Weekes v. Ohio National Life Assurance Corporation
Filing
52
MEMORANDUM DECISION AND ORDER granting 17 Motion to Amend Complaint to Include a Claim for Punitive Damages; finding as moot 24 Motion to Strike; granting 25 Motion to Strike. Signed by Judge B. Lynn Winmill. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by cjm)
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF IDAHO
DANIELLE WEEKES, an individual,
Case No. 1:10-cv-566-BLW
Plaintiff,
MEMORANDUM DECISION AND
ORDER
v.
OHIO NATIONAL LIFE ASSURANCE
CORPORATION, a foreign entity, and
JOHN DOES, individually, DOES I
through X, and JOHN DOE BUSINESS
ENTITIES, DOES 1 through X,
Defendants.
INTRODUCTION
Three motions are pending in this case: (1) plaintiff Danielle Weekes moves to
amend her complaint to add a punitive damages claim (Dkt. 17); (2) defendant Ohio
National Life Assurance Corporation moves to strike plaintiff’s expert affidavit and to
exclude plaintiff’s expert from testifying at trial (Dkt. 25); and (3) Ohio National moves,
alternatively, to strike portions of plaintiff’s expert report (Dkt. 24). The Court finds that
the decisional process would not be aided by oral argument, and will resolve these
motions after consideration of the parties’ written submissions. D. Idaho L. Civ. R.
7.1(d).
MEMORANDUM DECISION AND ORDER - 1
For the reasons expressed below, the Court will grant the motion to amend the
complaint. The Court will also grant Ohio National’s motion to exclude plaintiff’s expert
from testifying. Ohio National’s alternative motion to exclude portions of the expert’s
report is thus moot.
BACKGROUND1
Plaintiff’s husband, Bart Weekes, died while he had two separate life insurance
policies in place. Ohio National denied coverage under its policy, contending that Mr.
Weekes was required to terminate his other life insurance policy before the Ohio National
policy became effective. There is no such condition precedent in the contract, however,
which prompted Ms. Weekes to sue the company for breach of contract, bad faith, and
fraud.
Recently, this Court summarily adjudicated the breach of contract claim in Ms.
Weekes’ favor and the fraud and bad faith claims in Ohio National’s favor. The case is
not over yet though because Ms. Weekes seeks to amend her complaint to add a punitive
damages claim.2
Before resolving the motion to amend, the Court will address Ohio National’s
motions to strike plaintiff’s expert testimony. As will be discussed, the existence of
1
A fuller version of the facts is contained in the Court’s November 21, 2011 Order. See
Dkt. 46.
2
Under Idaho law, plaintiffs cannot simply seek punitive damages in their civil
complaints. They must instead file a pretrial motion to amend the complaint to include a prayer
for punitive damages. See Idaho Code § 6-1604(2).
MEMORANDUM DECISION AND ORDER - 2
expert testimony is one factor Idaho courts consider in determining whether plaintiffs
should be permitted to seek punitive damages.
MOTION TO EXCLUDE
Ohio National asks the Court to strike Tim Terry’s entire expert report and to
exclude Terry from testifying at trial on the grounds that Mr. Terry did not actually
prepare his expert report.
Federal Rule of Civil Procedure 26(a)(2) requires parties to disclose the identity of
their expert witnesses and to include a written report. Fed. R. Civ. P. 26(a)(2)(A)-(B).
Among other requirements, the written report must be “prepared and signed” by the
witness. Fed. R. Civ. P. 26(a)(2)(B).
Failure to disclose an expert witness or provide the required information results in
exclusion of the witness “unless the failure was substantially justified or is harmless.”
Fed. R. Civ. P. 37(c)(1). The burden of proving an excuse is on the party facing
sanctions, and district courts have “particularly wide latitude” in determining whether
discovery sanctions should issue. Yeti by Molly, Ltd. v. Deckers Outdoor Corp., 259 F.3d
1101, 1106-07 (9th Cir. 2001).
On July 15, 2011, plaintiff timely identified Terry as her expert. She also supplied
a lengthy summary of Terry’s anticipated testimony – entitled “Expert Witness
Disclosure” – but Terry did not sign the document. Plaintiff’s counsel did. See Expert
Witness Disclosure, Ex. A to Diddle Aff., Dkt. 48.
On August 9, 2011, Ohio National moved to strike the expert report because Terry
MEMORANDUM DECISION AND ORDER - 3
had not prepared and signed the report. Motion to Strike Plaintiff’s Expert Witness
Disclosure and Exclude Expert, Dkt. 11. That same day, plaintiff supplied an affidavit
signed by Terry, and Ohio National withdrew its motion.
Ohio National deposed Terry a few weeks later. He testified that he had not
formed opinions regarding the case as of July 15, 2011 – the date plaintiff’s counsel
submitted the expert disclosure. Terry’s deposition testimony prompted Ohio National to
file the instant motion, which again seeks to exclude Terry as an expert. After this motion
was on file, Terry submitted corrections to his deposition testimony. In the corrections,
Terry changed his testimony regarding his conversations with counsel before July 15.
Ohio National argues that these corrections must be stricken under a corollary to
the sham affidavit rule. Alternatively, Ohio National argues that even if the corrections
are allowed, Terry’s expert report should be stricken because Terry did not “prepare” his
expert report within the meaning of Rule 26. The Court agrees on both counts.
1.
Corrections to Deposition Testimony
Turning first to the deposition testimony, the relevant testimony concerns two
telephone conversations between plaintiff’s counsel and Terry during the spring and
summer of 2011 – before plaintiff submitted the July 15 expert disclosure. These
conversations were recorded in Terry’s time sheets as having occurred on May 18 and
July 12. Mr. Terry testified about the May 18 conversation as follows (with the
corrections shown in italics):
Q
Now, I want to go back to your time entry on 5/18, the first time entry. At
MEMORANDUM DECISION AND ORDER - 4
the end it says ‘teleconference with counsel.” Do you see that?
A.
Oh, yes, I do.
Q.
What do you recall of that telephone call?
A.
Nothing specific stands out. Chronology of the case, the framework of the
case, what happened when, discussion of each of these elements in either
brief or-
Q.
Did you express any of your opinions in that conference?
A.
I had no opinions at that point.
Corrected Testimony: I had developed a number of viewpoints about the
case which I expressed to counsel. My opinions were finalized later based
upon all the materials provided to me – such opinions were expressed in my
affidavit.
Terry Dep., at 28:13-23 (as quoted in Ohio National’s Reply, Dkt. 37, at 4); Ex. A to
Terry Aff., Dkt 34-1 (corrections to deposition).
Mr. Terry testified about the July 12, 2011 conversation with plaintiff’s counsel as
follows:
Q.
I want to come down to 7/12, the 7/12 entry.
A.
Yes, sure.
Q.
And it says “teleconference with counsel.”
A.
Yes.
Q.
What do you recall of that conversation?
A.
I can’t really splice it out of there and indicate what the topic was. From
looking at the sequence of review of material, it most probably included the
discussion of the depos, depositions.
MEMORANDUM DECISION AND ORDER - 5
Q.
Did you express any of your opinions in that conversation?
A.
I don’t recall having developed opinions as yet.
Corrected Testimony: I had developed a number of viewpoints about the
case which I expressed to counsel. My opinions were finalized later based
upon all the material provided to me – such opinions were expressed in my
affidavit.
Terry Dep., at 28:24 to 29:10; Ex. A to Terry Aff. re Dep. Testimony.
Federal Rule of Civil Procedure 30(e) permits deponents to change the “form or
substance” of the deposition transcript. The Ninth Circuit has narrowly interpreted this
rule, however, holding that “Rule 30(e) is to be used for corrective, and not contradictory,
changes.” Hambleton Bros. Lumber Co. v. Balkin Enters., Inc., 397 F.3d 1217, 1226 (9th
Cir. 2005).
In Hambleton Brothers Lumber Co. v. Balkin Enterprises, Inc., 397 F.3d 1217 (9th
Cir. 2005), the deponent made several factually significant changes to his deposition
testimony in an effort to fend off summary judgment. Id. at 1226. For example, where he
had originally answered “I don’t know” to a key question, he corrected the deposition
transcript with a detailed, succinct answer supporting his theory of the case.3
3
The testimony was as follows:
Q:
Specifically what conduct did Mr. Ballinger take that improperly dissolved Balkin
Enterprises?
A:
I don’t know.
Submitted correction: Ballinger in the dissolution of Balkin distributed assets of
Balkin, the Fruitland property, that should not have been distributed, and he
made me believe, in the 1996/1997 telephone conversation, that Balkin was still
MEMORANDUM DECISION AND ORDER - 6
Significantly, the deponent did not submit any reasons whatever for the changes. A
statement of reasons is required under Rule 30(e) and is a crucial component of a
correction because it “permits an assessment concerning whether the alterations have a
legitimate purpose.” Id. at 1224-25. The Hambleton deponent’s failure to explain his
changes supported a conclusion that the changes were not corrections at all, but instead
“purposeful rewrites tailored to manufacture an issue of material fact . . . to avoid a
summary judgment ruling . . . .” Id. at 1225. The court thus invoked the sham affidavit
rule to strike the rewrites – despite the fact that Rule 30(e) expressly allows corrections to
the “substance” of deposition testimony. Id.
This Court does not interpret Hambleton to mean that deponents can never change
the substance of their testimony. Such a rigid rule directly contradicts the governing
statutory language and is also contrary to the authority Hambleton invoked. For example,
Hambleton cited Kennedy v. Allied Mutual Insurance Co., 952 F.2d 262 (9th Cir. 1991),
which, in turn, explained that
the Foster-Radobenko rule [i.e., the sham affidavit rule4] does not
automatically dispose of every case in which a contradictory affidavit is
introduced to explain portions of earlier deposition testimony. Rather, the
Radobenko court was concerned with “sham” testimony that flatly
contradicts earlier testimony in an attempt to “create” an issue of fact and
in existence and still owned the Fruitland property, which was untrue.
397 F.3d at 1225 n.6.
4
Foster-Radobenko refers to two Ninth Circuit cases establishing the sham affidavit
rule. See Foster v. Arcata Assoc., 772 F.2d 1453, 1462 (9th Cir. 1985); Radobenko v. Automated
Equip. Corp., 520 F.2d 540, 543-44 (9th Cir. 1975).
MEMORANDUM DECISION AND ORDER - 7
avoid summary judgment. Therefore, before applying the Radobenko
sanction, the district court must make a factual determination that the
contradiction was actually a “sham.”
Id. at 266-67.
Here, Terry’s deposition testimony is clear enough to conclude that the errata is a
flat contradiction. He originally said he did not specifically recall what was discussed
during the two telephone conversations at issue. In the errata, Terry now says he does
indeed remember what was discussed (his “viewpoints” regarding the case). Terry does
not explain how or why he now remembers these conversations in more detail. Nor does
Terry indicate that he misunderstood some aspect of the question, or that he did
something to jog his memory. In her opposition brief, plaintiff argues that “Mr. Terry
took those questions to mean final opinions contained in his affidavit, and answered the
questions [about whether he had formed opinions] in the negative.” Dkt. 34, at 2-3. Mr.
Terry, however, did not provide such an explanation in his errata. Instead, the stated
reason for the change is basically no reason at all – Terry indicated only that he made the
change “to clarify the record.” Ex. A to Terry Aff., Dkt. 34-1. Further, while plaintiff’s
argument might explain why Terry said he had no opinions (preliminary or otherwise)
before he signed his August 9, 2011 affidavit, he has not explained why he now
remembers his conversations with counsel in more detail. The timing of the errata also
raises concerns. Terry did not make these changes until he was threatened with
MEMORANDUM DECISION AND ORDER - 8
exclusion.5
All these facts combined – the flat contradiction; the failure to adequately explain
the contradiction; and the timing of the correction – lead the Court to conclude that the
errata is a sham. And although the sham affidavit rule developed in the context of
summary judgment proceedings, the same logic applies here. Experts should not be
permitted to change their testimony solely to avoid exclusion. The Court will therefore
disregard the corrections in evaluating Ohio National’s motion to strike Terry’s expert
report and to exclude Terry from testifying.
2.
Terry’s Obligation to Prepare the Expert Report
The next issue is whether Terry “prepared” the expert report. As already noted,
Rule 26 obligates the experts to “prepare and sign” their reports. The advisory committee
notes amplify the intended meaning of the phrase “prepared and signed by the witness,”
explaining that a report can be “prepared” by an expert witness even if counsel has aided
the witness. Specifically, the advisory committee notes provide:
Rule 26(a)(2)(B) does not preclude counsel from providing assistance to
experts in preparing the reports, and indeed, with experts such as
automobile mechanics, this assistance may be needed. Nevertheless, the
report, which is intended to set forth the substance of the direct
examination, should be written in a manner that reflects the testimony to be
given by the witness and it must be signed by the witness.
Fed. R. Civ. P. 26(a)(2)(B) (1993 advisory committee notes). Given this amplification, if
5
The top of the errata shows a date of “9/19/11,” but Terry did not sign the errata until
October 17, 2011 – roughly three weeks after Ohio National filed its September 26, 2011 motion
to exclude. See Ex. A to Terry Aff., Dkt. 34-1.
MEMORANDUM DECISION AND ORDER - 9
counsel acts as a scrivener, and the expert supplies the substantive content for the written
report, the report is nonetheless “prepared” by the expert within the meaning of the rule.
See, e.g, Crowley v. Chait, 322 F. Supp. 2d 530, 543-45 (D.N.J. 2004); Wilderness Dev.,
LLC v. Hash, 2009 WL 564224, at *4 (D. Mont. 2009) (even if the expert does not put
pen to paper, a report may still be adequate if “the report in substance, is that of the
expert, the expert provides substantial input in the preparation of the report, and counsel
prepares the report based on extensive discussions with the expert”) (citing Crowley, 322
F. Supp. 2d at 543-45).
In this case, it is undisputed that counsel prepared and submitted the July 15, 2011
expert disclosure before Terry finalized his opinions. (This is true even if the Court
allowed the errata discussed above.) Only later did the expert essentially adopt this
disclosure as his own report, when he signed an affidavit on August 9, 2011.
This sequence of events is troubling, because it so strongly suggests that counsel
provided the substantive leadership regarding the content of the expert’s opinions, rather
than the expert himself. After all, counsel felt comfortable submitting the expert’s
opinions before the expert himself had finally determined what his opinions would
actually be.
Terry indicates he was substantively involved in the preparation of the later,
August 9 expert report. But the earlier report – prepared by counsel – taints the later
report because the expert simply adopted the expert report counsel had already drafted.
There is no substantive difference in the two reports, and they are sometimes verbatim,
MEMORANDUM DECISION AND ORDER - 10
even including one similar typographical error.
Mr. Terry’s report is not as egregious as the reports discussed in the cases Ohio
National cites. For example, in Stein v. Foamex International, Inc., 2001 WL 936566, at
*5 (E.D. Pa. 2001), the expert “never claimed to have played any substantial role in”
preparing the report, “other than signing it.” Here, Terry logged over 12 hours on this
case and had two teleconferences with counsel before counsel submitted the July 15, 2011
report.
The problem, however, is that the expert admitted he had not finalized his opinions
by July 15 and testified that he could not remember what he discussed with counsel
during two pre-July 15 conversations. For the reasons already discussed, Terry has not
adequately explained why he now remembers the substance of those conversations.
Additionally, counsel chose not to fill in that factual gap with an affidavit of his own.6
The result is that the Court is left with an unclear record, but one suggesting that counsel
– not the expert – provided the substantive leadership in preparing the expert’s report.
Under this factual record, exclusion is appropriate because it is the plaintiff who
must prove that her failure to comply with expert disclosure rules was substantially
justified or harmless. She has not done so here. She has not demonstrated that Terry
actually prepared his own report, rather than simply adopting counsel’s earlier disclosure.
6
If Terry and counsel did indeed discuss Terry’s impressions – or “viewpoints” – of the
case on May 18 and/or July 12, counsel could have so indicated. Such an affidavit would be
permissible because it would not contradict Terry’s testimony. It would simply fill out the
factual record. No such affidavit was filed, however.
MEMORANDUM DECISION AND ORDER - 11
The Court will therefore strike Mr. Terry’s report in its entirety and will exclude Mr.
Terry from testifying. This ruling moots Ohio National’s alternative motion to strike
portions of Mr. Terry’s report. This ruling does bear on the motion to amend, but does
not moot it. Expert testimony is just one factor the Court must examine in deciding
whether to allow plaintiff to seek punitive damages; it is not dispositive.
MOTION TO AMEND
Plaintiff seeks leave to add a punitive damages “claim” to her complain but
technically there is no such thing as a stand-alone punitive damages claim. A prayer for
punitive damages must link to an underlying claim, such as a tort or breach of contract,
and the conduct of the breaching party must meet the “threshold level of being oppressive
and outrageous.” Boise Tower Assoc. LLC v. Washington Capital Joint Master Trust,
Case No. 03-141-S-MHW, 2006 WL 1749656 at * 12 (D. Idaho 2006) (applying Idaho
law). Whether plaintiff should be allowed to amend her complaint to seek punitive
damages is a substantive question controlled by Idaho law. See Doe v. Cutter Biological,
844 F. Supp. 602, 610 (D. Idaho 1994). The trial court decides, in its discretion, whether
to submit the punitive damages issue to the jury. See Manning v. Twin Falls Clinic &
Hosp., Inc., 830 P.2d 1185, 1190 (Idaho 1992).
An award of punitive damages ultimately requires a bad act and a bad state of
mind. See Todd v. Sullivan Const. LLC, 191 P.3d 196, 201 (Idaho 2008) (citing Myers v.
Workmen’s Auto. Ins. Co., 95 P.3d 977, 985 (Idaho 2004)). The defendant must (1) act in
a manner that was an extreme deviation from reasonable standards of conduct with an
MEMORANDUM DECISION AND ORDER - 12
understanding of – or disregard for – its likely consequences, and must (2) act with an
extremely harmful state of mind, described variously as with malice, oppression, fraud,
gross negligence, wantonness, deliberateness, or willfulness. Myers, 95 P.3d at 983.
At trial, plaintiff must satisfy this standard by clear and convincing evidence.
Idaho Code § 6-1604(1). For purposes of the motion to amend, however, plaintiff does
not need to meet this high burden; she need only show “a reasonable likelihood of
proving facts at trial sufficient to support an award of punitive damages.” Idaho Code §
6-1604(2).
Idaho Courts are generally reluctant to allow punitive damages in breach of
contract cases, adhering to the principle that such damages “should be awarded cautiously
and within narrow limits.” Cuddy Mountain Concrete Inc. v. Citadel Constr. Inc., 824
P.2d 151, 159 (Idaho 1992). To determine if a contractual breach is compelling enough
to allow punitive damages, courts ask if the breaching party acted in bad faith or was
oppressive, unreasonable, or irrational. Id. at 160. The Idaho Supreme Court
summarized these general concerns as follows:
The award of punitive damages in the context of a contractual relationship
seems to be based on conduct which is unreasonable and irrational in the
business context. The acts show a lack of professional regard for the
consequences of the breach of the contractual agreement. . . . . If a party
breaches its duty to act in good faith, it may be liable for . . . punitive
damages.
Cuddy Mountain Concrete Inc. v. Citadel Const., Inc., 824 P.2d 151, 160 (Idaho Ct. App.
1992).
MEMORANDUM DECISION AND ORDER - 13
In addition to these general concerns, the Idaho Supreme Court has laid out five
specific factors that play a determinative role in deciding whether there is sufficient
evidence to support a punitive damages award:
(1)
the presence of expert testimony;
(2)
whether the unreasonable conduct actually caused harm to the plaintiff;
(3)
whether there is a special relationship between the parties, as in the . . .
insured-insurer relationship;
(4)
proof of a continuing course of oppressive conduct; and
(5)
proof of the actor’s knowledge of the likely consequences of the conduct.
Id. at 160-61.
With these general and specific guidelines in mind, the Court concludes that
plaintiff has established a reasonable likelihood of proving – by clear and convincing
evidence – facts supporting a punitive damages award. In this case, the bulk of the
analysis focuses on the general concerns as well as the fourth specific factor – a
continuing course of oppressive conduct. Because the remaining factors are dispensed
with more quickly, the Court will analyze them before turning to the lengthier discussion.
1.
Expert Testimony
Plaintiff will not present expert testimony for the reasons discussed. The absence
of expert testimony is not determinative, however. See Cuddy, 824 P.2d at 161
(upholding a punitive damages award where no expert testimony was offered regarding
the extent of the defendant’s deviation from reasonable conduct). A jury could conclude
MEMORANDUM DECISION AND ORDER - 14
– even without expert testimony – that Ohio National’s conduct was an extreme deviation
from the standards of reasonable conduct.
2.
Actual Harm
Plaintiff was harmed by Ohio National’s conduct, in that the $2 million policy
should have been paid. Further, a punitive damages award necessarily focuses primarily
on the defendant’s conduct, not the harm plaintiff suffered. Thus, “‘nominal damages
may support a punitive award.’” Harwood v. Talbot, 39 P.3d 612, 619 (Idaho 2001)
(citation omitted).
3.
Special Relationship
The special relationship factor is easily established – Mr. Weekes and Ohio
National were in a special relationship as insurer/insured. See Cuddy, 824 P.2d at 160-61.
4.
Knowledge
Based on the evidence described more thoroughly below, a jury could conclude
that Ohio National acted with an extremely harmful state of mind, and with knowledge of
the likely consequences of its conduct. Ohio National is in a superior position and
obviously understands the import of failing to pay on a life insurance policy. As one
court observed:
In both first- and third-party situations the contract and the nature of the
relationship effectively give the insurer an almost adjudicatory
responsibility. The insurer evaluates the claim, determines whether it falls
within the coverage provided, assesses its monetary value, decides on its
validity and passes upon payment. Although the insured is not without
remedies if he disagrees with the insurer, the very invocation of those
remedies detracts significantly from the protection or security which was
MEMORANDUM DECISION AND ORDER - 15
the object of the transaction.
White v. Unigard Mut. Ins. Co., 730 P.2d 1014, 1018 (Idaho 1986) (quoting Rawlings v.
Apodaca, 726 P.2d 565, 570-71 (Ariz. 1986)).
5.
Oppressive, Unreasonable, or Irrational Behavior7
Turning to the more general concerns identified above, plaintiff has presented
sufficient evidence for a jury to conclude that Ohio National’s conduct was oppressive,
unreasonable, or irrational.
Most significantly, Ohio National argued that Mr. Weekes made “incorrect
statements” or “misrepresentations” on his life insurance application. This point is not
even fairly debatable. The application asked Mr. Weekes whether he would replace his
existing life insurance policy. He said, “Yes.” The application asked what the
“Replacement Date” would be. He put a dash mark. There is no misrepresentation there,
nor is there any incorrect statement.
Ohio National’s related arguments are also seriously lacking. For example, its
interpretation of the word “replace” was unreasonable in light of the application itself as
well as a governing Idaho Insurance regulation. See Idaho Admin. Code r. 18.01.41.004.
Similarly, Ohio National’s mutual mistake argument lacked merit because there was no
evidence whatever that Mr. Weekes assumed he could only have $2 million in
7
Many of the facts and legal authorities set forth here are discussed more fully in the
Court’s summary judgment ruling. See Order, Dkt. 46.
MEMORANDUM DECISION AND ORDER - 16
outstanding life insurance.
Plaintiff also presented evidence that Ohio National stubbornly clung to one of its
positions, even as the underlying facts appeared to collapse. To understand this point
requires a return to Idaho Code § 41-1811, which the Court discussed more thoroughly in
its November 21 Order granting summary judgment. See Dkt. 46, at 8-13.
Idaho Code § 41-1811 deals with representations made in the insurance application
and implicitly permits insurance companies to deny coverage based on certain types of
statements. For example, denial would be permissible if the insured made
“misrepresentations” or “incorrect statements” in the application that were “material . . .
to the insurance company’s acceptance of risk,” or caused the company to issue a policy
that, in good faith, it would not have issued had the “true facts” been known. Idaho Code
§ 41-1811.
So in this case, to rescind the contract, Ohio National would first need to prove Mr.
Weekes made an incorrect statement on his application. Then the company would have to
prove it would not have issued the policy had it known the “true facts.”
Ohio National insisted it never would have issued a $2 million life insurance
policy to Mr. Weekes if he had another policy in place because he would have been overinsured. At the time, Ohio National’s guidelines limited coverage to 25 times Mr.
Weekes’ earned income. Ohio National relied on a report from an outside company,
Exam One, in concluding that Mr. Weekes’ total income was $75,000. See Exam One
MEMORANDUM DECISION AND ORDER - 17
Report, Ex. B to Hilverda Aff. (Dkt. 16-4), at 195. Per Ohio National’s underwriting
guidelines, that income level would limit Mr. Weekes to just under $2 million in life
insurance (75,000 x 25 = 1,875,000). That would not leave any room for another
insurance policy.
But Exam One’s interview with Mr. Weekes was obviously incomplete, which is
revealed in the following interview transcript:
Q:
Ok and then your salary is about how much Sir?
A:
I pay myself $35,000 a year.
Q:
Ok and then bonuses anything in addition to that?
A:
Depending upon the year, yes.
Q:
Ok. And then dividends and investments, do you take anything from that?
A:
They at this point are all re-invested.
Q:
Any personal rental properties?
A:
Yes I do.
Q:
Ok and how much do you receive net from that?
A:
Probably about 40,000 a year.
Ex. F. to Hilverda Aff. (Dkt. 16-8) at 807 (emphasis added).
There were no follow-up questions regarding bonuses, despite the fact that in the
application, the agent estimated Mr. Weekes’ net worth at $5 million, his net annual
income as $200,000, and “all other income” as $40,000. Life Ins. App. (Dkt. 16-4), at
163. Further, Ms. Weekes indicates that her husband’s average annual income for the
MEMORANDUM DECISION AND ORDER - 18
five years preceding his death was $160,000, meaning he would qualify for $4 million in
insurance coverage. See Weekes Aff. (Dkt. 33-1) ¶ 3.
Ohio National disputes the true amount of Mr. Weekes’ income, but if the jury
accepts plaintiff’s version of the facts, this would support a finding that Ohio National
engaged in a continuing course of oppressive conduct. See Heller v. Farmers Alliance
Mut. Ins. Co., 179 P.3d 276, 283 (Idaho 2008) (punitive damages award proper where
“supported by competent and substantial, although conflicting, evidence”).
Plaintiff has also pointed to other facts that could support a punitive damages
award. For example, the jury could infer Ohio National assumed responsibility for
terminating the other life insurance policy. Ohio National sent letters asking Mr. Weekes
to complete forms that would allow the other policy to be terminated by way of a 1035
exchange. See I.R.C. § 1035 (governing “certain exchanges of insurance policies”).
Even after both contracting parties were aware there would be no 1035 exchange, Weekes
sent a “Request for Policy Surrender” (regarding the other life insurance policy) to Ohio
National. Ohio National did nothing with that form. The company says it could not use
the form, but it does not explain why this is so.
The jury could conclude that Ohio National would have done something with that
form if it truly believed its policy would not become effective until the Beneficial Life
policy terminated. Instead, Ohio National accepted the premium without making any
further inquiries about the policy surrender form or the status of the other life insurance
policy.
MEMORANDUM DECISION AND ORDER - 19
Finally, plaintiff asserts Ohio National knew the second policy would remain in
place because the agent, Doug Hansen, was aware of this fact. Here, plaintiff relies on
the general principle that an agent’s knowledge will be imputed to the principal. See
Williams v. Continental Life & Accident Co., 593 P.2d 708, 709 (Idaho 1979).
The parties dispute whether Hansen merely brokered the deal (thus acting as
Weekes’ agent) or whether he acted as the company’s agent. Ohio National appointed
Hansen as its agent, but this is not necessarily determinative. As the Idaho Supreme
Court long ago explained,
“Where a person is unquestionably the agent of one party or the other in a
transaction, but there is a dispute as to which party is his principal, the
question is to be decided by a reference to all the facts and circumstances of
the case. A proper interpretation of the facts may indicate that he was agent
of one party although the contract recites or he testifies that he was the
agent of the other.”
Harding v. Home Inv. & Sav. Co., 297 P. 1101, 1102 (Idaho 1930) (citation omitted).8
Additionally, the Idaho statute plaintiff cites does not foreclose a factual inquiry into
Hansen’s status. That statute simply forbids an insurance producer from acting as an
agent for the insurer unless he is so appointed. See Idaho Code § 41-1018(1) (“An
insurance producer shall not act as an agent of an insurer unless the insurance producer
8
Harding is an old case, but it is good law. The basic principle announced there is in
keeping with more current authority from other jurisdictions and a leading insurance law treatise.
See, e.g., Foisy v. Royal Maccabees Life Ins. Co., 356 F.3d 141, 150 (1st Cir. 2004) (“When
evaluating the role of an individual who assumes the characteristics of both agent and broker, we
must ‘look to the agent’s conduct in the relevant transaction to determine the nature of the
various relationships.’”) (citing Am. Country Ins. v. Bernhard Woodwork, 592 N.E.2d 1319,
1323 (Mass. 1992)); 3 Couch on Insurance § 45:9 (“The question of whether a broker is the
agent of the insured or of the insurer is ordinarily one of fact for determination by the jury.”).
MEMORANDUM DECISION AND ORDER - 20
becomes an appointed agent of that insurer.”). It does not necessarily prevent Hansen
from acting as Weekes’ agent.
Ultimately, a jury will decide whether Hansen acted as Ohio National’s agent. If
the jury concludes Hansen was Ohio National’s agent, his knowledge could be imputed to
the company, which would provide some additional support for a punitive damages
award.
In sum, the facts of this case fit within that narrow set of cases where a punitive
damages award would be supported by substantial evidence. The Court will grant
plaintiff’s motion to amend her complaint.
IT IS ORDERED:
1.
Plaintiff’s Motion to Amend Complaint to Include a Claim for Punitive
Damages (Dkt. 17) is GRANTED.
2.
Defendants’ Motion to Strike the Affidavit of Tim Terry and Exclude Tim
Terry as an Expert (Dkt. 25) is GRANTED.
3.
Defendants’ Motion to Strike Portions of the Affidavit of Tim Terry (Dkt.
24) is MOOT.
DATED: December 9, 2011
Honorable B. Lynn Winmill
Chief U. S. District Judge
MEMORANDUM DECISION AND ORDER - 21
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?