Rounds v. The Hartford

District Court, D. South Dakota·Decided September 13, 2021·No. 4:20-cv-04010·Unknown

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF SOUTH DAKOTA SOUTHERN DIVISION

TIM ROUNDS, 4:20-CV-04010-KES Plaintiff, ORDER GRANTING IN PART AND vs. DENYING IN PART PLAINTIFF’S MOTION TO COMPEL THE HARTFORD, HARTFORD FINANCIAL SERVICES, INC., and DOCKET NO. 27 HARTFORD CASUALTY INS. CO., Defendants.

INTRODUCTION

This matter is before the court on plaintiff Tim Rounds’ complaint alleging bad faith denial of workers’ compensation benefits and unfair trade practice violations under SDCL § 58-33-5. See Docket No. 1. Jurisdiction is premised on diverse citizenship of the parties and an amount in controversy in excess of $75,000. See 28 U.S.C. §1332. Now pending is plaintiff’s motion to compel defendants to provide discovery responses. See Docket No. 27. Defendants, the Hartford, Hartford Financial Services, and Hartford Casualty Ins. Co. (collectively “Hartford”), oppose the motion. See Docket No. 52. The district court, the Honorable Karen E. Schreier, referred the motion to this magistrate judge for determination pursuant to 28 U.S.C. § 636(b)(1)(A). See Docket No. 89. FACTS

Mr. Rounds filed this lawsuit in federal court on January 14, 2020, alleging common law bad faith for Hartford having no reasonable basis for denying his workers’ compensation claim, failing to perform a reasonable investigation, and acting with knowledge that it lacked a reasonable basis to deny workers’ compensation coverage. Docket No. 1. Additionally, Mr. Rounds alleges Hartford is liable for (1) unfair trade practices, specifically under SDCL § 58-33-5, for making representations concerning the availability and conditions of coverage and (2) harm resulting from its acts, including attorney fees for unreasonable and vexatious conduct, pursuant to SDCL §§ 58-12-3 and 58-33-46.1. Id. This dispute arises from Mr. Rounds’ workers’ compensation claim,

submitted on July 16, 2015. See Docket No. 52, p. 3. Mr. Rounds worked as an insurance adjuster for Doss & Associates, an independent adjusting firm in Watertown, South Dakota. Docket No. 1, p. 1. On July 2, 2015, Mr. Rounds climbed onto a wet metal roof to inspect it in connection with a damage claim. Id. Due to wet conditions, he slipped. Id. at p. 2. The parties dispute whether Mr. Rounds fell when he slipped or if he landed on his hands and knees several times. See Docket Nos. 28, 52. Over the course of several days following the event at issue, Mr. Rounds developed headaches, nausea, vomiting, and left-

sided weakness causing him to seek medical attention. Docket No. 1, p. 2. On July 9, 2015, Mr. Rounds was diagnosed with a left cerebellar stroke caused by a left vertebral artery dissection (“VAD”). Docket Nos. 1, 28, 52. VAD is a small tear in the inner wall of an artery that can cause blood clotting and lead to stroke. Docket No. 1, p. 2. The parties also dispute what the initial physicians told Mr. Rounds was the cause of his VAD. Mr. Rounds alleges the physicians told him the trauma

causing a VAD usually occurs three to five days before onset of symptoms. Docket No. 28, p. 2. Mr. Rounds alleges he told Hartford’s claim personnel that the only incident he encountered in the days leading to the stroke was slipping on the metal roof during his inspection. Id. Hartford alleges that, given the absence of an actual fall or traumatic event, Mr. Rounds’ doctors could provide no opinion or diagnosis of a probable nexus between his work on the roof and the VAD stroke. Docket No. 52, p. 4. Mr. Rounds alleges that Hartford’s claim adjuster, Christy Thomann, did

not ask any of Mr. Rounds’ physicians for medical opinions under the South Dakota standard for awarding workers’ compensation benefits. Docket No. 28, p. 2. Instead, Mr. Rounds alleges Ms. Thomann went through the medical records and located a treating neurologist’s remark that it was possible the VAD was caused by Mr. Rounds slipping on the roof and another comment from a family practice doctor saying the cause was idiopathic, or unknown. Id. at pp. 2-3. In turn, Mr. Rounds alleges this is what led Ms. Thomann to deny Mr. Rounds’ claim. Id.

In opposition, Hartford alleges that they “transparently and patiently worked with Mr. Rounds in reviewing his description of his activity on the roof—which he also provided to his doctors—and all medical information that was available.” Docket No. 52, p. 4. Further, Hartford alleges that, given the lack of any causal relationship to work-related activity, they had no choice but to find the claim was not compensable in November 2015. Id. Mr. Rounds’ attorney wrote to treating physicians asking for their views

as to whether Mr. Rounds’ alleged falls at work were a major contributing cause of his artery dissection and stroke. Docket No. 1, p. 6, ¶ 48. Dr. Bassell Salem, a treating neurologist, gave a written statement saying the alleged falls at work were a major contributing cause of Mr. Rounds’ artery dissection and stroke. Id. at ¶ 49. Additionally, on May 30, 2017, Mr. Rounds’ other treating neurologist, Dr. Sharma, wrote, “[B]ased on the patient’s exam and MRI changes, it is more than likely that the patient’s stroke happened when he was working on the roof.” Id. at ¶ 51. On June 1, 2017, Hartford was provided

with Dr. Sharma’s and Dr. Salem’s opinions. Docket No. 1, p. 6, ¶ 52. Hartford alleges the information that Mr. Rounds’ counsel provided to his treating physicians was “new, never-before-presented ‘assumptions’ that Mr. Rounds had traumatically fallen multiple times while conducting the roof inspection.” Docket No. 52, p. 4. Hartford alleges this “new” information that counsel provided is what led the physicians to conclude the stroke had likely been caused by his work-related activity. Id. On June 27, 2017, Mr. Rounds’ counsel asked Hartford to retract their

denial of workers’ compensation benefits and pay the claim. Docket No. 1, p. 7, ¶ 56. Mr. Rounds alleges that Hartford did not respond to the request to retract the denial of benefits. Id., ¶ 57. On July 17, 2017, Mr. Rounds filed a petition for hearing with the Department of Labor to enforce his right to payment of workers’ compensation benefits. Id., ¶ 58. Hartford considered the new information and accepted the compensability of Mr. Rounds’ claim, admitting that “[c]laimant suffered a left cerebral stoke caused by a left

vertebral artery dissection arising out of and [sic] the course of employment with employer.” Docket Nos. 1, p. 7, ¶ 62; 52. On May 11, 2020, Mr. Rounds served 36 document requests on Hartford. Docket No. 28, p. 1. Hartford objected and refused to comply with some of these document requests and now Mr. Rounds moves to compel discovery for 211 of those requests. Id. Hartford opposes this motion to compel because: (1) the bad faith allegations upon which the discovery is based are without merit, (2) a good portion of the discovery requested is not disputed and is ready for

production once a protective order is entered, which it has, and (3) if the court reaches the merits of the additional discovery sought, defendants object because it is overbroad, overly burdensome, and not relevant or proportional to the needs of the case. Docket No. 52, p. 3. The matter is now fully briefed and ripe for a decision. DISCUSSION

A. Standards Governing Discovery

Federal Rule of Civil Procedure

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