Mercer v. Nabors Drilling USA, L.P.

57 So. 3d 1217, 10 La.App. 3 Cir. 1092, 2011 La. App. LEXIS 240, 2011 WL 609874
CourtLouisiana Court of Appeal
DecidedFebruary 23, 2011
DocketNo. 10-1092
StatusPublished
Cited by1 cases

This text of 57 So. 3d 1217 (Mercer v. Nabors Drilling USA, L.P.) 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
Mercer v. Nabors Drilling USA, L.P., 57 So. 3d 1217, 10 La.App. 3 Cir. 1092, 2011 La. App. LEXIS 240, 2011 WL 609874 (La. Ct. App. 2011).

Opinion

COOKS, Judge.

hFACTS AND PROCEDURAL HISTORY

James Mercer (Mercex') sued a third-party tort feasor for injuries allegedly sustained in a job-related accident. His employer, Nabors Drilling USA, LP, (Na-bors) intervened in the suit. Mercer reached a settlement with the third-party tort feasor for an amount which exceeded the sum owed as reimbursement to Na-bors. It is undisputed that Nabors did not provide express written approval of the settlement. However, Nabors agreed to the amount it was to be paid as reimbursement for compensation payments and medical payments, and agreed to deduct from that amount a share of the attorney fees and costs incurred by Mercer. Mercer reimbursed Nabors the full amount of compensation and medical benefits which Nabors paid, less its proportionate share of attorney fees and costs as agreed. By virtue of the full payment to Nabors, Mercer sought to reserve his statutory right to future benefits owed in accordance with the provisions of La.R.S. 23:1101 et seq.

After full reimbursement to Nabors, Mercer made demand on Nabors to pay medical benefits for medical costs incurred after the settlement. Nabors refused and terminated all benefits until such time as an amount equivalent to Mercer’s total recovery is used up, dollar for dollar. Mercer filed a claim with the Office of Workers’ Compensation (OWC). Nabors filed a motion for summary judgment maintaining that the previous decisions of this court on the issue of continued payment of medical benefits in these circumstances are not controlling and that the OWC should apply La.R.S. 23:1103(A)1 as though the word “compensation” in that statute includes medical benefits. The OWC granted Nabors’ motion and dismissed Mercer’s complaint. Mercer appeals maintaining that the prior decisions of this court in Breaux v. Dauterive Hosp. Corp., 02-1072 (La.App. 3 Cir. 2/5/2003), 838 So.2d 1 109, and DeQuincy v. Henry, [1219]*121909-636 (La.App. 3 Cir. 12/9/2009), 25 So.3d 237, writ granted, 10-70 (La.4/30/10), 34 So.3d 296, are controlling and that the OWC erred in refusing to follow the clear holding in those cases. The OWC held that because Nabors did not give express written approval of the settlement, the matter is distinguishable from these decisions, and under its reading of La.R.S. 23:1102 and 1103 granted Nabors’ motion for summary judgment dismissing Mercer’s claims for compensation including future medical benefits.

ANALYSIS

“[W]here one or more legal errors are present” we do not apply the manifest error standard of review but instead conduct a de novo review of the record. Breaux, 838 So.2d at 109. The facts of this case are not in dispute. Mercer settled with a third-party tort feasor without obtaining an express written approval of the intervenor/employer, Nabors. Mercer thereafter reimbursed Nabors in full for all compensation paid and medical benefits paid prior to the settlement in accord with Nabors’ agreement as to the amount to be reimbursed less a share of the attorney fees and costs it agreed to credit against that sum. Louisiana Revised Statutes 23:1102 provides in pertinent part (emphasis added):

A. (1) If the employee or his dependent or the employer or insurer brings suit against a third person as provided in R.S. 23:1101, he shall forthwith notify the other in writing of such fact and of the name of the court in which the suit is filed, and such other may intervene as party plaintiff in the suit.
[(2)]
B. If a compromise with such third person is made by the employee or his dependents, the employer or insurer shall be liable to the employee or his dependents for any benefits under this Chapter which are in excess of the full amount paid by such third person, only after the employer or the insurer receives a dollar for dollar credit against the full amount paid in compromise less attorney fees and costs Rpaid by the employee in prosecution of the third party claim and only if written approval of such compromise is obtained from the employer or insurer by the employee or his dependent, at the time of or prior to such compromise. Written approval of the compromise must be obtained from the employer if the employer is self-insured, either in whole or in part. If the employee or his dependent fails to notify the employer or insurer of the suit against the third person or fails to obtain written approval of the compromise from the employer and insurer at the time of or prior to such compromise, the employee or his dependent shall forfeit the right to future compensation, including medical expenses. Notwithstanding the failure of the employer to approve such compromise, the employee’s or dependent’s right to future compensation in excess of the amount recovered from the compromise shall be reserved upon payment to the employer or insurer of the total amount of compensation benefits, and medical benefits, previously paid to or ón behalf of the employee, exclusive of attorney fees arising out of the compromise; except in no event shall the amount paid to the employer or insurer exceed fifty percent of the total amount recovered from the compromise. Such reservation shall only apply [1220]*1220after the employer or insurer receives ' a dollar for dollar credit against the full amount paid in compromise, less attorney fees and costs paid by the employee in prosecution of the third party claim.

In a recent decision by this court, we expressly stated that our decision in Breaux “is a correct statement of the law”:

The workers’ compensation insurer is not entitled to a credit for future medical benefits, even when the amount, which the third party tort feasor paid in settlement, exceeds that sufficient to reimburse the compensation carrier.

DeQuincy, 25 So.3d at 240. (Citing Breaux, 838 So.2d at 112).

In Breaux, this court relied on the Louisiana Supreme Court’s decisions in Fontenot v. Hanover Ins. Co., 385 So.2d 238 (La.1980), and Brooks v. Chicola, 514 So.2d 7 (La.1987). We find it instructive in the Fontenot case that the Louisiana Supreme Court expressed the view that:

The. underlying policy of the workers’ compensation statute provisions for apportionment of damages between employer and employee in suits against third persons merely prevents an employee’s double recovery for |4his injuries; it does not require an employee to reimburse out of his award for pain and suffering medical expenses which he failed to recover from a third party tort feasor.

Breaux, 838 So.2d at 111, quoting Fonte-not. Further, our decision in Breaux also relied on the Louisiana Supreme Court’s decision in Brooks, which held that:

[R]eimbursement to the compensation insurer in this case must necessarily be limited only to the damage awards for loss of earnings and medical expenses. An injured worker, as any other tort victim, is entitled to his full recovery for non-economic losses.
There should be no reduction in his award for the pain and suffering element simply to give a compensation insurer full reimbursement. As we stressed in Fontenot, the Louisiana Workers’ Compensation Law only requires reimbursement to the extent that damages for lost wages and medical expenses are recovered from a third party tort feasor.

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Related

Mercer v. Nabors Drilling USA, L.P.
93 So. 3d 1265 (Supreme Court of Louisiana, 2012)

Cite This Page — Counsel Stack

Bluebook (online)
57 So. 3d 1217, 10 La.App. 3 Cir. 1092, 2011 La. App. LEXIS 240, 2011 WL 609874, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mercer-v-nabors-drilling-usa-lp-lactapp-2011.