Homeland Insurance Company of Delaware v. Independent Health Association, Inc.

District Court, W.D. New York·Decided September 26, 2024·No. 1:22-cv-00462·Unknown

Opinion

UNITED STATES DISTRICT COURT W ESTERN DISTRICT OF NEW YORK

HOMELAND INS. CO. OF DELAWARE,

Plaintiff, 22-CV-00462-WMS-HKS v.

INDEPENDENT HEALTH ASS’N, INC., INDEPENDENT HEALTH CORP., DXID, LLC, AND ELIZABETH GAFFNEY,

Defendants/Third-Party Plaintiffs,

v.

ACE AMERICAN INS. CO.,

Third-Party Defendant.

DECISION AND ORDER This case was referred to the undersigned by the Hon. William M. Skretny, pursuant to 28 U.S.C. ' 636(b)(1)(A), for all pretrial matters. Dkt. #20. The case is currently assigned to the Hon. John L. Sinatra. Dkt. #76.

INTRODUCTION This is a declaratory judgment action in which plaintiff Homeland Insurance Company of Delaware (“Homeland”) seeks a declaration that it has no defense or indemnity obligations arising out of an insurance policy it issued to defendant Independent Health Association, Inc. (“IHA”) as to claims asserted against IHA and other insureds1 in a federal qui tam action and related arbitration. Dkt. #1, ¶¶ 1-3. Third-party defendant Ace American Insurance Company (“Ace”) seeks a similar determination as to its indemnity obligations under an excess insurance policy it issued to defendants. Dkt. #30.

Currently before the Court are Homeland’s second motion to compel, Dkt. #61, Ace’s motion to compel, Dkt. #66, and Homeland’s motion for an extension of time to complete discovery. Dkt. #74.2

BACKGROUND The facts alleged in this matter have been set forth in a previous Decision and Order by the then-presiding district court judge, Dkt. #51, as well as a prior Decision and Order by the undersigned. Dkt. 58. Those decisions are incorporated here.

Briefly, Homeland and Ace seek declarations that they owe no duty to defend or indemnify defendants relating to an underlying qui tam action pending in this Court, United States ex rel. Ross v. Indep. Health Corp., Case No. 12-CV-299-WMS, and a related arbitration that was settled in July 2022. Dkt. #51, p. 4.

1 Defendants Independent Health Corporation (“IHC”), DxID, LLC, and Elizabeth Gaffney (“Gaffney”) were also insureds under the Homeland policy. IHC and DxID are or were subsidiaries of IHA. Dkt. #1, ¶¶ 7-8. Gaffney was the Chief Executive Officer of DxID. Dkt. #1, ¶ 9.

2 The motion for an extension of the discovery deadlines is joined by all parties. Dkt. #74, p. 1. In the qui tam action, “the government maintains that Defendants defrauded the federal Medicare program by submitting false and inflated claims for reimbursement.” Dkt. #51, p. 3. The government’s complaint-in-intervention alleges claims under the False Claims Act (“FCA”), 31 U.S.C. §§ 3729, et seq., and common law. Dkt. #51, p. 2. The

arbitration arose, in part, out of the same allegations. Dkt. #51, p. 4.

Homeland and Ace invoke several exclusions in the Homeland policy. Dkt. #58, p. 3. As relevant here, Exclusion D excludes coverage for any claims, damages, or claims expenses arising out of any actual or alleged act, error, or omission if, before the inception date of the policy3, defendants knew or should reasonably have known that the act, error, or omission would give rise to a claim, Dkt. #1, ¶ 46.

The Court Grants Homeland’s First Motion to Compel On June 1, 2023, Homeland filed a motion to compel seeking an order

requiring defendants to respond to certain interrogatories and document requests. Dkt. #45.

On February 1, 2024, the Court issued a Decision and Order granting Homeland’s motion in almost all respects. Dkt. #58. The Court first ordered defendants to respond to Interrogatories 1-12 and stated: “To the extent that defendants assert the attorney-client privilege defense . . ., they shall do so in compliance with Fed. R. Civ. P. 26(b)(5) and Loc. R. Civ. P. 26(d).” Dkt. #58, pp. 10-11.

3 The inception date of the policy was August 1, 2013. Dkt. #1, ¶¶ 13-14. Next, the Court took under advisement the motion regarding document requests 4 and 5 that relate to litigation hold notices. Dkt. #58, pp. 12-13. The Court noted that it could not evaluate defendants’ claim that documents responsive to these

requests—which are relevant to Exclusion D—were protected by the attorney-client privilege without further information, given the fact-intensive nature of that inquiry. Dkt. #58, pp. 12-13.

The Court also noted that the party invoking such a privilege bears the burden of proving its applicability, and that “Fed. R. Civ. P. 26(b)(5) and Loc. R. Civ. P. 26(d) require the party withholding allegedly privileged documents to prepare and produce a privilege log.” Dkt. #58, p. 13.

The Court thus ordered defendants “to provide privilege logs to plaintiff

promptly, in compliance with the above rules, so that plaintiff can decide whether to challenge defendants’ assertions of privilege as to document requests 4 and 5.” Id.

Defendants Produce Two Privilege Logs The First Privilege Log On April 22, 2024, defendants produced a privilege log and documents. Dkt. #61-2, ¶ 14; Dkt. #61-5. The log lists 98 separate documents dated from March 19, 2013 to September 29, 2014, reflecting communications between defendants’ counsel and counsel for Group Health Cooperative (“GHC”), a former client of defendants and non- party to this case who was—prior to a settlement—a defendant in the underlying qui tam action. Dkt. #51, p. 4. Defendants assert various combinations of the common-interest, attorney-work-product, and attorney-client privileges/protections as to these 98 documents. Dkt. #61-6.

The last entry on this privilege log states a date range of “July 12, 2012 to June 17, 2022,” and it lists over two dozen people grouped generally as authors, recipients, or persons copied on the subject communications. Dkt. #61-5.

Those communications are described under a column titled “General Subject Matter” as: “Communications, letters, and notes of conversations between and among IH/DxID personnel and counsel for IH/DxID and its personnel providing, requesting, and reflecting legal advice, and/or reflecting common interest discussions related to government investigation.” Id. Finally, under a column titled “Privilege Type,”

the entry states: “Attorney-Client Communication, Attorney Work Product, Common Interest Communication.” Id. The entry does not state how many documents it encompasses.

Homeland’s counsel sent a letter to defense counsel on April 29, 2024 discussing alleged deficiencies in defendants’ productions, including the privilege log. Dkt. #61-7. Specifically, this letter stated that the single entry of an indeterminate number of documents spanning ten years failed to comply with applicable rules, and that it was unclear from that entry whether it included any litigation hold notices or related communications which would be responsive to Homeland’s document requests 4 and 5. Dkt. #61-7, pp. 3-4.

Homeland’s counsel requested that defendants produce a privilege log that

“separately identifies each litigation hold notice and litigation hold-related document so that Homeland can meaningfully evaluate Defendants’ assertions of privilege as to documents responsive to Document Request Nos. 4 and 5.” Dkt. #61-7, p. 4. The letter further requested that defendants provide a log that “provides categorical entries in a way that makes clear the number of documents for each entry, the author, recipients, subject and type of privilege claimed for each category.” Id.

Counsel for Ace also conferred with defendants’ counsel regarding their assertion of the common interest doctrine for the first 98 documents in this privilege log.

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