Hakim v. Erie Insurance Exchange

48 Pa. D. & C.5th 245
Pennsylvania Court of Common Pleas, Monroe County·Decided March 18, 2015·No. No. 6241 CIVIL 2013·Published

Opinion

WILLIAMSON, J.,

This matter comes before us on four separate motions filed by William Hakim and Joann Hakim (hereafter Plaintiffs), and Erie Insurance Exchange (hereafter Defendant). On November 26, 2014, Plaintiffs filed a Motion to Compel Responses to Request and Produce Documents. On December 16, 2014, Defendant filed a Motion to Sever and Stay Bad Faith and Extra-Contractual Claims. On December 16, 2014, Defendant filed a Motion to Amend Answer and New Matter. On December 19, 2014, Defendant filed an Answer to Plaintiffs’ Motion to Compel, along with Objections to Plaintiffs’ Proposed Subpoena to Valley Sports & Arthritic Surgeons (VSAS).

Background

In the underlying Complaint filed by Plaintiffs, they allege that William Hakim was operating his vehicle on Route 611 in the Borough of Mount Pocono when Edward Reynolds illegally entered an intersection and caused a violent collision with Mr. Hakim’s vehicle causing Mr. Hakim serious injuries, damages, and losses. At the time of the accident, Mr. Hakim had liability, first party medical benefit, and underinsured motorist coverage through Erie Insurance Exchange. Defendant has paid some medical benefits, but denied others. Plaintiffs filed an action for underinsured motorist benefits. Plaintiffs also brought a bad faith claim against Defendant alleging a violation of [248]*248Section 1712 of the Motor Vehicle Financial Responsibility, which Plaintiffs state requires that Defendant pay for all reasonable and necessary medical treatment received by Mr. Hakim due to injuries sustained from the accident.

On October 23, 2013, and September 2, 2014, the Plaintiffs served Interrogatories and Request for Production of Documents requesting the financial information of Dr. DiBenedetto. He had performed a medical examination of the Plaintiff at the request of Defendant, on November 17, 2008. The Defendant filed objections to this request and to supplemental interrogatories requesting information about contact between the Defendant and Infinity Insurance Company. Plaintiffs argue that Defendant knew Dr. DiBenedetto was a biased evaluator and their objections are meritless. Plaintiffs allege that Defendant has had all of Plaintiffs’ medical information and reports since February 19, 2006. Plaintiffs further argue that Defendant has denied medical benefits based on the information provided by Dr. DiBenedetto.

Argument

Plaintiffs’ Motion to Compel Defendant’s Responses to Requests for Production of Documents

In their Motion to Compel Defendant’s Responses to Requests for Production, Plaintiffs’ request that Defendant provide: 1) The Erie Claims Manual in effect in February 2007, 2) Audrey Ziegler’s claim file, which Plaintiffs agree to maintain confidentially absent further Court Order, 3) The financial relevance between Defendant and Dr. DiBenedetto set forth in Plaintiffs’ Interrogatories and Request to Produce, and 4) Interrogatories requesting [249]*249all contact between Infinity (the automobile insurance carrier for a third-party defendant in a related claim) and Defendant.

Subject to the provisions of Rules 4003.2 to 4003.5 inclusive and Rule 4011, a party may obtain discovery regarding any matter, not privileged, which is relevant to the subject matter involved in the pending action, whether it relates to the claim or defense of the party seeking discovery or to the claim or defense of any other party, including the existence, description, nature, content, custody, condition and location of any books, documents, or other tangible things and the identity and location of persons having knowledge of any discoverable matter. Pa.R.C.R No. 4003.1.

No discovery, including discovery of electronically stored information, shall be permitted which: (a) is sought in bad faith; (b) would cause unreasonable annoyance, embarrassment, oppression, burden or expense to the deponent or any person or party; (c) is beyond the scope of discovery as set forth in Rules 4003.1 through 4003.6; (d) is prohibited by any law barring disclosure of mediation communications and mediation documents; or (e) would require the making of an unreasonable investigation by the deponent or any party or witness. Pa.R.C.P.No.4011.

I. The Erie Claims Manual

In their Motion to Compel Defendant’s Responses to Requests for Production, Plaintiffs’ request that Defendant provide their claims manual which was in effect in February 2007. A trial court may consider the insurer’s claims manual when considering bad faith. Zappile v. [250]*250AmexAssur. Co., 928 A.2d 251, 258 (2007). An insurance company’s manual, which dictates a certain philosophy in claims handling, may be relevant and useful in evaluating a bad faith claim. Bonenberger v. Nationwide Mut. Ins. Co., 791 A.2d 378, 382 (2002).

While the Erie Claims Manual which was in effect in February 2007 is likely discoverable, this Court will stay a decision on this particular matter at this time pending submission of the claims manual by the Defendant to this Court for an in camera inspection, together with a detailed explanation of the matters claimed to be privileged and confidential, with a copy of such explanation supplied to Plaintiffs’ counsel. The submission shall be made directly to the Court within thirty (30) days.

II. Audrey Ziegler’s Claim File

In their Motion to Compel Defendant’s Responses to Requests for Production, Plaintiffs’ request that Defendant provide them with Audrey Ziegler’s personnel file. Plaintiffs argue that this is discoverable because Ms. Ziegler was the adjuster who handled Mr. Hakim’s claim and her personnel file may lead to admissible evidence.

As of this time, Defendants have failed to articulate a specific reason as to why the discovery of Audrey Ziegler’s claim file in this matter is not relevant. Audrey Ziegler is allegedly no longer employed by Defendant, but the Plaintiffs can still seek this information. The claim file could be relevant to the underlying bad faith claim, and the contract claim. We agree that privileged/ confidential information need not be disclosed (i.e. adjuster or Defendant’s value of the case; attomey/client [251]*251communications) and Defendant may redact necessary privileged and confidential information not relevant to the bad faith claim.

III. The financial relevance between Defendant and Dr. DiBenedetto

In their Motion to Compel Defendant’s Responses to Requests for Production, Plaintiffs’ request that Defendant provide information regarding the financial relationship between Defendant and Dr. DiBenedetto. This includes a request for Defendant to produce how many examinations, PRO’s, URO’s, depositions or other evaluations of any type that Dr. DiBenedetto conducted on behalf of Defendant, listing case and attorney; for each year from 2003 through 2007. Plaintiffs also request that Defendant produce copies of any and all 1099’s or W-2’s issued to Dr. DiBenedetto between 2004 and 2009. Plaintiffs argue such information is discoverable due to Dr. DiBenedetto’s financial compensation for work performed at the Defendant’s request.

In J.S. v.

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Hakim v. Erie Insurance Exchange, 48 Pa. D. & C.5th 245 (Pa. Super. Ct. 2015).

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