MICHAEL J. DAVIS, Chief District Judge.
This matter is before the Court on PHL Variable Insurance Company's ("PHL") motions for summary judgment against Richard W. Smith ("Smith") and The Producers Group Advantage ("TPGA") (collectively the "Smith Defendants"); the Smith Defendants' motions for summary judgment against PHL; and Bruce Burns ("Burns") and Wholesale Life Insurance Brokers, Inc.'s ("WLIB") (collectively the "Burns Defendants") motions for summary judgment against the Smith Defendants.
These cases involve multi-million dollar life insurance policies that were issued by PHL based on applications that included gross misrepresentations as to the applicant's net worth and income. Prior to the discovery of these misrepresentations, six figure premiums were paid to PHL, who in turn paid six figure commissions to the individual producers and sub-producers who submitted the applications containing fraudulent statements.
This Court previously granted PHL's request that the policies at issue be rescinded and declared void ab initio, and allowed PHL to deposit the premiums paid into the Court registry. At issue in the motions before the Court is whether the individual producers and sub-producers responsible for submitting the fraudulent applications to PHL must refund any or all of the compensation paid them when said policies were initially issued.
TPGA is a general agent that sells life insurance policies for multiple insurance companies, including PHL. (Weinstein Declaration Ex. 16 (Smith Deposition at 10).) Smith is one of three shareholders in TPGA and is also the sole shareholder of RWS, through which the commission for the Damato Policy was paid. (
In the usual course of business, WLIB and TPGA entered into oral agreements as to how commissions would be split. (Weinstein Decl. Ex. 16 (Smith Dep. at 26-27, 81, 84 and 85).) These oral agreements concerned commission split only — no other terms were addressed, such as when and if commissions would be returned or refunded. (
TPGA's general practice was to receive medical information on proposed insureds from brokers such as WLIB and then use that information to determine what insurance carriers would offer based on that person's medical history. (
After the applications were filled out, they were sent to the proposed insured and the representative of the trust for signature. (
On or about March 2, 2007, PHL received the application for life insurance from the Bernard Fidel 2007 Irrevocable Trust ("Fidel Trust") on behalf of Bernard Fidel. (Ganer Declaration, Ex. 9.) The Smith Defendants acted as the general agent with respect to the Fidel Policy, and Bruce Burns was the producer of the policy. (
It was later determined that the application completed by the Fidel Trust included fraudulent and material misrepresentations. As a result, the Fidel Policy was ultimately rescinded and declared void ab initio by Order of this Court dated June 4, 2010. (Civil No. 09-629, Doc. No. 62). Thereafter, PHL tendered to the Court's registry an amount equal to the premiums paid on the Fidel Policy. (Ganer Decl., Ex. 3.)
On November 28, 2007, PHL received an application for life insurance from the Sidney Nachowitz 2007 Irrevocable Trust ("Nachowitz Trust"), to insure the life of Sidney Nachowitz. (Ganer Aff. Ex. 17.) This application provided that Nachowitz's net worth was $46,121,740. (
As with the Fidel Policy, PHL later determined that the application completed by the Nachowitz Trust included fraudulent and material misrepresentations. The Nachowitz Policy was ultimately rescinded and declared void ab initio by Order of this Court dated February 24, 2010. (Civil No. 09-1923, Doc. No. 53). Thereafter, PHL tendered to the Court's registry an amount equal to the premiums paid on the Nachowitz Policy. (Ganer Decl. Ex. 22.)
On July 20, 2007, PHL received an application for life insurance from the Carmella Damato 2007 Irrevocable Trust ("Damato Trust") to insure the life of Carmella Damato. (
Like the previous policies, the Damato application included fraudulent and material misrepresentations, and the Damato Policy was ultimately rescinded and declared void ab initio by Order of this Court dated June 4, 2010. (Civil No. 09-1924, Doc. No. 44). Thereafter, PHL tendered to the Court's registry an amount equal to the premiums paid on the Damato Policy. (Ganer Decl., Ex. 30.)
After amending the complaints in the above actions to add a claim of breach of contract against the Smith Defendants, PHL demanded that the Smith Defendants return the compensation he was paid on the above policies, but the Smith Defendants refused to do so.
On May 24, 2005, Smith, on his own behalf, entered into an Independent Producer Contract ("IPC") with PHL. (Turner Aff. Ex. 1.) On January 1, 2007, PHL entered into a Brokerage General Agent Agreement with RWS Marketing Services, LLC ("RWS"). (
After it was discovered that the Fidel, Nachowitz and Damato applications contained material misrepresentations and after PHL brought actions against the respective trusts and the Smith Defendants, the Smith Defendants brought a third party complaint against the Burns Defendants, alleging breach of implied contract, unjust enrichment, implied indemnity, promissory estoppel, fraud and negligence. The Smith Defendants seek to have Burns and/or WLIB pay back any commission paid to WLIB in the amount the Smith Defendants may be adjudged to owe PHL.
Summary judgment is appropriate if, viewing all facts in the light most favorable to the non-moving party, there is no genuine issue as to any material fact, and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56 (c);
Under the IPC, Smith was given authority to act as an independent producer for PHL and to enlist sub-producers. (Turner Aff., Ex. 1 at PHL/D 000791.) The IPC allowed Smith to solicit applications for all products offered by PHL, deliver policies, collect and submit the first premiums and service his business subject to the terms of the IPC. (
When Smith entered into the IPC with PHL, he was assigned producer code 306697 by PHL. (Turner Aff. ¶ 7.) He was assigned additional producer codes when he executed the Broker General Agent Agreements on behalf of TPGA and RWS and the Broker Agreement on behalf of himself (collectively the "Broker Agreements"). (
The IPC further provides:
(
(
Because the premiums paid on all policies at issue were refunded when such funds were deposited in the Court registry, PHL asserts that Smith is required to refund the compensation he received on said policies pursuant to the terms of the IPC. Further, as the policies have been judicially rescinded, Smith did not "earn" any compensation for such policies. It is PHL's position that the Smith has materially breached the IPC by failing to refund any of the compensation paid him on the policies at issue in these cases.
The Smith Defendants argue that the IPC was superseded and replaced by the Broker Agreements. The Broker Agreements are nearly identical, and each provides in pertinent part:
(
After reviewing the terms of the IPC and the various Broker Agreements, the Court finds the Broker Agreements were not intended to supersede the IPC. The Broker General Agent Agreements govern those sales of PHL products made by either RWS or TPGA, and the Broker Agreement is intended to govern those sales by Smith on behalf of RWS. None of the Broker Agreements, however, provide for the use of sub-producers.
On the other hand, the IPC governs those sales of PHL products by Smith through the involvement of a sub-producer. Here, the parties do not dispute that with respect to the policies at issue, a sub-producer, Bruce Burns, forwarded the fraudulent applications to Smith. Finally, the record clearly provides that Smith was paid under the producer code assigned to the IPC. Based on these undisputed facts, the Court finds that the terms of the IPC govern whether the Smith Defendants are contractually obligated to repay compensation paid on the above policies. Pursuant to the IPC, Smith "must repay on demand any commissions or any other compensation received therein" and must refund any EAPs paid "to which [Smith] is not entitled under the terms of this Contract and Schedule attached hereto." (
The Smith Defendants argue that the premiums paid on the Nachowitz, Fidel and Damato policies were ultimately divided between PHL and Global Secured Capital Fund, LP ("Global") and New Stream Insurance LLC ("New Stream") pursuant to the settlement between those parties. The Smith Defendants thus argue that PHL cannot be said to have refunded the premiums. As a result, no provision of the Broker Agreements or the IPC has been triggered requiring the Smith Defendants to return the compensation received on the above policies.
The Court finds that this argument has no merit. There can be no dispute that PHL initially placed the entire premiums received on the above policies into the Court's registry. At the time the monies were so deposited, many claims were asserted against the premiums and no determination had been made on those claims. The fact that a settlement occurred at a later time does not alter the fact that PHL did, in fact, refund the premiums.
The Smith Defendants assert that summary judgment in favor of PHL is not appropriate as there are genuine issues of material fact as to whether PHL acted reasonably and in good faith, and whether PHL failed to mitigate its damages or caused its own damages. Whether PHL was reasonable in entering into the settlement agreements is a question of law for the court.
The Smith Defendants argue that PHL caused its own damages by entering into settlement agreements with Global and New Stream. They argue that given the fraudulent statements contained in the policy applications, it was clear that PHL had the right to retain all of the premiums paid, as set forth in
At the time PHL entered into settlement agreements with Global and New Stream, the
Finally, the Smith Defendants argue in opposition to PHL's motion that there are genuine issues of material fact precluding summary judgment in favor of PHL as to whether PHL acted reasonably and in good faith when it issued the above policies. The Smith Defendants argue that PHL's underwriting department failed to discover any of the material misrepresentations made in the policy applications at issue in these cases. Had the underwriting department conducted due diligence as to the information contained in the policy applications, these disputes would not have arisen.
No evidence has been presented to the Court concerning the actions or inactions of PHL's underwriting department with respect to the above policies. To properly oppose summary judgment, however, the Smith Defendants "may not rest upon mere allegations or denials, but must set forth specific facts showing that there is a genuine issue for trial."
The Smith Defendants argue that in the event summary judgment is entered in favor of PHL, the Court should determine that any monetary award to PHL be offset by other monies due Smith, but withheld by PHL.
On or about January 31, 2008, PHL charged back $984,025 from Smith related to policies not at issue here. (Turner Aff. ¶ 10.) PHL also charged back $538,714 from Smith related to another policy not at issue here. (
The Court finds that because the above referenced chargebacks concern policies not at issue in this litigation, such chargebacks are irrelevant and do not provide an offset in this case.
Based on the above, the Court finds that PHL has demonstrated that pursuant to the IPC, Smith was required to repay to PHL any commissions or any other compensation received in the event PHL refunds a premium. PHL has further demonstrated that it refunded the premiums with respect to the above policies, and that Smith has not repaid the commissions and other compensation he received with respect to such premiums. Accordingly, PHL is entitled to summary judgment against the Smith Defendants as to Count II of the First Amended Complaints in the above-referenced actions.
Burns argues that although he is the sole shareholder of WLIB, at all times relevant herein, he was acting as an employee of WLIB. Thus, he is entitled to the protections afforded him as an employee — namely that he cannot be held personally liable for any of the claims included in the Third Party Complaint. With regard to cases venued in Minnesota, the determination of shareholder liability is measured by the law of the state where the company is incorporated — in this case Illinois.
The Smith Defendants argue that with respect to the policies at issue, Burns was acting on his own behalf — not as an employee, officer or director of WLIB. For example, they argue that the agreements to split commissions on the policies at issue were between Smith and Burns, not TPGA or WLIB. (Weinstein Decl., Ex. 16 (Smith Dep. at 27).) Also, Burns listed his personal social security number on the policy application documents. (
As demonstrated above, however, the commission payments for the policies at issue were made payable to WLIB. (Markert Decl. Ex. F.) The fact that Burns is the "person" at WLIB that is licensed to sell insurance in Minnesota, on behalf of WLIB, has no bearing on whether he was acting in his personal capacity, or as an employee. Minnesota law allows an individually licensed producer to write insurance and earn a commission on behalf of a company. Minn. Stat. § 60K.48, subd. 3(b). Accordingly, personally liability will not be imposed on Burns on the basis that he was acting as an individual, apart from WLIB.
Under Illinois law, there is a presumption that a corporation is "separate and distinct from its officers and directors, and those parties will not be held personally liable for the corporation's debts and obligations."
The Court can consider the following factors in determining whether there is a sufficient "unity of interest" to justify disregarding the corporate form:
The Burns Defendants argue no evidence has been produced to justify disregarding the corporate form of WLIB. The undisputed facts show that WLIB was incorporated in 1998, it had employees in addition to Burns, WLIB has filed corporate tax returns and there is no commingling of Burns' personal funds with those of the corporation. (Malina Aff. ¶¶ 2-5.) When paid by the Smith Defendants for the policies at issue, the checks were made payable to WLIB. (Markert Decl., Ex. F.) The Smith Defendants argue that the corporate veil should be pierced because WLIB is no longer in business, Burns is the only shareholder and there is no record that WLIB held regular corporate meetings.
The Court finds that the evidence before it does not create a genuine issue of material fact that the corporate form should be disregarded in this case. It is not enough to show that Burns is the only shareholder, and that he did not conduct corporate meetings. Instead, there must be evidence that Burns "disregarded [WLIB's] corporate entity, such as by intermixing its finances with his own or using it as a thinly capitalized sham to avoid liability . . ."
An exception to the general rule that an officer of a corporation cannot be held liable for the debts of the corporation exists when the officer is alleged to have taken part in the illegal act that gave rise to the corporate liability.
The Smith Defendants assert that each of the applications at issue include material misrepresentations as to the net worth and income of the applicant. Further, these applications each include a statement that the producer "confirms that he or she has truly and accurately recorded on the application the information supplied by the proposed insured and that he or she is qualified and authorized to discuss the contract herein applied for." (Weinstein Decl. Exs. 2, 4 and 6.) Burns testified, however, that he did not record any of the information on the applications and that he permitted his signature to be stamped on the Nachowitz application before it was completed or signed by Nachowitz. (
The Smith Defendants further assert that Burns entered into a relationship with Jason Mitan and an entity known as Cambridge Management, under which WLIB would pay it referral fees for clients referred to WLIB. (Weinstein Decl., Ex. 15 (Burns Dep. at 46 and 129-30).) Such referral fees were paid on the Nachowitz and the Damato Policies. (
The Burns Defendants respond that while the Smith Defendants point to certain alleged violations of protocol when the applications were completed, none of these alleged violations were illegal. Further, PHL's Chief Underwriter testified that it was not necessary that the producer obtain information on the application directly from the proposed insured; it would be understood that this information could come from tax attorney's or financial planners or other such professionals. (Weinstein Decl., Ex. 42 at 125-26.) This underwriter also testified that there is no requirement that the producer independently verify the financial condition of the applicant. (
The Court finds that the Smith Defendants have not demonstrated that genuine issues of material fact exist as to whether Burns knowingly participated in a scheme to present applications for multi-million dollar life insurance policies that included materially false statements. Specifically, the Smith Defendants point to no evidence that the Burns Defendants knew or should have known that the information provided in the applications were not accurate. In addition, no evidence has been presented from which the fact finder could reasonably infer the Burns Defendants knew or should have known of the fraud. Accordingly, the Court finds no basis upon which to find Burns individually liable.
The Burns Defendants assert that under either Minnesota, Florida or Illinois law, a claim for breach of implied contract cannot lie where there is an express contract.
Acknowledging that the record includes evidence of an express agreement concerning commission splitting, the Smith Defendants move the Court to amend their complaint to assert a claim of breach of express contract. The Federal Rules of Civil Procedure provide that the Court should freely grant leave to amend a complaint when justice so requires. Fed. R. Civ. P. 15 (a)(2). Here, the Smith Defendants assert that the Burns Defendants have impliedly consented to such an amendment, by raising the existence of this express contract in their motion for summary judgment. The Burns Defendants acknowledge that Rule 15 (a)(2) must be liberally construed, but argue the motion to amend should be denied where such amendment would be futile.
Pursuant to Illinois law, when interpreting a contract, the Court must first determine the threshold inquiry is whether the contract is ambiguous.
Here, the parties do not dispute that their commission split agreements were oral agreements, and that the commission split was negotiated for each policy placed. The parties also agree that they did not specifically address whether commissions would be repaid if a policy was rescinded and the premiums refunded by the insurer. Silence as to a particular aspect of the parties' agreement may render such an agreement ambiguous.
As noted above, the laws of Illinois, Minnesota and Florida provide that where a contract term is ambiguous, the court may look to extrinsic evidence to determine the parties' intent with respect to such term. At his deposition, Richard Smith testified that insurance agents "know[] that when a case is done, there's a chance something could go wrong. A million things could go wrong. . .. If a policy gets rescinded, if a client returns a policy for whatever reason and the carrier refunds the premiums, there is going to be a charge-back and everybody involved in the commission has to pay back." (Weinstein Decl., Ex. 16 (Smith Dep. at 27).) Also, at his deposition, Burns admitted that if a policy was not placed, the commission would not be earned, and he would not get paid. (
The Burns Defendants assert that because there is an express contract, the claim for unjust enrichment fails. The law of Minnesota, Illinois and Florida is consistent, and supports this position. In Illinois, "unjust enrichment" is not an independent cause of action.
With respect to the claim of promissory estoppel, the laws of Minnesota, Florida and Illinois require evidence of a promise, that the promisor intended reliance on the promise and that the promise must be enforced to prevent an injustice.
The Smith Defendants assert that the confirmations in the applications for life insurance, whereby the producer "confirms that he/she has truly and accurately recorded on the application the information supplied by the proposed insured and that he/she is qualified and authorized to discuss the contract herein applied for" can be construed as a promise by Burns as to the completeness and accuracy of the statements contained in the application. The Court disagrees.
Any statement or confirmation contained within the insurance applications cannot be construed as a promise to the Smith Defendants; rather the applications were for the benefit of PHL and submitted to PHL. Further, the language of the confirmation provides that the licensed producer was confirming only that he accurately recorded the information provided by the proposed insured, not that he verified the information. Accordingly, the Smith Defendants' claim of promissory estoppel must be dismissed.
A claim for fraud has the following elements: "(1) a false statement concerning a material fact; (2) knowledge by the person making the statement that the representation is false; (3) the intent by the person making the statement that the representation will induce another to act on it; and (4) reliance on the representation to the injury of the other party."
In support of their fraud claim, the Smith Defendants argue that Burns falsely verified that he accurately recorded information on the policy applications at issue, and that the information recorded was false. Burns also provided false information regarding his relationship with Nachowitz, and Nachowitz's business career and net worth. For example, the Nachowitz application was accompanied by a cover letter signed by Burns, in which he stated that Sidney Nachowitz had been his client for approximately one year. (Weinstein Decl. Ex. 19.) At his deposition, however, Burns admitted that Nachowitz was not a personal client of his, rather he was a client of Cambridge. (
To succeed on a fraud claim, however, there must be evidence that the Burns Defendants knew or should have known that the information provided on the applications for insurance at issue here was false. The Court finds that no evidence has been submitted that to show that Bruce Burns or any other person at WLIB knew, or should have known, that the financial information included on the policy applications for Damato, Nachowitz and Fidel was false at the time the applications were filled out and submitted to PHL. The same is true with respect to the cover letter. There is no evidence that Burns or another WLIB employee was aware that the information in the cover letter included false information. Finally, the Smith Defendants cannot base their claim of fraud on the confirmation statement included in the application, because that confirmation only required a certification that information was accurately recorded — not that the information was accurate.
The elements of a negligence claim are a duty of care, breach of that duty, damages, and that the breach was the proximate cause of such damages.
The Smith Defendants assert their negligence claim is based on the duty to verify the information provided by a proposed insured, and that this duty is encompassed by a claim of negligent procurement of insurance. To prove such a claim requires proof that "(1) that the agent owed a duty to the insured to exercise reasonable skill, care, and diligence in procuring insurance; (2) a breach of that duty; and (3) a loss sustained by the insured that was caused by the agent's breach of duty."
There is no authority establishing a duty, between a general agent and a broker, to verify information supplied by an insured.
A claim for implied indemnity requires a finding that the Burns Defendants were negligent in its actions relating to the insurance application process, and that the negligence caused the Smith Defendants to incur damages.
Based on the above, the Court finds that the record supports a claim for breach of contract, and will thus allow the Smith Defendants to amend their complaint to assert such a claim. Genuine issues of material fact, however, exist as to terms of this express contract and whether there has been a material breach. The Burns Defendants are entitled to summary judgment as to the remaining claims in the Third Party Complaint.