Sullivan v. Tropical Tuna, Inc.

963 F. Supp. 42, 1997 A.M.C. 2017, 1997 U.S. Dist. LEXIS 2634, 1997 WL 106961
CourtDistrict Court, D. Massachusetts
DecidedJanuary 21, 1997
DocketCivil Action No. 95-12767-WGY
StatusPublished
Cited by8 cases

This text of 963 F. Supp. 42 (Sullivan v. Tropical Tuna, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sullivan v. Tropical Tuna, Inc., 963 F. Supp. 42, 1997 A.M.C. 2017, 1997 U.S. Dist. LEXIS 2634, 1997 WL 106961 (D. Mass. 1997).

Opinion

MEMORANDUM AND ORDER

YOUNG, District Judge.

Kenneth Sullivan (“Sullivan”) brought this maritime action against Tropical Tuna, Inc. (“Tropical Tuna”) to recover for injuries he suffered while serving aboard a vessel owned by Tropical Tuna. The Jones Act, negligence, and unseaworthiness counts were tried to a jury, and the maintenance and cure claims were tried to the Court. The jury returned a verdict for Tropical Tuna, but the Court found Tropical Tuna owed Sullivan $9,000.00 in maintenance and cure and assessed attorneys fees of $3,000.00 for the willful failure to make such payments for cure in a timely fashion.

Tropical Tuna now brings á timely motion pursuant to Fed.R.Civ.P. 59 to “alter” the Court’s judgment by vacating it and rendering judgment in its favor on the damages and attorneys fees assessed for the willful failure to pay cure.

[44]*44I. BACKGROUND

Pursuant to Fed.R.Civ.P. 52(a), the Court makes the following factual findings:

On October 23, 1995, Sullivan injured the little finger on his left hand while performing his regular duties as a deck hand aboard the MARY T, a fishing vessel owned by Tropical Tuna. After the ship returned to port on October 30, 1995, Tropical Tuna immediately advanced Sullivan $1,000.00 in lieu of paying daily maintenance. While the Court finds this sum was somewhat inadequate — and has assessed damages for the difference — no willful failure to pay maintenance is implicated in this case.

With respect to his injured finger, Sullivan was first examined by a general practitioner, then referred to an orthopedist, and ultimately sent to a hand surgeon, Dr. Richard Fox (“Dr. Fox”). Dr. Fox examined Sullivan on November 30, 1995, and recommended that he undergo a surgical procedure called arthrodesis. The surgery was initially scheduled for December 8, 1995, but was postponed when Dr. Fox’s office could not obtain pre-approval over the telephone from Tropical Tuna’s insurance adjuster agency, Marine Safety Consultants, Inc. (the “insurer”).

Sullivan’s attorney sent a written demand for “immediate payment of maintenance and cure” to Tropical Tuna on December 4,1995, and to Tropical Tuna’s insurer on December 6,1995. Exs. 16, 21. On December 8, 1995, Tropical Tuna’s insurer sent a response to Sullivan’s attorney stating that it had not “at any time refusefd] to make any payments to Dr. Fox,” but rather had denied Dr. Fox’s request for pre-approval of Sullivan’s surgery because: 1) it had only recently received the assignment to conduct an investigation into Sullivan’s claim; and 2) an insurer lacks the authority to authorize medical treatment— “[t]hat is a matter between the patient and the physician.” Ex. 23 (emphasis omitted). On December 22,1995, Sullivan filed this suit against Tropical Tuna.

On January 3, 1996, one month after Sullivan made his written demand for payment of maintenance and cure, Tropical Tuna’s insurer authorized payment for the surgery. Dr. Fox successfully performed the procedure on January 12,1996.

II. DISCUSSION

General maritime law requires “shipowners to ensure the maintenance and cure of seamen who fall ill or become injured while in the service of the ship.” LeBlanc v. B.G.T. Corp., 992 F.2d 394, 396 (1st Cir.1993) (internal citations omitted). “The term ‘maintenance and cure’ refers to the provision of, or payment for, food and lodging (‘maintenance’) as well as any necessary health-care expenses (‘cure’) incurred during the period of recovery....” Id. at 397. The doctrine “derives from the ‘unique hazards [which] attend the work of seamen,’ and fosters the ‘combined object of encouraging marine commerce and assuring the well-being of seamen.’ ” Vella v. Ford Motor Co., 421 U.S. 1, 3-4, 95 S.Ct. 1381, 1383, 43 L.Ed.2d 682 (1975) (quoting Aguilar v. Standard Oil Co., 318 U.S. 724, 727, 63 S.Ct. 930, 932, 87 L.Ed. 1107 (1943)).

A. Insufficient Maintenance

A shipowner’s duty to pay maintenance and cure extends only until the plaintiff fully-recovers from his injuries or his condition is diagnosed as permanent. Vella, 421 U.S. at 4-5, 95 S.Ct. at 1383-84; Hubbard v. Faros Fisheries Inc., 626 F.2d 196, 202 (1st Cir.1980). It is undisputed that Sullivan’s injury occurred on October 23, 1995, and that it had fully healed by April 8, 1996. Sullivan was thus entitled to receive maintenance payments from Tropical Tuna for a period of 160 days.

The Court finds that the cost of Sullivan’s reasonable maintenance over this 160-day period was an average of $18.70 per day, or a total of $2,992.00. To date, Tropical Tuna has made maintenance payments of $1,600,00, an average of $10.00 per day. Accordingly, as to the maintenance claim, judgment entered for Sullivan in the amount of $1,392.00. The Court rules that Tropical Tuna’s failure to make adequate maintenance payments was not in any way willful.

[45]*45B. Willful Failure to Pay Cure

Sullivan acknowledges that Tropical Tuna has now paid all of his medical bills, but asserts that Tropical Tuna’s one-month delay in authorizing payment for his surgery constituted a willful failure to provide cure. As a result, Sullivan seeks to recover damages for the physical and mental pain and suffering he endured during the delay, as well as his attorney’s fees. Tropical Tuna responds that its one-month delay in approving Sullivan’s surgery did not constitute a willful failure to pay cure because it had no obligation to pay for Sullivan’s medical treatment before it was actually performed.

No court has ever directly confronted the question of whether the law of maintenance and cure requires a shipowner to guarantee payment prior to treatment.1 However, as the Fifth Circuit recognized in Guevara v. Maritime Overseas Corp., 59 F.3d 1496 (5th Cir.1995), cert. denied — U.S. —, 116 S.Ct. 706, 133 L.Ed.2d 662 (1996), “[t]he obligation to provide maintenance and cure ‘embraces not only the obligation to pay a subsistence allowance and to reimburse the seaman for medical expenses he incurs; the employer must take all reasonable steps to insure that the seaman who is injured or ill receives proper care and treatment.’ ” Id. at 1500 (quoting Thomas J. Schoenbaum, Admiralty and Maritime Law, § 6-28, at 348 [2d ed.1994]). In light of the realities of the current health care system, this Court observes that an injured seaman often will be unable to obtain necessary medical treatment unless he can first demonstrate the ability to pay. As a result, the Court holds that a shipowner’s duty to pay maintenance and cure encompasses a duty to guarantee payment prior to treatment for all reasonable medical expenses. This ruling appropriately upholds the principle set forth in Vaughan v. Atkinson,

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Bluebook (online)
963 F. Supp. 42, 1997 A.M.C. 2017, 1997 U.S. Dist. LEXIS 2634, 1997 WL 106961, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sullivan-v-tropical-tuna-inc-mad-1997.