Tarpley v. Consolidated American Life Insurance

386 So. 2d 1067, 1980 La. App. LEXIS 4218
CourtLouisiana Court of Appeal
DecidedJuly 30, 1980
DocketNo. 7736
StatusPublished
Cited by1 cases

This text of 386 So. 2d 1067 (Tarpley v. Consolidated American Life Insurance) 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
Tarpley v. Consolidated American Life Insurance, 386 So. 2d 1067, 1980 La. App. LEXIS 4218 (La. Ct. App. 1980).

Opinion

DOMENGEAUX, Judge.

Two life insurance policies with an aggregate face value of $15,000.00 provided that the issuer of the policies would pay one-half the face amount thereof ($7,500.00) if the insured became totally and permanently disabled. Three issues confront us: (1) Did the insured prove his disability was total and permanent? (2) If so, was the insurer arbitrary and capricious in refusing to pay the insured’s claim? (3) Did the trial court err in imposing the 100% penalty provided in La.R.S. 22:657 rather than the 12% penalty provided in 22:658?

Plaintiff, Francis Paul Tarpley, suffered a back injury on April 4, 1978, when he and a fellow worker attempted to lift a heavy pipe. At the time, Mr. Tarpley was employed as a maintenance man by the La-Salle Parish School Board.

Following his injury, plaintiff was initially treated by a chiropractor whose care produced no results. He was next seen by a Doctor Turnley, who x-rayed plaintiff and diagnosed his injury as back strain compounded by arthritis and a bad disc. Then, on May 19, 1978, Mr. Tarpley first saw Dr. John T. Weiss, an orthopaedist, who thereafter treated plaintiff approximately once a month until he last examined Mr. Tarpley on February 15, 1979. At that time Doctor Weiss recommended that plaintiff retire from his maintenance job with the School Board for reasons explained later.

At the time of his injury, Mr. Tarpley owned two life insurance policies issued by the Woodmen of the World Life Insurance Society, Inc., the defendants.1 On March 2, [1069]*10691979, plaintiff made application for total and permanent disability benefits under the policy. This request was denied by W. 0. W. on April 2, 1979. Plaintiff then filed suit on May 25, 1979, and a non-jury trial was conducted on September 28, 1979. For reasons orally assigned, the trial court rendered judgment in favor of Mr. Tarpley and against Woodmen of the World Life Insurance Society in the amount of 50% of the face value of the two policies issued to Mr. Tarpley with credit for $8,054.48 already paid.2 The court further found the penalty provisions of La.R.S. 22:657 applied to both policies and the Society was condemned to pay penalties of 100% of the amount due, or $4,445.52. Attorney’s fees of $1,750.00 were also awarded, with W. O. W. being liable for %rds of that amount, or $1,441.32. The court further assessed %rds of the court costs to Woodmen of the World. From that judgment the Society has taken this appeal.

TOTAL AND PERMANENT DISABILITY

The trial court found that Mr. Tarp-ley was totally and permanently disabled due to the injury which occurred on April 4, 1978. The evidence contained in the record supports this factual determination.

In the ten month period following the injury, plaintiff’s condition remained substantially unchanged. The back pain persisted and Mr. Tarpley could not engage in any strenuous activities. During this time, plaintiff, then 55 years old, seemed eager to return to work and felt he could work without much problem as long as he did not do heavy lifting or tractor driving.

Doctor Weiss acceded to Mr. Tarpley’s wishes and permitted him to return to his job on a light work basis on October 12, 1978. However, the School Board would not allow plaintiff to return to work on this basis. The School Board advised him that he could return to work only when he was allowed to do regular work activities. On November 27, 1978, Mr. Tarpley was allowed to resume his regular work activities provided that he wear a corset for support. The School Board would not accept Mr. Tarpley on this basis either, and refused to let him return to work.'

Finally, Doctor Weiss allowed plaintiff to resume full work activities as of January 22, 1979, but he advised Mr. Tarpley to wear a corset without the knowledge of the School Board. About two weeks later, plaintiff notified Doctor Weiss that he could not perform his duties even with the support because he had experienced discomfort in his back while attempting to do some lifting.

On February 15, 1979, Doctor Weiss advised plaintiff to retire. This recommendation was made for two reasons: (1) Mr. Tarpley was unable to do his work even when he wore a corset, and (2) Doctor Weiss felt plaintiff’s condition was static and would not improve.

W. O. W. does not dispute the fact that Mr. Tarpley experiences serious pain in his back when engaging in strenuous activities. However, the defendant argues that the evidence conclusively establishes that the plaintiff, by virtue of his previous training and experience, is not unemployable and thus is not totally disabled. The cornerstone of the defendant’s argument is a letter written by Doctor Weiss dated March 27, 1979 (over a month after Doctor Weiss advised plaintiff to retire), which states:

“I feel Mr. Tarpley is capable of doing light work that would not require any significant bending or lifting, and walking that was not continuous and prolonged but only intermittent.”

Together with Doctor Weiss’ letter, defendant relies on plaintiff’s testimony that he once worked as a clerk in a hardware store to presumably conclude that plaintiff is employable as a clerk.

[1070]*1070We find no merit to defendant’s argument. The record reveals that Mr. Tarpley is a 56 year old man who has primarily been engaged in heavy manual labor since he dropped out of school in the 8th grade. At that time, in 1938 or 1939, he enlisted in the Civil Conservation Corps to paint pine trees, deaden timber, and do other conservation work. During World War II, he worked in a warehouse at Camp Livingston and delivered heavy cases of supplies to the PX. After the war he did “pulp wooding” and later he operated a power saw cutting pulp wood. He was also hired as a truck driver to haul the wood.

The employment that defendant relies heavily upon occurred more than thirty years ago in 1946 or 1947. Even this job required Mr. Tarpley to stoop or bend and left heavy objects because he was not only a clerk — he also delivered cement, roofing, and other heavy objects to job sites.

Plaintiff began working for the School Board in the 1950s doing maintenance work. His jobs included painting, roofing, plumbing, carpentry work, burying shorelines, digging them up and unstopping them, and general manual labor. This is the only work he had engaged in for the last 25 to 30 years until his back injury forced his retirement in 4979.

We believe plaintiff has established his disability to be total and permanent despite Doctor Weiss’ opinion that he could perform light work. The likelihood of Mr. Tarpley ever again becoming gainfully employed in a position requiring only light work is remote when factors such as his age, his back problem, and his work history are considered. Defendant’s belief that plaintiff’s education and experience establishes em-ployability as a clerk is sheer speculation wholly unsupported by the record. We therefore affirm the trial court’s finding on this issue.

PENALTIES AND ATTORNEY’S FEES

Defendant contends that the trial court erred in awarding penalties and attorney’s fees. Alternatively, defendant argues that the provisions of La.R.S. 22:658 should apply rather than the provisions of 22:657. We will dispose of the former contention first.

On March 14, 1979, Woodmen of the World received an extensive report detailing Doctor Weiss’ treatment of Mr.

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Bluebook (online)
386 So. 2d 1067, 1980 La. App. LEXIS 4218, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tarpley-v-consolidated-american-life-insurance-lactapp-1980.