Sutter v. American Family Insurance Company

CourtDistrict Court, S.D. Ohio
DecidedMay 20, 2022
Docket1:20-cv-00974
StatusUnknown

This text of Sutter v. American Family Insurance Company (Sutter v. American Family Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sutter v. American Family Insurance Company, (S.D. Ohio 2022).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

RAYMONDA SUTTER, et al., Case No. 1:20-cv-974 Plaintiffs, Litkovitz, M.J.

vs.

AMERICAN FAMILY ORDER INSURANCE COMPANY, Defendant.

Plaintiffs Raymonda and Larry Sutter bring this action alleging underinsured coverage, breach of contract, bad faith, and loss of consortium claims against defendant American Family Insurance Company (“American Family”) stemming from an automobile accident that occurred on October 26, 2018. (Doc. 3). This matter is before the Court on plaintiffs’ motion to compel defendant’s claim file (Docs. 34, 35)1, defendant’s memorandum in opposition (Doc. 39) and submission of the relevant documents to the Court for in camera review, and plaintiffs’ reply memorandum (Doc. 46). I. Factual allegations The complaint alleges the following facts. Plaintiffs were involved in an automobile accident on October 26, 2018, when a vehicle driven by Donald Hicks (“Hicks”) crossed into plaintiffs’ lane of travel causing a head-on collision. (Doc. 3 at PAGEID 18-19). Plaintiff Raymonda Sutter (“Raymonda”) suffered temporary and permanent injuries as a result of the accident. (Id. at PAGEID 19). Raymonda was insured by defendant American Family, and the insurance policy included underinsured motorist (“UIM”)’s coverage with limits of $100,000.00 per person. (Id. at

1 Plaintiffs’ initial motion (Doc. 34) was refiled (Doc. 35) to comply with the requirements of S.D. Ohio Civ. R. 5.1. Both documents are identical in substance. PAGEID 19). Hicks’ insurance policy included a limit of $25,000.00 for bodily injury/liability coverage. (Id.). Plaintiffs allege that Raymonda’s injuries exceeded the coverage provided under Hicks’ liability insurance policy, and Hicks was an underinsured driver as that term is defined in American Family’s insurance policy. (Id. at PAGEID 20).

On April 7, 2020, Raymonda demanded $25,000.00 from Hicks’ insurance company for bodily injury/liability coverage. (Id. at PAGEID 19). Hicks’ insurance company agreed to tender the $25,000.00 per person in bodily injury/liability coverage in exchange for a release of all claims against Hicks. (Id.). On May 4, 2020, Raymonda informed American Family of Hicks’ insurance company’s offer and advised American Family in writing that she wished to accept this offer and proceed with an underinsured claim through American Family. (Id. at PAGEID 19-20). On May 5, 2020, American Family advised Raymonda that it would not exercise its option to advance the settlement amount Hicks’ insurance company had offered and would take a reduction for medical expenses paid under the medical expense coverage from the underinsured

motorist coverage. (Id. at PAGEID 20). American Family told Raymonda that she could accept Hicks’ insurance company’s settlement offer. (Id.). On May 8, 2020, Raymonda provided copies of her medical records, bills, photographs of the accident, and other relevant documents to American Family to properly evaluate her demand for an underinsured motorist’s claim. (Id.). Despite timely confirming receipt of Raymonda’s email, American Family on June 2, 2020, sent an email to Raymonda stating it had not yet received the supporting documents outlined in the policy limits demand claim. (Id. at PAGEID 21). Raymonda, through counsel, advised American Family that she had already sent the requested documents. Raymonda again sent all the supporting documents to American Family. (Id.). American Family acknowledged receipt of this email and the supporting documents. (Id.). On May 9, 2020, American Family demanded reimbursement from Hicks’ insurance company for the $5,000.00 in medical expenses it paid on behalf of Raymonda. (Id.).

On June 11 and July 6, 2020, American Family denied plaintiffs’ UIM claim, finding Raymonda “was made whole with the $25,000.00 policy limits settlement” by Hicks’ insurance company. (Id.). Plaintiffs allege that American Family failed to tender the amount requested by Raymonda and failed to offer a fair and reasonable settlement to resolve her underinsured motorist’s claim. (Id. at PAGEID 21, 22). Plaintiffs additionally allege that American Family failed to “promptly, adequately, and reasonably investigate the facts and circumstances of the subject collision including the severity of Raymonda’s damages [and] the necessity of plaintiff[’s] medical treatment and the reasonableness of her damages.” (Id. at PAGEID 22). On October 22, 2020, plaintiffs file suit in the Warren County, Ohio Court of Common Pleas alleging claims of underinsured coverage, breach of contract, and bad faith on behalf of

Raymonda Sutter and loss of consortium on behalf of Larry Sutter. (Doc. 1-1). The case was removed to this federal court on December 2, 2020. (Doc. 1). II. Privilege log documents American Family has withheld the production of several documents it asserts are protected by the attorney-client privilege and as work product. On January 24, 2022, the Court ordered American Family to provide an updated privilege log containing the claim file documents being withheld by American Family. The privilege log documents that plaintiffs now seek include the following: Bates Description of Document and Asserted Privilege No.

1 Redacted - Claim log notes dated November 6, 10, and 30, 2020 regarding suit that had been filed. The November 6, 2020 note was generated by Ms. Cain upon reviewing the file after the lawsuit was filed. The November l0, 2020 note was generated by Constance Pollock, a Legal Assistant for American Family, and concerned the status of the claim after suit was filed. The November 30, 2020 note was generated by Brian White, a Claim Scanning Technician, and concerned sending a copy of the file to the Legal Department. These notes constitute work product/material prepared in anticipation of litigation because these notes were generated after suit was filed, because suit was filed.

6-8 Redacted - Claim log notes generated by Ms. Cain on June 9, 10 and 11, 2020, outlining opinions and analysis of Plaintiffs’ UIM claim, and discussing value. These notes were prepared in response to the Demand, and were therefore prepared in anticipation of litigation.

10 Redacted - May 5, 2020 claim log note generated by Ms. Cain, documenting action taken with regard to investigation into Plaintiffs’ claim following Plaintiffs’ demand. Concerned difficulty performing a Lexis Nexis search because of an IP address problem. This note concerns activity performed in response to the Demand, and was therefore prepared in anticipation of litigation.

11 Redacted - May 5, 2020 claim log note generated by Ms. Cain, a Casualty Claims Adjuster. The note concerns evaluation of bodily injury claim performed after American Family received the aforementioned demands. This note constitutes material prepared in anticipation of litigation, and contains confidential evaluations of the value of Plaintiffs’ claim.

3055 Withheld - Page 3055 is April 10, 2020 correspondence between Cheryl Christianson, Senior Adjuster, and attorney Ashley Dorocke, counsel for American Family, regarding the status of recovery of amounts paid under Medical Payments Coverage. Protected by the attorney-client privilege.

3105- Withheld File Transmittal to Legal - These were documents prepared by Ms. Cain 3106 on November 6, 2020, after the subject lawsuit was filed by Plaintiffs. These documents are prepared by the Claims Adjuster for American Family’s Legal Department once suit is filed, and are transmitted to the Legal Department. These documents contain American Family’s impressions and thoughts as to the claims asserted by Plaintiffs in the subject lawsuit. These documents constitute work product/material prepared in anticipation of litigation because these documents are not generated unless suit is filed. III.

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Sutter v. American Family Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sutter-v-american-family-insurance-company-ohsd-2022.