Veal v. Dwyer

504 So. 2d 884, 1987 La. App. LEXIS 8721
CourtLouisiana Court of Appeal
DecidedFebruary 9, 1987
DocketNo. 86-CA-559
StatusPublished
Cited by4 cases

This text of 504 So. 2d 884 (Veal v. Dwyer) 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
Veal v. Dwyer, 504 So. 2d 884, 1987 La. App. LEXIS 8721 (La. Ct. App. 1987).

Opinions

GRISBAUM, Judge.

This appeal concerns a dispute between a worker’s compensation insurer and a third party tortfeasor (and his insurer) over reimbursement for compensation and other benefits paid to the injured worker. The compensation insurer-intervenor, St. Paul Fire & Marine Insurance Company, appeals the trial court’s award of $30,000 for its reimbursement. We amend, and as amended, we affirm.

We are called upon to decide two basic issues:

(1) Whether the hospital incident was the separate, independent, and intervening act which caused the rupturing of the disc, and

(2) Whether the trial court erred in failing to award legal interest to the inter-venor-compensation insurer.

FACTS

On August 9, 1983, Eddie J. Veal, Jr., in the course and scope of his employment with Bonnabel Hospital, was driving a van owned by the hospital. The van was struck by a pickup truck driven by Robert Dwyer and owned by Dwyer’s Quality Used Cars, Inc. That day, Veal reported to his supervisor that he was experiencing pain but continued working in pain for the next few days. While pushing a stretcher at the hospital on August 14, 1983, he experienced a sharp pain down his right arm to his fingertips. The next day he saw Dr. Bert Bratton and on September 20, 1983 began collecting $117.33 per week compensation benefits.

On July 27, 1984, Veal filed suit seeking damages for injuries sustained and named as defendants Dwyer, Dwyer’s Quality Used Cars, Inc., and its liability insurer, Continental Insurance Company. St. Paul Fire & Marine Insurance Company (St. Paul), Bonnabel Hospital’s worker’s compensation carrier, intervened seeking recovery of compensation benefits and medical expenses paid to Veal. Prior to trial, Veal had been paid a total of $53,656.67 in benefits and $9,901.78 in medical expenses, apparently pursuant to a lump sum settlement. On March 17, 1986, the parties settled the main demand, to which St. Paul was not a party and did not assent, for a sum of $150,000. The settlement included an agreement that any sums awarded in the intervention were to come out of the $150,000 placed in escrow until the intervention was determined. The next day, the intervention was tried and judgment was rendered in favor of St. Paul for $30,000. Although the judgment omitted interest, St. Paul was ordered to pay all costs of the proceedings, along with the expert fee of $500.

ANALYSIS

The rights of an employee and his employer against a third party tortfeasor are governed by La.R.S. 23:1101-03. Briefly, these provisions permit both the employee and the employer or its insurer to file a tort suit against third persons who caused the employee’s injuries. Section 1101. If either party brings suit, he must notify the other, and the other may intervene in this suit against the third person tortfeasors. Section 1101. In the event of successful recovery in such a suit, the employer’s claim for reimbursement of compensation shall be paid in priority to the employee’s claim out of any amount recovered. Section 1103. See Johnson v. Fireman’s Fund Ins. Co., 425 So.2d 224 (La.1982); [886]*886Verbois v. Howard, 322 So.2d 110 (La.1975). Moreover, Section 1103 concludes specifically: “No compromise with such third person by either the employer or the injured employee or his dependent shall be binding upon or affect the rights of the others unless assented to by him.” Accordingly, the plaintiffs settlement does not prejudice the right of the intervenor to recover all sums for reimbursement of compensation to which it is entitled, providing the damages sustained by the plaintiff as a result of the tort are at least equal to such amount. Felder v. Georgia Pacific Corp., 405 So.2d 521 (La.1981); Verbois v. Howard, supra. This is so regardless of any “hold harmless” provision to which the settling parties may have agreed. La.R.S. 23:1102(C)(1); Security Ins. Co. of Hartford v. Deshotels, 458 So.2d 186 (La.App. 5th Cir.1984).1

It is an axiomatic rule of law that in a worker’s compensation case, an employee (or, as here, the intervening carrier) must establish by a preponderance of the evidence that an employment accident, more probably than not, caused the disability. Conley v. Avondale Shipyards, Inc., 464 So.2d 807 (La.App. 5th Cir.1985). We have further recognized that an “accident” does not necessarily mean a sudden, violent and traumatic event; a claimant may also demonstrate that the disability was caused by activity gradual and progressive in nature. Millet v. Hooker Chem. Co., 442 So.2d 1239 (La.App. 5th Cir.1983). More importantly, when a determination must be made as to which of two accidents is the legal cause of the disability, various tests have been verbalized in our jurisprudence. In Waggoner v. Marquette Casualty Co., 181 So.2d 475 (La.App. 2d Cir.1965), the legal framework was set forth thusly:

“ ‘A tort-feasor is liable only for the direct and proximate results of his wrongful act. He cannot be held responsible for the result of a separate, independent and intervening act with which he had no active connection. If a person receives an injury through the negligent act of another, and the injury is after-wards aggravated and recovery retarded by a subsequent accident not resulting from the failure of the injured person to use ordinary care, the subsequent accident becomes a sequence or natural result of the original injury and the tort-feasor is liable for the entire damage sustained. However, the reverse is true if the subsequent injury is attributable to a distinct, intervening cause, for which the tort-feasor would be liable only for the original injury and not the subsequent one.’ ” (quoting from Rainwater v. Timothy, 87 So.2d 11 (La.App.Orl.Cir.1956)).

Waggoner, supra at 478-79. More recently, the test was succinctly stated as follows: “The proper standard for determining whether an accident is the legal cause of the disability is simply whether the accident changed the plaintiff’s condition so as to render him disabled and unfit for his former employment.” Abshire v. Dravo Corp., 396 So.2d 521, 524-25 (La.App. 3d Cir.1981). The Abshire case was cited and applied in Royer v. Cliffs Drilling Co., Inc., 465 So.2d 11 (La.App. 3d Cir.1984), writ denied, 466 So.2d 453 (La.1985), wherein damages for a second work-related incident were held to be “directly traceable” to a previous work-related auto accident, and full reimbursement was granted. Similarly, this Circuit has enunciated that test in Frix v. Supreme Catering Serv. and Aetna Ins., 444 So.2d 710 (La.App. 5th Cir.1984):

An employee’s disability will be presumed to have resulted from an employment accident if before the accident the employee was in good health, but commencing with the accident the symptoms [887]*887of the disabling condition appear and continuously manifest themselves, provided that the evidence shows that there is a reasonable possibility of causal connection between the accident and the' disabling condition, (quoting Field v. Winn Dixie, Inc., 427 So.2d 616 (La.App. 5th Cir.1983, emphasis supplied by the Frix court.)

Frix, supra at 713.

The record shows that the only expert to testify was Dr. Bert Bratton, the neurosurgeon who treated Edward Veal since April of 1982.

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