STEVEN P. LOGAN, District Judge.
Before the Court are the parties' joint motions for discovery dispute resolution (Docs. 95, 148, 149), motion for extension of time (Doc. 174), and stipulation (Doc. 175). The Court will address each in turn as follows.
While transporting Department of Defense cargo for M3 Transport, LLC ("M3"), Plaintiffs Kenneth Ingram and Wylie Harrison's commercial truck malfunctioned. (Doc. 1-1 at 7.) On June 3,
Plaintiffs filed workers' compensation claims for wage and medical benefits with Great American Insurance Company ("GAIC"), M3's insurer, on July 15, 2011. (Doc. 102-11 at 3; Doc. 1-1 at 9.) RTW Incorporated ("RTW") was retained as the adjustor to administer the claims. (Doc. 102-11 at 3.) On August 30, 2011, the claims adjustor recommended that they be denied. (Doc. 102-5 at 3-4.) On September 16, 2011, RTW issued a Notice of Claim Status denying Plaintiffs' claims. (Doc. 1-1 at 10, 28.)
Plaintiffs sought review by the Industrial Commission of Arizona ("ICA") on November 8, 2011 (Doc. 172-1 at 162-163), and hearings were held before an Administrative Law Judge ("ALJ") between April and June of 2012. Finding Plaintiffs "status did not become off-duty immediately as of the time the truck was brought in for repairs," on October 30, 2012, the ALJ determined that Plaintiffs' claims were compensable and that they were entitled to benefits. (Doc. 172 at 86-96, 98-108.) M3 requested administrative review on November 28, 2012, and the ALJ summarily affirmed the awards on January 23, 2013. (Doc. 172-1 at 165-179, 181-184.) On February 22, 2013, M3 Transport filed a special action for review of ICA's decision, which was affirmed by the Arizona Court of Appeals on December 26, 2013. (Doc. 172-1 at 186-189, 191-197); M3 Transport, LLC v. Industrial Commission of Arizona, 2013 WL 6844147 (Ariz.Ct.App. Dec. 26, 2013).
Plaintiffs filed their original and amended complaint in the Maricopa County Superior Court against M3,
Under Rule 26 of the Federal Rules of Civil Procedure, a party is entitled to "obtain discovery regarding any matter, not privileged, that is relevant to the claim or defense of any party." Fed.R.Civ.P.
Plaintiffs ask that Defendants be compelled to produce unredacted portions of claims files and communications between claims adjustors and Defendants' counsel that have been previously redacted or withheld on the basis of attorney-client privilege.
Under Arizona law,
Here, Defendants do not dispute that claims adjustors conferred and received information from counsel in processing and litigating Plaintiffs' claims. (See e.g., Doc. 152-1 at 8.) Prior to the initial denial of Plaintiffs' claims, Kris Wigant, RTW claims adjustor, conferred with counsel Chuck Richards. (See Doc. 102-5 at 2.)
Rather, Defendants dispute that the attorney-client privilege has been impliedly waived because claims adjustors did not rely on the advice of counsel in making their decisions at any stage. (Docs. 109; 152 at 3.) Defendants' decisions however, were not independent of counsel's advice. Under Defendants' theory of denial, as noted by the ALJ, an evaluation of the law was required in order to evaluate and make the determination on Plaintiffs' claims at all stages of the underlying action. (See Doc. 172-1 at 87, ¶ 3 ("Whether an Applicant is in the course of employment at the time of injury is a legal determination.").) Thus, while Defendants' decisions may have been based on what their agents believed was right, and not based on what their lawyers expressly advised them to do, those decisions necessarily incorporated counsel's "advice" and consultation on the law. See Lee, 13 P.3d at 1174 ("As part of that evaluation, the agents were informed by counsel. On the basis of this evaluation, including, we must suppose, the information gained from counsel, [Defendants'] agents denied the claims in good faith based on their view of the law, not because of what its lawyers advised."). Cf. Everest Indem. Ins. Co. v. Rea, 236 Ariz. 503, 342 P.3d 417, 420 (Ariz. Ct.App.2015) (finding that because "there ha[d] been no showing that Everest was in doubt as to any legal issue ... [t]he decision Everest made to settle the case was not necessarily the product of legal advice").
In evaluating Plaintiffs' claims, Wigant testified that she considered whether Plaintiffs engaged in "leisure activities that... deviate from their work duties" (Doc. 172-1 at 149) and whether their actions "benefited the employer" (Doc. 172-1 at 152). Wilson-Travis testified that based on their evaluation of the facts, they concluded that Plaintiffs "were not within the course and scope of their employment" at the time of the collision. (Doc. 109-1 at 12-13.) Handel believed that there was a valid basis to pursue an appeal based on their investigation and findings, which included their "understanding of the overnight traveling employee rule and how it applied to the facts of this case." (Docs. 102-8 at 5-6; 109-1 at 18-19.) Ultimately, Defendants state that Plaintiffs' claims were denied because a threshold condition of compensability had not been met, namely, "the existence of legal causation: whether the accident arose out of and in the course of the worker's employment." (Docs. 102-9 at 2-3; 172-1 at 88, ¶ 4; 174-1 at 6-7.) Defendants maintained that Plaintiffs' conduct fell within the scope of non-compensable deviation. (Docs. 102-9 at 5-6; 174-1 at 9-10.) To the extent that Defendants argue that their "evaluation and denial was based on their independent review of the claim and not their consultation with counsel or their subjective view of the law" (Doc. 109 at 5), that argument is belied by the express basis for denying Plaintiffs' claims (Doc. 102-9 at 2).
Whether Defendants did not reasonably evaluate the claim, or internally concluded Plaintiffs' claims should be covered but decided to litigate anyway, is relevant to Plaintiffs' bad faith claim. See Lee, 13 P.3d at 1175 ("State Farm is liable for bad faith if the evidence shows its employees could not or did not reasonably believe that the first party stacking claims could be rejected within the bounds of the law."); Everest, 342 P.3d at 419 ("the party's knowledge about the law is vital, and the advice of counsel is highly relevant to the legal significance of the client's conduct") (internal quotation and citations omitted). Likewise, to the extent Defendants raise an affirmative defense that Plaintiffs' workers' compensation claims were fairly debatable (Docs. 7 Aff. Defense ¶ 33; 18 at 5), whether they decided to deny Plaintiffs' claims against the advice of counsel is relevant to their bad faith claim. See Holmgren v. State Farm Mut. Auto. Ins. Co., 976 F.2d 573, 577 (9th Cir.1992) (in a bad faith insurance claim, the strategy, mental impressions and opinion work product concerning the handling of the claim may be discovered and admitted when they are directly at issue). See also Sparks v. Republic Nat'l Life Ins. Co., 132 Ariz. 529, 647 P.2d 1127, 1137 (1982) ("We disagree
Comparing and applying Lee, Mendoza, and Everest to the facts of this case, the Court finds that Defendants impliedly waived the attorney-client privilege, thus making the redacted or undisclosed communications discoverable. Plaintiffs are not entitled to discovery of all of counsel's communications, but only to those communications pertaining to the law and information that was part of what Defendants knew in reaching its evaluation of the law. To the extent the documents withheld by Defendants fall outside of this scope, they may continue to withhold portions of its files, but must amend its logs to explain the reasons for withholding communications with specific detail.
Plaintiffs next claim they are entitled to discovery of job performance evaluations of claims personnel and of incentive compensation plans available to claims handling personnel. (Doc. 148.) Defendants argue that this material is undiscoverable because it is not relevant, and disclosure of personnel records in an action to which the employee is not a party is an invasion of their expectation of privacy and confidentiality.
The Court finds the potential probative value of the information contained in those records outweigh any privacy concerns. Evidence regarding whether Defendants "set arbitrary goals for the reduction of claims paid" and whether "[t]he salaries and bonuses paid to claims representatives were influenced by how much the representatives paid out on claims" is relevant to whether Defendants acted unreasonably and knew it. Zilisch, 995 P.2d at 280 (citing Hawkins v. Allstate Ins. Co., 152 Ariz. 490, 733 P.2d 1073, 1082 (1987)). Likewise, the Court agrees with Judge Sedwick that "an expectation that assessments of work performance and any financial incentives to minimize payments on claims would be kept private is unreasonable." White Mountain Communities Hosp. Inc. v. Hartford Cas. Ins. Co., 2014 WL 6885828 (D.Ariz.2014). Further, this information was unavailable through deposition testimony of the employees themselves (see e.g., Doc. 172-1 at 147), and Defendants have not shown that this information would be available by other less intrusive means.
Accordingly, Plaintiffs are entitled to adjustor personnel files, limited to performance, including any participation in an incentive plan. If Defendants cannot redact the records in a manner that protects the personal and sensitive information of the individual employee without also redacting the relevant information discussed here, the parties may jointly seek a protective order for the specific personnel records prohibiting their dissemination to any third party. Therefore, Defendants shall be required to respond to Nos. 3-6 of Plaintiffs' First Request for Production (Doc. 148-1).
Lastly, Plaintiffs claim they are entitled to discovery of an unredacted copy of the contract between the Defendants, and any promotional material or proposal that RTW exchanged with GAIC. (Doc. 149.)
The Court finds both the contract and promotional materials are relevant to the determination of whether this action can proceed against RTW. Generally, because the duty of an insurer to act in good faith is non-delegable, an insured cannot bring a negligence claim against an independent insurance adjuster that owes
Thus, the fact that Plaintiffs and RTW lacked privity of contract is not dispositive. Whether RTW advertised more aggressive claims handling to promote business with GAIC, or GAIC promised financial benefits to RTW in return for lowering costs by paying out fewer claims is relevant to whether RTW and GAIC are joint venturers and denied Plaintiffs' claims in good faith. The unredacted terms of agreement in the contract between RTW and GAIC and the promotional materials are relevant to this determination, and the Court finds that Plaintiffs' request is sufficiently tailored to the relevant materials. Plaintiffs do not seek general advertising information; they request a copy of advertising materials provided by RTW to GAIC "prior to entering into the contract under which RTW, Inc. provided claim adjusting services for the Plaintiffs' claims." (Doc. 149-1 at 2.) Therefore, Defendants shall be required to respond to Nos. 1 and 2 of Plaintiffs' Second Request for Production (Doc. 149-1).
Lastly, Plaintiffs Kenneth Ingram and Wylie Harrison move for an extension of time to file a response to RTW's Motion for Summary Judgment (Doc. 174), to which Defendants do not oppose (in part) and have joined in a Stipulation (Doc. 175). Having determined that Plaintiffs are entitled to additional discovery that is directly relevant to the underlying issues presented RTW's motion, rather than extending the deadline to respond, the Court will deny Defendant's motion and give it an opportunity to refile following completion of discovery. Both parties should be afforded an opportunity to address whether the materials produced impact whether RTW should remain a Defendant in this action. Accordingly,
1. That the Joint Motions for Discovery Dispute Resolution (Docs. 95, 148, 149) are
3. That RTW's Motion for Summary Judgment (Doc. 171) is
4. That the Motion for Extension of Time (Doc. 174) and the parties' Stipulation (Doc. 175) are