BOONE, APPELLANT, v. VANLINER INSURANCE COMPANY, APPELLEE.
No. 00-104
Supreme Court of Ohio
April 4, 2001
91 Ohio St.3d 209 | 2001-Ohio-27
DOUGLAS, J.
Submitted October 18, 2000. APPEAL from the Court of Appeals for Franklin County, No. 98AP-1535.
SYLLABUS OF THE COURT
In an action alleging bad faith denial of insurance coverage, the insured is entitled to discover claims file materials containing attorney-client communications related to the issue of coverage that were created prior to the denial of coverage.
DOUGLAS, J.
{¶ 1} Appellant, Richard Boone, is an over-the-road truck driver and a resident of Ohio. Appellee, Vanliner Insurance Company (“Vanliner“), issued a commercial vehicle liability insurance policy to Boone, individually, and a separate policy to Boone‘s employer. Each policy of insurance provided $1,000,000 liability coverage. Boone‘s employer‘s policy also provided $1,000,000 uninsured/underinsured motorist coverage and Boone‘s policy listed uninsured/underinsured motorist coverage in the amount of $50,000.
{¶ 2} On June 12, 1995, Boone was in Tampa, Florida, transporting goods for his employer when he was involved in a three-vehicle accident. Boone, driving a tractor-trailer, was travelling behind a dump truck driven by Robert Allison, when
{¶ 3} As a result of the accident, Boone suffered serious injuries, including bilateral fractures of both knees. Verona‘s insurer paid $100,000, the limit of Verona‘s liability coverage, toward Boone‘s damages. Boone, alleging that his damages exceeded $100,000, subsequently sought underinsured motorist benefits from Vanliner through his employer‘s policy of insurance. Vanliner denied Boone‘s claim, asserting that an exclusion provision in the policy precluded underinsured motorist coverage with regard to Boone‘s accident.
{¶ 4} On June 12, 1997, Boone brought a declaratory judgment action against Vanliner seeking a determination that his policy and his employer‘s policy of insurance with Vanliner each provided him with $1,000,000 in uninsured/underinsured motorist coverage. With regard to his individual policy, Boone alleged that he was entitled to $1,000,000 uninsured/underinsured coverage by operation of law because Vanliner had failed to obtain a written waiver of uninsured/underinsured coverage in an amount equal to his liability insurance as required by Ohio law. The complaint included a claim for bad faith,1 alleging that Vanliner lacked reasonable justification for denying underinsured motorist coverage. To support his bad faith claim, Boone sought access, through discovery, to Vanliner‘s claims file.
{¶ 5} In its answer to Boone‘s complaint, Vanliner denied that Boone was entitled to uninsured/underinsured motorist benefits under either policy. However, Vanliner subsequently changed its position and admitted that each policy of
{¶ 6} The trial court ordered Vanliner to submit its claims file to the court for an in camera inspection to determine which documents, if any, were protected from discovery. The claims file consists of 1,741 documents numbered “0” through “1741.”3 The trial court found that one hundred seventy-five of the documents were protected from discovery and ordered Vanliner to release the unprotected documents to Boone.4 In determining which documents were protected, the trial court applied our ruling in Moskovitz v. Mt. Sinai Med. Ctr. (1994), 69 Ohio St.3d 638, 635 N.E.2d 331, wherein we held that certain attorney-client communications
{¶ 7} Upon appeal5 to the Tenth District Court of Appeals, Vanliner argued that the trial court erred in applying Moskovitz and that, as a result, the trial court incorrectly ordered Vanliner to disclose thirty documents that are protected by the attorney-client privilege and/or work-product doctrine. The court of appeals agreed with Vanliner‘s argument that Moskovitz was inapplicable. Consequently, the court found that of the thirty claims file documents challenged on appeal, Vanliner was required to disclose only one in its entirety. The court accepted Vanliner‘s argument that the remaining twenty-nine were privileged either in whole or in part. Accordingly, the court of appeals affirmed in part and reversed in part the order of the trial court and remanded the cause to the trial court.6
{¶ 8} This cause is now before this court pursuant to the allowance of a discretionary appeal.
{¶ 9} The issue before us is whether, in an action alleging bad faith denial of insurance coverage, the insured is entitled to obtain, through discovery, claims
{¶ 10} As already indicated, the trial court relied on our decision in Moskovitz to determine which claims file documents were protected from discovery. In Moskovitz, after receiving a substantial jury award for a medical malpractice claim, the plaintiffs sought prejudgment interest as authorized by
{¶ 11} Boone argues that claims file materials showing an insurer‘s lack of good faith in determining coverage are equally unworthy of protection. Thus, Boone argues that the trial court was correct in applying Moskovitz to the claims file documents in this case.
{¶ 12} Vanliner, on the other hand, asks us to affirm the court of appeals’ decision, which held that Moskovitz was not applicable in the present action. The court of appeals found the distinguishing factor between this case and Moskovitz to
{¶ 13} We find that the court of appeals, in this regard, misread our decision. Our ruling in Moskovitz did not turn on the status of the underlying claim, but rather upon our recognition that certain attorney-client communications and work-product materials were undeserving of protection, i.e., materials “showing the lack of a good faith effort to settle.” Moskovitz at 661, 635 N.E.2d at 349. Moreover, this “distinction” could easily be eliminated by staying the bad faith claim until the underlying claim has been determined.
{¶ 14} Vanliner argues that Moskovitz must be viewed in light of our subsequent holding in State v. McDermott (1995), 72 Ohio St.3d 570, 651 N.E.2d 985, so that even if our ruling in Moskovitz is applicable to attorney-client communications in the present case, McDermott requires that they be protected. We disagree.
{¶ 15} In McDermott, we held that
{¶ 16} Vanliner further contends that if insureds alleging bad faith are able to access certain attorney-client communications within the claims file, then insurers will be discouraged from seeking legal advice as to whether a certain claim is covered under a policy of insurance. This argument is not well taken because it assumes that insurers will violate their duty to conduct a thorough investigation by failing, when necessary, to seek legal counsel regarding whether an insured‘s claim
{¶ 17} Vanliner further argues that the release of the documents at issue in this case will undermine its ability to defend on the underlying underinsured motorist claim that remains pending. We find this argument unpersuasive. If this were a legitimate concern, we believe that Vanliner would have moved the trial court to stay the bad faith claim, severing it from the underlying underinsured motorist claim. Our review of the record in this case reveals that Vanliner took no such action.
{¶ 18} Like the trial court, we find that the rationale behind our holding in Moskovitz is applicable to actions alleging bad faith denial of coverage. That is, claims file materials that show an insurer‘s lack of good faith in denying coverage are unworthy of protection. It appears, however, that in determining which documents were protected in this case, the trial court applied the specific holding in Moskovitz, i.e., only those documents containing attorney-client communications and work product that go directly to the theory of defense of the underlying claim are protected. We find this holding inapplicable in the present case because, while the lack of a good faith effort to settle involves conduct that may continue throughout the entire claims process, a lack of good faith in determining coverage involves conduct that occurs when assessment of coverage is being considered. Therefore, the only attorney-client and work-product documents that would contain information related to the bad faith claim, and, thus, be unworthy of protection, would have been created prior to the denial of coverage.
{¶ 19} For the foregoing reasons, we hold that in an action alleging bad faith denial of insurance coverage, the insured is entitled to discover claims file materials containing attorney-client communications related to the issue of coverage that were created prior to the denial of coverage. At that stage of the claims handling, the claims file materials will not contain work product, i.e., things prepared in
{¶ 20} We now turn to the specific documents at issue herein. Out of the 1,741 documents contained in the claims file, the issue before us concerns only twenty-nine documents, namely documents numbered 581, 582, 597, 598, 600, 601, 676, 677, 885, 886, 887, 888, 889, 890, 892, 896, 899, 900, 902, 903, 904, 905, 906, 907, 1106, 1107, 1151, 1152, and 1153. Although the trial court ordered Vanliner to produce over fifteen hundred claims file documents, Vanliner‘s appeal sought to protect only thirty of these documents and was successful as to twenty-nine.
{¶ 21} The court of appeals found, and we agree, that the trial court‘s ruling was inconsistent with respect to eight claims file documents. Specifically, the trial court ordered Vanliner to produce documents numbered 597, 598, 600, and 601 without Vanliner‘s requested redactions but ordered Vanliner to produce documents numbered 858, 859, 861, and 862 with the requested redactions. This was inconsistent because the information ordered to be redacted from documents numbered 858, 859, 861, and 862 was identical to the information requested to be redacted from 597, 598, 600, and 601.
{¶ 22} We do not agree, however, with the court of appeals’ approach to resolving this inconsistency. The court found that “[d]ocuments 597, 598, 600 and 601 are simply duplicates of documents 858, 859, 861 and 862” and held that “[s]ince these documents are duplicates, the trial court erred in not ordering similar redactions of 597, 598, 600 and 601.”7 From this statement it would appear that
{¶ 23} Upon review of these documents in light of our foregoing holding, we find that two of them, namely, documents numbered 600 and 601, should be released without redactions to Boone. These documents were created prior to the denial of coverage and the information that Vanliner requested be redacted in these two documents, some of which reflects attorney-client communication, relates to the issue of insurance coverage. Therefore, documents numbered 600 and 601 should be produced without redactions (which makes the redactions ordered in documents numbered 858 and 859 moot).
{¶ 24} Documents numbered 597 and 598 contain the name of an attorney with the language “We can explore with atty Maddox” and “Check with atty Maddox.” These documents were communications, it would appear, between two of Vanliner‘s claims employees. Vanliner‘s attorney was, apparently, not involved in these communications on the issue in question. Therefore, we find that documents numbered 597 and 598 do not contain attorney-client communications. Consequently, the information contained in these documents is not protected by the attorney-client privilege and should be disclosed without redactions (which makes the redactions ordered in documents numbered 861 and 862 moot).
{¶ 25} As to the remaining documents at issue in this appeal, those documents contain attorney-client communications and/or work product that were created after coverage was denied. They are, therefore, protected from discovery.
Judgment affirmed in part, reversed in part and cause remanded.
RESNICK, F.E. SWEENEY and PFEIFER, JJ., concur.
MOYER, C.J., COOK and LUNDBERG STRATTON, JJ., dissent.
COOK, J., dissenting.
{¶ 27} The majority today adopts a wholesale exception to the attorney-client privilege in actions alleging bad-faith denial of insurance coverage. The majority concludes that “claims file materials that show an insurer‘s lack of good faith in denying coverage are unworthy of protection.” Because the majority‘s broad holding diminishes the attorney-client privilege without a reasoned basis for doing so, I dissent.
{¶ 28} The majority cites no authority for the proposition that attorney-client communications leading to a denial of insurance coverage are not protected from disclosure in a subsequent action alleging bad faith. Instead, the majority relies on Moskovitz v. Mt. Sinai Med. Ctr. (1994), 69 Ohio St.3d 638, 635 N.E.2d 331, which allowed discovery of otherwise privileged materials in an
{¶ 29} The majority extends the Moskovitz rationale to this case, deciding that claims file materials showing an insurer‘s lack of good faith in denying coverage are similarly unworthy of protection by the attorney-client privilege. But the “unworthy of protection” rationale espoused by the majority was unsupported in Moskovitz and is unsupported now.
{¶ 31} With its “unworthy of protection” rationale, the majority effectively equates an insurer‘s communications with its attorney prior to a denial of coverage, in any case alleging bad faith, with communications in furtherance of a civil fraud. But bad faith by an insurer is conceptually different from fraud. Bad-faith denial of insurance coverage means merely that the insurer lacked a “reasonable justification” for denying a claim. Zoppo v. Homestead Ins. Co. (1994), 71 Ohio St.3d 552, 644 N.E.2d 397, paragraph one of the syllabus. In contrast, an actionable claim of fraud requires proof of a false statement made with intent to mislead. See
{¶ 32} The majority‘s holding is also startling for its practical effect. After today‘s decision, an insured need only allege the insurer‘s bad faith in the complaint in order to discover communications between the insurer and the insurer‘s attorney. Not even an allegation of the crime-fraud exception‘s applicability carries such an absolute entitlement to discovery of attorney-client communications. In order to overcome the attorney-client privilege based on the crime-fraud exception, a party must demonstrate “a factual basis for a showing of probable cause to believe that a crime or fraud has been committed and that the communications were in furtherance of the crime or fraud.” Nix, 83 Ohio St.3d at 384, 700 N.E.2d at 16. The rule created today requires no similar prima facie showing of bad faith before an insured is entitled to discover attorney-client communications of the insurer. The result of the majority‘s decision is a categorical exception to the attorney-client privilege applicable in any case alleging a bad-faith denial of insurance coverage. This is a sweeping exception that a number of courts have refused to adopt.8 The
{¶ 33} Deeming the insurer‘s communications unworthy of the attorney-client privilege is also inconsistent with the very purpose of the privilege. As noted previously, the privilege is designed to encourage open discussion between attorney and client, so as to promote the observance of the law and allow an attorney to adequately advise the client. With today‘s decision, the majority declares that an insurer‘s consultation with an attorney prior to a denial of coverage does not fall within this purpose. The rule laid down today assumes that an insurer will always have some sinister intent to act in bad faith when it discusses a coverage decision with its attorney. But the majority overlooks the fact that an insurance company may consult with legal counsel to obtain legal advice about a coverage decision. “[A]n insurance company‘s retention of legal counsel to interpret the policy, investigate the details surrounding the damage, and to determine whether the insurance company is bound for all or some of the damage, is a ‘classic example of a client seeking legal advice from an attorney.’ ” Hartford Fin. Serv. Group, Inc. v. Lake Cty. Park & Recreation Bd. (Ind.App.1999), 717 N.E.2d 1232, 1236, quoting Aetna Cas. & Sur. Co. v. San Francisco Superior Court (1984), 153 Cal.App.3d 467, 476, 200 Cal.Rptr. 471, 476. These types of communications further the purpose of the attorney-client privilege and should be protected in the same manner as a communication by any other client seeking legal advice from an attorney.
“[A]n insurance company should be free to seek legal advice in cases where coverage is unclear without fearing that the communications necessary to obtain that advice will later become available to an insured who is dissatisfied with a decision to deny coverage. A contrary rule would have a chilling effect on an insurance company‘s decision to seek legal advice regarding close coverage questions, and would disserve the primary purpose of the attorney-client privilege—to facilitate the uninhibited flow of information between lawyer and client so as to lead to an accurate ascertainment and enforcement of rights.” Aetna, 153 Cal.App.3d at 474, 200 Cal.Rptr. at 475; see, also, State ex rel. United States Fid. & Guar. Co. v. Montana Second Judicial Dist. Court (1989), 240 Mont. 5, 13, 783 P.2d 911, 916.
The majority‘s decision here discounts these concerns based on its unsupported “unworthy of protection” rationale.
{¶ 35} For these reasons, I cannot join the majority‘s unsound decision to declare a whole species of communications undeserving of protection by the attorney-client privilege. I would treat bad-faith cases no differently from any other case and regard attorney-client communications as privileged when those communications satisfy all elements of the privilege. This would not mean, of course, that an insurer would never have to disclose the substance of attorney-client communications in bad-faith cases. An exception to the attorney-client privilege already exists, for example, when an attorney jointly represents both the insured and the insurer. When an attorney has represented the common interests of insurer and insured, one joint client (the insurer) cannot assert the privilege in litigation
{¶ 36} I would affirm the judgment of the court of appeals and accordingly dissent.
MOYER, C.J., and LUNDBERG STRATTON, J., concur in the foregoing dissenting opinion.
Blue, Wilson & Blue and Richard H.H. Troxell, for appellant.
Frost & Maddox Co., L.P.A., and Mark S. Maddox, for appellee.
Robert P. Rutter, urging reversal for amicus curiae, the Ohio Academy of Trial Lawyers.
Notes
Work product consists of “documents and tangible things prepared in anticipation of litigation or for trial by or for another party or by or for that other party‘s representative” and may be discovered only upon a showing of good cause.
Vanliner also argued that certain claims file documents were not discoverable because they were not relevant to the bad faith claim. The trial court did not accept this argument and Vanliner did not appeal that aspect of the trial court‘s ruling.
We also note that there is no document numbered 929 in the claims file. According to Vanliner, this is due to a numbering error.
This entry of the trial court is misleading because the order says that it modifies the trial court‘s order of November 10, 1998, so that only five documents from the insurer‘s claims file must be produced. However, the trial court‘s November 10, 1998 entry ordered Vanliner to produce over fifteen hundred claims file documents. Vanliner appealed, and the court of appeals addressed, the trial court‘s November 10, 1998 order only with respect to thirty documents. Thus, the entry upon remand should have reflected that it modified the November 10, 1998 entry only as to those documents at issue in the appeal.
