Thomas v. Auto-Owners Insurance Company

CourtDistrict Court, M.D. Alabama
DecidedJanuary 24, 2022
Docket1:16-cv-00542
StatusUnknown

This text of Thomas v. Auto-Owners Insurance Company (Thomas v. Auto-Owners Insurance Company) is published on Counsel Stack Legal Research, covering District Court, M.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Auto-Owners Insurance Company, (M.D. Ala. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF ALABAMA SOUTHERN DIVISION

TIMOTHY J. THOMAS, ) ) Plaintiff, ) ) v. ) CASE NO. 1:16-cv-542-RAH-JTA ) [WO] AUTO-OWNERS INSURANCE ) COMPANY, et al., ) ) Defendants. )

MEMORANDUM OPINION AND ORDER This matter comes before the Court on the parties’ respective motions to strike or limit the testimony of the other party’s expert witnesses. (Docs. 155, 157.) In particular, Plaintiff Timothy J. Thomas moves to strike, or alternatively, to limit the testimony of Taylor Flowers, a litigation defense attorney based in Dothan, Alabama. Defendant Auto-Owners Insurance Company (Auto-Owners) moves to strike, or alternatively, to limit the testimony of Stuart Setcavage, an insurance claims handling expert, and Tom Burgess, a litigation defense attorney based in Birmingham, Alabama. For the following reasons, the Court will grant these motions, in part. I. BACKGROUND This is a bad faith, failure-to-settle case arising out of a $3.8 million jury

verdict issued against Thomas, who at the time of the motor vehicle accident made the basis of the underlying litigation, was insured under an automobile insurance policy issued by Auto-Owners. While the general facts and allegations in this case

are set out in further detail in the Court’s separately-issued summary judgment opinion, the crux of the current litigation concerns Auto-Owners’ failure to settle the underlying case within policy limits when it had multiple opportunities to do so. Auto-Owners has since satisfied the underlying judgment in total.

In broad terms, Thomas and his two experts assert that Auto-Owners acted contrary to industry standards, unreasonably, and in bad faith; claims which Auto- Owners and its expert deny. Both parties advance experts who largely will direct

opinions to these subject matters, but from contrasting viewpoints. Now, both parties seek to strike and exclude the opinions of the other party’s expert for substantially similar reasons. II. THE EXPERTS AND THEIR GENERAL OPINIONS

A. Plaintiff Expert - Stuart J. Setcavage Stuart J. Setcavage of Setcavage Consulting, LLC has been disclosed as an expert witness for Thomas in the area of industry standards for insurance claims

handling. (Doc. 112-1.) Setcavage is based in Pennsylvania and was employed at State Farm Mutual Automobile Company for over 24 years, during which time he handled over 25,000

claims. (Id. at 4). His expert testimony has been admitted in courts throughout Alabama and various other state and federal courts. (Id.) He maintains adjuster’s licenses in Texas, Florida, and West Virginia, which allow him reciprocity in

Alabama. (Id. at 5.) He is familiar with insurance industry standards, customs and policies, and the Auto-Owners claims manual. Setcavage intends to testify to his opinions concerning Auto-Owners’ handling of Thomas’ claim and its refusal to settle the underlying case before trial.

In addition to offering opinions about what Auto-Owners should have done—such as settling the case within policy limits when settlement demands within those limits were made—and opining whether Auto-Owners acted in conformity with industry

standards, Setcavage proposes to comment and opine upon Auto-Owners’ conduct and intent during the claims handling process. Specifically, he proposes to state that: Auto-Owners was intentionally deceitful (id. at 14); recklessly disregarded the policy limits demand and information provided (id. at 18); acted as a fiduciary to the

insured (id. at 20); made arbitrary and capricious settlement offers (id. at 25); decided to take the case to trial to save some of its policy limits (id. at 26); failed to act honestly and in good faith (id. at 28); had duties to exercise ordinary diligence

(id. at 27); chose to gamble (id. at 24, 28); made a distinction between an insured who paid its premiums and one who does not (id. at 28); and acted in an arbitrary, inflexible manner that was indifferent to the consequences of the insured and in

contravention of claim handling principles and Alabama law (id. at 29, 30). All of these failures, according to Setcavage, caused an excess judgment against Thomas, Auto-Owners’ insured. (Id. at 28.)

B. Plaintiff Expert - Tom Burgess Burgess has been disclosed as an expert witness for Thomas in two areas: insurance defense litigation and insurance claims handling. Burgess is an attorney based in Birmingham, Alabama, and has been practicing primarily insurance defense

law since 1980. Before he became an attorney, Burgess spent 10 years (in the 1970’s) working in the claims departments of two casualty insurance companies. (Docs. 112- 3 at 2; 122-1 at 10.)

Burgess will testify to various opinions regarding Auto-Owners’ handling of the claim and its refusal to settle the underlying case pre-trial. Most of his opinions largely echo Setcavage’s concerns about Auto-Owners’ handling of Thomas’ claim. Burgess will also provide his own opinion as to the settlement value of the

underlying claims and his basis for that calculation. One key difference between Burgess and Setcavage is that Burgess is a practicing attorney—not a practicing insurance claims professional.

C. Defense Expert – Taylor Flowers Taylor Flowers has been disclosed by Auto-Owners as an expert in the field of civil litigation defense. He is a Dothan, Alabama-based litigation attorney who

primarily represents defendants in civil matters and who regularly mediates cases. Flowers intends to testify, among other things, that: Auto-Owners acted reasonably in not settling Thomas’ case before trial and in handling the bond secured

for an appeal; Auto-Owners did not act negligently or in bad faith in relying upon Merrill Shirley, a seasoned defense attorney; Shirley made a reasonable case and settlement analysis and evaluation; Shirley’s handling of Thomas’ case was proper and appropriate; Thomas’ trial testimony about alcohol was a surprise and had a

great influence on the jury; and the “med pay” issue is irrelevant to the disputes in this case. (Doc. 104-1 at 5–7.) III. LEGAL STANDARD

The admissibility of expert testimony is governed by Federal Rule of Evidence 702. Fed. R. Evid. 702. This rule requires a district court to engage in a three-prong inquiry to decide whether: (1) the expert is qualified to testify competently regarding the matters he intends to address;

(2) the methodology by which the expert reaches his conclusions is sufficiently reliable as determined by the sort of inquiry mandated in [Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579 (1993)]; and

(3) the testimony assists the trier of fact, through the application of scientific, technical, or specialized expertise, to understand the evidence or to determine a fact in issue. United States v. Frazier, 387 F.3d 1244, 1260 (11th Cir. 2004) (en banc) (quoting City of Tuscaloosa v. Harcros Chems., Inc., 158 F.3d 548, 561 (11th Cir. 1998)). Because expert testimony must assist the trier of fact, this testimony is only

admissible “if it concerns matters that are beyond the understanding of the average lay person.

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