Richter v. XL Insurance America Inc.

District Court, D. South Dakota·Decided July 16, 2024·No. 4:23-cv-04094·Unknown

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF SOUTH DAKOTA

SOUTHERN DIVISION

MICHAEL RICHTER, 4:23-CV-04094-CCT Plaintiff, ORDER GRANTING PLAINTIFF’S vs. MOTION TO COMPEL

XL INSURANCE AMERICA INC., and Docket No. 37 GALLAGHER BASSETT SERVICES, INC., Defendants.

INTRODUCTION This matter is before the court on plaintiff Michael Richter’s complaint alleging defendants refused in bad faith to pay workers compensation insurance benefits to him. Docket No. 1. Jurisdiction is premised on the diversity of citizenship of the parties. 28 U.S.C. § 1332. The district court has now referred a motion to compel discovery filed by plaintiff. Docket No. 37. Defendants resist the motion. Docket No. 44. FACTS The basic facts, drawn from plaintiff’s complaint, are given to provide context for the motion. No imprimatur of approval or veracity by the court is intended by the recitation of plaintiff’s allegations. Plaintiff was injured while at work when the van he was driving was rearended by a semitruck on September 6, 2017. Plaintiff’s employer had purchased workers compensation insurance through defendant XL Insurance

America Inc. (“XL”). XL in turn hired defendant Gallagher Bassett Services, Inc. (“Gallagher”) to perform claim administration services. Following plaintiff’s accident, defendants initially accepted plaintiff’s workers compensation claim and paid him benefits, including medical care expenses. Plaintiff returned to work in October 2017, but alleges he continues to experience neck and upper back pain and headaches. Plaintiff initially was treated with medication, massage, physical therapy, and chiropractic treatment. In January and March 2020 he was treated with trigger point

injections. In September 2020 plaintiff was referred for a neurosurgery evaluation for his continuing pain. Two days later, plaintiff underwent an independent medical examination (“IME”) with Dr. Jeffery Nipper, defendants’ chosen physician. Plaintiff alleges Dr. Nipper had a close relationship with insurance companies and defendants knew or should have known Dr. Nipper would give a favorable opinion for the defendants. Dr. Nipper issued a report a few days later opining that plaintiff’s injuries

had fully resolved and he was misrepresenting or embellishing his injuries. Because plaintiff’s accident injuries had resolved, Dr. Nipper opined that any further symptoms he continued to experience were unrelated to the workplace injury and defendants had no obligation to pay for further treatment. Defendants accordingly notified plaintiff on October 5, 2020, that they were denying his workers compensation claim and would provide no further benefits.

Plaintiff initiated a proceeding before the South Dakota Department of Labor seeking reinstatement of his workers compensation benefits. Dr. Nipper’s deposition was taken on January 6, 2023. During that deposition, Dr. Nipper changed his opinion about plaintiff’s injuries after seeing photos of the accident scene. He stated the photos were “powerful evidence that a higher energy injury occurred than what was represented” and that the collision which occurred during the scope of plaintiff’s employment was a “major contributing cause” of plaintiff’s neck condition and the treatment he received.

Dr. Nipper further opined that the treatment plaintiff received was reasonable and necessary. Defendants agreed. The ALJ issued a January 27, 2023, order that plaintiff’s September 6, 2017, injury was and is a major contributing cause of his current condition and need for medical treatment and that plaintiff’s employer and defendants must pay any outstanding benefits and future benefits. Plaintiff now brings this action for bad faith refusal to pay workers compensation benefits for the period of time between October 5, 2020, and

January 6, 2023. He asserts that defendants’ actions delayed his medical treatment, causing him unnecessary pain; caused him serious financial hardship; delayed payment of his medical bills; and caused him emotional upset, aggravation, annoyance, and embarrassment. DISCUSSION A. Meet and Confer Requirement Before a party may file a discovery motion seeking to compel (or seeking

protection from) discovery, the party is required to meet and confer with the party from whom the discovery is requested in a good faith effort to resolve the discovery dispute. Fed. R. Civ. P. 37(a)(1); DSD LR 37.1. In this motion to compel, defendants do not dispute that plaintiff met the requirement for good faith conferral. See Docket No. 44. B. Scope of Discovery Federal Rule of Civil Procedure 26(b)(1) sets forth the scope of discovery in civil cases pending in federal court:

Scope in General. Unless otherwise limited by court order, the scope of discovery is as follows: Parties may obtain discovery regarding any nonprivileged matter that is relevant to any party’s claim or defense and proportional to the needs of the case, considering the importance of the issues at stake in the action, the amount in controversy, the parties’ relative access to relevant information, the parties’ resources, the importance of the discovery in resolving the issues, and whether the burden or expense of the proposed discovery outweighs its likely benefit. Information within this scope of discovery need not be admissible in evidence to be discoverable. See FED. R. CIV. P. 26(b)(1). “An interrogatory may relate to any matter that may be inquired into under Rule 26(b).” FED. R. CIV. P. 33(a)(2). Interrogatories must be answered unless the opposing party objects stating specific grounds for the objection. Cf. id. at (b)(4). Interrogatories must be proportional to the needs of the case, as must all discovery requests under Rule 26(b)(1). FED. R. CIV. P. 33 advisory committee’s note to 2015 Amendment.

A party requesting the production of documents “must describe with reasonable particularity each item or category of items to be inspected.” FED. R. CIV. P. 34(b)(1)(A). The responding party must allow inspection, produce copies, or object and provide a basis for that objection. Id. at (b)(2)(B)-(C). “A party must produce documents as they are kept in the usual course of business or must organize and label them to correspond to the categories in the request.” Id. at (b)(2)(E)(i). “The production must then be completed no

later than the time for inspection specified in the request or another reasonable time specified in the response.” Id. at (b)(2)(B). The scope of discovery under Rule 26(b) is extremely broad. See 8 Charles A. Wright & Arthur R. Miller, Federal Practice & Procedure ' 2007, 36- 37 (1970) (hereinafter "Wright & Miller"). The reason for the broad scope of

discovery is that "[m]utual knowledge of all the relevant facts gathered by both parties is essential to proper litigation. To that end, either party may compel the other to disgorge whatever facts he has in his possession." 8 Wright & Miller, § 2007, 39 (quoting Hickman v. Taylor, 329 U.S. 495, 507-08, 67 S. Ct. 385, 392, 91 L. Ed. 2d 451 (1947)). The Federal Rules distinguish between discoverability and admissibility of evidence. FED. R. CIV. P. 26(b)(1), 32, and 33(a)(2) & (c). Therefore, the rules of evidence assume the task of keeping out incompetent, unreliable, or prejudicial evidence at trial. These considerations are not inherent barriers to discovery, however.

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