Owens v. CNA Insurance Co.

715 S.W.2d 598, 1986 Tenn. LEXIS 785
CourtTennessee Supreme Court
DecidedSeptember 2, 1986
StatusPublished

This text of 715 S.W.2d 598 (Owens v. CNA Insurance Co.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Owens v. CNA Insurance Co., 715 S.W.2d 598, 1986 Tenn. LEXIS 785 (Tenn. 1986).

Opinion

OPINION

FONES, Justice.

This is a worker’s compensation case in which defendant CNA Insurance Company appeals from the judgment of the trial court awarding plaintiff benefits for an alleged work-related back injury. Defendant raises a number of issues that have merit: failure to give notice of an accident and injury, if any occurred; statute of limitations; failure to disclose a prior back injury on his employment application; incurring medical expenses with doctors of plaintiff’s own choosing without notice to or request of employer for medical aid and the awarding of future temporary total disability if and when plaintiff elects to have a surgical procedure. We find that plaintiff’s failure to give notice of the accident and injury is fatal to his claim, reverse and dismiss.

Plaintiff Estel Owens was employed as a heavy equipment operator by Charles Blal-ock & Sons, Inc. Plaintiff testified that while on a job for said company at the Sevierville airport on 16 April 1982, he was using a pick and shovel to dig out a broken water line when “a pain ... hit [him] in the back.” Plaintiff testified that he continued to work “almost to dinner” when the pain intensified and he “reported it to Raymond,” his supervisor, who sent him home. Plaintiff stated that he remained off work “around three or four days,” but that he did not seek medical attention.

Plaintiff testified that he returned to work “a little sore,” but thinking his injury was not “anything serious.” Plaintiff said that his condition worsened until he “walked mostly sort of bent over” and he “couldn’t get up and down on the [roller compactor] machine.” According to plaintiff, he requested a layoff sometime prior to 4 July 1982 to see if his back would improve with a few weeks’ rest. Plaintiff was not able to return to work in two or three weeks as he had anticipated, and, in fact, did not work again until 13 October 1984.

[599]*599Plaintiff first sought the services of a chiropractor, Dr. Rooney, on 7 July 1982. On 13 July 1982, plaintiff, feeling that he had not improved, sought the services of a Rutledge physician, Dr. Bryan, who prescribed pain medication and referred him to Dr. William J. Gutch, an orthopedic surgeon.

Doctor Gutch testified that he first saw plaintiff for his presently alleged back injury on 19 July 1982. Doctor Gutch recounted plaintiff’s complaints of lower back and left hip and leg pain and numbness in the lower left extremity. Doctor Gutch testified that he diagnosed “a probable herniated disc at the L4 or L5 level” and advised plaintiff to make arrangements for admission to the hospital for a myleogram and possible laminectomy. Doctor Gutch indicated that when plaintiff responded that he was not covered by insurance, he performed a lumbar tap and injected a cortisone preparation into the spinal canal to help relieve plaintiff’s symptoms. Doctor Gutch also placed plaintiff on a muscle relaxant, an anti-inflammatory drug, and a pain medication.

Doctor Gutch testified that he next saw plaintiff on 20 August 1982, after plaintiff “had seen the vocational rehabilitation to try to get some medical coverage or hospitalization coverage.” Doctor Gutch made x-rays on that occasion, reiterated his initial diagnosis, and, again, suggested that plaintiff “enter the hospital for a myelo-gram and probable laminectomy.”

Plaintiff was hospitalized on 10 November 1982 for a lumbar myelogram which confirmed Dr. Gutch’s diagnosis. Doctor Gutch testified that plaintiff was temporarily totally disabled at the time, and that he recommended that plaintiff undergo a laminectomy “as soon as possible.” Plaintiff, however, declined the surgical treatment and did not see Dr. Gutch again until 4 February 1985.

Plaintiff filed suit for worker’s compensation benefits against Blalock Construction Company in Hawkins County on 12 June 1983. Plaintiff subsequently voluntarily non-suited the proceeding, apparently due to improper venue and the non-entity status of the sole named defendant. Plaintiff instituted the instant litigation against CNA Insurance Company in Hamblen County on 10 September 1983.

It is undisputed that no written notice was given. Plaintiff insists that what transpired between him and his supervisor, Raymond, on 16 April 1982, was actual notice to the employer of plaintiff's accident and injury. Plaintiff’s version of what occurred follows:

Q. What happened to you?
A. I was using a pick when — digging out for the water line — when I hit the ground. A pain hit me in the back.
Q. What happened then?
A. Well, I worked on up until almost to dinner. Then it got a little worse on me, and I went and reported it to Raymond.
Q. You talked to Raymond, the gentleman that is outside that was your supervisor, you reported to him?
A. Yes, sir, I did.
Q. Okay. Now did you — did you continue to work that day?
A. No, he sent me home.

Plaintiff did not know Raymond’s last name but he positively identified a person who had been sworn to testify at the beginning of the trial as the Raymond who was his supervisor on 16 April 1982. That person was Raymond Wilson who testified that on 16 April 1982 he was working in Jellico, Tennessee and did not work on the Sevierville job until 23 April or 30 April 1982; that plaintiff was working on the Sevierville project when he went there as supervisor in April; that at no time did plaintiff report an accident or injury or trouble with his back and the witness did not observe that he was having any trouble performing his work.

Frank Bright testified that he was the supervisor of the Sevierville job on 16 April 1982; that he had worked for Charles Blal-ock & Sons, Inc. for twenty-two years and the company provided supervisors with a diary to record daily what work was accomplished, any injuries sustained, however [600]*600slight, etc. Bright testified that plaintiff was working on the Sevierville job operating a compactor on 16 April 1982, but plaintiff did not report an accident or injury to him; that at the end of the day as he customarily did, he recorded that they excavated and placed fill on the Sevierville job and there was no record made of any injury to plaintiff.

Plaintiff testified that in 1971 he was working for Lear Siegler, sustained an on-the-job injury to his back and filed suit against his employer in Hamblen County. He acknowledged that he received three thousand dollars in worker’s compensation as a result of that suit, apparently by court approved settlement.

In Masters v. Industrial Garments Mfg. Co., 595 S.W.2d 811 (Tenn.1980), this Court said:

An employee who relies upon alleged actual knowledge of the employer must prove that the employer had actual knowledge of the time, place, nature and cause of the injury, [citations omitted.] ... In order for a communication to constitute either written notice or actual knowledge on the part of the employer it must be calculated to reasonably convey the idea to the employer that the employee claims to have suffered an injury arising out of and in the course of her employment.

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Related

Masters v. Industrial Garments Manufacturing Co.
595 S.W.2d 811 (Tennessee Supreme Court, 1980)
Aetna Casualty & Surety Co. v. Long
569 S.W.2d 444 (Tennessee Supreme Court, 1978)

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Bluebook (online)
715 S.W.2d 598, 1986 Tenn. LEXIS 785, Counsel Stack Legal Research, https://law.counselstack.com/opinion/owens-v-cna-insurance-co-tenn-1986.