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Transamerica Life Insurance v. Moore
274 F.R.D. 602
E.D. Ky.
2011
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Background

  • Transamerica filed a declaratory judgment in 2010 regarding payment of claims under a cancer policy purchased by the Moores.
  • The Moore counterclaim asserted bad faith, fraud, civil conspiracy, and related claims arising from Transamerica’s 2006 benefit reductions.
  • Dispute centers on the meaning of 'actual charges' and related billing and payment practices.
  • A May 2011 telephonic conference prompted Defendants’ motion to compel six categories of documents.
  • Plaintiff opposed as invading privilege, burdensome, or irrelevant; the court granted in part and denied in part.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Attorney-client privilege over Jorden Burt Report and Gwin Charts Reports are privileged communications between client and counsel. Report/Charts are not privileged and may be discoverable. Privilege applies; materials are not discoverable.
Waiver or crime-fraud exception to privilege for Jorden Burt Report No waiver; no crime-fraud basis shown. Exception should apply to compel disclosure. No waiver or crime-fraud exception; remain privileged.
Discovery of Wakely Report (cancer claim cost study) Irrelevant, proprietary, non-discoverable. Might be relevant to pricing and claims cost context. Denied; not relevant to the asserted claims or defenses.
Deposition transcripts from similar actions Unduly burdensome to produce. Transcripts in similar actions are relevant or could lead to relevant info. Partially granted; production of transcripts required but exclude confidential personnel records.
Actuarial memoranda from time of policy sale Irrelevant and burdensome to locate documents dating to 1994. May bear on pricing and actuarial basis for the policy. Granted; relevant and not unduly burdensome.
Documents reflecting decision to stop selling the policy Unduly burdensome and overly broad. Necessary for understanding cessation decision. Denied; burden outweighs likely benefit.

Key Cases Cited

  • Upjohn Co. v. United States, 449 U.S. 383 (1981) (attorney-client privilege protects confidential communications for legal advice)
  • St. Luke Hospitals, Inc. v. Kopowski, 160 S.W.3d 771 (Ky. 2005) (confidential communications essential to legal services are privileged)
  • In re Lott, 424 F.3d 446 (6th Cir. 2005) (implied waiver not triggered by mere potential relevance)
  • United States v. Zolin, 491 U.S. 554 (1989) (crime-fraud exception requires reasonable belief of fraud; review standard)
  • New Phoenix Sunrise Carp. v. C.I.R., 408 F. App’x 908 (6th Cir. 2010) (waiver principles and privilege scope considerations in privilege disputes)
Read the full case

Case Details

Case Name: Transamerica Life Insurance v. Moore
Court Name: District Court, E.D. Kentucky
Date Published: Jun 17, 2011
Citation: 274 F.R.D. 602
Docket Number: Civil Action No. 10-14-DCR
Court Abbreviation: E.D. Ky.