Opinion

Home Repair, LLC v. Church Mutual Insurance Company

Court
District Court, M.D. Pennsylvania
Filed
Jul 19, 2022
Cited by
0 cases
Authority
More cited than 29.1%

The opinion

UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF PENNSYLVANIA

HOME REPAIR, LLC as assignee of

Living Hope Bible Church,

CIVIL ACTION NO. 3:21-cv-00419

Plaintiff,

(SAPORITO, M.J.)

v.

CHURCH MUTUAL INSURANCE

COMPANY,

Defendant.

MEMORANDUM

This matter is before the court on the plaintiff’s motion to compel

the production of documents. (Doc. 20).

I. Statement of Facts

This matter was initiated by the plaintiff in the Court of

Common Pleas of Luzerne County, Pennsylvania, by the filing of a

complaint on February 9, 2021. Thereafter, on March 8, 2021, the

defendant timely removed this matter to this court.

Living Hope Bible Church, a religious institution and owner of

real property in Plains, Luzerne County, Pennsylvania, sustained a loss

due to a hailstorm on April 15, 2019. At the time of the loss, the Living

Hope Bible Church’s insurance policy with the defendant, Church Mutual

Insurance Company was in full force and effect. Living Hope Bible

Church made a claim to Church Mutual under the policy for losses and

damages because of this storm. On January 14, 2020, Living Hope Bible

Church assigned any and all of its rights, benefits, proceeds, and causes

of action for the subject claim to the plaintiff, Home Repair, LLC.

After a demand for appraisal was made, Church Mutual agreed

to the appraisal process only regarding damage to the roof of the premises

from the subject hailstorm. An appraisal award was subsequently

entered with regard to the damage to the roof of the premises. The

plaintiff contends that the siding of the premises was also damaged as a

result of the storm, which was not included in the appraisal because

Church Mutual denied coverage for the siding of the premises. The

plaintiff maintains that the failure and/or refusal to pay all insurance

proceeds under the policy because of the hailstorm constitutes a breach

of the subject insurance policy.

The plaintiff served a request for production of documents upon

Church Mutual. In response, Church Mutual produced its claim file

which contained redactions of information within the status reports

forwarded to it by Syndicate Claim Services, Inc., the independent

adjuster that it had retained to evaluate and adjust the subject claim.

Included among those documents was a Status Report for File No. 200173

dated March 10, 2020, from Jay Kittrick of Syndicate (the “Status

Report”) addressed to Church Mutual. Therein, Mr. Kittrick discussed

his inspection findings regarding the hail damage to the siding of the

premises and suggested a reserve.

In Mr. Kittrick’s Status Report, Church Mutual redacted a portion

of Mr. Kittrick’s findings and the specific amount of his suggested

reserve. On July 8, 2022, the court ordered Church Mutual to provide it

with an unredacted version of the Status Report for an in-camera review.

The defendant timely submitted the unredacted copy of the report. While

Church Mutual contends that the report was prepared in anticipation of

litigation, it does not specifically address this crucial element in its

submissions. (See Doc. 22). Likewise, the plaintiff does not address this

element either. (See Doc. 20). Nevertheless, the motion is ripe for

disposition.1

1 The plaintiff has not filed a brief in support of its motion to compel.

See Local Rule 7.5, requiring briefs in support of a motion to be filed

within fourteen (14) days after filing the motion, otherwise the motion

II. Legal Standards

“Unlike the attorney-client privilege, the work product privilege is

governed, even in diversity cases, by a uniform federal standard

embodied in the federal rules.” U.S. Fid. & Guar. Co. v. Barron Indus.,

Inc., 809 F. Supp. 355, 364 n.10 (M.D. Pa. 1992) (citing United Coal Cos.,

839 F.2d at 966). “The work product doctrine is governed by a uniform

federal standard set forth in Fed. R. Civ. P. 26(b)(3) and ‘shelters the

mental processes of the attorney, providing a privileged area within

which he can analyze and prepare his client’s case.’” In re Cendant Corp.

Sec. Litig., 343 F.3d 658, 661–62 (3d Cir. 2003).

The purpose of the work-product doctrine differs from

that of the attorney-client privilege. . . . [T]he attorney-

client privilege promotes the attorney-client relationship,

and, indirectly, the functioning of our legal system, by

protecting the confidentiality of communications between

clients and their attorneys. In contrast, the work-product

doctrine promotes the adversary system directly by

protecting the confidentiality of papers prepared by or on

behalf of attorneys in anticipation of litigation. Protecting

attorneys’ work product promotes the adversary system

by enabling attorneys to prepare cases without fear that

their work product will be used against their clients.

shall be deemed withdrawn. In the exercise of our discretion, and as the

motion contains a recitation of the facts and law, we will consider the

brief filed contemporaneously with the motion.

Westinghouse, 951 F.2d at 1427–28. Moreover,

the doctrine is an intensely practical one, grounded in the

realities of litigation in our adversary system. One of

those realities is that attorneys often must rely on the

assistance of investigators and other agents in the

compilation of materials in preparation for trial. It is

therefore necessary that the doctrine protect material

prepared by agents for the attorney as well as those

prepared by the attorney himself.

United States v. Nobles, 422 U.S. 225, 238–39 (1975) (footnote omitted).

Thus, under Rule 26(b)(3), the work-product doctrine shields from

discovery “documents and tangible things that are prepared in

anticipation of litigation or for trial by or for another party or its

representative (including the other party’s attorney, consultant, surety,

indemnitor, insurer, or agent).” Fed. R. Civ. P. 26(b)(3)(A). “In

distinguishing between proceedings which qualify as litigation and those

that do not, the adversarial nature of the proceeding is characteristic of

litigation.” In re Rail Freight Fuel Surcharge Antitrust Litig., 268 F.R.D.

114, 117 (D.D.C. 2010). Although a common hallmark of litigation is

whether “the parties have the right to cross-examine witnesses or to

subject an opposing party’s presentation of proof to equivalent

disputation,” see United States v. Am. Tel. & Tel. Co., 86 F.R.D. 603, 627

(D.D.C. 1980),

[t]he proper focus should be whether the proceeding

required the lawyer to function as lawyers usually do at a

trial so that the proceeding can be classified as “litigation.”

This properly segregates the transactional work of lawyers

who draft contracts or provide legal advice from lawyers

who have to represent clients before tribunals that have

the power to adjudicate their clients’ rights, whatever the

nature of the proceeding. If the tribunal has the power to

adjudicate those rights and demands that the party before

it either make a certain showing or disprove a particular

allegation, the process is adversarial by its very nature

and surely qualifies as litigation.

Rail Freight Fuel Surcharge, 268 F.R.D. at 118; see also Restatement (3d)

Lawyers § 87 cmt. H (“In general, a proceeding is adversarial when

evidence or legal argument is presented by parties contending against

each other with respect to legally significant factual issues.”).

Rule 26(b)(3) establishes two categories of protection: fact work

product and opinion work product. “Fact work product is discoverable

only upon a showing [of] ‘substantial need’ and by demonstrating that

one cannot otherwise obtain the ‘substantial equivalent’ of such

materials without ‘undue hardship.’” In re Linerboard Antitrust Litig.,

237 F.R.D. 373, 381 (E.D. Pa. 2006) (quoting Fed. R. Civ. P. 26(b)(3)).

Opinion work product, “which consists of ‘mental impressions,

conclusions, opinions, or legal theories of an attorney,’ is afforded almost

absolute protection” and it “is discoverable ‘only upon a showing of rare

and exceptional circumstances.’” Linerboard, 237 F.R.D. at 381 (quoting

Cendant, 343 F.3d at 663).

Waiver of the work-product doctrine also works differently than

waiver of the attorney-client privilege. Unlike the attorney-client

privilege, where disclosure to a third party waives the privilege unless

the disclosure is necessary to further the legal representation, “the work-

product doctrine serves instead to protect an attorney’s work product

from falling into the hands of an adversary,” and thus “disclosure must

enable an adversary to gain access to the information” for it to constitute

waiver of work-product protection. Westinghouse, 951 F.2d at 1428; see

also Miller, 104 F.R.D. at 445–46.

Finally, we note that,

[o]rdinarily, the work-product doctrine should only be

applied after it is decided that attorney-client privilege

does not apply. This is because the work-product doctrine

applies only to “documents and tangible things otherwise

discoverable.” If the attorney-client privilege applies to a

particular item, it is absolutely undiscoverable, and the

work-product rule does not apply.

Robinson v. Texas Automobile Dealers Ass’n, 214 F.R.D. 432, 442 (E.D.

Tex. 2003) (citations omitted) (quoting Fed. R. Civ. P. 26(b)(3)), vacated

in part on other grounds by 2013 WL 21911333 (5th Cir. July 25, 2003)

(mem.).

III. Discussion

Here, we note that the complaint was originally filed in the Court

of Common Pleas of Luzerne County, Pennsylvania, on February 9, 2021,

before being removed to this court on March 8, 2021. In the complaint,

the plaintiff alleged that the subject hailstorm occurred on April 15, 2019.

(Doc. 1-2 ¶9). The assignor, Living Hope Bible Church, made a timely

claim to Church Mutual under the insurance policy. (Id. ¶10). Church

Mutual assigned a claim number and sent an adjuster to evaluate the

loss. (Id. ¶11). According to Mr. Kittrick’s Status Report, on March 6,

2020, he was scheduled to meet with Hancock Claims Consultants which

was providing a ladder assist to the roof, and the plaintiff’s

representative, Chris Ford. Because the ladder was not long enough to

reach the roof, another inspection was scheduled for March 19, 2020.

While Mr. Kittrick was on the premises on March 6, 2020, he performed

a limited inspection of the exterior of the aluminum siding and recorded

his observations. Those observations are among the redactions made by

Church Mutual. A demand for an appraisal was not made until

September 23, 2020, six months after the start of the inspection. It seems

a bit of a stretch for the court to find that on March 6, 2020—the start of

the inspection—litigation was anticipated.

a. Mental impressions.

Church Mutual redacted portions of the Status Report which

include Mr. Kittrick’s observations of the exterior of the siding on March

6, 2020. Mental impressions and opinions of a party and its agents are

not generally protected by the work product doctrine unless they are

prepared in anticipation of litigation. See Safeguard Lighting Sys., Inc.

v. N. Am. Specialty Ins. Co., Civ. No. 03-cv-4145, 2004 WL 3037947, *2

(E.D.Pa. Dec. 30, 2004) (citing United States v. Nobles, 422 U.S. 225, 238

(1975)). To that end, “work product prepared in the ordinary course of

business is not immune from discovery.” Id. (citing Holmes v. Pension

Plan of Bethlehem Steel Corp., 213 F.3d 124, 138 (3d Cir. 2000)). Thus,

as stated by this court in Keefer v. Erie Insurance Exchange, Civ. No. 13-

cv-1938, 2014 WL 901123 at *4 (M.D. Pa. Mar. 7, 2014), the gravamen of

a claim of work product protection necessarily requires an assessment of

when litigation was anticipated, which is a determination not subject to

a bright-line rule. Our court has long adopted a case-by-case approach.

Basinger v. Glacier Carriers, Inc., 107 F.R.D. 771, 774 (M.D. Pa. 1985).

As recognized by the Third Circuit, “[p]rudent parties anticipate

litigation and begin preparation prior to the time suit is formally

commenced.” Martin v. Bally’s Park Place Hotel & Casino, 983 F.2d 1252,

1260 (3d Cir. 1993) (citing In re Grand Jury Proceedings, 604 F.2d 798,

803 (3d Cir. 1979)). Thus, whether litigation was reasonably anticipated

is a fact-dependent inquiry.

Although the court lacks the necessary evidence to determine

precisely when the defendant’s claims representatives reasonably

anticipated litigation, the court has reviewed the entire unredacted

version of the Status Report with this standard in mind and concludes

that certain portions of the claims record were prepared in anticipation

of litigation and should be protected. Nonetheless, the court finds that

Mr. Kittrick’s observations of the exterior of the aluminum siding and

subsequent reporting thereon were not prepared in anticipation of

litigation. Thus, the portion of the Status Report on page 2 relating to

Mr. Kittrick’s observations of the exterior of the aluminum siding were

inappropriately redacted. We will order that Church Mutual produce an

unredacted portion of that paragraph, except as set forth below. Our

inquiry, however, does not end there.

b. Insurance reserve information.

Church Mutual contends that the insurance reserve information

made by Mr. Kittrick is protected from disclosure because it represents

protected reserve information.

An insurance reserve is money set aside “to satisfy obligations that

may arise under a claim.” Peco Energy Co. v. Ins. Co. of N. America, 852

A.2d 1230, 1232 n.3 (Pa. Super. Ct. 2004), and Pennsylvania requires

insurance companies to set reserves aside when they are placed on notice

of possible losses arising under their policies. Keefer 2014 WL 901123 at

3. This Court has observed that courts in this circuit are split on the

question of whether reserves are discoverable in bad faith cases. See

Barnard v. Liberty Mut. Ins. Corp., No. 3:18-CV-01218, 2019 WL 461510,

at *5 (M.D. Pa. Feb. 6, 2019) (citing Consugar v. Nationwide Ins. Co., No.

3:10-CV-2084, 2011 WL 2360208, at *5 (M.D. Pa. June 9, 2011). Barnard

points out that the “[p]revailing view indicates that reserves may be

discoverable in a bad faith action when the claim relates to an insurer’s

failure to settle or where there is a discrepancy regarding the value of the

claim.” Id. But, “[w]hen the bad faith claim is based on a denial of

coverage and ‘does not involve the value of the claim or [the plaintiff’s]

estimation of liability … the reserve information requested is neither

relevant nor reasonably calculated to lead to the discovery of admissible

evidence.’” Id. at *6.

Here, there is no bad faith claim. The plaintiff has only alleged a

breach of contract. In its answer, Church Mutual has denied that it

breached the contract. (Doc. 3 ¶26). Also, Church Mutual asserts that it

issued payment for all covered damage pursuant to the appraisal award

and denied the portion of the loss that is not covered under the policy.

(Id. ¶¶ 26-27). The issue in this case is Church Mutual’s denial of

coverage under the policy rather than the value of the plaintiff’s claim.

Under this circumstance, discovery of the insurer’s reserve information

is irrelevant. Accordingly, Church Mutual will not be required to produce

an unredacted version of the Status Report that relates to insurance

reserve information.

An appropriate order follows.

s/Joseph F. Saporito, Jr.

JOSEPH F. SAPORITO, JR.

United States Magistrate Judge

Dated: July 19, 2022

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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