Professional Documents
Culture Documents
________________
Craig Browne, Daniel H. Conroy and
____________
________________
brief for appellee.
____________________
____________________
Per Curiam.
___________
appellant
Edward
This appeal
Siguel
to
concerns an
collect
benefits
attempt by
under
an
entered judgment
The
Fed. R.
a non-
jury trial.1
I.
_
In
Allstate;
insured
he
his
father, Isidoro
and his
mother, Berta
According
to
the
sustained
an injury
received
Siguel
to
while getting
insured,
his left
off
went
to
physician, Dr.
left forearm.
the
forearm
in
Argentina,
from a
bus.
This
blow
he
accident
out-patient
clinic
an abscess on
where
the insured's
for benefits
Siguel submitted
of death
hospital
as
the beneficiary.
while
a public
Pattin, drained
Siguel
mother
Siguel,
Siguel, as
under the
policy.
as cardiorespiratory arrest; he
As proof
of loss,
____________________
1. Rule 52(c) provides that "[i]f during a trial without a
jury a party has been fully heard on an issue and the court
finds against the party on that issue, the court may enter
judgment as a matter of law against that party . . . ."
-2-
reports
prepared
by
Dr.
Pattin
1989.
It had
stated
cause of death
the
investigation and
insurance policy.
filed an action
that
conducted an
as defined in the
1991, Siguel
which
in federal
of an
On March 28,
district court
on
in
January
Siguel's evidence
accidental.
cause
1994.
district
and argument
court
first heard
death was
of death.
The court
The
initially
the bus.
evidence
that the
accident
death.
Specifically, the
causal connections,
abscess and,
death.
However, the
court
in the
concluded
the
of the
insured's
there were
the accident on
second, between
an
court found
by a preponderance
had resulted
first, between
and the
determined that
no
the bus
abscess and
the
existence of the
link was not a matter that could be proved without the aid of
expert testimony.
____________________
2. At this time, Berta Siguel was represented by her son and
another attorney.
For ease of reference, Siguel will be
treated as the plaintiff except where his status as both an
attorney and party is the issue.
-3-
constituting an accident
stated
could
rejected Siguel's
that there
theory that
was insufficient
the
The court
evidence from
which it
also rejected
this legal
II.
because his
accidental; the
theory as incorrect
testimony to
and without
__
On appeal,
erred by
denying
Allstate
Siguel claims
admissions;
motion for
file late
district court
responses
(D) disqualifying
that the
to
trial; (C)
permitting
Siguel's request
Siguel from
for
representing his
to appear
pro se after his mother assigned her claims to him) the right
to have
a lawyer assist
him at trial;
to
The Merits.
__________
As with
coverage,
we
start with
the language
questions of insurance
of
the policy.
It
-4-
provides
accident.
benefits
if the
person insured
is injured
injury
caused by
an accident
_________________________
occurring while the insurance is in force
in an
is injured
benefit
while a passenger
is $200,000.
on a
In other
public
cases
the
benefit is $60,000.
Siguel first argues that the district court
have used the
this
kind
erroneously
insurance
used an
contract
"accidental
and
should
to interpreting
that
means" test.3
it
instead
Under
the
or injury must
Co.,
___
the unexpected
injury or death
nature of the
itself; thus,
by the
10 Couch on Insurance
__________________
____________________
3. The district court, with the consent of the parties,
applied Illinois and Massachusetts law to this insurance
contract, finding that there was no difference between the
law of the two jurisdictions.
-5-
362, at
482 (rev.
41:12, at
proximate
cause
the
harm
accident be
sustained.")
(footnote
omitted).
We
case
first note
that the
insurance policy
in this
Second, the
courts of
Massachusetts have
See
___
Carlson v. New York Life Ins. Co., 76 Ill. App.
_______
______________________
2d 187, 196,
and
an accidental
injury,
"the
pivotal issue
is
the
762, 237
N.E.2d
policy provides
22, 22
recovery for
(1968)
"loss
(where the
insurance
resulting directly
and
-6-
independently
injury,"
of
there must be
accidental fall,
the
must
all other
from
accidental bodily
district court
show that
causes
his father's
death was
Thus,
that Siguel
precipitated by
an
accident.
This also takes care
death to be
accidental all
that is required
is that it
be
unexpected
from the
results
approach
result,
there
insured's
speaks
is
of
no
commentaries
that
sufficient,
without
point of
an
unexpected
indication
the
in
unexpected
more,
view.
the
Siguel
primarily
relies,
is
overpass
section
an
law
or
the
loss
is
interstate
Indeed,
Wickman, on which
_______
distinguishable.
deceased
of
case
coverage.
the
and unforeseen
nature of
to trigger
While
There
the
of a guardrail on an
highway.
Immediately
was holding on to
that
factfinder
must begin
evidence of
finder
of fact
person
in
then
the
"reasonable
If there is
with
the insured's
should then
the insured's
position
-7-
point of
ask whether
"would
view, the
a reasonable
have viewed
the
Id.
___
Based on
these principles,
upheld
the magistrate's
should
intentional act in
finding that
knew or
of the guardrail
Id. at 1088-89.
___
when
inadvertent.
the
result
Focussing
the deceased
we
context.
on
of
an
the
intentional
___________
insured's
act
is
expectations
sense in
Thus,
to die
drained.
during
after
Thus, he
a
medical
accidental.
for
similarly argues
having the
that his
abscess
it
father did
on his
arm
unexpectedly occurs
should
be
left
not
viewed
as
is not sought
."
Couch on Insurance
__________________
41:113,
at 187.
There is no
reason treatment
second, that
the draining
-8-
to
suffer
itself
was
cardiorespiratory
accidental.
Siguel
failure,
then
the
posits that
illness
if
the
accidental.
motion
Siguel first
theory in his
ended.
In any
example,
insured
aneurysm.
fell
The
and
in
Scholle
_______
v.
Continental Nat'l
__________________
court held
that
died
of
to recover,
893 (1976),
a
ruptured
plaintiff was
Thus,
44 Ill.
"[w]here there
App. 3d at 721,
is no
occurrence which
may be
deemed
an accident,
it
necessarily follows
that the
of a disease is not
accident policy."
harm
within the
10 Couch on Insurance
___________________
bus, or
death.
require
Siguel
the draining
of the
abscess, to
his father's
the
court could
not demand
it.
-9-
both Illinois
routinely testify
and Massachusetts
reveal
Ill. App.
3d 309,
See
___
461
76 Ill. App.
Mass. 564,
24 N.E.2d
662 (1939);
to
turn
deposition of
over
to
Siguel
the
transcript
of
the
deMars v.
______
we
rejecting
of
find
that
the
court
was
Dr. Pinto's
First, Siguel
Dr.
deposition, we
insured's death
have
helped him
was accidental.
-10-
fully
justified
in
make only
Pinto would
merits of Siguel's
two observations.
information provided by
in establishing
Second,
that the
at the deposition
testimony
and obtained a
prior to
the end
transcript of Dr.
of trial.
Pinto's
Thus, there
is no
On March
this
case.
At
admissions,
Allstate
of the
28, 1991,
the
same
interrogatories,
served
and a
request
answers to the
request for
for documents.
the parties
agreed to
answer the
agreement
also had
withdraw
applied
on June
24,
to
the
responding
to the
and, on
and
request
1991, Allstate
motion
to
1991, filed
for
filed
it to
that the
admissions.
a motion
to
extend
admissions request.
July 3,
time for
Siguel claims
responses to
extend the
Therefore,
motions
timely
complaint in
the
time
for
Siguel
opposed the
a motion
for summary
On
magistrate
September
motions.
18,
judge
granted
Allstate's
Fed.
R. Civ.
deemed admitted
after
unless a response
service of
longer
P. 36(a) provides
the
matter is
is filed "within
request, or
that a
within
may allow .
30 days
such shorter
. . ."
or
The district
-11-
court
may not
only extend
the time
for filing
answers to
subserved thereby
admission
will
prejudice
defense on the
Siguel's
and
that
party
who obtained
the
36(b).
the
. . .
action
or
Contrary to
Rule.
See F.D.I.C. v.
___ ________
neglect.
the party
in maintaining
moving
1994).
Thus,
Prusia, 18 F.3d
______
Allstate is
not
required to
We review
Cir.
show excusable
a decision to
Farr
____
Man & Co. v. M/V Rozita, 903 F.2d 871, 876 (1st Cir. 1990).
_________
__________
admitted
issue.
were determinative
material facts
of
all the
in
be to practically eliminate
Conn. 1976).
his
burden
We
thus turn to
of demonstrating
prejudice
to
his ability
to
up the
claims
that Allstate's
proceedings and
"delaying tactics"
prevented him
from conducting
-12-
year.
that
he
during
this
time
refrained
from
searching
for
witnesses
who
might
have
had
knowledge
death.
concerning
the
decision
allowing
withdrawal
claims
are unavailing.
denied
coverage in
of
that
it
admissions
were in dispute.
1989
the
was
These
that
his
father's death was not an accident and that this would be the
major issue in the case.
Further, prejudice under Rule 36(b) "relates to the
difficulty a party may face in proving its case, e.g., caused
____
by the unavailability of key witnesses, because of the sudden
need
to
obtain
evidence
with
previously
answered by
Associates
__________
1982).
There was
evidence here.
respect
to
the admissions."
no "sudden
He was on
the
Brook Village N.
_________________
70 (1st Cir.
for Siguel
notice as of
trial
to obtain
questions
that
This was
would occur.
Finally, that
filed a
Allstate requested
-13-
Siguel
in refusing to
Disqualification.
________________
In February
1992, Allstate
a witness
magistrate judge
renewal.
She
moved
to have
Siguel
in the case.
On March
23, 1992,
prejudice to its
attendant
were
in the
discovery stage.
However,
she ordered
sought
then moved
for
reconsideration
disqualification motion.
The
until
secure
September
30
to
an extension
of
the
of time
denial
magistrate judge
co-counsel.
of
and
the
gave Siguel
Instead
of
the case.
motion,
the
In January 1993,
magistrate judge
on this
recommended disqualification.
his mother
effectively to represent
her.
The
-14-
his or
client for
Disciplinary
that an
her
Rule 5-102(A),
abuse of
discretion.4
Cir. 1987).
(1972), provides
that if
trial . . .
a lawyer
."
One of the
appears both
as an advocate
and
Mass.
775,
786,
393
N.E.2d
847,
855
(1979)
(internal
magistrate
judge
found
that
Siguel,
as
through 1987.
from Dr.
concluded
Pattin)
died.
had discussed
to the draining of
Pattin's
that the
insured's death.
He
with Dr.
handwritten notes.
accident
on
Pattin the
the
bus
had
This
typed a
report
caused
the
sole) participant in
was an
active (if
not the
insurance policy.
____________________
4. Allstate argues that Siguel has no standing to raise this
claim as his mother no longer is a party.
Because we find
that his claim fails on the merits, we do not address the
standing question.
-15-
Disqualification is appropriate
where an
attorney
is
intimately involved in
matter of the
action.
Lapidus, Inc.,
______________
v. Serody,
______
1171,
1174 (1985).
It
Also
1076, 1078
App. Ct.
(D.
is apparent from
474 N.E.2d
of relevance
Roy
___
Mass. 1980);
411, 415,
Supp.
19 Mass.
Siguel's familiarity
493 F.
Serody
______
is that the
be called as
information about
See
___
414,
an
issue.
admissability
of
For
example,
the
Dr.
Pattin's
report;
Judicial
disqualification
case
likely
witness.
will
to take
Siguel's
part
is the
pointed
out,
greatest where
turn on
argues that
for this
contest
the
the
lawyer's
in
As the
need
the outcome
the
for
of the
credibility as
trial
parties
proposition.
DR
5-102(A)
proceedings.
only applies
He
to
cites no cases
sooner he or she
is involved in
-16-
trial
would hamper
result, we
the presentation
think,
contemplated by
over
his
argument
misses
credibility of a
the disciplinary
chance of the
as
the
case --
this
appearance
of the
The
rules.
trial in
both witness
mark.
not a
and
lawyer.
This
concern
is
the
over
a witness and a
Siguel
worked a
See DR 5-101(B)(4),
___
alleges that
"substantial
out, the
do not agree.
case is
problem was
short
period of
requiring
hardship" on
his mother.
As
wherewithal to
the magistrate
not especially
complex and
In
his
Specifically, he
that
maintains
any
in a
event, this
to accept the
assignment of
his mother
and
Assistance of Counsel.
_____________________
Once the
se,
assist
him in
Allstate had
the
trying
be allowed to
the case.
same opportunity.
The
hire counsel to
He argued
to appear pro
that just
he too should
as
be allowed
-17-
that
se."
the United States the parties may plead and conduct their
own cases
personally or by counsel
that
could
he
interpretation
"Section
not
of
1654 does
find
1654.
any
. . . ."
cases
in
The reason, we
not itself
Siguel admits
support
of
his
think, is plain.
to `hybrid
representation.'"
863,
868 (2d
O'Reilly v.
________
Cir.
representation,
1982)
party
(to
claim
must
the
"clearly
right
and
692 F.2d
to
self-
unequivocally
to employ a
lawyer to
not in
error.
F.
Siguel
court
before
appeals from
trial
commenced.
filing pleadings
Siguel
sought
file a
denial by
the
district
Allstate's alleged
for the
the
for
to discovery
requests, (2)
taking of depositions
joint statement of
sanctions
in Argentina, (3)
failure to
failure to
-18-
Siguel
granting
to
an
also claims
that the
district court
erred in
granted this
complaint;
motion on
Siguel asserts
that
the
court
that Siguel
find
discretion
that
the
it has in
a broad
court
these areas.
See
___
abused
of discretion
("[t]rial courts
in managing
will intervene
in
showing
of
court's
discovery order
such
manifest injustice,
matters
that
was plainly
is,
Essentially,
that
clear
where the
lower
wrong and
186 (1st
the way in
in
we agree
F.2d 179,
pretrial
Consequently,
only upon
broad
In re Recticel Foam
___________________
measure
the
resulted in
Mack v. Great
____
_____
Cir. 1989).
court's conclusion
how he was
prejudiced by either
pretrial proceedings
-19-