Supreme Court of Delaware
Michelle Brown, Plaintiff Below, Appellant v. Liberty Mutual Insurance Company, Defendant Below, Appellee
June 13, 20012001 Del. LEXIS 255
Summary
The court affirmed judgment as a matter of law for Liberty Mutual because the principal evidence supporting Brown’s bad-faith claim was inadmissible hearsay and the remaining admissible evidence did not permit a reasonable jury to find that Liberty Mutual knew pre-authorization was required or that it unjustifiably denied payment. The court held that the medical-record notation was not admissible under the business-record, medical-treatment, residual, routine-practice, or proposed nonhearsay theories. The court did not decide whether denying pre-approval could breach the implied covenant when pre-approval is not required by the insurance contract. No separate opinions were issued.
Holding
- Admissibility of the medical-record notation and related testimony. The notation and related testimony were not admissible to prove the truth of the alleged denial or to establish that Liberty Mutual had notice that pre-authorization was required. The notation lacked sufficient trustworthiness for the business-record and residual exceptions, did not describe medical condition or treatment information within the medical-treatment exception, did not reflect a sufficiently automatic routine practice, and did not establish the proposed nonhearsay fact.
- Sufficiency of evidence supporting the bad-faith claim. Brown failed to present sufficient admissible evidence for a reasonable jury to find that Liberty Mutual knew pre-authorization was required, denied pre-authorization, and did so without reasonable justification. Judgment as a matter of law for Liberty Mutual was therefore proper.
Docket 115, 2000
Cited authorities
- Rule 808(4)
- Rule 803(6)
- Rule 803(6)
- Rule 803(6)
- Rule 803(4)
- Rule 803(4)
- R. 50(a)
- Fed. R. Evid. 803(6)
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