LM Insurance Corporation v. Halleluyah Restoration, LLC

CourtDistrict Court, S.D. Georgia
DecidedMarch 8, 2023
Docket4:22-cv-00011
StatusUnknown

This text of LM Insurance Corporation v. Halleluyah Restoration, LLC (LM Insurance Corporation v. Halleluyah Restoration, LLC) is published on Counsel Stack Legal Research, covering District Court, S.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
LM Insurance Corporation v. Halleluyah Restoration, LLC, (S.D. Ga. 2023).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA SAVANNAH DIVISION

LM INSURANCE CORPORATION, ) ) Plaintiff, ) ) v. ) CV422-011 ) HALLELUYAH RESTORATION, ) LLC, ) ) Defendant. )

ORDER Before the Court is Plaintiff LM Insurance Corporation’s (“LM”) “Motion to Strike Expert Report of Edward J. Priz and Exclude Proposed Expert Testimony.” Doc. 26. Defendant Halleluyah Restoration, LLC (“Halleluyah”) responded, doc. 28, and LM replied, doc. 30. For the following reasons, LM’s motion is GRANTED, in part, and DENIED, in part. Doc. 26. BACKGROUND LM alleges that it provided two workers’ compensation insurance policies to Halleluyah, an exterior renovation business. Doc. 5 at 5. As discussed more fully below, the policies incorporated provisions of a manual generated by the National Council on Compensation Insurance (“NCCI”) by reference. See, e.g., doc. 26-1 at 7-8 (Halleluyah’s expert explains NCCI manual incorporation). LM subsequently conducted an

audit of Halleluyah and determined that Halleluyah inaccurately characterized several of its laborers as independent contractors when it

applied for the policies. Doc. 5 at 5-6; see also doc. 26 at 2. Accordingly, Halleluyah “did not include these employees in its [policy] applications”, which resulted in lower premiums. Doc. 5 at 6, doc. 26 at 2. The audit

revealed that Halleluyah was unable to produce documents demonstrating the type of work performed by its laborers, and to explain large cash withdrawals in its records. Doc. 5 at 6. LM filed this breach

of contract action against Halleluyah seeking over $700,000 in additional premiums. Id. at 7-9. Halleluyah seeks to offer the expert testimony of Edward J. Priz, a

forensic premium auditor and workers’ compensation insurance underwriting expert. See doc. 26-1 at 16 (Priz’s curriculum vitae); id. at 1-15 (Priz’s report). In his report, Priz renders 25 specific opinions

regarding, e.g., the accuracy of LM’s calculation of additional premiums, and LM’s determination that Halleluyah inaccurately characterized its laborers as independent contractors. See id. at 4-6 (Priz lists his 25 specific opinions); id. at 7-15 (Priz’s report elaborates on the listed opinions). LM asks the Court to exclude all of Priz’s proposed testimony

under Federal Rule of Evidence 702. Doc. 26 at 1. Halleluyah argues that all of Priz’s testimony is admissible. Doc. 28 at 8.

ANALYSIS Federal Rule of Evidence 702 compels the Court to perform a “gatekeeping” function concerning the admissibility of expert scientific

evidence. United States v. Frazier, 387 F.3d 1244, 1260 (11th Cir. 2004) (citing Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 589 n.7, 597 (1993)). In performing this task, the Court must consider whether the

party offering the evidence has shown: (1) the expert is qualified to testify competently regarding the matters he intends to address; (2) the methodology by which the expert reaches his conclusions is sufficiently reliable as determined by the sort of inquiry mandated in Daubert; and (3) the testimony assists the trier of fact, through the application of scientific, technical, or specialized expertise, to understand the evidence or to determine a fact in issue.

Frazier, 387 F.3d at 1260 (quoting City of Tuscaloosa v. Harcros Chems., Inc., 158 F.3d 548, 562 (11th Cir.1998)). The proponent of the expert opinion bears the burden of establishing qualification, reliability, and helpfulness by a preponderance of the evidence. Daubert, 509 U.S. at 592, n.10.

Under the first prong, “experts may be qualified in various ways. While scientific training or education may provide possible means to

qualify, experience in a field may offer another path to expert status.” Frazier, 387 F.3d at 1260-61; see also Fed. R. Evid. 702 (a witness may be qualified as an expert by “knowledge, skill, experience, training, or

education[.]”). But, “[w]hen an expert witness relies mainly on experience to show he is qualified to testify, ‘the witness must explain how that experience leads to the conclusion reached, why that experience

is a sufficient basis for the opinion, and how that experience is reliably applied to the facts.’ ” Payne v. C.R. Bard, Inc., 606 F. App’x 940, 942-43 (11th Cir. 2015) (quoting Frazier, 387 F.3d at 1261).

As to the second prong, “the reliability criterion remains a discrete, independent, and important requirement for admissibility.” Frazier, 387 F.3d at 1261 (emphasis omitted). “The Supreme Court in Daubert set out

a list of ‘general observations’ for determining whether expert testimony is sufficiently reliable to be admitted under Rule 702.” United States v. Brown, 415 F.3d 1257, 1267 (11th Cir. 2005) (citation omitted). These factors, or observations, inquire into the expert's “theory or technique” and are: “(1) whether it can be (and has been) tested; (2) whether it has

been subjected to peer review and publication; (3) what its known or potential rate of error is, and whether standards controlling its operation

exist; and (4) whether it is generally accepted in the field.” Id. (citation omitted). “Sometimes the specific Daubert factors will aid in determining reliability; sometimes other questions may be more useful.” Frazier, 387

F.3d at 1262. “Indeed, the Committee Note to the 2000 Amendments of Rule 702 expressly says that, ‘[i]f the witness is relying solely or primarily on experience, then the witness must explain how that experience leads

to the conclusion reached, why that experience is a sufficient basis for the opinion, and how that experience is reliably applied to the facts.’ ” Id. at 1261.

Expert testimony must also assist the trier of fact. Frazier, 387 F.3d at 1262. “By this requirement, expert testimony is admissible if it concerns matters that are beyond the understanding of the average lay

person.” Id. (citation omitted). This inquiry is commonly called the “helpfulness” inquiry. Prosper v. Martin, 989 F.3d 1242, 1249 (11th Cir. 2021) (citing Frazier, 387 F.3d at 1260). “Expert testimony which does not relate to any issue in the case is not relevant and, ergo, non-helpful.” Id. (internal quotations omitted) (quoting Daubert, 509 U.S. at 591).

Although “[a]n opinion that embraces a legal conclusion is inadmissible because it is unhelpful to the trier of fact”, Moore v. Wright Med. Tech.,

Inc., 2016 WL 1316716, at *9 (S.D. Ga. Mar. 31, 2016) (citing Fed. R. Evid. 704 advisory committee’s note), “[a]n opinion is not objectionable just because it embraces an ultimate issue.” Fed. R. Evid. 704(a).

LM groups Priz’s 25 specific opinions in four categories,1 and argues that each category is inadmissible: First, Mr. Priz would like to testify that LM incorrectly determined that Halleluyah’s laborers were employees, not independent contractors, under Georgia employment law. [Cit.]

Second, Mr.

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Related

United States v. Richard Junior Frazier
387 F.3d 1244 (Eleventh Circuit, 2004)
United States v. Ronald Keith Brown
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Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
United States v. Paul A. Bilzerian
926 F.2d 1285 (Second Circuit, 1991)
In Re Commercial Money Center, Inc.
737 F. Supp. 2d 815 (N.D. Ohio, 2010)
Anthony Payne v. C.R. Bard, Inc.
606 F. App'x 940 (Eleventh Circuit, 2015)
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861 F.3d 1224 (Eleventh Circuit, 2017)
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