Martin v. Louisiana Farm Bureau Cas. Ins.

628 So. 2d 1213, 1993 La. App. LEXIS 3740, 1993 WL 503726
CourtLouisiana Court of Appeal
DecidedDecember 8, 1993
Docket93-223
StatusPublished
Cited by5 cases

This text of 628 So. 2d 1213 (Martin v. Louisiana Farm Bureau Cas. Ins.) 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
Martin v. Louisiana Farm Bureau Cas. Ins., 628 So. 2d 1213, 1993 La. App. LEXIS 3740, 1993 WL 503726 (La. Ct. App. 1993).

Opinion

628 So.2d 1213 (1993)

Bruce MARTIN, Plaintiff-Appellee,
v.
LOUISIANA FARM BUREAU CASUALTY INSURANCE COMPANY, et al., Defendants-Appellants.

No. 93-223.

Court of Appeal of Louisiana, Third Circuit.

December 8, 1993.

Louis D. Bufkin, Lake Charles, for Bruce Martin.

Raymond C. Jackson, III, Lafayette, for Golden Rule Ins. Co.

Before DOMENGEAUX, LABORDE and COOKS, JJ.

COOKS, Judge.

Bruce Martin filed a tort action claiming damages for injuries sustained during an automobile *1214 accident against various defendants. Golden Rule Insurance Company, Martin's insurer, intervened in the suit seeking reimbursement for medical expenses paid as a result of injuries Martin sustained in the accident. The insurer based its claim for recovery on the theory of legal subrogation. Responding, Martin filed an exception of no cause of action. Subsequently, the trial judge granted the exception dismissing the insurer's action. This appeal by Golden Rule Insurance Company followed. The single issue presented is whether a health insurer acquires, by operation of law, the right of legal subrogation to the claim of its insured against a tortfeasor for payment of medical expenses. Answering this query in the negative, we affirm the trial court's ruling on the exception.

LAW AND ANALYSIS

Although a person pays another's debt, that person does not acquire automatically the right to step in the "shoes" of the creditor and thereby insist that the debtor reimburse him for satisfying the debt, unless such right is acquired by conventional or legal subrogation. The Louisiana Civil Code provides subrogation takes place only by written contract executed between the parties or by operation of law under certain limited conditions. Here, the insurer acknowledges its claimed right of subrogation was not acquired conventionally. Martin did not grant by express agreement, in writing, the insurer the right to assert his claim for medical expenses against the tortfeasor. See Louisiana Civil Code article 1828. In practice, insurance contracts usually contain clauses providing for conventional subrogation of the insurers to the rights of the victims against the tortfeasors. The parties were not prohibited by law from entering such agreement, through "fair market" negotiations. In this case, however, the insurer argues subrogation took place by operation of law as provided in Louisiana Civil Code article 1829. Article 1829 provides that subrogation, absent conventional reservation, takes place "in favor of an obligor who pays a debt he owes with others and for others and who has recourse against those others as a result of the payments." Louisiana Civil Code article 1829(3). The Louisiana subrogation articles, though amended in 1984, substantially tract their predecessor articles enacted in 1870. The language used in the referenced section is almost identical in all respects to the expressions contained in the original 1870 codal provision. See Louisiana Civil Code article 2161(3).

Much confusion has surfaced recently in the jurisprudence as courts have revisited the question of when an insurer is legally subrogated to the rights of an insured against a wrongdoer after paying a covered claim pursuant to the terms of an insurance contract. Prior Louisiana jurisprudence answered this question in the negative. The earliest reported decision finding legal subrogation does not take place in favor of an insurer is D.R. Carroll & Co. v. New Orleans, J & G.N.R.R. Co., 26 La.Ann. 447 (1874), in which the court said:

"There was no contract between [the insurer and the railroad]; consequently there was no conventional subrogation from the insured to the assurers, and there was certainly no legal subrogation by which payment by the one entitled them to payment from the other. The insurance company paid the loss for which they received a premium for insuring against to the persons who suffered the same. As there was no contract between it and the railroad company, and as no obligation existed toward them from the railroad company, they have no claim against it."

But, in London Guarantee & Accident Insurance Co. v. Vicksburg, S. & P.R. Co., 153 La. 287, 95 So. 771 (1923), the Supreme Court recognized a workmen's compensation carrier's right to seek reimbursement for benefits paid to an injured worker against the defendant railroad. At that time, the language of the compensation Act granted subrogation rights to the employer. The Act, however, was silent on the right of the employer's insurer to proceed against the *1215 wrongdoer. The court found, nevertheless, Louisiana Civil Code article 2315 granted the insurer the right to proceed against the wrongdoer whose fault caused the insurer damage by requiring it to pay benefits to the injured worker. Legislative amendment to the Act now recognizes the right of the insurer to directly assert a claim against a tortfeasor. The case, however, did not represent a departure from the court's earlier holding in D.R. Carroll & Co. It did not reach the question of whether the counterpart to article 1829(3) granted the compensation carrier legal subrogation rights. Later, affirming its holding in D.R. Carroll & Co., the Supreme Court again specifically rejected a claim by the insurer against a tortfeasor grounded solely on the theory of legal subrogation, stating in Forcum-James Co., Inc. v. Duke Transportation Co., 231 La. 953, 93 So.2d 228 (1957):

"It is a basic principle of the law that a tortfeasor is responsible only for the direct and proximate result of his acts and that, where a third person suffers damage by reason of a contractual obligation to the injured party, such damage is too remote and indirect to become the subject of a direct action ex delicto, in the absence of subrogation. See Foret v. Board of Levee Com'rs of Orleans Levee Dist., 169 La. 427, 125 So. 437, citing, among other authorities, Sutherland on Damages, Vol. I, p. 127. And see also D.R. Carroll & Co. v. New Orleans, J. & G.N.R. Co., 26 La.Ann. 447. This appears to be the general rule, to which the Supreme Court of the United States has given its stamp of approval. Robins Dry Dock & Repair Co. v. Flint, 275 U.S. 303, [309] 48 S.Ct. 134, 135, 72 L.Ed. 290. In that case, Justice Holmes remarked that `* * * no authority need be cited to show that, as a general rule, at least, a tort to the person or property of one man does not make the tort-feasor liable to another merely because the injured person was under a contract with that other, unknown to the doer of the wrong. * * * The law does not spread its protection so far.'
Even the broad language used in Article 2315 of our Code2 does not justify a departure from the above stated doctrine.3 Indeed, to permit a person to proceed against a wrongdoer in every instance where such person has sustained damage by reason of his contractual obligation to the injured party would open the door to the prosecution of claims for damages indirectly and remotely connected with the tortious act and encourage a multiplicity of suits from which numerous conflicts of interest might ensue. Parties situated in plaintiff's position can readily protect themselves by obtaining from the injured person a conventional subrogation of the latter's rights and, thus, the tort-feasor can be made to respond for the direct and foreseeable consequences of his act in a single unit." (Emphasis added).

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Bluebook (online)
628 So. 2d 1213, 1993 La. App. LEXIS 3740, 1993 WL 503726, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martin-v-louisiana-farm-bureau-cas-ins-lactapp-1993.