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January 2012

Workers' Compensation - In Benoit v. Turner Industries Group, LLC, 2011-1130 (La. 1/24/12), the Louisiana Supreme Court reversed a judgment of the Office of Workers' Compensation, which awarded the claimant $625,168.27. The claimant qualified for Medicaid, and Medicaid paid $203,124.68 for medical expenses. The remaining $422,043.59 was "written off" under the Medicaid program.

The Court held that "under La. R.S. 23:1212(A), the payment of medical expenses by Medicaid extinguishes any claim by the employee against the employer for those expenses [aside from] a narrow exception, whereby the state is granted a right to recover these expenses from the employer." As such, the OWC erred in awarding the claimant medical expenses paid by Medicaid. Similarly, the claimant was not entitled to the "written off" amount. "[T]he mere fact that the employer may have benefitted from a reduction of expenses through the Medicaid write-off process, does not impermissibly diminish the employer's liability for medical expenses."

The employer was liable for the reduced portion of the medical expenses paid by Medicaid, but that reimbursement was owed to the state, not the claimant.

Insurance - In Oubre v. Louisiana Citizens Fair Plan, 2011-0097 (La. 12/16/11), a divided Louisiana Supreme Court concluded that La. R.S. 22:658(A)(3), currently 22:1892, regarding the timely initiation of lost adjustment, does not require a showing of bad faith by the insurer. The statute simply requires proof of notice and no action for over thirty days. The Court also ruled that the provisions of La. R.S. 22:1220(C), currently 22:1973, "cap" the penalties for such inaction at $5,000 when damages are not proven.

Vicarious Liability - In Nizzo v. Wallace, 11-467 (La. App. 5 Cir. 12/28/11), an employee was involved in an altercation with a co-employee during the scope of her employment. The plaintiff/employee sued the employer and co-employee. The plaintiff/employee reached a settlement agreement with the employer, and the employer was released from the action.

Under these facts, the Court held that the settlement with the employer-tort feasor barred the recovery of damages against the co-employee for whom the employer was vicariously liable. The Court relied upon La. R.S. 9:3921 and Civil Code art. 2320. Because Louisiana law renders the employer primarily answerable for all damages occasioned by their employees while in scope of employment, the co-employee was effectively released when the employer was released. In reaching its ruling, the Court disregarded an express reservation of rights against the co-employee in the release documents with the employer.

Attorneys' Fees - Courts examine a number of factors when attorneys' fees are awarded. This examination should occur regardless of statutory authorization for an award of attorneys' fees. These factors include: the ultimate result; the responsibility assumed; the importance of the litigation; the amount of money involved; the extent and character of the work performed; the legal knowledge, attainment and skill of the attorney; the number of appearances involved; the intricacies of the facts involved; the diligence and skill of counsel; and the Court's own knowledge.

If there is no indication that the Trial Court took the above-listed factors into account when it made an award of attorneys' fees, the matter should be remanded for a determination of the proper amount of attorneys' fees to be awarded. Sicard v. Sicard, 11-423 (La. App. 5 Cir. 12/28/11).

 

December 2011

Legal Interest - The legal/judicial interest rate for the 2012 calendar year will be 4.0%.

Abandonment - In Department of Transportation & Development v. Oil Field Heavy Haulers, LLC, 2011-C-0912 (12/06/11), the Louisiana Supreme Court held that correspondence scheduling a discovery conference, as provided for in Uniform District Court Rule 10.1, is "a step in the prosecution or defense of the action" so as to avoid dismissal of a lawsuit based on 3 year abandonment under LA C.C.P. Art. 561. This ruling weakens the protection offered to defendants under Article 561.

Class Actions - In Price v. Martin, 2011-C-0853 (12/06/11), the Louisiana Supreme Court held that class certification was not available. The proposed class was made up of 4,600 property owners claiming damages from the emission of toxic chemicals from a wood treatment facility from 1944 to the present. Over that time, the plant was operated by multiple different owners.

In denying class certification, the Court noted that over 500 putative class members had already brought individual claims. The Court reasoned that certification would therefore prove unfair to those who had claims stronger than the named class representatives. Further, the Court held that certification under the facts of the case would be inconsistent with the general rule that "only mass torts arising from a common cause or disaster are appropriate for class certification."

November 2011

Comparative Fault - In Le v. Nitetown, Inc., 2010-1239 (La. App. 3 Cir. 7/20/11), 2011 WL 2848152, the Trial court was precluded from reducing a nightclub patron's recovery for his contributory negligence. The plaintiff's damages were caused by the intentional acts of the nightclub's employees and by the negligent actions of the nightclub. In refusing to uphold any fault allocation to the negligent plainitff, the Appellate court applied Louisiana Civil Code art. 2323 which provides that "if a person suffers injury, death, or loss as a result of the fault of an intentional tortfeasor, his claim for recovery of damages shall not be reduced." Plaintiff's contributory fault was found to be irrelevant when he suffered damage because of an intentional tort even if he was also injured by a negligent defendant.

Workers Compensation; Penalties - A workers' compensation claimant filed a motion for penalties and attorneys fees for untimely payments of amounts awarded in a consent judgment. Specifically, because of adjuster oversight, the check issued to the claimant was short by $.90. Five days later, the insurer issued a $.90 check to cover the shortage. The trial court denied the motion for attorneys fees and penalties. The appellate court disagreed. It found that the penalty assessed in La. R.S. 23:1201(G) is mandatory and the statute does not exempt small mistakes or inadvertent actions where the employer fails to pay the full amount of a judgment. Claimant was awarded penalties and attorneys fees in the amount of $3,000.00 for the underpayment of the judgement. Richard v. Coastal Culvert and Supply, Inc., 11-232 (La. App. 3 Cir. 10/5/11), 2011 WL 4578593.

Workers Compensation; State IME's - In Gaylord Chemical Corporation v. Short, 10-07170 (La. App. 1st Cir. 11/9/11), --- So. 3d ---, the court of appeal, reversing the Workers Compensation Judge, found that a request for the appointment of an independent medical examiner is not required to be made to the Director of the Office of Workers Compensation but may also be made directly to the WC Judge under the continuing jurisdiction of the WC tribunal afforded by La. R. S. 23:1310.8 even if there is no longer any pending suit between an employee and his employer.

October 2011

Uninsured Coverage - A guest passenger falls within the definition of "insured person" for purposes of liability coverage and thus is entitled to UM/UIM coverage. Reaching this conclusion en banc on remand from the Supreme Court, the Fourth Circuit declines to follow Batiste v Dunn, ___ So 3d ___ (1st Cir. 2011). Bernard v Ellis, No. 2010-1495 (La. 4 Cir. 9/27/11).

Future Pain and Suffering - If the trial judge accepts as fact the plaintiff will require future surgery by awarding future medical expenses for that surgery, the judge errs in not awarding him damages for future pain and suffering. Thibodeaux v Trahan, No. CA 11-328 (La. 3rd Cir. 10/5/11)

Wrongful Death - The father of decedent does not have a cause of action for decedent's wrongful death where he fails to file a petition to establish paternity within the peremptive period provided by La. C.C. art. 198. Udomeh v Joseph, No. CA 11-342 (La. 3rd Cir. 10/5/11) 

September 2011

Medicare Liens - The Centers for Medicare & Medicaid Services (CMS) published a memorandum on September 29, 2011 addressing proposed Liability Medicare Set-Aside Arrangement (LMSA) related to liability insurance settlements, judgments, awards, or other payments.

According to the memorandum, Medicare considers its interest, with respect to future medicals for a particular settlement, satisfied where the beneficiary's treating physician certifies in writing that treatment for the alleged injury related to the settlement has been completed as of the date of the settlement. If the beneficiary received additional settlements related to the underlying injury or illness, he/she must obtain a separate physician certification for those additional settlements.

When the treating physician makes a certification, the CMS memo also reports that there is no need for the beneficiary to submit the certification or a proposed LMSA amount for review. However, CMS indicates that it will not provide the settling parties with confirmation that Medicare's interest with respect to future medicals for that settlement has been satisfied. Instead, CMS encourages the parties to maintain the physician's certification. Therefore, if the doctor's "certification" is not fully clear, parties may still choose to seek a formal LMSA for approval by Medicare.

August 2011

Criminal Acts of Third Parties - In the recent decision of Irwin v. Rubens, -- So. 3d ----, 2011 WL 396451 (La. App. 4 Cir. 2011), summary judgment was upheld where an individual was shot and killed by a worker allegedly in the course and scope of employment. The defendant asserted that, as a matter of law, he owed no duty. Specifically, the defendant averred that plaintiffs could not prove that he was the employer of the shooter, who was alleged to be an independent contractor.

The court restated the law that there is no duty to protect against the acts of a third party unless the defendant has a "special relationship" with the victim. The court did not find the act of violence sufficiently connected to any employment. Further, the court held than an employer is not vicariously liable as a matter of course merely because his employee commits an intentional tort on the business premises during working hours. Instead, liability will attach only if the employee is acting within the ambit of his assigned duties and in furtherance of his employer's objective.

Premises Liability - In the recent decision of Jancan v. East Baton Rouge Parish School Bd., --- So. 3d ----, 2011 WL 3627707, the First Circuit upheld summary judgment where a contract worker entered the back of a school's dark auditorium and, while looking for a light switch, proceeded across the stage and fell into an orchestra pit, which was approximately five to six feet deep. The plaintiff contended that the school possessed a duty to have a light switch at each door to the auditorium.

Through a de novo review review of the evidence, the court found that the school possessed no duty to warn. The court reasoned that failure to take every precaution against all foreseeable injuries does not necessarily constitute negligence. According to the court, the School Board could not have anticipated that a reasonably prudent individual would proceed onward into a dark auditorium without lighting his path. In addition, the court confirmed the there is no duty to warn of an "open and obvious" risk.

This case could be analogized by defendants in other premises defect cases because the risk was considered "obvious" only after considering how the plaintiff should have acted. Therefore, the risk was obvious even though the plaintiff had no ability to actually see the hazard.

"Duty Risk" - The First Circuit decision in Rainey v. Steele, --- So. 3d ----, 2011 WL 3629360 gives a clear recitation of Louisiana's "duty-risk" form of negligence.

The proper methodology for analysis of a negligence claims begins with answering the following questions:

1. Was the conduct in question a cause-in-fact of the resulting harm?
2. What, if any, duties were owed by the respective parties?
3. Were the requisite duties breached?
4. Was the risk, and the harm caused, within the scope of protection afforded by the duty breached?

In Rainey, the plaintiff was a contract worker who alleged that loose carpeting in a doctor's office caused her fall from a ladder while painting. Comparing the experience of a professional painter to that of a doctor, the court found that the plaintiff was in the better position to gauge whether the carpet was a safe platform for the work. Therefore, the doctor owed no duty to the plaintiff.

June 2011

Products Liability - PLIVA, Inc. v. Mensing, ––– U.S. ––––, 2011 WL 2472790 (June 23, 2011). The U.S. Supreme Court ruled that generic drug manufacturers may not be sued under state law for failing to warn consumers about potential risks associated with their products. The basis of this ruling is that a generic drug manufacturer must use the same warning labels the brand name drug manufacturer used. Therefore, Federal law pre-empted state laws which could impose a duty upon generic drug manufacturers to change drug labeling.

Workers’ Compensation -  Becker v. Murphy Oil Corporation, 2010-1519 (La.App. 4 Cir. 6/2/11), --- So.3d ----, 2011 WL 2164151. The Louisiana Fourth Circuit Court of Appeal upheld an award of tort damages to employees who suffered gradual hearing loss because of long-term occupational noise exposure. The court found that the exposure was not an "accident" and therefore was not compensable under the Louisiana Workers’ Compensation Act as an occupational disease. Because there was no workers' compensation exposure to the employer, the employer could not benefit from the immunity to tort provided through the workers' compensation laws.

LeBlanc v Excel Auto Parts, 2011-58 (La.App. 3 Cir. 6/1/11), --- So.3d ----, 2011 WL 2135515. Under LSA-R.S. 23:1201, an insurer’s failure to adhere to mandatory notice provisions when converting a claimant’s longtime disability benefits from temporary total disability (TTD) benefits to supplemental earnings benefits (SEB) may merit the imposition of fees and penalties.

Discovery  - The recent decision of Lee v. Max Intern., LLC, 638 F.3d 1318 (10th Cir. 2011) shows the discretion given to the district judge in federal court in discovery matters. In Lee, the U. S. Tenth Circuit ruled that a district court has discretion to impose dismissal as a sanction upon a plaintiff who failed to respond to discovery and two court orders to produce documents. The court stated, "[T]hree strikes are more than enough to allow a district court to call a litigant out."

May 2011

Insurance – The Louisiana Supreme Court recently held that an anti-assignment clause in a homeowner’s policy is not against Louisiana public policy. An anti-assignment clause will be valid in Louisiana if it clearly and unambiguously expresses that it applies to post-loss assignments. However, the issue must be evaluated on a "policy by policy" basis. In re Katrina Canal Breaches Litigation, 2010-1823 (La. 5/10/11), 2011 WL 1774330.

Prescription – The Louisiana Supreme Court ruled that a timely lawsuit filed against a principal or statutory employer interrupts prescription against a third party alleged tortfeasor when the parties have a solidary relationship. Glasgow v. PAR Minerals Corp., 2010-2011 (La. 5/10/11), 2011 WL 1759845.

Workers Compensation – The Louisiana Third Circuit found that an employer must show "good cause" to change his choice of vocational rehabilitation counselor in a worker's compensation setting. Carmouche v. Kraft Foods, Inc., 10-401 (La. App. 3rd Cir. 4/13/11), 2011 WL 1376146.

April 2011

Employment Discrimination - The U.S. Supreme Court recently ruled that retaliation against the fiancé of a party who made a claim for sex discrimination gives rise to a cause of action in favor of the fiancé.

In Thompson v. North American Stainless, LP, 131 S. Ct. 863 (2011) an employer allegedly fired an employee's fiancé in response to the employee's filing of a sex discrimination claim against the employer. The U.S. Supreme Court ruled that the employer's actions would violate the anti-retaliation provisions of the Civil Rights Act of 1964 and provide a cause of action for the fiancé against the employer.

Premises Liability - The Louisiana Third Circuit Court of Appeals confirmed that a premises owner is not liable for an open and obvious condition that should have been observed by a patron.

In Chambers v. Village of Moreauville, Louisiana Third Circuit Court of Appeals, No. CA 10-1368 (4/6/11), the Court held that because a pedestrian is obligated to observe his path mindful that every sidewalk contains irregularities, a condition that is obvious and easily avoidable cannot be considered to present an unreasonable risk of harm.

Insurance - The Louisiana Fifth Circuit Court of Appeals recently outlined the scope of an insurance agent's duty to procure coverage for an insured.

In JSB Interests, LLC v. Hanover Insurance Company, Louisiana Fifth Circuit Court of Appeals, No. 10-CA-487 (3/9/11), the Court held that an insurance agent's duty to procure insurance coverage requested by an insured does not include a duty to spontaneously identify the insured's needs and advise him regarding additional coverage.

March 2011

Judicial Confessions - In Bennett v. Porter, 2010-1088 (La. App. 3 Cir. 3/9/11), --- So.3d ---, the Third Circuit Court of Appeals addressed the impact of a judicial confession (i.e., any declaration made by a party in a judicial proceeding) in a subsequent legal proceeding. The Court concluded that, under Civil Code Article 1848, an earlier judicial admission does not bind a party in a later proceeding. Although the judicial confession is admissible into evidence in a subsequent proceeding and may be used for purposes of impeachment, it is not conclusive. Furthermore, it does not create a presumption and does not estop the party making the confession, absent a showing of deception or prejudice.

Premises Liability - In Nicholson v. Horseshoe Entertainment, Louisiana Partnership, 46-081 (La. App. 2 Cir. 3/2/11), --- So.3d ---, the plaintiff alleged that an escalator "jerked" and caused her fall and injury. In affirming summary judgment, the Louisiana Second Circuit faithfully applied Article 2317.1 (concerning defects in things) and found that the plaintiff's two affidavits which confirmed her version of events were insufficient to create a "material issue of fact." On appeal, the plaintiff accused the Trial Judge of improperly "weighing" the evidence. However, the Appellate Court found the discussion of a defect irrelevant because the plaintiff possessed no evidence that the defendant knew or should have known of the alleged defect.

Products Liability - In Payne v. Gardner, 2010-2627 (La. 2/18/11), --- So.3d ---, the Louisiana Supreme Court upheld summary judgment where the plaintiff failed to demonstrate that the alleged injury resulted from a reasonably anticipated use of the manufacturer's product under La. R.S. 9:2800.54(A). The suit involved the ill-conceived, but apparently established practice of attempting to "ride" an oil well pump. The case presented serious injuries. In this setting, the Court ruled that a manufacturer's "knowledge of the potential and actual intentional abuse of its product does not create a question of fact on the question of reasonably anticipated use." The defendant showed that its pumping unit was manufactured solely for the purpose of extracting oil from the ground. The plaintiff possessed no evidence to the contrary. As such, the Court found that no reasonable person could find that the plaintiff's use was reasonably anticipated.

February 2011

Workers' Compensation
- In Rougeau v. Gottson Const. Co., 2010-1082 (La. App. 3 Cir. 2/9/11), --- So. 3d ---, the Third Circuit Court of Appeals ruled that a sincerely held but unjustified belief that an employee's injury did not result from an accident does not excuse the failure to pay workers' compensation benefits. As such, it was unreasonable for an employer to deny benefits. Attorney fees were awarded against the employer.

Insurance - In La Louisiane Bakery Co. Ltd. v. Lafayette Ins. Co., 09-825 (La. App. 5 Cir. 2/8/11), --- So.3d ---, the Fifth Circuit Court of Appeals approved plaintiff's use of profit and loss statements and tax returns for a twelve month period to define the business interruption claim. The insurance policy did not specify how the business interruption claim was to be calculated. Because the plaintiff's sales figures varied each month, the plaintiff was allowed to introduce documents covering twelve months of business even though the business was only interrupted for six weeks.

Workers' Compensation - In Ardoin v. Firestone Polymers, L.L.C., 2010-0245 (La. 1/19/11), --- So.3d ---, the Louisiana Supreme Court held that an employee did not meet his burden of proving an unwitnessed accident. In its analysis, the Court confirmed that an unwitnessed accident may be proven under Worker's Compensation by the employee's testimony alone only if (1) no other evidence discredits or casts serious doubt upon his version of the accident and (2) the worker's testimony is corroborated by the circumstances following the accident.  

January 2011

Workers Compensation
- In Agilus Health v. Accor Lodging North America, 2010-0800 (La. 11/30/10), --- So.3d ----, the Louisiana Supreme Court held under the facts of that case that payment to a healthcare provider in an amount below the Louisiana Worker's Compensation Act's reimbursement schedule for medical services pursuant to a valid PPO contract does not violate state law.

Judgments - In Interdiction of Jones, 10-66 (La.App. 5 Cir. 11/9/10), --- So.3d ----, the Fifth Circuit Court of Appeal held that a judgment ruling an individual in contempt, where the object of the proceedings before the court is to obtain a finding that someone is in contempt, is a final judgment subject to immediate appeal.

Damages; Lost Chance of Survival - In Braud v. Woodland Village L.L.C., 2010-0137 (La.App. 4 Cir. 12/8/10), --- So.3d ----, the Fourth Circuit Court of Appeal concluded that, in a medical malpractice case, a claim for lost chance of survival is a distinct, compensable injury and is distinguishable from a claim for loss of life in a wrongful death case.

Therefore, under Braud, the plaintiff must prove that (1) the tort victim had a chance of survival at the time of the professional negligence, (2) that the tortfeasor's action or inaction deprived the victim of all or part of that chance, and (3) the value of the lost chance. The plaintiff need not prove that the patient would have survived but for the defendant's malpractice. Nevertheless, the plaintiff must establish by a preponderance of the evidence that he or she had a chance for survival, and that this chance was lost due to the defendant's negligence. Accordingly, the fact-finder must focus on the loss of chance of survival as a distinct compensable injury, and value the lost chance as a lump sum award  

November 2010

Course & Scope of Employment – In Ardoin v. Cleco Power, LLC, the Louisiana Supreme Court held that an employee was in the course and scope of employment when he slipped and fell while retrieving his personal effects three days after he was terminated from employment. The trial and immediate appellate courts held that the workers’ compensation claim of the employee was subject to dismissal via summary judgment. The Supreme Court reversed and held that a terminated employee is within the course of employment while winding up his or her affairs.

Products Liability Warning – In Carrier v. City of Amite, the Louisiana Supreme Court held that the retail seller of a child’s bicycle helmet does not have a duty to provide fitting instructions at the point of sale. The Court commented that it is not reasonable to require mass marketing retailers to offer specialized point of sale advice on the thousands of products. By custom, the customer will ask for assistance if it is required.

Summary Judgments – In Guillory v. Chapman, the Louisiana Supreme Court held that the trial court may refuse to consider an expert’s affidavit in opposition to a Motion for Summary Judgment when it is not served on all counsel eight days prior to the Motion for Summary Judgment hearing.

October 2010

Waiver of Insurance
- In Emery v. Progressive Cas. Ins. Co., 2010 WL 3517943, 2010-0327 (La.App. 1 Cir. 9/10/10), the Court addressed the waiver of policy defenses by an insurer. In Emery, the insurer denied coverage before suit was filed and then asserted coverage defenses in its answer. However, the insurer did not advise its insured of any conflict of interest and did not retain separate counsel for the insured until 17 months later. Under these facts, the insurer was deemed to have waived coverage defenses.

Summary Judgment Procedure - the Louisiana Legislature has amended LSA-C.C.P. art. 966 concerning summary judgments. Through this amendment, the Legislature clarifies that summary judgment is to be rendered or affirmed only as to issues set forth in the motion and that the fault of a party or nonparty dismissed or absolved through summary judgment shall not be considered by the jury in any later allocation of fault. The amendment is less than clear in its language and will likely be clarified through jurisprudence. 

September 2010

Class Actions - Dukes v. Wal-Mart Stores, Inc. is perhaps the largest class action in U.S. history. In the 10-year legal battle, plaintiffs allege that Wal-Mart discriminated against its female employees in violation of Title VII of the Civil Rights Act. In April 2010, the Ninth Circuit upheld certification of a nationwide class of up to 1.5 million current and former employees alleging gender bias in pay and promotions. In August 2010, Wal-Mart appealed the decision to the U.S. Supreme Court contending that the ruling effectively bars Wal-Mart from presenting an individualized defense to each plaintiff's claim. Wal-Mart contends that the certification violates due process, the Federal Rules of Civil Procedure and is in conflict with the Court's precedents. A decision by the Supreme Court could set new standards for all other class actions.

Premises Liability - In Burns v. CLK Investments V, LLC, the Fourth Circuit held that the defendant's violation of a building standard does not relieve the plaintiff's burden of proving that the defect in the pedestrian ramp presented an unreasonable risk of harm. The trial court instructed the jury that if the condition of the ramp is patently obvious and easily avoidable, it cannot be considered an unreasonable risk of harm. Although the doctrine of negligence per se has been rejected in Louisiana, violations of statutory requirements and building standards provide guidelines for determining negligence.

Insurance - In Emery v. Progressive Cas. Ins. Co., the First Circuit held that the insurer waived its coverage defenses by assigning only one attorney to represent both the insurer and the insured despite having knowledge of facts indicating non-coverage. Prior to filing suit, the insurer advised the insured that coverage was denied. However, the insurer did not advise the insured of the conflict of interest; did not retain separate counsel for the insured until 17 months after suit was filed; and did not obtain a non-waiver agreement reserving its coverage defenses.

August 2010

New Anti-Indemnity Law - By Act No. 492 of the 2010 Session, the Louisiana legislature enacted R.S. 9:2780.1 making certain indemnity and insurance provisions in motor carrier transportation and construction contracts invalid, the legislature rendered null and void any provision that requires a party to indemnify, defend or hold harmless another from liability for damage not caused by the fault or negligence of the indemnifying party. The statute also provides that the laws of the State of Louisiana apply to any construction contract to be performed in the state. The new statute is effective for all transportation and construction related contracts entered into on or after January 1, 2011. The legislature had already invalidated such indemnity provisions in oilfield and certain other contracts where personal injury claims were involved (La. R.S. 9:2780).

Insurance Legislation - The legislature passed several new laws related to insurance. Act 688 requires each authorized insurer and HMO to produce and maintain an insurance anti-fraud plan. The law goes into effect January 1, 2011. Act 1005 prohibits the failure to renew or cancellation of certain homeowners' policies because of the presence of Chinese Drywall. The law remains in effect until January 1, 2013.

July 2010

Medical Malpractice - In Acara v. Banks, 2010-0741 (La. 6/18/10), So.3d, the Louisiana Supreme Court concluded that there were genuine issues of material fact as to whether a physician breached the standard of care by giving an opinion without reviewing medical records.

Damages - In Nikolaus v. City of Baton Rouge, 2009-2090 (La. App. 1 Cir. 6/11/10), So.3d, the First Circuit Court of Appeal concluded that no right of action exists for recovery of increased insurance premiums based on a tortfeasor's negligence or strict liability.

Class Actions - In Lester v. Exxon Mobil Corp., 09-1105 (La. App. 5 Cir. 6/29/10), So.3d, spouses filed separate wrongful death actions against an oil production company prior to the court's ruling on class certification in a separate class action brought against same production company. The court concluded that the spouses had opted out of class action and, therefore, the pendency of the class action did not serve to suspend prescription of the wrongful death actions.

June 2010

Products Liability - In In Re Chinese Drywall Products, 680 F. Supp 2d 780 (E.D. La. 2010), the court found that the "economic loss rule" did not apply to bar tort claims against the defendant manufacturer because Louisiana does not recognize the rule. Any challenges to claims of Louisiana plaintiffs must be brought under the Louisiana Products Liability Act.

Insurance - In Bradley v. Allstate Ins. Co., 606 F.3d 215 (5th Cir. 2010), the court outlined the proper calculation of actual cash value as "the cost of duplicating the damaged property with new materials of like, kind and quality, less allowance for physical deterioration and depreciation." The district court's use of the pre-storm market value was incorrect.

Insurance Penalties - In Hope-Kidd v. Stewart, No. 2010-141 (La. App. 3 Cir. 6/2/10), the Appellate Court affirmed a trial court ruling that refusal to award penalties where an insurer paid 97% of settlement funds within 30 days after the settlement was reduced to writing. Although the insurer's failure to pay $600.00 in accrued interest was technically in violation of LSA-22:1973(B) (2), the Court considered the failure as diminimus and rejected the demand for penalties and use of sanctions.

May 2010

Class Actions - In Shady Grove Orthopedic Association, P.A. v. Allstate Ins. Co., U.S. (2010), the United States Supreme Court ruled that a New York statute prohibiting class actions in suits seeking penalties or statutory minimum damages does not preclude a federal court sitting in diversity from entering a class action under Federal Rule of Civil Procedure 23. There was no unanimity among the justices as to the decision or the rationale.

Products Liability - In Chevron, USA Inc. v. Aker Maritime Inc., F. 3d (5th Cir. 2010), the U.S. Fifth Circuit, applying Louisiana law, came to these conclusions: (1) a jury was entitled to determine that the prescriptive period against the manufacturer did not start when the product first broke, where the evidence showed all involved had cause to conclude that the failure resulted from another source; (2) the "apparent manufacturer" doctrine under the Louisiana Products Liability Act applies when the buying public has a basis to assume that the seller may be the manufacturer of a product it distributed; and (3) the LPLA, and not redhibition, applies where the bolt which the buyer purchased damaged its property.

Unfair Trade Practices - In Cheramie Services, Inc. v. Shell Deepwater Production, Inc., No. 09-C-1633 (4/23/10) (Knoll, Johnson and Guidry, JJ, concurring), the Louisiana Supreme Court ruled that persons who are neither business competitors nor consumers nevertheless may bring an action for damages pursuant to the Unfair Trade Practices and Consumer Protection Law, R.S. 51:1401, et seq. Despite the conclusion that the statute contains no such limiting language, the Court concluded under the facts particular to this case that summary judgment dismissing the claims was appropriate. The evidence showed that the defendant-employees were merely exercising their prerogatives as at-will employees to change the companies for which they worked.

April 2010

Expert Testimony - In State v. Young, La. S. Ct., No. 2009-KK-1177 (4/5/10), the Louisiana Supreme Court held that expert testimony is not admissible on the issue of the general reliability of eyewitness identification. Justice Guidry observed that such testimony would not aid the jury in its deliberations and is likely to be more prejudicial than probative in value. One Justice felt that testimony of this nature would always be admissible and, in a concurrence, argued for a "bright line" rule of inadmissibility.

Prescription/Medical Malpractice - The Louisiana Supreme Court in Williamson v. Hebert, La. S. Ct., No. 10-CC-0071 (4/5/10) strictly construed the defense of prescription. In Williamson, the plaintiff experienced problems following a surgery. The factual record showed that she had real apprehension following her surgery and felt something "was wrong." However, two of her doctors assured her that her condition would continue to improve. When her symptoms did not improve, she performed computer research and learned for the first time that her symptoms may have been caused by malpractice.

The Supreme Court reached this decision even though existing Appellate Court jurisprudence supports the position that the plaintiff's knowledge that something was wrong following the surgery may be sufficient knowledge to begin the running of the prescriptive period.

Workers' Compensation - Last December, we reported on City of Dequincy v. Henry, --- So.3d ----, 2009 WL 4639519, (La. App. 3 Cir .12/9/09), where the Louisiana Third Circuit Court of Appeal held that the worker's compensation insurer who intervened in the employee's third-party tort suit is not entitled to a credit for future medical benefits even where the amount paid by the tortfeasor in its settlement with the employee exceeds the amount necessary to fully reimburse the workers compensation carrier for benefits already paid.

The Louisiana Supreme Court has recently granted writs in this case. We will continue to monitor this case because it may have important ramifications to intervention/subrogation cases in the workers' compensation context.

March 2010

Medical Liens - In Metcalf v. Christus Health Southwestern Louisiana, No. CA 09-869 (3/3/10), the Third Circuit took a strong position against the enforcement of liens for healthcare providers. The Court held that the lien of a healthcare provider against settlement proceeds or payment of a judgment is invalid unless the lien is sent by certified mail and includes the location of the healthcare provider. In all probability, the plaintiff's bar will use this ruling to justify a choice not to pay medical providers from proceeds received.

Workers' Compensation/Immunity - Pursuant to LSA-R.S. 23:1061, a principal obtains a rebuttable presumption that they are in an immune "statutory employer" when their contract designates the principal as a statutory employer. In Rainey v. Entergy Gulf States, Inc., La. S. Ct., No. 09-C-572 (3/16/10), the Louisiana Supreme Court upheld such a designation when only the typed signature of the principal's representative was on the contract addendum providing this statutory employer relationship. Further, the Court indicated that the addendum was effective even when only signed by the contractor's representative because the principal was the party who prepared and presented the contract addendum to the contractor. The principal's consent is presumed.

Mitigation of Damages - In Ferguson v. Loewer Powersports & Equipment, No. CA - 09-990 (3/17/10), the Louisiana Third Circuit held that a plaintiff's decision to not obtain medical testing did not constitute a failure to mitigate damages. In Ferguson, the plaintiff's physician recommended testing and medial treatment was delayed when plaintiff did not obtain the testing. However, the plaintiff did not undertake testing because: 1) he had no medical insurance; 2) he did not have funds to obtain the testing; and 3), although he had retirement savings, the plaintiff would have been penalized if he withdrew these funds. This decision is indicative of the Third Circuit's desire to maximize plaintiff's recovery.

February 2010

Federal Jurisdiction - In Hertz Corp. v. Friend, 130 S.Ct. 1181 (2010), the United States Supreme Court held that a corporation’s “principal place of business,” for purposes of federal diversity jurisdiction, under 28 U.S.C.S. § 1332, is its “nerve center.” The “nerve center” test examines where the corporation’s officers direct, control, and coordinate the corporation’s activities. In practice, the “nerve center” should normally be the place where the corporation maintains its headquarters. However, this requires the headquarters to be the actual center of direction, control, and coordination, not simply an office where the corporation holds its board meetings.

Products Liability - In DeMay v. Actavis, Inc., 593 F.3d 428 (5th Cir. 2010), the court held that Louisiana’s failure to warn claims, based on alleged inadequacy of generic drug labels, are not preempted by federal regulations. Currently, federal law requires generic labels to be the same as the name brand at the time of the initial Abbreviated New Drug Application (ANDA). The court found that Louisiana’s imposition of duties to warn on generic drug manufacturers neither renders compliance with federal regulation impossible nor obstructs the goals of the federal regulation.

Negligence - In Tyson v. King, (La. App. 3rd Cir. 2/3/10) 2010 WL 363862, the court held that the trial judge erred in sustaining summary judgment for the defendant solely because there was no contact with the plaintiff's vehicle in an automobile accident. The court found that there is no statutory or jurisprudential requirement of contact between vehicles for the imposition of liability in a motor vehicle accident.

January 2010

Med Pay Provisions - In Titus v. IHOP Restaurant, Inc.. 09-951 (La. 12/1/09), the Louisiana Supreme Court held that the payment of "med pay" under a liability insurance policy does not constitute an acknowledgment of general liability for damages. The Court reasoned that "med pay" benefits are no fault medical payment obligations which arise from an obligation entirely different than a defendant's tort responsibilities.

Insurance - In Six Flags, Inc. v. Westchester Surplus Lines Insurance Company, _______ So.3d. _____ (5th Cir. 2009), the Court held that the presumption that a contract must be interpreted against the party who furnishes the text does not apply to an unambiguous insurance contract or where the insured is a sophisticated commercial entity that utilizes an agent to secure the desired policy provisions.

Medical Malpractice - The recent 2nd Circuit decision in Ebarb v. Willis Knighton Medical Center (La. App. 2 Cir. 1/6/10), 2010 WL 22772 upheld a jury verdict in favor of defendants where a 12 year old patient died after suffering a stroke in the hospital's intensive care unit. Despite evidence that an MRI may have been helpful, the Court found that it was not the duty of the hospital/ER doctor to order an MRI.

The Court rejected arguments that the ER doctor possessed a heightened duty of care. Instead, the Court observed that a physician is required only to exercise the degree of skill ordinarily employed by his professional peers under similar circumstances. A physician is not to be held to a standard of absolute precision; rather his conduct is evaluated in terms of reasonableness under the circumstance then existing without the benefit of "hindsight."

December 2009

In City of Dequincy v. Henry, --- So.3d ----, 2009 WL 4639519, (La. App. 3 Cir.12/9/09), the Louisiana Third Circuit Court of Appeal reaffirmed its holding in Breaux v. Dauterive Hosp. Corp., 02-1072 (La. App. 3 Cir. 2/5/03), 838 So.2d 109, that a workers compensation insurer who intervenes in the employee's third-party tort suit is not entitled to a credit for future medical benefits. According to the court, this is true even where the amount paid to the employee in settlement exceeds the amount necessary to fully reimburse the workers compensation carrier for benefits already paid.

In City of Dequincy, the court also affirmed the trial court's decision to deduct from the workers compensation carrier's future indemnity credit the amount assigned in the settlement documents for the loss of consortium to the employee's family. This deduction was appropriate because the amount allocated to settle the consortium claims was only a small percentage of the entire settlement, thereby distinguishing cases where all or a large part of the settlement was attributed to a loss of consortium.

Finally, the City Of Dequincy court also affirmed the trial court's finding that the intervening employer and its workers compensation carrier had provided written approval of settlement between the employee and the third-party tortfeasor such that the employee did not forfeit the right to future workers compensation benefits. The employee and third-party tortfeasor reached their settlement agreement in a private mediation conference not attended by the employer or its workers compensation carrier. Although the employer and carrier declined to attend mediation, the court accepted an advance e-mail to the mediator agreeing to a one third waiver of the lien as sufficient written approval of the settlement.

November 2009

Medical Review Panels - the Third Circuit Court of Appeal holds that a nursing home claim involving allegations of improper staff training and a failure to properly monitor or observe a patient must be submitted to a medical review panel. Of course, the nursing home was a qualified health care provider. Hernandez v Diversified Healthcare-Abeville, LLC, Third Circuit, CA 09-546 (11/4/09.

Patient Compensation Fund - In the case of Cubley v Willis-Knighton, No. 44,435-CA (11/4/09), the Louisiana Second Circuit confirmed the two instances where the Patients Compensation Fund is liable: 1) a settlement for an amount at or above $100,000; or 2) a judgment in the amount of $100,000 or more following trial. A settlement for less than $100,000 does not result in a liability determination by which the PCF is bound.

Judicial Interest - The judicial interest rate for 2010 has been set at 3.75%.

October 2009

In Gonzales v Kissner, an animal control officer went to investigate a dog bite by the landowner's dog, a 100 pound Shepherd. While the wife of the landowner and the officer were talking outside the house, the dog somehow escaped from inside the house and bit the officer twice. There had been two previous occasions of the dog's escapes, and the landowner had knowledge of the dog's dangerous propensities. The First Circuit rules that (1) the owner is strictly liable under CC Article 2321; landowner's conduct is so blameworthy that tort recovery should be allowed as a punishment or deterrence, and (2) the officer's recovery is not barred by the "Professional Rescuer's" doctrine. 2009 WL 3029621 (La. App. 1 Cir. 9/11/09)

The Fourth Circuit recently ruled if a statute or contract allows a party to collect reasonable attorney's fees, an attorney representing himself or herself may in general be entitled to collect such fees, unless the statute or contract clearly indicates otherwise. Gaden v Galvin, 2009 WL 3052633 (La. App. 4 Cir. 9/25/09)

SEPTEMBER 2009

FAILURE TO MITIGATE DAMAGES: The Louisiana Fourth Circuit Court of Appeals recently held that an injury victim does not fail to mitigate his/her damages when he/she refuses surgery when the surgery would not significantly alleviate the disability; carries risks of failure; would be painful; or the patient is unable to pay for the treatment. Flemings v State, 2007-1290 (La. App. 4th Cir. 8/26/09), 2009 WL 2751146. The decision could weaken the mitigation defense in certain scenarios. At least in the Forth Circuit, a plaintiff may be able to overcome the failure to mitigate defense by proving that he/she cannot afford the surgery or that it carries risks of failure.

ATTORNEY ADVERTISING: The Louisiana Supreme Court recently amended Rule 7 of the Rules of Professional Conduct which relates to lawyer advertising. The amended Rule became effective on October 1, 2009. The Rule, as amended, greatly limits attorney adverting, including advertising that touts prior client recovery or implies a guarantee of results.

http://www.ladb.org/NXT/gateway.dll?f=templates$fn=default.htm$vid=ladb:ladbview

However, on September 22, 2009, the Louisiana Supreme Court issued an order suspending enforcement of certain provisions of amended Rule 7. A copy of the Order can be viewed at the following address.

http://www.lsba.org/2007MemberServices/Advert0609/ROPC_
ARTICLEXVI_REVISEDSEPT222009.pdf

The suspension was prompted by the Eastern District of Louisiana's decision in Public Citizen, Inc. v. Louisiana Attorney Disciplinary Board, 2009 WL 2390866 (E.D. La. 2009), which held that certain disclosure requirements for celebrity spokespersons and limitations and filing requirements for internet advertising were unconstitutional. The suspension is effective until further notice.

 July 2009

A recent 3rd Circuit case stands for the proposition that imposing liability for spoliation of evidence is not appropriate unless the record shows intentional destruction of evidence for the purpose of depriving the opposing party of use of that evidence. Arnold v. Brookshire Grocery Co., 09-44 (La. App. 3d Cir. 5/6/09).

The 4th Circuit has ruled that if a party provides limited information to a potential expert, and then declines the future services of this expert, an adverse party involved in the litigation is free to retain this expert at a later date. Safeguard Storage Properties, LLC v. Donahue Favre Contractors, Inc., 2009-C-0344 (La. App. 4th Cir.).

The 1st Circuit recently discussed the issue of whether or not an attorney must have express authority from the client to enter into a binding agreement to settle the client's case. See Dozier v. Rhodus, 2008-CA-1813, (La. App. 1st Cir. 05/05/09). While the issue may not be completely resolved, the First Circuit seems to suggest that the attorney does not need express authority from the client to bind the client to a settlement. However, the argument can be made under Civil Code Article 3071 that a written consent to settle from the client is necessary.

June 2009

Class Actions: The Fourth Circuit Court of Appeal recently affirmed a decision of the Civil District Court of New Orleans denying class action certification to a class of plaintiffs claiming injuries due to emissions from the Mobil Oil Corporation plant in St. Bernard Parish.

In Thomas v. Mobil Oil Corporation, 2008-0541 (La. App. 4 Cir. 3/31/09), 2009 WL 1027168, the class representatives filed suit on behalf of over 7,000 residents of St. Bernard Parish for various damages allegedly suffered by the class. The class alleged that the damages were caused by numerous "flares" from the Mobil Oil plant for a period of 14 years.

The court found that a class action was an inappropriate procedural vehicle to litigate the plaintiffs' various claims: "If this [case] were to proceed as a class action [it] would quickly disintegrate into [an] unmanageable multitude of small suits with individual issues and evidence, violating the policy of judicial efficiency which the class action is designed to serve." Id. at *8. The case involved numerous class members claiming varying injuries allegedly caused by emissions occurring at different times and affecting different areas of St. Bernard Parish. "[T]here are just too many variables as to how various putative class members may have been exposed or affected that need to be resolved on an individual basis to allow for a workable class." Id. at *8.

Class Actions: Insurance: The Fourth Circuit Court of Appeal recently upheld the certification of a class action against an insurer by claimants whose homes were damaged during Hurricane Katrina. In Press v. Louisiana Citizens Fair Plan Property Insurance Co., 2008-1313 (La. App. 4 Cir. 4/22/09), 2009 WL 1098720, the claimants filed suit against the insurer for failure to pay General Contractor Overhead and Profit expenses incurred by the putative class members when repairing their homes. The court found that common questions regarding the insurer's alleged breach of contract predominated any individual questions presented in the case. Thus, the claimants met the requirements of Louisiana Code of Civil Procedure article 591 and the class was certified.

May, 2009

The Louisiana Supreme Court in its recent decision of Cutsinger v. Red Fern, 2009-WL-1425619 (La) clarified the impact of the "collateral source rule" under Louisiana law in the context of UM coverage. The plaintiff, Mary Cutsinger, sued State Farm as an uninsured motorist carrier arising from a motor vehicle accident on December 12, 2006. At the time of the accident, the plaintiff was in the course and scope of her employment and was paid worker's compensation benefits by her employer.

State Farm asserted that it was entitled to reduce its payments under the UM policy by the amount of worker's compensation benefits paid pursuant to a policy provision. The plaintiff asserted that the State Farm provision was contrary to public policy and in violation of the collateral source rule. The Supreme Court held that the plaintiff/worker's compensation benefits are not a "collateral source" as a matter of law. Consequently, the uninsured motorist carrier was allowed to reduce its payments by the amount paid by the worker's compensation insurer. As such, the State Farm policy language was not against public policy and was enforceable as a matter of law.

April, 2009

La. C.C.P. art. 592(3)(a)(1) requires that plaintiffs move for class certification within 90 days of service of all adverse parties. The state Fifth Circuit Court of Appeals recently held that the deadline imposed by La. C.C.P. art. 592(3)(a)(1) is not extended by the filing of amended petitions naming additional defendants. Sellers v El Paso Industrial Energy, L.P., 2009 WL 330382 (La. App. 5 Cir. 2/10/09).

In Thomas v. Mobil Oil Corp., 2009 WL 1027168 (La. App. 4 Cir. 3/31/09), the state Fourth Circuit Court of Appeals continued the recent trend of denying class certification of mass tort chemical exposure cases. In that case, the Court affirmed the District Court's denial of class certification, and found that individual issues among the many plaintiffs would predominate, which necessarily precludes class certification. Specifically, the Court noted that the plaintiffs were exposed to differing concentrations of chemicals on different days for different time periods. In this regard, the Court focused on the need to prove specific causation as to each individual plaintiff.

 March, 2009

The Louisiana Supreme Court denied writs in Spine Diagnostics Center of Baton Rouge, Inc. v. Louisiana State Board of Nursing, No. 2009-C-0188 and No. 2009-C-1044. Now final, this decision will have nationwide impact concerning the practice of medicine. In this litigation, our firm represented trained physicians who sought to prohibit certified registered nurse anesthetists from performing interventional pain management procedures typically performed by physicians. A permanent injunction was granted in favor of the physician group on the basis of testimony that nurses do not have the training possessed by physicians to perform many of the involved medical procedures.

The Louisiana First Circuit in Teague v. St. Paul Fire & Marine Insurance Company, No. 2006-CA-1266R confirmed an insurer's sole and exclusive right to decide whether or not to settle a professional liability suit where there is no "consent to settle" clause. The Appellate Court ruled that the defendants (represented by our firm in this litigation) caused no damage to the plaintiff. In the process, the Teague Court held that a failure to post a jury bond does not constitute actionable legal malpractice and that a legal malpractice claimant can not recover emotional damages unless the subject matter of the underlying litigation exclusively involved non-economic claims such as child custody disputes.  

January, 2009

On October 31, 2008, the Supreme Court announced that the Court's recently adopted amendments to the Rules of Professional Conduct pertaining to lawyer advertising will become effective April 1, 2009 instead of December 1, 2008 as previously announced. Although the form prescribed by the Insurance Commissioner does not provide a marked space for the company name, a UM waiver that fails to state the name of the insurer is not a valid waiver of UM coverage. Issuance of the form was accompanied with instructions to include the name of the insurance company on the form. Gingles v Dardenne, Third Circuit, No. CA 08-448 (11/26/08) In Broussard Physical Therapy v Family Dollar Stores, Inc., the Supreme Court rules that a worker compensation judge does not have subject matter jurisdiction to adjudicate a third party demand for defense and indemnification filed by an employer and its insurer against a PPO (preferred provider organization), where the main demand alleges that a health care provider was underpaid reimbursement for medical bills in violation of the reimbursement schedule of the worker compensation law. No. 08-CC-1013 (12/2/08) (Johnson, J, concurring)

December, 2008

Key ruling - Keogh, Cox & Wilson obtains key ruling which will impact practice of medicine nationwide: Court limits CRNA scope of practice and declares interventional pain management is solely the practice of medicine.

Scope of Practice: Appellate Court upholds permanent injunction preventing CRNAs from attempting practice in the field of Interventional Pain Management.

Keogh, Cox & Wilson partner, John Wolff and other members of the firm served as lead counsel in a significant case that serves to clearly delineate the lines that separate medicine from nursing. The case was initiated when the Louisiana Board of Nursing (LSBN) unilaterally declared that CRNA could practice interventional pain management procedures to include epidural steroid injections, peripheral nerve blocks and spinal facet injections. In the first phase of the case, Keogh, Cox & Wilson represented Spine Diagnostics, a local group of physicians with Dr. Michael Burdine and obtained a preliminary injunction from the 1st Circuit Court of Appeal after the court found that the evidence submitted at trial established a prima facie case that CRNAs did not traditionally practice in the field of interventional pain management.

Keogh, Cox & Wilson was then retained by the American Society of Intervention Pain Physicians (ASIPP) along with Spine Diagnostics to pursue a permanent injunction preventing the CRNAs from practicing in this field. After 3 days of trial testimony, the trial court ruled, among other things, that the practice of interventional pain management is solely the practice of medicine and that it was not within the CRNA scope of practice.

The 1st Circuit affirmed the trial court after a full discussion of the evidence. The court carefully examined the rigorous training requirements and regulation that physicians impose on this subspecialty. In contrast, the court noted that CRNAs do not receive training in this field as part of their certification and further noted that nursing organizations do not impose any regulation on CRNA practice in this field. As such, the court noted that CRNAs do not traditionally practice in the field, and therefore, the court upheld the permanent injunction prohibiting such practice.

Recusation of judges: Recently La. C.C.P. Art. 663 was amended to make mandatory certain grounds of recusal that had been discretionary. Now, in Louisiana state courts, a judge must be recused when: he or she was ever employed or consulted with an attorney in the case; is the spouse of a party or of an attorney employed in the cause; the judge's parent, child or immediate family member is a party or attorney employed in the cause; or the judge is biased, prejudiced or interested in the case, or prejudiced toward or against the parties or their attorneys or any witness to such an extent that he would be unable to conduct fair and impartial proceedings.

Maritime law: The McCorpen rule, under which A seaman's willful concealment of a pre-existing condition will defeat recovery for maintenance and cure, does not apply to the seaman's Jones Act claim. However, it can constitute contributory negligence in the Jones Act claim in the event the seaman's concealment of material information about a pre-existing injury or physical condition from his employer exposes his body to a risk of reinjury or aggravation and, as a result, a reinjury or aggravation of a prior injury occurs. Johnson v. Cenac Towing, Inc., ___ F. 3d___ (5th Cir. 2008).

Prescription; Interruption; Insurance: Recently, the Fourth Circuit held that the unconditional payment of the undisputed amounts of a first party property damage claim made by an insurer to its insured, pursuant to its statutory obligation under R.S. 22:658(A)(1), does not constitute an acknowledgment of the insurer's liability sufficient to interrupt prescription on the insured's claim seeking additional amounts under the policy. Lila v. Underwriters at Lloyd's, London, No. 2008-CA-0681 (9/10/08). At least in the Fourth Circuit, this serves to limit the effect of Mallett v. McNeal, 939 So. 2d 1254 (La. 2006), to an insurer's unconditional payment to a third party claimant.  

October, 2008

INSURANCE: COMPULSORY VEHICLE LIABILITY

- By Act 921 of 2008, the legislature increased the minimum limits for compulsory motor vehicle liability insurance to $15,000 per person, $30,000 per accident, and $25,000 in property damages. The Act is effective on January 1, 2010, and applies to new policies issued on or after that date.

MEDICAL MALPRACTICE

- The Louisiana Supreme Court recently held in Borel v Young, No. 07-C-0419 that the one year and three year time bar periods in the Medical Malpractice statute [La. R.S.9: 5628] are prescriptive and not preemptive. Therefore, the time periods are subject to possible interruption or suspension. This is a reversal of an earlier Supreme Court decision on the same subject and will preserve more claims from dismissal.

- La. Act 558, effective August 15, 2008, made changes relevant to medical malpractice claims, to include:

(A) All persons claiming to have sustained damages as a result of injuries to or death of any one patient are considered a single claimant; and,

(B) A claimant who files suit in a court of competent jurisdiction and proper venue must give to the Patient's Compensation Board.

- A dual employer situation was found to exist in the recent case of Benefield v. Sibley where a nurse was employed by an agency that contracted to supply labor to a hospital. Both the agency and hospital were held liable for malpractice committed by the nurse. The court also held that the hospital's coverage under the Louisiana Medical Malpractice Act (LMMA) extends to the nurse, but not to the agency (which is not covered by the LMMA). Therefore, the agency is not entitled to the LMMA's limitation of liability.

August, 2008

MEDICARE TAKES AIM AT THIRD PARTY LIABILITY INSURANCE

Congress passed Senate Bill 2499 entitled "Medicare and Medicaid Extension Act of 2007." Under this bill, third party insurers are considered primary payers and are obligated to reimburse Medicare for conditional payments. All medical bills related to an accident for which Medicare tenders conditional payments are subject to this obligation to reimburse. Further, the primary payers are also obligated to place Medicare on notice of claims for which the primary payer should have made a primary payment.

Senate Bill 2499 also places an obligation on third party insurers to determine if the claim is Medicare eligible and also to place Medicare on notice of entitlement to benefits. Third party insurers are also required to take Medicare's interest into account with regard to future obligations. The Centers for Medicare Services has not defined a framework for settlement of third party liability cases. However, Medicare Set Aside Accounts have long applied in Worker's Compensation cases and these guidelines can be used as a starting point.

LIABILITY FROM EMPLOYERS WHO FAIL TO RETAIN WORKERS COMPENSATION COVERAGE

The Louisiana Legislature passed Act 705 to amend and reenact Louisiana Revised Statute 23:1171.1 (C)(1) related to an employer's duty to provide workers compensation insurance. If a workers compensation court determines that an employer failed to obtain workers compensation insurance, the court may fine the employer up to $10,000 and order the employer to secure Workers Compensation insurance within 90 days. Failure to do so will result in the judge issuing a cease and desist order prohibiting the employer from conducting business until such time as the employer complies and all fines are paid in full.

PRETRIAL MOTIONS FOR EXPERT WITNESSES

The Louisiana Legislature adopted Act 787 which mandates that a motion to challenge the qualifications or methodology of an expert witness be filed at least 60 days prior to trial. The court must render an opinion in writing and outline the reason upon which it ruled. The 60 day requirement may be waived by leave of court and by unanimous consent of the parties.

Spring, 2008

  • The Louisiana Supreme Court upheld the water damage exclusion in Sher v. v. Lafayette Ins. Co., 07-2441 (La. 4/8/08), - So.2d - , 2008 WL 928486, and gave it effect to exclude flood-related damages resulting from the breached levees. In making this ruling, the court determined the use of the undefined term "flood" in the policy did not create an ambiguity; applying its generally prevailing meaning the term encompasses all instances, regardless of cause, of the overflow of water over normally dry land.

  • The Sher Court also held that the pertinent statutory penalty percentage is determined by the date on which the penalty cause of action arose, thereby rejecting the position that an insurer's ongoing duty of good faith and fair dealing permitted application of the enhanced penalty for all claims pending after the effective date (8/15/06) of the statutory amendment. It also determined mental anguish damages are not recoverable for a breach of a commercial all-risk insurance contract, that C.C. article 1997 does not permit the recovery of attorney fees, and judicial interest on a statutory penalty award accrues only upon the date of the judgment.
  • In Bellard v. American Central Ins. Co., 07-1335 (La. 4/18/08), - So.2d - , 2008 WL 1764953, the Louisiana Supreme Court recently determined the UM carrier is entitled to a credit for medical and disability benefits paid on behalf of the worker by the worker's compensation carrier; in so ruling, the court found the UM and workers compensation insurance carriers were solidary obligors and refused to apply the collateral source rule.

December, 2007

  • The Louisiana Supreme Court recently limited its prior holding in Duncan v. USAA Ins. Co., 06-363 (La. 11/29/06), 950 So.2d 544, rehg. denied, 2/16/076, in which it had held that the UM rejection form was invalid because of the absence of a policy number on the UM waiver form. The law in Louisiana is now that the lack of a policy number does not invalidate the form if the policy number is not available at the time the rejection form is signed. Carter v. State Farm Mutual Auto. Ins. Co., 07-1294 (La. 10/05/07), 964 So.2d 375.


  • One Louisiana Appellate Court maintains that, even though it would not support a claim of spoliation of the evidence, the inadvertent breach of a statutory duty to preserve records is actionable in negligence. Longwell v. Jefferson Parish Hosp. Serv. Dist. No. 1, 07-259 (La. App. 5 Cir. 10/16/07), 2007 WL 3015260. This ruling is contrary to prior Louisiana cases that have refused to recognize the tort of negligent spoliation of evidence.


  • Louisiana law permits a neighbor who is deprived from enjoying its property to recover damages from the offensive neighbor. La. C.C. art. 667. Under this article, a Louisiana appellate court has refused to find liability on a non-resident lessor-owner for excessive noise emanating from the leased premises. Yokum v. 615 Boubon Street, L.L.C., 06-1057 (La. App. 4 Cir. 6/20/07), 960 So.2d 1283. Please note the Louisiana Supreme Court recently granted writs on this res nova issue.

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