ROMINGER LEGAL
Fifth Circuit Court of Appeals Opinions - 5th Circuit
Need Legal Help?
LEGAL RESEARCH CENTER
LEGAL HEADLINES - CASE LAW - LEGAL FORMS
NOT FINDING WHAT YOU NEED? -CLICK HERE
This opinion or court case is from the Fifth Circuit Court or Appeals. Search our site for more cases - CLICK HERE

LEGAL RESEARCH
COURT REPORTERS
PRIVATE INVESTIGATORS
PROCESS SERVERS
DOCUMENT RETRIEVERS
EXPERT WITNESSES

 

Find a Private Investigator

Find an Expert Witness

Find a Process Server

Case Law - save on Lexis / WestLaw.

 
Web Rominger Legal

Legal News - Legal Headlines

 

United States Court of Appeals
Fifth Circuit
F I L E D
October 21, 2003
UNITED STATES COURT OF APPEALS
For the Fifth Circuit
Charles R. Fulbruge III
Clerk
No. 02-60907
LESTER WHITEHEAD
Plaintiff-Appellant,
VERSUS
ZURICH AMERICAN INSURANCE COMPANY
Defendant-Appellee.
Appeal from the United States District Court
For the Northern District of Mississippi, Aberdeen

Before BARKSDALE, DeMOSS and BENAVIDES, Circuit Judges.
DeMoss, Circuit Judge:
Plaintiff-Appellant, Lester Whitehead ("Whitehead"), appeals
the dismissal of his intentional tort claims against Defendant-
Appellee, his employer's workers' compensation insurance carrier,
Zurich American Insurance Company ("Zurich"). The district court
dismissed Whitehead's claim as premature because he had failed to
exhaust his administrative remedies. The district court also
denied Whitehead's motion to amend his complaint and add his
employer as a defendant.

BACKGROUND
Whitehead is an employee of F.E. Moran, Inc. Fire Protection
("Moran"). Moran is not a party to this action. Zurich is Moran's
workers' compensation insurance carrier. Zurich is the Defendant-
Appellee in this case.
Whitehead injured his leg on the job on July 12, 2000. He was
taken to an emergency room that day by another Moran employee. He
returned to work the next day but was sent home because he was
unable to work. On September 5, 2000, Whitehead underwent a
surgical procedure on his leg. Whitehead initially alleged that
his work-related injury had caused the recurrence of his non-
Hodgkins lymphoma, which had been in remission. He later withdrew
this allegation.
Although it is clear that Whitehead filed a workers'
compensation claim with the Mississippi Workers' Compensation
Commission ("Commission"), it is unclear when he did so. Zurich
did not learn of Whitehead's injury until October 16, 2000. In any
event, Whitehead filed a petition to controvert his workers'
compensation case on March 16, 2001. Zurich filed an answer to the
petition on April 9, 2001, contesting the nature, degree, and
extent of Whitehead's disability and the causal connection between
the injury and his medical expenses. On August 3, 2001, Zurich
paid for the emergency room treatment Whitehead received in July
2000. On October 17, 2001, Zurich paid Whitehead $1582.15 for
2

temporary total disability benefits covering the period between
September 5, 2000, the day of Whitehead's leg surgery, and October
9, 2000.
On June 7, 2001, Whitehead sued Zurich in state court alleging
both negligent and bad faith failure to investigate his workers'
compensation claim and to compensate him for his medical expenses
and lost wages. He sought compensatory and punitive damages.
Zurich removed the suit to the Northern District of Mississippi on
July 5, 2001. Whitehead several times unsuccessfully moved to
amend his complaint to name Moran as a defendant. The district
court subsequently granted Zurich's motion to dismiss and dismissed
the case without prejudice, concluding that Whitehead's suit was
premature because his workers' compensation claim was still pending
before the Commission. The district court did not permit Whitehead
to amend his complaint and add Moran because the court believed the
issue moot due to its ruling that the case must be dismissed as
premature. This appeal followed the district court's denial of
Whitehead's motion to reconsider.
On September 2, 2003, counsel for Whitehead filed a Suggestion
of Death and Motion for Substitution of Plaintiff/Appellant with
this Court. Lester Whitehead died on July 16, 2003, due to health
reasons not related to injuries at issue in this litigation.
Whitehead's counsel requested that Whitehead's only natural child,
only named heir, and personal representative, Bryan O'Neal
Whitehead, be permitted to be substituted for Whitehead. At oral
3

arguments on September 4, 2003, the panel requested that both
parties submit letter briefs to the Court concerning whether
Whitehead's claim before the Commission survives and whether his
civil claim for bad faith survives. Because we are affirming the
district court's dismissal of Whitehead's claim without prejudice
and it appears that Whitehead's claim for benefits under the
Mississippi Workers' Compensation Act survives to his heirs and
likewise the executor of his estate may refile his civil claim at
the appropriate time, Whitehead's death does not affect this
current appeal.
DISCUSSION
I.
Whether the district court erred in granting Zurich's motion
to dismiss.
We review a district court's dismissal pursuant to Rule
12(b)(6) of the Federal Rules of Civil Procedure de novo, applying
the same standards followed below. Kaiser Aluminum & Chem. Sales,
Inc. v. Avondale Shipyards, Inc., 677 F.2d 1045, 1050 (5th Cir.
1982). In deciding a Rule 12(b)(6) motion, we accept all factual
allegations made by the plaintiff as true and resolve any doubts
about the sufficiency of the evidence in his favor. Id. Dismissal
is warranted only if "it appears beyond doubt that the plaintiff
can prove no set of facts in support of his claim that would
entitle him to relief." Id. Further, a case may be dismissed
without prejudice for failure to exhaust administrative remedies
under Rule 12(b)(6). Taylor v. United States Treasury Dept., 127
4

F.3d 470, 478 n.8 (5th Cir. 1997). In determining whether a party
must exhaust administrative remedies, a federal court balances the
individual's interest in "retaining prompt access" to the federal
courts against the "institutional interests favoring exhaustion."
Zephyr Aviation, L.L.C. v. Dailey, 247 F.3d 565, 570 (5th Cir.
2001).
The Mississippi Workers' Compensation Act provides that
statutory compensation is the exclusive remedy available to an
employee who suffers an injury on the job:
The liability of an employer to pay compensation shall be
exclusive and in place of all other liability of such
employer to the employee . . . or otherwise from such
employer on account of such injury or death, except that
if an employer fails to secure payment of compensation as
required by this chapter, an injured employee . . . may
elect to claim compensation under this chapter, or to
maintain an action at law for damages on account of such
injury or death . . . .
Miss. Code Ann. § 71-3-9 (2000). This statute bars an employee's
common law tort action against his employer's insurance carrier
based on a negligent failure to pay workers' compensation benefits.
Taylor v. United States Fid. & Guar. Co., 420 So. 2d 564, 566
(Miss. 1982).1 It does not, however, prevent the employee's action
against the carrier "for the commission of an intentional tort"
independent of the compensable injury. Southern Farm Bureau Cas.
Ins. v. Holland, 469 So. 2d 55, 59 (Miss. 1984). In particular,
the employee can sue the carrier for bad faith refusal to pay
1 Whitehead has not appealed the district court's dismissal of
his negligence claim.
5

benefits owed because such a claim arises not from the work-related
injury but from an independent act that is not compensable under
the Workers' Compensation Act. Id. at 58-59.
The Mississippi Supreme Court, however, has required the
exhaustion of the administrative remedial process before an
intentional tort claim against a carrier can be brought. Walls v.
Franklin Corp., 797 So. 2d 973, 977 (Miss. 2001) (en banc). In
Walls, the court held that an employee cannot allege that a carrier
has refused to pay for certain medical services and supplies in bad
faith in the absence of a determination by the Commission that
those services and supplies were reasonable and necessary. Id.
The Walls court examined the earlier Mississippi Supreme Court
cases dealing with viable bad faith claims and determined that
although in those cases the court did not require exhaustion of
administrative remedies it appears that exhaustion was either not
an issue or the plaintiffs had exhausted their administrative
remedies prior to bringing the bad faith suit. Id. at 975-76
(discussing Leathers v. Aetna Cas. & Sur. Co., 500 So. 2d 451
(Miss. 1986); McCain v. Northwestern Nat'l Ins. Co., 484 So. 2d
1001 (Miss. 1986); Luckett v. Mississippi Wood Inc., 481 So. 2d 288
(Miss. 1985); Holland, 469 So. 2d at 55)). Ultimately in Walls,
the Mississippi Supreme Court reinstated the lower state circuit
court opinion which held that "`exhaustion of the administrative
remedial process is a mandatory condition precedent to the
maintaining of a `bad faith' suit for an allegedly wrongful denial
6

of any workers['] compensation benefits.'" Id. at 975 (quoting the
judgment of the Chickasaw County Circuit Court).
As the district court noted in its October 3, 2002, Order,
Walls requires that the Mississippi Workers' Compensation
Commission make a determination as to whether Whitehead's claimed
benefits are reasonable and necessary before he can commence a
civil action for denial of benefits. Therefore, the district court
did not err in dismissing without prejudice Whitehead's case.
II.
Whether the district court erred in denying Whitehead's motion
to amend his complaint to add Moran as a defendant.
The Mississippi Supreme Court has also held that employees are
allowed to bring bad faith failure to pay claims against employers.
Luckett, 481 So. 2d at 290 ("Today we extend Holland to include a
bad faith refusal action against the employer, as well as the
carrier, and hold that [the plaintiff] may recover if he can prove
his claim."); Holland, 469 So. 2d at 58-59. Yet, the same
exhaustion requirement applies to any potential claim Whitehead may
have against Moran. See Sawyer v. Head, 510 So. 2d 472, 474 (Miss.
1987). Therefore, the district court did not err in denying
Whitehead's motion to amend.
CONCLUSION
Having carefully reviewed the record of this case, the
parties' respective briefing and arguments, for the reasons set
forth above and essentially for the reasons given by the district
court, the denial of Whitehead's motion to amend and the dismissal
7

of his claim without prejudice are affirmed.
AFFIRMED.
8

Ask a Lawyer

 

 

FREE CASE REVIEW BY A LOCAL LAWYER!
|
|
\/

Personal Injury Law
Accidents
Dog Bite
Legal Malpractice
Medical Malpractice
Other Professional Malpractice
Libel & Slander
Product Liability
Slip & Fall
Torts
Workplace Injury
Wrongful Death
Auto Accidents
Motorcycle Accidents
Bankruptcy
Chapter 7
Chapter 11
Business/Corporate Law
Business Formation
Business Planning
Franchising
Tax Planning
Traffic/Transportation Law
Moving Violations
Routine Infractions
Lemon Law
Manufacturer Defects
Securities Law
Securities Litigation
Shareholder Disputes
Insider Trading
Foreign Investment
Wills & Estates

Wills

Trusts
Estate Planning
Family Law
Adoption
Child Abuse
Child Custody
Child Support
Divorce - Contested
Divorce - Uncontested
Juvenile Criminal Law
Premarital Agreements
Spousal Support
Labor/Employment Law
Wrongful Termination
Sexual Harassment
Age Discrimination
Workers Compensation
Real Estate/Property Law
Condemnation / Eminent Domain
Broker Litigation
Title Litigation
Landlord/Tenant
Buying/Selling/Leasing
Foreclosures
Residential Real Estate Litigation
Commercial Real Estate Litigation
Construction Litigation
Banking/Finance Law
Debtor/Creditor
Consumer Protection
Venture Capital
Constitutional Law
Discrimination
Police Misconduct
Sexual Harassment
Privacy Rights
Criminal Law
DUI / DWI / DOI
Assault & Battery
White Collar Crimes
Sex Crimes
Homocide Defense
Civil Law
Insurance Bad Faith
Civil Rights
Contracts
Estate Planning, Wills & Trusts
Litigation/Trials
Social Security
Worker's Compensation
Probate, Will & Trusts
Intellectual Property
Patents
Trademarks
Copyrights
Tax Law
IRS Disputes
Filing/Compliance
Tax Planning
Tax Power of Attorney
Health Care Law
Disability
Elder Law
Government/Specialty Law
Immigration
Education
Trade Law
Agricultural/Environmental
IRS Issues

 


Google
Search Rominger Legal


 


LEGAL HELP FORUM - Potential Client ? Post your question.
LEGAL HELP FORUM - Attorney? Answer Questions, Maybe get hired!

NOW - CASE LAW - All 50 States - Federal Courts - Try it for FREE


 


Get Legal News
Enter your Email


Preview

We now have full text legal news
drawn from all the major sources!!

ADD A SEARCH ENGINE TO YOUR PAGE!!!

TELL A FRIEND ABOUT ROMINGER LEGAL

Ask Your Legal Question Now.

Pennsylvania Lawyer Help Board

Find An Attorney

TERMS OF USE - DISCLAIMER - LINKING POLICIES

Created and Developed by
Rominger Legal
Copyright 1997 - 2010.

A Division of
ROMINGER, INC.