State Farm Mutual Automobile Insurance v. Accident Victims Home Health Care Services, Inc. , 467 F. App'x 368 ( 2012 )

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION
File Name: 12a0031n.06
Nos. 09-2452/09-2509 FILED
Jan 10, 2012
UNITED STATES COURT OF APPEALS
FOR THE SIXTH CIRCUIT LEONARD GREEN, Clerk
STATE FARM MUTUAL AUTOMOBILE )
INSURANCE COMPANY, )
) ON APPEAL FROM THE UNITED
Plaintiff - Appellee, ) STATES DISTRICT COURT FOR
) THE EASTERN DISTRICT OF
v. ) MICHIGAN
)
)
ACCIDENT VICTIMS HOME HEALTH ) OPINION
CARE SERVICES, INCORPORATED, and )
GEORGE RATH PAIGE, )
)
Defendants - Appellants. )
Before: GIBBONS, STRANCH, and ROTH* Circuit Judges.
JANE B. STRANCH, Circuit Judge. Accident Victims Home Health Care Services, Inc.
(AVHHC) and George Paige appeal the judgment entered in favor of State Farm Mutual Automobile
Insurance Company following a jury trial. Because the district court erred in admitting propensity
evidence under Federal Rule of Evidence 404(a), we REVERSE the judgment and REMAND the
case for a new trial.
I. FACTS
*
The Honorable Jane R. Roth, Circuit Judge for the United States Court of Appeals for the
Third Circuit, sitting by designation.
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AVHHC provides home attendant care supervision services for individuals who are injured
in automobile accidents. Pursuant to Michigan’s no-fault law, State Farm paid AVHHC personal
injury protection insurance benefits for all necessary and reasonable services for two AVHHC
clients, Wendell Jackson and Luella Neal. AVHHC also claimed benefits for a third client, June Ely,
but State Farm refused to pay benefits for her care.
AVHHC employees used a “Daily Observation Report” to record their time and activities
while providing attendant care supervision to clients. As AVHHC’s president, Paige reviewed the
accuracy of these reports and corrected any errors before forwarding the reports to the insurance
company with a request for payment.
State Farm conducted twenty-four days of undercover surveillance, which yielded minutes
of video showing Jackson unsupervised on two occasions and Neal unsupervised playing a casino
slot machine. In February 2007, State Farm filed this diversity suit against AVHHC and Paige to
recover all of the benefits it had paid for Jackson and Neal in the amount of $916,754.00. State Farm
alleged that the services AVHHC provided to these two clients were unnecessary or unreasonable
or, alternatively, AVHHC submitted fraudulent claims. AVHHC counterclaimed against State Farm
seeking reimbursement for services provided to Ely. In February 2009, the district court entered
summary judgment in favor of Paige and dismissed him from the suit. The case proceeded to jury
trial.
AVHHC filed a pretrial motion in limine to preclude State Farm from introducing evidence
about AVHHC’s billings to State Farm concerning another client, Kathy Owens. The district court
denied the motion and admitted the challenged evidence during State Farm’s questioning of Paige
and Rammell Sanders, Owens’s caregiver. At the close of State Farm’s proof, the district court
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allowed State Farm to conform the pleadings to the proof and again added Paige as a defendant in
the suit.
At the conclusion of the seven-day trial, the jury returned a verdict in favor of State Farm on
all claims and awarded $528,566.24. The district court granted State Farm’s motion for prejudgment
interest on that amount and also granted State Farm’s motion for attorney fees in the amount of
$297,386.86. AVHHC and Paige sought a new trial under Federal Rule of Civil Procedure 59(a) and
relief from judgment under Federal Rule of Civil Procedure 60(b). The district court denied the
motion, and this appeal followed.1
II. ANALYSIS
A. Standard of Review
This Court reviews for an abuse of discretion the district court’s evidentiary rulings, the
denial of a motion for new trial, and the denial of a motion for relief from judgment. See United
States v. Talley, 194 F.3d 758, 765 (6th Cir. 1999) (evidentiary rulings); Morgan v. New York Life
Ins. Co., 559 F.3d 425, 434 (6th Cir. 2009) (new trial motion); ACLU v. McCreary Cnty., 607 F.3d
439, 450 (6th Cir. 2010) (Rule 60(b) motion). An abuse of discretion occurs when the district court
relies on clearly erroneous factual findings, applies the law improperly, or employs an erroneous
legal standard. CareToLive v. FDA, 631 F.3d 336, 344 (6th Cir. 2011). Reversal is warranted if this
Court is left with a “definite and firm conviction that the trial court committed a clear error of
1
At oral argument, AVHHC and Paige stated they would not pursue their contention that the
district court should have dismissed the complaint to sanction State Farm for withholding crucial
evidence, such as its claims files and expert witness reports, until trial was well underway, thus
depriving AVHHC and Paige of the opportunity to contradict such evidence. We do not address any
issue concerning State Farm’s discovery abuse.
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judgment.” Nolan v. Memphis City Schs., 589 F.3d 257, 264 (6th Cir. 2009) (internal quotation
marks omitted).
B. Rule 404 Evidence
AVHHC’s motion in limine sought to exclude evidence concerning a Michigan state court
proceeding, Owens v. State Farm. That case involved Kathy Owens, an AVHHC client who sued
State Farm to recover first-party no-fault benefits. State Farm settled with Owens. AVHHC
intervened in the suit as a plaintiff to pursue a reimbursement claim against State Farm for services
it provided to Owens. During trial, the state court judge found that Paige had tampered with
documentary evidence shortly before trial by fraudulently altering certain AVHHC daily observation
reports. As a sanction for Paige’s conduct, the court dismissed AVHHC’s case against State Farm.
In dismissing, the state court stated on the record:
This goes to the very essence, the heart of our system in terms of altering evidence
that has been tampered with, in essence. For someone to intentionally tamper with
the evidence and make a misrepresentation and actually ask an employee to get
involved in something like this I think is a bad thing; in fact, it is awful, and I am
sorry to be a witness to something like this.
In support of the motion in limine, AVHHC argued under the Federal Rules of Evidence that
any evidence from or mention of Owens was not relevant under Rule 401 and therefore inadmissible
under Rule 402 because the case on trial concerned billings for Jackson, Neal, and Ely, while Owens
involved a different client, different billings, and different issues. AVHHC also argued under Rule
403 that evidence from Owens would confuse the jury and result in unfair prejudice to AVHHC
because State Farm wanted the jury to draw the conclusion that Paige must have committed fraud
in the case before it because Paige had committed fraud in Owens. AVHHC further argued that
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evidence from Owens would be inadmissible under Rule 608 because evidence of untruthful
character may be attacked only in the form of opinion or reputation testimony, and not by evidence
of specific instances of conduct.
State Farm responded that Michigan law permits introduction of circumstantial evidence to
establish fraud. In a diversity case like this one, however, the Federal Rules of Evidence govern the
admission of evidence, while state law governs the substantive issues. See Gass v. Marriott Hotel
Servs., Inc., 558 F.3d 419, 425–26 (6th Cir. 2009); Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938).
State Farm also argued that evidence from Owens was admissible under Rule 404(b) as evidence of
AVHHC’s scheme or plan.
The district court denied AVHHC’s motion in limine ruling:
The prior litigation unfortunately will have to be admitted. I don’t think it’s more
prejudicial than probative. It is relevant not only to the character of the defendant
but to the fact of a fraud having been committed once before, the same type of fraud,
and it’s not 404(b) evidence.
This ruling admitted the very type of propensity evidence prohibited by Rule 404(a). Not only did
it directly contradict Rule 404(a), but it inexplicably ignored any permissible ground for admission
listed in Rule 404(b) and asserted by State Farm as a basis for such admission.
Rule 404(a) clearly provided that “[e]vidence of a person’s character or a trait of character
is not admissible for the purpose of proving action in conformity therewith on a particular occasion”1
except as provided in three other evidentiary rules, only one of which is relevant here. Rule 608(a)
permits an attack on a witness’s credibility, but only in the form of opinion or reputation evidence
on the subject of the witness’s character for truthfulness of untruthfulness. Under Rule 608(b),
1
Stylistic changes were made in 2011.
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specific instances of the witness’s conduct introduced for the purpose of attacking the witness’s
character for truthfulness may not be proved by extrinsic evidence, but specific instances of conduct
may be inquired into on cross-examination of the witness if they are probative of the witness’s
character for truthfulness and the district court allows such questioning.
Rule 404(b) provides in part that “[e]vidence of other crimes, wrongs or acts is not
admissible to prove the character of a person in order to show action in conformity therewith. It
may, however, be admissible for other purposes, such as proof of motive, opportunity, intent,
preparation, plan, knowledge, identity, or absence of mistake or accident[.]” Here, the court clearly
ruled that the evidence was not Rule 404(b) evidence, and the record lacks the necessary Rule 404(b)
analysis: examination of each prior bad act proffered for admission; determination of whether
sufficient evidence supported the occurrence of that act; consideration of whether the evidence was
offered for a proper purpose, and evaluation of whether the evidence was more probative than
prejudicial under Rule 403. See Tschira v. Willingham, 135 F.3d 1077, 1086 (6th Cir. 1998).
Further, had the district court admitted the evidence under Rule 404(b), the record should have
contained cautionary instructions to the jury on the limited use of the Rule 404(b) evidence admitted.
See United States v. Hardy, 643 F.3d 143, 153 (6th Cir. 2011).
The record reveals that the evidence was admitted in violation of Rule 404(a) and the
resulting trial was permeated with the effect of the district court’s erroneous evidentiary rulings,
made over the continuing objections of AVHHC and Paige. In opening statement, State Farm
immediately brought the damaging evidence from Owens to the jury’s attention and made the use
of such evidence a key component of its case throughout the trial. On the first day of its case-in-
chief, State Farm called Paige to the stand as an adverse witness and questioned him at length about
No. 09-2452, 09-2509 State Farm v. AVHHC Page 7
his falsification of AVHHC records in Owens. While certain portions of State Farm’s examination
of Paige may have been proper impeachment, much of the examination progressed in direct violation
of Rules 404(a) and 608.
The district court compounded the error when, on the second day of trial during State Farm’s
re-direct examination of Paige, the court admitted into evidence, over AVHHC’s objection, Exhibit
132, a transcript of the state trial court’s damaging statements to Paige while he was on the witness
stand in Owens, and Exhibit 132a, the state trial court’s Order of Dismissal in Owens. In response
to AVHHC’s objection to the admission of these two exhibits, State Farm reminded the court that
it had already ruled on the issue when it denied the motion in limine. However, in light of Paige’s
express denial under oath that he committed any fraud in Owens, both of these exhibits constituted
extrinsic evidence of specific instances of Paige’s conduct which were not admissible under Rule
608(b). See, e.g., United States v. Frost, 914 F.2d 756, 767 (6th Cir. 1990) (recognizing that counsel
questioning an adverse witness is “stuck with” the witness’s response and upholding under Rule
608(b) the exclusion of extrinsic evidence offered to attack credibility of witness and contradict his
testimony). Counsel for State Farm read to Paige the state trial court’s blistering comments and
asked him additional questions about the Owens proceedings. Finally, in closing argument, State
Farm emphasized the improperly admitted evidence when it asked the jury to return a verdict in its
favor, and the district court did not give any cautionary instructions to the jury concerning this
evidence. See Hardy, 643 F.3d at 157 (“Rule 404(b) evidence must be carefully managed to avoid
it becoming precisely what it is designed to prevent: propensity or character evidence.”); United
States v. Johnson, 27 F.3d 1186, 1193 (6th Cir. 1994) (“When prior acts evidence is introduced,
regardless of the stated purpose, the likelihood is very great that the jurors will use the evidence
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precisely for the purpose it may not be considered[.]”). Admission of the propensity evidence and
lack of proper instruction to the jury created prejudice to defendants AVHHC and Paige, it affected
defendants’ substantial rights, and the evidentiary and instructional errors were not harmless. See
Biegas v. Quickway Carriers, Inc., 573 F.3d 365, 377 (6th Cir. 2009).
We reject State Farm’s contention that evidence from Owens was admissible under Rule
405(b). Under that rule, when character evidence is introduced for a proper purpose, it may be
proved only by reputation or opinion evidence; it may not be proved by specific instances of conduct
unless the character trait is an essential element of the claim or defense. See Fed. R. Evid. 405. The
district court instructed the jury that, to establish fraud under Michigan law, State Farm had to prove
that defendants: (a) made representations of material fact; (b) the representations were false when
made; (c) defendants knew the representations were false when made; (d) defendants made the
representations with the intent that State Farm rely on them; (e) State Farm relied on the
representations; and (f) State Farm was damaged as a result of its reliance. None of these five
elements put character in issue. Because proof of character was not an element of fraud, Rule 405(b)
was not applicable. See United States v. Clark, 377 F. App’x 451, 460 (6th Cir. 2010) (“[I]n
determining whether evidence of [the defendant’s] character was an ‘essential element’ . . . ‘[t]he
relevant question should be: would proof, or failure of proof, of the character trait by itself actually
satisfy an element of the charge, claim, or defense?’”) (quoting United States v. Keiser, 57 F.3d 847,
856 (9th Cir. 1995)). We have considered State Farms’ other arguments and find them also to be
without merit.
III. CONCLUSION
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Having carefully reviewed the trial record, we can only conclude that the jury’s verdict was
premised on propensity evidence that should not have been admitted. We conclude that the district
court abused its discretion in admitting such evidence and in denying the motion for a new trial. See
Talley, 194 F.3d at 765; Morgan, 559 F.3d at 434. Accordingly, we REVERSE the district court’s
judgment and REMAND for a new trial.