Marcel v. Allstate Ins. Co.

536 So. 2d 632, 1988 La. App. LEXIS 2385, 1988 WL 126182
CourtLouisiana Court of Appeal
DecidedNovember 22, 1988
Docket87 CA 0567
StatusPublished
Cited by27 cases

This text of 536 So. 2d 632 (Marcel v. Allstate Ins. 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
Marcel v. Allstate Ins. Co., 536 So. 2d 632, 1988 La. App. LEXIS 2385, 1988 WL 126182 (La. Ct. App. 1988).

Opinion

536 So.2d 632 (1988)

Clyde P. MARCEL
v.
ALLSTATE INSURANCE COMPANY.

No. 87 CA 0567.

Court of Appeal of Louisiana, First Circuit.

November 22, 1988.
Rehearing Denied January 9, 1989.
Writ Denied March 10, 1989.

*634 Denis J. Gaubert, III, Houma, for plaintiff and appellant, Clyde P. Marcel.

Stephen M. LaRussa, Houma, for defendant and appellee, Allstate Ins. Co.

Before EDWARDS, SHORTESS, LANIER, CRAIN and LeBLANC, JJ.

SHORTESS, Judge.

Clyde P. Marcel (plaintiff) filed suit against Allstate Insurance Company (Allstate) for damages resulting from an accident which occurred on May 3, 1984, in Bayou Blue, Terrebonne Parish, when his vehicle was struck in the rear by a vehicle driven by an underinsured motorist. Plaintiff alleged that Allstate refused to pay his uninsured/underinsured claim within sixty days of receipt of satisfactory proof of loss as required by LSA-R.S. 22:658. He also sought statutory penalties and attorney fees.

A jury, after finding that plaintiff was injured in the accident, only awarded his medical expenses and assessed costs against him. Plaintiff has appealed to this court.

FACTS

Immediately after the accident, plaintiff contacted his uninsured/underinsured insurer, Allstate, to report the loss. On May 9, 1984, he submitted two medical bills to Allstate totaling $48.12 which were paid immediately. On May 10, 1984, plaintiff's wife spoke with an Allstate representative and indicated that the other driver's identity had been determined and that a claim would be made against Michael E. Gall and his insurer.

The testimony conflicts as to whether there was any additional contact with Allstate until it received a letter dated March 5, 1985, from plaintiff's attorney, notifying Allstate of his representation and including certain medical information. Additional correspondence, dated March 13, 1985, provided Allstate with more medical information and a copy of the accident report.

Cody Oubre, Allstate's adjuster, testified that on March 28, 1985, he attempted to contact the driver of the other car as well as a witness whose name appeared on the police report but was unsuccessful. On April 10, 1985, Oubre requested an "independent"[1] medical examination. The examination was performed on April 23, 1985, by a Dr. Neil Maki, an orthopedist whose *635 report was received by Allstate three days later.

On May 15, 1985, Oubre received an offer from plaintiff's attorney to settle for Allstate's policy limits. Two days later Oubre responded by saying that he would evaluate the claim. By March 23, 1985, Allstate had received the reports of Dr. William Kinnard, Dr. Natalia L. Ratiner, and Dr. William J. Ellender. Dr. Kinnard, an orthopedist, had evaluated a CAT scan, myelogram, and an electromyogram, and diagnosed a disc protrusion at L4-L5. Dr. Ratiner, a neurologist, performed the electromyograph. Dr. Ellender had been rendering chiropractic treatment to plaintiff since the accident. By early April 1985 Allstate had received a copy of Dr. Thomas N. Givens' report of the examination he had made on the day of the accident. Oubre requested an additional report from Givens on May 20, 1985, which was received on July 19, 1985. Dr. Givens was plaintiff's family physician.

On July 1, 1985, Allstate answered plaintiff's suit and asserted that his negligence was the sole and proximate cause of the accident. On August 12, 1985, Allstate unconditionally tendered to plaintiff $9,000.00 under its uninsured/underinsured motorist coverage.[2] Oubre requested an additional independent examination when it became apparent that the tendered amount was unacceptable as a complete settlement. An appointment for this examination was made with a neurologist, Dr. Warren Levy, in New Orleans. Levy conducted the examination on October 18, 1985, and issued his report on October 27, 1985. Allstate amended its answer to admit liability on November 18, 1986, six days prior to the commencement of the trial.

The interrogatories presented to the jury required findings as to whether plaintiff had been injured; the amount of damages, if any, for past and future pain; the amount of damages, if any for disability; the amount of damages, if any, for past and future loss of earnings; the amount of damages if any, for past and future medical expenses; and whether Allstate had been arbitrary and capricious in the delay of and the amount of its tender.[3]

The jury found that plaintiff had been injured but awarded only an amount for past and future medical expenses. Since plaintiff had already received Allstate's $9,000.00 tender and $2,000.00 in medical payment benefits, together with $5,000.00 from the tort-feasor, the judgment awarded him nothing. Additionally, the jury determined that Allstate had not acted arbitrarily.

The jury's finding that plaintiff was injured and incurred or would incur $5,200.00 in medical expenses is not consistent with its refusal to award general damages. Harper v. Boudreaux, 496 So. 2d 439 (La.App. 1st Cir.1986). The jury erred as a matter of law. 496 So.2d at 440-41. Because the finder of fact commited an error of law rather than an abuse of discretion (i.e., because it failed to award any damages rather than because it simply awarded an amount not within its discretion),[4] we must assess, res nova, the amount of damages appropriate under the circumstances. Mart v. Hill, 505 So.2d 1120, 1128-29 (La.1987).

QUANTUM

Plaintiff began consulting Dr. Ellender on May 9, 1984, less than a week after the accident. He made thirty visits to Ellender from May 1984 to February 1985. On February 25, 1985, plaintiff consulted Dr. Kinnard. Kinnard testified that on plaintiff's first visit, he complained of numbness and pain that radiated downward from the lower back, anatomically following a specific never pattern through the back of the thigh, calf, and a particular area of the *636 foot. Kinnard testified that he considered plaintiff's complaints consistent with a particular nerve pattern and highly credible.

Dr. Kinnard performed a CAT scan on February 26, 1985, which revealed a two- to three-millimeter "bulging" disc at L4-L5. He then recommended an electromyogram, but the results were inconclusive. A myelogram, performed on April 8, 1985, confirmed the CAT scan. A discogram additionally revealed the abnormality.

While Allstate's expert witnesses disagreed with Dr. Kinnard's findings, the jury found otherwise. That finding has not been appealed and, moreover, is supported by the record. What is before us is not whether plaintiff was injured, but rather, the elements of his damages.

The testimony varies as to how much work plaintiff missed due to his injuries. Richard Bergeron, his supervisor at Houma Valve Service, testified that plaintiff lost approximately two months' time, while plaintiff estimated his lost time at between four and six weeks. At that time, plaintiff was earning $10.25 an hour, or approximately $410.00 per week. Accepting the lowest of these three approximations (four weeks), we award lost wages in the amount of $1,640.00. Plaintiff testified that he had not, at the time of trial, missed any work in over a year.

In assessing general damages for past and future pain and suffering, we note initially that plaintiff was assigned a 10% permanent partial disability by Dr. Dexter Gary, a partner with Dr. Kinnard at Houma Orthopedic Clinic.

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536 So. 2d 632, 1988 La. App. LEXIS 2385, 1988 WL 126182, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marcel-v-allstate-ins-co-lactapp-1988.