Oregon Supreme Court Accepts Review of Two Important Insurance Disputes

The Oregon Supreme Court recently accepted for review two cases with potentially lasting implications for insurance coverage disputes in the state.

The first case is a mandamus ruling - the court decided to accept for review a trial court's ruling in Liberty Surplus Insurance v. Seabold Construction on a hot evidence issue important to bad-faith coverage litigation.  In Seabold the company and its liability insurer are locked in a dispute over Liberty's handling of Seabold's defense in a construction-defect matter; Seabold contends that Liberty acted in bad faith in connection with settlement of the dispute.  During the critical time period -- while settlement negotiations were going on in the underlying case -- Liberty was acting through coverage counsel, which is commonplace in such situations.  Once the coverage litigation got underway, however, Seabold demanded to see the communications with and work done by the insurer's "coverage counsel" on the theory that at least part of the time the attorney was acting as a claims adjuster.  Under the reasoning of Cedell v. Farmers, a Washington case (and its progeny, discussed in this blog post from 2013), Seabold argued -- successfully -- that there was no absolute attorney-client privilege when "coverage counsel" is performing some of the business functions of a liability carrier.  The trial court ordered Liberty Mutual to produce counsel's communications (initially directly to Seabold, amended to production for review by the court), and Liberty Mutual sought a writ of mandamus -- essentially, appellate review in the middle of a case -- to block enforcement of the trial court's order.

The issue that the court has identified for resolution is whether attorney-client privilege applies despite counsel's involvement in "investigating and adjusting" the claim.  This is the issue that Cedell and other courts outside of Oregon have decided in favor of policyholders, and one would think that this court would go the same way.  However, in the Crimson Trace discovery dispute (which did not involve insurance) the court proved itself very protective of the attorney-client privilege in an institutional context, so "all bets are off," as they say.

The second case accepted for review (back on March 31) is the 2014 Fountaincourt Homeowners Ass'n v. Fountaincourt Development decision from the Court of Appeals.  In that decision the Court of Appeals confirmed that a claimant who obtains a judgment against an insured after trial may pursue that insured's insurance assets in a garnishment proceeding as a judgment creditor, and that during resolution of the garnishment the insurer has the burden of proving that the judgment was not covered where there is prima facie evidence that at least some of the jury's award was for covered damages.  That decision was very beneficial for claimants concerned about being able to collect on a judgment.

The Supreme Court's statement of the issues on review is rather breathtaking, and will ensure that the case is closely watched.  Rather than try to summarize, set out below are the issues on review from the court's statement:

(1) If a general verdict is returned against an insured entity in a mixed coverage case (i.e., one involving some damage that is payable by an insurer and some damage that is not), and the insurer defended under a reservation of rights, can the insured establish coverage for the awarded damages based on the general verdict? (2) Does defective work by an insured contractor constitute "property damage" if that term is defined as "[p]hysical injury to tangible property"? (3) Can an insured establish a prima facie case for insurance coverage with evidence showing only the possibility that a judgment is for damages within the insuring agreement of a liability policy? (4) If a liability insurer's policy is garnished by a judgment creditor and a disputed question of fact must be resolved to determine if the insurer is obligated to pay the judgment, is the insurer entitled to a jury trial in the garnishment proceeding?

What is surprising here is the Court's indication that it will take up some questions that many had thought were largely settled and were not the most controversial of the Court of Appeals' decisions.  One can hope that the Court's indication that it will review those questions is only intended to settle any doubt.  However because so much is at stake if the Court has decided to revisit those issues, this case promises to attract a lot of attention and amicus participants, and its resolution could shape (or re-shape) Oregon coverage law for a long time.

Washington Federal Court Orders Broad Discovery of AIG Defense Rates

A significant win for policyholders in a discovery dispute over internal carrier records.  AIG and Coinstar/Redbox have been locked in coverage litigation in the Western District of Washington for some time over AIG's obligation to defend Redbox in several class actions alleging that Redbox has violated privacy laws in its handling of consumer information.  Redbox lost a critical motion in February, when the court granted AIG summary judgment on the duty to defend some of those claims because of a broadly-worded statutory violation exclusion.

But another aspect of the dispute is the rates that AIG has been paying Redbox's defense counsel.  It appears that Redbox chose counsel that it thought would do the best job, but that AIG has refused to pay those lawyers' full rate, instead only agreeing to pay "panel" rates.  Redbox, apparently, is paying its lawyers the difference between what AIG will reimburse and the full rate, and that differential is now over $2 million.  These kinds of disputes are, unfortunately, quite common in high-stakes litigation where companies want to choose highly-qualified counsel for themselves.

In an effort to show that AIG acted in bad faith in setting its rates, Redbox demanded information on the rates that AIG has paid to defend insureds in other similar cases, and what rates AIG pays counsel in coverage cases where it has to defend itself.  AIG naturally refused (what else would you expect?) asserting that the information is not relevant, that it is proprietary, and that compiling the information would be unduly burdensome.  AIG also attempted to limit the disclosure to the rates that the specific AIG unit that provided insurance to Redbox (National Union) pays, rather than AIG as a whole.

The court rejected all of these arguments.  First, the court held that AIG had opened the door to discovery of rates paid by AIG and all of its subsidiaries by admitting that there is an AIG-wide committee that evaluates law-firm qualifications and sets panel rates.  Second, the court held that nothing in the policy permitted AIG to unilaterally or unreasonably set rates paid to defense counsel, invoking not only Washington law that circumscribes insurer control of defense counsel, but also the duty of good faith and fair dealing (the subject of a recent post on this blog).  Third, the court held that AIG had failed to put in competent evidence that disclosure of the rate information would assist its competitors, and that an existing protective order would be sufficient to shield the information from public disclosure.  Overall, the court showed little patience with the insurance companies' bob-and-weave approach to disclosing critical information.

This decision is an important strike in the ongoing campaign by policyholder advocates to pull back the curtain on insurance company internal business practices that disadvantage insureds and allow insurers to profit.

Court of Appeals: Insured Cannot Place Extra-contractual Conditions on Compliance with Policy

When an insurance policy requires the insured to provide information to the insurer, may the insured demand that the insurer enter into a confidentiality agreement, even when the request from the insurer is reasonable?  Heck no, says the Oregon Court of Appeals in a new decision, Safeco v. Masood.  According to the decision, the policyholder suffered a fire loss and them, to add insult to injury, had personal items stolen from the home while the fire was being investigated.  Masood tendered the loss to his first-party carrier.  The carrier demanded all kinds of information from Masood about the missing items.  Although Masood did not contest the information request itself, he sought to have the insurer sign a confidentiality agreement restricting its use of the information.  The carrier refused.

The insured contended that the terms of the policy requiring the insured to provide information did not preclude a separate confidentiality agreement, and that the carrier's duty of good faith and fair dealing (inherent in every contract, under Oregon law) required the insurer to enter into a confidentiality agreement where the insured had a good reason for it.

The Court of Appeals pointed out a few important facts: the policy stated that the insured "must" provide the information requested by the carrier; the insured did not contend that the scope of the insurer's request for information was unreasonably broad (although it certainly appeared to be); and the insurer was already by law and other legal principles not to disclose or misuse the insured's information.  The Court of Appeals held, therefore, that what the insured was demanding was not only entirely outside of the terms of the policy but also beyond  the carrier's duty of good faith and fair dealing.

The court appears to have taken some care to limit its holding to this set of facts, and it seems unlikely that this case will have much impact, if any, on the approach taken by Oregon courts in the majority of cases, because most cases in which the duty of good faith and fair dealing is invoked involve much closer questions of the insurer's duties.

Washington Federal Court Permits Deposition of Carrier's Former Coverage Attorney

On October 30, 2013 Judge Martinez of the Western District of Washington permitted the policyholder in a long-running bad faith case to take the deposition of the carrier's former coverage counsel, Joanne Henry, about the coverage analysis that she performed for the carrier leading to the carrier denying the tender of defense.  This decision relied heavily on the landmark 2011 Cedell decision from the Washington Supreme Court which, broadly speaking, abrogated in part the attorney-client privilege where the attorney was acting as an adjuster, taking on one of the "quasi-fiduciary" roles of a potentially defending insurer.  Judge Martinez held that because the policyholder had reason to believe that Ms. Henry did the entire coverage investigation herself, in addition to performing legal analysis of the policy, the policyholder could take her deposition, although the carrier could object if a question that genuinely intruded into the privilege was asked.

Benefits of Involving Counsel In Choosing Your Insurance Program

All companies routinely review their insurance coverage programs, usually through risk management talking to a trusted insurance broker.  Today I came across this excellent "Sound Advice" podcast from Tonya Newman, a colleague at Neal Gerber & Eisenberg in Chicago, about the reasons that companies should involve counsel in discussions at renewal time.  It is of course fairly self-serving to say so, but insurance coverage counsel can provide a perspective on what insurance to buy that brokers often cannot.  If coverage counsel have recently represented the company in coverage disputes they may be more intimately familiar with how standard-form exclusions intersect with the company's products or business practices.  And because insurance procurement decisions should involve a good deal of candid self-assessment, and review of prior claims, it may be worth while to consider doing that kind of assessment inside the attorney-client privilege rather than having the conversations strictly with an insurance broker who may be subject to subpoena in a later claim.  The presentation is very well done and I commend it to other policyholder counsel, brokers, and risk managers.

Washington and Now Idaho Limit Attorney-Client Privilege in Bad Faith Cases

My former colleagues at Bullivant Houser Bailey have done a nice job of summarizing two recent decisions, one from Washington and one from Idaho, limiting the application of the attorney-client privilege where outside coverage counsel participates in a fact investigation for coverage purposes.  Both decisions (Idaho's Stewart Title v. Credit Suisse in federal court, Washington's Cedell v. Farmers in state court) made it clear that an insurance company cannot seek to shield a coverage determination made in bad faith behind the privilege by using outside counsel, whether it's a first-party or a third-party coverage issue.  In both cases the insured sought discovery of counsel's work product to support a bad-faith claim.  It is hard enough to prove bad faith in either state; it's nice to see judges recognizing a common carrier tactic for what it is: an effort to make it nearly impossible.



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