Wilson v. American Fidelity Insurance

625 P.2d 1117, 229 Kan. 416, 1981 Kan. LEXIS 206
CourtSupreme Court of Kansas
DecidedMarch 25, 1981
Docket51,388
StatusPublished
Cited by33 cases

This text of 625 P.2d 1117 (Wilson v. American Fidelity Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wilson v. American Fidelity Insurance, 625 P.2d 1117, 229 Kan. 416, 1981 Kan. LEXIS 206 (kan 1981).

Opinion

The opinion of the court was delivered by

Fromme, J.:

Deborah Wilson brought this action under the Kansas Automobile Injury Reparations Act (KAIRA), K.S.A. 1980 Supp. 40-3101 et seq., to recover overdue personal injury protection (PIP) disability benefits. American Fidelity Insurance Company (American) appeals from a judgment in the sum of $1,413.12, plus 18% interest and an attorney’s fee.

Appellant American raises three points of alleged error: (1) refusal to permit it to take the deposition of Dr. Overesch; (2) refusal to permit plaintiff to be cross-examined concerning the *417 physical examination taken by Dr. Overesch; and (3) refusal to grant a continuance.

Plaintiff Wilson sustained injury in an automobile collision on September 29, 1978. Plaintiff was insured by American and became entitled to PIP disability benefits of $403.75 per month during the period of her disability. Payments were made also for medical expenses. PIP payments commenced September 29, 1978, but were terminated by American on February 1, 1979. Plaintiff contended that she was unable to engage in gainful activity until May 14, 1979, when she returned to work.

American requested that plaintiff submit to a physical examination to be given by Dr. Harry B. Overesch, M.D., 6400 Prospect, Kansas City, Missouri. The examination was completed on January 31, 1979, and benefits were then terminated. On March 23, plaintiff’s attorney requested a copy of the Overesch medical report, made demand for reinstatement of PIP benefits, and requested that American review its files to determine the amount of disability benefits due. American refused to furnish a copy of the Overesch report unless and until plaintiff paid 50% of the charges incurred by American for the examination. On April 12, plaintiff filed suit. American answered and denied that further payments were due. On May 18, American filed a motion to take the deposition of Dr. Overesch for use as evidence. The motion to take the deposition was presented on June 6, and denied by the court. The court set the case for trial on June 20. American then mailed a copy of the Overesch report to plaintiff on June 11, without requiring the payment. On June 13 and 18, respectively, American filed written motions to take the deposition of Overesch and to continue the trial of the case. On June 20, the court denied these last two motions and tried the case. The sole witness was the plaintiff and the court refused to allow the attorney for American to cross-examine plaintiff concerning the Overesch examination. The report of Overesch was offered but was not admitted into evidence. Judgment was entered for plaintiff as previously stated and American appeals.

At the outset it should be noted this action was filed pursuant to the code of civil procedure for limited actions. K.S.A. 61-1701 et seq. As expressed in the code, the provisions of the act shall be liberally construed to secure the just, speedy and inexpensive determination of every action or proceeding. K.S.A. 61-1608.

*418 Now turning to K.S.A. 1980 Supp. 40-3115 we see the provision of KAIRA relating to physical examinations to be taken at the request of an insurer or self-insurer. The injured person may be required to submit to a physical examination when such examination is “material to any claim that has been or may be made for past or future personal injury protection benefits.” In such case the “cost of any such examination requested by an insurer shall be borne entirely by the insurer or self-insurer.” The statute further specifies:

“Any such examination shall be conducted within the city or county of residence of the insured, but if there is no qualified physician to conduct the examination within such city or county, then such examination shall be conducted in an area of the closest proximity to the insured’s residence.” K.S.A. 1980 Supp. 40-3115(a).

Defendant does not contend there was no qualified physician in Wyandotte County or Kansas City, Kansas, the residence of plaintiff. The statute further provides:

“If requested by the person examined, the insurer or self-insurer causing the examination to be made shall deliver to such person a copy of every written report concerning the examination rendered by the examining physician, at least one (1) of which shall set out his findings and conclusions in detail.” K.S.A. 1980 Supp. 40-3115(6).

So in the present case the insurance company violated the statute in three particulars: (1) it conducted the examination outside the city and county of plaintiff’s residence; (2) it refused to furnish a copy of the examination with the physician’s findings and conclusions; and (3) it attempted to shift one-half the cost of the examination to the plaintiff.

The insurance company places the blame for these violations upon its personnel and asserts the claims personnel in its office relied on the provisions of K.S.A. 1980 Supp. 40-3114. It asserts the claims personnel were not law trained and in reading K.S.A. 1980 Supp. 40-3114 they failed to realize it referred to reports of a treating “physician, hospital, clinic, or other medical institution providing . . . any products, services or accommodations in relation to that or any other injury.” The insurance company’s excuse serves only to explain its failure to comply with the statute and does not justify its violations.

In connection with appellant’s first point of error, the court’s refusal to permit it to take the deposition of Dr. Overesch, we turn *419 to K.S.A. 61-1710 relating to depositions in limited actions. This statute reads:

“Any party to an action pursuant to this chapter may take the testimony of any person, including a party, either within or without the state, by deposition upon oral examination or written questions but only for use as evidence in the action. Unless the court orders otherwise, the parties may by written stipulation provide that depositions may be taken before any person, at any time or place, upon any notice, and in any manner and when so taken may be used like other depositions. The taking of such depositions shall be governed by the provisions of K.S.A. 60-228, subsections (b) through (h), inclusive, of K.S.A.

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Cite This Page — Counsel Stack

Bluebook (online)
625 P.2d 1117, 229 Kan. 416, 1981 Kan. LEXIS 206, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilson-v-american-fidelity-insurance-kan-1981.