent disability, reimbursement for medical expenses, and attorney fees and penalties for the arbitrary and capricious termination of compensation benefits.

On October 25, 1985 the defendants filed an exception of prematurity wherein they argued that plaintiff was barred from recovery until such time as the amount which would have been due under the Compensation Act exceeded the recovery from the tort action. Following a hearing on the matter the trial court dismissed the defendant’s exception.

This matter was tried on the merits on September 10, 1987 and judgment was rendered in favor of the plaintiff and against the defendant. The court found plaintiff to be totally and permanently disabled; entitled to compensation benefits and medical expenses from January 29,1985 to present; entitled to attorney fees and penalties in the sum of $5,000. The court also ordered the reinstatement of weekly compensation benefits to the plaintiff.

In the appeal of the award of penalties and attorney fees defendant argues that its actions were not “arbitrary and capricious” and hence, the trial court erred in this award.

Defendant contends that it was not arbitrary and capricious in terminating compensation and medical benefits because plaintiff was first obligated to exhaust the monies he received in compromise of his tort action. Defendant relies upon Louisiana Revised Statute Title 23 Section 1103 in support of this position.

Louisiana Revised Statute Title 23 Section 1103 provides:

LSA R.S.23:1103

In the event that the employer or the employee or his dependent becomes party plaintiff in a suit against a third person, as provided in R.S. 23:1102, and damages are recovered, such damages shall be so apportioned in the judgment that the claim of the employer for the compensation actually paid shall take precedence over that of the injured employee or his dependents; and if the damages are not sufficient or are sufficient only to reimburse the employer for the compensation which he has actually paid, such damages shall be assessed solely in his favor; but if the damages are more than sufficient to so reimburse the employer, the excess shall be assessed in favor of the injured employee or his dependent, and upon payment thereof due the employee who is dependent, the liability of the employer for compensation shall cease for such part of the compensation due, computed at six percent per annum, and shall be satisfied by such payment.
No compromise with such third person by either the employer or the injured employee or his dependents shall be binding upon or affect the rights of the others unless assented to by him.

In Crabtree v. Bethlehem Steel Corporation, on rehearing, 284 So.2d 545 (La., 1973) the Louisiana Supreme Court ad[1119]*1119dressed a similar argument. In Crabtree, supra at 555, the court reasoned as follows:

* * * * * *
In the face of the statutory classification, we are unable to agree with Bethlehem’s contention that it makes no difference whether the injured employee or his survivors receives sums from third persons by judgment or compromise:
“A judgment is the determination of the rights of the parties in an action * * La.C.Civ.P. Art. 1841 (italics supplied). “A transaction or compromise is an agreement between two or more persons who, for preventing or putting an end to a lawsuit, adjust their differences by mutual consent, in the manner which they agree on, and which every one of them prefers to the hope of gaining, balanced by the danger of losing. * * * ” Civil Code Article 3071.
Although both of these legal characterizations may have the force of res judica-ta, La.C.Civ.P. Art. 1842, Civil Code Arts. 3078, 3556(31), they are distinguishable. In a tort suit, a judgment in favor of the plaintiff awards the full damages to which he is entitled. Ordinarily, by a compromise of a tort claim a plaintiff accepts less than the full damages suffered, and a defendant pays a sum not representing the full damages, each balancing the danger of losing against the hope of gaining all.
******
The decision’s essential reasoning is that sums received by way of compromise are not paid to satisfy “a legal liability to pay damages”, La.R.S. 23:1101, so as to be under the statutory scheme subject to apportionment between the employer and the employee.

In conclusion, the court in Crabtree, supra at 556, held:

We prefer, however, to rest our holding upon our construction of the statutory enactment: that an employer cannot receive credit against its compensation liability for sums received by an employee through a compromise of a tort claim against a third person to which the employer is not a party, and which thus does not affect any right the employer has against the third person. This holding is especially applicable to instances such as the present, where the employer has notice of a tort suit filed by the employee and does not intervene to protect its rights to reimbursement.

Defendant seeks to remove itself from the holding in Crabtree, supra

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Motton v. Raymond International Builders, Inc.
561 So. 2d 946 (Louisiana Court of Appeal, 1990)

Cite This Page — Counsel Stack

Bluebook (online)
531 So. 2d 1116, 1988 La. App. LEXIS 1827, 1988 WL 94900, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lupo-v-state-division-of-the-administration-office-of-risk-management-lactapp-1988.