Andrews v. Ridco & Twin City Fire Ins. Co.

2015 SD 24, 863 N.W.2d 540, 2015 S.D. 24, 2015 S.D. LEXIS 57, 2015 WL 1955644
CourtSouth Dakota Supreme Court
DecidedApril 29, 2015
Docket26891
StatusPublished
Cited by36 cases

This text of 2015 SD 24 (Andrews v. Ridco & Twin City Fire Ins. Co.) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Andrews v. Ridco & Twin City Fire Ins. Co., 2015 SD 24, 863 N.W.2d 540, 2015 S.D. 24, 2015 S.D. LEXIS 57, 2015 WL 1955644 (S.D. 2015).

Opinion

WILBUR, Justice.

[¶ 1.] Timothy Andrews sued Twin City Fire Insurance Company (Twin City) and Ridco, Inc. a/k/a Riddle’s (Ridco) for the alleged bad faith handling of his workers’ compensation claim. During the discovery stage of the bad faith claim, Andrews filed a motion to compel Twin City to produce wholly unredacted claim files, personnel files, and privilege logs. The circuit court concluded that Twin City impliedly waived the attorney-client privilege and ordered Twin City to produce all of the disputed documents in unredacted form. Twin City filed a petition for intermediate appeal. We reverse and remand.

Background

[¶ 2.] Andrews suffered a compensable, work-related injury to his neck and back on March 4, 2005, while employed by Rid-co as a gold polisher. Twin City insured Ridco for purposes of workers’ compensation during all times relevant to Andrews’s claims. Twin City timely paid, in the proper amounts, Andrews’s temporary disability benefits from his date of injury through May 12, 2005. 1 On April 11, 2007, Andrews filed an action before the South Dakota Department of Labor seeking additional workers’ compensation benefits. The administrative law judge ruled in favor of Andrews and determined that Andrews’s 2005 work-related injury was a major contributing factor to his neck pain and continued need for treatment.

[¶ 8.] On July 27, 2010, Andrews filed the present lawsuit against Twin City and Ridco alleging bad faith handling of his workers’ compensation claim. Andrews asserted (1) common law bad faith; (2) aiding and abetting or civil conspiracy to commit fraud or statutory deceit and to deny first party insurance benefits in bad faith; (3) fraud or statutory deceit; and (4) retaliatory discharge. This action was based on the theory that Twin City systematically handled workers’ compensation claims, including Andrews’s claim, in bad faith under a claim handling program known as the “Large Loss Initiative” (the Initiative) — also referred to as the “Million Dollar List.” Twin City’s parent company, the Hartford Financial Services, Inc. (the Hartford), created the Initiative in October of 1998. The purpose of the program was to give greater attention to claims that had reserves in excess of $1,000,000. Over the *543 course of the program, the Hartford identified 247 “large loss initiative” claims. Twin City provided e-mails from the Hartford indicating that the Initiative was discontinued in 2000. Andrews pointed out, however, that the Hartford mentioned the possibility of conducting a similar review of claims with a $500,000 reserve in an email dated March 6, 2001.

[¶ 4.] Although Andrews’s claim file was never reserved for more than $322,-688 — falling short of both the $1,000,000 and the $500,000 thresholds — Andrews continued to argue that there was a connection between the Initiative and his claim file. Andrews based this assertion on the allegation that Twin City’s claim-handling practices were similar to the practices employed under the Initiative. Andrews noted that “some of the very same Hartford claim department personnel involved in handling and supervising [the Initiative] program claims were also involved in [Twin City’s] handling of Timothy Andrews’[s] claim[.]”

[¶5.] Andrews sought discovery of a number of documents from Twin City. On May 23, 2012, Andrews served Twin City with requests for production, which included the following two requested sets of documents at issue on this appeal: (1) the Andrews claim file 2 and (2) 247 workers’ compensation claim files administered under the Initiative. 3 Twin City objected to both of these requests on the basis that certain documents were protected by the attorney-client privilege. Initially, Twin City refused to provide Andrews with any requested material containing attorney-client privileged information.

[¶ 6.] On November 26, 2012, Andrews filed a motion to compel Twin City to produce all of the documents responsive to his requests. Twin City opposed the motion and moved for a protective order. The court entered an order on February 11, 2013, requiring Twin City to submit the Andrews claim file notes to the court for an in camera review. The court stated that it would conduct the in camera review before making a “final determination as to whether some or all such documents are subject to discovery.” The order further required Twin City to produce for Andrews the claim file notes for the 247 “large loss initiative” claim files. In accordance with the order, Twin City produced 199 of the 247 “large loss initiative” claim file notes (199 “other” claim file notes), which were all the claim file notes that existed at the time of Andrews’s request. Twin City redacted the attorney-client privileged communications contained in these claim file notes.

[¶ 7.] The circuit court conducted a status hearing on May 28, 2013, to address the attorney-client privilege as it applied to both the Andrews and the 199 “other” claim files. The court stated that “if [the *544 redacted material is] a communication from an attorney to the claims people or if it’s a communication from claims people to the attorney seeking legal advice, it should not be produced. But otherwise, everything is subject to production from what I saw.”

[¶ 8.] On June 7, 2013, the circuit court entered a second order confirming its statements during the status hearing, stating in pertinent part:

The court: Here, it has not been alleged that Heglin “completely” delegated her claim handling decisions to outside counsel. Nevertheless, the Supreme Court’s reasoning in both [Dakota, Minnesota & Eastern Railroad Corp.] and Bertelsen is applicable. To the extent that Nicole Heglin embedded attorney-client communications going to the factual grounds (i.e., the reasonable basis or lack thereof) of her benefits decisions in the claim file’s central document (i.e., the activity log), the statutory purpose of which document is to provide a record of the insurer’s claim-handling decisions, she “injectfed] the attorney’s advice into the case.”

The court ordered Twin City to apply this standard when reviewing its redactions to the Andrews claim file notes and the 199 “other” claim file notes. The court further ordered that.all of these documents be produced no later than June 21, 2013. 4 Twin City reviewed each of the previous redactions and unredacted most, but not all, of the previously redacted attorney-client communications in the Andrews claim file notes and submitted the notes to Andrews and the court.

[¶ 9.] On October 22, 2013, Andrews filed a motion to compel Twin City to produce wholly unredacted claim file notes for the Andrews claim file and the 199 “other” claim files. Andrews argued that he was entitled to production of the unre-dacted attorney-client communications based on the following reasons:

(i) the facts of the proceeding; (ii) SDCL 58-3-7.4

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Cite This Page — Counsel Stack

Bluebook (online)
2015 SD 24, 863 N.W.2d 540, 2015 S.D. 24, 2015 S.D. LEXIS 57, 2015 WL 1955644, Counsel Stack Legal Research, https://law.counselstack.com/opinion/andrews-v-ridco-twin-city-fire-ins-co-sd-2015.