PRUCO LIFE INSURANCE COMPANY v. KOSLOWSKY et al
Filing
43
OPINION. Signed by Judge Claire C. Cecchi on 7/31/2015. (anr)
NOT FOR PUBLICATION
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
PRUCO LIFE INSURANCE COMPANY;
Civil Action No.: 14-03976 (CCC)(JBC)
Plaintiff,
OPINION
V.
DENISE BINDAY KOSLOWSKY, R.
BINDAY PLANS & CONCEPTS, LTD.,
WELLS FARGO BANK, N.A., as Securities
Intermediary, and John Does 1-10,
Defendants.
CECCHI, District Judge.
Before the Court is the Motion of defendants Denise Binday Koslowsky (“Koslowsky”)
and R. Binday Plans & Concepts, Ltd. (“Binday Plans”) (collectively, the “Binday Defendants”)
to Dismiss all claims asserted against them in the Complaint filed by Plaintiff Pruco Life Insurance
Company (“Plaintiff’) pursuant to Rule 12(b)(6) of The Federal Rules of Civil Procedure for
failure to state a claim upon which relief can be granted. (ECF No. 17). The Court decides the
Motion without oral argument pursuant to Rule
7g•1
Having considered the parties’ submissions
and for the reasons set forth below, the Court denies Defendants’ Motion to Dismiss.
I.
BACKGROUND
The Court considers any new arguments not presented by the parties to be waived. See
Brenner v. Local 514, United Bhd. of Carpenters & Joiners, 927 F.2d 1283, 1298 (3d Cir.
1991) (“It is well established that failure to raise an issue in the district court constitutes a
waiver of the argument.”).
This action commenced on June 20, 2014 when Plaintiff filed a Complaint against the
Binday Defendants as well as non-moving co-Defendant Wells Fargo Bank, N.A. as a Securities
Intermediary (“Wells Fargo”). (See generally Compl., ECF No. 1). Plaintiff asserts claims against
the Binday Defendants for fraud, conspiracy, breach of contract, negligent misrepresentation, and
violations of the New Jersey Fraud Prevention Action N.J.S.A. 17:33A-l, et seq. Plaintiff also
seeks a declaratory judgment that the life insurance policy at issue in this case be found void
initio and rescinded. (Compi.
¶
18). Plaintiff alleges that the Binday Defendants engaged in a
scheme whereby a life insurance policy was obtained through Plaintiff on behalf of Martha Espinal
(“Ms. Espinal”) with the intention and understanding that the policy would be sold to investors
lacking an insurable interest in Ms. Espinal’s life. Presently, the Binday Defendants move to
dismiss the claims against them arguing that (1) each claim is barred by the applicable statute of
limitations, (2) Plaintiff has not alleged an entitlement to relief under any cause of action; and (3)
Plaintiff has not, and will not, suffer any damages as a result of the Binday Defendants’ alleged
conduct.
A.
Allegations
According to the Complaint, in or around May, 2007, the Binday Defendants and non-party
Michael Binday solicited Ms. Espinal to procure from Plaintiff a stranger-originated life insurance
(“STOLI”) policy. (See Compl.
¶J 24,
25). At this time, Koslowsky was an independent, non-
exclusive insurance producer appointed to sell life insurance products for Plaintiff. (See Compl.
¶J
32, 34). Binday Plans was a broker general agency that acted as an intermediary between
independent insurance producers, such as Koslowsky, and insurance carriers, such as Plaintiff.
(See Compl.
¶ 33).
As part of the alleged scheme, Ms. Espinal purchased a life insurance policy,
containing a death benefit in the amount of $4,000,000, issued by Plaintiff through Binday Plans
2
and Koslowsky. (See Compi.
¶ 25).
However, Plaintiff alleges that the beneficial interest in this
life insurance policy was always intended to be sold to a third-party investor in the secondary
market for life insurance. (See Compi. ¶J 31, 39). As such, Ms. Espinal, her estate, and her named
beneficiary would not receive the death benefit from the policy upon Espinal’s death. ($çç Compi.
¶ 42).
Instead, Ms. Espinal would receive monetary compensation from the sale of her insurance
policy on the secondary market based upon a percentage of the face amount of the policy.
Compl.
¶
($
25, 25, 38, 42). Allegedly, the Binday Defendants benefited from this scheme by
receiving commissions from Plaintiff for securing this life insurance policy that would not have
issued but for their allegedly fraudulent scheme. (Compi.
¶J 25, 31, 63,
83, 90).
The Complaint alleges that to secure this life insurance policy, the Binday Defendants
made numerous fraudulent and material misrepresentations in connection with the application for
the policy. (See Compi. ¶ 26). In the application, Koslowsky allegedly represented to Plaintiff that
the purpose for the policy was “capital preservation” and “estate liquidation,” and the amount of
the policy was determined using an “estate analysis.” (See Compi.
¶ 49).
The Complaint also
alleges that Koslowsky falsely represented to Plaintiff that Ms. Espinal’s “current income or
savings account” would be the source of payment of initial and future premiums for the policy.
(See Compl.
¶
50). Plaintiff alleges that Koslowsky falsely represented to Plaintiff that Ms.
Espinal had an earned annual income of $200,00, an unearned annual income of $200,000, and a
net worth of $4,935,600. (See Compi. ¶ 51). Finally, the Complaint alleges that Ms. Espinal’s son,
Stephen Espinal (“Mr. Espinal”), was listed on the application as the intended beneficiary of the
proposed policy.
In reliance upon these allegedly false representations, Plaintiff issued a
$4,000,000 life insurance policy on the life of Ms. Espinal on December 10, 2007. (Sçç CompL
49, 52, 53).
¶111
According to the Binday Defendants, Plaintiff terminated for cause its agency
3
relationship with Binday Plans and Michael Binday through a letter dated February 14, 2008. (See
Declaration of Debra Miller Krebs (“Krebs DecL”), Exhibit B, ECF No. 17-3).
B.
Trial of Michael Binday
On or about February 15, 2012, Michael Binday was indicted in the Southern District of
New York on charges of conspiracy to commit mail fraud and wire fraud. See U.S. v. Binday, No.
12-CR-00 152 (S.D.N.Y.);
also Compi. ¶ 62. The indictment alleged that Michael Binday and
his co-defendants engaged in the practice of submitting and placing fraudulent STOLI policies
with a number of life insurance carriers. (See Compl.
¶ 63). The indictment also alleged that
Michael Binday received significant monetary compensation in exchange for the premiums paid
under those policies.
(Scc Id.) Michael Binday’s trial began on September 17, 2013, and Mr.
Espinal testified on behalf of the prosecution beginning on September 24, 2013. (See Compi.
¶J
65, 66). As part of his testimony, Mr. Espinal proffered the following testimony as to his mother’s
finances: (1) Ms. Espinal’s only source of income was $720 a month from social security benefits;
(2) between 2007 and 2013, Ms. Espinal did not own any significant assets and held only
approximately $700 in her bank account; and (3) statements that Ms. Espinal had an annual earned
income of $200,000 and a net worth of $4,935,600 were false. (See Compi.
¶ 67).
In addition, Mr. Espinal offered testimony regarding the circumstances giving rise to Ms.
Espinal submitting the application that resulted in the life insurance policy disputed here: (1) Mr.
Binday and others solicited Ms. Espinal to participate in the procurement of a multi-million dollar
STOLI policy; (2) Ms. Espinal would not incur any out of pocket costs and would not be
responsible for paying the premiums on this policy; (3) Mr. Binday sent Ms. Espinal several life
insurance policy applications for Ms. Espinal’s signature, which she signed and returned; (4)
neither Mr. nor Ms. Espinal filled out the portions of the applications relating to Ms. Espinal’s
4
finances; and (5) Ms. Espinal signed several applications with the hope and expectation that she
would receive compensation for the sale of each policy.
($cc
Compl.
¶
68). Based on this
testimony as well as other evidence, Michael Binday was convicted on all counts on October 7,
2013. (See Compl.
¶ 69).
Plaintiff alleges that prior to Mr. Espinal’s testimony and Michael Binday’s conviction,
Plaintiff had been unaware of the intentions of the Binday Defendants with respect to the
procurement of the STOLI policy and the allegedly fraudulent misrepresentations made in regards
to Ms. Espinal’s income and net worth. (See Compi.
¶ 70).
Defendants “conceal[ed] their fraudulent conduct.” (Comp.
Plaintiff also alleges that the Binday
¶ 26,
93, 94, 100). Plaintiff alleges
that it commenced this action by filing the Complaint on June, 20, 2014 upon becoming aware of
these alleged facts.
II.
LEGAL STANDARD
For a complaint to avoid dismissal pursuant to Rule 12(b)(6), it “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)).
When evaluating the sufficiency of a complaint, Courts are required to accept all well-pleaded
allegations in the Complaint as true and to draw all reasonable inferences in favor of the non
moving party. Phillips v. County of Allegheny, 515 F.3d 224, 231 (3d Cir. 2008). furthermore,
“[a] pleading that offers labels and conclusions or a formulaic recitation of the elements of a cause
of action will not do. Nor does a complaint suffice if it tenders naked assertions devoid of further
factual enhancement.” Igbal, 556 U.S. at 678 (internal citations and quotations omitted).
Accordingly, “a complaint must do more than allege the plaintiffs entitlement to relief A
complaint has to ‘show’ such entitlement with its facts.” Fowler v. UPMC Shadyside, 578 f.3d
5
203, 211 (3d Cir. 2009).
Rule 9(b) provides that “{i]n alleging fraud
circumstances constituting fraud
.
.
.
.“
...
a party must state with particularity the
In meeting the particularity requirements of Rule 9(b), a
plaintiff must plead “the ‘circumstances’ of the alleged fraud in order to place the defendants on
notice of the precise misconduct with which they are charged, and to safeguard defendants against
spurious charges of immoral and fraudulent behavior. Seville Indus. Mach. Corp. v. Southmost
Mach. Corp., 742 F.2d 786, 791 (3d Cir.1984). While a plaintiff must allege “who made a
misrepresentation to whom and the general content of the misrepresentation,” Lum v. Bank of
America, 361 F.3d 217, 223—24 (3d Cir.2004), a plaintiff “need not
...
plead the date, place or time
of the fraud, so long as they use an alternative means of injecting precision and some measure of
substantiation into their allegations of fraud.” Campmor, Inc. v. Brulant, LLC, No. 09—5465, 2010
WL 1381000, *7 (D.N.J. April 1, 2010) (quoting Rob v. City Investing Co. Liquidating Trust,
155 F.3d 644, 658 (3d Cir.1998). Because certain aspects of an alleged fraud may have been
concealed by a defendant, courts apply Rule 9(b) “with some flexibility.” Ramirez v. STi Prepaid
!=±Lc, 644 F.Supp.2d 496, 502 (D.N.J.2009) (quoting Rob, 155 F.3d at 658). As the Third Circuit
has explained:
While we have acknowledged the stringency of Rule 9(b)’s pleading
requirements, we have also stated that, in applying Rule 9(b), courts
should be “sensitive” to situations in which “sophisticated
defrauders” may “successfully conceal the details of their fraud.”
Where it can be shown that the requisite factual information is
peculiarly within the defendant’s knowledge or control, the rigid
requirements of Rule 9(b) may be relaxed. Nevertheless, even when
the defendant retains control over the flow of information,
“boilerplate and conclusory allegations will not suffice. Plaintiffs
must accompany their legal theory with factual allegations that
make their theoretically viable claim plausible.”
In re Rockefeller Ctr. Properties, Inc. Sec. Litig., 311 F.3d 198, 216 (3d. Cir.2002) (quoting Inre
6
Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1418 (3d Cir.1997)) (internal citations
omitted).
III.
DISCUSSION
The Binday Defendants move to dismiss the claims against them arguing that (1) each
claim is time-barred by the applicable statute of limitations, (2) Plaintiffs claims create a legal
inconsistency that preclude their entitlement to relief, and (3) Plaintiff has not, and will not, suffer
any damages as a result of the Binday Defendants’ alleged conduct. (Defs’ Br. in Supp., ECF No.
17-4). for the reasons set forth below, the Court will deny Defendants’ motion.
A.
Plaintiff Has Not Pled Itself Out of Court
Plaintiff asserts New Jersey state law claims against Defendants for fraud, conspiracy,
breach of contract, and negligent misrepresentation. (Sec Compl.
¶J
71-107). It is well-settled
New Jersey law that a six-year statute of limitations applies to causes of action for the present
claims.
Southern Cross Overseas Agencies, Inc. v. Wah Kwong Shipping Group Ltd., 181
F.3d 410, 425 (3d Cir. 1999); N.J.S.A. 2A:14-1. Under the discovery rule, a statute of limitations
does not begin to accrue until the earlier of the two dates on which a plaintiff knew or should have
known of the facts giving rise to the cause of action. See Lopez v. $wyer, 62 N.J. 267, 272, 300
A.2d 563, 565 (1973) (“a cause of action will be held not to accrue until the injured party discovers,
or by an exercise of reasonable diligence and intelligence should have discovered, that he may
have a basis for an actionable claim”).
Plaintiff argues, and the Binday Defendants do not appear to dispute, that generally the
discovery rule is available to toll the statute of limitations for each claim asserted in the Complaint.
(Pl.’s Br. in Opp. at 10-14). The New Jersey Supreme Court has applied the discovery rule in a
claim for fraud. çc Lopez v. Swyer, 300 A.2d 563, 567 n.2 (N.J. 1973) (“In case of fraud the
7
period of limitation, in equity, begins to run only from the discovery of the fraud or the time when,
by reasonable diligence, it could have been discovered.”). In Digue v. New Jersey State Police,
603 F.3d 181 (3d Cir. 2010), the Third Circuit recognized that the New Jersey statute of limitations
for a conspiracy claim did not accrue until the plaintiff became aware of his injury. See also Pierce
v. Rossetta Corp., No. CIV. A. 88-5873, 1991 WL 52720, at *5 (E.D. Pa. Apr. 5, 1991) (‘[t]he
filing of the civil conspiracy claim was timely due to the operation of Pennsylvania’s... ‘discovery
rule”).
The discovery rule likewise is available for breach of contract and negligent
misrepresentation claims. See Gibbins v. Kosuga, 296 A.2d 557, 560 (N.J. Super. Ct. Ch. Div.
1972). Thus, the discovery rule is generally available to rebut a statute of limitations affirmative
defense for all of the claims asserted against Defendants.
While a court may entertain a motion to dismiss on statute of limitations grounds, it may
not allocate the burden of invoking the discovery rule in a way that is inconsistent with the rule
that a plaintiff is not required to plead, in a complaint, facts sufficient to overcome an affirmative
defense. Schmidt v. Skolas, 770 f.3d 241, 251 (3d Cir. 2014). Generally, a plaintiff “need not
anticipate Defendants’ affirmative defenses.” Valenti v. Maher Terminals LLC, No. CIV.A. 147897 JLL, 2015 WL 3965645, at *4 (D.N.J. June 30, 2015) (citing Schmidt, 770 F.3d at 251). The
Third Circuit has repeatedly held that a complaint should be dismissed under Rule 1 2(b)(6) only
when a plaintiff essentially “plead[s] himself out of court” by alleging facts that make it clear on
its face that the statute of limitations has run. See Schmidt v. Skolas, 770 F.3d 241, 251 (3d Cir.
2014); see also Brawner v. Education Management Corp., 513 F. App’x 148 (3d Cir. 2013). An
exception to this general rule exists “where the complaint facially shows noncompliance with the
limitations period and the affirmative defense clearly appears on the face of the complaint
.
.
.
Schmidt, 770 F.3d at 249. When a plaintiff does so, he effectively “plead[s] himself out of court.”
8
Schmidt, 770 F.3d at 252. However, where “the pleading does not reveal when the limitations
period began to run
.
.
.
the statute of limitations cannot justify Rule 12 dismissal.” Barefoot
Architect, Inc. v. Bunge, 632 F.3d 822, 835 (3d Cir. 2011).
The Binday Defendants argue that Plaintiff had actual knowledge of the alleged scheme no
later than February 14, 2008, and therefore Plaintiffs cause of action expired no later than
February 14, 2014. (See Defs’ Br. in Supp. at 7). For support, the Binday Defendants attached as
“Exhibit B” to its motion to dismiss a document purporting to be a letter from Plaintiff terminating
non-party Michael Binday “for cause.” (Krebs Decl., Ex. B, ECF No. 17-3). However, the Binday
Defendants do not appear to provide a statement of law or cite a case standing for the proposition
that a district court may consider such a document when deciding a motion to dismiss under Rule
12(b)(6). Instead, this Court is guided by the long-established principle that “[t]o decide a motion
to dismiss, courts generally consider only the allegations contained in the complaint, exhibits
attached to the complaint and matters of public record.” Pens. Benefit Guar. Corp. v. White Consol.
Indus., Inc., 998 F.2d 1192, 1196 (3d Cir. 1 993)2 An exception to this general rule exists where
a “document integral to or explicitly relied upon in the complaint may be considered without
converting the motion to dismiss into one for summary judgment.” In re Burlington Coat Factory
Sec. Litig., 114 F.3d 1410, 1426 (3d Cir. 1997) (internal quotations omitted). Here, Exhibit B is
not an integral document because Plaintiff does not rely upon it in the Complaint. See Schmidt,
770 F.3d at 249 (finding affidavits and press releases submitted by defendants not integral because
2
The Court notes that Defendants urge this Court to take judicial notice of New York
Department of Financial Services “case number CSB-595895” purportedly showing “the
information known to Plaintiff at the time.” (Defs’ Br. in Supp. at 7). However,
Defendants do not state precisely what information that “case” discloses, nor did they
submit any documents from that proceeding.
9
complaint was not based upon them). Therefore, the Court will not consider Exhibit B for the
purposes of this motion.
Looking only to the dates stated in the Complaint, Plaintiff alleges that prior to Mr.
Espinal’s testimony on September 24, 2013 and Michael Binday’s conviction on October 7, 2013,
Plaintiff had been unaware of the fraudulent misrepresentations made in Ms. Espinal’s application
for a life insurance policy. ($.çç Compi. ¶J 65-70). Plaintiff also repeatedly alleges that the Binday
Defendants “conceal[ed] their fraudulent conduct.” (Comp.
¶J 26,
93, 94, 100). Even taking the
earliest pleaded date of discovery possible, in this case September 24, 2013, Plaintiff is not facially
barred by the statute of limitations because it filed the Complaint less than nine (9) months later
on June 20, 2014—well in advance of the six (6) year statute of limitations for the claims asserted.
See Schmidt, 770 f.3d at 252 (“nothing in [Plaintiffi’s complaint clearly suggests that he did in
fact have knowledge of the full scope of his injury prior to [the dispositive statute of limitations
date].”). Thus, Plaintiff has not pleaded itself out of court because the Complaint explicitly alleges
that (1) Plaintiff did not know of the alleged conduct giving rise to its claims until either September
24 or October 7, 2013 and (2) Defendants took steps to actively “conceal their fraudulent conduct.”
These alleged facts support the application of the discovery rule because the Complaint, taken as
true, alleges that Plaintiff neither knew nor could have known about the underlying conduct prior
to September 24, 2013. See Lopez, 62 N.J. at 272 (cause of action does not accrue until the injured
party discovers or should have discovered that he may have a basis for an actionable claim).
Therefore, the Court will deny Defendants’ motion to dismiss based on statute of limitations.
B.
Plaintiff Has Plausibly Pled a Claim for Entitlement to Relief
Defendants appear to argue Plaintiffs claims create a “logical inconsistency” that can only
lead to the conclusion that Plaintiff is not entitled to relief. (Defs’ Br. in Supp. at 7-8; Reply at 9).
10
Defendants’ argument hinges on the alleged “material misrepresentation” element of each claim.3
Defendants’ theory is twofold. First, Defendants contend, if Plaintiff is ultimately successful as to
the claim for rescission in Count 1 of the Complaint, which requires establishing material
misrepresentation, then Plaintiff will be entitled to rescind Ms. Espinal’s STOLI policy ab initio.
(Defs’ Br. in Supp. at 8 (citing N.J.S.A. 17B:23-3(d); Mass. Mut. Life. Ins. Co. v. Manzo, 122 N.J.
104, 111-13 (1991))). Defendants further reason that if Plaintiff is entitled to rescind and does
rescind the STOLI policy, Plaintiff will have suffered no damages because it will never be
obligated to pay out the STOLI policy upon Ms. Espinal’s death. The second link in Defendants’
theory is that if Plaintiff is ultimately unsuccessful in establishing the material misrepresentation
element, then Plaintiff cannot establish any claim against Defendants. Thus, Defendants argue
that in either situation—whether Plaintiff ultimately prevails in establishing the material
misrepresentation element or fails to do so—Plaintiff will not be entitled to relief. Defendants
appear to believe they have uncovered a legal paradox where a claim for rescission cannot co-exist
with claims for fraud, negligent misrepresentation, conspiracy, and breach of contract.
First, Defendants reasoning does not hold up because the present motion seeks to dismiss
the Complaint in its entirety, thus depriving Plaintiff with a forum to litigate its claim for rescission.
Second, Defendants do not appear to argue that if Plaintiff is successful as to Count 1 then it would
be compelled to rescind the STOLI policy. Thus, Defendants’ argument also fails at the outset
because their reasoning hinges on Plaintiff not having any choice in what remedy it receives.
Defendants concede that material misrepresentation is not an element of a breach of
contract claim, however they argue that the basis for Plaintiffs breach of contract claim
includes an allegation that Koslowsky represented to Plaintiff that she would not make
“any misrepresentation.” (Defs’ Br. in Supp. at 8; Krebs Decl., Exhibit A, ¶ 97).
11
Third, Defendants do not cite to any authority standing for the proposition that a successful litigant
that rescinds a contract cannot also recover damages for other claims. To the contrary, at least one
district court has found that claims for rescission and fraud in the context of a STOLI policy can
survive a motion to dismiss if each claim is properly pleaded independently. See Penn Mut. Life
Ins. Co. v. Wolk, 739 F. Supp. 2d 387 (S.D.N.Y. 2010).
Defendants’ argument is, at best,
premature because the Court need only determine whether the alleged facts plausibly support the
claims asserted.
This Court is also guided by the well-settled law that the Federal Rules of Civil Procedure
support alternative and even inconsistent pleadings. See Am. Gen. Life Ins. Co. v. Altman Family
Ins. Trust ex rel. Altman, No. CIV. A. 08-399 (GEB), 2009 WI 5214027, at *6 (D.N.J. Dec. 22,
2009). Rule 8(d)(3) expressly states that “[a] party may state as many separate claims or defenses
as it has, regardless of consistency.” (emphasis added); see also Sotheby’s, Inc. v. Minor, No. 08
Civ. 7694, 2009 WI 3444887, at *5 (S.D.N.Y. Oct. 26, 2009) (inconsistencies at the pleading
stage are permitted and do not render a complaint futile); Flaster/Greenberg P.C. v. Brendan
Airways, LLC, Civil Action No. 08-4333, 2009 WI 1652156, at *7 (D.N.J. Jun 10, 2009) (same);
Navigant Consulting, Inc. v. Kostakis, No. CV-07-2302, 2007 WL 2907330, at *4 (E.D.N.Y. Oct.
4, 2007) (finding that tort and rescission claims can be pled simultaneously). Defendants do not
appear to argue that Plaintiff has not sufficiently pled “material misrepresentation.” Therefore,
because Plaintiff is permitted under the federal Rules of Civil Procedure to plead inconsistent or
contradictory claims, Defendants’ motion to dismiss on these grounds will be denied.
C.
Plaintiff Has Alleged Damages
The Binday Defendants argue that the Complaint should be dismissed against them because
Plaintiff has not adequately pled damages. (Defs’ Br. in Supp. at 6-9). The parties appear to agree
12
that Plaintiff’s causes of action against the Binday Defendants require the Complaint to sufficiently
plead damages. See, çg Gennari v. Weichert Co. Realtors, 148 N.J. 582, 610 (1997) (damages
are a required element of common-law fraud); Banco Popular N. Am. V. Gandi, 184 N.J. 161, 177
(2005) (damages are a required element of civil conspiracy); Szczubelek v. Cendant Mortgage
Corp., 215 F.R.D. 107, 126-27 (D.N.J. 2003) (damages are a required element of negligent
misrepresentation). The Complaint alleges damages in the form of (1) commissions paid to the
Binday Defendants for their roles in procuring Ms. Espinal’s life insurance policy (Compl.
¶J 25,
31, 57), (2) administrative costs and expenses associated with the issuance and maintenance of the
policy (Compl.
¶J 83, 90, 95,
101), and (3) attorneys’ fees that Plaintiff has incurred as a result of
the Binday Defendants’ conduct (Compi.
¶ 90,
95, 101, 107). For the reasons set forth below,
the Court finds Plaintiff has adequately pled damages and will deny Defendant’s motion to
dismiss.4
Defendants’ theory is based on the assertion that Plaintiff has received $1,044,146.00 in
premium payments for Ms. Espinal’s STOLI policy, yet it has paid only $242,461.12 in
commissions to the Binday Defendants. (Compi.
¶J 56-57).
Defendants reason that Plaintiff has
“net” earnings of $801,684.98, and therefore has not suffered any damages. (Defs’ Br. in $upp. at
9). Defendants further argue that the monetary commissions insurance companies generally pay
to brokers in connection with the sale of a policy are “simply an expected part of the transaction”
and “not a damage.” For additional support, Defendants cite several cases from the early 20th and
The parties dispute whether attorneys’ fees are a sufficient form of damages and
whether they are available to Plaintiff Because the Court finds Plaintiff has sufficiently
pled a basis of damages independent of attorneys’ fees, the Court declines to rule on the
availability of attorneys’ fees at this time.
13
late 19th centuries purportedly standing for the proposition that “an insurance policy taken out by
one upon the life of another, in whose life the policy holder has no insurable interest, will not be
void, either as prohibited by our laws or as opposed to public policy.” (Defs’ Reply at 11 (citing
Vivar v. Supreme Lodge K.?., 52 N.J.L. 455, 469 (Sup. Ct. 1890); Travelers’ Ins. Co. v. Mon-is,
115 N.J. Eq. 142, 145 (1934); Meyers v. Schumann, 54 N.J. Eq. 414 (1896)). Although those
cases are helpful in understanding the historical development of insurance law in the context of
STOLI policies, this Court finds contemporary and factually similar cases to be more helpful.
District courts have analyzed the requirements of Rule 9(b) for damages as they relate to
misrepresentations and/or omissions made in the application process for life insurance. In Kramer
v. Lockwood Pension Servs., Inc., the court found that the plaintiff did not sufficiently plead
damages because the plaintiffs “only injury
.
.
.
resulted from [defendant insured’s] alleged
noncompliance with New York Insurance Law.” 653 F. Supp. 2d 354, 378-80 (S.D.N.Y. 2009).
The Kramer court surmised that the plaintiffs allegation in the complaint that the life insurance
policy “would not have issued but for [defendant’s] misrepresentation” was insufficient under Rule
9(b). Id. at 379 (quoting the complaint). Shortly after Kramer, another court in the Southern
District of New York denied a motion to dismiss the plaintiffs common law fraud claim stemming
from an alleged STOLI scheme where the plaintiff pled damages by alleging that it had “incurred
substantial damages
.
.
.
including
.
.
.
costs and expenses associated with the issuance of the
[policy].” Penn Mut. Life Ins. Co. v. Wolk, No. 09 Civ. 1808, 2010 WL 2594876 at *6 (S.D.N.Y.
June 28, 2010). The court held that the plaintiff adequately pled fraud, including damages, and
denied defendant’s motion to dismiss that claim. Id.
Consistent with the Wolk court, at least one court in the District of New Jersey has held
that the damages element of a fraud claim in an alleged STOLI scheme is sufficiently pled when
14
it alleges “damages consisting of not just the future damages it will incur.
.
.
but also ‘substantial
damages as a result of Defendants’ wrongful conduct, including.. costs and expenses associated
.
with the issuance of the Policies.” Lincoln Nat. Life Ins. Co. v. Schwarz, No. CIV.A. 09-03361
FLW, 2010 WL 3283550, at *15 (D.N.J. Aug. 18, 2010) (quoting the operative complaint). The
present motion to dismiss is squarely aligned with the Wolk and Schwarz decisions. Here, Plaintiff
has alleged damages resulting from Defendants’ conduct in the form of commissions, costs, and
expenses associated with issuing and maintaining the STOLI policy. (Compi.
¶J 25, 31, 57 83, 90,
95, 101). The Complaint goes far beyond simply alleging that Plaintiff suffered damages merely
because it would not have issued the policy but for Defendant’s conduct, which the Kramer court
found inadequate under Rule 9(b). See Kramer, 653 F. Supp. 2d at 3 78-80. The Court therefore
finds that, consistent with recent case law in this and at least one other district court, Plaintiff has
adequately pled damages.
IV.
CONCLUSION
For the foregoing reasons, the Moving Defendants’ Motion to Dismiss is denied. An
appropriate Order accompanies this Opinion.
C
DATED: July31, 2015
CLAIRE C. CECCHI, U.S.D.J.
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