American Family Mutual Insurance v. Grant

217 P.3d 1212, 222 Ariz. 507, 566 Ariz. Adv. Rep. 26, 2009 Ariz. App. LEXIS 733
CourtCourt of Appeals of Arizona
DecidedOctober 8, 2009
Docket1 CA-SA 09-0145
StatusPublished
Cited by18 cases

This text of 217 P.3d 1212 (American Family Mutual Insurance v. Grant) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Family Mutual Insurance v. Grant, 217 P.3d 1212, 222 Ariz. 507, 566 Ariz. Adv. Rep. 26, 2009 Ariz. App. LEXIS 733 (Ark. Ct. App. 2009).

Opinion

OPINION

DOWNIE, Judge.

¶ 1 This case presents issues of first impression regarding the proper scope of discovery into an expert witness’s purported bias. American Family Mutual Insurance Company (“Anerican Family”) seeks special action review of the superior court’s order granting real party in interest Lauren Alo’s motion to compel and denying American Family’s motion to quash a subpoena duces tecum issued to an expert witness. For the following reasons, we accept jurisdiction, grant relief, and remand for further proceedings in the superior court.

FACTS AND PROCEDURAL BACKGROUND

¶ 2 Alo was involved in an automobile accident with Aiel Hickman on September 20, 2005. She sought medical treatment for knee, elbow, and back pain. In December 2005, Alo had arthroscopic surgery on her left knee. She underwent physical therapy and obtained additional medical care in 2006 and 2007.

¶ 3 Hickman’s insurance company tendered its policy limits of $15,000 to Alo. American Family, Alo’s insurer, paid Alo $5000 under the medical expense coverage portion of its policy. Alo later submitted an underinsured motorist (“UIM”) claim to American Family. She stated that she had incurred roughly $26,000 in medical expenses and $3500 in lost wages and that she continued to have problems arising from accident-related injuries.

¶ 4 American Family’s internal evaluations of Alo’s UIM claim suggested that the knee surgery and ongoing treatment were due to her weight, past injuries, and arthritis — not the automobile accident with Hickman. American Family retained orthopedic surgeon Jon Zoltán, M.D., to review Alo’s claim. Dr. Zoltán determined that Alo had preexisting degenerative joint disease, had sustained prior accident injuries, and had undergone previous surgery on her left knee. Dr. Zoltán opined that Alo’s arthroscopic surgery and ongoing treatment were not necessitated by the accident with Hickman.

¶ 5 Anerican Family concluded that the $20,000 Alo had already received was sufficient compensation for her accident-related injuries and therefore denied her UIM claim. In 2008, Alo sued American Family. She alleged that the insurer: (1) breached the terms of the insurance contract by denying UIM benefits; and (2) acted in bad faith by, inter alia, retaining Dr. Zoltán to evaluate her claim. Alo claimed American Family knew Dr. Zoltán was biased against personal injury plaintiffs and that he would render opinions adverse to her interests.

¶ 6 During discovery, Alo issued a subpoena duces tecum (“subpoena”) to Dr. Zoltán, demanding that he produce extensive documentation. Dr. Zoltán objected to substantial portions of the subpoena, and Alo filed a motion to compel. American Family moved to quash the subpoena and also sought a protective order. Specifically, American Family objected to the following paragraphs of the subpoena: 1

3. A copy of any and all reports and/or opinion letters prepared by you for any attorney at the Lewis & Alen Law *510 Firm during the last five years. 2
4. A copy of any and all reports and/or opinion letters prepared by you for any attorney during the last three years.
5. A copy of any and all reports and/or opinion letters prepared by you for any insurance company during the last three years.
6. A copy of any deposition or trial testimony in your possession for testimony provided during the last five years.
7. A list of cases in which you have testified as an expert at trial or by deposition during the last five years, including the name of the case, the name of the attorney that retained you and the name of the attorney that represented the party whose litigation position was adverse to the person or entity that retained you. 3
9. Financial information for years 2005-present documenting the amount of income attributed to and/or received by you for: 1) expert witness consulting services; 2) consulting services to law firms; 3) physicians services or any other professional service provided by you on your own behalf, on behalf of TOCA or any other medical group. Documents requested in this paragraph could include, but are not limited to, personal tax returns, company tax returns, shareholder statements, accounting ledgers, 1099s or W-2s, and profit sharing documents identifying profit attributable to you and any profit sharing distributions made to you on account of this profit. Note: Plaintiff will sign an agreement to limit the use of these materials to litigation of this case and return or destroy all copies of these materials at the conclusion of this ease.
10. Copies of any statements, forms or documents in your possession and control evidencing income earned by you from the Lewis & Allen Law Firm during years 2005 to the present.
11. Copies of any statements, forms or documents in your possession or control evidencing income earned by you from any of the following sources during years 2002 to the present:
a. any automobile insurance company;
b. any disability insurance carrier;
c. any workers’ compensation insurance carrier; and
d. any law firm in defense of a personal injury, wrongful death or medical malpractice claim.

¶ 7 American Family contended that the subpoena to Dr. Zoltán was overbroad, unduly burdensome, and harassing. 4 In defending the subpoena, Alio argued:

The core of Plaintiffs bad faith complaint is that American Family breached its duty to fairly evaluate the claim and give equal consideration to its insured by sending Ms. Alio to a biased, unfair physician for evalu *511 ation of her claim, rather than to an unbiased independent physician.

¶ 8 After oral argument, the superior court ordered Dr. Zoltán to produce: (1) copies of all medical review reports and independent medical examination (“IME”) reports “provided to insurance companies or their attorneys” from 2000 to present; and (2) “the financial information requested regarding his total revenues from the insurance industry and their lawyers” from 2000 to present. The court also ruled that “Plaintiffs counsel is entitled to know what the fee was that the doctor received on the respective cases at issue” from 2000 to present. The court limited the required disclosures to “eases arising out of Arizona” and ordered that the information produced could not be disseminated beyond this case. 5

DISCUSSION

1. Special Action Jurisdiction

¶ 9 The decision to accept or reject special action jurisdiction is highly discretionary. Ariz. Legislative Council v. Howe, 192 Ariz. 378, 382, ¶ 10,

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Cite This Page — Counsel Stack

Bluebook (online)
217 P.3d 1212, 222 Ariz. 507, 566 Ariz. Adv. Rep. 26, 2009 Ariz. App. LEXIS 733, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-family-mutual-insurance-v-grant-arizctapp-2009.