KARTOZIA et al v. SERVICE 1ST MORTGAGE INC et al

Filing 150

ORDER granting 99 Motion to Dismiss for Failure to State a Claim; denying 101 Motion to Dismiss for Failure to State a Claim; granting 102 Motion to Dismiss for Failure to State a Claim; granting 103 Motion to Dismiss for Failure to State a Claim; granting 104 Motion to Dismiss for Failure to State a Claim; denying 105 Motion to Dismiss for Failure to State a Claim; denying 106 Motion to Dismiss for Failure to State a Claim; granting 107 Motion to Dismiss for Failure to State a Claim; terminating 141 Motion to Strike. Ordered by US DISTRICT JUDGE CLAY D LAND on 10/08/2021 (CCL)

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IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF GEORGIA COLUMBUS DIVISION UNITED STATES OF AMERICA, ex rel. GEORGE KARTOZIA, * * Plaintiffs, * vs. CASE NO. 4:18-CV-194 (CDL) * FREEDOM MORTGAGE CORPORATION, et al., Defendants. * * O R D E R Relator George Kartozia brought this qui tam action against Defendants under the False Claims Act (“FCA”), which imposes liability on any person who “knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval,” or “knowingly makes, uses, or causes to be made or used, a false record or statement material to a false or fraudulent claim.” 31 U.S.C. § 3729(a)(1)(A)–(B). the FCA includes a qui tam “As an enforcement mechanism, provision under which private individuals, known as relators, can sue ‘in the name of the [United States] Government’ violation of § 3729.” to recover money obtained in United States ex rel. Bibby v. Mortg. Invs. Corp., 987 F.3d 1340, 1343 (11th Cir. 2021) (alteration in original) (emphasis added) (quoting 31 U.S.C. § 3730(b)(1)). If a relator prevails, he is entitled to retain a percentage of any proceeds as a reward for his efforts. Id. § 3730(d). Relator is a licensed mortgage loan originator who worked for Defendant Service 1st Mortgage, Inc. for a combined total of ten months during 2016 and 2017. Defendant Robert Cole Service 1st, which is owned by (collectively, “Service 1st”), is a mortgage brokerage firm that refers United States Department of Veterans Affairs (“VA”) mortgage refinance loans called Interest Rate Reduction lenders Refinance included Loans Defendants (“IRRRL”) Freedom to lenders. Mortgage Those Corp., RMK Financial Corp., Mortgage Solutions of Colorado, LLC, Sun West Mortgage Co., and Loandepot.com, LLC (collectively, the “Lender Defendants”). Relator alleges that he learned through his work on IRRRLs at Service 1st that the Lender Defendants, working together with Service veterans fees that falsely certified permissible fees. 1st were to and two prohibited the VA that title by companies, VA they charged regulations, were charging then only Relator also contends that the VA was induced to guarantee 25% of the amount of each IRRRL (up to a cap), which reduced the lenders’ default by a borrower. risk of loss in the event of a And, Relator asserts that some IRRRL borrowers who paid prohibited fees defaulted on their loans. Each Defendant filed a motion to dismiss. considerable time carefully reviewing The Court spent Relator’s 520-paragraph second amended complaint and the parties’ more than 450 pages of briefing. As discussed in more detail below, Relator’s claims 2 against Freedom Mortgage Corp., Mortgage Solutions of Colorado, LLC, Sun West Mortgage Co., Loandepot.com, LLC, and Certified Title Corp. fail because Relator did not plead with particularity the submission of any actual false claims related to those Defendants. Accordingly, the Court grants those Defendants’ motions to dismiss (ECF Nos. 99, 102, 103, 104, 107). Relator does, however, adequately allege FCA claims against RMK Financial Corp., Armour Settlement Services, LLC, and Service 1st. The Court thus denies those motions to dismiss (ECF Nos. 101, 105, 106). Defendants’ Relator’s motion to strike Defendants’ notice of supplemental authority (ECF No. 141) is terminated as moot. FACTUAL BACKGROUND To understand the claims asserted in Relator’s complaint, the Court must first explain the IRRRL program. this program, the Court relies in part on In outlining allegations in Relator’s second amended complaint (ECF No. 95). The IRRRL program seeks to help veterans by allowing them to refinance terms. existing VA-backed mortgages on more favorable In keeping with this goal, VA regulations limit the fees and charges that lenders may collect from veterans participating in the IRRRL program. 38 C.F.R. § 36.4313(a). Lenders are not allowed to charge borrowers a “brokerage or service charge or their equivalent” except as permitted by the regulations. 3 Id. § 36.4313(b). customary Lenders amounts” may for collect “[t]itle only “reasonable examination and and title insurance,” as well as other enumerated fees and charges. § 36.4313(d)(1). Id. The VA regulations do authorize lenders to charge “a flat charge not exceeding 1 percent of the amount of the loan, provided that such flat charge shall be in lieu of all other charges relating to costs of origination not expressly specified and allowed in this schedule.” If a closing fee is not in the list Id. § 36.4313(d)(2). of approved fees in § 36.4313(d)(1), then it can only be charged as part of the one percent flat fee permitted by § 36.4313(d)(2). IRRRL loans to veterans are guaranteed by the VA if certain requirements are met. See generally 38 U.S.C. § 3710; 38 C.F.R. § 36.4301 (defining guaranty as an obligation of the United States “to default repay of the guaranteed or Secretary that charges or a specified primary percentage debtor”). insured unless it not fees has against a lender closes and borrower an a “no lender imposed permissible under” the regulations. When But the the of loan upon loan shall certifies will in the be to the not impose any excess of those 38 C.F.R. § 36.4313(a). IRRRL, it prepares a closing disclosure statement listing all the closing costs and fees. All costs charged in an IRRRL closing must be set forth in the closing disclosure. After the 4 loan is closed, the lender submits a closing package to the VA, which includes a certification that the lender has not imposed impermissible fees on the veteran borrower. 2d Am. Compl. ¶¶ 141-142. Based on this certification, the VA automatically issues a guaranty to the lender. Lender’s Id. ¶¶ 40-41. certification of The VA “expressly relies on the compliance with the limitations on closing costs” and does not review the closing package for each IRRRL. Id. ¶ 53. reviewed would each find guaranty. According to Relator, if the VA individually IRRRL any closing prohibited disclosure costs prior and to refuse closing, it issue the to Id. ¶ 54; accord id. ¶¶ 151-152, 177. Without the lender certification, the VA would not issue the guaranty on an IRRRL. Id. ¶¶ 146, 151-152, 177, 209. Once a lender obtains VA loan guaranties on IRRRLs, the loans are usually sold on the secondary market to holders in due course. According to Relator, there would be no market for the IRRRLs without the VA guaranties. When “a required holder by in due statute and course holds regulation the to IRRRLs, honor the secondary Id. ¶ 86. the VA is guaranties corresponding to those loans,” and fraud by the lender is not a defense against liability as to a holder in due course. Bibby, 987 C.F.R. F.3d at 1345 § 36.4328(a)(1)). (citing 38 U.S.C. § 3721 and 38 Thus, “the guaranties are incontestable vis- à-vis holders in due course,” and the “VA must turn to the 5 originating lender to seek a remedy for that lender’s fraud or material misrepresentation—it cannot simply refuse to honor the guaranties.” Relator Id. filed this action under the FCA’s qui tam provision, alleging the following general facts in his second amended complaint. Relator worked for Service 1st as a loan officer from May 2016 to August 2016 and as a branch manager from May 2017 to October 2017. He asserts that each of the Defendant Lenders charged veterans impermissible fees on IRRRLs that were brokered by Service 1st and closed by either Armour Settlement Service, (“Certified”) LLC (“Armour”) (collectively or “Title Certified Title Defendants”). Corp. For each IRRRL, the Lender Defendant prepared closing disclosures that contained at regulations. least one charge not permitted by the VA These impermissible charges included broker fees that exceeded the one percent origination fee permitted by 38 C.F.R. points; § 36.4313(d)(2) duplicative, and false, were and falsely listed unreasonable as title discount fees; and fees from inflated recording fees and taxes. Relator alleges that by collecting prohibited veterans and concealing them on the closing disclosures, and by falsely certifying their compliance with VA regulations, the Lender Defendants induced the VA to issue guaranties for the IRRRLs. The VA would not have issued a guaranty on any IRRRL 6 that contained unallowable discount points. fees, inflated charges, or fake If an IRRRL borrower defaults on the loan, the holder of the loan may submit a claim on the VA guaranty. In addition to the general allegations regarding how the Lender Defendants and Title Defendants worked with Service 1st to generate and close IRRRLs, the second amended complaint contains examples of at least one IRRRL by each Lender Defendant that was brokered by Service 1st and closed by one of the Title Defendants. These examples include eight loans made by Defendant RMK Financial Corp. (“Majestic”), seven of which were closed by Armour and one of which was closed by Certified. Am. Compl. ¶¶ 225, 246, 269, 291, 313, 405, 427, 450. borrowers on defaulted. include one (“Freedom”), three of those loans (all closed Id. ¶¶ 334-336, 425-426, 446-448. loan each for Loandepot.com, Defendants LLC The Armour) The examples also Freedom (“Loan by 2d Mortgage Depot”), Corp. Mortgage Solutions of Colorado, LLC (“Mortgage Solutions”), and Sun West Mortgage Company, Inc. (“Sun West”). 382. Id. ¶¶ 167-173, 337, 358, There is no allegation that any of the borrowers for these four loans defaulted. Relator’s complaint contains three counts. First, Relator contends that Defendants violated 31 U.S.C. § 3729(a)(1)(A)—the Lender Defendants by knowingly presenting false guaranty applications to the VA and the Title Defendants and Service 1st 7 by knowingly causing these false guaranty applications to be presented to the VA. 2d Am. Compl. ¶ 501. Second, Relator alleges that Defendants violated 31 U.S.C. § 3729(a)(1)(B) by knowingly preparing or helping to prepare false closing disclosures that were submitted to the VA with IRRRL guaranty applications. Id. ¶¶ 507-508. Third, Relator asserts that Defendants violated 31 U.S.C. § 3729(a)(1)(C) by conspiring to present false claims supported by false closing disclosures. Id. ¶¶ 515-517. DISCUSSION The FCA imposes liability on any person who “knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval,” or “knowingly makes, uses, or causes to be made or used, a false record or statement material to a false or fraudulent claim.” 31 U.S.C. § 3729(a)(1)(A)–(B). Act “is imposing designed civil to protect liability and the Government penalties federal funds under false pretenses.” upon from those The fraud who by seek Ruckh v. Salus Rehab., LLC, 963 F.3d 1089, 1103 (11th Cir. 2020) (quoting United States ex rel. Lesinski v. S. Fla. Water Mgmt. Dist., 739 F.3d 598, 600 (11th Cir. 2014)). “Liability under the [FCA] arises from the submission of a fraudulent claim to the government, not the disregard proper of government internal regulations procedures.” Id. 8 or failure (quoting to maintain Urquilla-Diaz v. Kaplan Univ., 780 F.3d 1039, 1045 (11th Cir. 2015)). Defendants make dozens of arguments in support of their motions to dismiss. The starting point, of course, is whether Relator adequately alleged a false claim under the pleading rules. I. Pleading Standards for False Claims Act Cases The Federal Rules of Civil Procedure require a complaint to contain “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). “To survive a motion to dismiss” under Federal Rule of Civil Procedure 12(b)(6), “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). permit “A claim is facially plausible where the facts alleged the court to reasonably infer alleged misconduct was unlawful.” 1051. that the defendant’s Urquilla-Diaz, 780 F.3d at “Factual allegations that are ‘merely consistent with a defendant’s liability,’ however, are not facially plausible.” Id. (quoting Iqbal, 556 U.S. at 678). “In an action under the False Claims Act, Rule 8’s pleading standard is supplemented but not supplanted by Federal Rule of Civil Procedure 9(b).” 9(b) requires a Urquilla-Diaz, 780 F.3d at 1051. party alleging fraud to “state particularity the circumstances constituting fraud.” 9 Rule with Fed. R. Civ. P. 9(b). “To satisfy this heightened-pleading standard in a False Claims Act action, the relator has to allege ‘facts as to time, place, and substance of the defendant’s alleged fraud,’ particularly, ‘the details of the defendants’ allegedly fraudulent acts, when they occurred, and who engaged in them.’” Urquilla-Diaz, 780 F.3d at 1052 (quoting United States ex rel. Clausen v. Lab’y Corp. of Am., 290 F.3d 1301, 1308 (11th Cir. 2002)). “The complaint also must offer “some indicia of reliability . . . to support the allegation of an actual false claim for payment being made to the [g]overnment.” Carrel v. AIDS Healthcare Found., Inc., 898 F.3d 1267, 1275 (11th Cir. 2018) (alterations in original) (quoting Clausen, 290 F.3d at 1311). The relator cannot merely describe “a private scheme in detail” and allege generally “and without any stated reason . . . his belief that claims requesting illegal payments must have been submitted, submitted.” were likely submitted[,] or should have been Id. (alterations in original) (quoting Clausen, 290 F.3d at 1311). “Nor may he point to ‘improper practices of the defendant[]’ to support ‘the inference that fraudulent claims were submitted’” because submission of a claim for payment cannot be “inferred from the circumstances.” Id. (alterations in original) (quoting Corsello v. Lincare, Inc., 428 F.3d 1008, 1013 (11th Cir. 2005)). Rule 9(b)’s particularity requirement 10 “guards against ‘guilt by association.’” Clausen, 290 F.3d at 1308 (quoting Cooper v. Blue Cross & Blue Shield of Fla., Inc., 19 F.3d 562, 567 (11th Cir. 1994)). The particularity requirement “is a nullity” if a relator “gets a ticket to the discovery process without identifying a single claim.” United States ex rel. Atkins v. McInteer, 470 F.3d 1350, 1359 (11th Cir. 2006) (quoting United States v. Lab. Corp. of Am., No. 1:97CV2200TWT, 2001 WL 1867721, at *1 (N.D. Ga. May 16, 2001)). In summary, a relator “must allege ‘specific details’ about false claims to establish ‘the indicia of reliability necessary under Rule 9(b).’” Carrel, 898 F.3d at 1276 (alterations in original) (quoting United States ex rel. Sanchez v. Lymphatx, Inc., 596 F.3d 1300, 1302 (11th Cir. 2010) (per curiam)). II. Relator’s Claims Against Freedom, Solutions, Sun West, and Certified Loan Depot, Mortgage Relator’s complaint contains examples of one IRRRL each for Freedom, Loan Certified. Depot, 2d Am. Mortgage Compl. Solutions, ¶¶ 167-173, 337, Sun West, 358, and 382, 450. Relator does not allege that he was personally involved in any of these defaulted, loans, or that that the the VA borrowers on incurred any defaults for these borrowers. his complaint provides any of expenses these to loans resolve Relator nonetheless argues that enough specific details about false claims by these companies to establish the required indicia of reliability. As discussed below, it does not. 11 A. “Presentment” Claims Relator’s claims under 31 U.S.C. § 3729(a)(1)(A)—his “presentment” claims—are based on his allegations that (1) the Lender Defendants submitted false claims to the VA when they applied for loan guaranties certifying that they were charging only permissible Defendants applications and to fees when Service be they 1st submitted were caused to the not and these VA. (2) false the Title guaranty Liability for a presentment claim only arises from “submission of a false claim to the government.”1 Ruckh, 963 F.3d at 1103 (quoting Urquilla- Diaz, 780 F.3d at 1045). In a false certification case like this one, the relator “must prove ‘(1) a false statement or fraudulent course of conduct, (2) made with scienter, (3) that was material, causing (4) the government to pay out money or forfeit moneys due.’” Id. (quoting Urquilla-Diaz, 780 F.3d at 1045). The Eleventh Circuit has repeatedly emphasized that the submission of an actual claim to the government for payment is the “sine qua non” of an FCA violation. Ruckh, 963 F.3d at 1103 (quoting Urquilla-Diaz, 780 F.3d at 1045); United States ex rel. Mastej v. Health Mgmt. Assocs., Inc., 591 F. App’x 693, 703 (11th Cir. 2014) (quoting Clausen, 290 F.3d at 1311). “Without This rule applies whether the claim is that an entity itself presented a false claim or that the entity caused a false claim to be presented. See Ruckh, 963 F.3d at 1107 (explaining causation standard for “cause to be presented” claims). 1 12 the presentment damage.” of a claim, there is simply not actionable United States ex rel. Atkins v. McInteer, 470 F.3d 1350, 1353 (11th Cir. 2006) (cleaned up) (quoting Clausen, 290 F.3d at 1311). The FCA “does not create liability merely for [an entity’s] disregard of Government regulations or improper internal policies unless, as a result of such acts, the [entity] knowingly asks the Government to pay amounts it does not owe” or forfeit money that it is due. Id. (quoting Clausen, 290 F.3d at 1311); Urquilla-Diaz, 780 F.3d at 1052. Here, Relator argues that an IRRRL lender’s application for a loan guaranty is an actionable claim because each guaranty is incontestable vis-à-vis a holder in due course. But Relator did not point the Court to any binding precedent allowing an FCA presentment claim in the absence of a sufficiently reliable allegation that the Government was actually induced to pay money or forfeit money due. request or presented demand to an The FCA itself defines “claim” as “any . . . officer, for money employee, or or property” agent of that the “is United States” or made to another recipient “if the money or property is to be spent or used on the Government’s behalf or to advance a Government Government” program provides U.S.C. § 3729(b)(2). the cases Relator or or interest, and if the reimburses the money United States requested. 31 Moreover, the relevant caselaw—including relies upon—establishes 13 that in the loan guaranty context, there is no actionable FCA presentment claim until the borrower defaults and the Government is faced with a demand for money. The Supreme Court made it clear that an application for credit insurance under a federal program is not a “claim” within the meaning of the FCA. 599 (1958).2 Government immediate Why? In agreeing to provide credit insurance, the “disburses financial United States v. McNinch, 356 U.S. 595, no funds nor detriment.” does Id. at it otherwise 599. suffer Instead, it contracted “to reimburse the lending institution in the event of future default, [if] any.” Id. In McNinch, there had been no default, so there was no “claim.” Id. at 598. The Supreme Court expressed no view “as to whether a lending institution’s demand for reimbursement on a defaulted loan originally procured by a fraudulent application would be a ‘claim’ covered by the False Claims Act.” Id. at 599 n.6. The Supreme Court later explained, though, that an actionable presentment claim exists in a case involving “a false statement made with the purpose and effect of inducing money” because the the Government purpose of the immediately FCA is to to part protect Government’s funds and property from fraudulent claims. with the United The version of the FCA applicable in McNinch was worded differently than it is today, but it still prohibited presentment of “any claim” for payment of approval “upon or against the Government of the United States.” Rainwater v. United States, 356 U.S. 590, 591 n.1 (1958) (citing R.S. § 5438 (1878), now codified as amended in 31 U.S.C. § 3729)); accord McNinch, 356 U.S. at 596 n.1. 2 14 States v. (emphasis Neifert-White added). Co., So, 390 U.S. submission 228, of a 232-33 (1968) fraudulent loan application to the Government is actionable when the Government approves the loan and disburses the funds. Relying primarily on Niefert-White and two out-of-circuit cases, Relator incontestable contends guaranty is that a the request application for payment for an within the meaning of the FCA, even in the absence of a default on the guaranteed loan. The Court disagrees. In Niefert-White, the fraudulent loan application was a “claim” because it immediately induced the Government to part with funds. 390 U.S. at 233. In United States v. Van Oosterhout, 96 F.3d 1491 (D.C. Cir. 1996), the United States brought a claim for monies paid out under Small Business Administration loan guaranties when the borrower defaulted on its obligation. Similarly, in United States v. Rivera, 55 F.3d 703 (1st Cir. 1995), the United States brought a claim for Department mortgage of loan Housing borrower’s default. insurance and benefits Urban Development paid by following the a Nothing in these cases suggests that simply obtaining a loan guaranty by fraudulent means is an actionable claim within the meaning of the FCA. Instead, it is clear that a until claim does not become actionable the Government is induced to suffer immediate financial harm, not some possible future harm. Cf. Bibby, 987 F.3d at 1344 (addressing FCA claim 15 against IRRRL brokers “to recover the money the VA had paid when borrowers defaulted on [defendant]-originated loans”). Here, Relator alleges that he “reviewed thousands of closing packages of IRRRLs brokered by Defendant Service 1st that contained examples of closing disclosures created by each Defendant Lender” and closed by one of the Title Defendants. Am. Compl. ¶ 6. 2d He claims that he “saw hundreds of examples of IRRRLs . . . originated by Defendant Lenders and closed with falsely inflated, prohibited closing costs.” Id. Despite this extensive review, Relator provided examples of only one IRRRL each for Freedom, Loan Depot, Mortgage Solutions, Sun West, and Certified. 2d Am. Compl. ¶¶ 167-173, 337, 358, 382, 450. Again, Relator does not allege that he was personally involved in any of these loans, that the borrowers on any of these loans defaulted, or that the VA incurred defaults for these borrowers. any expenses to resolve Rather, Relator makes general allegations regarding the total VA loan guaranty payments for all types of VA loans, the average loan guaranty amount for all IRRRLs, the market share held by each Defendant Lender for VA mortgage loans, and the default rate for all VA loans between 2013 and 2019. Id. ¶¶ 183-186, 189. Extrapolating from those general numbers, Relator estimates that a percentage of each Lender Defendant’s IRRRLs “have or will go into default” and 16 that the VA may have to pay claims on guaranties for those IRRRLs. E.g., Id. ¶¶ 186, 189. The problem with Relator’s approach is that it does not allege with particularity or the required indicia of reliability that a specific fraudulent claim was in fact submitted to the Government Freedom, for Loan any Depot, IRRRLs closed Mortgage by Certified Solutions, and or Sun made West. by A relator cannot “rely on mathematical probability to conclude” that an actual false claim must have been submitted at some point. Carrel, 898 F.3d at 1277. “It is not enough to point to improper practices of the defendant to support the inference that fraudulent claims were submitted because submission cannot be inferred from the circumstances.” Est. of Helmly v. Bethany Hospice & Palliative Care of Coastal Ga., LLC, 853 F. App’x 496, 501 (11th Cir. 2021) (per curiam) (cleaned up) (quoting Carrel, 898 F.3d at 1275). Relator’s broad allegations that each Defendant Lender fraudulently obtained guarantees on every IRRRL that was brokered by Service 1st between October 2015 and June 2020 does not establish that the Government had to pay amounts it did not owe or that there was “actionable damage to the public fisc as required under the” FCA. Carrel, 898 F.3d at 1278. Relator nonetheless contends that he is not required to allege an actual sample fraudulent claim because he has personal 17 knowledge of Defendants’ fraudulent conduct. A sample fraudulent claim is not required if the relator alleges personal knowledge of or participation in the fraudulent conduct that gave rise to a false claim. Circuit concluded knowledge of that conduct In Ruckh, for example, the Eleventh the that relator led to had sufficient false claims personal because she personally witnessed it, was transferred after complaining about it, and found more than a hundred examples in an audit. F.3d at 1105. 963 Here, in contrast, Relator does not allege any personal knowledge or level of participation giving rise to an indicia of reliability for his bald assertion that false claims must have been submitted to the VA in connection with IRRRLs closed by Certified or made by Freedom, Loan Depot, Mortgage Solutions, and Sun West. Moreover, there is simply no allegation that any of these loans went into default or that the VA has otherwise paid anything in reliance upon the alleged false certifications. for FCA purposes In this context, “submission of a claim” requires the occurrence of a default accompanied by the presentation to the VA of a claim under its guaranty, which claim causes the VA to make some payment related to the claim. Thus, Relator’s presentment claims against Freedom, Loan Depot, Mortgage Solutions, Sun West, and Certified must be dismissed for failure to allege an actionable claim.3 3 The Court understands that sometimes 18 a plaintiff faces an B. “Make-or-Use” Claims Relator argues that even if his presentment claims against Freedom, Loan Depot, Mortgage Solutions, Sun West, and Certified fail because he did not adequately allege that these Defendants submitted an actual false claim to the VA, he still states a claim under 31 U.S.C. § 3729(a)(1)(B), which imposes liability on a defendant who makes or uses “a false record or statement material to a false or fraudulent claim.” Relator correctly points out that § 3729(a)(1)(B) does not require the defendant to present a claim to the Government. actual claim is required at all to Relator suggests that no impose liability under § 3729(a)(1)(B). It is clear that for “make-or-use” claims that accrued before Congress enacted the Fraud Enforcement and Recovery Act of 2009 (“FERA”), Pub. L. No. 111-21, 123 Stat. 1617, a relator was required to allege “that a specific fraudulent claim was in insurmountable burden when the specific evidence upon which the claim is based is within the exclusive control of the defendant, and thus the plaintiff’s ability to allege specific facts may be restricted. In that situation, the Court must determine whether the plaintiff has alleged enough such that it is plausible that discovery will yield evidence in support of the claim. But here, there is no allegation that any particular loan from these Defendants is in default or that the VA has made any payment pursuant to its guarantees. Furthermore, the Court observes that the real party in interest in this action is the Government, which presumably could have discovered during its investigation whether particular VA loans defaulted. Yet after that investigation, it chose not to intervene, and no credible explanation has been provided as to why Relator could not have alleged specific defaults in his complaint. The Court must conclude that no such defaults occurred regarding these Defendants’ loans, which explains why Relator argues that default is legally unnecessary. But as explained, he is wrong on this point. 19 fact submitted to the government” and that “the government in fact paid a false claim.” Hopper v. Solvay Pharms., Inc., 588 F.3d 1318, 1328-29 (11th Cir. 2009). That is because the pre- FERA FCA proscribed false statements made “to get a false or fraudulent claim paid or approved by the Government.” 1327 (citing 31 U.S.C. § 3729(a)(2) (2003)). Id. at The false claims alleged in Hopper occurred before FERA went into effect, so the Eleventh Circuit did not consider whether payment of the actual claim was required for post-FERA conduct. Id. at 1329 n.4. But the Eleventh Circuit did note that if the Government “has not paid funds it does not owe, it has suffered no loss. liability in such a case would do nothing to To impose protect the government from loss due to fraud, and it would extend liability beyond the ‘natural, ordinary and reasonable consequences’ of a defendant’s conduct.” Id. at 1328-29. With FERA, Congress changed the requirements for a “makeor-use” claim to forbid false statements or records “material to a false or fraudulent claim.” (codified at 31 U.S.C. § FERA § 4(a)(1), 123 Stat. at 1621 3729(a)(1)(B)). Congress added a definition of “claim”: “any request or demand . . . for money or property” that “is presented to an officer, employee, or agent of the United States” or made to another recipient “if the money or property is to be spent or used on the Government’s behalf or to advance a Government program or interest, and if the United 20 States Government” provides or reimburses the money requested. Id. § 4(a)(2), 123 § 3729(b)(2)). “having a Stat. at 1622-23 (codified at 31 U.S.C. Congress also added a definition of “material”: natural tendency to influence, or be capable influencing, the payment or receipt of money or property.” § 4(a)(2), 123 Stat. at 1623 (codified at 31 of Id. U.S.C. § 3729(b)(4)). The purpose of these changes was “to clarify and correct erroneous interpretations of the law” that required the Government (or a relator) to prove that the defendant intended the Government itself pay the claim for there to be a violation. S. Rep. NO. 111-10, at 10 (2009), 2009 U.S.C.C.A.N. 430, 438. Under that certain interpretation, in Id. According this claim liability directly to the Government but to a contractor. Report, false no submitted Senate the be not the where would was to contexts there interpretation was “contrary to Congress’s original intent in passing the law and create[d] a new element subcontractor in a that FCA claim [was] Report suggests a inconsistent language of the statute.” Senate and Id. that new defense for any with the purpose and Neither FERA itself nor the FERA erased the actual claim requirement for make-or-use claims. While squarely there is addressing no published whether a 21 Eleventh relator Circuit must opinion plead with particularity establish Eleventh an actual liability Circuit claim under recently paid by the § 3729(a)(1)(B), concluded that Government a a panel make-or-use requires an actual false claim for payment. App’x at 503. of to the claim Helmly, 853 F. Based on that decision, along with the Eleventh Circuit’s admonition that FCA liability does not extend to cases where the Government has not paid funds it does not owe and thus suffered no actionable loss, the Court finds that a make-or-use claim under § 3729(a)(1)(B) requires an actual false claim for payment. As discussed above in § II.A, Relator failed to plead with particularity and the required indicia of reliability that any such false connection Solutions, with Sun make-or-use claim was IRRRLs West, claims by and submitted Freedom, Certified. against Freedom, to the Loan Government in Depot, Mortgage Accordingly, Relator’s Loan Depot, Mortgage Solutions, Sun West, and Certified must be dismissed. C. In Conspiracy Claims addition to his presentment and make-or-use claims, Relator asserts conspiracy claims against all Defendants. The FCA imposes liability on any person who “conspires to commit a violation of” § 3729(a)(1)(A) and § 3729(a)(1)(B). § 3729(a)(1)(C). payment is As discussed above, an actual false claim for required § 3729(a)(1)(A) 31 U.S.C. and to establish § 3729(a)(1)(B), 22 a and claim under Relator has both not adequately alleged an actual false claim against Freedom, Loan Depot, Mortgage Solutions, Sun West, and Certified. conspiracy claim against these Defendants fails. His See Corsello, 428 F.3d at 1014 (noting that an element of a conspiracy claim is damage to the Government due to a false claim). III. Relator’s Claims Against Majestic, Service 1st, and Armour In contrast Defendants, to Relator his does allegations allege that against the the borrowers other on three loans brokered by Service 1st, made by Majestic, and closed by Armour defaulted. Relator also alleges with specificity that the VA expended funds in connection with two of these IRRRLs because sale. the VA purchased both homes following a foreclosure 2d Am. Compl. ¶¶ 425-426, 446-447; 2d Am. Compl. Ex. 16, Trustee’s Deed (Apr. 10, 2018), ECF No. 95-16; 2d Am. Compl. Ex. 18, Trustee’s Deed (Jan. 19, 2018), ECF No. 95-18. Majestic, and Armour (collectively, “Defendants”) Service 1st, argue that these representative examples are still not enough to survive a motion to dismiss. First, Defendants argue that Relator did not allege that Defendants knowingly made any false statement or caused one to be made. disclosure But for he both did. loans Relator alleges contained that inflated and the closing duplicative title fees and recording fees that far exceeded the reasonable and customary rates and thus 23 were not allowed under the applicable accord regulations. id. ¶ 122. 2d Am. Relator Compl. further ¶¶ 412-415, alleges 434-436; that Majestic submitted guaranty application forms to the VA which falsely certified Majestic had complied with the limited charges rules even though it knew it had not. he alleges that Majestic, Id. ¶¶ 416-418, 437-439. Service 1st, and Armour And formed a symbiotic relationship to charge impermissible fees to veterans but falsely certify to the VA that no such impermissible fees had been charged. As an employee and branch manager of Service 1st, Relator had firsthand knowledge of the scheme. As alleged, Majestic used borrowers Service IRRRLs to 1st them. to identify Id. ¶ 92. potential Service company to perform each IRRRL closing. 1st and nominated Id. ¶ 121. market a title Robert Cole of Service 1st mandated that Service 1st’s brokers use one of three title companies—including Armour—because those companies would pay for direct mail advertising for the broker in exchange for settlement companies, service including referrals. Armour, Id. knowingly ¶ 123. The title overcharged for title fees and paid for Service 1st’s marketing costs, which resulted in a higher volume of IRRRLs for lenders like Majestic. ¶¶ 123-125, 130. Id. Naftali Raphaely of Armour told Relator that the key to success was to build a close relationship with a title company that was willing to pay the marketing costs that 24 could lead to more loans. Id. ¶ 127. Robert Cole instructed Relator to look the other way on the inflated and false title fees, telling him that “no one was going to stop the gravy train to complain fees.” Id. about a few ¶¶ 125-126. hundred dollars Relator of worked misplaced primarily title with an account executive named Jason Kim from Majestic, and Relator learned from him that Majestic knew that the title fees charged by Armour on IRRRLs were falsely inflated. Id. ¶¶ 114, 122. Majestic included those false and inflated title fees on its closing disclosures applications to anyway the VA and falsely then submitted certifying that guaranty it had not charged any impermissible fees. Armour and Service 1st knew that fees these false and inflated would be included in Majestic’s closing disclosures that were submitted to the VA in connection with a guaranty application. these allegations, the Court finds Id. ¶ 100. that Relator Based on adequately alleged that Majestic knowingly presented a false certification to the VA, that Armour and Service 1st knowingly caused a false certification to be presented to the VA, that all three Defendants knowingly made or used (or caused to be made or used) a false record or statement material to a false claim, that these Defendants knew that the VA would issue a guaranty of the loans in reliance upon the false certification, and that these 25 Defendants knew that if the loans defaulted the VA would have to make some payment pursuant to the loan guaranty. The Court understands that the causation standard for a “cause to be presented” claim is whether there is a sufficient nexus between the defendant’s conduct and the submission of a false claim. See Ruckh, 963 F.3d at 1107. A “defendant’s conduct may be found to have caused the submission of a claim” if the conduct was a substantial factor in inducing the claimant to submit claims for payment and the submission of claims for payment was reasonably foreseeable or anticipated as a natural consequence of defendants' conduct.” Id. The Court also understands that this causation standard has only been examined in slightly different contexts, like the context of a management company that knowingly caused a doctor to submit false Medicare claims for reimbursement. And, the Court understands that Armour and Service 1st argue that they cannot be liable on a “cause to be presented” claim or a “cause to use a false record” claim because they did not actually complete any forms or documents that were submitted to the VA, because the forms that were submitted to the VA only contained a certification by the lender, and unallowable because fees. (according But, as to them) discussed there above, were taking no the allegations as true and drawing all reasonable inferences in Relator’s favor, Relator adequately alleges that (1) Service 1st 26 recruited Armour to close the loans because it knew Armour would charge unallowable fees and provide free marketing for Service 1st, (2) Armour did charge unallowable fees, (3) Majestic included those unallowable fees on the closing disclosures as intended by Service 1st and Armour because Majestic knew that doing so would incentivize Service 1st and Armour to generate more loans for Majestic, (4) Majestic submitted a guaranty application and closing disclosure for each IRRRL despite its knowledge of Armour’s unallowable fees, (5) Majestic knew that the VA would guarantee the loan and become liable in the event of a borrower default, (6) Armour and Service 1st knew that Majestic would submit guaranty applications and closing disclosures to the VA to induce the VA to issue guaranties, and (7) at least two borrowers defaulted and caused the VA as guarantor to make payments it would not have owed absent the guaranty that was induced by fraudulent means. Reading all of these allegations together, the Court is satisfied that Relator plausibly alleges “cause to be presented” and “cause to make or use documents material to a claim” claims against Armour and Service 1st. Defendants argue that even if Relator adequately alleged a false allege statement made materiality. with He scienter, did. In he did Bibby, not a qui sufficiently tam action regarding IRRRL loan guaranty applications like the ones here, 27 the Eleventh Circuit analyzed whether the relators presented enough evidence of materiality to survive summary judgment and concluded that they had. Bibby, 987 F.3d at 1347-52. In the Court’s view, Bibby is indistinguishable binding precedent that mandates the conclusion that Relator in this action adequately alleged materiality. Material “means having a natural tendency to influence, or be capable of influencing, the payment or receipt of money or property.” 31 U.S.C.A. § 3729(b)(4); accord Bibby, 987 F.3d at 1347 (quoting Universal Health Servs., Inc. v. United States ex rel. Escobar, 136 S. Ct. 1989, 1996 (2016)). The “factors that are relevant to the materiality analysis include: (1) whether the requirement is a condition of the government's payment, (2) whether the misrepresentations bargain with the government, went and to the essence of the (3) to the extent the government had actual knowledge of the misrepresentations, the effect on the government’s behavior.” Bibby, 987 F.3d at 1347. The Eleventh Circuit concluded that in the IRRRL context, the first factor “weighs in favor of materiality.” “lender’s truthful certification that it Id. charged A only permissible fees was a condition of” the VA’s issuance of the loan guaranties and thus the Government’s expenditure of funds following a borrower’s default, such as the “payment on IRRRL guaranties.” Id. That is because the “relevant VA regulation 28 clearly designates that requirement as a condition to payment: ‘no loan shall certifies that be it guaranteed has not or insured imposed and unless will the not lender impose any impermissible charges or fees.” Id. (cleaned up) (quoting 38 C.F.R. § 36.4313(a)). The Eleventh Circuit found that the second factor also weighs in favor of materiality because “a reasonable factfinder could conclude that the VA's fee regulations were essential to the bargain with IRRRL lenders.” Id. at 1348. Here, Relator’s allegations track the evidence presented by the Bibby relators: he alleges that the aim of the IRRRL program was to help veterans stay in their homes, and he cites the same VA Pamphlet 26-7 that provides the that Bibby the relators limits relied on charges upon. and That fees Pamphlet “and the concomitant certification by the lender as to its compliance with this requirement furthers the purpose” of limiting the fees a veteran must pay to obtain a loan and ensures that veteran borrower can effectively use the home loan benefit. each Id. (citing VA Pamphlet 26-7). The third factor is the effect on the VA’s behavior. The basic rule is that if the Government regularly refuses to pay claims based on noncompliance, that is evidence of materiality; if the Government regularly pays claims despite actual knowledge that the claimant violated its 29 requirements, then the requirements are not material. actual knowledge requirements, the Id. that a lender next question So, if the Government had violated is its whether certification the Government’s reaction demonstrates that the false certification was material. Id. at 1350. VA knew In Bibby, for example, there was evidence that the from audits that the lender had violated IRRRL requirements for a percentage of loans and that the VA issued loan guaranties despite its knowledge of the audit findings. Id. at 1350-51. But the relators in Bibby pointed to evidence that the VA “took a number of actions to address noncompliance with fee regulations”—including reminders regarding applicable policies, more frequent and more rigorous audits, and requiring refund of any improperly charged fees that the VA discovered. Id. 1351-52. Based on this evidence, the Eleventh Circuit found a genuine fact dispute on materiality. Id. at 1352. Here, there is no allegation that the Government had actual knowledge that Majestic was charging veterans impermissible fees while certifying that it had not done so, and there is no allegation that the Government had actual knowledge that Service 1st and Armour participated in the scheme. Thus, on the record before the Court at this stage in the litigation, the third factor does not weigh against a finding of materiality.4 In If discovery reveals that the VA had actual knowledge of violations by Majestic, Service 1st, and Armour, the Court would have to consider 4 30 summary, Relator’s complaint does not contain any allegations that would defeat materiality. Finally, Defendants assert that even if Relator adequately alleged materiality, his claims still fail because the VA did not pay a guaranty claim in connection with either defaulted loan referenced in the complaint. the VA, as guarantor of the following foreclosure sales. Instead, Relator alleges that loans, purchased both homes The Court is not convinced that this distinction makes a difference. The Eleventh Circuit in Bibby noted that the relators’ action was “to recover the money the VA had paid when borrowers defaulted on” loans originated by the defendant. Id. at 1344. And here, Relator clearly alleges that the Defendants’ false certifications and fraudulent course of conduct caused the Government to pay out money it would not otherwise have paid. The Court finds that these payments based on the VA guarantees which were induced by Defendants’ false statements are sufficient to satisfy this element of Relator’s claim. For all these reasons, the Court concludes that Relator plausibly stated FCA presentment and make-or-use claims against Majestic, Service 1st, and Armour. The Court also finds that Relator’s conspiracy these complaint three states Defendants an FCA because Relator evidence regarding any action taken by noncompliance. See Bibby, 987 F.3d at 1351-52. 31 the claims alleges VA to against with address particularity the scheme the three companies and Robert Cole employed to commit their presentment and make-or-use violations, he alleges specific actions that each Defendant took to further the object of the conspiracy, and he alleges that the United States suffered damages as a result of Defendants’ false claims. CONCLUSION The Court grants the motions to dismiss filed by Freedom, Loan Depot, Mortgage Solutions, Sun West, and Certified (ECF Nos. 99, 102, 103, 104, 107), and denies the motions to dismiss filed by Majestic, Armour, and Service 1st (ECF Nos. 101, 105, 106).5 IT IS SO ORDERED, this 8th day of October, 2021. S/Clay D. Land CLAY D. LAND U.S. DISTRICT COURT JUDGE MIDDLE DISTRICT OF GEORGIA As to Relator’s general request in his briefing that he be allowed to amend his Complaint if the Court finds that all or part of it fails to state a claim, the Court is in no position to grant such a request when the substance of the proposed amended complaint has not been presented for the Court’s consideration. See Atkins, 470 F.3d at 1362. 5 32

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