Walker v. AIU Insurance Company

District Court, D. Arizona·Decided June 5, 2024·No. 2:23-cv-01641·Unknown

Opinion

WO

Donald Walker, et al., No. CV-23-01641-PHX-JAT

Plaintiffs, ORDER

v.

AIU Insurance Company, et al.,

Defendants. Pending before the Court is a discovery dispute of the parties. (Doc. 51). In short summary, in this case Plaintiff Donald Walker sued Defendants for bad faith and punitive damages for the way Defendants adjusted his workers compensation claim. Mrs. Walker has a loss of consortium claim. The discovery dispute involves the insurance claim file in this case. Specifically, “Plaintiffs seek an Order compelling unredacted copies of 7 series of claim notes.” (Doc. 51 at 1).1 Defendants argue that all portions of the claim file that are redacted represent attorney-client privileged information. (Doc. 51). Defendants have produced a privilege 1 Plaintiff failed to comply with the Order at Doc. 30 at 4, which requires, The party seeking relief in the joint motion must also submit a proposed form of Order. The proposed form of Order may not be generic (for example, “the motion to compel is granted” is generic). Instead the proposed form of Order must detail exactly what is being required such that a third party with no familiarity with this case could read the Order and have a complete understanding of what was ordered by the Court. Failure to submit a compliant order may result in the denial of the request. Thus, the Court is forced to guess exactly what Plaintiffs seek. log to support this classification of the redacted information. Although Plaintiffs have not seen the redacted information (which at some points in the parties’ discovery dispute sounds like claim notes exclusively, but at other points sounds like whole documents), Plaintiffs argue based on the context of the notes that the actual “adjusting” function was delegated to the attorney. Plaintiffs further argue that “adjusting” work is not entitled to attorney-client privilege protection. (Doc. 51 at 2 (citing Nerdig v. Electric Ins. Co., CV17- 01859-PHX-GMS, 2018 WL 5776523, 2 (D. Ariz. 2018) (“…merely assigning an attorney to perform an ordinary insurance business function does not cloak with privilege matters that would otherwise be discoverable.” (quotation and citation omitted)). Defendants counter that the adjuster was adjusting the claim, and that all of the redacted notes genuinely represent attorney-client privileged information of the attorney giving legal advice to the adjuster. Defendants further argue that they have not asserted the defense of reliance on advice of counsel; therefore, the attorney-client privilege is not waived. (Doc. 51 at 3). Plaintiff then counters with a hybrid argument that the attorney is de facto adjusting when the adjuster relies on counsel’s advice to make every decision. (Doc. 51 at 3). Neither party disputes that, to date, Defendants are not relying on advice of counsel as a defense; therefore, the Court will not (at this time) find waiver. However, the Court will set a deadline for Defendants to either assert such a defense or waive their opportunity to do so. In other words, Defendants cannot withhold information in production or deposition(s) throughout discovery, but then pivot to an advice of counsel defense later. Therefore, the Court will set a deadline below by which Defendants must either assert an advice of counsel defense or forever waive such a defense in this case. By this deadline, Defendants must file a notice indicating either that they are asserting such a defense or permanently waiving it for this case. If Defendants decide to assert such a defense, they must produce the unredacted “seven series of claim notes” within 5 days of when the notice is filed. Next, the Court will try to construct from the parties joint filing what the “seven series of claim notes” entails. The first item is defense counsel’s report of April 5, 2022, Bates 87. It is undisputed this was prepared by counsel. Plaintiff nonetheless asserts it is a delegation to counsel of the determination of whether benefits were owed which would be adjusting. On this record, the Court cannot determine whether this was a “delegation” of the determination of whether benefits were owed, or legal advice. The second item in dispute is the initial hearing summary, Bates 164. Plaintiff asserts this is also delegation of a determination of whether benefits were owed. The Court does not have enough information about this document to determine who prepared it or for what purpose. The third item is actually three documents or notes: two communications from defense counsel on an independent medical examination and a communication from defense counsel about the wage records received, Bates 87, 99, and 164.2 (Doc. 51 at 2). It appears to be undisputed that these documents were prepared by counsel. Plaintiff nonetheless asserts these documents are also a delegation of claims adjusting to counsel. On this record, the Court cannot determine whether this was a “delegation” of claims adjusting or legal advice. The fourth disputed redaction is an email chain from February 2022, which includes input from the employer. Defendant argues that Bates 143-145 do not include “substantial” input from the employer. The Court finds that if the employer (a third party) was copied on these emails, privilege between the adjuster and the adjuster’s counsel was waived and these records must be produced. See Briggs v. Cnty. of Maricopa, No. CV-18-02684-PHX- EJM, 2021 WL 1192819, at *7 (D. Ariz. Mar. 30, 2021) (“Attorney-client communications ‘made in the presence of, or shared with, third-parties destroys the confidentiality of the communications and the privilege protection that is dependent upon that confidentiality.’” (quoting Regents of Univ. of California v. Affymetrix, Inc., 326 F.R.D. 275, 279 (S.D. Cal. 2018)).3

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