K.N.T., a Minor, by Megan R. Fox, Her Parent and Next Friend, and Megan R. Fox v. American Family Mutual Insurance Company

CourtCourt of Appeals of Iowa
DecidedJuly 9, 2015
Docket14-0926
StatusPublished

This text of K.N.T., a Minor, by Megan R. Fox, Her Parent and Next Friend, and Megan R. Fox v. American Family Mutual Insurance Company (K.N.T., a Minor, by Megan R. Fox, Her Parent and Next Friend, and Megan R. Fox v. American Family Mutual Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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K.N.T., a Minor, by Megan R. Fox, Her Parent and Next Friend, and Megan R. Fox v. American Family Mutual Insurance Company, (iowactapp 2015).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 14-0926 Filed July 9, 2015

K.N.T., a minor, by MEGAN R. FOX, her parent and next friend, and MEGAN R. FOX, Plaintiff-Appellants,

vs.

AMERICAN FAMILY MUTUAL INSURANCE COMPANY, Defendant-Appellee. ________________________________________________________________

Appeal from the Iowa District Court for Cerro Gordo County, James M.

Drew, Judge.

K.N.T. and her mother, Megan Fox, appeal following trial on their first-

party bad faith claim against American Family Mutual Insurance Company.

AFFIRMED IN PART, REVERSED IN PART, AND REMANDED.

Vance Jorgensen of Vance Jorgensen Law Firm, Mason City, Leslie

Bailey and Karla Ann Gilbride for Public Justice, P.C., Oakland, California, and

Gina C. Badding of Neu, Minnich, Comito & Neu, P.C., Carroll, for appellants.

Mark S. Brownlee of Kersten, Brownlee, Hendricks, L.L.P., Fort Dodge, for

appellee.

Heard by Vogel, P.J., and Potterfield and Mullins, JJ. 2

POTTERFIELD, J.

K.N.T. and her mother, Megan Fox, (the plaintiffs) appeal following trial on

their first-party bad faith claim against American Family Mutual Insurance

Company (American Family). The plaintiffs appeal the district court’s grant of

directed verdict on the issues of emotional distress damages awarded by the jury

to K.N.T. and punitive damages authorized by the jury against American Family.

They additionally appeal the district court’s protective order and order to seal trial

exhibits.

I. Factual and Procedural Background

Eleven-year-old K.N.T. was involved in a serious accident as a passenger

in an all-terrain vehicle (ATV) on a gravel roadway on July 2, 2010. She suffered

a serious head injury and required intensive medical care. She was in the

hospital for twenty-three days and incurred approximately $250,000 in hospital

expenses. The drivers of the two ATVs involved in the accident were uninsured.

Megan filed an uninsured motorist claim with her own insurance provider,

American Family, through her attorney on August 30, 2010.

American Family’s claims manager Roger Rhodes was responsible for the

claim. The claim file notes reveal he first reviewed the claim on October 27,

2010. At that time he determined American Family should deny Megan’s claim

because he thought the incident was excluded from her policy due to the

involvement of an ATV. He instructed a claims adjuster to send the plaintiffs a

reservation of rights letter and referred to an exclusionary clause in one of

American Family’s policies to support the denial. However, the clause he relied

on was in fact not included in Megan’s uninsured motorist policy. American 3

Family sent the reservation of rights letter to Megan and incorrectly informed her

that her policy included a clause that excluded her claim from coverage. Rhodes

would later concede he did not review Megan’s policy before determining the

claim should be denied.1 Rhodes returned to the claim on November 29, 2010.

The claim file notes from that date indicate his expectation that an adjuster would

formally deny the claim.

In December, Megan’s attorney responded to American Family’s

reservation of rights letter. Her attorney explained that American Family’s denial

of the claim would be contrary to the provisions of her policy and included

documentation showing K.N.T.’s accident did not fall within the exclusion. He

quoted Megan’s policy, clearly indicating it was different from the exclusion relied

upon in the reservation of rights letter. The claims adjuster noted the receipt of

the letter from Megan’s attorney in the case file, but Rhodes would later admit he

did not read it. When Rhodes failed to respond to the attorney’s letter, the claims

adjuster drafted a letter denying the claim in conformity with Rhodes’s November

29 claim file note.

On January 13, 2011, Rhodes again addressed the plaintiffs’ claim file.

His only action was to approve the denial letter. He again failed to review the

policy or the letter from Megan’s attorney before doing so. On March 14, 2011,

he opened Megan’s claim file and entered his final note: “[D]enial. Claim is no

longer being supervised.”

1 The exclusion Rhodes relied upon to deny the claim was an exclusion that he found in a generic policy that he presumed to be identical to Megan’s. However, even the exclusion he found in the generic policy did not apply to uninsured motorist claims. 4

The plaintiffs filed suit on April 1, 2011. American Family maintained the

insurance claim was not covered by Megan’s policy. The plaintiffs then amended

their complaint to add a tort claim of first-party bad faith. Prior to trial, the parties

reached a settlement on the issue of coverage of the insurance claim. The case

was scheduled for a jury trial on the bad faith claim.

In discovery, the plaintiffs requested several categories of documents from

American Family. In particular, they requested state business plans, claims

handling and training materials, and information on employee compensation.

American Family moved for a protective order as to these three categories of

documents, alleging they were developed at great expense, they included

confidential and proprietary information, and their disclosure would be injurious to

American Family’s competitive stance in the insurance industry. The plaintiffs

opposed the motion, but the district court granted the protective order. The

protective order required the plaintiffs to maintain the confidentiality of the

documents, but it permitted them to disclose the documents to anyone in

furtherance of building their case. Anyone to whom they disclosed the

documents was also subject to the protective order. Additionally, the plaintiffs

were required to return the documents to American Family at the close of

litigation. During the trial, many documents that were subject to the protective

order were admitted as exhibits and became part of the record.

To establish their bad faith claim, the plaintiffs had to prove (1) there was

no reasonable basis for American Family’s denial of coverage and (2) American

Family knew of or recklessly disregarded the lack of a reasonable basis for

denying coverage. See Bellville v. Farm Bureau Mut. Ins. Co., 702 N.W.2d 468, 5

475 (Iowa 2005). The district court granted summary judgment as to the first

prong.2 The jury was instructed to determine the second.

At the close of the plaintiffs’ evidence, American Family moved for

directed verdict as to emotional distress damages incurred by Megan, emotional

distress damages incurred by K.N.T., and punitive damages. The district court

reserved its ruling and, after American Family rested without presenting

evidence, put the case before the jury.

The interrogatories submitted to the jury asked whether the second prong

of the bad faith tort had been proved. The jury was also asked the amount of

emotional distress damages, if any, to be awarded to each plaintiff. Lastly, it was

asked to determine whether American Family’s conduct “constituted willful and

wanton disregard for the rights of the plaintiffs”—i.e. whether punitive damages

should be awarded. It was not asked to determine the amount of punitive

damages in the event it found such damages warranted.

The jury found the second prong of the bad faith test was satisfied—that

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K.N.T., a Minor, by Megan R. Fox, Her Parent and Next Friend, and Megan R. Fox v. American Family Mutual Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/knt-a-minor-by-megan-r-fox-her-parent-and-next-fri-iowactapp-2015.