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It’s common observe for insurance coverage attorneys to ship doc requests to the insurance coverage firm throughout the preliminary phases of consumer illustration. Final week, our workplace despatched a doc request to a nationally recognized insurance coverage firm, together with a request for an authorized copy of the coverage. The seasoned dealing with adjuster, whose e-mail signature indicated he had an Affiliate in Claims (AIC) insurance coverage designation, responded that the provider wouldn’t present a replica of the coverage as a result of it was “work product” and couldn’t be shared. The adjuster as a substitute directed us again to our consumer to offer us with a replica of the coverage. Whereas I’ve encountered loads of provider representatives who made acquiring a replica of the coverage troublesome, this was the primary time work product doctrine was cited to forestall manufacturing.
What’s “work product”?
Work product is a authorized idea meant to exempt from discovery paperwork and tangible issues ready in anticipation of litigation or for trial.[1] Its function is to offer attorneys a sure diploma of privateness, free from pointless intrusion by opposing events and their counsel. A doc is protected by the work product privilege if it was ready in anticipation of litigation by one other get together or that get together’s consultant and was meant to stay confidential. In any other case, work product doctrine doesn’t apply to paperwork ready throughout the strange and routine course of enterprise operations.
Clearly, an insurance coverage coverage drafted within the regular course of enterprise is just not a doc ready in anticipation of litigation or meant to stay confidential.
On this case, the dealing with adjuster obtained a reply from our workplace rapidly dispelling his concept that an insurance coverage coverage is non-shareable work product. It definitely didn’t assist his work product argument that the state’s insurance coverage code explicitly requires the insurer to ship a replica of the coverage and endorsements upon the insured’s request. The adjuster later recanted and agreed to rearrange for the manufacturing of the licensed coverage.
As an insurance coverage business skilled, I’ve made comparable doc requests for years. Sadly, insurance coverage provider representatives usually hinder or delay these easy requests by sending paperwork which are turned the other way up, pages which are out of order, shrunk right down to the purpose of being illegible, or flat refusing to provide. One other frequent tactic to delay the declare evaluation course of is adjusters’ insistence on offering paper copies by way of postal supply as a substitute of digital copies when particularly requested.
When insurance coverage firm representatives pull stunts like this, it undermines the belief and transparency important to the insurer-insured relationship. That is additionally necessary why, as employers, it’s important for insurance coverage corporations to offer their representatives ample coaching on good religion declare dealing with in addition to the principles and laws for the state.
[1] See e.g., Villarreal v. United Hearth & Cas. Co., 873 N.W.second 714, 727 (Iowa 2016) (Inside citations omitted and holding that within the context of first-party bad-faith insurance coverage litigation, supplies that have been drafted within the strange course of enterprise usually are not protected by the work product doctrine aside from these containing paperwork particularly ready in anticipation of litigation).
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