Ring v. Commercial Union Insurance

159 F.R.D. 653, 1995 U.S. Dist. LEXIS 1318, 1995 WL 42910
CourtDistrict Court, M.D. North Carolina
DecidedJanuary 6, 1995
DocketNo. 2:94CV00114
StatusPublished
Cited by22 cases

This text of 159 F.R.D. 653 (Ring v. Commercial Union Insurance) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ring v. Commercial Union Insurance, 159 F.R.D. 653, 1995 U.S. Dist. LEXIS 1318, 1995 WL 42910 (M.D.N.C. 1995).

Opinion

ORDER

ELIASON, United States Magistrate Judge.

This matter comes before the Court on plaintiffs motion to compel discovery from defendants. Plaintiff owned a hardware store which sustained a fire loss on or about October 12, 1991. The structure and its contents were destroyed by fire. Defendants provided insurance for the building and its contents. Plaintiff was indicted on March 16, 1992 on charges of setting fire to the store and filing false claims. She was tried and acquitted in December 1992. Prior to that and on April 3, 1992, defendants denied plaintiffs claim for the losses. In 1994, plaintiff filed this action to recover under the insurance contract and also alleges that defendants’ denial of her claim was made in bad faith.

Plaintiff seeks to discover the contents of 154 documents in defendants’ insurance claims file generated as a result of the fire. Defendants are willing to provide documents generated as a result of investigations up to and including October 17, 1991, but not thereafter. Defendants argue that from that time forward they anticipated litigation with respect to plaintiffs fire loss claim and, therefore, discovery should be denied on that basis. Fed.R.Civ.P. 26(b)(3). Defendants also assert attorney-client privilege with respect to some documents.

[655]*655Plaintiff counters that defendants fail to establish that they anticipated litigation at such an early date. Plaintiff shows she did not submit her sworn statement of proof of loss until on or about December 14,1991 and that defendants did not deny her claim and accuse her of burning her store until on or about April 3, 1992. In addition, plaintiff argues that defendants have failed to prove the documents retained were prepared in anticipation of litigation as opposed to in the ordinary course of business.

In order to establish their claim of “anticipation of litigation,” defendants had their adjuster (Robert Lilley), who investigated plaintiffs loss, file an affidavit. This affidavit shows the following facts. On or about October 12, 1991 plaintiffs hardware store in Liberty, North Carolina, was destroyed by fire. The loss was reported to the insurance agent the following Monday, October 14, 1991. When Mr. Lilley received the call, he was told that kerosene had been observed coming out from the back door of the building and that the insured had been observed leaving the building just before the fire was discovered. He also found out that plaintiff was in bankruptcy and the property had been listed for sale by the insured two hours before the fire at a price far less than the insured’s limit.

Mr. Lilley indicates that the above facts immediately raised concerns that the fire had been deliberately set. Consequently, he inspected the premises on October 16, 1991. He further states that he hired a cause and origin expert to investigate the cause of the fire. When he arrived at the store on October 16, Mr. Lilley was concerned because of the lack of merchandise in the store and the bare shelves. This further raised his suspicion that the fire was deliberately set by plaintiff. An interview with plaintiffs insurance agent confirmed that plaintiff had left the building only moments before the discovery of the fire and that plaintiff was having financial difficulties before the fire.

Another fact which concerned Mr. Lilley was that plaintiff was already represented by an attorney and that when he met with plaintiff on either October 16 or October 17, plaintiff declined to answer any questions regarding the origin of the fire, stating she had been advised to do so by her attorney. Mr. Lilley states that he has never encountered a situation where an insured immediately hired an attorney after a fortuitous property loss, as opposed to when the fire was intentionally set. In addition, Mr. Lilley learned that plaintiff was approximately six months late on her mortgage payments and was currently in Chapter 11 bankruptcy.

Mr. Lilley further reported that he spoke with the S.B.I. agent that week and was told that kerosene was on the floor in the rear of the building and that the power, lights and electricity had been cut off prior to the fire. There was not any evidence of forced entry and in the agent’s opinion the fire was incendiary and originated on the inside of the building, near the back door. Likewise, a discussion with the Liberty, North Carolina, police investigator revealed that the police also believed that the fire was deliberately set. The cause and origin investigator hired by defendants further confirmed the fire was incendiary in origin and originated near the back door.

Mr. Lilley states that in a normal property loss case, he meets with the insured and questions the insured concerning the loss. Formal statements are not taken, nor does he investigate the financial condition of the insured or direct investigators to take statements of witnesses. However, when he believes arson is involved, he proceeds with the expectation that eventually litigation will result.

In the instant case, Mr. Lilly claims that the actions he took fit the pattern of his arson investigation. In addition, on October 22, 1991, he retained Attorney Walter Brock to represent the defendants and render legal advice concerning the investigation. Normally, counsel is not retained to investigate any claim unless litigation may result. In this case, counsel was directed to provide legal advice concerning the investigation and various legal matters as opposed to handling or controlling the investigation. Mr. Brock sets out his duties in an affidavit. He rendered legal advice concerning the loss and suspected fraud and/or arson, including the decision to allow or deny the claim.

[656]*656 I. Discussion

A Anticipation of Litigation

In Pete Rinaldi’s Fast Foods v. Great American Ins., 123 F.R.D. 198 (M.D.N.C.1988), the Court had a chance to visit the question of how to apply the principles of work product protection in a ease involving an insurance company. There, it was noted that the court applies federal law even in diversity cases such as the instant one. Id. at 201. To establish work product protection, the proponents, in this case the defendants, have the burden of establishing that the documents withheld were prepared in anticipation of litigation or for trial by and for the party or the party’s representative. Id. Of course, even if litigation is anticipated, documents prepared in the regular course of business will not merit protection. Id. In making this determination, the Court must:

consider the nature of the documents, the nature of the litigation, the relationship between the parties, and any other fact peculiar to the case. Involvement of an attorney is a highly relevant but not necessarily controlling factor, [citation omitted]

Id. at 202.

An insurance company cannot reasonably argue that in most instances the entirety of its claims file was accumulated in anticipation of litigation with its insured. That is because the insurer owes a duty to the insured to make a decision with respect to claims made by its insured. Id.1 Consequently, the general rule is that a reasonable possibility of litigation only arises after an insurance company has made a decision with respect to the claim of its insured.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Li v. Lewis
D. Utah, 2020
Smith v. Scottsdale Insurance
40 F. Supp. 3d 704 (N.D. West Virginia, 2014)
Federated Mutual Insurance v. Williams Trull Co.
838 F. Supp. 2d 370 (M.D. North Carolina, 2011)
Underwriters Insurance v. Atlanta Gas Light Co.
248 F.R.D. 663 (N.D. Georgia, 2008)
State Ex Rel. Medical Assurance of West Virginia, Inc. v. Recht
583 S.E.2d 80 (West Virginia Supreme Court, 2003)
Mordesovitch v. Westfield Insurance
244 F. Supp. 2d 636 (S.D. West Virginia, 2003)
Ehrich v. Binghamton City School District
210 F.R.D. 17 (N.D. New York, 2002)
Bartlett v. State Farm Mutual Automobile Insurance
206 F.R.D. 623 (S.D. Indiana, 2002)
Chambers v. Allstate Insurance
206 F.R.D. 579 (S.D. West Virginia, 2002)
Evans v. United Services Automobile Ass'n
541 S.E.2d 782 (Court of Appeals of North Carolina, 2001)
Connecticut Indemnity Co. v. Carrier Haulers, Inc.
197 F.R.D. 564 (W.D. North Carolina, 2000)
Ryan v. Circle Land Trust
49 Va. Cir. 205 (Charlottesville County Circuit Court, 1999)
In Re: San Juan v. Massaro
111 F.3d 220 (First Circuit, 1997)
Dixie Mill Supply Co. v. Continental Casualty Co.
168 F.R.D. 554 (E.D. Louisiana, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
159 F.R.D. 653, 1995 U.S. Dist. LEXIS 1318, 1995 WL 42910, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ring-v-commercial-union-insurance-ncmd-1995.