I. Introduction
Insurance
bad faith
cases are
usually hard
fought and
can be
bitter.
Generally
speaking,
when we take
on a carrier
for acting
contrary to
its insured's
interests
and allege
those
actions are
malicious
justifying
punitive
damages, the
folks on the
defense side
tend to take
it
personally.
So, the
first rule
of discovery
in the bad
faith case
is, assume
you are in
for a tough
fight.
Which, in
turn, leads
to the
second and
third rules:
know your
adversary
and be
prepared.
The bad news
that the
general
practitioner
faces in
prosecuting
a bad faith
case is that
the defense
team will
usually be
much better
schooled in
the fine
points of
insurance
than an
attorney who
does not
work with
insurance
matters on a
daily basis.
The good
news that
the general
practitioner
can take
heart from
is
B
the purpose
of bad faith
law is to
act as an
equalizer
between the
powerful
carriers who
adjust
claims for a
living and
the ordinary
insured who
probably
never wanted
to have a
claim and,
with luck,
will never
have
another.
Insurance
regulations
require that
insurance
companies
keep a
record of
all material
claims
decisions.
So, where
there is
wrongdoing,
there is
almost
always a
record of
the bad acts
waiting to
be
uncovered.
The key
discovery
strategy in
defending
bad faith
cases is to
deny the
plaintiff
information.
However, if
you know
where and
how to dig,
it's
not that
difficult to
get the
evidence you
need to put
on your
successful
case.
II. Know
your
adversary.
People spend
their lives
learning
about the
insurance
business,
which itself
represents a
huge,
multifaceted,
globally
diverse
industry
devoted to
making money
by spreading
risk.
Generally,
you do not
have a
lifetime to
learn each
and every
nuance of
the
insurance
world.
So, don't
try.
But do make
sure you
know
everything
you can
about the
facts and
circumstances
of the
insurance
business as
it applies
to your
case.
Understand
that the
defendant or
defendants
in your
prospective
case may not
be obvious
from the
face of the
insurance
materials
your clients
hand you.
For example,
it is not
unusual to
have a
client
provide
letters on
letterhead
from the
"Farmers
Insurance
Group of
Companies."
Some
practitioners
will put
this name in
their
complaint.
Only, there
is no such
creature
that can be
sued.
"Farmers
Insurance
Group of
Companies"
is simply
the trade
name for a
collective
of entities
organized as
inter-insurance
exchanges.
Usually, the
proper
defendants
in a Farmers
claims case
are Farmers
Group, Inc.
(the
management
company),
Farmers
Insurance
Exchange
(the claims
handling
entity) and
the insuring
exchange (ie.,
Fire
Insurance
Exchange,
Truck
Insurance
Exchange,
etc.).
See, Tran v.
Farmers
Group, Inc.
(2002) 104
Cal.App.4th
1202 (rev.
den. Mar.
26, 2003).
So, when
laying out
your case,
always make
sure you
closely
review the
original
insurance
policy and
declarations
pages prior
to
determining
who to name
in your
complaint.
When in
doubt,
consult with
experienced
practitioners
about who
the proper
parties are
and why.
Getting the
defendants
right at the
beginning
can save
tremendous
amounts of
time during
the case.
Also, make
sure you
understand
who has
standing to
sue under
the
insurance
policy.
A business
owner may
not be able
to sue for
bad faith if
the named
insured is a
corporation
or limited
liability
company.
On the other
hand, the
owner may
have
standing as
an
additional
insured.
The question
is important
where there
is a
potential
for
emotional
distress and
other
general
damage to
the owner.
Again, look
to the
policy and
declarations
pages for
the answer.
III. Getting
to the Heart
of Your Case
in 60 days
or less.
Once you
have the
parties
clear in
your mind
and have
filed suit,
you can
prepare your
initial
round of
discovery
for service
once the
defendants
answer or,
as is more
typical,
demur.
I seldom use
interrogatories
during my
initial bad
faith
discovery.
I find it is
much more
productive
to
immediately
demand the
claim file(s)
and, if
warranted,
the
underwriting
file(s),
since these
are the
basic
documents
necessary
for
preparing
any bad
faith case
for trial.
Because these
files are key
evidence in the
case, and in
order to
discourage
potential
mischief in
discovery, I ask
for the
documents in
multiple
requests,
simultaneously,
using a formal
request for
production of
documents, along
with a custodian
of records
deposition
notice and
notice of
deposition of
the person most
qualified.
By utilizing
this process, I
find I am able
to exert maximum
pressure on the
defense to
produce the
entire record
all at once.
This process
also insures
that I will be
able to either
establish
foundation for
the insurance
files either by
direct testimony
or stipulation,
so that they are
admissible later
in the case.
Do not assume
that a claim
file or any
other document
will be admitted
at trial under
the business
records
exception to the
hearsay rule.
Nail down the
foundation as
you go, it will
save much grief
later on.
It is also
important to
make sure that
the original
files are
available during
any depositions.
Copies of files
don't
do the originals
justice
B
often
information
about file
handling can be
gleaned from
handwriting on
the file folders
themselves or
how the files
are organized.
It is much
easier for
insurance
adjusters and
other key
witnesses to
evade answering
key questions if
the original
files are not in
front of them.
Copies of file
materials are
okay as part of
a document
production and,
in fact, are
easier to handle
as you organize
your case.
But make sure
you request to
see the
originals and
insist they be
produced.
Person most
qualified
depositions
under Code of
Civil Procedure
section 2025.220
are the fastest
way to gain
general
information
about the basic
handling of the
claim or other
insurance matter
that lies at the
heart of your
case. I
typically notice
the person most
qualified to
testify
regarding the
identities of
each and every
individual who
performed work
or made a
decision in the
matter.
Generally, the
witness will be
the primary
claims adjuster,
which is fine.
However, the PMQ
deposition helps
avoid wasting
time meeting and
conferring over
boilerplate
objections and
incomplete
responses
typical when
interrogatories
are served.
Also, try to
determine
whether or not
the defense will
be allowing on
advice of
counsel as a
defense by
serving a simple
Request for
Admission that
is on point.
Carriers
generally do not
like using the
defense since it
opens up areas
that would
otherwise be
privileged.
But don't
assume it won't
be used.
Ask up front.
I have number of
sample
deposition
notices,
discovery
requests and
requests for
admissions that
are regularly
requested from
me.
If you’re
interested,
click here for
the set.
Please note, the
forms I provide
use the old Code
of Civil
Procedure
sections, so you should
update them
before using
them in your
case.
IV. Focusing
Depositions.
Once I know who
was involved
with the claim
or other
insurance matter
I am concerned
with, I
typically depose
everyone who
touched the file
in any way.
Even if the
deposition lasts
only fifteen
minutes, absent
a stipulation,
getting the
testimony is the
only way to
insure that all
the potential
holes in your
cases are
filled.
I prefer to
videotape all
key depositions,
particularly the
adjusters and
claims
personnel.
The best
insurance bad
faith cases are
generally
morality plays
where the
attitude and
demeanor of the
witnesses are
just as
important as
their precise
testimony.
A picture, as
the saying goes,
is often worth a
thousand words.
When deposing
insurance
professionals, I
almost always
begin by getting
them to agree
with me as to
basic principles
such as an
insurance
carrier must
give its
insured's
interests equal
weight with its
own," an
insurer is
obligated to
conduct a
thorough, fair
and objective
investigation
into the facts
of a claim,"
etc. Once
I establish the
common framework
of duty, I use
those basic
principles to
tie down the
witness while
going through
the claim.
Lists of duties
and obligations
can be gleaned
from the case
law, jury
instructions and
your experts.
Make one up that
works for your
case and use it
from day one.
In deposing
witnesses,
utilize the
insurance files
you obtained at
the beginning of
the case as both
a guide to
questioning and
evidentiary
support for your
case.
Adjusters will
have diary
notes, these
should be
analyzed and
authenticated by
the witness.
If it is unclear
just what notes
or materials
were created by
the witness,
don't be afraid
to ask.
Unraveling how a
claim was
handled is often
like piecing
together an
intricate
puzzle. Be
thorough with
each witness and
you will not
need to fear
missing pieces
when your
discovery is
concluded.
Also, just as in
any case, don't
be afraid to
lead adverse
witnesses as
allowed by
Evidence Code
section 776.
Leading
questions are
the best way to
focus an adverse
witness,
especially one
that might be
inclined to
waste your time
with irrelevant
insurance
technicalities
and side issues.
V. Conclusion.
There's no magic
to conducting
bad faith
discovery.
Just
preparation,
study and hard
work.
While the basics
outlined in this
article should
help you get
going, don't
forget that
there is a
strong community
of insurance bad
faith
practitioners
available who
can help answer
particular
questions or
give guidance on
technical
issues.
In my mind,
there is no
nobler endeavor
than fighting
for deserving
individuals who
have been
legitimately
wronged by
powerful
institutions.
Hopefully, you
are of the same
mind. So,
go get 'em!
September 2006
CAALA Las Vegas
Convention
Syllabus
LEARNING
CENTER
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