Texas Law & the Use of Expert Witnesses

The Texas Supreme Court recently decided on a very significant case on legal malpractice. The following is the major theme on the “surface” of that opinion. Elizondo v. Krist, ___ S.W.3d ___ [2013 WL 4608558] (Tex. Aug. 30, 2013)

Some Fundamentals

Virtually all legal malpractice cases require the use of experts.  Lawyering is a complex service and lay clients can determine what they regard as the good and the bad, but they cannot really say reliably what reasonable lawyers would do under the circumstances.

General Criteria for Acceptability

The criteria for someone being an expert is that they can be rationally expected to provide reliable testimony.  The reliability of testimony can be determined on the basis of all sorts of reasons.  Experience in the area is often taken to be a central ground, and many lawyers like to say that identical employment (or something close to it) is not only a good indicator but the best indicator and perhaps the only one.

Of course, this is far from true. Someone who studies something extensively may be just as qualified, or better, than someone who has had the right employment. Many other factors are important. It is impossible to say with certainty the necessary conditions of reliability.

It is doubtful that a lawyer who has studied banking for several weeks to prepare to testify and who has not studied for a longer read no books, and interviewed no bankers would count.  The case might be different for a banking lawyer who has never actually been a banker. Professors in business schools and who have Ph. D.s or M.B.A.s in financial management, or something like it, will probably be shoe-ins. The might also be possible for someone knowledgeable about related topics in the general area and who has taken a couple of or several months to actually study relevant matter(s?) in a variety of ways.

It is certainly not the case that the various Daubert tests must be passed. Banking is not a scientific activity, just as law is not. The fundamental precedent for reliability is to be found in Kumho Tire.   Reliability and related ideas have probably always been the real standard; even today a good number of lawyers speak, write briefs, and act as if Daubert was the expert witness “Bible.”  The surface of precedent certainly looked like that and had to be done, but witnesses in legal malpractice cases, as in many others, could not have performed the scientific tests and/or published in the ways required in scientific journals, as was more or less required in Daubert.

Criteria Applied to Lawyers

The same criteria–reliability–applies to lawyers.  Sometimes it is argued that a lawyer cannot “judge” the activities of a non-lawyer.  In a slew of–though not all–cases, that would not apply. Some insurance lawyers might be highly qualified to testify about adjustment performance. It is sometimes argued that one lawyer that does not do (precisely?) what another does cannot be a reliable observer and therefore cannot be an appropriate expert.  This is nonsense, of course, a lawyer’s experience of inactivity or studies in area A may well be able to “judge” the performance of a lawyer working in area B.   Naturally, this is not always true. It is improbable that a lawyer who majored in music and who has worked on musical copyright matters her whole career will be able to work on a patent case concerning complex engineering problems, although might well be able to do a cyber-copyright case, trade secrets case, a defamation case, and many others.

Then again, it must be kept in mind that the standard of care for all lawyering is the same. One who understands quite clearly a hypothetical involving lawyer performance might be just fine, at least in theory.  After all, most expert witnessing involves the “if, then” way of thinking.  Still, there will be controversies over this last issue every time.

Required Elements  of the Expert TestimonyIn Texas, said the court, the testimony of an expert witness–including that of a lawyer in a legal malpractice case, must “look like” the following:

based upon facts,not lack “demonstrable” facts and connected reasoning.not simply conclusions,more than ipse dixit of an acknowledged expert (“Take my word for it, x is true.”),be a satisfactory “analytical gap” between the facts and the opinion, andbe without “fatal gaps.”

This, or a small variant of it, is the law pretty much everywhere.

In this case, the plaintiff (P) was injured in 2005 by an explosion at the BP Amoco Chemical Company plant in Texas City.  He worked for a BP contractor, so he could pursue action against BP. Fifteen (15) workers were killed and many more were injured.  There were 4000 suits filed. Almost all were settled along the way; only a handful went to trial, and those were settled before the verdict.

Eventually, P’s case was settled after “all” the pretrial jockeying went forward, or so it would appear.

It settled for $50,000.00.  P was thrown by the explosion approximately 20 feet up against the porta-potty.  He received medical treatment for neck and back injuries, but he returned to work a few days later, and apparently missed no work for any relevant reason. However, he claimed to have suffered a psychological injury.  (As the reader may know, in Texas, as in many other states, bodily injury is a sufficient condition for having a cause of action for psychological injury, though not a sufficient condition for actually having such an injury.)  Neither his medical nor his psychological expenses were particularly high.

His counsel (Ls) demanded $2M but eventually settled for $50K.  P eventually sued Ls; they moved for summary judgment and prevailed on the grounds that the testimony of the expert was insufficient to establish a fact issue. Without a fact issue, the trial court’s granting summary judgment was required.

There was something revolutionary about this case. The Supreme Court clearly held–at least implied–that the so-called “case-within-the-case” doctrine is not always required. It may well not apply to mass tort cases where there are a huge number of settlements, as there were in this case.

P’s appeal, in this case, was about the expert testimony.  The court found that there were a number of things wrong, but they were all tied to the same problem.

The expert has to raise by his testimony that there was a fact issue.  Roughly speaking, the court held that there is legal malpractice in a lawyer’s settling a case only if it does not fit into the general pattern of settlements.  In general, smaller injuries do not get the same size awards as those who have been killed or those who are maimed. Thus, the testimony of the expert must, at the summary judgment stage that P’s injuries were unreasonably distant from the pattern.

Clearly one of the things that are needed is evidence of this pattern.  Expert must testify on that, and he cannot do it without relevant evidence being fed to him.

Interestingly, the Court held that it was within the bounds of zealous advocacy, as required by the “ethical rules” governing lawyers, to decline to use what they had because of rules regarding confidentiality.

Oddly enough, P did not contend that their expert needed information about other specific settlements.

P did not claim that the expert would have augmented his opinion if he had such information.

The expert himself said that he was precluded from divulging settlement amounts of which he was aware.

The expert did not indicate in the record that he wanted it to analyze and compared with P’s settlement amount.

P did not ask the court to delay deciding summary judgment until there had been a real attempt to obtain the information. P could have made such a request if he thought it was needed.

If the prose of the court is to be understood, P filed a motion seeking an order to permit the expert witness to examine such material, under a proposed protective order.  It looks like opposing counsel did not oppose the motion.  And it appears that the expert sought a relevant court order since he was permitted to look at them under the settlement agreements if ordered by a court.  These matters appear to have petered out.

There were motions to delay summary judgment to seek relevant evidence, but some pleadings asserted that the information at issue in the summary judgment was not needed. The pleading asserted that all that was needed were copies in which settlement amounts had been redacted.

Ls do not contend in the malpractice case that they needed that information.  Ls ask the appellate courts to hold, that the trial court abused its discretion to finally set a time for a summary judgment, and then issue a judgment on that basis. The court rejects the argument.

Ls contended that no different expert opinion was needed because the BP argument in favor of summary judgment was based on a “faulty premise,” namely that the only way to prove damages is by means of the use of the pattern of settlement amounts.

There was a short dissent which will be ignored here.  It will probably have no influence on subsequent legal developments.—MSQ

Several points may be made easily:

First, the expert witness needed settlement amounts and a match-up to injuries.  Maybe he would need job categories. (He did not need names or other identity-producing information.)  It is difficult to see why Ls would not pursue it. Perhaps it could have been obtained from BP. And we live in the age of e-discovery so it would be simple and inexpensive for BP to provide it.  (Of course, the e-discovery rules have yet to be Texas law, but BP knew how to use the federal rules, and a reasonable judge might enter an appropriate order.)

Second, if the opinion is clear, whenever the court says that P did or did not do something, asked, or did not ask for something, the court is referring to Ls.  They were in charge of P’s case, not P.

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Texas Legal Malpractice Decision: Limitation on the “Case-Within-the-Case” Doctrine

It has been almost universally thought amongst lawyers, who are knowledgeable on the relevant topics, that the “Case-Within-the-Case” Rule (“Rule”) applied to all legal malpractice. Certainly, this has been though, from time immemorial, by virtually all informed lawyers to apply across the board to litigation cases. 

On August 30, 2013, the Supreme Court of Texas, by a vote of 6-2, decided that the Rule does not apply to all litigated cases. The exception is not the widest one anyone has ever heard, but it is significant and has significant implications–maybe–for different kinds of cases.  Of course, some lawyers will immediately (in legal time) try to press it too far. 

Many do not take the idea that virtually all legal progress moves like a snail, and perhaps even more slowly when the interest of the profession and members of the profession are at stake.—MSQ

The case was Elizondo v. Krist, ___S.W.3d ___, 2013 WL 4608558 (Tex, August 30, 2013).  In this case, the plaintiff (P) was injured in 2005 by an explosion at the BP Amoco Chemical Company plant in Texas City.  He worked for a BP contractor, so he could pursue action against BP. Fifteen (15) workers were killed and many more were injured.  There were 4000 suits filed. Almost all were settled along the way; only a handful went to trial, and those were settled before the verdict.

Eventually, P’s case was settled after “all” the pretrial jockeying went forward, or so it would appear. It settled for $50,000.00.  P was thrown by the explosion approximately 20 feet.  He received medical treatment for neck and back injuries, but he returned to work a few days later, and apparently missed no work for any relevant reason. However, he claimed to have suffered a psychological injury. 

As the reader may know, in Texas, as in many other states, bodily injury is a sufficient condition for having a cause of action for psychological injury, though not a sufficient condition for actually having such an injury.—MSQ

P sued his lawyers (L) for not obtaining more money. There were several lawyers working as a team on P’s case, hence the singular  “L,” and all of them appear to have been sued. L moved for summary judgment on the ground that there was no evidence that there would have been a larger recovery in the underlying case, if it had been pursued to finality, after a trial (perhaps one or more appeals) and a final judgment. 

In this case, the Court focused on what sort of evidence is necessary to create a fact dispute as to damages.  The majority agreed that the measurement of damages is not tied to the existence of a final judgment.  It can be achieved by comparison with other settlements in a large case similar to this one. Obviously, by implication, this would include a whole raft of mass tort cases; it need not involve a situation resembling the BP explosion.

In other words, the Court has held that a final judgment is not a necessary condition for establishing legal malpractice and that a settlement agreement may be enough. Of course, the settlement must be too small, the advice to accept the settlement may be unreasonable, and the settlement agreement itself must be reasonable under the circumstances.

The problem then becomes this: 

How does a plaintiff in a malpractice case establish that the settlement agreement was unreasonably small,  and hence that the lawyer’s conduct was (at least probably) an instance of malpractice?—MSQ

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Legal Malpractice: “The Case-Within-the-Case” Rule

It has been almost universally accepted amongst lawyers, who are knowledgeable on the relevant topics, that the “Case-Within-the-Case” Rule (“Rule”) applies to all legal malpractice. 

Actually, this has never been the rule.  It has never been applied to legal malpractice cases arising out of contexts other than litigation. This would include cases involving business affairs, personal affairs, and mixes of the two. It is surely not the case that there must be complete litigation regarding how a contract must be read, for example, before there could be a legal malpractice action. If a lawyer drafts a contract absurdly contrary to his client’s wishes, it doesn’t take litigation before there can be a legitimate legal malpractice suit to determine that there has been legal malpractice upon which a malpractice case can be predicated.

The same point can be made in a more elementary way.  The Rule requires that there be a case previously decided before there can be the pursuit of a malpractice case. In an action on a lawyer’s negligent performance, there is no other case to be within the case being litigated.

One can surely talk about the contract within the case, but that is an entirely different matter.

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Deposition: “Wouldn’t it be prudent to do x?

DEPOSITION QUESTIONS ON PRUDENCE AND WISDOM

Not long ago,  I wrote and posted a short squib about deposition questions on the prudence and/or wisdom of doing something, asking for something, or investigating something.  It is to be found on the blog Insurance Law.  The squib is devoted to a problem that might arise in a deposition in an insurance dispute, but it can be generalized so that it might work in some other general contexts, as well. Have at it.

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An Ironshore Cyber Insurance Policy–Part IV–Ins Ag I.C

Tech E&O, Network Security, Internet Media, and MPL Insurance Policy 
Insuring Agreement I.C–Privacy Liability Coverage
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Remember: This Blog is organized around insuring agreements, definitions, and exclusions. Conditions, etc., may be remarked upon briefly, but they often resemble not only each other but those found in currently existing policies.

This is Part IV of a series of blogs about the above-named policy.  Part I was an introduction and a discussion of Insuring Agreement insofar as it closely resembled “physical-world” policies, as opposed to “cyber-world” policies.  The topic pertained to D & O insurance.  Part II was a discussion of the substantive content of the Insuring agreement Ins Ag I.B, again regarding a type of D & O liability insurance.  I.A. pertained to network security and privacy wrongful acts, both of which are extensively discussed in society.  Ins. Ag. I.B concerns the same range of problems and is a broader D & O liability policy.   As already set forth in Part I, what is written here is nothing more than a sketch and the observations are not guaranteed.

I.C. Privacy Liability Coverage

This Insuring Agreement sets forth liability insurance for Damages the Insured is legally obligated to pay for losses directly resulting from any covered claim alleging a Privacy Wrongful Act against the Insured. (The last term includes not only the Company, plus directors and officers, but a variety of others, e.g.,  employees of various sorts, among others.)  [This passage is a bit confusing.  It might apply to a duty to defend, or something like it, but it will not apply to actual damages suffered.  The idea in the claim is that if an insured has a legal obligation to pay for something that is damaged, the insurer will pay it on its behalf.

The substantive components of this Insuring Agreement are, first, the idea of Privacy Wrongful Act (PWA), second,  the idea of Privacy Incident, and third, the idea of  Damages (D).  

First, we examine PWA, since the term “privacy” is not independently defined, so we start with PWA.
This is a blessed definition since it is short and direct.  PWA “means any actual or alleged act, unintentional error, omission, neglect or breach of duty by an Insured or a Service Provider that results in a” PI. 

PI–and now we arrive at the crucial part of the insuring agreement–is, roughly speaking (1) the unpermitted disclosures of Non-Public Personal Information or Confidential Corporate Information that “is in the care, custody, or control of any Insured or Service Provider, ad defined., or (2[a]) it is a violation of any Privacy Regulation or (2[b]) or is a “failure to comply with the  Company’s own privacy policy.”

Privacy Regulation is a concept of extraordinary significance.  It includes a number of named federal and state statutes “associated with the control and use of personally identifiable financial, medical, or other sensitive information,” plus “any similar, state federal or foreign identity theft or privacy protection statute.”

DEFINITIONS

Damages, of course, are a crucial idea in all insurance policies.  The definition of Damages in this policy is a complex one, to say the least. There are 4 components of what the term means, and there are 9 lines setting forth what the terms do not mean, and the 9th line contains at least 13 different concepts which the term does not cover.

Here is that which the term applies.  It resembles traditional lists of damages in some “so-called” real world policy:

that for which the insured is legally obligated to pay as the result of a covered judgment, award or settlement
monies the  court victorious victim has been able to impose on the insured, e.g., attorney fees and so forth
pre- and post-judgment interest (with exceptions)
punitive, exemplary, or multiple damages to the extent that state law applies and to the extent more that one applies, the one which is most favorable to the insurer if insurable.

Defense costs are usually covered elsewhere in the policy; they are usually not found in the definitions of damages.

An apparent complexity in the definition of Damages is to be found in a list of those to which the term does not refer.  The positive side of the definition is straightforward and relatively simple.  Most of its components resemble the definition or characterizations of Damages found in so-called “real-world” policies, except for defense costs.  That matter is usually set forth else were in at least most policies. The “Damages do not include” section explicitly sets forth a number of situations to which the term Damages does not apply. These matters are usually found in exclusionary sections.

There are several special components “added” on, as it were, to the definition of Damages, which are “not included” in the definition section or other sections of so-called, “real-world” policies–as already stated, one would expect these to be in an exclusion section. The following are included among the not included:

#6. nearly 5 lines of activities which might have to be undertaken, including “Computer System of the Company, [its] security system and Electronic Publishing.”  Significantly,  Electronic Publishing includes Electronic Data, and other things, objects, events, and activities.  [MSQ:  Obviously this definition of what is not included in the a covered definition is enormously complex.] 

#7. “any discount, coupon, prize, award, redemption or other incentives;”

#8. “Bodily Injury or “Property Damage;”  [MSQ: It is easy to see why they are let’s say excluded, by definition, they are two of the principal coverages under some significant “real world” insurance policies, e.g., the Commercial General Liability.

#9. Business Interruption Income Loss, Claim. . . . Regulatory Proceeding.  [In total, there are 13 separate categories included in this “not included in the definition of Damages” category.]
 And so forth. Significantly, all definitions found in the definition section are used throughout the policy.  In many “real world” policies, different sections may have at least some different definitions

EXCLUSIONS
The list of exclusions is a long, long one, so not many of them can be addressed.  Some are repetitions of what is in the definition or the “not included” definition of Damages and perhaps elsewhere to boot. Many of them resemble or are analogs of exclusions found in so-called “real world” policies.

For example, there is an exclusion for Losses resulting from various causes, most of them contract-based (or likely contract-based).  It is more complex than the usual exclusion of that sort; it takes up 7 lengthy subsections. Perhaps what is happening here is that given the “new-ness” of this type of policy, the insurer is trying to make sure nothing is left out. Perhaps it believes that details cut exposure. Of course, this may be wrong. It may be that all they do is create new exposures.

Here are some other exclusions:

based on actions brought by some trade associations, particularly an international array of those from the IP sector

based on violations of various statutes

resulting from various kinds of discrimination

resulting from various types of unsolicited cyber misconduct

thefts of various sorts

IP misconducts of various sorts related to thefts  [Some of these pertain to the proposition that there is no insurance for many types of intentional acts and especially for those involving crimes.]

mechanical and electrical faults

gambling, etc.

Thus, this insurance policy in general and perhaps this section, in particular, resemble “real world” insurance policies, but in vastly more important ways, they are a new species–one filled with new ideas, new definitions, and new coverages. Interestingly, most of the new coverages are, in one way or another, topics widely discussed in various media.

Now, for Insuring Agreement I.D Privacy Breach Expenses Coverage.  See Part V.

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Quinn Quotes

The good expert witness must believe what s/he asserts and not be advocating, the way a lawyer might. A good expert witnesses can and should be effective without advocating.~Michael Sean Quinn, PhD, JD, CPCU, Etc.Tweet

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Michael Sean Quinn, PhD, JD, CPCU, Etc*., is available as an expert witness in insurance disputes and other litigation matters. Contact