SARAH S. VANCE, District Judge.
In this False Claims Act case arising out of Hurricane Katrina, defendants American Reliable Insurance Company, Standard Fire Insurance Company, Colonial Claims Corporation, Liberty Mutual Fire Insurance Company, SIMSOL Insurance Services, Inc., American National Property & Casualty Company ("ANPAC"), Fidelity National Insurance Company, and Fidelity National Property and Casualty Insurance Company ("Fidelity") have filed motions for summary judgment. In addition, all of these defendants plus Allstate Insurance Company and Pilot Catastrophe Services, Inc. have filed motions to dismiss. Because the Court lacks jurisdiction over Branch's claims, defendants' motions are GRANTED, and this case is DISMISSED.
This case arises out of the aftermath of Hurricane Katrina. The storm struck southern Louisiana and Mississippi in late August of 2005, causing damage in the billions of dollars. In numerous places, particularly within New Orleans, homes and commercial property were damaged by the wind and rain generated from the hurricane, as well as by flooding that inundated the area.
Although insurance against wind and rain is available from private insurance companies, flood insurance generally is not. "It is uneconomical for private insurance companies to provide flood insurance with reasonable terms and conditions to those in flood prone areas." Gowland v. Aetna, 143 F.3d 951, 953 (5th Cir.1998). In 1968, the federal government established the National Flood Insurance Program ("NFIP"), which provides flood-insurance coverage "at or below actuarial rates," and payments on these insurance policies are made with federal money. Id. The NFIP is in turn administered by the Federal Emergency Management Agency. In 1983, FEMA established a program within the NFIP known as "Write Your Own" ("WYO"), which allowed certain private insurers to issue standard, government-guaranteed flood insurance policies in their own names. See generally 44 C.F.R. § 62.23. FEMA drafts the policies and the insurers cannot alter them without governmental approval. Id. §§ 61.4(b), 61.13(d); see also Dwyer v. Fidelity Nat. Prop. & Cas. Co., 565 F.3d 284, 285 (5th Cir.2009). The private companies under WYO act as "fiscal agents" of the United States and are responsible for adjustment, settlement, payment, and defense of claims under the policies. 44 C.F.R. § 62.23(d)-(g). Payments under the policies, however, "ultimately come[] from the United States treasury." Dwyer, 565 F.3d at 285.
The damage caused by Hurricane Katrina resulted in a tremendous number of NFIP claims. On account of this strain, FEMA relaxed the requirements for submitting proofs of loss to claim flood damage. Specifically, when policyholders did not dispute the insurance company's adjustment, FEMA waived the proof-of-loss requirement and allowed the claim to be
Branch Consultants brought this qui tam action in 2006 on behalf of the United States government under the False Claims Act ("FCA"). Branch accuses certain WYO insurance companies and adjusters that were involved in the adjustment of NFIP flood claims after Katrina of fraud in the administration of the flood insurance program. Branch alleges that the circumstances after Katrina gave the defendants complete control over adjustments and payments under NFIP policies and allowed them to systematically overstate the amount of flood damage sustained by properties covered by NFIP policies.
Specifically, in what the Court has described as the "loss-shifting" claim, Branch alleges that the defendants attributed damages to flooding that should instead have been attributed to wind or wind-driven rain. This in turn increased the amount of money that the government was obligated to pay under the individual flood policies, and accordingly reduced the amount that insurance companies were obliged to pay under the wind/homeowners policies they allegedly wrote. Put differently, Branch alleges that defendants shifted the costs of paying for wind damage to the government by fraudulently claiming that the damage was caused by flooding. The government allegedly subjected these claims to less scrutiny than it would have in typical circumstances because of the expedited claims-handling process that was put in place after Katrina.
In the complaint, Branch provides examples of properties that it alleges were the subject of this fraud. For each property, Branch identifies the insurance company that allegedly issued the applicable NFIP and wind policies. Further, Branch alleges the existence of a broad fraudulent scheme extending beyond the exemplar properties. This scheme allegedly resulted in the submission of myriad fraudulent insurance claims to the government.
The loss-shifting claim was Branch's only theory until it filed its Second Amended Complaint over three years after filing the original complaint.
This case had a substantial procedural history even before Branch filed the Second Amended Complaint. In October of 2007, the section of this Court previously assigned to this case dismissed it entirely.
After remand, the case was reassigned to this Court. The defendants then moved to dismiss on the grounds that Branch was not an "original source" under 31 U.S.C. § 3730(e)(4) and that Branch failed to plead its claims with sufficient particularity under Rule 9(b) of the Federal Rules of Civil Procedure. In October of 2009, the Court held that, based on the allegations in the First Amended Complaint, Branch had adequately pleaded that it was an original source of its allegations.
In December of 2009, Branch moved for leave to file a Second Amended Complaint.
The Court will resolve this case under the FCA's first-to-file and public disclosure jurisdictional bars. The Court will adjudicate the first-to-file issue under Rule 12(b)(1), which requires dismissal of an action if the court lacks jurisdiction over the subject matter of the plaintiff's claim. In ruling on a Rule 12(b)(1) motion to dismiss, the court may rely on (1) the complaint alone, presuming the allegations to be true, (2) the complaint supplemented by undisputed facts, or (3) the complaint supplemented by undisputed facts and by the court's resolution of disputed facts. Den Norske Stats Oljeselskap As v. HeereMac Vof, 241 F.3d 420, 424 (5th Cir.2001); see also Barrera-Montenegro v. United States, 74 F.3d 657, 659 (5th Cir.1996).
As to the public disclosure bar, the Fifth Circuit has held that this jurisdictional issue is intertwined with the merits and is thus a matter for summary judgment. United States ex rel. Reagan v. East Texas Medical Center Regional Healthcare System, 384 F.3d 168 (5th Cir. 2004) (quoting United States ex rel. Laird v. Lockheed Martin Engineering and Science Services Co., 336 F.3d 346, 350 (5th Cir.2003)). Summary judgment is appropriate when "the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(c)(2); Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir.1994). When assessing whether a dispute as to any material fact exists, the Court considers "all of the evidence in the record but refrains from making credibility determinations or weighing the evidence." Delta & Pine Land Co. v. Nationwide Agribusiness Ins. Co., 530 F.3d 395, 398 (5th Cir.2008). All reasonable inferences are drawn in favor of the nonmoving party, but "unsupported allegations or affidavits setting forth `ultimate or conclusory facts and conclusions of law' are insufficient to either support or defeat a motion for summary judgment." Galindo v. Precision Am. Corp., 754 F.2d 1212, 1216 (5th Cir. 1985); Little, 37 F.3d at 1075.
If the dispositive issue is one on which the moving party will bear the burden of proof at trial, the moving party "must come forward with evidence that would `entitle it to a [partial] directed verdict if the evidence went uncontroverted at trial.'" Int'l Shortstop, Inc. v. Rally's, Inc., 939 F.2d 1257, 1263-64 (5th Cir.1991). The nonmoving party can then defeat the motion by either countering with sufficient evidence of its own, or "showing that the moving party's evidence is so sheer that it may not persuade the reasonable fact-finder to return a verdict in favor of the moving party." Id. at 1265.
If the dispositive issue is one on which the nonmoving party will bear the burden of proof at trial, the moving party may satisfy its burden by merely pointing out that the evidence in the record is insufficient with respect to an essential element of the nonmoving party's claim. See Celotex, 477 U.S. at 325, 106 S.Ct. 2548. The burden then shifts to the nonmoving party, who must, by submitting or referring to evidence, set out specific facts showing that a genuine issue exists. See id. at 324, 106 S.Ct. 2548. The nonmovant may not rest upon the pleadings, but must identify specific facts that establish a genuine issue for trial. See, e.g., id. at 325, 106 S.Ct. 2548; Little, 37 F.3d at 1075; Isquith for and on Behalf of Isquith v. Middle South Utils., Inc., 847 F.2d 186, 198 (5th Cir. 1988), cert. denied, 488 U.S. 926, 109 S.Ct. 310, 102 L.Ed.2d 329 (1988).
Before proceeding to the disputed issues in this case, it is necessary to have a sense of the statutory context. The False
The False Claims Act attempts to meet these conflicting goals by imposing a series of tests that a relator must meet in order to bring a qui tam action. Unfortunately, this balancing act has created a situation in which qui tam actions are commonly held up in seemingly interminable jurisdictional disputes. As Branch rightly points out, these delays often prevent even perfectly legitimate qui tam actions from being heard on the merits for years, during which time evidence grows stale, witnesses' memories fade, and potential fraud against the government is not redressed. Here, defendants have filed dozens of jurisdictional motions since the case was originally filed in 2006. In deciding these motions, the Court has had to make determinations under law that is far from pellucid. Moreover, as this litigation has progressed, it has become encumbered with increasing numbers of claims, complaints, and parties, further complicating each successive jurisdictional determination. In addition, other cases have been filed that are vying for precedence in the jurisdictional queue. See United States ex rel Rigsby v. State Farm Ins. Co., No. 06-433 (S.D.Miss.); United States ex rel Denenea v. Allstate Ins. Co., No. 07-2795 (E.D.La.); United States ex rel Sonnier v. Allstate Ins. Co., No. 09-1038 (M.D.La.). Nonetheless, the Court cannot shirk jurisdictional issues, and it has no discretion to proceed in the absence of jurisdiction. Thus, the Court has no choice but to wade into this jurisdictional thicket.
The FCA contains two jurisdictional restrictions that are presently at issue. First, defendants Allstate and Pilot argue that Branch's claims against them should be dismissed under the first-to-file bar of 31 U.S.C. § 3730(b)(5). That provision states: "When a person brings an action under this subsection, no person other than the Government may intervene or bring a related action based on the facts underlying the pending action." Allstate and Pilot assert that the complaint in United States ex rel Rigsby v. State Farm Ins. Co., No. 06-433 (S.D.Miss.2006), trumps Branch's later-filed complaint.
Second, all of the defendants argue that Branch's claims should be dismissed under the public disclosure bar, which states:
31 U.S.C. § 3730(e)(4)(A). The Court has already ruled that Branch's loss-shifting claim is based on publicly disclosed information. United States ex rel. Branch Consultants, L.L.C. v. Allstate Ins. Co., 668 F.Supp.2d 780, 795 (E.D.La.2009). Further, when a relator's action is even partially based on publicly disclosed information, the public disclosure bar applies to the entire action. United States ex rel. Fried v. West Independent School Dist., 527 F.3d 439, 442 (5th Cir.2008); Fed. Recovery Servs., Inc. v. E.M.S., Inc., 72 F.3d 447, 451 (5th Cir.1995). Thus, the Court has jurisdiction only if Branch is an original source, which is defined as:
Id. § 3730(e)(4)(B). A relator must be an original source of its own allegations, not of the publicly disclosed allegations. Rockwell Intern. Corp. v. United States, 549 U.S. 457, 471-72, 127 S.Ct. 1397, 167 L.Ed.2d 190 (2007). The Court has ruled that Branch adequately pleaded that it is an original source of its loss-shifting claim,
Both the public disclosure bar and the first-to-file bar are jurisdictional limitations. The public disclosure bar explicitly states that no court shall have jurisdiction if the provision applies, § 3730(e)(4)(A), and the Supreme Court has specifically ruled that the provision is jurisdictional in nature. Rockwell, 549 U.S. at 467, 127 S.Ct. 1397.
The first-to-file bar is also jurisdictional, even though § 3730(b)(5) does not make that explicit. See Bowles v. Russell, 551 U.S. 205, 209-10, 127 S.Ct. 2360, 168 L.Ed.2d 96 (2007) (treating a statutory limitation as jurisdictional in accordance with precedent, even though the provision did not specify that it was jurisdictional). In ruling that Branch's allegations against State Farm and Allstate were barred under this rule, the Fifth Circuit specifically and repeatedly stated that the first-to-file bar is a jurisdictional limitation, and it treated this court's ruling as a dismissal for lack of subject matter jurisdiction. United States ex rel. Branch Consultants v. Allstate Ins. Co., 560 F.3d 371, 376 (5th Cir.2009). See also Grynberg v. Koch Gateway Pipeline Co., 390 F.3d 1276, 1278 (10th Cir.2004) (section 3730(b)(5) "is a jurisdictional limit on the courts' power to hear certain duplicative qui tam suits"); United States ex rel. Lujan v. Hughes Aircraft Co., 243 F.3d 1181, 1186 (9th Cir. 2001) (dismissing later-filed qui tam action for lack of jurisdiction); United States ex rel. Batiste v. SLM Corp., 740 F.Supp.2d 98,
If the Court determines at any time that it lacks subject matter jurisdiction, then it must dismiss the case. Fed.R.Civ.P. 12(h)(3). As discussed infra, the Court reaches precisely that conclusion here.
Before applying the jurisdictional bars just described, the Court must determine which complaint or complaints it should consider. The Second Amended Complaint represents Branch's third complaint in this matter. Since Branch filed its original complaint on August 2, 2006, there have been a number of important events in this case which, according to Branch, should influence the Court's jurisdictional analysis. First, the Second Amended Complaint added a new inflated-revenue claim. Branch argues that it is an original source of that claim even if it is not an original source of the loss-shifting claim. See Rockwell, 549 U.S. at 476, 127 S.Ct. 1397 (original source status determined on a claim-by-claim basis). Additionally, before it filed the First Amended Complaint, Branch made two supplemental disclosures to the government. Branch argues that even if it was not an original source at the time it filed its original complaint, it became an original source because of these later disclosures. Furthermore, while the Rigsby case in Mississippi was pending against Allstate at the time Branch filed its original complaint, Allstate has since been voluntarily dismissed in Rigsby. Branch argues that the first-to-file bar of 31 U.S.C. § 3730(b)(5) applies only when the first-filed action is still pending. Because Rigsby was no longer pending against Allstate at the time Branch filed the Second Amended Complaint, Branch argues that it could once again name Allstate and Pilot as defendants. Each of these arguments requires the Court to consider whether it can acquire jurisdiction over this matter due to intervening events even if it lacked jurisdiction when Branch filed the original complaint.
In making this determination, the Court must first look to the language of the FCA's jurisdictional bars. The first-to-file bar and the original source exception to the public disclosure bar refer specifically to jurisdictional facts that must exist when an "action," not a complaint, is filed. Under 31 U.S.C. § 3730(b)(5), a qui tam plaintiff may not "bring a related action based on the facts underlying the pending action." As the Seventh Circuit has noted, "[o]ne `brings' an action by commencing suit." United States ex rel. Chovanec v. Apria Healthcare Group Inc., 606 F.3d 361, 362 (7th Cir.2010). Further, in order to be an original source under 31 U.S.C. § 3730(e)(4)(B), a relator must provide the information on which the allegations are based to the government "before filing an action under this section which is based on the information." Both provisions appear to contemplate that certain requirements must be met at the time a qui tam action is filed. The use of the term "action" in both provisions indicates that the Court should look to the jurisdictional facts that existed at the time the action was filed, as opposed to facts that existed when the relator later filed an amended complaint.
The notion that a court cannot proceed if it lacked jurisdiction at the time the original complaint was filed is consistent with the "time-of-filing rule," under which "the jurisdiction of the Court depends upon the state of things at the time of the action brought[.]" Mollan v. Torrance, 9 Wheat. 537, 22 U.S. 537, 539, 6 L.Ed. 154 (1824) (diversity jurisdiction exists if the parties are diverse when the action was brought, even if diversity is not maintained throughout the litigation); see also Grupo Dataflux v. Atlas Global Group, L.P., 541 U.S. 567, 574-75, 124 S.Ct. 1920, 158 L.Ed.2d 866 (2004) (post-filing change in a partnership's citizenship resulting from withdrawal of two partners could not cure the defect in diversity jurisdiction); In re Katrina Canal Breaches Litigation, 342 Fed.Appx. 928, 931 (5th Cir.2009) (in the federal question context, "while a plaintiff may amend a complaint to cure inadequate jurisdictional allegations, amendment may not create subject matter jurisdiction when none exists."); Whitmire v. Victus Ltd., 212 F.3d 885, 888 (5th Cir.2000) (an amendment may "remedy inadequate jurisdictional allegations," but it cannot remedy "defective jurisdictional facts"); Pressroom Unions-Printers League Income Sec. Fund v. Continental Assur. Co., 700 F.2d 889, 893 (2d Cir.1983) (amendment to add new plaintiff could not create jurisdiction under time-of-filing rule); 3 James Wm. Moore et al., Moore's Federal Practice § 15.14[3], at 15-34 (3d ed. 1999) ("Essentially, a plaintiff may correct the complaint to show that jurisdiction does in fact exist; however, if there is no federal jurisdiction, it may not be created by amendment.").
The general time-of-filing rule is not applied consistently, however, despite its long pedigree. For example, the Supreme Court recognized an exception in Newman-Green, Inc. v. Alfonzo-Larrain, 490 U.S. 826, 827, 109 S.Ct. 2218, 104 L.Ed.2d 893 (1989), to permit a court to acquire jurisdiction by dismissing a dispensable party whose presence spoils diversity. Further, the Fifth Circuit in Sessions v. Rusk State Hosp., 648 F.2d 1066, 1070 (5th Cir.1981), allowed an amendment to "relate back" even though the court lacked jurisdiction over the claim in the original complaint. See also ConnectU LLC v. Zuckerberg, 522 F.3d 82, 92-96 (1st Cir. 2008) (not applying time-of-filing rule when federal question was added by amendment as of right).
These cases do not counsel departure from the time-of-filing rule here. First, the Newman-Green exception obviously has no application to this case. Second, although the Fifth Circuit has admittedly made conflicting decisions which it has
The Supreme Court interpreted the False Claims Act at length in Rockwell Intern. Corp. v. United States, 549 U.S. 457, 127 S.Ct. 1397, 167 L.Ed.2d 190 (2007). While the ruling focused on the original source provision, it also made broader jurisdictional statements that are relevant to the FCA as a whole. In Rockwell, the relator brought a qui tam action relating to toxic waste disposal at a nuclear weapons plant. The Supreme Court held that the relator was not an original source of new allegations in the amended complaint just because he was an original source of the allegations in the original complaint. Id. at 473-74, 127 S.Ct. 1397. The Court concluded that the relator, "at a minimum," must be an original source of the claims in the amended complaint. Id. at 473, 127 S.Ct. 1397. But the Court did not suggest that the original complaint becomes irrelevant for jurisdictional purposes once an amended complaint is filed. To the contrary, the Court stated that its holding was consistent with "[t]he rule that subject-matter jurisdiction `depends on the state of things at the time of the action brought.'" Id. (quoting Mollan v. Torrance, 9 Wheat. 537, 22 U.S. 537, 539, 6 L.Ed. 154 (1824)). The Court went on to note: "The state of things and the originally alleged state of things are not synonymous; demonstration that the original allegations were false will defeat jurisdiction." 549 U.S. at 473, 127 S.Ct. 1397. For this proposition, Rockwell cited Anderson v. Watts, 138 U.S. 694, 11 S.Ct. 449, 34 L.Ed. 1078 (1891) and Morris v. Gilmer, 129 U.S. 315, 9 S.Ct. 289, 32 L.Ed. 690 (1889). In Anderson, two executors of an estate sued in diversity, but one executor destroyed diversity jurisdiction. Although he revoked his own executorship, and the other executor amended to name only himself, there was no jurisdiction at the time of filing, so the case was dismissed. 138 U.S. at 708, 11 S.Ct. 449. Likewise, in Morris, the court looked to the plaintiff's citizenship "at the commencement of this suit" to determine whether the court had diversity jurisdiction. 129 U.S. at 328, 9 S.Ct. 289. Anderson and Morris are both diversity cases, but the Supreme Court did not hesitate to apply them in the FCA context. These cases indicate that a court cannot proceed if it lacked jurisdiction at the time the initial complaint was filed.
Rockwell goes on to state that jurisdiction is also defeated if a plaintiff amends the complaint to withdraw the allegations upon which the court's jurisdiction is based, "unless they are replaced by others that establish jurisdiction." 549 U.S. at 473, 127 S.Ct. 1397. "Thus," Rockwell continues, "when a plaintiff files a complaint in federal court and then voluntarily amends the complaint, courts look to the amended complaint to determine jurisdiction." Id. at 473-74. Rockwell, and the cases it cites, make clear that a plaintiff can amend himself or herself out of jurisdiction by withdrawing allegations that appeared in the original complaint. See Wellness Community-National v. Wellness House, 70 F.3d 46, 49 (7th Cir.1995) (when original complaint alleged federal question and diversity jurisdiction but amended complaint alleged only diversity, court could only have jurisdiction vel non in diversity); Boelens v. Redman Homes, Inc., 759 F.2d 504, 508 (1985) (court lacked jurisdiction when plaintiff withdrew claims that originally provided jurisdiction). Rockwell also appears to acknowledge that a plaintiff may replace allegations over which the Court has jurisdiction with other allegations over which the Court also has jurisdiction. But Rockwell does not suggest
Further, at one point, the Court observed that limiting the original source requirement to the initial complaint "would leave the relator free to plead a trivial theory of fraud for which he had some direct and independent knowledge and later amend the complaint to include theories copied from the public domain or from materials in the Government's possession." 549 U.S. at 473, 127 S.Ct. 1397. Even under a scenario in which a court lacks jurisdiction over claims added by amendment, Rockwell assumes that the relator would at least have direct and independent knowledge of the initial, trivial theory of fraud. Nowhere does Rockwell say that a relator may qualify as an original source if he or she lacks such knowledge as to the original complaint. An amended complaint may force a court to reevaluate its jurisdiction, as in Rockwell, but a court will not reach that question if it lacked jurisdiction from the beginning.
In numerous FCA cases, the Fifth Circuit and other courts have applied the traditional time-of-filing rule and held that a court must have jurisdiction over the original qui tam complaint in order to proceed. In Fed. Recovery Servs., Inc. v. United States, 72 F.3d 447, 453 (5th Cir. 1995), for example, the Fifth Circuit held that a relator who was not an original source could not amend the complaint to add a new relator. The court reached this conclusion by applying the general rule that a party may not "amend to create jurisdiction where none actually existed." Id. (quoting Aetna Cas. & Sur. Co. v. Hillman, 796 F.2d 770, 776 (5th Cir.1986)). Because the relator "lacked standing to prosecute a claim under the False Claims Act and ... the district court never had jurisdiction over it," the case had to be dismissed. Fed. Recovery Servs., Inc., 72 F.3d at 448.
Another such case is United States ex rel. Newsham v. Lockheed Missiles & Space Co., Inc., 190 F.3d 963 (9th Cir. 1999). In Newsham, the Ninth Circuit looked to the original qui tam complaint, rather than the amended complaint, to determine whether the relator had stated claims over which it had subject matter
Likewise, in the first-to-file context, the Tenth Circuit in Grynberg v. Koch Gateway Pipeline Co., 390 F.3d 1276 (10th Cir.2004), determined "whether § 3730(b)(5) barred [the relator's] qui tam action by looking at the facts as they existed at the time that action was brought." Id. at 1279. In support of this approach, the Tenth Circuit quoted the Supreme Court's statement in Smith v. Sperling, 354 U.S. 91, 93 n. 1, 77 S.Ct. 1112, 1 L.Ed.2d 1205 (1957) (quoting Mollan v. Torrance, 9 Wheat. 537, 22 U.S. 537, 539, 6 L.Ed. 154 (1824)), that "the jurisdiction of the Court depends upon the state of things at the time of the action brought." The Tenth Circuit followed the time-of-filing rule, found that a related action was pending at the time the original complaint was filed, and dismissed the case. 390 F.3d at 1279-80.
An analogous non-FCA case is Summit Office Park, Inc. v. United States Steel Corp., 639 F.2d 1278 (5th Cir. Unit A Mar.1981). In that case, the plaintiff, an indirect purchaser of certain goods, had no standing to bring an antitrust action due to the intervening Supreme Court decision in Illinois Brick Co. v. Illinois, 431 U.S. 720, 97 S.Ct. 2061, 52 L.Ed.2d 707 (1977), which limited standing to direct purchasers. 639 F.2d at 1280. The plaintiff then sought to amend the complaint to add direct purchasers as new plaintiffs and to change the cause of action in an attempt to conform to the intervening Supreme Court decision. Id. at 1281. The Fifth Circuit rejected the plaintiff's attempt to amend the complaint, holding that "where a plaintiff never had standing to assert a claim against the defendants, it does not have standing to amend the complaint and control the litigation by substituting new plaintiffs, a new class, and a new cause of action." Id. at 1282. Because the plaintiffs lacked standing, there was no proper party available to amend the complaint. Id. Rather, the case had to be dismissed, and new plaintiffs were free to file a new action. Id. at 1284. The first-to-file and "original source" rules are analogous to standing requirements, so Summit Office Park is very relevant. The Court may not acquire jurisdiction by amendment when it lacked jurisdiction over the original complaint, even if Branch could file a new action.
Additionally, there are a number of reasons why requiring that the jurisdictional bars be satisfied at the time the action is brought makes sense in the FCA context. First, the pre-filing disclosure requirement of § 3730(e)(4)(B) could not function if a court could acquire jurisdiction over a qui tam complaint through amendment. If a court could gain jurisdiction over a qui tam action by amendment, then a relator could neglect to inform the government of the information upon which the allegations are based before filing his or her action. Instead, the relator could provide that information to the government at a later time, and then amend the complaint, even in a trivial fashion, to ensure jurisdiction. Such a procedure would make the statutory language requiring disclosure to the government "before filing an action" meaningless.
Furthermore, while the first-to-file bar of 31 U.S.C. § 3730(b)(5) encourages relators to quickly report fraud about which they become aware, problems arise when a relator files without yet having direct and independent knowledge of the information underlying the allegations. As discussed infra, the Fifth Circuit has held that even skeletal allegations can bar other actions under the first-to-file bar in at least some circumstances. See United States ex rel. Branch Consultants v. Allstate Ins. Co., 560 F.3d 371, 379 (5th Cir.2009). It would be anomalous if a relator could secure a place in the jurisdictional queue with merely skeletal allegations, only to then file an amended complaint after actually becoming an original source, and thereby trump any meritorious, related actions that were filed in the meantime. Cf. United States ex rel. Ortega v. Columbia Healthcare, Inc., 240 F.Supp.2d 8, 14 (D.D.C. 2003) (amended complaint could not "relate back" to the date the original complaint was filed in order to jump ahead in line). Such an approach would shut out deserving relators while rewarding those who bring actions without having direct and independent knowledge of their publicly disclosed allegations. A relator, under this scenario, could secure first-to-file status before actually conducting the investigation that uncovers direct and independent information about the fraud. Requiring jurisdiction at the time the original complaint was filed allows a court to dismiss such an attempt, regardless of later amendments.
Finally, the time-of-filing rule has the advantage of simplicity. The benefits of a clear-cut rule are apparent in this case, which involves multiple claims, complaints, and defendants, as well as other relators whose complaints have themselves been amended and involve multiple defendants. See United States ex rel Rigsby v. State Farm Ins. Co., No. 06-433 (S.D.Miss.2006) (discussed infra); United States ex rel Denenea v. Allstate Ins. Co., No. 07-2795 (E.D.La.); United States ex rel Sonnier v. Allstate Ins. Co., No. 09-1038 (M.D.La.). The Court's jurisdiction may expand or shrink as amendments are made to the complaint, but that jurisdiction must rest upon a solid foundation. That foundation is the Court's jurisdiction over the original complaint. Without it, the case cannot proceed.
In determining whether it had jurisdiction over the original complaint, the Court will proceed on a defendant-by-defendant basis. See United States ex rel. Branch Consultants v. Allstate Ins. Co., 560 F.3d 371 (5th Cir.2009) (applying first-to-file rule to defendants separately); In re Katrina Canal Breaches Litigation, 342 Fed. Appx. 928 (5th Cir.2009) (considering jurisdiction over new claims in amended complaint on a defendant-by-defendant basis). The Court will consider the first-to-file bar and then proceed to the public disclosure bar.
Whether there was jurisdiction over Branch's original complaint against Allstate has already been decided by Judge Beer and the Fifth Circuit. See Branch Consultants, L.L.C. v. Allstate Ins. Co., No. 06-4091, 2007 WL 3118310 (E.D.La. Oct. 17, 2007), aff'd in part and rev'd in
After Branch sued Allstate in this litigation on August 2, 2006, Allstate challenged the Court's jurisdiction, asserting that Branch's claims were barred by the first-to-file rule of 31 U.S.C. § 3730(b)(5). In particular, Allstate asserted that the complaint in United States ex rel. Rigsby v. State Farm Ins. Co., No. 06-433 (S.D.Miss. 2006), which was filed before Branch's original complaint,
In Rigsby, relators Cori and Kerri Rigsby brought suit in the Southern District of Mississippi under the False Claims Act against a number of insurance companies, including Allstate.
On October 17, 2007, Judge Beer dismissed all of the defendants in this case, including Allstate, on first-to-file grounds. Branch Consultants, L.L.C. v. Allstate Ins. Co., No. 06-4091, 2007 WL 3118310 (E.D.La. Oct. 17, 2007). Branch appealed that decision. In the meantime, on March 5, 2008, the relators in Rigsby moved to dismiss their claims against Allstate without prejudice.
On appeal, the Fifth Circuit dispositively ruled that the Rigsby complaint barred Branch's later-filed complaint against Allstate and State Farm and that there was no jurisdiction over Branch's allegations against those two companies. United States ex rel. Branch Consultants v. Allstate Ins. Co., 560 F.3d 371 (5th Cir.2009). First, the court ruled that Branch's allegations against State Farm were barred because they were based on the same "essential facts" as Rigsby. Id. at 378. Branch could not avoid the first-to-file bar by focusing on additional instances of fraud occurring in different geographic locations. Id. The could also rejected Branch's argument that Rigsby does not constitute a first-filed action under § 3730(b)(5) because it does not meet the Fed.R.Civ.P. 9(b) requirement that fraud must be pleaded with particularity, holding: "The sufficiency of the Rigsby complaint under Rule 9(b) is a matter for that court to decide in the first instance. Having alleged at least some detail as to State Farm, we hold that the Rigsby complaint is a `first-filed' complaint as to State Farm." Id. at 378 n. 10.
The Fifth Circuit then upheld the dismissal of Allstate. The court's ruling as to Allstate, in full, is as follows:
Branch has not demonstrated that these final jurisdictional rulings do not settle the issue of whether there was jurisdiction over its original complaint against Allstate. Indeed, a final district court decision, affirmed on appeal, that there was no jurisdiction over Branch's complaint against Allstate, is res judicata and cannot be reconsidered by this Court. "The principles of res judicata apply to questions of jurisdiction as well as to other issues." American Surety Co. v. Baldwin, 287 U.S. 156, 166, 53 S.Ct. 98, 77 L.Ed. 231 (1932). It is true that a dismissal for lack of subject matter jurisdiction is ordinarily not an adjudication on the merits. See Fed.R.Civ.P. 41(b). But the judgment of dismissal remains effective to "preclude relitigation of the precise issue of jurisdiction" that led to the dismissal. 18A Wright & Miller, Fed. Prac. & Proc. Juris. § 4436 (2d ed.); see also Equitable Trust Co. v. Commodity Futures Trading Commission, 669 F.2d 269, 272 (5th Cir.1982) (quoting Segal v. American Telephone & Telegraph Co., 606 F.2d 842, 845 (9th Cir. 1979)) (dismissal for lack of subject matter jurisdiction is conclusive as to matters that were "actually litigated and necessarily decided by a valid and final judgment between the parties").
"The test for res judicata has four elements: (1) the parties are identical or in privity; (2) the judgment in the prior action was rendered by a court of competent jurisdiction; (3) the prior action was concluded by a final judgment on the merits; and (4) the same claim or cause of action was involved in both actions." Petro-Hunt, L.L.C. v. United States, 365 F.3d 385, 395 (5th Cir.2004). Each of these elements is satisfied in this case. First, the parties are identical. Second, the earlier judgment was rendered by a court of competent jurisdiction, as a court has jurisdiction to determine its own jurisdiction. Martin v. Halliburton, 618 F.3d 476, 481 (5th Cir.2010). Third, Judge Beer's judgment dismissing all of the parties was a final judgment,
For much the same reason, the doctrine of collateral estoppel forecloses this Court from reexamining whether there was jurisdiction when Branch initially sued Allstate. Collateral estoppel bars relitigation of an issue when "(1) the issue at stake is identical to the one involved in the earlier action; (2) the issue was actually litigated in the prior action; and (3) the determination of the issue in the prior action was a necessary part of the judgment in that action." Petro-Hunt, 365 F.3d at 397. The earlier decision clearly held that the first-to-file rule barred
Furthermore, collateral estoppel extends to issues that must have been implicitly decided in the prior ruling, though not explicitly addressed. See Yamaha Corp. of America v. United States, 961 F.2d 245, 256 (D.C.Cir.1992). Although the Fifth Circuit did not explicitly discuss Allstate's voluntary dismissal in Rigsby, it was well aware of that dismissal and Branch's arguments about its effects. The Fifth Circuit implicitly but necessarily decided that Rigsby nonetheless barred Branch's related action. Indeed, the Fifth Circuit could not simply overlook this jurisdictional question. "[E]very federal appellate court has a special obligation to `satisfy itself not only of its own jurisdiction, but also that of the lower courts in a cause under review,' even though the parties are prepared to concede it." Bender v. Williamsport Area School Dist., 475 U.S. 534, 541, 106 S.Ct. 1326, 89 L.Ed.2d 501 (1986) (quoting Mitchell v. Maurer, 293 U.S. 237, 244, 55 S.Ct. 162, 79 L.Ed. 338 (1934)). In fulfilling that obligation, appellate courts may have to look to facts that were not available at the time the district court made its jurisdictional determination. See, e.g., United States v. Moreno-Morillo, 334 F.3d 819, 830-31 (9th Cir. 2003) (concluding that there was subject matter jurisdiction on the basis of evidence that existed, but was not before the district court, when the district court made its jurisdictional ruling). If Allstate's voluntary dismissal in Rigsby somehow restored jurisdiction over Branch's claims against Allstate, the Fifth Circuit would have said as much.
Instead, the Fifth Circuit implicitly held that the voluntary dismissal of a first-filed case does not give the Court jurisdiction over a pending, later-filed action. This holding is consistent with the general rule that a court must have jurisdiction as of the time the original complaint is filed. It is also consistent with the case law interpreting § 3730(b)(5). For example, in United States ex rel. Lujan v. Hughes Aircraft Co., 243 F.3d 1181, 1188 (9th Cir. 2001), a first-filed complaint that was pending at the time the relator brought suit barred the relator's action, even though the first-filed complaint had since been dismissed. Furthermore, in United States ex rel. Chovanec v. Apria Healthcare Group Inc., 606 F.3d 361 (7th Cir. 2010), the relator brought her action at a time when two other related qui tam actions against the defendant were pending. After the district court dismissed Chovanec's complaint on § 3730(b)(5) grounds, the parties settled the earlier-filed actions. The Seventh Circuit ruled that the bar against Chovanec's claims remained in effect because the earlier-filed actions had been pending at the time she brought her action. Id. at 362. The court dismissed Chovanec's complaint without prejudice, but noted that her ability to file a new suit could be impeded by res judicata, collateral estoppel, or the public disclosure bar. Id. at 365. Like Lujan and Chovanec, Branch brought its action against Allstate when a related action was pending, so it is barred by § 3730(b)(5).
The upshot of Branch's argument in favor of jurisdiction is to point out that the Rigsbys' case against Allstate was voluntarily dismissed before Branch filed its amended complaint against Allstate and that the Fifth Circuit has left open the effect of a later-filed suit when the first case is dismissed as a sham. Branch cannot argue that the voluntary dismissal of Allstate cured the jurisdictional flaw in its original complaint because, as noted, the Fifth Circuit knew of the voluntary dismissal and nonetheless held that there was no jurisdiction. Further, Branch cannot argue that the dismissal frees it to rename Allstate by amendment because the Court
Because it has been conclusively determined that there was no jurisdiction over Branch's original complaint against Allstate, there is no jurisdiction over Branch's amended complaint against Allstate. Thus, Branch's claims against Allstate must be dismissed.
Pilot argues that if Branch's allegations against Allstate are dismissed under the first-to-file rule, then the allegations against Pilot should also be dismissed for the same reason. Pilot, however, was not named in Rigsby, and Branch argues that the Fifth Circuit has dispositively ruled that the allegations against Pilot are not barred under § 3730(b)(5). There is no need to resolve this dispute, because the Court lacks jurisdiction over Branch's claims against Pilot on other grounds. In particular, Branch is not an original source of its allegations against Pilot because it failed to disclose any specific information about Pilot to the government before filing this action, as discussed infra.
Defendants contend that Branch is not an original source of its allegations, and that the Court therefore lacks jurisdiction under the public disclosure bar, because Branch failed to meet the pre-filing disclosure requirement. Again, the FCA defines an original source as
Id. § 3730(e)(4)(B). Under this provision, a relator must meet a "two-part test: (1) the relator must demonstrate that he or she has direct and independent knowledge of the information on which the allegations are based and (2) the relator must demonstrate that he or she has voluntarily provided the information to the Government before filing his or her qui tam action." United States ex rel. Reagan v. East Texas Medical Center Regional Healthcare System, 384 F.3d 168, 177 (5th Cir.2004). A relator who does not meet the second part of this test is not considered a "source" of information to the government for original source purposes. United States ex rel. King v. Hillcrest Health Center, Inc., 264 F.3d 1271, 1280-81 (10th Cir.2001); United States v. Bank of Farmington, 166 F.3d 853, 865-66 (7th Cir. 1999), overruled on other grounds, Glaser v. Wound Care Consultants, Inc., 570 F.3d 907 (7th Cir.2009). As this Court has noted, it is "undisputed" that a relator must voluntarily provide the information underlying its allegations to the government before filing suit. United States ex rel. Branch Consultants, L.L.C. v. Allstate Ins. Co., 668 F.Supp.2d 780, 802 (E.D.La.2009); see also Bank of Farmington, 166 F.3d at 866 (dismissing case because relator did not meet this requirement); United States ex rel. Grant v. Rush-Presbyterian/St. Luke's Medical Center, No. 99-06313, 2001 WL 40807 (N.D.Ill. Jan. 16, 2001) (same). The pre-filing disclosure requirement is distinct from the requirement of
In this case, Branch made its first disclosure to the government on August 2, 2006, the same day it filed the original complaint.
Under 31 U.S.C. § 3730(e)(4)(B), "the information" that the relator must provide to the government before filing is "the information on which the allegations are based," about which the relator must have "direct and independent knowledge." This implies that the relator must disclose to the government the information it relies upon in asserting that it is an original source. In In re Natural Gas Royalties, 562 F.3d 1032 (10th Cir.2009), the Tenth Circuit reasoned that allowing a relator to disclose only a minimal amount of information to the government, while holding back the information about which it has direct and independent knowledge, would "hamper the government's ability to investigate the fraud and would provide no incentive for individuals to come forward quickly with all relevant information in their possession." Id. at 1044; see also King, 264 F.3d at 1280-81 (quoting Bank of Farmington, 166 F.3d at 866) (pre-filing disclosure requirement "discourage[s] persons with relevant information from remaining silent."). The court in Natural Gas Royalties therefore concluded that in establishing his status as an original source, the relator could not rely on information that was not contained in the pre-filing disclosure. 562 F.3d at 1044. This conclusion is consistent with both the text of § 3730(e)(4)(B) and the policies underlying the statute.
Thus, Branch must demonstrate that the information contained in its pre-filing disclosure is sufficient to make it an original source. To be an original source, a relator's knowledge of the information underlying its allegations must be both direct and independent. A relator's knowledge is "direct" when it "derive[s] from the source without interruption or [is gained] by the relator's own efforts rather than learned second-hand through the efforts of others." United States ex rel. Reagan v. East Texas Medical Center Regional Healthcare System, 384 F.3d 168, 177 (5th Cir.2004) (quoting United States ex rel. Laird v. Lockheed Martin Engineering and Science Services Co., 336 F.3d 346, 355 (5th Cir.2003)). A relator's knowledge is "independent" if it is not derived from the public disclosure. Reagan, 384 F.3d at 177.
In making its original source showing, Branch cannot rely on the two supplemental disclosures it made to the government after filing the original complaint but before filing the First Amended Complaint.
Branch's original disclosure was insufficient as to Standard Fire, Liberty Mutual, SIMSOL, and Pilot.
Branch's original written disclosure contains absolutely no specific information as to Standard Fire, Liberty Mutual, SIMSOL, or Pilot. Branch names these defendants in the document's title but does not specifically discuss them in the body of the document.
Branch also stated in the disclosure that it had additional examples of fraud in its files and that the government was welcome to review those files. These assertions do not render Branch's disclosure adequate. The original source provision imposes disclosure requirements on the relator, and the government was under no obligation to comb through Branch's files to obtain the information upon which Branch's allegations are based. See King, 264 F.3d at 1281 (relator's attorney's offer to make his client available for interview did not constitute disclosure for original source purposes). Rather, it was Branch's responsibility to meet its jurisdictional obligations.
Thus, Branch's original written disclosure was plainly inadequate as to Standard Fire, Liberty Mutual, SIMSOL, and Pilot. Branch's attorney Allan Kanner also asserts that he spoke with Assistant U.S. Attorney Sharon Smith on the morning of August 2, 2006, before filing the original complaint.
Branch's claims against Colonial must also be dismissed under the pre-filing disclosure rule. Branch did not name Colonial as a defendant in its original complaint,
Fidelity and ANPAC also argue that Branch's pre-filing disclosures were inadequate as to the claims against them, but the original written disclosure contains at least some specific information as to these defendants. The Court need not resolve whether that information is sufficient, because Branch is not an original source of its loss-shifting claim against Fidelity and ANPAC for other reasons, as discussed infra.
Branch's original complaint states only a loss-shifting claim, under which the defendants allegedly mischaracterized wind damage as flood damage in order to avoid paying wind losses to homeowners. If the Court lacks jurisdiction over the loss-shifting claim, it cannot exercise jurisdiction over the inflated-revenue claim that was added in the Second Amended Complaint, as discussed supra.
In its original complaint, Branch alleged that Fidelity overstated flood damage to two insured properties.
Branch now admits, however, that Fidelity did not issue wind policies for any of the exemplar properties.
Branch's contention that it "never alleged that Fidelity issued the homeowners' policies on the [exemplar] properties"
Branch now admits, however, that Fidelity did not issue both wind and flood policies for the exemplar properties. Branch argues that "the inflated flood adjustments on the Properties necessarily facilitated underpayments on the wind/homeowners policies on the Properties,"
Without the exemplar properties, Branch cannot be considered an original source of the loss-shifting scheme alleged in the original complaint. The Court's ruling that Branch is an original source as to the loss-shifting scheme was based upon the examples of fraud Branch set out in its complaint. Specifically, the Court held:
It is now evident, however, that Branch's information about the exemplar properties does not add up to loss-shifting fraud. Without the exemplars, Branch is left with the same kind of general allegations of loss-shifting fraud as the allegations contained in numerous public disclosures. See Branch Consultants, 668 F.Supp.2d at 788-95, 798 (describing public disclosures). The information Branch collected cannot constitute "additional compelling facts" about the alleged loss-shifting fraud when the properties it examined are clearly not examples of such fraud. Id. at 800 (quoting United States ex rel. Reagan v. East Texas Medical Center Regional Healthcare System, 384 F.3d 168, 179 (5th Cir. 2004)). Thus, Branch cannot be considered an original source of the loss-shifting scheme it alleges.
The Supreme Court's decision in Rockwell Int'l Corp. v. United States, 549 U.S. 457, 127 S.Ct. 1397, 167 L.Ed.2d 190 (2007), supports this conclusion. In Rockwell, a relator alleged that his former employer had submitted false claims to the government arising out of its operation of a nuclear weapons plant. The compensation that the government paid to the plant was partially dependent on its environmental and safety record. Id. at 460, 127 S.Ct. 1397. As part of its operations, the plant created and stored blocks of toxic pond sludge dubbed "pondcrete." The relator predicted that flaws in a certain piping system used to manufacture the blocks would cause them to disintegrate. Id. at 461, 127 S.Ct. 1397. After the relator was laid off, the plant discovered that many of the blocks were only partially solid, but concealed that environmental violation from the government. Id. The relator later acknowledged that the piping system could produce solid pondcrete and was not defective, but he alleged that a reduction of the cement-to-sludge ratio caused the insolidity problem. Id. at 476, 127 S.Ct. 1397. Although he did not have direct and independent information supporting his new theory, the relator argued that he was nonetheless an original source based on his information about the "piping system" theory. The Court concluded that the relator's "failed prediction" did not constitute direct and independent knowledge of the information upon which his allegations were based. Id. The relator therefore was not an original source. Similarly, in the present case, the information upon which Branch's loss-shifting allegations are based is inaccurate, according to Branch's own admissions. Branch's information about the exemplar properties does not support its loss-shifting claim, just as the Rockwell relator's prediction concerning the piping system did not support a pondcrete-related claim. Branch therefore is not an original source of its loss-shifting claim.
The Fourth Circuit's decision in United States ex rel. Vuyyuru v. Jadhav, 555 F.3d 337 (4th Cir.2009), also supports the conclusion that Branch is not an original source of the broader loss-shifting scheme. Vuyyuru alleged that the defendants fraudulently billed the government under Medicare and Medicaid for unnecessary or incomplete procedures. Id. at 341. The single patient whom the relator identified by name, however, was not eligible for Medicare or other federal health-assistance programs. Thus, the relator was not an original source of the information upon which his allegations were based. Id. at 353. The Fourth Circuit concluded that the relator's "mere suspicion that there must be a false or fraudulent claim lurking around somewhere simply does not carry his burden of proving that he is entitled to original source status." Id. In Vuyyuru,
Because none of Branch's purported examples actually supports its loss-shifting claim, it cannot be considered an original source as to that claim. Branch argues that Fidelity had an incentive to inflate flood losses in order to receive increased fees, but that allegation appeared nowhere in the original complaint. Branch also asserts that Fidelity did issue some wind policies in Louisiana that were in force at the time of Hurricane Katrina. But on summary judgment, Branch must demonstrate that there is a genuine issue of material fact, not merely that its allegations are possible. Branch has not provided any evidence that Fidelity issued both the wind and flood policies for any properties affected by Hurricane Katrina, much less that it shifted losses with regard to any such properties. Branch's argument that Fidelity may have nonetheless engaged in loss-shifting is precisely the sort of speculation that, according to the Fourth Circuit in Vuyyuru, does not make a relator an original source.
Branch's argument that it requires more discovery on the broader loss-shifting scheme is also unavailing. None of the discovery Branch seeks would be relevant to establish that it is an original source of that broader scheme. Indeed, the facts supporting Branch's purported original source status should be within its own control and should not require discovery. See Vuyyuru, 555 F.3d at 355 (relator did not identify evidence it might have obtained in discovery relevant to its original source status, and "such information should be within [the relator's] own custody and control"); United States ex rel. Coppock v. Northrop Grumman Corp., No. 3:98-cv-2143-D, 2003 WL 22171707 at *4 (N.D.Tex. Mar. 6, 2003) (same).
Thus, Branch is not an original source of its loss-shifting claim against Fidelity. Because the loss-shifting claim is the only claim stated in the original complaint, the Court lacks jurisdiction over that complaint, and Branch's claims against Fidelity must be dismissed.
As it does with Fidelity, Branch admits that American Reliable did not insure any of the exemplar properties against wind damage.
Branch's assertion that American Reliable understated wind damages in order to avoid assessments by Louisiana Citizens states a new theory of fraud that does not appear in original complaint. As Magistrate Judge Shushan ruled, "[t]he allegation that the Insurer Defendants had an incentive to shift wind losses from Citizens to flood claims to avoid assessments by Citizens is not part of the loss-shifting scheme described in the [complaint]."
Branch admits that ANPAC did not issue wind policies for any of the exemplar properties. Rather, Branch asserts that ANPAC Louisiana Insurance Company ("ANPAC Louisiana") issued wind policies for those properties.
Moreover, ANPAC asserts that in 1999, long before Hurricane Katrina, it contracted with third-party vendor National Flood Services ("NFS") to administer the entire claims process for its flood policies, including for the exemplar properties. According to John Wright, an ANPAC representative, NFS was responsible for "(1) supervising and administering the entire claims process; (2) investigating, adjusting, and settling all claims or losses arising under ANPAC's flood policies; and (3) processing all claims for payment/reimbursement by the government."
Branch suggests that adjustments performed by NFS may have somehow been controlled by ANPAC, but it provides no evidence for this theory. Branch points to a letter to a policyholder written on ANPAC letterhead as evidence that ANPAC was involved in adjusting claims,
Branch also argues that ANPAC had a duty under the WYO regulations to verify NFS's adjustments. See 44 CFR § 62.23(i)(2) ("It is important that the Company's Claims Department verifies the correctness of the coverage interpretations and reasonableness of the payments recommended by the adjusters."); (i)(5) ("It will be the WYO Company's responsibility to try to detect fraud ... and coordinate its findings with FIA."); (i)(10) ("The WYO Company's claim examiners and managers will supervise the adjustment of flood insurance claims by staff and independent claims adjusters."). But even if ANPAC violated these provisions and failed to adequately supervise NFS, Branch does not explain how that demonstrates that ANPAC committed fraud. Further, Branch's allegations that ANPAC was involved with NFS's adjustments, either directly or through monitoring NFS, do not appear in the complaint or in Branch's pre-filing disclosure to the government. In fact, NFS does not appear at all in the complaint or the pre-filing disclosure, and Branch has not demonstrated that it is an original source of any information about NFS.
Although a relator need not be an original source of every detail, it must have direct and independent knowledge of the core information underlying its allegations. In United States v. New York Medical College, 252 F.3d 118 (2d Cir.2001), the Second Circuit ruled that a relator must be the "source of the core information" underlying the allegations. Id. at 121 (citing United States ex rel. Kreindler & Kreindler v. United Technologies Corp., 985 F.2d 1148, 1159 (2d Cir.1993)). The relator in New York Medical College did not meet this standard because the core information was uncovered by a third party. Id.
Following New York Medical College, the court in United States ex rel. Smith v. Yale University, 415 F.Supp.2d 58 (D.Conn.2006), held that a relator who alleged that the defendants committed Medicare and Medicaid fraud was not an original source of his allegations. The court stated that "although Relator need not prove that he had direct and independent knowledge of all of the information on which the allegations are based, he must show that he had direct and independent knowledge of the core information upon which his allegations of fraud are based." Id. at 73 (emphasis in original). Because the relator did not have direct and independent knowledge of the defendants' allegedly fraudulent procedures, id. at 80, he was not an original source of his allegations.
Likewise, in United States ex rel. Hafter v. Spectrum Emergency Care, Inc., 190 F.3d 1156 (10th Cir.1999), the Tenth Circuit held that the relator was not an original source of the Medicare and Medicaid fraud allegations. While the relator did have direct and independent knowledge of "some allegations," that information was "relatively minor and insignificant." Id. at 1163. The "core information" was uncovered by a third party. Id. The court also noted that the relator alleged not only that the defendants made false claims to the government, but also that the defendants violated numerous ancillary statutes and regulations. "In comparison to these relatively extensive allegations," the court found, the relator's original information was "relatively weak and informal." Id. at 1164. Thus, the relator was not an original source. See also In re Natural Gas Royalties, 562 F.3d 1032, 1046 (10th Cir. 2009) (relator's direct and independent
By contrast, in United States ex rel. Springfield Terminal Ry. Co. v. Quinn, 14 F.3d 645, 656-57 (D.C.Cir.1994), the court stated that a relator need only have "direct and independent knowledge of any essential element of the underlying fraud transaction." Id. at 656-57 (emphasis in original). The court reasoned that a fraud claim consists of the combination of the true state of affairs and the misrepresented state of affairs. A relator will rarely have direct and independent knowledge of the misrepresentation. Thus, the court ruled, such knowledge should not be required. Id. at 657. Similarly, this Court has ruled that a relator need not be an original source of the actual false claims made by the defendants to the Government. United States ex rel. Branch Consultants, L.L.C. v. Allstate Ins. Co., 668 F.Supp.2d 780, 801 (E.D.La.2009). That reasoning does not contradict the principle that a relator must be an original source of a certain core of information, such as the basic modus operandi of the fraud.
Branch, therefore, must be an original source of the core information underlying its complaint in order for the Court to have jurisdiction. At a minimum, that information must include who committed the fraud and the basic mechanism involved. Without such information, a relator's allegations are mere speculation.
Branch lacked this essential knowledge as to its evolving loss-shifting claim against ANPAC. Unbeknownst to Branch, a subsidiary of ANPAC (ANPAC Louisiana) wrote the wind policies for the exemplar properties, and a separate company (NFS) adjusted the flood claims. Branch's theories about how ANPAC may have nonetheless committed loss-shifting fraud do not appear in the complaint, do not appear in the pre-filing disclosure, and are not supported by evidence, whether directly and independently obtained by Branch or otherwise.
As Branch argues, the Court has ruled that Branch is not required to have to have knowledge of the actual fraudulent claims the defendants allegedly made to the government. Branch Consultants, 668 F.Supp.2d at 801. For purposes of defendants' facial jurisdictional challenge, the Court ruled that the information Branch gathered in its property examinations was sufficient to raise an inference of potential fraud. Id. But the summary judgment evidence now shows that NFS, not ANPAC, was responsible for adjusting the flood claims for the exemplar properties. Branch does not allege that ANPAC conspired or colluded with NFS to produce any false claims. To the contrary, Branch has specifically stated that it is not alleging any type of "conspiracy or concerted action."
Moreover, Branch presents no evidence that it was aware that NFS had anything to do with the ANPAC exemplar properties until it received ANPAC's answer on November 23, 2009. In that answer, ANPAC's seventh defense is that NFS adjusted the flood claims and submitted them to the government.
Branch seeks further discovery, but such discovery cannot prove that Branch is an original source of information it lacked when it filed the original complaint. At that time, Branch did not have direct and independent knowledge of the basic mechanism of the alleged fraud and, most importantly, who committed the fraud. The Court therefore lacks jurisdiction over Branch's loss-shifting claim against ANPAC. As no other claims against ANPAC appear in the original complaint, Branch's action against ANPAC must be dismissed.
For the foregoing reasons, defendants' motions are GRANTED. Branch's claims against Allstate are DISMISSED WITHOUT PREJUDICE on first-to-file grounds. The loss-shifting claims against American Reliable, Standard Fire, Colonial, Liberty Mutual, SIMSOL, ANPAC, Fidelity, and Pilot are DISMISSED WITH PREJUDICE because Branch is not an original source of those claims, a determination that is intertwined with the merits and that was decided on summary judgment. The inflated-revenue claims, added by amendment, are DISMISSED WITHOUT PREJUDICE because the Court lacks jurisdiction over Branch's original complaint.