Nance v. Kentucky National Insurance ( 2007 )


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  •                              UNPUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 06-1511
    LESLIE JOE NANCE,
    Plaintiff - Appellee,
    versus
    KENTUCKY NATIONAL INSURANCE COMPANY,
    Defendant - Appellant,
    and
    NATIONWIDE INSURANCE AGENCY, INCORPORATED,
    Defendant.
    Appeal from the United States District Court for the Southern
    District of West Virginia, at Charleston. John T. Copenhaver, Jr.,
    District Judge. (2:02-cv-00266)
    Argued:   March 14, 2007                      Decided:   May 8, 2007
    Before MICHAEL and KING, Circuit Judges, and HAMILTON, Senior
    Circuit Judge.
    Affirmed by unpublished per curiam opinion.
    ARGUED: Douglas Michael Palais, LECLAIR RYAN, P.C., Richmond,
    Virginia, for Appellant. William Lowell Mundy, MUNDY & NELSON,
    Huntington, West Virginia, for Appellee.    ON BRIEF: Cameron S.
    Matheson, LECLAIR RYAN, P.C., Richmond, Virginia, for Appellant.
    Unpublished opinions are not binding precedent in this circuit.
    PER CURIAM:
    In the present appeal, Kentucky National Insurance Company
    (Kentucky National) seeks reversal of the district court’s entry of
    judgment against it in the amount of $233,000 in compensatory
    damages and $850,000 in punitive damages.    The judgment resulted
    from the jury’s verdict in favor of Leslie Joe Nance (Nance), one
    of Kentucky National’s insureds, on Nance’s claim in the present
    diversity action that Kentucky National violated the West Virginia
    Unfair Claim Settlement Practices Act, 
    W. Va. Code § 33-11-4
    (9), in
    handling his uninsured motorist claim.      According to Kentucky
    National, reversal is appropriate because the district court erred
    in denying its motion for judgment as a matter of law, made
    pursuant to Federal Rule of Civil Procedure 50(b).   We affirm.
    I.
    Because this appeal challenges the district court’s refusal to
    grant Kentucky National’s Rule 50(b) motion, we must view the
    evidence in the light most favorable to Nance (and in support of
    the jury’s verdict), drawing every legitimate inference in Nance’s
    favor.   International Ground Transp. v. Mayor and City Council of
    Ocean City, Md., 
    475 F.3d 214
    , 218-19 (4th Cir. 2007).   Therefore,
    we present the facts in accord with this standard.
    On December 15, 1998, at approximately 7:20 a.m., Nance was
    driving a tractor-trailer, owned by his employer, on U.S. Route
    - 2 -
    25-E in Barbourville, Kentucky.       At the time, Nance was thirty-
    eight years old.        He was traveling the speed limit, fifty-five
    miles per hour, which speed was later corroborated by the tractor-
    trailer’s on-board computer.
    As Nance approached the intersection of U.S. Route 25-E and
    Noeville Lane, with the fourteen lights on his tractor-trailer
    illuminated, Lisa Cordell (Cordell) pulled out directly in front of
    Nance, despite the fact that her lane of traffic was controlled by
    a stop sign.      Trying to avoid striking Cordell’s vehicle, Nance
    slammed on his brakes and swerved to the left.        Nonetheless, Nance
    was unable to avoid hitting Cordell’s vehicle; the impact causing
    his tractor-trailer to jackknife.
    Paramedics quickly arrived on the scene, extracted Nance from
    the   cab   of   his   tractor-trailer,   and   transported   him   via   an
    ambulance to the hospital for treatment of his physical injuries.
    Within four minutes after the accident, two police officers arrived
    on the scene and conducted an investigation.          Upon arrival, the
    officers immediately noted that the windows of Cordell’s vehicle
    were frosted over, which had prevented her from seeing Nance’s
    vehicle approaching.        The police officers also determined that
    Cordell had failed to yield the right of way and that Nance had not
    engaged in any improper driving.
    As a result of the accident, Nance suffered serious injuries
    to his head, neck, shoulder, back, and brain.          The brain injury
    - 3 -
    caused him continuous headaches.        Due to his injuries, Nance
    underwent extensive treatment, including back surgery, chiropractic
    treatment, and physical therapy.        In addition to his medical
    expenses, Nance incurred significant past lost wages and future
    lost wages as a result of the accident.
    Also as a result of the accident, Nance suffered a significant
    loss of enjoyment of life.    For example, due to Nance’s injuries,
    he could no longer perform tasks around his farm and he could no
    longer engage in the activities that he once enjoyed with his
    family.     During the trial in the present action against Kentucky
    National, Conrad Diaz, Nance’s expert witness in claims adjusting,
    valued Nance’s damages from the accident at between $750,000 and
    $1,300,000, with a figure exceeding $1,000,000 “more likely,” (J.A.
    663).
    At the time of the accident, Cordell was uninsured. Nance did
    not learn of her uninsured status until a year after the accident.
    A policy issued by Liberty Mutual Insurance Company (Liberty
    Mutual) provided Nance the first $50,000 in uninsured motorist
    coverage.    A policy issued by Kentucky National provided Nance an
    additional $100,000 in uninsured motorist coverage, which coverage
    was secondary to that provided under the Liberty Mutual policy.
    Finally, a policy issued by Nationwide Mutual Insurance Company
    (Nationwide) also provided Nance $100,000 in uninsured motorist
    coverage, which coverage was also secondary to that provided under
    - 4 -
    the   Liberty    Mutual     policy.       Notably,      the   parties     agree   that
    Kentucky National’s uninsured motorist coverage would not trigger
    until the $50,000 policy limit under the Liberty Mutual policy had
    been exhausted.
    In November 1999, when Nance was first advised that Cordell
    might not have insurance, the one-year statute of limitations on
    his claims in Kentucky was about to expire. Therefore, to preserve
    his claims, Nance promptly filed suit in Kentucky state court (the
    1999 Underlying Action) against Cordell, Kentucky National, and
    Nationwide.1      Of relevance here, Nance’s complaint in the 1999
    Underlying Action alleged tort liability based upon a negligence
    theory against Cordell and contractual liability against Kentucky
    National.
    Immediately after Nance filed the 1999 Underlying Action, on
    November 29, 1999, counsel for Nance faxed a copy of the police
    report to Kentucky National. The jury heard testimony establishing
    that despite the clarity of liability, Kentucky National repeatedly
    attempted to create bogus issues of negligence against Nance in
    order     to   devalue   his    claim.      For   example,     with     no   evidence
    whatsoever, Kentucky National asserted that Nance’s brakes on the
    tractor-trailer      were      defective    at    the   time   of   the      accident.
    Kentucky National later admitted that it never had any evidence to
    1
    Liberty Mutual was joined as a party in the 1999 Underlying
    Action in late 2000.
    - 5 -
    support     this     assertion.          In     fact,     the    Department       of
    Transportation’s inspection of the tractor-trailer demonstrated
    that everything was working properly.2                   For a second example,
    Kentucky National also accused Nance of speeding until the tractor-
    trailer’s onboard computer indicated otherwise.                         For a third
    example, Kentucky National sought to work with Cordell in order to
    place blame on Nance.
    For yet a fourth example, approximately three years after
    Nance filed the 1999 Underlying Action, four years after the
    accident occurred, and after a mediation between Nance and Kentucky
    National, Kentucky National hired an accident reconstructionist.
    Nance’s expert witness at trial regarding claims adjusting, Conrad
    Diaz,    testified    that,    under   the     circumstances       of    this   case,
    including    Kentucky    National’s      timing     in    hiring    the    accident
    reconstructionist,       Kentucky        National        hired     the     accident
    reconstructionist in an attempt to place liability for the accident
    on Nance.   However, the accident reconstructionist placed no fault
    on Nance.
    As early as January 2000, Nance attempted to discuss with
    Kentucky    National    an    amicable   settlement.         Kentucky      National
    refused to even discuss settlement, and after one and one-half
    years of undergoing discovery, Nance attempted to set the 1999
    2
    The  record   is   unclear   whether  the                  Department       of
    Transportation was a federal or state agency.
    - 6 -
    Underlying Action for trial.     However, Kentucky National opposed
    setting the case for trial and instead requested mediation, which
    mediation the court ordered.      Therefore, on September 17, 2001,
    Nance, his wife, and Nance’s counsel traveled over three hours to
    attend a mediation conference.    At this mediation conference, on a
    date chosen and agreed to by Kentucky National, Kentucky National
    refused to even make an offer to Nance to settle his claim and then
    unilaterally aborted the mediation at noon. Nance testified during
    the trial in the present case that his dire financial situation and
    the burden of litigation with Kentucky National, both caused by
    Kentucky National’s mishandling of his uninsured motorist claim,
    caused him extreme stress. The stress was so great that, beginning
    in either 2000 or 2001, he began taking prescription anti-anxiety
    medication, which medication he continued to take at the time of
    the trial in the present case (November 2005).    In November 2001,
    Nance settled with Liberty Mutual for the policy limit of $50,000.
    The evidence at trial in the present case showed that, despite
    clear liability on a claim worth between $750,000 and $1,300,000,
    Kentucky National did not make its first settlement offer of
    $25,000 until October 11, 2002, three years after Nance filed the
    1999 Underlying Action, seven months after Kentucky National admits
    that it learned Liberty Mutual had settled with Nance for Liberty
    - 7 -
    Mutual’s $50,000 policy limit, and approximately two weeks before
    the scheduled trial date in the 1999 Underlying Action.
    Approximately one week later, on October 18, 2002, Kentucky
    National upped its offer by $10,000 to $35,000.      Prior to this
    second offer, Kentucky National’s defense counsel suggested to
    Kentucky National that it offer Nance $80,000, a recommendation
    which Kentucky National rejected.   Because of a technical problem
    with the jury, the trial court in the 1999 Underlying Action
    continued the start of that trial until April 2003.         As the
    rescheduled trial date approached, although the facts of the case
    and the amount of damages had not changed, Kentucky National
    increased its offer to $50,000, just half of its policy limit.
    Nance rejected the offer.
    Despite the fact that Nance had been treated by over twenty
    physicians, some required by Workers’ Compensation, and armed with
    his medical records, Kentucky National asked Nance to undergo a
    medical examination in Lexington, Kentucky, approximately two and
    one-half hours from his home. Nance requested that he be permitted
    to see a doctor closer to his home as his medical condition made
    travel difficult, but Kentucky National refused. After the two and
    one-half hour trip, Kentucky National’s designated doctor examined
    Nance for only approximately eight to ten minutes.
    After Nance and his wife Debra left the appointment with
    Kentucky National’s designated doctor, the Nances became aware that
    - 8 -
    someone had been following them, which frightened the couple.    At
    trial in the present case, Nance’s wife specifically testified
    regarding the events which took place after they left the doctor’s
    office in Lexington, Kentucky:
    Well, we had parked in a parking garage, and when we
    pulled out of the parking garage, we just looked back in
    the mirror and we noticed there’s a guy, the car behind
    us, has a video camera up to our car, and we thought
    that’s kind of weird, you know, a guy in a parking garage
    filming somebody. So we pull out of the parking garage.
    The guy proceeds to pull out with us. We make a right,
    he makes a right. He has still got that video camera.
    Me and Joe start to think there’s something weird -–
    something is weird about this. So we had to get on 64 to
    come home. So we get on 64, this brown car gets on to
    64. The guy is still filming us. We change lanes, he
    changes lanes. We get faster, he gets faster. By this
    time, you know, I’m getting a little scared, I’m thinking
    what is this guy after, what -– what’s he wanting, you
    know? We didn’t know what he was after.
    *      *     *
    [W]e gave Todd Biddle[, one of the lawyer’s
    representing Nance in the 1999 Underlying Action,]      a
    call because, I mean, it was getting scary because he was
    right up on us, and we couldn’t see his license plate
    number, and we asked Todd should we call the police, and
    Todd said that more than likely we were being followed by
    the insurance company.
    (J.A. 717-18).
    Nance testified on the matter as follows:
    When we come out of the doctor’s office, I mean,
    there were several people in the garage. I seen this
    man, but you don’t think nothing of it. But when the car
    starts staying real close to you, made me start getting
    kind of nervous of what is going on. He followed us.
    Every turn I made, he just kept staying right with us,
    and that’s when I got pretty nervous. I did not know,
    you know, what the intentions of this man was and it
    scared me. So I did -– I had my cellphone with me, and
    - 9 -
    I called Todd Biddle, and I told him because I did
    suspect, after we got out on the interstate and nothing
    had happened yet, that maybe this guy was like an
    investigator following us. So I called Todd and asked
    him should I call the state police and have this
    gentleman stopped or what I should do, and he said, “I
    will take care of it.”
    (J.A. 782).       The evidence at trial established that Kentucky
    National and Nationwide jointly hired the private investigator who
    frightened the Nances.
    The jury in the present action also heard evidence of similar
    bad-faith refusal-to-settle-conduct by Kentucky National.                  The
    first     incident   involved    Kentucky   National’s     handling   of   an
    underinsured motorist claim filed by James Garland (Garland).
    Attorney Guy Bucci (Attorney Bucci) represented Garland.              A drunk
    driver, who had just stolen gas from a convenience store, traveling
    at a high rate of speed, down a busy street, without any lights on,
    crossed    the   center   line   and   struck   Garland   traveling   in   his
    employer’s vehicle. Garland suffered substantial physical injuries
    while the passenger riding with the drunk driver was killed.
    Like the present case, Kentucky National contested liability
    in Garland’s case. Moreover, Kentucky National attempted to create
    issues of liability and place the blame on its own insured by
    baselessly alleging Garland had crossed over the center line.
    Throughout its handling of Garland’s claim, Kentucky National
    refused to acknowledge that Garland had a legitimate claim for his
    substantial injuries until the eve of trial. Throughout the course
    - 10 -
    of litigation, none of the circumstances had changed to warrant
    Kentucky National’s sudden offer of the policy limit to settle
    Garland’s claim other than the fact that trial was about to occur
    and that Kentucky National had not done a proper evaluation of
    Garland’s claim in the first place.          As Attorney Bucci explained,
    Kentucky    National’s    attitude    with   regard    to   claims   handling
    amounted to “fight and delay.”        (J.A. 405).
    In the second case exemplifying Kentucky National’s fight-and-
    delay approach to claims handling, Joe Holstein (Holstein) was a
    passenger in a vehicle driven by a Kentucky National insured who
    was speeding and wrecked in a single vehicle accident.             Holstein’s
    counsel, William Tiano (Tiano), testified in the present case that
    Kentucky National offered Holstein an amount substantially less
    than even his documented medical bills to settle his claim.
    Kentucky National forced Holstein to file suit against it.              After
    several additional unreasonable offers, and on the eve of trial,
    Kentucky National finally offered its policy limit to settle
    Holstein’s claim.
    The jury also heard expert testimony from Vincent King (King),
    who is a West Virginia licensed attorney, a West Virginia licensed
    insurance adjuster, a former Deputy Insurance Commissioner for West
    Virginia,    and   a   former    General   Counsel    for   West   Virginia’s
    Insurance Commissioner.         King testified to multiple dealings with
    Kentucky National during his time at the West Virginia Insurance
    - 11 -
    Commission and in private practice in which Kentucky National
    violated ordinary claims practices standards.
    As with both Garland and Holstein, Kentucky National’s fight-
    and-delay approach to claims handling began to wear on Nance and
    his wife.     As a result of Kentucky National’s refusal to make a
    good faith settlement offer, the Nances suffered major financial
    difficulty.    The Nances’ financial position became so precarious
    that they were required to re-mortgage their house at a high
    interest rate, even though it was free of debt at the time, in
    order to prevent repossession of some of their assets.     Over the
    years, as the claim process with Kentucky National dragged on, the
    Nances continued to have difficulty making ends meet, causing them
    to have yard sales to raise cash, which yard sales resulted in
    great embarrassment to Nance as some of his coworkers attended.
    The financial distress also caused the Nances to sell, inter alia,
    a dump truck, a flatbed truck, a horse, training equipment for
    horses, and dogs and equipment for coon hunting.      Additionally,
    Kentucky National’s fight-and-delay approach to claims handling
    caused the Nances to deplete both a personal savings account and an
    account for their son’s college education.      The jury also heard
    evidence to the effect that Nance suffered mental and emotional
    trauma due to Kentucky National’s delay tactics and refusal to
    offer a good faith settlement.
    - 12 -
    Eventually, in April 2003, just a couple of days before the
    start of the rescheduled trial in the Underlying 1999 Action,
    Kentucky National offered $60,000 to Nance to settle his claim
    against it.      At trial in the present case, Conrad Diaz expertly
    opined that Kentucky National’s $60,000 offer was neither prompt
    nor a good faith offer based upon the value of the claim.
    Ultimately,     Kentucky   National         wore    Nance     down   so   much
    emotionally and financially that he accepted its $60,000 offer.
    The Nances knew that to continue litigation would cost additional
    money and take additional time with the possibility of an appeal.
    At this point, the Nances had $80 in their savings account.                       As
    Nance testified during trial in the present case, “[Kentucky
    National] had finally beat me down.”3             (J.A. 793).
    In the present case, Nance alleged that Kentucky National
    violated the West Virginia Unfair Claim Settlement Practices Act,
    
    W. Va. Code § 33-11-4
    (9), in handling his uninsured motorist claim.
    Of   relevance   in   this   appeal,   the    West       Virginia    Unfair     Claim
    Settlement Practices Act provides:
    (9) Unfair claim settlement practices. - No person shall
    commit or perform with such frequency as to indicate a
    general business practice any of the following:
    *     *      *
    (c) Failing to adopt and implement reasonable
    standards for the prompt investigation of claims
    arising under insurance policies;
    3
    Nationwide settled with Nance for $50,000.
    - 13 -
    (d) Refusing to pay claims without conducting a
    reasonable investigation based upon all available
    information;
    *     *      *
    (f)   Not attempting in good faith to effectuate
    prompt, fair and equitable settlements of claims in
    which liability has become reasonably clear . . . .
    
    Id.
    The district court conducted a jury trial in the present case
    from November 1, 2005 through November 7, 2005.             At the close of
    Nance’s evidence, Kentucky National moved for judgment as a matter
    of law.   See Fed. R. Civ. P. 50(a).           The district court denied the
    motion.    At the close of Kentucky National’s case in defense,
    Kentucky National orally renewed its motion for judgment as a
    matter of law.    The district court again denied the motion.
    The jury returned a verdict in favor of Nance, awarding him:
    (a) $150,000 for increased costs and expenses; (b) $100,000 for
    aggravation,     inconvenience,       and   annoyance;   (c)    $100,000   for
    emotional distress; and (d) $850,000 in punitive damages, for a
    total of $1,200,000.      On November 18, 2005, the district court
    entered judgment in the amount of $1,200,000.                  Upon motion by
    Kentucky National and with the agreement of Nance, the district
    court remitted the $150,000 figure to $33,000.            Thus, the district
    court entered an amended judgment in favor of Nance for a total of
    $233,000 in compensatory damages and $850,000 in punitive damages
    (combined total of $1,083,000).         This resulted in a 1 to 3.64 ratio
    - 14 -
    of compensatory damages to punitive damages.          The district court
    denied the remainder of Kentucky National’s post-trial motion for
    judgment as a matter of law, or in the alternative, for a new
    trial.    See Fed. R. Civ. P. 50(b).
    Kentucky National noted a timely appeal, raising two distinct
    challenges to the judgment.      We address each in turn.
    II.
    On    the   issue   of   punitive    damages,   the   district   court
    instructed the jury as follows:
    In addition to compensatory damages, punitive
    damages may be awarded for violation of the Unfair Claims
    Settlement Practices Act if such violation or violations
    occurred during the plaintiff’s claim, and we’re talking
    about the plaintiff’s underlying claim, and constitute
    both a general business practice and rise to the level of
    a high threshold of actual malice toward the plaintiff in
    the settlement process.
    Actual malice in this context means that the
    insurance company actually knew that the policyholder’s
    claim was proper, but willfully, maliciously, and
    intentionally utilized an unfair business practice in the
    manner it dealt with its insured, the plaintiff, in
    handling the plaintiff’s claim in this case. I should
    say, in the underlying case, as it were.
    (J.A. 1025).     On appeal, while Kentucky National does not take
    issue with the actual content of these instructions, it does take
    issue with the district court’s decision to send the issue of
    punitive damages to the jury.        In this vein, Kentucky National
    challenges as erroneous the district court’s denial of its motion
    for judgment as a matter of law with respect to the issue of
    - 15 -
    punitive damages.     According to Kentucky National, insufficient
    evidence existed for the issue of punitive damages to go to the
    jury.4
    Kentucky National’s challenge poses the following question on
    appeal:     Did a legally sufficient evidentiary basis exist for a
    reasonable jury, viewing the evidence in the light most favorable
    to Nance, to find actual malice on the part of Kentucky National in
    its handling of Nance’s uninsured motorist claim. See Fed. R. Civ.
    P. 50(a); Bryant, 333 F.3d at 543.      If reasonable minds could
    differ with respect to the finding of actual malice, we are obliged
    to affirm.     See Bryant, 333 F.3d at 543.    As with other legal
    rulings, we review de novo the conclusions of law on which a trial
    court’s denial of a motion for judgment as a matter of law is
    premised.    Benner v. Nationwide Mut. Ins. Co., 
    93 F.3d 1228
    , 1233
    (4th Cir. 1996).
    In denying Kentucky National’s motion for judgment as a matter
    of law on this issue, the district court stated as follows in its
    March 28, 2006 written memorandum opinion and order:
    4
    Nance’s first response to Kentucky National’s argument on
    this issue is to claim that Kentucky National failed to preserve
    this issue for appellate review.      Our review of the record
    convinces us otherwise.    Accordingly, we will review Kentucky
    National’s challenge to the district court’s submission of the
    punitive damages issue to the jury under our normal standard of
    review, which is de novo. Bryant v. Aiken Reg’l Med. Ctrs. Inc.,
    
    333 F.3d 536
    , 543 (4th Cir. 2003).
    - 16 -
    Punitive damages are available if a plaintiff shows
    that his insurer acted with actual malice.       The West
    Virginia Supreme Court has explained that actual malice
    means “that the company actually knew that the
    policyholder’s   claim   was   proper,   but   willfully,
    maliciously and intentionally utilized an unfair business
    practice in settling, or failing to settle, the insured’s
    claim.” Syl. pt. 2, McCormick v. Allstate Ins. Co., 
    505 S.E.2d 454
     (W.Va. 1998). Defendant asserts that there
    was no “clear and convincing evidence” that it acted with
    actual malice, and the testimony adduced at trial showed
    that “the litigation was handled as other litigation in
    Knox County, Kentucky.” (Def. Mem. at 7).
    [T]he evidence presented at trial showed little or
    no action by defendant with respect to plaintiff’s claim
    for a very long time.       Though Diaz testified that
    liability was reasonably clear based on the accident
    report, nearly three years passed before any offer of
    settlement was made to plaintiff. Additionally, through
    witnesses like King and Bucci, plaintiff showed that
    defendant had engaged in similar conduct as a general
    business practice, which may be evidence of intent.
    State Farm Mutual Ins. Co. v. Stephens, 
    425 S.E.2d 577
    ,
    584 (W.Va. 1992). Under these circumstances, the jury’s
    determination that defendant acted with actual malice is
    warranted.
    (J.A. 1259-60).
    We hold the district court did not err in allowing the issue
    of punitive damages to go to the jury.   The evidence presented at
    trial, viewed in the light most favorable to Nance, shows that
    Kentucky National, at a minimum, should have immediately offered
    its policy limit of $100,000 to Nance in March 2002, when Kentucky
    National learned that Liberty Mutual (insurer of the tractor-
    trailer driven by Nance) had settled for its $50,000 policy limit.
    Expert witness testimony by Conrad Diaz established that, at this
    point in time (indeed, as early as February 2001), liability on the
    - 17 -
    part of Cordell was reasonably clear, and the fact that Nance’s
    damages well exceeded Liberty Mutual’s $50,000 policy limit and
    Kentucky National’s $100,000 policy limit was reasonably clear to
    Kentucky   National.   Nonetheless,    Kentucky   National   waited    an
    additional seven months to offer Nance even the paltry sum of
    $25,000, all the while knowing that the accident had occurred
    almost four years prior in December 1998.     Then, although nothing
    had changed, Kentucky National took an additional five months to
    offer Nance $50,000, just half of its policy limit.
    Additionally, several factual circumstances established by
    Nance at trial, when viewed collectively and in conjunction with
    the expert testimony of Conrad Diaz, establish actual malice:         (1)
    Kentucky National took steps to place liability on the part of
    Nance, when the circumstances clearly showed that Nance was not at
    fault; (2)   Kentucky National refused to follow the advice of its
    outside counsel to offer Nance $80,000 without any plausible reason
    for so doing; and (3) the jury heard testimony from Attorneys King,
    Tiano, and Bucci, demonstrating that it was Kentucky National’s
    company policy to use unfair claims practices, to delay, and to
    fight the payment of just claims.
    In conclusion, we hold the district court did not err in
    denying Kentucky National’s motion for judgment as a matter of law
    on the issue of punitive damages.
    - 18 -
    III.
    Next,   Kentucky    National    challenges   the      jury’s   $850,000
    punitive damage award as excessive in violation of the Due Process
    Clause of the Fifth Amendment.         U.S. Const. amend. V.      Our review
    of the record discloses that Kentucky National did not make such a
    challenge below.     Accordingly, we are constrained to review for
    plain error.     See In re: Celotex Corp., 
    124 F.3d 619
    , 630-31 (4th
    Cir.   1997)   (adopting   plain   error     standard   of   review   used   in
    criminal cases, as set forth in United States v. Olano, 
    507 U.S. 725
     (1993), for application in civil cases when party failed to
    preserve error below).
    Under the plain error standard of review, we may only exercise
    our discretion to correct a forfeited error, if we: (1) find error;
    (2) find the error is plain; (3) find the error affects the
    substantial rights of the party or parties alleging the error; and
    (4) after examining the particulars of the case, find the error
    seriously affects the fairness, integrity or public reputation of
    judicial proceedings.        
    Id.
          We conclude that even if Kentucky
    National could satisfy the first prong of Olano’s plain error test,
    which we doubt, it certainly cannot satisfy the second prong of
    establishing that the error is plain, which prong requires the
    error to be clear or equivalently obvious.          Olano, 
    507 U.S. at 734
    (explaining that for purposes of plain-error review, “‘[p]lain’ is
    synonymous with ‘clear’ or, equivalently, ‘obvious’”).
    - 19 -
    In BMW of North Am., Inc. v. Gore, 
    517 U.S. 559
    , 562 (1996),
    the Supreme Court set forth three guideposts for appellate courts
    to consider de novo in reviewing a punitive damage award for
    excessiveness:    “(1)   the   degree    of   reprehensibility   of   the
    defendant’s misconduct; (2) the disparity between the actual or
    potential harm suffered by the plaintiff and the punitive damages
    award; and (3) the difference between the punitive damages awarded
    by the jury and the civil penalties authorized or imposed in
    comparable cases.”5   State Farm Mut. Auto. Ins. Co. v. Campbell,
    
    538 U.S. 408
    , 418 (2003) (citing BMW).          The Supreme Court has
    further stated:
    “[T]he most important indicium of the reasonableness of
    a   punitive   damages   award    is   the   degree   of
    reprehensibility of the defendant’s conduct.” We have
    instructed courts to determine the reprehensibility of a
    defendant by considering whether: the harm caused was
    physical as opposed to economic; the tortious conduct
    5
    We note that BMW involved an excessiveness challenge to a
    punitive damages award under the Due Process Clause of the
    Fourteenth Amendment, while Kentucky National’s challenge to the
    punitive damages award here is properly brought under the Due
    Process Clause of the Fifth Amendment, given that the governmental
    action challenged involved a federal tribunal. Johnson v. Hugo’s
    Skateway, 
    974 F.2d 1408
    , 1411 n.1 (4th Cir. 1992) (en banc)
    (punitive damages award arising from federal tribunal is properly
    challenged under the Due Process Clause of the Fifth Amendment).
    Because the parties agree that BMW applies in the Fifth Amendment
    context, and there appears no sound reason to apply a different
    excessiveness test in the Fifth Amendment context as opposed to the
    Fourteenth Amendment context, Morgan v. Woessner, 
    997 F.2d 1244
    ,
    1255 (9th Cir. 1993) (“The two Clauses should be applied in the
    same manner when two situations present identical questions
    differing only in that one involves a proscription against the
    federal government and the other a proscription against the
    States.”), we apply BMW.
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    evinced an indifference to or a reckless disregard of the
    health or safety of others; the target of the conduct had
    financial vulnerability; the conduct involved repeated
    actions or was an isolated incident; and the harm was the
    result of intentional malice, trickery, or deceit, or
    mere accident. The existence of any one of these factors
    weighing in favor of a plaintiff may not be sufficient to
    sustain a punitive damages award; and the absence of all
    of them renders any award suspect.
    Campbell, 
    538 U.S. at 419
     (internal citations omitted).
    Application of the first and most important BMW guidepost
    unequivocally cuts in favor of the reasonableness of the jury’s
    punitive damages award in favor of Nance.              The evidence at trial
    established that the harm caused by Kentucky National’s actions and
    inaction in handling Nance’s uninsured motorist claim was not
    limited to economic harm.         Indeed, the jury heard testimony from
    both Nance and his wife that Kentucky National’s tortious tactics
    in   handling    Nance’s    uninsured       motorist    claim   caused   them
    significant     emotional   and    mental    suffering,     including    being
    frightened on their return trip from Lexington, Kentucky, upon
    discovering they were under surveillance.              Nance’s emotional and
    mental distress required treatment with prescription anti-anxiety
    medication, which treatment continued through the time of trial in
    the present case.    Kentucky National’s tortious conduct evinced an
    indifference to or a reckless disregard of at least the emotional
    and mental health of Nance and his wife.           The record also leaves
    little doubt that Nance, as the target of Kentucky National’s
    tortious conduct, had financial vulnerability.              The record shows
    - 21 -
    that Kentucky National’s conduct involved repeated actions taken
    with intentional malice, resulting in harm to Nance and his wife.
    In short, each of the factors the Supreme Court has instructed us
    to consider in determining the degree of reprehensibility of a
    defendant supports the conclusion that the degree of Kentucky
    National’s reprehensibility is indeed high.
    We conclude the second BMW guidepost cuts in favor of Nance
    also.   Although the Supreme Court has refused to endorse a bright-
    line ratio, it approved a 1 to 4 ratio of compensatory damages to
    punitive damages in Pacific Mutual Life Insurance Company v.
    Haslip, 
    499 U.S. 1
    , 18 (1991), which ratio is slightly higher than
    we have in the present case of 1 to 3.64.        
    Id.
        (approving $800,000
    punitive damage award against life insurance company in fraud
    case). Moreover, in a medical malpractice case, the Eighth Circuit
    subsequently relied upon Haslip to remit a 1 to 10 ratio of
    compensatory damages to punitive damages ($500,000 in compensatory/
    $5,000,000   in   punitive)   to    a   1   to   4     ratio   ($500,000   in
    compensatory/$2,000,000 in punitive) stating “the four-to-one ratio
    approved . . . by the U.S. Supreme Court in Haslip [is an]
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    appropriate       due   process      maximum.”6        Stogsdill    v.     Healthmark
    Partners, L.L.C., 
    377 F.3d 827
    , 833 (8th Cir. 2004).
    Relying on Campbell, 
    538 U.S. at 426
    , Kentucky National argues
    that we can only compare the ratio between the $33,000 (remitted
    from $150,000) the jury awarded Nance to compensate him for his
    out-of-pocket      damages     with    the     $850,000    in    punitive      damages,
    because     the    remaining        $200,000    the    jury     awarded     Nance      in
    compensatory      damages     was     based    upon    a   component      of     damages
    duplicated in the jury’s punitive damages award.                   See 
    id.
     (citing
    Restatement (Second) of Torts § 908, Comment c, p. 466 (1977) (“In
    many cases in which compensatory damages include an amount for
    emotional distress, such as humiliation or indignation aroused by
    the defendant’s act, there is no clear line of demarcation between
    punishment and compensation and a verdict for a specified amount
    frequently includes elements of both.”)).
    Based    upon      the   evidence    in    the    present    case,     we   reject
    Kentucky National’s duplicative damages argument.                    “Compensatory
    damages   are     intended     to    redress     the   concrete     loss       that   the
    plaintiff has suffered by reason of the defendant’s wrongful
    conduct.”     Campbell, 
    538 U.S. at 416
     (internal quotation marks
    6
    In Stogsdill, the Eighth Circuit conditionally affirmed the
    judgment of the district court, subject to the plaintiff’s
    acceptance of its remittitur of the jury’s $5,000,000 punitive
    damages award to $2,000,000. Id. at 834. If the plaintiff chose
    not to accept the remittitur, the Eighth Circuit ruled that it
    reversed and remanded for a new trial on liability and damages.
    Id.
    - 23 -
    omitted).   In contrast, punitive damages are “aimed at deterrence
    and retribution.”     Id.     Our review of the record in this case,
    discloses that the jury’s noneconomic award of compensatory damages
    was not duplicative of its punitive damages award.              Rather, the
    $100,000 the jury awarded Nance for emotional distress and the
    $100,000 the jury awarded Nance for aggravation, inconvenience, and
    annoyance was intended by the jury to compensate him for harm that
    he   actually   suffered    and   was    proximately   caused   by   Kentucky
    National’s tortious conduct.            Indeed, the district court aptly
    summarized the evidence in this regard in rejecting Kentucky
    National’s post-trial arguments that the jury’s award for emotional
    distress was nothing more than an award of punitive damages and
    that Nance presented no evidence to distinguish his claims of
    emotional distress from his claims for aggravation, inconvenience,
    and annoyance:
    [T]here appears to be ample evidence to support an
    award for aggravation, inconvenience and annoyance and a
    separate award for emotional distress.         Plaintiff
    testified that his experience in dealing with his
    insurance company was “always a fight.”          He was
    “bothered” that his insurance company was “blaming” him
    for the accident.       He ultimately entered into a
    settlement in the underlying claim because his insurer
    “had finally beat [him] down.” Certainly, this testimony
    evidences    possible    aggravation,   annoyance,   and
    inconvenience suffered as a result of defendant’s having
    engaged in unfair claims settlement practices.
    But plaintiff further testified to high levels of
    emotional distress brought on by the underlying
    litigation and by his precarious financial situation. He
    described his savings account as “exhausted” and
    testified that he was forced to obtain a loan against his
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    home, though the mortgage had been paid off, and to sell
    a great deal of his personal property. He testified that
    his family physician began treating him for stress in
    either 2000 or 2001, and that he now takes medication for
    stress.    The jury’s verdict is supportable by this
    evidence.
    (J.A. 1258).     We also add that Nance testified at trial that prior
    to Kentucky National’s misconduct, he had no more problems with
    stress than a normal person.
    Finally, the last BMW factor -- the difference between the
    punitive damages awarded by the jury and the civil penalties
    authorized or imposed in comparable cases -- does not offer much
    guidance one way or the other.     If West Virginia’s Commissioner of
    Insurance finds that an insurer committed or performed unfair
    claims settlement practices with such frequency as to indicate a
    general business practice, the maximum civil penalty that can be
    imposed under the West Virginia Unfair Claim Settlement Practices
    Act is $250,000.     See West Virginia Code § 33-11-6(c).        However,
    such a penalty does not take into consideration Kentucky National’s
    malice as found by the jury in its handling of Nance’s claim.
    Neither party has pointed to any other civil-penalty schemes for
    our comparison.
    In   sum,   Kentucky   National   has   not   established   that   the
    district court committed plain error by failing sua sponte to remit
    the jury’s punitive damages award on the ground of excessiveness in
    violation of the Due Process Clause of the Fifth Amendment.
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    IV.
    In conclusion, we affirm the judgment below.
    AFFIRMED
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