JED S. RAKOFF, District Judge.
On July 24, 2018, plaintiff Senior Health Insurance Company of Pennsylvania ("SHIP") brought a complaint against various defendants — including Beechwood Re Ltd. ("BRE"), B Asset Manager, L.P. ("BAM"), Beechwood Bermuda International Ltd. ("BBIL"), Beechwood Re Investments, LLC ("BRILLC"), Mark Feuer, Scott Taylor, and Dhruv Narain (collectively, "Beechwood Defendants") — after discovering that SHIP had invested $320 million with the affiliates of an allegedly Ponzi-esque scheme that failed. ECF No. 1. On December 28, 2018, SHIP brought a Second Amended Complaint ("SAC") against the same defendants. ECF No. 84.
On March 20, 2019, the Beechwood Defendants filed an Answer to SHIP's SAC, in which they asserted a "Counterclaim" containing five counts. ECF No. 190 ("Counterclaim"). On the same day, the Beechwood Defendants moved for summary judgment on the first two counts of the Counterclaim related to advancement of expenses incurred in connection with
Now before the Court is a motion by SHIP to dismiss all five counts of the Counterclaim. ECF No. 556. For the reasons discussed below, the Court resolves SHIP's motion as follows:
The overall background to this case has previously been set forth in various Opinions and Orders of this Court, familiarity with which is here assumed.
In evaluating SHIP's motion to dismiss the Counterclaim, the following allegations are taken as true:
On May 22, 2014, June 13, 2014, and January 15, 2015, SHIP entered into an Investment Management Agreement ("IMA") with each of BBIL, BRE, and BAM, respectively. Counterclaim ¶¶ 247-49. Paragraph 18(c) of each IMA states, in pertinent parts:
Counterclaim ¶¶ 250-52.
The Counterclaim alleges that SHIP's SAC "seeks to hold [the Beechwood Defendants] liable for acts or omissions they have taken in connection with their duties, or exercise of their powers under, the IMAs," where, according to the Counterclaim, none of the actions that the Beechwood Defendants took or failed to take were "in material violation of the IMAs or that constitute[] fraud, gross negligence, or willful misconduct."
The Counterclaim then alleges the following; additional facts:
SHIP "is regulated by the Pennsylvania Insurance Department [("PID")] and subject to various rules and regulations designed to protect its policy-holders," one of which is the requirement for SHIP "to maintain a risk-based capital ("RBC") ratio above certain levels."
To that end, in February 2015, the following allegedly circular transactions occurred: (1) SHIP contributed $60 million to BBIL for investment under the IMA; (2) BBIL loaned BRILLC $50 million and BRILLC pledged assets in support of that loan, pursuant to a secured promissory note and a pledge agreement; and (3) BRILLC purchased $50 million of SHIP's surplus note ("Surplus Note").
On December 30, 2014, SHIP's then-CFO sent an internal email stating: "[I]f you diagram this, you will see a[] circular funding arrangement of $50M from SHIP to BRe and BBIL to BBL and back to SHIP."
The terms of the Surplus Note dictate that SHIP "pay interest to BRILLC beginning on April 1, 2016, and thereafter on April 1 of each year until the Surplus Note has been paid in full."
Based on this account, defendant BRILLC propounds the following two additional counterclaims:
To survive a motion to dismiss, a plaintiff must "state a claim to relief that is plausible on its face."
In the May 13 Opinion and Order, this Court denied the Beechwood Defendants' motion for summary judgment as to Counts 1 and 2, holding that "Paragraph 18 [of the IMAs] does not indemnify expenses incurred in litigation with SHIP." May 13 Opinion and Order, at *5. In the July 9 Memorandum Order, the Court reaffirmed this conclusion by denying the Beechwood Defendants' motion for reconsideration, noting that the Beechwood Defendants were not "entitled to advancement of expenses incurred in the SHIP Action." July 9 Order 4. As the Court explained, "New York law ... imposes a strong presumption against reading indemnification provisions to cover expenses incurred in litigation between the parties." May 13 Opinion and Order, at *3 (referencing
In reaching that conclusion, the Court found relevant that "Paragraph 18(c) contain[s] only broad language that does not unequivocally indicate that the parties intended to indemnify attorneys' fees in lawsuits between themselves."
It follows that for the reasons stated in the May 13 Opinion and Order and the July 8 Memorandum Order, as summarized above, Counts 1-3 of the Counterclaim must be dismissed with prejudice.
SHIP argues that this Court should dismiss — or at least stay — Counts 4 and 5 of the Counterclaim under (1) the primary jurisdiction doctrine because "the claim requires the resolution of issues that, under a regulatory scheme, have been entrusted to the expertise of an administrative agency" or (2) the "
The party requesting abstention pursuant to both the primary jurisdiction doctrine and the
The primary jurisdiction doctrine is concerned with "promoting power relationships between the courts and administrative agencies charged with particular regulatory duties."
SHIP argues that all four factors support dismissal of Counts 4 and 5, because: (1) the Surplus Note fits "squarely within the technical expertise of the Commissioner, who is expressly charged with the review, approval, enforcement and oversight of surplus notes," SHIP Memo. 11 (referencing 40 Pa Stat. § 4452); (2) Pennsylvania law has vested the Commissioner with "exclusive authority over approval and regulation of surplus notes and has not created a private right of action to challenge such approvals or regulation,"
The Court disagrees with SHIP's characterization of the instant issues. With respect to the first and second factors, the issues in front of the Court are matters of contract breach, good faith and fair dealing, lack of consideration, and fraudulent inducement, all of which are clearly "within the conventional experience of judges."
The fourth factor also cuts against SHIP, because the fact that no prior application was made to the agency "would normally weigh against primary jurisdiction."
While the Court is somewhat more sympathetic to SHIP's take on the third factor, ultimately this factor does not strongly favor SHIP's argument. If the Court grants the remedies sought by BRILLC, it is possible there might be "a substantial danger of inconsistent rulings" where SHIP might be torn between this Court's order and the Commissioner's position (which, given the Platinum-Beechwood scandal, may be against making such payments). However, this concern is alleviated by the fact that this Court ultimately dismissed Count 4 on the independent grounds set forth below, and so the only remedy at issue is the damages sought under Count 5. These damages, if awarded, would not be in contravention of the Commissioner's authority as discussed in more detail below. For these reasons, this risk embodied in the third prong is largely alleviated.
Putting these four factors together, the Court determines that invoking the preliminary jurisdiction doctrine is not warranted in the present case.
Alternatively, SHIP argues that
SHIP argues that all three factors support dismissal, because: (1) "[t]he Pennsylvania Insurance Code establishes a complex and reticulated oversight scheme, including statutory requirements specific to the issuance and repayment of Surplus Notes," SHIP Memo. 15; (2) this Court's interpretation of the Surplus Note could create a risk that the Surplus Note may be "subject to an interpretation that is inconsistent with PID's interpretation and regulation of other surplus notes issued by other insurance companies,"
For substantially similar reasons as those already discussed with respect to the primary jurisdiction, the Court thinks SHIP mischaracterizes the counterclaims at issue. To repeat, the counterclaims mainly concern matters of contract breach, breach of good faith and fair dealing, lack of consideration, and fraudulent inducement, rather than wading into the "complex and reticulated oversight scheme."
It is true that, as also stated above, the remedies sought, if granted, might conceivably create conflict with the Commissioner's stance; but "the mere potential for conflict in the results of adjudications, does not, without more, warrant staying exercise of federal jurisdiction."
For the foregoing reasons, SHIP fails to meet "the heavy burden of showing that abstention is warranted,"
Now the Court turns to whether there are independent grounds to dismiss Count 4 of the Counterclaim. Count 4 seeks rescission of the Surplus Note, an equitable remedy.
Under Pennsylvania law, the elements of fraudulent inducement are: "(1) a representation; (2) which is material to the transaction at hand; (3) made falsely, with knowledge of its falsity or recklessness as to whether it is true or false; (4) with the intent of misleading another into relying on it; (5) justifiable reliance on the misrepresentation; and (6) the resulting injury was proximately caused by the reliance."
The Counterclaim alleges that SHIP "fraudulently induced BRILLC to enter into the Surplus Note by assuring Defendants during the negotiations that led to the execution of the Surplus Note that the transaction was legitimate and compliant with Pennsylvania law, and, at the same time, failing to disclose that SHIP never intended to ask the Commissioner for permission to make any payments under the Surplus Note."
With respect to the allegation that SHIP never intended to perform its obligations to pay interest, SHIP argues that the Counterclaim offers only conclusory statements in this respect. SHIP Memo. 18. Also, in SHIP's view, the allegation that BRILLC relied on SHIP's assurance regarding the legitimacy and legality of the transaction is refuted by the facts that: (1) "BRILLC was a party to the $50 million IMA transaction ... [so] BRILLC was in possession of all of the facts that would give rise to the possibility of circularity,"
BRILLC responds that the allegation that SHIP never intended to honor the terms of the Surplus Note is supported by the factual allegations that "SHIP secretly questioned the legitimacy of the transaction and the fact that SHIP has failed to request permission to fund a single interest payment over the last three and a half years." Beechwood Memo. 15 (referencing Counterclaim ¶¶ 287-88, 301). Furthermore, BRILLC notes that its reliance on SHIP's representations regarding the issues of circularity and the legitimacy of the transaction was justified, because SHIP repeatedly assured as such and "SHIP had superior knowledge of Pennsylvania insurance law."
This Court agrees with SHIP in that the Counterclaim fails to allege facts giving rise to an inference of SHIP's "preconceived and undisclosed intention of not performing" its obligations under the Surplus Note, other than conclusory statements that fail to satisfy the Rule 9(b) standard.
Furthermore, BRILLC fails to adequately allege fraudulent inducement based on SHIP's representation that the transaction complied with the Pennsylvania law and was not circular. It is not clear from the face of the Counterclaim as to why the transaction was indeed not "legitimate and compliant with Pennsylvania law." Counterclaim ¶ 306. Indeed, there is nothing in the Counterclaim that suggests that the Commissioner, who could independently assess the transaction, found the transaction not in compliance with Pennsylvania law.
The representation regarding circularity also suffers from a related issue: without any allegation as to why circularity may render the transaction non-compliant with Pennsylvania law, it is not plausibly pled as to (1) why this representation is "material to the transaction at hand" and (2) why BRILLC would have not entered into the transaction had it known it was circular (other than one conclusory statement stating so), Counterclaim ¶ 308.
On top of all these, no allegation in the Counterclaim pleads that there was a proximate causation — in addition to a but-for causation — between the alleged misrepresentation regarding circularity and the injury to BRILLC.
Count 4 of the Counterclaim also alleges that the Surplus Note is "void for lack of consideration because ... this transaction was a circular transaction with no benefit to the Beechwood contracting entities, just financial engineering on the part of SHIP." Counterclaim ¶ 305. SHIP argues that this allegation is "wholly conclusory" and "not based on any factual predicate." SHIP Memo. 20. BRILLC responds that its Counterclaim lays out in detail how the Surplus Note transaction occurred and how SHIP's former CFO described the transaction as a circular funding arrangement. Beechwood Memo. 16 (referencing Counterclaim ¶¶ 282, 289).
The Counterclaim does allege the details regarding the Surplus Note transaction, but these allegations do not plausibly plead the claim for lack of consideration. In exchange for lending $50 million, BRILLC received the rights to interest and principal payments from SHIP (although allegedly SHIP has not performed its obligation). The fact that BRILLC entered into a different transaction with BBIL — where, as a result, BRILLC's economic position was hedged in net — does not mean that the consideration was lacking in BRILLC's transaction with SHIP. Furthermore, the form of separate transactions and of separate corporate existence of BRILLC, BBIL, and BRE should be respected, unless there is a particular reason for this Court to collapse those transactions. No such reason is alleged nor necessary in this Court's view based on the Complaint.
For all of the reasons stated above, Count 4 of the Counterclaim is dismissed with prejudice.
Count 5 is based on (1) SHIP's alleged anticipatory repudiation of "its obligation to repay the full amount of principal and interest due under the Surplus Note" and (2) SHIP's alleged breach of its duty of good faith and fair dealing under the Surplus Note by "failing to ask the Commissioner for permission to make interest payments due." Counterclaim ¶ 312.
Under Pennsylvania Law, a claim for anticipatory breach must be premised on a defendant's "absolute and unequivocal refusal to perform or a distinct and positive statement of an inability to do so."
The Court dismisses this portion of Count 5 for the following reasons. As a threshold matter, this portion of Count 5 of the Counterclaim is based on SHIP's alleged repudiation of "its obligation to repay the full amount of principal and interest due under the Surplus Note," rather than its repudiation of its obligation to seek the Commissioner's approval. Counterclaim ¶ 312. According to Section 2 of the Surplus Note, unless and until the Commissioner approves, SHIP does not have any such obligation to repay the principal and interest. ECF No. 558-1, Ex.1 ("Surplus Note"), at 1.
But even if Count 5 of the Complaint were worded differently to focus on SHIP's obligation to seek the Commissioner's permission, SHIP's past refusal to seek such permission does not necessarily establish that SHIP would continue to refuse making a request. In fact, SHIP may arguably comply with the contract by making such a request prior to April 1, 2020, a possibility not ruled out by the allegations in the Counterclaim.
For these reasons, this portion of Count 5 based on a claim for anticipatory breach is dismissed with prejudice.
Count 5 also asserts a claim for breach of the duty of good faith and fair dealing. Under Pennsylvania law, "[w]hether express or implied, the covenant of good faith and fair dealing acts as a term of the contract, and that covenant arises from the contract itself."
Put another way, a breach of the duty of good faith and fair dealing occurs when, even though there has been no breach of the express terms of the contract, compliance' with its terms has been effectively undercut by a party proceeding in a manner inconsistent with good faith and fair dealing.
So far as this part of Count 5 is concerned, the focus is on the alleged prior failure by SHIP to approach the Commissioner for permission to pay money to BRILLC, which was a condition precedent to such payment. In other words, if SHIP devised an artifice to excuse its having to pay BRILLC its yearly payments by the simple expedient of secretly not pursuing the Commissioner's approval that was a precondition to such payments, SHIP acted in breach of the duty of good faith and fair dealing.
Section 2 of the Surplus Note, in part based on Section 445.2 of the Pennsylvania Insurance Code, states:
Surplus Note 1.
Based on the above and the factual allegation that SHIP never sought the Commissioner's approval for interest payments, the Counterclaim sufficiently pleads a claim for breach of duty of good faith and fair dealing.
Under Count 5, BRILLC seeks damages "in an amount to be determined at trial, but in an amount at least equal to $50 million, plus interest." Counterclaim ¶ 313. SHIP argues that the damages BRILLC is seeking are not permitted under the terms of the Surplus Note, because the Surplus Note is "expressly subordinated to all of SHIP's obligations and liabilities and the authority to permit payment under the Surplus Note is vested solely in the Commissioner," as required by the Pennsylvania Insurance Code. SHIP Memo. 24 (referencing Surplus Note 1 and 40 Pa. Stat. § 445.2(d)).
It is the Court's view that SHIP conflates the nature of the remedy sought under Count 5. If BRILLC ultimately prevails on Count 5, the Court would not be issuing an injunction to force SHIP to make interest payments under the Surplus Note. Rather, SHIP would be required to pay for its breach of the terms of the Surplus Note. Furthermore, if such relief is granted, it is likely that the amount of damages will be determined pursuant to the expectation damages — a "preferred basis of contract damages" under the Pennsylvania law "designed to place the aggrieved in as good a position as Would have occurred had the contract been performed."
For all of the reasons stated here, the motion to dismiss Count 5 of the Counterclaim is granted in part (anticipatory breach of the Surplus Note) and denied in part (breach of the duty of good faith and fair dealing).
In sum, Counts 1-4 and part of Count 5 of the Counterclaim are dismissed with prejudice, and the motion is denied in all other respects.
The Clerk is directed to close the entries at docket number 556 in 18-cv-6658.
SO ORDERED.