State Ex Rel. Medical Assurance of West Virginia, Inc. v. Recht

583 S.E.2d 80, 213 W. Va. 457
West Virginia Supreme Court·Decided July 11, 2003·No. 30840·Published·Cited by 101 cases

Opinions

MAYNARD, Justice.

In this original proceeding for a writ of prohibition, this Court is asked to prevent the enforcement of the September 19, 2002, order of the Circuit Court of Ohio County which directed the relator and defendant below, Medical Assurance of West Virginia, Inc., to produce its complete investigative and claim files in connection with the underlying medical malpractice claim of respondent and plaintiff below, the Estate of Marjorie I. Verba. The relator alleges that these files contain information protected by the attorney-client privilege, work product doctrine, and quasi attorney-client privilege. For the reasons set forth below, we grant the writ of prohibition.1

I.

FACTS

Dr. David A. Ghaphery performed anti-reflux surgery on Marjorie Verba on February 21, 1996. Within several hours of Ms. Verba’s release from the hospital four days later, she died. An autopsy indicated that a surgical nick resulted in a laceration to her stomach which caused Ms. Verba to contract peritonitis and to die as a result.

Ms. Verba’s estate, respondent herein and plaintiff below (“Respondent”), brought a medical malpractice action against Dr. Gha-phery. A jury awarded $300,000 for physical pain, mental pain, and loss of enjoyment of life; $21,000 for medical and funeral bills; and $2,500,000 to the beneficiaries of Ms. Verba’s estate under the wrongful death statute.2 The trial court reduced the award to conform to the medical malpractice cap on noncompensatory damages found in W.Va. Code § 55-7B-8 (1986).3 Respondent appealed the reduction and challenged the constitutionality of the one million-dollar cap. In Verba v. Ghaphery, 210 W.Va. 30, 552 S.E.2d 406 (2001), this Court upheld the cap’s constitutionality.

Following the favorable jury verdict and prior to the appeal, Respondent was granted leave to amend its complaint to allege that the relator herein and defendant below, Medical Assurance of West Virginia, Inc., Dr. Ghaphery’s medical liability insurer, committed unfair claim settlement practices in violation of W.Va.Code § 33 — 11—4(9).4 Specifically, Respondent alleged that the relator did not perform an adequate investigation; liability was reasonably clear throughout the underlying malpractice claim; and the relator rejected Respondent’s offer of settlement of [463] one million dollars plus medical expenses, and made no offer in return. The unfair claim settlement practices or “bad faith” action 5 was stayed and bifurcated pending resolution of the appeal after which the stay was lifted and discovery commenced.6

Pursuant to discovery in the bad faith action, Respondent requested, among other things:

(2) The complete investigative files and claims files (including their original folders and binders and all documents therein) of Medical Assurance in connection with the underlying claim of plaintiff arising from the malpractice claims, including, but not limited to, claims files maintained by adjusters, claims files maintained by claims examiners, claims files maintained by district or regional offices and claims files maintained by the home office of Medical Assurance. These files are to be produced in then- entirety, in them original state, complete with original file jacket and any notes or attachments thereto.
(4) All memoranda, diary entries, notes or other writings, recordings and/or other data entries which in any way document and/or record discussions between any representative of Medical Assurance and any other person relating to the claims made on behalf of plaintiff arising out of the underlying claim.
(11) Any and all statements of witnesses, potential witnesses or interested parties relating in any way to the subject matter of plaintiffs Amended Complaint.
(17) All e-mail documents and computer documents, whether reduced to hard copies or not, which in any way relate to the handling of the underlying claim.

The relator responded that a general request for materials and files as that eon-tained in Request number 2 is improper under this Court’s opinion in State ex rel. Allstate Ins. Co. v. Gaughan, 203 W.Va. 358, 508 S.E.2d 75 (1998). The relator also asserted various privileges including the attorney-client privilege of the insured, opinion and fact work product, and the quasi attorney-client privilege of the relator. Documents in the files, created up through the resolution of post-verdict motions in the medical malpractice action, which the relator considered non-privileged were produced. Documents considered privileged were not produced but were identified by the relator in a 52-page “Privilege Log.”

Respondent subsequently moved to compel production of all the documents requested. Following a hearing, the Circuit Court of Ohio County, by order dated September 19, 2002,* granted Respondent’s motion and directed the relator to fully respond to the requests for production of documents and deliver the documents to Respondent’s counsel on or before September 30, 2002. The circuit court further ruled that,

Defendant Medical Assurance shall not be permitted to withhold the production of any documents requested by said requests for production of documents based upon any claim of privilege with the exception that defendant may object to producing any document which was exclusively between Steptoe & Johnson and Defendant David Ghaphery, M.D., and was not received by and/or reviewed by Defendant Medical Assurance, and all documents falling within this objection shall be produced to this Court in camera for inspection and all such documents shall be identified by its identifying information, together with the specific reason for objecting to production.

[464] Shortly thereafter, the relator presented to this Court its petition praying for a writ of prohibition to be directed against the Circuit Court of Ohio County and the Estate of Marjorie I. Verba. This Court issued a rule to show cause, and we now grant the writ.

II.

STANDARD OF REVIEW

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State Ex Rel. Medical Assurance of West Virginia, Inc. v. Recht, 583 S.E.2d 80, 213 W. Va. 457 (W. Va. 2003).

583 S.E.2d 80 (State Ex Rel. Medical Assurance of West Virginia, Inc. v. Recht) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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