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Small v. Ramsey
280 F.R.D. 264
N.D.W. Va.
2012
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Background

  • This is a West Virginia multinational action removed to federal court in Aug 2010, arising from a Feb 2009 icy-bridge accident injuring Small.
  • An agreed order bifurcated bad-faith/UTPA (medical expense) claims against State Farm from liability claims against other defendants; Nationwide is interposed as intervenor.
  • The parties disputed a protective order governing Small’s medical records produced in discovery, with multiple motions and responses filed in 2011.
  • The district court referred non-dispositive motions to the magistrate judge and held a hearing on Oct 7, 2011, after which a protective order was proposed and drafted.
  • The court granted a protective order limiting access/disclosure of Small’s medical records for six years from final disposition, adopting Bedell II standards and noting privacy interests and fraud-regulation considerations.
  • The order permits redaction and controlled dissemination, with duties to destroy or seal records after the period and to permit limited review by regulatory authorities where appropriate.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Standing to participate in protective order Small seeks protection; State Farm/Nationwide contested standing. State Farm/Nationwide contend limited or no standing given bifurcation and scope. State Farm has standing to be heard on common issues; Nationwide intervenor status is moot.
Right to privacy in medical records Small has a privacy interest in non-public medical records and should be protected. Insurers argue existing laws/regulations suffice and privacy concerns are overstated. Court recognizes a privacy interest in medical records and authorizes a protective order to balance privacy against discovery needs.
Good cause for protective order Protective order is necessary to prevent improper disclosure and protect privacy. Protection is unnecessary or too broad given regulatory frameworks. Court finds good cause for protective order based on privacy, risk of broad dissemination, and need to balance fraud-regulation interests.
Terms and scope of protection for medical records Protective terms must restrict dissemination to those involved in evaluation/resolution of claims. Terms should align with regulatory disclosures and avoid overbreadth. Court adopts protective order with six-year term, redaction, and controlled disclosure, allowing limited use and post-disposition destruction or sealing.

Key Cases Cited

  • State ex rel. State Farm Mut. Auto. Ins. Co. v. Bedell, 228 W.Va. 252 (W.Va. 2011) (Bedell II; privacy in medical records; protective order framework)
  • State ex rel. State Farm Mut. Auto. Ins. Co. v. Bedell, 226 W.Va. 138 (W.Va. 2010) (Bedell I; limits on mandatory destruction of records; comity)
  • Bedell II, 228 W.Va. 252, 719 S.E.2d 722 (W.Va. 2011) (protective order framework and privacy protections)
  • Sorrell v. IMS Health, Inc., 131 S. Ct. 2653 (U.S. 2011) (First Amendment considerations in data-access/sharing; limits on dissemination of discovery information)
  • Gannett Co. v. DePasquale, 443 U.S. 368 (U.S. 1979) (pretrial discovery not public; protection of undisclosed information)
Read the full case

Case Details

Case Name: Small v. Ramsey
Court Name: District Court, N.D. West Virginia
Date Published: Mar 6, 2012
Citation: 280 F.R.D. 264
Docket Number: No. 1:10cv121
Court Abbreviation: N.D.W. Va.