SAFEPOINT INSURANCE COMPANY
v.
CLAIMCAP, LLC
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Safepoint Insurance Company petitioned for certiorari review of a county court order compelling discovery of its claims file in a breach of contract action brought by Claimcap, LLC over denied coverage for property repairs. The court denied the petition, with Justice Warner dissenting and arguing the trial court departed from essential requirements of law by ordering production of the claims file without the requesting party proving need and inability to obtain equivalent materials.
Justice Warner would have granted the petition, finding the trial court departed from essential requirements of law in compelling disclosure of the claims file without the requesting party proving need and inability to obtain substantial equivalent materials without undue hardship. The majority denied the petition without issuing an opinion.
[1] An insurer's claims file constitutes work product protected from discovery in a breach of contract action when the issue of coverage remains unresolved at the time of the…
[2] In a coverage dispute, a trial court departs from the essential requirements of law by ordering production of an insurer's claims file without the requesting party provin…
Previewing 2 of 5 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“Generally, an insurer's claim file constitutes work product and is protected from discovery prior to a determination of coverage... where the issue of coverage is still unresolved at the time of the insurer's objection to the request for discovery of its claim file, the trial court departs from the essential requirements of law in overruling the insurer's objection.”
Establishes the core principle that claims files are work product protected until coverage is determined, and courts err in ordering production without proof of need.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceClaimcap, LLC, through assignment of benefits from an insured, sued Safepoint for breach of contract after Safepoint denied coverage for plumbing-rela…
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PER CURIAM.
Petition denied. GROSS and KLINGENSMITH, JJ., concur. WARNER, J., dissents with opinion. WARNER, J., dissenting.
Safepoint Insurance Company seeks certiorari review of the county court’s order allowing discovery. I would grant the petition, as the trial court departed from the essential requirements of law in permitting discovery of Safepoint’s claim file without respondent proving the need for the materials and its inability to obtain the substantial equivalent of such materials without undue hardship.
The respondent, Claimcap, LLC, through an assignment of benefits from Safepoint’s insured, filed suit for breach of contract due to Safepoint’s denial of coverage for repairs made to the insured’s property due to a plumbing failure. Safepoint denied the claim, denying that coverage existed for the incident. The issue of coverage had not been determined when Claimcap filed a request for production of Safepoint’s claims file. Safepoint responded to the request and identified certain documents as work product and claim file material and objected to their production.
After a hearing on Safepoint’s objections, the trial court ordered Safepoint to file a privilege log so that it could conduct an in camera inspection. Based upon that inspection, the trial court determined the date that Safepoint could have reasonably contemplated litigation and determined that documents created prior to that date were not protected by the work product privilege because they were not prepared in anticipation of litigation. The court ordered their production. Safepoint then filed this petition for writ of certiorari contending that the trial court’s order departed from the essential requirements of law.
In State Farm Florida Insurance Co. v. Aloni, 101 So. 3d 412 (Fla. 4th DCA 2012), the insured requested the production of the insurance company’s claims file in a property insurance dispute. The trial court conducted an in camera inspection, but allowed the production of documents from the time the claim was reported to the filing of the lawsuit. We held that the court had departed from the essential requirements of law in ordering production. We stated:
Generally, an insurer’s claim file constitutes work product and is protected from discovery prior to a determination of coverage. Superior Ins. Co. v. Holden, 642 So. 2d [1139,] 1140 [Fla. 4th DCA 1994]. Thus, where the issue of coverage is still unresolved at the time of the insurer’s objection to the request for discovery of its claim file, the trial court departs from the essential requirements of law in overruling the insurer’s objection. Id. However, as we noted in Holden, an insured “may request that the trial court conduct an in camera inspection of the withheld documents to ensure that each properly meets the specific criteria of the work product and/or attorney-client privilege.” Id. . . . .
In this case, where the coverage issue is in dispute and has not been resolved, the trial court departed from the essential requirements of the law in compelling disclosure of State Farm’s claim file materials without the requesting party proving need and the inability to obtain the substantial equivalent of this material without undue hardship.
Id. at 414 (bold emphasis added). Similarly, in Nationwide Insurance Co. of Florida v. Demmo, 57 So. 3d 982, 984 (Fla. 2d DCA 2011), the court held that the trial court departed from the essential requirements of law in compelling the production of a claims file before the issuance of coverage was decided in a breach of contract claim. Accord Castle Key Ins. Co. v. Benitez, 124 So. 3d 379, 380 (Fla. 3d DCA 2013).
In this breach of contract case, the issue of coverage was unresolved. The trial court mistakenly believed that no work product privilege could exist for documents created prior to the date that the insurer could have anticipated litigation. The foregoing cases show that this is not the state of the law in breach of contract cases.
The trial court relied on Cotton States Mutual Insurance Co. v. Turtle Reef Associates, Inc., 444 So. 2d 595 (Fla. 4th DCA 1984), which held that an insurance claims file was not protected work product where it was in the early stages of claims investigation to determine whether the claim was covered. “The work product privilege attaches to statements and materials prepared by a party’s investigator or insurer only if these were prepared in contemplation of litigation. Mere likelihood of litigation does not satisfy this qualification.” Id. at 596 (internal citations omitted). This decision has been criticized. See, e.g., Fla. Cypress Gardens, Inc. v. Murphy, 471 So. 2d 203, 204 (Fla. 2d DCA 1985). And other District Courts of Appeal do not follow it. See Zirkelbach Constr., Inc. v. Rajan, 93 So. 3d 1124, 1128–29 (Fla. 2d DCA 2012). Our Court has also explained that Cotton States involved a first-party bad faith action which involved different considerations:
Nevertheless, the quoted sentence [quoted above] from Cotton States is sometimes cited to us as a holding imposing a heightened requirement for all claims of work product protection in this district. See[,] e.g., Marshalls of MA Inc. v. Minsal, 932 So. 2d 444 (Fla. 3d DCA 2006). We hope to clarify Cotton States by pointing to its context. Cotton States concerned a claim by an insured that an insurance carrier had engaged in bad faith in regard to the handling and settlement of a claim arising under the liability policy. We call attention to the fact that, because of the fiduciary relationship between the insured and carrier, the carrier’s file developed during the handling of the claim could hardly be deemed protected from its own insured to whom it owed a fiduciary duty. The carrier lacked any basis to claim a privilege of nondisclosure about the claim file in a later bad-faith suit.
Neighborhood Health P’ship, Inc. v. Peter F. Merkle M.D., P.A., 8 So. 3d 1180, 1184 (Fla. 4th DCA 2009) (internal footnote omitted). As this case involves a breach of contract action and not a bad faith action, Cotton States is not controlling.
I would grant the petition, quash the order, and require the trial court to determine the discoverability on the principles of Aloni.
* * * Not final until disposition of timely filed motion for rehearing.
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Authorities Cited
- Cotton States Mut. Ins. Co. v. Turtle Reef Assocs., Inc., 444 So. 2d 595 (Fla. 4th DCA 1984)
- Marshalls OF MA, Inc. v. Cira Minsal, 932 So. 2d 444 (Fla. 3d DCA 2006)
- State Farm Fla. Ins. Co. v. Meir Aloni, 101 So. 3d 412 (Fla. 4th DCA 2012)
- Nationwide Ins. Co. OF Fla. v. Cookie Roberta Demmo, 57 So. 3d 982 (Fla. 2d DCA 2011)
- Zirkelbach Constr., Inc. v. Govin T. Rajan, 93 So. 3d 1124 (Fla. 2d DCA 2012)
- Castle KEY Ins. Co. v. Raimundo and Eugenia Benitez, 124 So. 3d 379 (Fla. 3d DCA 2013)