Anthony Marquez v. Progressive Insurance Co.
Anthony Marquez v. Progressive Insurance Co., No. CA-0006-1024 (La. Ct. App. 3d Cir. Dec. 6, 2006).
Authorities cited
Identified automatically; this list may not be exhaustive.
- Allen & Norman, LLC v. Chauvin 916 So. 2d 1071
- Chevron USA, Inc. v. Oliver 590 So. 2d 1248
- Chevron USA, Inc. v. Oliver 597 So. 2d 1028
- Moore v. State for State Un. Med. Center 596 So. 2d 293
- Moore v. STATE LOUISIANA STATE UNIVERSITY MEDICAL CENTER 600 So. 2d 667
Opinion text
STATE OF LOUISIANA
COURT OF APPEAL, THIRD CIRCUIT
CA 06-1024
consolidated with CA 06-1025
ANTHONY MARQUEZ
VERSUS
PROGRESSIVE INSURANCE COMPANY, ET AL.
consolidated with
LOUISIANA FARM BUREAU MUTUAL INSURANCE COMPANY
VERSUS
ANTHONY MARQUEZ
**********
APPEAL FROM THE
NINTH JUDICIAL DISTRICT COURT
PARISH OF RAPIDES, DOCKET NO. 220,284 c/w 222,451
HONORABLE HARRY F. RANDOW, DISTRICT JUDGE
**********
JAMES T. GENOVESE
JUDGE
**********
Court composed of Sylvia R. Cooks, Marc T. Amy, and James T. Genovese, Judges.
AFFIRMED.
Maria A. Losavio
Losavio Law Office, L.L.C.
1821 MacArthur Drive
Alexandria, Louisiana 71315-2420
(318) 767-9033
COUNSEL FOR PLAINTIFF/APPELLANT:
Anthony Marquez
Brandon A. Sues
Gold, Weems, Bruser, Sues & Rundell
201 MacArthur Drive
Post Office Box 6118
Alexandria, Louisiana 71307-6118
(318) 445-6471
COUNSEL FOR DEFENDANT/APPELLEE:
Rapides Healthcare System, L.L.C.
d/b/a Rapides Regional Medical Center
Ian A. McDonald
Perret Doise
600 Jefferson Street, Suite 1200
Post Office Box 3408
Lafayette, Louisiana 70502
(337) 262-9000
COUNSEL FOR DEFENDANT/APPELLEE:
Progressive Insurance Company
J. Payne Williams
Williams Family Law Firm, L.L.C.
162 Jefferson Street
Post Office Box 15
Natchitoches, Louisiana 71458-0015
(318) 352-6695
COUNSEL FOR DEFENDANT/APPELLEE:
Louisiana Farm Bureau Mutual Insurance Company
Thomas Overton Wells
1254 Dorchester Drive
Post Office Box 13438
Alexandria, Louisiana 71315
(318) 445-4500
COUNSEL FOR DEFENDANTS/APPELLEES:
John P. Skrobarcek and Kristy Skrobarcek
Ellis G. Saybe
Davis & Saybe, L.L.P.
Post Office Box 12430
Alexandria, Louisiana 71315
(318) 445-3621
COUNSEL FOR DEFENDANT/APPELLEE:
Orthopaedic and Sports Medicine Specialists
GENOVESE, Judge.
Plaintiff, Anthony Marquez (Marquez), appeals the trial court’s judgment
disbursing funds pursuant to consolidated concursus proceedings provoked by certain
insurers as a result of extensive medical bills incurred by Plaintiff in an auto accident.
For the following reasons, we affirm the trial court’s judgment.
FACTUAL BACKGROUND
On March 5, 2005, Marquez was involved in an automobile accident and was
transported to Rapides Regional Medical Center (Rapides) for medical treatment.
Rapides is owned by Rapides Healthcare System, L.L.C. and provided medical
treatment to Marquez from March 5, 2005 through March 13, 2005 for multiple,
serious injuries. As a result of said auto accident, Marquez filed a personal injury suit
against the driver of the other vehicle, John Skrobarcek (Skrobarcek), and Progressive
Security Insurance Company (Progressive), Skrobarcek’s automobile liability insurer.
Marquez averred that Skrobarcek, as the negligent operator of the vehicle which had
collided with Marquez’s vehicle, was liable to him for damages. Marquez also
brought in his own uninsured/underinsured motorist (UM) carrier, Louisiana Farm
Bureau Casualty Insurance Company (Farm Bureau), as a Defendant for UM and
medical payments (med-pay) benefits. Thereafter, Rapides perfected a lien for
services rendered to Marquez in accordance with La.R.S. 9:4753.1
1
Louisiana Revised Statutes 9:4753 provides:
The privilege created herein shall become effective if, prior to the payment
of insurance proceeds, or to the payment of any judgment, settlement, or compromise
on account of injuries, a written notice containing the name and address of the
injured person and the name and location of the interested health care provider,
hospital, or ambulance service is mailed by the interested health care provider,
hospital, or ambulance service, or the attorney or agent for the interested health care
provider, hospital, or ambulance service, certified mail, return receipt requested, to
the injured person, to his attorney, to the person alleged to be liable to the injured
person on account of the injuries sustained, to any insurance carrier which has
insured such person against liability, and to any insurance company obligated by
1
On August 1, 2005, Farm Bureau filed a petition for concursus in the
Alexandria City Court and deposited its UM policy limits of $10,000.00 and medical
payment policy limits of $5,000.00 into the court’s registry, naming Marquez and
Rapides2 as Defendants. On September 15, 2005, Progressive also filed a petition for
concursus in the Ninth Judicial District Court, Rapides Parish, Louisiana, and
deposited its liability policy limits of $10,000.00 into the court’s registry, naming the
same Defendants. The Farm Bureau concursus matter was transferred from
Alexandria City Court to the Ninth Judicial District Court, Rapides Parish, Louisiana.
Thereafter, the two concursus proceedings were consolidated.
Pursuant to Rapides’s motion to disburse settlement funds deposited by Farm
Bureau and Progressive, a hearing was held on January 9, 2006. After taking the
matter under advisement, the trial court rendered judgment ordering that the funds on
deposit in the registry of the court be disbursed as follows: $7,992.57 for attorney
fees; $1,559.78 for court costs; and $15,153.56 for medical services rendered by
Rapides to Marquez. A judgment in conformity with the trial court’s determination
was signed on May 31, 2006. Marquez filed the instant suspensive appeal on July 24,
2006.
contract to pay indemnity or compensation to the injured person. This privilege shall
be effective against all persons given notice according to the provisions hereof, and
shall not be defeated nor rendered ineffective as against any person that has been
given such notice, because of failure to give such notice to all those persons named
herein.
2
Other medical providers were also named as Defendants; however, the trial court ruled that
Rapides was the only medical provider to timely perfect a lien for its services pursuant to La.R.S.
9:4753.
2
ISSUES
In his brief to this court, Marquez presents the following issues:
1. Did the trial court err in finding that the healthcare
provider lien holder under La.R.S. 9:4752 had a preference
to the funds over an innocent victim’s rights resulting in no
recovery to the victim?
2. Did the trial court err in finding that the healthcare
provider lien holder under La.R.S. 9:4752 attached to
uninsured/underinsured motorist insurance proceeds?
3. Did the trial court err in finding that the healthcare
provider lien holder under La.R.S. 9:4752 attached to any
portion of the settlement funds that were not specifically
designated for medical services or supplies?
4. Did the trial court err in not equitably distributing the
settlement funds allowing some recovery to the victim?
LAW AND DISCUSSION
Louisiana Code of Civil Procedure Article 4651 defines a concursus
proceeding as “one in which two or more persons having competing or conflicting
claims to money, property, or mortgages or privileges on property are impleaded and
required to assert their respective claims contradictorily against all other parties to the
proceeding.” “The primary purpose of [a concursus] proceeding is to protect the
stakeholder from multiple liability, from conflicting claims, and from the vexation
attending involvement in multiple litigation in which the stakeholder may have no
direct interest.” Allen & Norman, LLC v. Chauvin, 04-519, p. 3 (La.App. 1 Cir.
6/29/05), 916 So.2d 1071, 1073 (citing Chevron U.S.A., Inc. v. Oliver, 590 So.2d
1248 (La.App. 1 Cir. 1991), writ denied, 597 So.2d 1028 (La.1992)). “A concursus
contemplates a proceeding which leads to a single judgment adjudicating all issues
between the parties.” Chevron, 590 So.2d at 1250. The case sub judice concerns the
distribution of the net proceeds collected by Marquez from all available insurers,
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Progressive and Farm Bureau.
On appeal, Marquez contends that allowing the trial court’s judgment to stand
is tantamount to allowing the lien holder greater rights to the plaintiff’s recovery than
the plaintiff. Marquez argues such a judgment would be inequitable because he, the
innocent, injured victim, would be entitled to nothing, and he would still be
responsible for the remaining balances on his various medical bills. Marquez
contends that the inequity of his receiving nothing should warrant a reversal of the
trial court’s ruling.
Marquez argues that it was not the legislature’s intent to hold a lien holder’s
interest superior to that of an innocent, injured victim. Marquez contends that if this
were the case, La.R.S. 9:4752 would have contained specific language to that effect;
however, no such language exists. In support of his assertions, Marquez analogizes
the medical provider lien, set forth in La.R.S. 9:4752, with the workers’ compensation
lien set forth in La.R.S. 23:1103(A)(1).3 He asserts that La.R.S. 23:1103(A)(1)
specifically gives the employer a preference over the injured worker for recovery of
benefits paid; therefore, because La.R.S. 9:4752 does not specifically give the
medical provider preferential rights over the innocent, injured victim, such a
3
Louisiana Revised Statutes 23:1103 provides, in pertinent part:
A. (1) In the event that the employer or the employee or his dependent
becomes party plaintiff in a suit against a third person, as provided in [La.]R.S.
23:1102, and damages are recovered, such damages shall be so apportioned in the
judgment that the claim of the employer for the compensation actually paid shall take
precedence over that of the injured employee or his dependent; and if the damages
are not sufficient or are sufficient only to reimburse the employer for the
compensation which he has actually paid, such damages shall be assessed solely in
his favor; but if the damages are more than sufficient to so reimburse the employer,
the excess shall be assessed in favor of the injured employee or his dependent, and
upon payment thereof to the employee or his dependent, the liability of the employer
for compensation shall cease for such part of the compensation due, computed at six
percent per annum, and shall be satisfied by such payment. The employer’s credit
against its future compensation obligation shall be reduced by the amount of attorney
fees and court costs paid by the employee in the third party suit.
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preference was not intended by the legislature.
Marquez argues that the trial court erred in allowing the healthcare provider’s
lien under La.R.S. 9:4752 to attach to Marquez’s UM proceeds. Marquez argues that
the trial court’s ruling disregards the object of the UM statute, i.e., to promote full
recovery for damages by an innocent, injured victim. Marquez contends that the trial
court not only allowed the healthcare provider lien to attach to the UM policy, but it,
in effect, gave the entire UM policy to the healthcare provider and none to the
innocent, injured victim.
Marquez also argues that the language of La.R.S. 9:4752 supports his
interpretation that the medical providers lien attaches only to the portion of the funds
that represent actual medical services or medical supplies. Marquez again analogizes
La.R.S. 9:4752 to the workers’ compensation provisions found at La.R.S. 23:1103(B).
Marquez asserts that La.R.S. 23:1103(B) specifically states that the employer enjoys
a preference over the injured worker for the recovery of benefits paid; therefore,
because La.R.S. 9:4752 does not also contain such specific language to provide the
medical provider preferential rights over the injured, innocent plaintiff, such a
preference was not intended by the legislature. Finally, counsel for Marquez asserts
that she has always maintained a willingness to reduce her attorney fees in an effort
to promote an equitable distribution of funds; however, Rapides maintains it is
entitled to the entire amount of the funds deposited into the registry of the court after
Marquez’s attorney fees and court costs are deducted. Thus, even if counsel for
Marquez were to stipulate to a fee less than the current one-third (331/3 %)
contingency fee agreement, Rapides would assert entitlement to the difference created
by counsel’s stipulation.
5
Rapides asserted a lien on the proceeds of any third-party recovery Marquez
might obtain pursuant to La.R.S. 9:4752, which states:
A health care provider, hospital, or ambulance service that
furnishes services or supplies to any injured person shall have a
privilege for the reasonable charges or fees of such health care provider,
hospital, or ambulance service on the net amount payable to the injured
person, his heirs, or legal representatives, out of the total amount of any
recovery or sum had, collected, or to be collected, whether by judgment
or by settlement or compromise, from another person on account of such
injuries, and on the net amount payable by any insurance company under
any contract providing for indemnity or compensation to the injured
person. The privilege of an attorney shall have precedence over the
privilege created under this Section.
Marquez’s medical expenses incurred at Rapides totaled $56,265.24. Rapides argues
that because it proved it had furnished services and supplies to Marquez and timely
provided Marquez’s attorney with written notice in accordance with La.R.S. 9:4753,
it has perfected a privilege, or lien, created by La.R.S. 9:4652 and, therefore, is
entitled to the remainder of the funds after attorney fees and court costs are paid.
Rapides defends the propriety of the trial court’s judgment arguing that Marquez’s
analogies to the workers’ compensation laws are inapplicable. We agree.
In written reasons, the trial court stated:
The [c]ourt finds the arguments of [P]laintiff appealing for the reason
that in this case and many like this one, plaintiffs recover little or
nothing for their injuries. However, the law seems clear in favoring the
interest of the health care providers who perfect their claim under
[La.]R.S. 9:4752 over injured persons. Further, the [c]ourt is not aware
of any jurisprudence that supports [P]laintiff’s argument on this point.
Accordingly, the [c]ourt orders that the settlement proceeds first are
distributed to satisfy the [P]laintiff’s attorney fees that are subject to a
legal privilege and the remainder of said settlement proceeds is
distributed to Rapides Medical Center in satisfaction of their lien.
In Moore v. State, La. State Univ. Med. Ctr., 596 So.2d 293 (La.App. 3 Cir.),
writ denied, 600 So.2d 667 (La.1992), LSU Medical Center Hospital perfected a lien
for services rendered to an injured plaintiff in accordance with La.R.S. 9:4751, et seq.
6
This court held that the plaintiff is considered to be a debtor of the hospital, stating
“the relationship between the hospital and [the plaintiff] is that of creditor-debtor.”
Id. at 296. This court allowed LSU reimbursement for the full amount of its lien
stating, in pertinent part:
The clear language of La.R.S. 9:4752 states that the hospital shall
have a privilege for the reasonable charges or fees on the net amount
payable to the injured person out of the total amount of recovery,
whether by judgment or settlement. . . . The statute also clearly gives
precedence to the privilege of an attorney over that of the hospital.
Under this statute, it is clear that the attorney’s privilege would be
satisfied first and the hospital’s privilege should be satisfied next out of
the net amount payable to [plaintiff].
Id.
The privilege or lien set forth in La.R.S. 9:4752 applies to any recovery and neither
distinguishes nor differentiates between liability, UM, or med-pay insurance benefits.
Following this court’s reasoning in Moore, we find no error of law with the trial
court’s judgment ordering disbursement of the insurance proceeds in accordance with
La.R.S. 9:4752.
DECREE
For the foregoing reasons, the judgment of the trial court is affirmed. Costs of
this appeal are assessed against Plaintiff/Appellant, Anthony Marquez.
AFFIRMED.
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