Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-azd-4_18-cv-00378/USCOURTS-azd-4_18-cv-00378-1/pdf.json

Nature of Suit Code: 360
Nature of Suit: Other Personal Injury
Cause of Action: 28:1331 Fed. Question: Breach of Contract

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WO

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

Robert Luke Adams, an individual, 

Plaintiff, 

vs.

Symetra Life Insurance Company, an Iowa

corporation, 

Defendant. 

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No. CV-18-0378-TUC-JGZ (LAB)

ORDER

Pending before the court is the plaintiff’s motion, filed on December 13, 2019, to compel

discovery from third-party MLS Group. (Doc. 179) MLS Group filed a response on January

17, 2020. (Doc. 184) The plaintiff filed a reply on January 24, 2020. (Doc. 193) 

This matter was referred to Magistrate Judge Bowman pursuant to the Rules of Practice

of this court. See LRCiv 72.1(c).

The motion will be granted.

Discussion

The plaintiff, Robert Luke Adams, claims the defendant, Symetra Life insurance

Company (Symetra), breached an insurance contract and breached the duty of good faith and

fair dealing by failing to pay benefits due in accordance with his Long Term Disability Income

Insurance Policy (Policy). (Doc. 1) Adams worked as “a self-employed insurance agent.”

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(Doc. 1, p. 2) He maintains that he became disabled “no later than July 11, 2017” due to

rheumatoid arthritis and low back pain. (Doc. 1, p. 3) Symetra paid benefits starting October

9, 2017, but stopped paying benefits after one year. (Doc. 1, p. 3) Adams believes Symetra is

relying on a term in the Policy that limits benefits if disability arises out of a “special condition”

– a “[m]usculoskeletal and connective tissue disorder[] of the neck and back.” (Doc. 1, p. 3)

When Adams first applied for benefits, Symetra hired MLS to review the medical record

and assess his claim. (Doc. 179, p. 7) MLS doctors Frank Polanco and Vikram Garg reviewed

the medical record and offered their opinions of Adams’s ability to work. (Doc. 179, p. 10)

Polanco reported that “[Adams] retains a full-time capacity [to work] as previously noted.”

(Doc. 179, p. 10) He further opined that the medical records “do not support any restrictions

or limitations which are secondary to medication usage.” Id. Garg reported that “Symetra’s

surveillance of [Adams] revealed inconsistencies in [his] or his treating physicians’ claimed

physical limitations . . . .” (Doc. 179, p. 11) He opined that “there are no restrictions supported

for [Adams’s] rheumatoid arthritis.” Id. Symetra’s ultimate denial of benefits was based

primarily on the reports authored by Polanco and Garg. (Doc. 179, pp. 11-12) Adams suspects

that the MLS doctors offered medical opinions that were less than completely objective.

On February 25, 2019, Adams served MLS with a subpoena for records relating to its

analysis of Adams’s medical impairments. (Doc. 179, pp. 12-13) MLS complied to some

extent, but it denied discovery of two specific categories of documents. Id. They are: “1) [a]ll

notes relating to Robert Luke Adams, including but not limited to, all notes from interview,

rough drafts, and telephone conversations relating to Robert Luke Adams and 2) prior reports

authored by Drs. Garg and Polanco on behalf of MLS between January 1, 2015 to the present,”

which number approximately 160 reports. (Doc. 179, p. 13) Adams filed the pending motion

to compel on December 13, 2019. (Doc. 179)

In general, “[p]arties may obtain discovery regarding any nonprivileged matter that is

relevant to any party’s claim or defense and proportional to the needs of the case, considering

the importance of the issues at stake in the action, the amount in controversy, the parties’

relative access to relevant information, the parties’ resources, the importance of the discovery

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in resolving the issues, and whether the burden or expense of the proposed discovery outweighs

its likely benefit.” Fed. R. Civ. P. 26(b)(1).

“[T]he court must limit the frequency or extent of discovery otherwise allowed by these

rules or by local rule if it determines that: (i) the discovery sought is unreasonably cumulative

or duplicative, or can be obtained from some other source that is more convenient, less

burdensome, or less expensive; (ii) the party seeking discovery has had ample opportunity to

obtain the information by discovery in the action; or (iii) the proposed discovery is outside the

scope permitted by Rule 26(b)(1).” Fed. R. Civ. P. 26(b)(2)(C).

Symetra’s decision regarding Adams’s benefits under the Policy was based on the MLS

doctors’ reports. These reports were crafted from notes, correspondence, and drafts that the

doctors stored in the MLS “portal.” Access to those documents would provide a window into

the doctors’ thought processes and the rationale behind their ultimate conclusions. They might,

for example, show that the doctors’ opinions were unfairly influenced by the insurance company

that hired MLS in the first place. See, e.g., Hinds v. Life Insurance Company of North America,

2019 WL 4871471, *7 (C.D.Cal. 2019) (“[T]he back and forth between Dr. Polanco and [the

insurance company] discussed above is very troubling as it suggests that Dr. Polanco was only

interested in giving [the insurance company] the opinion it wanted rather than an opinion based

on his unbiased review of the objective medical evidence.”). And the use of biased doctors is

some evidence of bad faith. The doctors’ notes, correspondence, and drafts are relevant and

discoverable.

Adams also seeks access to other reports that were authored by the doctors Polanco and

Garg. These other reports could show that the doctors routinely produce reports favorable to

the disability insurance company. If so, these other reports would be evidence of unfair bias

against disability claimants. See, e.g., Hangarter v. Provident Life & Acc. Ins. Co., 373 F.3d

998, 1011 (9th Cir. 2004) (“[E]vidence showed that in thirteen out of thirteen cases involving

claims for total disability, Dr. Swartz rejected the insured’s claim that he or she was totally

disabled.”); Hertz v. Hartford Life & Acc. Ins. Co., 991 F. Supp. 2d 1121, 1136 (D. Nev. 2014)

(“The Court finds these statistics strongly suggest that both MLS and Dr. Rim harbored a

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significant bias towards finding a claimant capable of performing some type of work.”). The

knowing use of biased doctors would be some evidence of bad faith. Accordingly, the doctors’

other reports are relevant and discoverable. 

MLS argues that discovery should be denied. First, it argues that the motion to compel

is untimely, coming “on the last day of discovery, more than nine months after MLS first

responded to his February 25, 2019 Subpoena.” (Doc. 184, p. 4) MLS concedes that the parties

engaged in discussions in an attempt to resolve the issues that lasted approximately five months.

Id. Nevertheless it maintains that the motion was filed four months after those discussions

ended. Id. 

The court finds that while there might have been unnecessary delay, there is no showing

that this delay resulted in any prejudice. Accordingly the motion will not be denied due to

delay. See Fed.R.Civ.P. 1.

MLS further argues that the motion should be denied because an expert’s draft reports

are protected from discovery by Fed.R.Civ.P. 26(b)(4)(B),(C). These Rules, however, are

inapposite. They are designed to protect the drafts of reports prepared in anticipation of

litigation because those drafts would be work product. Fed.R.Civ.P. 26(b)(4)(B),(C) (citing

Fed.R.Civ.P. 26(b)(3)(A) and (B)). The draft reports at issue here were not prepared in

anticipation of litigation. They were prepared to help Symetra evaluate Adams’s original claim

for benefits.

MLS further argues that discovery should not be allowed because a “person responding

need not provide discovery of electronically stored information from sources that the person

identifies as not reasonably accessible because of undue burden or cost.” (Doc. 184, p. 9)

(citing Fed.R.Civ.P. 45(e)(1)(D)) Apparently, MLS recently switched from one database

program to another, and the requested notes are “housed in MLS’s former database and thus

would require MLS to manually copy and paste the notes into a word processor for production.”

(Doc. 184, p. 9) The court is not persuaded.

MLS asserts that compliance would require someone to “manually copy and paste the

notes into a word processor for production.” (Doc. 184, p. 9) It does not, however, specify

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exactly how may documents there are or how much time it would take to produce them.

Without more, the court finds that MLS fails to shoulder its burden to show that compliance

would entail undue burden or cost. See, e.g., Alabama Aircraft Indus., Inc. v. Boeing Co., 2016

WL 9781825, at *5 (N.D. Ala. 2016) (“[C]ourts addressing the issue emphasize the need for

specificity in a non-party’s showing of ‘undue burden.’”). Moreover, it appears that this

problem is one of MLS’s own making. MLS apparently decided to “update” its data system

without providing for a means to easily access the notes previously stored by the old system.

(Doc. 179, p. 14, n.5) The target of a subpoena duces tecum cannot excuse non-compliance by

pointing to a self-created burden. See, e.g., Lou v. Ma Labs, Inc., 2013 WL 12328278, at *2

(N.D. Cal. 2013) (“The Court finds that the burden defendants claim excuses them from

producing such documents is of their own making, and thus not compelling.”), clarified on

denial of reconsideration, 2013 WL 1615785 (N.D. Cal. 2013). In the alternative, the court

finds that Adams has shown good cause for the discovery “considering the limitations of Rule

26(b)(2)(C).” Fed.R.Civ.P. 45(e)(1)(D). Discovery is therefore proper in spite of the burden

it may cause to MLS.

IT IS ORDERED that the plaintiff’s motion, filed on December 13, 2019, to compel

discovery from third-party MLS Group is GRANTED. (Doc. 179) MLS Group will produce

within thirty days from the date this order is issued “1) [a]ll notes relating to Robert Luke

Adams, including but not limited to, all notes from interview, rough drafts, and telephone

conversations relating to Robert Luke Adams and 2) prior reports authored by Drs. Garg and

Polanco on behalf of MLS between January 1, 2015 to the present.” (Doc. 179, p. 13) 

DATED this 16th day of March, 2020.

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