Powell, Esq. v. AmGuard Insurance Company

CourtSuperior Court of Delaware
DecidedMarch 2, 2020
DocketK17C-11-003 JJC
StatusPublished

This text of Powell, Esq. v. AmGuard Insurance Company (Powell, Esq. v. AmGuard Insurance Company) is published on Counsel Stack Legal Research, covering Superior Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Powell, Esq. v. AmGuard Insurance Company, (Del. Ct. App. 2020).

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

JASON C. POWELL, ESQ., : as personal representative of the : ESTATE OF MARK KRIEGER, : : Plaintiff, : C.A. No. K17C-11-003 JJC : In and for Kent County v. : : AMGUARD INSURANCE : COMPANY, : : Defendant. :

OPINION

Submitted: December 4, 2019 Decided: March 2, 2020

Defendant’s Motion for Judgment as a Matter of Law – DENIED Defendant’s Motion for a New Trial – GRANTED

John S. Spadaro, Esquire, John Sheehan Spadaro, LLC, Smyrna, Delaware, Attorney for Plaintiff.

Thaddeus J. Weaver, Esquire, Dilworth Paxson, LLP, Wilmington, Delaware, John D. Balaguer, Esquire, White & Williams, LLP, Wilmington, Delaware, & Edward M. Koch, Esquire, White & Williams, LLP, Philadelphia, Pennsylvania, Attorneys for Defendant.

Clark, J. Plaintiff Jason C. Powell, as personal representative of the Estate of Mark Krieger, (“the Estate”) prevailed in a bad faith insurance action against Defendant AmGuard Insurance Company (“AmGuard”). The jury found that AmGuard unreasonably delayed paying Mr. Krieger’s workers’ compensation wage benefits for seventy-two days.1 It awarded the Estate $500,000 in punitive damages. After trial, by stipulation of the parties, the Court entered judgment for compensatory damages in the amount of $28.22. AmGuard now moves for (1) judgment as a matter of law, (2) a new trial, or (2) in the alternative, remittitur. Because AmGuard did not renew its motion for judgment as a matter of law at the close of all the evidence, its post-trial motion for judgment as a matter of law is procedurally barred. With regard to its motion for a new trial, however, the jury’s punitive damages award of $500,000 shocks the Court’s conscience. For that reason, a new trial is necessary. In this case, the Estate’s summation, made without evidentiary support, likely inflamed the jury. As a result, the verdict was likely the product of passion or prejudice. Because the Court cannot fairly conclude that the jury’s decision regarding liability was not also affected by this passion or prejudice, a new trial regarding both liability and damages is necessary.

I. Procedural Background and Trial Evidence The evidence recited herein is the evidence presented during a five day jury trial in October 2019. It is viewed in the light most favorable to the Estate. Mr. Krieger suffered a work injury on May 22, 2017. On June 5, 2017, AmGuard received the claim. That same day, AmGuard wrote Mr. Krieger and told

1 See Def. AmGuard’s Motion for Judgment as a Matter of Law, Ex. 1 (answer through Special Verdict Form, by the jury, that AmGuard should have started paying workers’ compensation benefits to Mr. Krieger on July 22, 2017, and that its unreasonable delay in payment ended on October 2, 2017). 2 him that it could not accept or deny his claim because of a “lack of medical documentation.” It further wrote that it hoped to complete its investigation within thirty days. On June 6, 2017, an AmGuard adjuster spoke with a representative of Mr. Krieger’s employer, Hero Demolition. The Hero Demolition representative told the adjuster that Mr. Krieger was at the job site early on the day of his injury. He also alleged that Mr. Krieger intended to steal the company’s copper. On June 12, 2017, Mr. Krieger underwent an MRI. The MRI report referenced nine separate bone fractures in his foot and ankle. AmGuard received that report on July 7, 2017. AmGuard had already received Mr. Krieger’s emergency room records. Notwithstanding the records and report, AmGuard did not accept Mr. Krieger’s claim. Instead, it delayed its decision because of alleged “red flags” regarding (1) Mr. Krieger’s possible drug use, and (2) Hero Demolition’s theft allegation. AmGuard took no action to investigate either “red flag” between June 6th and July 7th, when it received the MRI report. AmGuard conceded that by no later than July 12, 2017, it was aware that Mr. Krieger had suffered multiple fractures in his foot and ankle. One month after receiving Mr. Krieger’s MRI results, as of August 8, 2017, AmGuard still had taken no action to investigate these alleged “red flags” and had not paid Mr. Krieger’s lost wages. On that day, AmGuard first told Mr. Krieger’s attorney that it was withholding his benefits because of a new allegation—that Mr. Krieger did not have permission to drive the forklift that injured him. Delaying payment of no-fault workers’ compensation benefits because the claimant was allegedly at fault for his injury was strong evidence of unjustified delay. Once AmGuard notified Mr. Krieger’s attorney of this new red flag (that AmGuard had taken no action itself to investigate), Mr. Krieger’s attorney interviewed Hero Demolition’s employees. After doing so, Mr. Krieger’s attorney relayed the information to AmGuard. At that point, in late August, for the first time, 3 AmGuard investigated Hero Demolition’s claims. When doing so, it easily confirmed that the employer falsely claimed that Mr. Krieger impermissibly used the forklift and had attempted theft. Delay in payment of wages continued, however. For an additional month, AmGuard contested the severity of Mr. Krieger’s disability and whether AmGuard should pay an attorneys’ fee. On October 2, 2017, four days before the scheduled IAB hearing on October 6, 2017, the parties settled the lost wage issue. By that point, Mr. Krieger had received no income for four months. Despite AmGuard’s statutory obligation to notify Mr. Krieger in writing of its reasons for delaying payment, it never provided him with an accurate written explanation.2 It issued its first check to Mr. Krieger for lost wage benefits on October 2, 2017. Thereafter, it continued to pay them until Mr. Krieger died from unrelated causes in 2018. Prior to Mr. Krieger’s death, he sued AmGuard for bad faith delay in investigation and payment. Following Mr. Krieger’s death, his counsel retained Jason Powell, Esquire, to open an estate. Upon motion by Mr. Krieger’s counsel, the Court permitted Mr. Powell, as the Estate’s personal representative, to be substituted as the plaintiff. Mr. Krieger died shortly after he filed suit. As a result, he did not testify in a deposition or participate in formulating discovery responses. As a result, the Estate presented no evidence at trial regarding the delay’s impact on Mr. Krieger. In fact, the only evidence permitting even an inference of harm came from AmGuard’s corporate designee, Edward G. Hennrikus. Namely, Mr. Hennrikus conceded (1) that a forklift operator would not be expected to be affluent, and (2) that AmGuard knew that

2 See 19 Del. C. § 2362(a) (providing that “an employer or its insurance carrier shall within 15 days after receipt . . . notify . . . the claimant in writing . . . whether the claim is accepted or denied [and] if it cannot accept or deny the claim, the reasons therefor and approximately when a determination will be made”). There was no dispute at trial that AmGuard violated this statutory mandate. 4 withholding Mr. Krieger’s wage replacement benefits for four months caused him financial distress.3 There were three relevant procedural events at trial. First, following the Estate’s case-in-chief, AmGuard moved for judgment as a matter of law. It did so regarding the issues of (1) bad faith and (2) punitive damages stemming from AmGuard’s allegedly reckless disregard of Mr. Krieger’s rights.4 It argued that the Estate’s evidence supported only that AmGuard handled the claim in an “imperfect but not an untimely manner.”5 In response, the Estate emphasized that a mere suspicion of an insured’s misconduct, without an investigation, was insufficient to withhold insurance coverage. The Court denied AmGuard’s motion for judgment as a matter of law. It explained that a party’s state of mind may be inferred from the circumstances.

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Powell, Esq. v. AmGuard Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/powell-esq-v-amguard-insurance-company-delsuperct-2020.