BOLGER, Justice.
An employer and its workers' compensation insurer challenged a former employee's continuing eligibility for workers' compensation, relying on surreptitious video surveillance and a doctor's report issued after the doctor viewed an edited surveillance video. The employee and his wife sued the employer's workers' compensation carrier and a number of others involved in the attempt to terminate benefits; they alleged several causes of action, contending that the video had been purposely edited to provide a false picture of the employee's physical abilities and that the defendants had participated to varying degrees in a scheme to defraud the Alaska Workers' Compensation Board. The trial court granted summary judgment or dismissal as to all of the defendants on all counts. We affirm in part, reverse in part, and remand for further proceedings.
Floyd Cornelison injured his back at work in 1996 while shoveling dirt. He had back surgery later that year, but it did little to improve his condition. The Board found he was permanently and totally disabled (PTD) in 2001 under the odd-lot doctrine.
In 2007 TIG began an investigation into Floyd's claim; in pleadings before the superior court, TIG said it sought "potential evidence to show that the benefits being paid [to Floyd] may be excessive." TIG hired a private investigation firm, Northern Investigative Associates, to conduct surveillance and search for information about Floyd. Dennis Johnson was the president and owner of Northern Investigative Associates and an officer of Denara, Inc., which did business under the name Northern Investigative Associates. After investigators employed by the firm surreptitiously filmed Floyd, Johnson created edited videos and presented those videos to TIG. Johnson also wrote reports based on the investigators' notes.
Floyd and his wife, Judy, alleged that Johnson edited the video to create a false impression of Floyd's physical capacities, making him look more capable than he was in reality and editing out behaviors that showed he was in pain, and contended that Johnson knew from prior experience in workers' compensation cases what type of evidence he needed to produce. They alleged Johnson created this false video to bolster his own business because he knew that if he did not provide sufficient evidence to terminate Floyd's benefits, the insurer would likely not use his investigative services in the future.
After Johnson reported that Floyd was more active than he claimed to be and provided
Before the 2008 EME, TIG supplied Dr. Seres with copies of the edited video and Johnson's reports. In his 2008 report, Dr. Seres had a completely different impression of Floyd, writing, "His exaggerated physical limitations as demonstrated in today's evaluation are in sharp contrast to the movements recorded in the surveillance reports and videos." Dr. Seres concluded Floyd had "an exaggerated pain syndrome, which is not supported adequately by the physical findings and is virtually invalidated by the surveillance study." Dr. Seres's report raised "the possibility of drug diversion" and mentioned the edited videos multiple times. According to an email between the insurance adjuster and the law firm representing the employer, Dr. Seres "strongly indicate[d] he [did] not believe [Floyd] is permanently and totally disabled based on the information contained in the surveillance video and the inconsistencies in the evaluation."
TIG subsequently authorized more surveillance by Johnson; the adjuster's notes record a conversation with one of Johnson's investigators in which the investigator reported that Floyd was "active in his shop and yard on a level of 10 hours a day every day." Johnson created another edited video, which TIG again sent to Dr. Seres. In a 2009 report, Dr. Seres noted that the new edited video contained "remarkable new material... that strongly argues that [Floyd] is actually not impaired in any significant way from a physical standpoint." Dr. Seres also commented, "I have never seen a more remarkable discrepancy between the severe disability that the patient demonstrates when he is seen by me, in comparison to the remarkably normal behavior and physical abilities seen in these surveillance films." He then proceeded to present his "conclusions based upon [his] medical review of the patient's physical capacities demonstrated during the surveillance." Dr. Seres concluded Floyd was "capable of returning to any type of work without restrictions on a full time basis." After acknowledging that he had been retained to give an opinion on Floyd's PTD benefits, Dr. Seres included the following comment in his report: "[Floyd] has indicated to me in the past that he is receiving Social Security Disability (SSDI) income as well. If this is true I believe that the [edited videos] demonstrate Social Security [f]raud."
In April 2009 TIG filed a petition asking the Alaska Workers' Compensation Board to terminate Floyd's PTD benefits; the law firm of Griffin & Smith represented the insurer, with a paralegal, Christi Niemann, signing the petition itself. Although the petition alleged "new evidence" supported terminating Floyd's benefits, no evidence accompanied the petition, and the petition did not set out any specific facts to support the assertion that Floyd was no longer PTD. Floyd filed a pro se opposition to the petition, denied that he was no longer PTD, and said, "There was no evidence stated or attached in the Petition." The next month, Griffin & Smith filed Dr. Seres's 2008 and 2009 reports with the Board.
The Board proceedings progressed toward a hearing. Floyd eventually obtained representation, but for a portion of the Board proceedings a non-attorney represented him. In 2012 the employer filed an amended petition
In 2011 both Floyd and Judy, representing themselves, filed suit in superior court against some of those involved in the attempt to terminate Floyd's benefits.
In the second amended complaint, the Cornelisons' causes of action included tortious interference with contract rights; negligent infliction of emotional distress (NIED); intentional infliction of emotional distress (IIED); abuse of process; fraud, false light, defamation, libel, slander, and "other misrepresentations"; breach of professional obligations on the part of the defendants; and violations of the Alaska Unfair Trade Practices and Consumer Protection Act (UTPA). The Cornelisons sought damages in excess of $100,000 and some type of injunctive relief against the defendants to prevent a situation like theirs from occurring again. The defendants answered, denying all claims and raising affirmative defenses. The defendants grouped themselves as follows for purposes of representation: Dr. Seres; Johnson, Northern Investigative Associates, and Denara, Inc. (Johnson); TIG,
Litigation ensued, including discovery disputes. The Board proceeding continued toward a hearing as well. In February 2012 the Cornelisons asked the superior court to stay the proceedings until the Board case ended, basing their argument on two alternative grounds: primary jurisdiction and a balancing test imported from situations with both civil and criminal cases proceeding at the same time. In their motion for a stay they referred to AS 23.30.250(a) and (c),
In March 2013 Dr. Seres moved for summary judgment on all of the claims against him. That month Griffin & Smith moved for judgment on the pleadings under Alaska Civil Rule 12(c), arguing, that the exclusive remedy provision of the Alaska Workers' Compensation Act (AWCA) barred the suit.
In May 2013 the Cornelisons' attorneys asked to withdraw, and the Cornelisons moved for a stay of the proceedings so they could find new counsel. After an ex parte hearing on the motion to withdraw, the court permitted the withdrawal and granted a 90-day stay; the court also stated that it would not grant further continuances for the Cornelisons to get an attorney.
The Cornelisons did not find new counsel within 90 days, so they again asked the court to stay the proceedings pending resolution of the Board case. The court denied the stay. The Cornelisons petitioned this court for review of the order denying the stay; we denied review because by the time we considered the petition, the Board had already issued its final decision denying the petition to terminate Floyd's benefits. The Cornelisons filed a copy of the Board's decision and order with the superior court in December 2013.
TIG moved for summary judgment in the superior court in November 2013, arguing that there were no issues of material fact with regard to any of the claims against it. In June 2014 Johnson moved for summary judgment on some counts and for dismissal of others under Alaska Civil Rule 12(b)(6).
The superior court granted summary judgment to Dr. Seres in May 2014. It concluded that Dr. Seres owed no duty to the Cornelisons, so there could be no breach of a duty. It also decided that claims against Dr. Seres were time-barred because the evaluation that was the basis of the claims occurred in 2008, and the Cornelisons did not bring suit until 2011.
In July the court granted Griffin & Smith's motion for judgment on the pleadings. It first concluded that, because Griffin & Smith served as attorneys for TIG in the workers' compensation case, Griffin & Smith "stepped into the shoes of TIG" and was thus "a party to the initial economic relationship," so that no liability for interfering with an economic relationship could attach. The court also observed that Floyd's benefits were "never unilaterally terminated," so no breach occurred. The court concluded the Cornelisons had not adequately pleaded either their negligent or intentional infliction of emotional distress claim against Griffin & Smith, so it granted judgment on the pleadings on those claims as well. It also found no abuse of process because (1) the proceeding that served as the basis for the abuse of process claim was administrative rather than judicial and (2) the defendants were "simply exercising [their] right to be heard." The court decided any defamatory statements were privileged because they had been made in the workers' compensation proceeding. It also decided there was no misrepresentation, no plausible professional malpractice claim, and no plausible UTPA claim.
That day, the court also granted summary judgment to TIG. For the tortious interference with contract claim, the court used essentially the same rationale as it had in its order on Griffin & Smith's motion. Its reasoning for the abuse of process claim and the emotional distress claims was also similar. As for the misrepresentation claim, the court decided the Cornelisons had failed to show justifiable reliance on any statement and dismissed that claim. The court granted summary judgment on the defamation claims, noting that the defendants have an absolute privilege to publish defamatory matter within the bounds of an adjudicative proceeding. Finally, the court determined that the Cornelisons did not have a cause of action against TIG for professional malpractice or for a UTPA violation.
The court also granted Johnson's motion for summary judgment or for failure to state a claim. It decided that Johnson was an agent or employee of TIG, so no cause of action for tortious interference with any contract between TIG and the Cornelisons existed; the court accordingly dismissed this claim for failure to state a claim. With respect to the intentional infliction of emotional distress claim, the court cited Chizmar v. Mackie
The court decided that under AS 23.30.280(e), Johnson was immune from liability for any defamation claims because he was only providing information related to suspected fraud. The court explained that the alleged facts did "not support any type of misconduct" on Johnson's part and that "[r]egardless of how defendants edited the [video] for purposes of reporting the information to TIG, the evidence shows that the [edited video] accurately depicted [Floyd's] outdoor activities." It declined to find "editing, however sloppily, the high numbers of hours of footage into a compact presentable report of the relevant information amounts to any type of misconduct." Finally, it decided that any
At the end of the three July 31, 2014 orders, the court included the following paragraph:
The Cornelisons appeal.
We review grants of summary judgment de novo.
We review the grant of a motion for judgment on the pleadings de novo.
We review grants of motions to dismiss under Civil Rule 12(b)(6) de novo, "construing the complaint liberally and accepting as true all factual allegations."
"Interpretation of a statute is a question of law to which we apply our independent judgment; we interpret the statute according to reason, practicality, and common sense, considering the meaning of the statute's language, its legislative history, and its purpose."
The Cornelisons argue that the superior court improperly dismissed their abuse of process claims on several grounds, including
The Cornelisons claimed in their complaint that the defendants committed the tort of abuse of process in the course of the petition to terminate Floyd's benefits. They alleged the defendants submitted "junk evidence" to the Board and in so doing breached various duties; they also alleged some defendants failed to follow prescribed Board processes, thereby thwarting the purposes of the AWCA.
In Greywolf v. Carroll we defined abuse of process as "the misuse of a legal process against another primarily to accomplish a purpose for which it was not designed."
The Cornelisons implicitly argued that TIG wanted to terminate Floyd's benefits because the benefits were expensive, not because TIG thought Floyd was in fact no longer disabled. But even accepting this claim as true, TIG used the appropriate process — a Board proceeding — to accomplish this goal. The Cornelisons do not point to a "separate ulterior purpose" in bringing the petition to terminate Floyd's workers' compensation, so they have not alleged facts sufficient to support this claim. Their allegation that Johnson hoped to further his business by supplying TIG with an edited video that would result in termination of Floyd's benefits is not the type of ulterior purpose that supports an abuse of process claim. The required motive in an abuse of process claim is to put pressure on the person who is wrongfully sued to perform or to refrain from performing an action unrelated to the process.
The Cornelisons' UTPA claim alleged that the defendants had committed "many acts or practices" that "were and are intentional or reckless, unfair and deceptive, immoral, unethical, oppressive, and unscrupulous and offend public policy and constitute an inequitable assertion of power or position." The superior court relied on different reasons to dismiss or grant summary judgment to the defendants on this claim. It decided that "neither trade nor commerce"
Alaska Statute 45.50.481(a)(3) exempts from the UTPA "an act or transaction regulated under AS 21.36 ... or a regulation adopted under [its] authority." Alaska Statutes 21.36 regulates "Act[s]" and "trade practice[s] in the business of insurance," including prohibitions on "unfair or deceptive act[s] or practice[s]."
The Cornelisons alleged a cause of action they called tortious interference with their financial rights and interests. As part of this cause of action, they alleged they had "an established and continuing financial property right and interest" in the PTD benefits Floyd received under the Board's 2001 order. They alleged the defendants interfered with this property right through the investigation, the medical evaluation, and the subsequent filing of the petition to terminate Floyd's benefits.
The superior court analyzed this claim as either a tortious interference with contract claim or a tortious interference with a prospective economic advantage claim. We consider the Cornelisons' claim to be one for tortious interference with contract because no prospective business relationship is at issue in this case.
The tort of intentional interference with contractual relations has six elements: "(1) an existing contract between [the plaintiff] and a third party; (2) defendant's knowledge of the contract and intent to induce a breach; (3) breach; (4) wrongful conduct of the defendant causing the breach; (5) damages; and (6) absence of privilege or justification for the defendant's conduct."
But even if we were to accept this theory — and we do not now decide the question whether workers' compensation recipients are third-party beneficiaries of the insurance contract between the insurer and employer — there was never a breach of the contract because Floyd continued to received benefits throughout the litigation.
The Cornelisons alleged common law fraud against the defendants, but this cause of action fails as a matter of law. The elements of common law fraud are "(1) a false representation of fact; (2) knowledge of the falsity of the representation; (3) intention to induce reliance; (4) justifiable reliance; and (5) damages."
The misrepresentations about Floyd's physical capabilities cannot serve as a basis of a misrepresentation claim by the Cornelisons. Presumably the Cornelisons were aware these representations were false; if so, they could not have justifiably relied on those representations as a matter of law. Without this required element of justifiable reliance, their common law fraud claim was inadequate, and the superior court correctly dismissed the common law fraud claim.
But the Cornelisons also appear to advance a second theory of misrepresentation: they apparently also allege that (1) Dr. Seres and Griffin & Smith misrepresented their intention to report Floyd to Social Security for fraud; (2) Dr. Seres and Griffin & Smith knew they were not going to report fraud but falsely implied to the Board and the Cornelisons that they would do so; (3) they intended this threat of a fraud report to intimidate the Cornelisons and possibly cause the Cornelisons not to contest the petition to terminate benefits; (4) the Cornelisons justifiably relied on the statement of intent; and (5) the Cornelisons were damaged.
But the Cornelisons cannot show justifiable reliance on this asserted misrepresentation either. According to the Restatement, "[t]he recipient of a fraudulent misrepresentation can recover against its maker for [his] pecuniary loss resulting from [the misrepresentation] if, but only if, (a) he relies on the misrepresentation in acting or refraining from action, and (b) his reliance is justifiable."
The Cornelisons brought a professional negligence action against Dr. Seres, TIG, and
"A professional malpractice action involves `a professional's alleged breach of a duty of due care which was implied by law as a result of a contractual undertaking.'"
Our decision in Smith v. Radecki held that an employer's doctor in a workers' compensation case generally does not enter into a physician-patient relationship with the injured worker; we also acknowledged a "growing body of case law from other states" that recognizes independent medical examiners may have limited duties to those they examine.
The Cornelisons alleged that the defendants negligently caused them "severe emotional distress, unnecessary pain and suffering[,] and inconvenience" by their conduct during the workers' compensation proceedings. In their complaint they also alleged that the defendants had caused them "physical distress" and "great physical ... harm." We have held that "there is no recovery of damages for emotional distress where the emotional distress arises from negligent conduct and is unaccompanied by physical injury."
The superior court granted summary judgment to Dr. Seres on the NIED
While we agree with the superior court that Dr. Seres did not owe the Cornelisons a preexisting duty that would excuse them from pleading a physical injury, we disagree that AS 23.30.095(k) shields Dr. Seres from liability. Alaska Statute 23.30.095(k) sets out the process the Board can use to order a second independent medical evaluation. It permits the Board to "require... a second independent medical evaluation" when there is a dispute "between the employee's attending physician and the employer's independent medical evaluation."
Dr. Seres did not render an opinion as an independent medical examiner under AS 23.30.095(k); rather he was selected by the insurance carrier, its adjuster, or its attorney to perform a medical evaluation of Floyd under AS 23.30.095(e).
The superior court granted Griffin & Smith judgment on the pleadings under Rule 12(c) in part because the Cornelisons had not pleaded a physical injury. While we have not specified the type of injury that constitutes physical injury for purposes of an NIED claim, in Hancock v. Northcutt, we relied on a leading torts treatise for the "general rule" that physical injury is required for an NIED claim.
Griffin & Smith denied in its answer the Cornelisons' allegations that they suffered great physical harm and physical distress. We have previously stated that "a Rule 12(c) motion `only has utility when all material allegations of fact are admitted in the pleadings and only questions of law remain.'"
On appeal, Griffin & Smith also contends that AS 23.30.055, the exclusive remedy provision of the AWCA, shields it from liability. But AS 23.30.055 provides protection from negligence claims to an employer and the injured worker's fellow employees, not to an employer's attorney. Suits against third parties are not barred by the exclusive remedy provision,
The superior court dismissed the NIED claim against Johnson pursuant to Rule 12(b)(6); it wrote that the Cornelisons "offer[ed] no facts to show that physical injury resulted from the conduct of defendants." When a court considers a motion to dismiss under Rule 12(b)(6), it must accept as true all factual allegations in the complaint.
On appeal the Cornelisons do not assert that the superior court was mistaken in its determination that the exclusive liability provision of the AWCA barred the NIED claim against TIG because it is a negligence claim.
On appeal to this court, the Cornelisons contend that the superior court failed to recognize the duties imposed on the defendants by AS 23.30.250(a), which permits a civil action against anyone who knowingly makes a false statement or representation to the Board or knowingly aids another in making a false statement or submission related to a workers' compensation benefit. The appellees offer different responses to this contention: Dr. Seres does not cite the statute; Griffin & Smith makes substantive arguments that it did not violate the statute; and both Johnson and TIG say the issue is raised for the first time on appeal and thus waived but also provide a substantive argument that they did not violate the statute. TIG maintains that the statute only came up in the context of a discussion in the superior court about primary jurisdiction "over civil tort claims arising from alleged misrepresentations made during a workers' compensation benefits investigation and termination proceeding."
We disagree with the contention that the statutory fraud claim was raised for the first time on appeal. The Cornelisons cited the statute in several contexts in the superior court, including the discussion related to primary jurisdiction and their opposition to Dr. Seres's motion for summary judgment. Both Griffin & Smith and the adjusters argued
The Cornelisons' pleadings alleged that the defendants were aware that the information they were submitting to the Board was false or misleading — that the defendants were perpetrating a fraud on the Board. They alleged the defendants presented "tainted, dishonest" and "outrageously contrived" evidence and made "knowing ... misstatements [or] misrepresentations" to the Board for the purpose of terminating Floyd's benefits. They have consistently argued that the allegation of Social Security fraud in Dr. Seres's report to the Board was false and served no legitimate purpose in the Board proceedings. They contend on appeal, as they did in the superior court, that Griffin & Smith and Dr. Seres knew the allegation of Social Security fraud was untrue, pointing to Dr. Seres's deposition testimony that he had communicated with a "legal beagle[]" and together they decided not to make a report to Social Security.
The superior court did not explicitly rule on the claims for statutory fraud under AS 23.30.250(a) in the various motions for dismissal and summary adjudication, nor did it discuss whether the statute might affect the claims of privilege the defendants raised in response to the IIED claims and the defamation claims. Alaska Statute 23.30.250(a) permits a civil suit for damages against a person who, inter alia, (1) knowingly makes false or misleading representations "related to a benefit" under the AWCA or (2) knowingly "assists, abets, solicits, or conspires in making a false or misleading submission affecting the payment, coverage, or other benefit" under the AWCA. The Cornelisons did not cite AS 23.30.250(a) in their amended complaint, but they alleged that the defendants, acting together, had perpetrated a fraud on the Board. They relied on AS 23.30.250(a) in several memoranda in support of motions, particularly their opposition to Dr. Seres's summary judgment motion and their motions for a stay and for a continuance.
It appears from their motions for a stay and for a continuance, which included a primary jurisdiction argument, that their theory of the application of this statutory tort was that the Board needed to determine in the first instance whether the evidence presented was false.
The legislative history we have discussed in prior cases, and upon which TIG relies, is related to AS 23.30.250(b), which authorizes employers to bring fraud claims against employees and providers before the Board.
Because the superior court did not address the statutory fraud claim in the first instance, we remand this claim.
The superior court decided that Johnson, Griffin & Smith, and TIG were entitled to absolute immunity from liability for any defamatory statements they made because those statements had been made in the context of the Board proceeding and were therefore privileged. The superior court used two rationales to grant summary judgment on the defamation claim to Dr. Seres: it decided both that the statute of limitations barred all claims against Dr. Seres because the EME took place in 2008 and that Dr. Seres had absolute immunity based on AS 23.30.095(k) because he was acting as an employer's independent medical examiner.
The Cornelisons included the defamation claim in their statement of points on appeal, but in their briefing before us, they failed to advance any argument that the superior court's privilege analysis as to Johnson, Griffin & Smith, and TIG was incorrect, so this claim is waived as to those defendants.
With respect to Dr. Seres, the Cornelisons' defamation claim was based on statements he made in his EME reports, not on the EME exam itself. The superior court acknowledged this, repeating an interrogatory response in which the Cornelisons stated that "Dr. Seres accused [Floyd] of the felony criminal acts of fraud, and possible drug diversion." Dr. Seres made the statement about Social Security fraud in a report dated March 4, 2009, and the statement about drug diversion in a report dated June 24, 2008. The Cornelisons contended they did not receive either of Dr. Seres's reports until May or June 2009. Because the defamation claim could not have accrued before Dr. Seres made the statements, the EME examination date relied on by the superior court could not serve as the starting date for purposes of the statute of limitations. If there was a factual issue about when the statute of limitations accrued on the defamation claim against Dr. Seres, it was error for the superior court to use that defense as a basis to grant Dr. Seres summary judgment on the defamation claim without making a specific finding about the accrual date.
The other rationale the superior court used to grant summary judgment to Dr. Seres on the defamation claim was absolute immunity under AS 23.30.095(k). As we explained earlier, AS 23.30.095(k) does not shield Dr. Seres from liability.
While we do not address the superior court's decision regarding the Cornelisons' defamation claim against the other defendants, we reject the argument that the litigation privilege to defamation claims applies to protect the defendants from all possible claims against them based on the defamatory statements. To accept this blanket defense would effectively eviscerate AS 23.30.250(a), which explicitly permits a cause of action against anyone who knowingly makes false or misleading representation "related to a benefit" or "affecting" a benefit or who aids or abets someone in doing so.
The Cornelisons alleged that the defendants committed the tort of intentional infliction of emotional distress through their participation in the termination proceedings. To present a prima facie case of IIED, a plaintiff must show: "(1) the conduct is extreme and outrageous, (2) the conduct is intentional or reckless, (3) the conduct causes emotional distress, and (4) the distress is severe."
Griffin & Smith moved for judgment on the pleadings under Civil Rule 12(c); it did not ask the court to grant it summary judgment. We have previously stated that "a Rule 12(c) motion `only has utility when all material allegations of fact are admitted in the pleadings and only questions of law remain.'"
Rule 12(c) has limited utility here because the material facts were subject to dispute. The Cornelisons alleged that the defendants, including Griffin & Smith, perpetrated a fraud on the Board by presenting evidence that was manipulated or false and had engaged in "extreme and outrageous conduct" against them, that the defendants' conduct was "intentional and/or reckless," and that the conduct had caused the Cornelisons "severe emotional distress." In its answer Griffin & Smith simply denied the factual allegations on which the Cornelisons' IIED claim was based. Griffin & Smith did not contend that the statements were legal conclusions not amenable to admission or denial. In McGrew v. State, Department of Health &Social Services, Division of Family &Youth Services, we held that the plaintiffs had adequately pleaded an IIED claim when they alleged "that [the division's] conduct was `extreme, outrageous, and atrocious'; that its conduct was `intentional and/or reckless'; that its conduct `caused emotional distress' to the [plaintiffs]; and that their distress was `severe' and that they `suffered personal injury, personal humiliation, mental anguish, pain and suffering.'"
Griffin & Smith argue that its conduct was absolutely privileged because it had
While an employer and its insurer have the right to petition to terminate an employee's benefits, that right does not include knowingly using false or misleading evidence in the course of petitioning. As discussed above, AS 23.30.250(a) permits a civil suit against anyone who "knowingly makes a false or misleading statement, representation, or submission related to a [workers' compensation] benefit" or someone who "knowingly assists, abets, solicits, or conspires in making a false or misleading submission affecting the payment, coverage, or other [workers' compensation] benefit." Because the Cornelisons' complaint includes allegations that Griffin & Smith participated in a fraud on the Board and conspired to submit evidence they knew was false in their efforts to terminate Floyd's benefits — actions which are impermissible under the statute — the complaint alleges that Griffin & Smith did more than simply file a petition to terminate benefits.
The Cornelisons thus adequately set out the elements of an IIED claim in their complaint, so granting a judgment on the pleadings to Griffin & Smith on this claim was erroneous.
The superior court granted summary judgment to Dr. Seres on statute of limitations grounds, deciding that the IIED claim against Dr. Seres was based solely on the Cornelisons' contention that Dr. Seres had intentionally injured Floyd during the 2008 EME. The court also determined that AS 23.30.095(k) shielded Dr. Seres from any liability based on his written reports.
With respect to the statute of limitations, the superior court erred in considering only claims of intentional injury during the EME in 2008.
The superior court granted summary judgment to TIG on the basis that its "presentation of evidence to the [Board] [was] not outrageous conduct" in that TIG was "specifically and legally entitled to present such evidence." The court also stated that the Cornelisons had "not present[ed] any
(Footnote omitted.)
A party moving for summary judgment bears the initial burden of establishing, through admissible evidence, that there is no material issue of fact and that it is entitled to judgment as a matter of law.
TIG characterized the Cornelisons' claims as "essentially that they don't like the procedures in place under the [AWCA]" and asserted it had "followed established legal procedures." The Cornelisons asserted that the defendants, including TIG, had presented false or manipulated evidence to the Board and had perpetrated a fraud on the Board. In their opposition to TIG's motion, the Cornelisons stated that, even though TIG had no evidence to support the allegations about Floyd diverting drugs or committing Social Security fraud, it nonetheless submitted reports containing those allegations to the Board, and they additionally contended that TIG had brought the Board proceedings in bad faith.
TIG failed to offer any admissible evidence to support its contention that it had done nothing more than take actions it was "specifically and legally entitled to take." The evidence it presented to support its summary judgment motion was mainly deposition testimony or discovery responses from the Cornelisons and one of the Cornelisons' witnesses.
Because TIG failed to offer any evidence to support its argument, granting summary judgment to TIG on the IIED claim was error.
In granting summary judgment to Johnson on the IIED claim, the superior court decided that the "investigation was so covert that neither [Floyd] nor [Judy] was ever aware of [the investigators'] presence." From this the court concluded that "[t]he defendants' conduct during the investigation does not present as outrageous conduct." The court also stated that the Cornelisons did "not present any specific emotional injuries resulting from [Johnson's] conduct," but rather "only generally claim[ed] `emotional distress.'" It then explained that even if the Cornelisons "had presented sufficient facts to show severe emotional distress, that distress did not emanate from [Johnson's] actions."
The superior court's treatment of the IIED claim is puzzling because the Cornelisons' main IIED allegations against Johnson were not related to the actual act of surveillance but to the resulting edited videos. In their opposition to Johnson's motion for summary judgment they clearly asserted claims that the edited videos Johnson produced and provided to TIG, who then provided them to Griffin & Smith and Dr. Seres, had been edited by Johnson so as to present a false picture of Floyd's physical abilities. They argued, "It would be indecent and immoral if investigative firms, including [Johnson], ... could then produce edited, altered video[] and investigative notes and provide [these] to an insurer, as a true and accurate depiction of the subject, knowing that the insurer and others will be relying on it...." The Cornelisons argued that this conduct "would be utterly intolerable in a civilized community and is outrageous." They also asserted that Johnson "knew or should have known, during [its] editing process, that the surveillance video was not a reliable or accurate depiction of [Floyd]" and that Johnson knew the investigative report was not accurate. In addition, the Cornelisons cited a Louisiana workers' compensation case in which the Louisiana Court of Appeal noted that "[a] surveillance video must be viewed with a critical eye, bearing in mind that the person making the video has been hired by a party who desires to have the subject of the video depicted in the worst light. A video film can be edited. Scenes revealing the subject favorably can be deleted."
In support of their opposition to Johnson's motion for summary judgment, the Cornelisons included an affidavit from Judy about discrepancies between the investigators' notes and the corresponding footage and a log of the times that were edited out of one day's video.
The record does not support the superior court's statement that the Cornelisons "only generally claim[ed] `emotional distress.'" In their opposition to summary judgment, the Cornelisons included copies of deposition testimony by both Floyd and Judy about their emotional distress. Floyd testified that he was suicidal for a period of time and sought counseling. While Judy's distress was not as severe, she testified about stress-related
On appeal Johnson argues, as it did below, that AS 23.30.280(e) bars any claim against it for providing the edited video.
The superior court relied on this statutory subsection in granting summary judgment to Johnson on the defamation claim, but the statute forecloses any civil damages, not just those for defamation. As the superior court noted, the statute expressly states it does not preclude liability for civil damages if the liability arose as a result of gross negligence or reckless or intentional misconduct.
The superior court did not explain the basis for its decision that there was no material factual dispute that the edited videos accurately depicted Floyd's activities. The superior court appears to have misunderstood the Cornelisons' assertions about why the edited videos were inaccurate. They did not dispute that Floyd was the person in the edited videos; rather what they alleged was that Johnson had deleted Floyd's pain behaviors or otherwise edited the video to depict Floyd as more physically capable than he was. The Cornelisons' expert report documented several instances of missing or omitted material from the edited videos. The
The record indicates that Johnson created the edited videos from raw surveillance footage that its employees took, suggesting that it knew what was in the edited videos and what was omitted from them. Similarly, Johnson created the surveillance reports it provided to TIG from the investigators' field notes. Given the Cornelisons' allegation that surveillance footage of Floyd's pain behaviors was edited out or not filmed and Dr. Seres's conclusions about Floyd based on absence of pain behaviors in the edited videos, we disagree with the superior court's conclusion that editing "however sloppily" can never amount to misconduct. The statute permits liability when the person making the report is grossly negligent,
We conclude the Cornelisons provided enough evidence to show that a material factual dispute existed about the accuracy of the edited videos and the manner in which Johnson created them. They also presented more than generalized claims of emotional distress. Because the superior court failed to address the issues in dispute in the IIED claim against Johnson, we reverse the grant of summary judgment on this claim and remand to the superior court.
The Cornelisons contend that the superior court failed to address their invasion of privacy claim. They do not provide a record cite to show where they alleged this claim in their second amended complaint. We were unable to identify a claim in the second amended complaint similar to one the Cornelisons discuss in their brief before us, so we deem this argument waived.
We VACATE the judgments entered against the Cornelisons. We REVERSE the superior court's grant of summary judgment or dismissal as to all defendants on the IIED claims, REVERSE the dismissal of the NIED claims as to Johnson and Griffin & Smith, and REVERSE the grants of summary judgment to Dr. Seres on the NIED and defamation claims. We REMAND those claims and the Cornelisons' AS 23.30.250(a) claim to the superior court for further proceedings consistent with this opinion. We AFFIRM the superior court on all other issues.
Stowers, Chief Justice and Maassen, Justice, not participating.
WINFREE, Justice, dissenting in part.
WINFREE, Justice, dissenting in part.
I respectfully disagree with the court's conclusion that the Cornelisons failed to adequately brief the superior court's dismissal of their defamation claim against TIG Insurance and Griffin & Smith based on "absolute privilege."
I start with the general proposition that the absolute litigation privilege applies only to statements that are pertinent to or have some relationship to the legal proceedings in which they are made.
In the Cornelisons' brief to us, in a section heading including the words "defamation" and "libel," they argue that Griffin & Smith, on TIG's behalf: deliberately launched a personal attack on Mr. Cornelison; despite knowing Dr. Seres's letter contained untrue allegations about Social Security fraud and drug diversion, filed it with the workers' compensation board; and later claimed it was not asserting Mr. Cornelison was committing Social Security fraud or drug diversion, but it did not ask to have the letter or allegations withdrawn. Given the Cornelisons' pro se status and our clear understanding of the arguments they were making to the superior court, this seems more than sufficient to raise the legal question about application of that litigation privilege — did Dr. Seres's statements about possible Social Security fraud and drug diversion, which seem defamatory on their face, "have some relation to the proceeding" that provided Griffin & Smith and TIG absolute privilege protection when presenting those specific statements to the Board?
TIG understood the Cornelisons were challenging the superior court's absolute privilege ruling, as a section of TIG's appellee's brief was devoted to that challenge. TIG argued that anything it submitted in the workers' compensation proceeding was absolutely privileged. Its fallback position was that any statements not absolutely privileged were not false or defamatory or did not cause quantifiable damages, issues the superior court never addressed. But TIG studiously ignored the Cornelisons' argument that the introduction into the workers' compensation proceedings of Dr. Seres's statements about Social Security fraud and drug diversion had no real pertinence or connection to those proceedings.
Griffin & Smith also understood the Cornelisons were challenging the superior court's ruling on absolute privilege, as a section of its appellee's brief was devoted to that challenge. Griffin & Smith argued that Alaska follows the rule of absolute litigation privilege, that the Cornelisons' allegations of defamation arose from actions within a legal
In my view the Cornelisons have fairly raised a question of law that this court should recognize, especially in light of their pro se status. We could resolve this matter ourselves with an independent review of the record; arguments by TIG and Griffin & Smith would have been helpful, but they declined to make any. However the matter also seems intertwined with others being remanded to the superior court, such as the defamation claim against Dr. Seres and the statutory fraud claim against TIG and Griffin & Smith. I therefore would remand this issue to the superior court, along with those other issues, for its consideration in the first instance.
Alaska Statute 23.30.250(c) permits compensatory and punitive damages as well as attorney's fees to a prevailing party in a claim under subsection (a).
We recognize that in the superior court the Cornelisons appeared to agree that AS 23.30.095(k) applies to Dr. Seres. Even if parties stipulate to a legal proposition, that stipulation is not binding on this court. Cf. Dresser Indus., Inc. v. Alaska Dep't of Labor, 633 P.2d 998, 1004 (Alaska 1981) (quoting S.F. Lumber Co. v. Bibb [139 Cal. 325], 73 P. 864, 865 (1903)) (holding that stipulations as to the law do not bind the court). At oral argument before us, Dr. Seres could offer no authority to support application of AS 23.30.095(k) to an employer's independent medical examiner.