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**FINAL**
TERRY EVANS, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION
and USAA CASUALTY INSURANCE COMPANY, Defendants
No. COA99-1162
(Filed 6 February 2001)
1. Appeal and Error--appealability--interlocutory discovery order--attorney-client
privilege--substantial right
Although interlocutory discovery orders are generally not appealable, defendants' appeal
from an order partially granting plaintiff's request for the production of documents affects a
substantial right and is immediately appealable because: (1) where a party asserts a statutory
privilege which directly relates to the matter to be disclosed under an interlocutory discovery
order and the assertion of such privilege is not otherwise frivolous or insubstantial, the
challenged order affects a substantial right; and (2) defendants' assertion of the common law
attorney-client privilege affects a substantial right which would be lost if not reviewed before the
entry of final judgment.
2. Appeal and Error--appealability--production of internal documents--no request for
trial court to bifurcate discovery
Although defendants contend the trial court erred in an action for breach of contract and
bad faith against an insurer by requiring defendants to produce internal documents relating to the
bad faith issue prior to a demonstration that the pertinent homeowners' policy provides coverage
for plaintiff, this issue is not properly before the Court of Appeals because there was no request
that the trial court bifurcate discovery or enter an order under the provisions of N.C.G.S. § 1A-1,
Rule 26(d) to sequence or time discovery so that discovery related to the bad faith issues would
follow the completion of discovery related to the coverage issues.
3. Evidence--work product privilege--burden on party asserting
A party asserting work product privilege bears the burden of showing: (1) that the
material consists of documents or tangible things; (2) which were prepared in anticipation of
litigation or for trial; and (3) by or for another party or its representatives which may include an
attorney, consultant, surety, indemnitor, insurer, or agent.
4. Discovery--claims diary entries--no abuse of discretion--no work product privilege
The trial court did not abuse its discretion by denying work product protection to a large
number of the claims diary entries prepared by the insurance company defendants detailing
actions taken by defendants during the course of plaintiff's insurance claim because documents
prepared before an insurance company denies a claim generally will not be afforded work
product protection since a reasonable possibility of litigation only arises after an insurance
company has made a decision with respect to the claim of its insured.
5. Evidence--attorney-client privilege--burden on party asserting
A party asserting the attorney-client privilege bears the burden of establishing that: (1) the
relation of attorney and client existed at the time the communication was made; (2) the
communication was made in confidence; (3) the communication relates to a matter about which
the attorney is being professionally consulted; (4) the communication was made in the course of
giving or seeking legal advice for a proper purpose, although litigation need not be contemplated;
and (5) the client has not waived the privilege.
6. Discovery--claims diary entries--no abuse of discretion--no attorney-client privilege
The trial court did not abuse its discretion by determining that a large number of the
claims diary entries prepared by the insurance company defendants detailing actions taken by
defendants during the course of plaintiff's insurance claim were not protected by the attorney-
client privilege and were discoverable, because: (1) an insurance company and its counsel may
not avail themselves of the protection afforded by the attorney-client privilege if the attorney was
not acting as a legal advisor when the communication was made; and (2) the trial court did
protect twenty-one diary entries that were either requests to counsel for advice and opinions, or
were counsel's reply to such requests.
7. Discovery--investigative report--no abuse of discretion--no work product privilege
The trial court did not abuse its discretion by compelling discovery of an investigative
report compiled by independent claim adjusters hired by the insurance company defendants even
though defendants sought to invoke the work product privilege, because: (1) defendants hired the
adjusters as part of its investigation into plaintiff's claim and considered the report in making a
decision about whether to deny the claim; and (2) it cannot be said as a matter of law that
defendants could reasonably anticipate litigation of a coverage question before the investigative
procedure was completed and before defendants denied plaintiff's claim.
8. Discovery--internal memoranda--no abuse of discretion--no attorney-client privilege
for all documents
The trial court did not abuse its discretion by compelling discovery of four out of a total
of thirteen of the insurance company defendants' internal memoranda even though defendants
contend they were protected by the attorney-client privilege, because: (1) the four discoverable
memoranda generated by defendants' in-house counsel were merely brief notations with regard to
action being or to be taken on the claim; and (2) the undiscoverable memoranda appear to have
been either generated by defendants' claims counsel or directed to counsel focusing on a legal
question.
9.Discovery--online procedures manual--no abuse of discretion
The trial court did not abuse its discretion by ordering the discovery of four portions of
insurance company defendants' online procedures manual containing information to assist in the
investigation and disposition of insurance claims, because it cannot be said as a matter of law
that the information sought is not reasonably calculated to lead to the discovery of admissible
evidence. N.C.G.S. § 1A-1, Rule 26(b)(1)
Appeal by both plaintiff and defendants from orders entered
16 June 1999 and 12 July 1999 by Judge William Z. Wood, Jr., in
Forsyth County Superior Court. Heard in the Court of Appeals 21
August 2000.
On 11 May 1996, Robert and Helen Evans were attending a yard
sale at the home of Terry and Kay Collins Evans, their son and
daughter-in-law. On that date, Kay Collins Evans was the named
insured in a homeowners' policy issued by defendant USAA Casualty
Insurance Company (USAA Casualty). While Robert and Helen Evans
were at plaintiff Terry Evan's home, Terry started the engine of a1978 Mustang automobile he was restoring in his garage. The
automobile lurched forward, striking Robert Evans and pinning Helen
Evans under the car. Plaintiff's brother-in-law, Lee Grubb, was
injured when he attempted to lift the automobile off Helen Evans.
On 12 May 1996, plaintiff reported the accident to defendant
USAA Casualty. The following day, a company manager at USAA
Casualty sent an "early alert" to the company's senior claims
counsel and to the litigation supervisor. The claim was assigned
to Bruce Nath, a senior claims examiner. On 14 May 1996, Nath
advised plaintiff that the homeowners' policy might not provide
coverage for the accident because of the "motor vehicle exclusion."
Several days later, defendant USAA Casualty advised plaintiff
that it was investigating his claim under a reservation of rights.
Defendant hired an independent adjuster to gather information about
the accident. After completing its investigation, defendant denied
coverage on 31 May 1996 for injuries arising from the 11 May 1996
accident and closed its file.
Following its denial of coverage, defendant received
correspondence from attorneys for plaintiff's parents and for
Grubb. On 17 September 1996, an attorney for Grubb forwarded a
settlement package to defendant. Defendant returned the package
and reiterated its denial of coverage. Because the claimants had
retained attorneys and were contesting the denial of coverage,
defendant officially reopened its file on 8 October 1996 "in
anticipation of further developments."
On 9 June 1998, Robert and Helen Evans filed suit against
Terry Evans. USAA Casualty declined to defend the lawsuit because
of its position that its homeowners' policy did not provide
coverage to Terry Evans. Likewise, Terry Evans did not defend thelawsuit, and his parents obtained a default judgment against him on
22 September 1998 in the total amount of $1,048,198.91, far
exceeding USAA Casualty's policy limits of $300,000.00. A notice
of the judgment was sent to defendant USAA Casualty on 22 October
1998. The following day, defendant USAA Casualty consulted outside
counsel.
On 18 November 1998, plaintiff filed this suit against both
USAA Casualty and United Services Automobile Association, alleging
breach of contract, bad faith, and unfair and deceptive trade
practices. Plaintiff alleged that defendant United States
Automobile Association (USAA) is either the parent company of USAA
Casualty -- which USAA allegedly directs and controls -- or acts
jointly with USAA Casualty in issuing insurance policies. In the
course of discovery, plaintiff sought to obtain a complete copy of
defendants' claims file relating to the incident in question,
including copies of reports generated as the result of defendants'
investigation, legal opinions obtained by defendants from both in-
house and private counsel, and the substance of discussions among
defendants' personnel (including their attorneys) who participated
in the decision to deny coverage to the plaintiff. Defendants
provided a detailed log identifying all documents in question, but
declined to produce many of the documents, alleging that some were
protected by the attorney-client privilege, while others were
generated in anticipation of litigation. Plaintiff moved to compel
discovery of the material defendants alleged to be privileged.
The trial court conducted an
in camera review of the documents
in question, ordered the production of some of them, but found that
others were "protected from disclosure by the attorney-clientprivilege and/or are matters prepared in anticipation of
litigation." Defendants filed a motion for relief from the trial
court's order, submitting an affidavit from the director of
insurance operations for defendants explaining the procedure for
making decisions about the denial of coverage. The trial court
then entered a second order partially reversing its earlier order,
finding that additional portions of the defendants' claims diary
were privileged and not subject to production. Both plaintiff and
defendants appealed.
Robinson & Lawing, L.L.P., by Robert J. Lawing and H. Brent
Helms, for plaintiff appellant-appellee.
Kilpatrick Stockton L.L.P., by James H. Kelly, Jr., and Susan
H. Boyles, for defendant appellants-appellees.
HORTON, Judge.
[1]Both plaintiff and defendants appeal from orders partially
granting requests for the production of documents. Such
interlocutory discovery orders are generally not appealable because
they usually do not affect a substantial right that would be lost
if the trial court's rulings are not reviewed before final
judgment. Mack v. Moore, 91 N.C. App. 478, 480, 372 S.E.2d 314,
316 (1988), disc. review denied, 323 N.C. 704, 377 S.E.2d 225
(1989). Plaintiff moves to dismiss defendants' appeal as
interlocutory, while defendants argue that, because the trial
court's orders require that they produce material protected by the
attorney-client privilege, their appeal involves a substantial
right. We agree with defendants' contention.
We note first that the trial court attempted to certify the
matter for appeal pursuant to Rule 54(b) of the Rules of CivilProcedure, finding that its rulings affected a substantial right of
defendants. The trial court's order was not, however, "final" in
nature, and the trial court may not make an interlocutory order
immediately appealable by a Rule 54(b) certification. Lamb v.
Wedgewood South Corp., 308 N.C. 419, 425, 302 S.E.2d 868, 871
(1983). After careful consideration, however, we find that the
trial court's order affects a substantial right of defendants under
the holding of our Supreme Court in Sharpe v. Worland, 351 N.C.
159, 522 S.E.2d 577 (1999).
In Sharpe, the trial court ordered the production of documents
concerning the participation of the defendant physician in a
Physician's Health Program. Defendants physician and hospital
appealed, contending that the records were protected by a statutory
privilege and therefore were not subject to disclosure. This Court
dismissed defendants' appeal, holding that it was interlocutory and
did not affect a substantial right of defendants. In reversing our
decision, our Supreme Court held that where "a party asserts a
statutory privilege which directly relates to the matter to be
disclosed under an interlocutory discovery order, and the assertion
of such privilege is not otherwise frivolous or insubstantial, the
challenged order affects a substantial right under [N.C. Gen. Stat.
§] 1-277(a) and 7A-27(d)(1)." Sharpe, 351 N.C. at 166, 522 S.E.2d
at 581. Here, defendants assert the common law attorney-client
privilege, and we believe that the reasoning of Sharpe applies. We
hold, therefore, that defendants' appeal affects a substantial
right which would be lost if not reviewed before the entry of final
judgment and deny plaintiff's motion to dismiss the appeal. In this case both plaintiff and defendants bring forward
numerous assignments of error, presenting two important questions
of first impression for our consideration: first, whether the
plaintiff in an action for breach of contract and "bad faith"
against an insurer is entitled to discover internal documents
relating to the bad faith issue prior to demonstrating that
defendants' policy provides coverage for plaintiff; second, whether
and to what extent either "work product" immunity or attorney-
client privilege protect an insurer's claim file (including
internal memoranda, correspondence, and legal opinions) from
discovery in a "bad faith" claim against the insurer.
I. Bifurcation of Discovery
[2]Defendants argue that the trial court erred in requiring
them to produce internal documents because there has not yet been
a determination that the homeowners' policy issued by defendants
provides coverage for plaintiff's claim.
We are aware that the appellate courts in several of our
sister states have held that a plaintiff is not entitled to
discover internal documents generated by an insurer until the
plaintiff proves that there is coverage under the policy.
See, for
example, Bartlett v. John Hancock Mut. L. Ins. Co., 538 A.2d 997,
1000-01 (R.I. 1988); and
Allstate Ins. Co. v. Swanson, 506 So. 2d
497, 498 (Fla. Dist. Ct. App. 1987). The Federal District Court of
Montana has also held that the coverage question must be resolved
in favor of the plaintiff before the defendant insurer may be
required to produce its claims file.
In re Bergeson, 112 F.R.D.
692, 697 (D. Mont. 1986). In a similar factual setting, however,
the Federal District Court for the Middle District of NorthCarolina denied the defendant's motion to bifurcate coverage and
bad faith claims for discovery purposes, holding that it is "better
to require that the discovery of the underlying contract claim and
the bad faith claim proceed at the same time . . . ."
Ring v.
Commercial Union Ins. Co., 159 F.R.D. 653, 658 (M.D.N.C. 1995).
Plaintiff argues that this question is not properly before us
on this appeal, because it was not raised in the trial court. Rule
10(b)(1) of our Rules of Appellate Procedure provides in pertinent
part that "[i]n order to preserve a question for appellate review,
a party must have presented the trial court with a timely request,
objection or motion, stating the specific grounds for the ruling
sought if the specific grounds are not apparent."
State v. Eason,
328 N.C. 409, 420, 402 S.E.2d 809, 814 (1991). In
Eason, defendant
contended that the trial court erred in denying his motion to
suppress evidence seized pursuant to a search warrant because the
officer serving the warrant allegedly failed to comply with the
provisions of N.C. Gen. Stat. § 15A-252. In declining to consider
defendant's argument, our Supreme Court stated that "[n]othing in
the record before us indicates that the trial court had anything
before it referring to the officer's alleged violation of the
statute when it denied the defendant's motion. This Court will not
consider arguments based upon matters not presented to or
adjudicated by the trial tribunal."
Eason, 328 N.C. at 420, 402
S.E.2d at 814.
Here, there was no request that the trial court bifurcate
discovery or enter an order pursuant to the provisions of Rule
26(d) to sequence or time discovery so that discovery related to
the bad faith issues would follow the completion of discoveryrelated to the coverage issues. Thus, we must agree with plaintiff
that this important issue is not properly before us at this time.
As it seems likely, however, that this question will continue
to arise in the trial courts, we point out that our Rules of Civil
Procedure permit the parties to use discovery methods in any
sequence,
unless the trial court "upon motion, for the convenience
of parties and witnesses and in the interests of justice, orders
otherwise . . . ." N.C. Gen. Stat. § 1A-1, Rule 26(d)(1999).
Thus, it appears that a party may move that the trial court in its
discretion schedule discovery so that discovery related to a
coverage question precedes discovery related to a bad faith claim.
Before making its decision on a motion to bifurcate the issues or
to sequence discovery, the trial court should consider, among other
things, the factual context in which the question arises, as well
as the existence and nature of the coverage dispute. Further,
since the determination of the existence of coverage under an
insurance policy is a question of law for decision by the trial
court, the trial court may choose to expedite a hearing to
determine the coverage question.
Because the bifurcation issue is not properly before us at
this time, we overrule this assignment of error.
II. Immunity and Privilege Issues
"The primary purpose of the discovery rules
is to facilitate
the disclosure prior to trial of any unprivileged information that
is relevant and material to the lawsuit so as to permit the
narrowing and sharpening of the basic issues and facts that will
require trial." Bumgarner v. Reneau, 332 N.C. 624, 628, 422 S.E.2d686, 688-89 (1992). Rule 26 provides for a broad scope of
discovery:
Parties may obtain discovery regarding any
matter, not privileged, which is relevant to
the subject matter involved in the pending
action, whether it relates to the claim or
defense of the party seeking discovery or to
the claim or defense of any other
party . . . .
N.C. Gen. Stat. § 1A-1, Rule 26(b)(1)(1999). The test of relevancy
set out in Rule 26(b)(1) is much less stringent than the standard
of relevancy found in N.C. Gen. Stat. § 8C-1, Rule 401 (1999). For
discovery purposes, information need only be "reasonably calculated
to lead to the discovery of admissible evidence . . . ." N.C. Gen.
Stat. § 1A-1, Rule 26(b)(1).
Both parties in the instant case appeal orders by the trial
judge compelling and denying discovery of certain documents. These
orders contain neither findings of fact nor conclusions of law.
Instead, the orders list each document as discoverable or
"protected from disclosure by the attorney-client privilege and/or
are matters prepared in anticipation of litigation." The purpose
of requiring findings of fact and conclusions of law by trial
courts is to allow meaningful review by the appellate courts.
O'Neill v. Bank, 40 N.C. App. 227, 231, 252 S.E.2d 231, 234 (1979).
Rule 52(a)(2) of the North Carolina Rules of Civil Procedure
states, however, that "[f]indings of fact and conclusions of law
are necessary on decisions of any motion . . . only when requested
by a party . . . ." N.C. Gen. Stat. § 1A-1, Rule 52(a)(2)(1999).
Here, the record does not reveal that either party requested
that the trial judge make findings of fact. It has been repeatedly
held by our Supreme Court that, "[w]hen the trial court is notrequired to find facts and make conclusions of law and does not do
so, it is presumed that the court on proper evidence found facts to
support its judgment." Estrada v. Burnham, 316 N.C. 318, 324, 341
S.E.2d 538, 542 (1986); Sherwood v. Sherwood, 29 N.C. App. 112,
113-14, 223 S.E.2d 509, 510-11 (1976). Thus, it is within the
trial judge's discretion whether to make findings of fact "if a
party does not choose to compel a finding through the simple
mechanism of so requesting." Watkins v. Hellings, 321 N.C. 78, 82,
361 S.E.2d 568, 571 (1987). Further, it is well established that
orders regarding discovery matters are within the discretion of the
trial court and will not be upset on appeal absent a showing of
abuse of that discretion. Hudson v. Hudson, 34 N.C. App. 144, 145,
237 S.E.2d 479, 480, disc. review denied, 293 N.C. 589, 239 S.E.2d
264 (1977); Insurance Co. v. Sprinkler Co., 266 N.C. 134, 143, 146
S.E.2d 53, 62 (1966). We must therefore examine the trial court's
application of the work product doctrine and the attorney-client
privilege under an abuse of discretion standard.
The documents that plaintiff seeks to discover may be
organized into four categories: (A) entries in a "claims diary";
(B) a report by outside investigator Ward-THG; (C) internal
memoranda; and (D) internal policy manuals. We will examine in
detail the trial court's rulings as they relate to the documents in
each category.
A.
Defendants' "claims diary" is a document containing about 115
computer entries dated 12 May 1996 through 30 December 1998,
detailing actions taken by defendants during the course ofplaintiff's claim, including summaries of conferences with in-house
and outside counsel. Many of the entries are brief procedural
"summaries" or notes containing little pertinent information,
privileged or otherwise. After reviewing the claims diary in
camera, the trial court found that twenty-one entries were
protected in whole or part by the attorney-client privilege.
Following a second hearing, the court found that four additional
diary entries were shielded from discovery under the work product
doctrine. The trial court then ordered production of the remaining
portions of the claims diary. The documents submitted to the trial
court for its in camera inspection were filed as a part of the
record on appeal and have been carefully examined by this Court.
The claims diary contains handwritten marginal notes apparently
made by the trial court beside the entries found to be protected,
designating each entry as "privileged," or occasionally "privileged
atty."
Defendants argue that all of the diary entries are protected
from discovery by either the "work product" doctrine or the
attorney-client privilege, and that plaintiff is entitled to none
of the information in the claims diary. Rule 26 of our Rules of
Civil Procedure tempers its broad grant of the power to discover
any matter relevant to pending litigation through an exemption for
privileged matter (such as the attorney-client privilege),
provision for protective orders, and a qualified immunity for
documents and other tangible things prepared "in anticipation of
litigation." N.C. Gen. Stat. § 1A-1, Rule 26(b)(3). The protection
given to matters prepared in anticipation of trial, or "work
product," is not a privilege, but a "qualified immunity." Willisv. Power Co., 291 N.C. 19, 35, 229 S.E.2d 191, 201 (
1976). "The
protection is allowed not only [for] materials prepared after the
other party has secured an attorney, but those prepared under
circumstances in which a reasonable person might anticipate a
possibility of litigation." Id. If a document is created in
anticipation of litigation, the party seeking discovery may access
the document only by demonstrating a "substantial need" for the
document and "undue hardship" in obtaining its substantial
equivalent by other means. N.C. Gen. Stat. § 1A-1, Rule 26(b)(3).
Materials that are prepared in the ordinary course of business,
however, are not protected by the work product immunity. Willis,
291 N.C. at 35, 229 S.E.2d at 201. Furthermore, work product
containing the "mental impressions, conclusions, opinions, or legal
theories of an attorney or other representative of a party
concerning the litigation in which the material is sought" is not
discoverable. N.C. Gen. Stat. § 1A-1, Rule 26(b)(3); National
Union Fire Ins. v. Murray Sheet Metal, 967 F.2d 980, 983-84 (4th
Cir. 1992).
The primary reasons for the protection given by Rule 26 to
materials prepared in anticipation of litigation are to maintain
the adversarial trial process and to ensure that attorneys are
properly prepared for trial by encouraging written preparation.
Hickman v. Taylor, 329 U.S. 495, 510-12, 91 L. Ed. 451, 462-63
(1947). Attorneys should not be deterred from adequately preparing
for trial because of fear that the fruits of their labors will be
freely accessible to opposing counsel.
Id. at 511, 91 L. Ed. at
462. Allowing discovery of work product could have a "demoralizing"effect on the legal profession.
Id. Finally, allowing
discovery
of work product could lead to a party's attorney being called as a
witness.
Id. at 517, 91 L. Ed. at 465 (Jackson, J., concurring).
[3]Balanced against the importance of protecting work product
is the fundamental consideration that procedural rules should be
construed to allow discovery of all relevant information in order
to facilitate a trial based on the true and complete issues.
See
Hickman, 329 U.S.
at 507, 91 L. Ed. at 460. "Because work product
protection by its nature may hinder an investigation into the true
facts, it should be narrowly construed consistent with its
purpose[,]" which is to "safeguard the lawyer's work in developing
his client's case."
Suggs v. Whitaker, 152 F.R.D. 501, 505
(M.D.N.C. 1993);
accord,
Pete Rinaldi's Fast Foods v. Great
American Ins., 123 F.R.D. 198, 201 (M.D.N.C. 1988). Therefore, the
party asserting work product privilege bears the burden of showing
"(1) that the material consists of documents or tangible things,
(2) which were prepared in anticipation of litigation or for trial,
and (3) by or for another party or its representatives which may
include an attorney, consultant, surety, indemnitor, insurer or
agent."
Suggs, 152 F.R.D. at 504-05;
Sandberg v. Virginia
Bankshares, Inc., 979 F.2d 332, 355 (4th Cir. 1992);
Rinaldi, 123
F.R.D. at 201.
[4]This Court has recently noted that the phrase "in
anticipation of litigation" encompasses a concept without sharply
defined boundaries.
Cook v. Wake County Hospital System, 125 N.C.
App. 618, 623, 482 S.E.2d 546, 550,
disc. review allowed, 346 N.C.
277, 487 S.E.2d 543 (1997).
In the context of insurancelitigation, determining whether a document was created in
anticipation of litigation is particularly challenging because the
very nature of the insurer's business is to investigate claims, and
from the outset the possibility exists that litigation will result
from the denial of a claim. Because insurance companies regularly
investigate claims, such investigations would normally seem to be
in the ordinary course of business rather than in anticipation of
litigation.
See M. Elizabeth Medaglia,
et al.,
Privilege, Work
Product, and Discovery Issues in Bad Faith Litigation, 32 Tort &
Ins. L.J. 1, 12 (1996).
Our decision in Cook v. Wake County Hospital System p
rovides
some guidance in determining whether documents are prepared in the
ordinary course of business, rather than in anticipation of
litigation. In Cook, plaintiff was injured in a fall on the
premises of defendant hospital. Pursuant to the hospital's risk
management policies, a form entitled "Hospital Incident or Accident
Report" was prepared by hospital personnel within twenty-four hours
after the accident. After plaintiff filed suit, defendant declined
to produce the accident report, and plaintiff sought to compel its
production. We held that the trial court erred in failing to
require the production of the accident report, which was prepared
in furtherance of a "number of nonlitigation, business purposes."
Cook, 125 N.C. App. at 625, 482 S.E.2d at 551. "In short, the
accident report would have been compiled, pursuant to the
hospital's policy, regardless of whether [plaintiff] intimated a
desire to sue the hospital or whether litigation was ever
anticipated by the hospital." Id. at 625, 482 S.E.2d at 551-52. Because the accident report was prepared as a part of routine
procedure, it was not protected from discovery as a document
prepared in anticipation of litigation.
We are aware that there is disagreement among our sister
jurisdictions as to whether insurance claims files should be
granted work product privilege. Some courts require direct
involvement of an attorney before granting protection. See, for
example, Thomas Organ Co. v. Jadranska Slobodna Plovidba, 54 F.R.D.
367, 372 (N.D. Ill. 1972). Other cases appear to indicate that any
document prepared as a result of an accident should be considered
as being prepared in anticipation of litigation. See, for example,
Almaguer v. Chicago, Rock Island & Pacific Railroad Co., 55 F.R.D.
147, 149 (D. Neb. 1972). We do not believe that this complex
question is capable of a simple "bright-line" answer, however, and
elect to follow the case-by-case approach of the federal courts in
North Carolina. See, for example, Suggs, 152 F.R.D. at 506;
Rinaldi, 123 F.R.D. at 202.
Here, defendants carried out the investigative process and
ultimately denied plaintiff's claim. It appears that the
investigation stage of the claims process is one carried out in the
ordinary course of an insurer's business within the meaning of
Willis and Cook. Until defendants determined that their homeowners'
policy did not provide coverage to plaintiff, we cannot say as a
matter of law that defendants "reasonably" anticipated litigation.
Consequently, we do not believe that material prepared in the
course of the investigatory process is normally entitled to the
Rule 26 qualified work product immunity. We acknowledge thepossibility of litigation in any such case with catastrophic
injuries, but decline to hold that even in such tragic cases
litigation can be reasonably anticipated prior to a decision on
coverage. Even in cases where coverage is clear, a plaintiff might
well disagree with an insurer about the damages to be paid. While
that is also true as to almost any case, we cannot conclude that
there is a reasonable possibility of litigation in every case.
Thus, documents prepared before an insurance company denies a
claim generally will not be afforded work product protection. See
Ring, 159 F.R.D. at 656 ("the general rule is that a reasonable
possibility of litigation only arises after an insurance company
has made a decision with respect to the claim of its insured.").
This general rule is not absolute, of course, and an insurer may
produce evidence of circumstances that support the conclusion that
it reasonably anticipated litigation prior to denial of the claim.
"[I]f the insurer argues it acted in anticipation of litigation
before it formally denied the claim, it bears the burden of
persuasion by presenting specific evidentiary proof of objective
facts demonstrating a resolve to litigate." Rinaldi, 123 F.R.D. at
202.
After an exhaustive review of the entries in the claims file
at issue in the case before us, we cannot say on this record that
the trial court abused its discretion in denying "work product"
protection to a large number of the claims diary entries. We now
consider whether the trial court abused its discretion in
determining that some of the entries in the claims diary were not
protected by the attorney-client privilege.
Like the work-product exception, the attorney-client privilegemay r
esult in the exclusion of evidence which is otherwise relevant
and material. Thus, courts are obligated to strictly construe the
privilege and limit it to the purpose for which it exists.
Upjohn
Co. v. United States, 449 U.S. 383, 66 L. Ed. 2d 584 (1981);
State
v. Smith, 138 N.C. 700, 50 S.E. 859, 860 (1905).
The attorney-client privilege operates to protect confidential
communications between attorneys and their clients. "Its purpose
is to encourage full and frank communication between attorneys and
their clients and thereby promote broader public interests in the
observance of law and administration of justice."
Upjohn, 449 U.S.
at 389, 66 L. Ed. 2d at 591. The privilege exists to protect not
only the giving of professional advice to those who can act on it
but also the giving of information to the lawyer to enable counsel
to give sound and informed advice.
Upjohn, 449 U.S. at 390, 66 L.
Ed. 2d at 592;
Jones v. Marble Co., 137 N.C. 237, 239, 49 S.E.2d
94, 95 (1904).
[5]The burden of establishing the attorney-client privilege
rests upon the claimant of the privilege. A privilege exists if
"(1) the relation of attorney and client existed at the time the
communication was made, (2) the communication was made in
confidence, (3) the communication relates to a matter about which
the attorney is being professionally consulted, (4) the
communication was made in the course of giving or seeking legal
advice for a proper purpose, although litigation need not be
contemplated, and (5) the client has not waived the privilege.
State v. McIntosh, 336 N.C. 517, 523-24, 444 S.E.2d 438, 442 (1994)
(quoting
State v. Murvin
, 304 N.C. 523, 531, 284 S.E.2d 289, 294(1981)).
[6]The mere fact that the evidence relates to communications
between attorney and client alone does not require its exclusion.
"Only confidential communications are protected. If it appears by
extraneous evidence or from the nature of a transaction or
communication that they were not regarded as confidential,
or that
they were made for the purpose of being conveyed by the attorney to
others,
they are stripped of the idea of a confidential disclosure
and are not privileged."
Dobias v. White,
240 N.C. 680, 684-85, 83
S.E.2d 785, 788 (1954) (citation omitted). Thus, although the
protection given to communications between attorney and client
apply equally to in-house counsel,
see generally Upjohn, 449 U.S.
383, 66 L. Ed. 2d 584;
Shelton v. American Motors Corp., 805 F.2d
1323 n.3 (8th Cir. 1986), an insurance company and its counsel may
not avail themselves of the protection afforded by the attorney-
client privilege if the attorney was not acting as a legal advisor
when the communication was made.
Here, it appears that the twenty-one diary entries found by
the trial court to be protected by the attorney-client privilege
were either requests to counsel for advice and opinions, or were
counsel's reply to such requests. Upon careful review of the
record, we find no evidence that the trial court abused its
discretion when it ordered the partial production and partial
protection of the claims diary entries.
B.
[7]Defendants also argue that the trial judge erred in
compelling discovery of an investigative report compiled by
independent claim adjusters (Ward-THG) hired by defendants. Thereport, dated 22 May 1996, contains an accident report, interviews
with plaintiff and the investigating police officer, and
photographs of the accident scene. Defendants argue that the trial
court erred in failing to find the Ward-THG report shielded from
discovery as work product. We disagree. Defendants hired Ward-THG
as part of its investigation into plaintiff's claim and considered
the report in making a decision about whether to deny the claim.
As we point out above, we cannot find as a matter of law that
defendants could "reasonably anticipate" litigation of a coverage
question before the investigative procedure was completed and
before defendants denied plaintiff's claim. We find no evidence
that the trial judge abused his discretion in ordering the
production of the Ward-THG report.
C.
[8]Next, both parties argue that the trial court erred in its
order regarding production of defendants' internal memoranda. Of
the thirteen documents marked as exhibits, the trial court required
that defendants produce four of the documents. All of the
remaining documents appear to have been either generated by
defendants' claims counsel or directed to counsel, and all appear
to be focused on the central legal question of whether the
automobile at issue in this case was in "dead storage" at the time
of the accident in question. Applying our decisions with regard to
attorney-client privilege as discussed above, we cannot find that
the trial court abused its discretion in declining to order
production of these documents. The four memoranda ordered to be
produced by the trial court were also generated by defendants' in-
house counsel, but are brief notations with regard to action being,
or to be, taken on the claim. While there is a cogent argumentthat several of the memoranda ordered disclosed are protected by
attorney-client privilege, we cannot find that the order requiring
their production was an abuse of discretion by the trial court.
D.
[9]Finally, defendants contend that the trial court erred in
ordering the production of four portions of defendants' online
procedures manual, a reference database containing voluminous
information to assist in the investigation and disposition of
insurance claims. The document marked Exhibit 17 is a detailed
description of intracompany claims handling procedures. Plaintiff
argues that he is entitled to discover this document to determine
whether defendants complied with their own internal procedures in
denying the homeowners' claim giving rise to this litigation.
Likewise, Exhibit 20 is a document which contains guidelines for
referring claim files to in-house or private counsel for resolution
of legal issues. There is no evidence of record that defendants'
employees consulted these procedural manuals in making the coverage
decision in this case, and defendants argue that their contents are
irrelevant to this litigation. While the documents might not be
admitted at a future trial, we cannot say as a matter of law that
the information sought is not "reasonably calculated" to lead to
the discovery of admissible evidence.
See N.C. Gen. Stat. § 1A-1,
Rule 26(b)(1). Therefore, considering the broad parameters of
relevancy in the discovery process, we cannot say that the trial
court abused its discretion in ordering production of Exhibits 17
and 20.
Exhibit 18 is a distillation of research into court decisionsinvolving the definition of "dead storage,"
and suggests some of
the facts and circumstances that are important in determining when
an automobile is in "dead storage" for insurance purposes. Exhibit
19 is a collection of laws and regulations in the area of claims
handling and unfair claims practices. Defendants argue that this
information is available to plaintiff elsewhere, and to require
production of these documents gives plaintiff the benefit of
defendants' research. While this is an argument a trial court may
properly consider in ordering production of documents of this sort,
in this case we cannot find that the trial court abused its
discretion in requiring their production.
We find support for our position in the decisions of other
jurisdictions and the federal courts.
See, for example, Blockbuster
Entertainment Corp. v. McComb Video, 145 F.R.D. 402, 404-05 (M.D.
La. 1992)(policy manuals are discoverable);
Hoechst Celanese v.
National Union, 623 A.2d 1099, 1107 (Del. 1991) (internal policy
memoranda and guidelines discoverable).
In summary, we have reviewed the trial court's rulings on
these discovery motions under an abuse of discretion standard,
there having been no request that the trial court make findings of
fact or conclusions of law with regard to its rulings. We also
stress that important related questions, such as waiver of the
attorney-client privilege and a demonstration of the necessity for
production of documents otherwise protected as work product, are
not before us on this appeal but are for another day.
It appearing that the trial court conscientiously examined all
documents in question herein and soundly exercised its discretion
in light of case law interpreting our discovery rules, the ordersof the trial court must be, and hereby are
Affirmed.
Chief Judge EAGLES and Judge MARTIN concur.
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