Transamerica Life Insurance Company v. Caramadre et al, No. 1:2009cv00471 - Document 46 (D.R.I. 2010)

Court Description: OPINION AND ORDER granting in part and denying in part (21) Motion to Dismiss; granting in part and denying in part (22) Motion to Dismiss in case 1:09-cv-00470-S-DLM; granting in part and denying in part (24) Motion to Dismiss; granting in part and denying in part (27) Motion to Dismiss in case 1:09-cv-00472-S-DLM; granting in part and denying in part (26) Motion to Dismiss; granting in part and denying in part (32) Motion to Dismiss; granting in part and denying in part (33) Motion to Dismiss in case 1:09-cv-00471-S-DLM; granting in part and denying in part (21) Motion to Dismiss; granting in part and denying in part (22) Motion to Dismiss in case 1:09-cv-00473-S-DLM; granting in part and denying in part (16) Motion to Dismiss; granting in part and denying in part (17) Motion to Dismiss in case 1:09-cv-00502-S-DLM; granting in part and denying in part (9) Motion to Dismiss; granting in part and denying in part (13) Motion to Dismiss; granting in part and denying in part (15) Motion to Dismiss in case 1:09-cv-00549-S-DLM; granting in part and denying in part (7) Motion to Dismiss; granting in part and denying in part (9) Motion to Dismiss in case 1:09-cv-00564-S-DLM. So Ordered by Judge William E. Smith on 6/2/10. (Jackson, Ryan) (Entered: 06/02/2010)

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UNITED STATES DISTRICT COURT DISTRICT OF RHODE ISLAND ___________________________________ ) ) ) ) ) v. ) ) CONREAL LLC, HARRISON CONDIT, ) FORTUNE FINANCIAL SERVICES, INC., ) and ANTHONY PITOCCO, ) Defendants; ) ___________________________________) ) TRANSAMERICA LIFE INSURANCE ) COMPANY, ) Plaintiff, ) ) v. ) ) JOSEPH CARAMADRE, RAYMOUR ) RADHAKRISHNAN, ESTATE PLANNING ) RESOURCES, INC., ESTELLA RODRIGUES,) EDWARD MAGGIACOMO, JR., LIFEMARK ) SECURITIES CORP., and ) PATRICK GARVEY,) ) Defendants; ) ___________________________________) ) WESTERN RESERVE LIFE ASSURANCE ) CO. OF OHIO, ) Plaintiff, ) ) v. ) ) JOSEPH CARAMADRE, RAYMOUR ) RADHAKRISHNAN, ESTATE PLANNING ) RESOURCES, INC., ADM ASSOCIATES, ) LLC, EDWARD HANRAHAN, THE LEADERS ) GROUP, INC., and CHARLES BUCKMAN, ) Defendants; ) ___________________________________) WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO, Plaintiff, C.A. No. 09-470 S C.A. No. 09-471 S C.A. No. 09-472 S WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO, Plaintiff, ) ) ) ) v. ) ) JOSEPH CARAMADRE, RAYMOUR ) RADHAKRISHNAN, ESTATE PLANNING ) RESOURCES, INC., DK LLC, EDWARD ) HANRAHAN, THE LEADERS GROUP, INC., ) and JASON VEVEIROS, ) Defendants; ) ___________________________________) ) WESTERN RESERVE LIFE ASSURANCE ) CO. OF OHIO, ) Plaintiff, ) ) v. ) ) JOSEPH CARAMADRE, RAYMOUR ) RADHAKRISHNAN, ESTATE PLANNING ) RESOURCES, INC., EDWARD HANRAHAN, ) and THE LEADERS GROUP, INC., ) Defendants; ) ___________________________________) ) TRANSAMERICA LIFE INSURANCE ) COMPANY, ) Plaintiff, ) ) v. ) ) LIFEMARK SECURITIES CORP., ) JOSEPH CARAMADRE, RAYMOUR ) RADHAKRISHNAN, ESTATE PLANNING ) RESOURCES, INC., and EDWARD ) MAGGIACOMO, JR., ) Defendants; ) ) ___________________________________) 2 C.A. No. 09-473 S C.A. No. 09-502 S C.A. No. 09-549 S WESTERN RESERVE LIFE ASSURANCE CO. OF OHIO, Plaintiff, ) ) ) ) v. ) ) JOSEPH CARAMADRE, RAYMOUR ) RADHAKRISHNAN, ESTATE PLANNING ) RESOURCES, INC., HARRISON CONDIT, ) and FORTUNE FINANCIAL ) SERVICES, INC., ) Defendants. ) ___________________________________) C.A. No. 09-564 S OPINION AND ORDER WILLIAM E. SMITH, United States District Judge. In these cases, Plaintiffs Company ( Transamerica ) Company of Ohio and Transamerica defrauded in an annuity scam. Reserve Reserve ) ( Western Western claim Life Insurance Life Assurance they have been Plaintiffs allege that Defendants found a way to use variable annuities as a vehicle for riskless speculation in securities. terminally-ill lives were people used as as The key to the scheme was recruiting annuitants measuring the tools individuals for the whose contracts. Defendants or their clients would buy policies that allowed them to invest the premiums in stocks and bonds. When the annuitants died, the policies so-called death benefits guaranteed the return of those invested premiums, effectively creating a buffer against losses. The Complaints seek to revoke the outstanding 3 annuities on grounds of fraud, and assert a variety of state law claims for damages. Defendants now move to dismiss all of them. At bottom, beneath the public outcry about the exploitation of the dying, these disputes pivot on a series of state law questions. The answers to these questions unravel many, but not all, of Plaintiffs claims. Accordingly, for the reasons set forth below, Defendants motions are granted in part and denied in part. I. Background A. Overview of the STAT scheme and parties The genesis investments that of these Plaintiffs transactions, or STATs. alleged facts pursuant to as Rule cases true dub is a scheme for annuity stranger-initiated annuity Because the Court must accept the for 12(b)(6) purposes of the of Defendants Federal Rules motions of Civil Procedure, it here provides an overview of the STATs drawn from the Complaints. Defendant Joseph Caramadre is an attorney who specializes in reading the fine print of insurance and annuity products and finding loopholes. focused on Plaintiffs. premiums two The one he discovered in these actions components of certain annuities sold by One, the annuities were variable, which means that paid to obtain the policy 4 could be invested in securities on behalf of the owner. Two, the annuities allowed the owner to elect a death benefit. the return of premiums upon the This option guaranteed death of the annuitant, no matter what the market value of the policy was at that time. (See, e.g., Am. Compl., C.A. No. 09-471, Doc. No. 9, Oct. 16, 2009 (hereinafter 471 Compl. ) ¶¶ 14-17; Am. Compl., C.A. No. 09-472, Doc. No. 8, Oct. 16, 2009 (hereinafter 472 Compl. ) ¶¶ 14-17; Am. Compl., C.A. No. 09-473, Doc. No. 8, Oct. 16, 2009 (hereinafter 473 Compl. ) ¶¶ 14-17; Compl., C.A. No. 09-502, Doc. No. 1, Oct. 16, 2009 (hereinafter 502 Compl. ) ¶¶ 13-16; Compl., C.A. No. 09-549, Doc. No. 1, Nov. 16, 2009 (hereinafter 549 Compl. ) ¶¶ 12-15; Compl., C.A. No. 09-564, Doc. No. 1, Nov. 24, 2009 (hereinafter 564 Compl. ) ¶¶ 12-15.) Caramadre s features insight invited was riskless that policies securities with those speculation. annuitants would of course die at some point. two The If one could safely bet that would happen quickly, the annuities could be used to turn fast profits. Investors could make aggressive short-term trades without worrying about losses. Thus, the key to the strategy was finding terminally ill individuals, with a correspondingly short life expectancy, willing to be annuitants. To find such individuals, Caramadre and his associates, including Defendant Raymour Radhakrishnan, began publicizing a 5 Program workers. for the Terminally Ill (See 564 Comp. Ex. A.) to hospice patients and Flyers bearing the business name Estate Planning Resources, a company allegedly controlled by Caramadre, promised cash payments to dying patients willing to do business with Caramadre or annuitant candidate the company. Radhakrishnan and (See identified an investor, id.) both they a Once either terminally-ill arranged for a licensed agent of an annuities broker to provide the annuity application. They then paid the application as the annuitant. sick patient to sign the In some instances, Plaintiffs claim, Caramadre, Radhakrishnan, or the agent actually forged the annuitant s signature. The investor would be designated as the owner and beneficiary on the application, and would pony up the cost of the policy. Once completed, the insurer accepted the application and issued an annuity in which the owner had no relationship to the annuitant, other than through the alleged STAT itself. (See, e.g., 472 Compl. ¶¶ 15-18; 473 Compl. ¶¶ 16-19; 502 Compl. ¶¶ 15-18; 549 Compl. ¶¶ 14-17.) Within this broad framework, all Defendants fit into one of the following categories: ¢ Sponsors of the STAT scheme, a term the Court uses to refer to Caramadre and Radhakrishnan, who solicited the transactions, as well as their alleged company Estate 6 Planning Resources ( EPR ). They are named Defendants in each of the actions except 09-470.1 ¢ Annuity brokerage companies, who sell Plaintiffs annuities. The broker in case numbers 09-470 and 09-564 is Fortune Financial Services, Inc. ( Fortune ); in 09471 and 09-549, it is Lifemark Securities Corporation ( Lifemark ); and in 09-472, 09-473, and 09-502, it is The Leaders Group ( Leaders ). ¢ Agents of the brokers: the individuals who are licensed to sell annuities and provided the policies at issue at the request of Caramadre and/or Radhakrishnan. Fortune s agent, named as a Defendant in cases 09-470 and 09-564, is Harrison Condit; Lifemark s agent, named in 09-471 and 09-549, is Edward Maggiacomo; Leaders s agent, named in 09-472, 09-473, and 09-502, is Edward Hanrahan. ¢ Owners of annuities in the four actions in which the annuitant is still living, cases 09-470 through 09-473. These are the people or corporations who paid premiums for the policies, and stand to redeem the proceeds because they are also designated as the beneficiaries. In case number 09-470, the owner is Conreal LLC ( Conreal ); in 09-471, it is Estella Rodrigues; in 09472, it is ADM Associates, LLC ( ADM ); and in 09-473, it is DK LLC ( DK ). In the other three cases, the annuitants are deceased, and the owners are not named as Defendants. ¢ Annuitants: the terminally ill individuals who serve as measuring lives for the annuities in cases 09-470 through 09-473. In 09-470, the annuitant is Anthony Pitocco; in 09-471, it is Patrick Garvey; in 09-472, it is Charles Buckman; and in 09-473, it is Jason Veveiros. 1 In that case, Western Reserve claims that the agent of the annuities broker, Harrison Condit of Fortune Financial Services, Inc., put together the deal himself, without Caramadre or Radhakrishnan. 7 B. Claims and defenses The Complaints assert the following claims for relief: (1) rescission of the policies in which the annuitants are still living, or a declaratory judgment that the annuities are void, because they were procured on the basis of fraud, and because the owners lack an insurable interest in the annuitants as required by R.I. Gen. Laws 1956 § 27-4-27 (2010); (2) common law fraud against the sponsors, brokers, agents, and some of the owners, because Defendants submitted the annuity applications without telling Plaintiffs that the investments were STATs; (3) civil liability pursuant to R.I. Gen. Laws § 9-1-2 for criminal insurance fraud under R.I. Gen. Laws § 11-41-29, against the sponsors, brokers, agents, and some of the owners; (4) civil conspiracy against the sponsors, brokers, agents, and some of the owners; (5) breach of contract against the brokers, for violating the brokerage service agreements between Plaintiffs and the brokers; (6) breach of the implied covenant of good faith and enrichment fair dealing against the against the brokers; (7) unjust brokers and agents, for taking commissions from Plaintiffs in connection with the annuities; and (8) negligence against the brokers and agents, for allowing the submission of annuity applications pursuant to the STAT. 8 Defendants move to dismiss the Complaints pursuant to Rule 12(b)(6) for failure to state claims on which relief may be granted. In total, Defendants assert dozens of grounds for dismissal. arguments However, stripped to the essentials, most of their rest on three propositions: (i) the insurable interest requirement does not apply to the annuities; (ii) an incontestability clause contained in each of the policies prevents Plaintiffs from litigating any claims related to the annuity applications; and (iii) Defendants did not make any material misrepresentations or omissions in connection with the annuity applications. II. Discussion A. The Legal Standard In reviewing a motion to dismiss, the Court must accept the well-pleaded facts as true, viewing factual allegations in the light most favorable to the plaintiff. Rederford v. US Airways, Inc., 589 F.3d 30, 35 (1st Cir. 2009). To meet the general pleading requirements of Rule 8 of the Federal Rules of Civil Procedure, each Complaint must contain sufficient factual matter . . . to state a claim to relief that is plausible on its face. Ashcroft v. Iqbal, 129 S. Ct. 1937, 1949 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). This means it must present factual allegations that raise a 9 right to relief above the speculative level. Simmons v. Galvin, 575 F.3d 24, 30 (1st Cir. 2009) (citation and internal quotation marks omitted). In judging whether this standard is satisfied, the Court may consider not only the Complaints, but facts extractable from documentation annexed to or incorporated by reference in the [C]omplaint[s] and matters susceptible to Jorge v. Rumsfeld, 404 F.3d 556, 559 (1st judicial notice. Cir. 2005). In addition, Plaintiffs fraud claims must meet the heightened pleading requirements of Rule 9(b), which applies to state law fraud claims asserted in federal court. N. Am. Catholic Educ. Programming Found., Inc. v. Cardinale, 567 F.3d 8, 13 (1st Cir. 2009). what, where, and representation. when These claims must specify the who, of the allegedly false or fraudulent Alternative Sys. Concepts, Inc. v. Synopsys, Inc., 374 F.3d 23, 29 (1st Cir. 2004). Rule 9(b) also requires identifying the basis for inferring scienter, which refers to the culpable mental committing fraud. state of knowingly or intentionally N. Am. Catholic Educ., 567 F.3d at 13; accord Suna v. Bailey Corp., 107 F.3d 64, 68 (1st Cir. 1997). 10 B. Claims for rescission and declaratory judgment that the annuities are void ab initio Plaintiffs contend the annuities are void or voidable on two grounds: one, the owners have no insurable interest in the annuitants, in violation of state law; and two, Plaintiffs were defrauded. Because both arguments fail, the rescission and declaratory judgment claims must be dismissed. 1. The insurable interest requirement Section 27-4-27 of Rhode Island s General Laws provides: No person shall procure or cause to be procured any insurance contract upon the life or body of another individual unless the benefits under the contract are payable to the individual insured or his or her personal representatives, or to a person having, at the time when the contract was made, an insurable interest in the individual insured. R.I. Gen. Laws § 27-4-27(a) (2010).2 An insurable interest generally means that the owner of an insurance policy must have either a substantial interest engendered by love and affection in the insured, id. § 27-4-27(c)(1), or a lawful and substantial economic interest in having the life, health, or bodily safety of the individual . . . continue, id. § 27-4- 2 There is no dispute that Rhode Island law governs most of Plaintiffs claims, including their requests for equitable relief and their tort claims. However, the contract-based claims (breach of contract and breach of the duty of good faith and fair dealing) are an exception. As noted below, the brokerage contracts between Plaintiffs and the brokers expressly designate either New York or Florida law as controlling. 11 27(c)(2). interest From a public policy point of view, the insurable rule human life. guards against creating incentives to shorten As the Rhode Island Supreme Court said over 100 years ago, a purely speculative contract on the life of another is . . . objectionable on the grounds of public policy. See Cronin v. Vt. Life Ins. Co., 40 A. 497, 497 (R.I. 1898). Defendants correctly contend that the insurable interest requirement does not apply to the contracts at issue in these cases, because they are not insurance contract[s] upon the life or body of another. R.I. Gen. Laws § 27-4-27(a). The subject contracts are annuities, and nothing in the statute supports Plaintiffs plea to ignore this fact and treat them as insurance policies. Plaintiffs argument that § 27-4-27(a) should be read to embrace annuities first hits a statutorily-created wall between insurance and annuities in Rhode Island. The General Laws place the two instruments in separate categories: (a) Annuities means all agreements to make periodic payments for a certain period or where the making or continuance of all or some of a series of the payments, or the amount of any payment, depends on the continuance of human life, except payments made in connection with a life insurance policy. . . . . (c) Life insurance means every insurance upon the lives of human beings and every insurance appertaining 12 to that life, including the granting of endowment benefits, additional benefits in the event of death by accident, additional benefits to safeguard the contract from lapse, accelerated payments of part or all of the death benefit . . . . R.I. Gen. Laws § 27-4-0.1 (emphasis added).3 The General Assembly recently reinforced the statutory distinction between annuities and life insurance by enacting the Life Settlements Act ( LSA ), which takes effect in July, 2010. The LSA prohibits stranger STOLI transactions. originated life insurance or See R.I. Gen. Laws § 27-72-2(9)(i)(A)(X) (defining STOLIs as fraudulent life settlement act[s] ); id. § 27-72-14 (prohibiting fraudulent life settlement acts ). A STOLI is a practice or plan to initiate a life insurance policy for the benefit of a third-party investor who, at the time of policy origination, has no insurable interest in the insured. Id. § 27-72-2(26) (emphasis added). Put differently, it is exactly what Plaintiffs complain of in these cases, except with life insurance policies instead of annuities. But the word annuity, which appears dozens of times in Title 27 of the 3 In isolation, the reference to a death benefit in subsection (c) could set the reader wondering whether annuities with death benefit features could be life insurance. But subsection (a) appears to preclude that possibility. It says, paraphrased, that annuities are not life insurance. As discussed below, the Court does not need to decide if a product could be an annuity and life insurance simultaneously. The Court simply finds that the contracts in this case are not life insurance contracts. 13 General Laws, is not used once in the LSA. Had the General Assembly intended to extend the ban on stranger-owned products to annuities, it could easily have said so in the new law. All of this helps to smother Plaintiffs contention that the words any insurance annuities. contract in § 27-4-27(a) should refer to See id. § 27-4-27(a). Plaintiffs contend in the alternative that annuities may operate as hybrid products, possessing characteristics both insurance products and investment securities. of Lander v. Hartford Life & Annuity Ins. Co., 251 F.3d 101, 105 (2d Cir. 2001). In this respect, Plaintiffs argue that Rhode Island courts have labored to look beneath the surface to expose life insurance cloaked under different names. For example, in Sisson ex rel Nardolillo v. Prata Undertaking Co., 141 A. 76 (R.I. 1928), the court determined that burial contracts offered by an undertaker constituted insurance. The contracts were multi- year agreements providing for pre-paid funeral services. If death occurred before a series of annual payments was completed, the undertaker agreed that he would not levy any additional charge against services.4 the decedent s See id. at 76. heirs, and would provide the The death benefits in the policies at 4 Thus, the bargain replicated the tradeoff in a basic life insurance policy: if the owner died early, he won (in a 14 issue here, Plaintiffs insist, must be treated the same way as the contracts in Sisson; they are also, in substance, insurance contract[s]. R.I. Gen. Laws. § 27-4-27(a). The proposed analogy to Sisson squirms out of Plaintiffs grip. The contract in that case was a straightforward agreement to provide a service, with a provision that if death interceded, the product purchased would still be provided and further costs waived. Similar contracts are commonplace in modern times for mortgage insurance, life insurance, or auto loans. Here, however, the products at issue are not modern-day analogues to the funeral services contract. The annuities in question are specific, well-understood financial instruments, and while they also happen to involve monetary exchange connected duration of a life, they are not life insurance. to the Again, as noted, the distinction between annuities and life insurance is significant enough to warrant separate definitions for the two vehicles in Rhode Island statutes. So, even if the Court agreed that hybrid annuity / life insurance policies could breach the statutory language barrier, something required more to than find in the narrow Plaintiffs holding favor. in Sisson would Foreshadowing be the financial sense), because he got the entire benefit without having to pay the full cost of the contract. As explained below, that is not the case with the annuities at issue here. 15 statutory demarcation, older decisions from the Rhode Island Supreme Court recognized that there is a fundamental difference between life insurance, which requires an insurable interest in order to prevent gambling on human life because it is against public policy, and annuities, which embrace the gamble as a core component of the contract: It is true there is an element of chance and uncertainty in the transaction; but so there is when a man takes a transfer of an annuity, or buys a life estate, or an estate in remainder after a life estate. There is in all these cases a speculation upon the chances of human life. But the transaction has never been held to be void on that account. Clark v. Allen, 11 R.I. 439, 1877 WL 4932, at *4 (R.I. 1877); see Cronin, 40 A. at 497 (stating the same conclusion).5 Simply because the court in Sisson saw the contract as more closely resembling a life insurance contract does not vitiate the clear statements in Clark and Cronin about the nature of annuities. 5 Surely, Plaintiffs protest, annuities in the nineteenth century were far simpler than the exotic instruments here. But that is not a reason to assume the Rhode Island Supreme Court, if presented with the question, would find that the insurable interest rule governs the policies at issue. The court could instead choose to maintain the distinction between life insurance and annuities, even while acknowledging the more sophisticated investment aspects of modern annuities. See Nationsbank of N.C., N.A. v. Variable Annuity Life Ins. Co., 513 U.S. 251, 255, 260 (1995) (finding that variable annuities, though more sophisticated than the standard savings bank deposits of old, are not insurance under federal statutes). 16 The products at issue here, without question, fit within that core concept. To be more theoretically precise, possible under even if Rhode hybrid Island policies law, the are present contracts cannot meet any reasonable definition of what such a policy would have to look like. In the Court s view, in order for an annuity to qualify as a hybrid policy, at a minimum it would need to have life insurance at its core, as the contracts in Sisson did. That is not the case here. The basic bargain embodied by the policies in dispute is that, in exchange for premiums, the owners receive a future income stream. (See, e.g., Mot. to Dismiss by Conreal LLC and Harrison Condit, Ex. A2. at 16, (explaining C.A. No. payment 09-470, Doc. options).) No. The 22 death sweeten that deal; they do not define it. (Nov. 13, benefits 2009) merely They take away the worry that future payments will dwindle if the market sours. a Western Reserve brochure states: Regardless of As market performance or how [your funds] are allocated, your legacy is protected [by the death benefit]. (502 Compl. Ex. B at 8.) Of course, the whole point of the STATs was to capitalize on the death benefits. But that is because Defendants figured out how to game a flaw in the product, not because the products are life insurance vehicles. The terms of the policies, and Plaintiffs 17 own marketing materials, present the death benefit not as the core benefit of the product, but rather as an ancillary perk.6 Plaintiffs arguments might be more persuasive if they had treated the contracts as life insurance by taking steps to guard against the temptation to shorten life. At oral [their] argument, Cronin, 40 A. at 497. Plaintiffs agreed that the to [that] the insurable obligation requirement is met. ensure law makes it interest (Hr g Tr. 58:24-59:4, Mar. 15, 2010.) Yet, the annuity applications do not pose any questions about the relationship between the annuitant and either the owner or the beneficiary. (See, e.g., 471 Compl. Ex. D. at 1-2; 502 Compl. Ex. C at 1-2.) Thus, as Plaintiffs acknowledge, the argument that the death benefits are life insurance could land them in a precarious importantly, position outside these their application lawsuits. procedures suggest But more that this argument is a newly-minted reaction to Defendants scheme, as opposed to a long-held belief about the nature of the contracts. 6 In contrast, in Sisson, the life insurance feature was built into the central purpose of the policy. Specifically, the value of the contract in that case was a function of when the measuring life ended. Here, no matter when the annuitant dies, the death benefit guarantees the return of premiums, but not more than what the owner paid for the policy. Any gains derive from market increases not, as in Sisson, from the owner s death before he can complete the payments. 18 In short, there is no basis in this case to stretch the Rhode Island insurable interest rule to include the contracts at issue here. Doing so would not only torture the language of § 27-4-27(a), ignore the statutory division between annuities and life insurance, Supreme Court and has break not new ground touched; it that also the Rhode would Island trample any possible construction of the hybrid concept that is consistent with Rhode Island law. Sitting in diversity jurisdiction, this Court could not take that step, even if it wanted to (which it does not). See Luc v. Wyndham Mgmt. Corp., 496 F.3d 85, 88 (1st Cir. 2007) (explaining that courts sitting in diversity should not create new rules of state law or significantly expand existing rules ). interest Accordingly, the Court finds the insurable requirement creates no grounds to nullify the annuities. 2. The incontestability clauses Defendants rely on clauses contained in the annuities that state, This policy shall be incontestable from the Policy Date. (See, e.g., Mot. to Dismiss of Conreal LLC and Harrison Condit, Ex. A2 at 4, C.A. No. 09-470, Doc. No. 22, Nov. 13, 2009.) In Rhode Island, incontestability 19 clauses prevent insurers from rescinding policies even on grounds of fraud.7 See Murray v. State Mut. Life Ins. Co., 48 A. 800, 800 (R.I. 1901) (rejecting insurer s argument that fraud vitiates all contracts and enforcing incontestability clause in the policy issued by the defendant); see also Prudential Ins. Co. of Am. v. Tanenbaum, 167 A. 147, 150 incontestability clauses which brought . might policies ). and be . 1933) defenses bar (R.I. to . to (explaining any enforce that action at law liability on the Hence, if the incontestability clauses are valid enforceable, Plaintiffs may not justify canceling the annuities, or having them declared void, by claiming they were defrauded. Grasping this problem, Plaintiffs ask the Court to erase the incontestability clauses from the contracts. Incontestability clauses that take effect immediately violate public policy, Plaintiffs say, because they tempt fraud. Plaintiffs cite decisions from other states that have found as See, e.g., Reagan v. Union Mut. Life Ins. Co., 76 N.E. much. 7 With respect to incontestability clauses and several other issues discussed below, the parties (and the Court) recognize that Rhode Island law dealing with insurance provides a useful body of authority. Both Plaintiffs and Defendants cite cases and statutes governing insurance policies as persuasive authority. Thus, the conclusion that the annuities are not life insurance for purposes of § 27-4-27(a) does not require ignoring insurance law where relevant to the analysis of these issues. 20 217, 218 (Mass. 1905) ( If we treat [an incontestable clause that takes effect on the policy date] as intended to include fraud . . . we are of opinion that this part of the provision is against the policy of our law, and therefore void. ); Welch v. Union Cent. (finding an Life Ins. immediate Co., 78 N.W. 853, incontestability 854-55 provision (Iowa 1899) ineffective against fraud claim). While the Rhode Island Supreme Court has not spoken directly to this issue, no reasonable reading of that court s decisions, or Rhode Island statutory law, supports Plaintiffs contention. In this state, incontestability provisions are for the benefit of the insured. Columbian Nat l Life Ins. Co. v. Indus. Trust Co., 166 A. 809, 812 (R.I. 1933). Accordingly, section 27-4-6.2(a) of the General Laws requires all policies to contain either two-year contestability periods or terms that the Rhode Island Department of Business Regulation ( DBR ) considers more favorable to policyholders. 6.2(a). See R.I. Gen. Laws § 27-4- From the consumer s perspective, a more favorable period during which the insurer could challenge the policy based on fraud or other grounds would be shorter, rather than longer. See R.I. Gen. Laws § 27-4-6.2(a). Thus, it is reasonable to conclude that the DBR may authorize shorter lengths of time than the two-year default. In fact, other provisions of the General 21 Laws allow the agency to review policies on a case-by-case basis. See forms). This suggests that parties themselves may stipulate id. § 27-4-24 (providing for filing of policy for a shorter period of limitation than that provided by law subject to DBR approval because it is more favorable to the insured. Murray, 48 A. at 800. As Murray demonstrates, this was acceptable before the passage of § 27-4-6.2(a). Similarly, omitting the challenge period altogether would clearly be more favorable to the insured than the two-year default period. Both the statutory and decisional law discussed above support the conclusion that parties can agree on their own to do just that. At a minimum, there is no basis to assume the opposite: that the law contains an unstated public policy ban on making contracts incontestable from the date of issue. For these reasons, the Court cannot strike the incontestability clauses from the annuities, and these clauses therefore serve to deflect claims to rescind the annuities or have them declared void because of fraud. C. Fraud and derivative claims 1. The Claims against the policy owners incontestability clauses also effectively knock out Plaintiffs claims for fraud, conspiracy, and civil liability for crimes and offenses against the policy owners, who are the 22 beneficiaries of the policies, in cases 09-472 and 09-473. a fraud defense to the validity of a policy is If barred by incontestability, then a separate fraud action alleging the same grounds is also barred. 17 Lee R. Russ and Thomas F. Segalla, Couch on Insurance § 240:65 (3d ed. 2009). fraud-based allegations. obligations tort claims Since under relies Plaintiffs the upon seek policies, Each of Plaintiffs the same damages allowing to these underlying cover their fraud-based claims to proceed against the owners would essentially permit an end-run around the incontestability clauses. Each of the claims against the policy owners must therefore be dismissed. See Am. United Life Ins. Co. v. Martinez, 480 F.3d 1043, 1048 (11th Cir. 2007) (noting that incontestability clauses may apply . . . to bar . . . fraud-based claims (request for declaratory judgment, aiding and abetting fraud, conspiracy to commit fraud, and even RICO claims) ); Maslin v. Columbian Nat l Life Ins. Co., 3 F. Supp. 368, 369 (S.D.N.Y. 1932) ( [I]n so far as the defendant relies upon an alleged conspiracy between one of its agents and Samuel Maslin [to commit fraud] . . . , there is no defense to the policies. The fraud, abhorrent as it is if the facts pleaded are true, has no legal significance once the period set by the incontestability clause has expired. ). 23 An argument could be made that the incontestability clauses are special to insurance contracts, and should not be extended to the owners of annuities who are part and parcel, Plaintiffs say, of a fraudulent scheme. because annuities such investments, the allowed slink to as owners This argument would suggest that the ones should beneath the in not, as cloak this a case policy of are really matter, be incontestability. Plaintiffs do not make this argument, no doubt because they argue in the first instance that the products here are contracts for insurance (an argument the Court has rejected). The position has some obvious appeal, but cannot overcome the fact that the incontestability clauses appear in the contracts, and state no fraud exception. Cf. First Interstate Bank of Billings v. United States, 61 F.3d 876, 877-78 (Fed. Cir. 1995) (allowing claim for fraud despite incontestability clause in a loan guarantee agreement, because the clause stated the guarantee was incontestable except for fraud under certain circumstances). And while the annuities are not life insurance, the two are cousins, and the familial similarity authority cited above quite persuasive. makes the insurance In fact, the only case the Court has found to confront the question of why annuities contain incontestability clauses, Newton v. N.Y. Life Ins. Co., 325 F.2d 498 (9th Cir. 1963), supports this view. 24 The answer, the court in Newton found, is that the clauses were designed to reassure prospective policy holders that the annuity would not be disputed by the insurer many years after the contract had been issued. Id. at 502 (citation omitted). Thus, according to Newton, the policy rationale underlying incontestability annuities. holder, clauses is the same for both insurance and In either case, the provision protects the policy not the insurer.8 See id. This strengthens the conclusion that incontestability clauses in annuities have the same effect as those contained in insurance contracts and, based on the holdings discussed above, must shield the owners from any fraud-based claims. 2. Defendants cover of Potter s the Fraud claims against the sponsors, agents, and brokers initially seek incontestability Invisibility Cloak, 8 blanket immunity clauses. which could But beneath unlike conceal not the Harry only The court in Newton stated that incontestability clauses in annuities are for the benefit of the annuitant, but it is reasonable to assume it did not contemplate the possibility that the owner would be different from the annuitant. Newton v. N.Y. Life Ins. Co., 325 F.2d 498, 502 (9th Cir. 1963) (citation omitted). The thrust of the court s holding was that incontestability clauses benefit the consumer as opposed to the insurer, in either annuities or insurance policies. See id. 25 Harry, but anyone who it,9 wore [t]he benefits of an incontestable clause can be availed of only by an insured or his or her beneficiary, and cannot be invoked by a stranger to the contract. 17 Russ & Segalla, supra, § 240:10. The clauses thus have no effect on the fraud claims against the sponsors, agents, and brokers, each of which are discussed below. Defendants have cited no persuasive authority in which a court has extended the coverage of an incontestability clause to anyone but the insured or the owner of a policy, and the Court has found none. Defendants, in the alternative, assert various other grounds on which the fraud claims should be dismissed; all of these argument fail to carry the day. a. Defendants who and Rule 9(b) requirements fault what of Plaintiffs the alleged for fraudulent Complaints, as required by Rule 9(b). F.3d at 29. failing to specify scheme in the their Alternative Sys., 374 This argument fails, because the Complaints do satisfy the heightened pleading requirements for fraud. 9 Moreover, as Dumbledore observed: [T]he true magic of [the Invisibility Cloak], of course, is that it can be used to protect and shield others as well as its owner. J.K. Rowling, Harry Potter and the Deathly Hallows 716 (Scholastic 2007). 26 To establish a prima facie case of common law fraud in Rhode Island the plaintiff must prove that the defendant made a false representation intending thereby to induce plaintiff to rely thereon, and that the plaintiff justifiably relied thereon to his or her damage. 2003) (internal Defendants Zaino v. Zaino, 818 A.2d 630, 638 (R.I. quotation attack the marks Complaints and for citation lumping omitted). all of them together when describing the alleged false representations and omissions. Federal See 2 Jeffrey A. Parness & Jerry E. Smith, Moore s Practice § 9.03[1][f] (2010) ( If a claim involves multiple defending parties, a claimant may usually not group all claimed wrongdoers together in a single set of allegations. ). The Complaint in case number 09-549 provides a characteristic example: Caramadre, Radhakrishnan, Estate Planning Resources, [and] Maggiacomo . . . acted in concert to submit the applications identified herein, containing intentionally omitted . . . information concerning the respective annuitants health conditions, the limited life expectancies of the annuitants, the payments to the annuitants, and the absence of a relationship between the annuitants and the owners and beneficiaries of the annuities with Maggiacomo . . . . (549 Compl. ¶ 119.) Reading the Complaints in full, the fact that they state Defendants acted in concert is not a fatal flaw. 549 Compl. ¶ 119.) (See, e.g., The Complaints assert that the STAT scheme 27 is a way to fleece the insurers for death benefits by hiding the annuitants imminent demise. Together, the Counts for fraud and civil conspiracy (see, e.g., 549 Compl. Counts I, V), along with the factual allegations supporting those Counts, go into enough detail about the alleged conspiracy, and each Defendant s role, to explain the origin of the alleged duty to tell Plaintiffs about the STATs.10 a civil As in a criminal conspiracy, participants in conspiracy need not know everything their co- conspirators know, or participate in every wrongful act, to be found liable for the ultimate fraud. See Miller v. Holzmann, 563 F. Supp. 2d 54, 80 n.13 (D.D.C. 2008) (discussing liability under the False Claims Act, and stating once [a] conspiracy has been formed, all its members are liable for injuries caused by acts pursuant to or in furtherance 10 of the conspiracy. A For instance, Caramadre orchestrated the STAT scheme, and brought in investors. (See, e.g., 472 Compl. ¶¶ 14-17; 502 Compl. ¶¶ 14-17; 549 Compl. ¶¶ 13-16; 564 Compl. ¶¶ 13-16.) Estate Planning Resources is allegedly Caramadre s business, which he used in connection with the flyers advertising Program[s] for the Terminally Ill. (See, e.g., 472 Compl. ¶ 18; 502 Compl. ¶ 18; 549 Compl. ¶ 17; 564 Compl. ¶ 17.) The Complaints state that Radhakrishnan either identified terminally ill annuitants (see, e.g., 472 Compl. ¶ 24; 502 Compl. ¶ 24), or recruited them (see, e.g., 549 Compl. ¶ 22; 564 Compl. ¶ 22). The agents, allegedly acting in an agency capacity on behalf of the brokers, then furnished the annuity applications, which they would sign and submit to Plaintiffs. (See, e.g., 472 Compl. ¶ 26; 502 Compl. ¶ 26; 549 Compl. ¶¶ 25, 42, 59; 564 Compl. ¶¶ 25, 42, 57.) 28 conspirator need not participate actively in or benefit from the wrongful action in order to be found liable . . . . ) (quoting Halberstam v. (discussing Welch, 705 F.2d similarities conspiracies)). 472, between 481 (D.C. civil Cir. and 1983) criminal Accordingly, at this point in the litigation, it does not matter that Plaintiffs cannot recite, for instance, who filled out which portions of the applications, or who mailed them. See Airport Boulevard Apartments, Ltd. v. NE 40 Partners, Ltd. (In re NE 40 Partners, Ltd.), 411 B.R. 352, 366 (Bankr. S.D. Tex. 2009) ( Rule 9(b) does not work to penalize a plaintiff merely because he was not privy to, and, therefore, cannot plead the details of, the inner workings of a group of defendants who allegedly acted in concert to defraud him. ) (citation omitted); accord Deere & Co. v. Zahm, 837 F. Supp. 346, 350 (D. Kan. 1993) (finding a complaint for fraud and civil conspiracy sufficiently pleaded). The point is that the applications were misleading, and all Defendants allegedly knew how the scheme operated and each played a specified role in it; therefore, it is alleged, each should have spoken up, and committed fraud by not doing so. In addition, with respect to the agents, Plaintiffs go a step further. They claim that, by signing the annuity applications, the agents affirmed they were the agent[s] who 29 sold the [a]nnuit[ies], but that this was false. (See, e.g., 472 Compl. ¶ 43; 502 Compl. ¶ 44; 549 Compl. ¶ 122; 564 Compl. ¶ 77.) This allegation is sufficiently specific when read in conjunction with the applications themselves, which are attached to the Complaints as exhibits. agents, each investigated consumer, application the and on Above the signature line for form declares appropriateness that basis of has reasonable for the consumer s needs. C at 10.) that the the agent has for the investment certified the policy as (See, e.g., 472 Compl. Ex. But, in fact, according to the Complaints, the agents did no such thing, and had they performed any investigation, could never have so certified. In the aggregate, all the allegations discussed above serve the goals of Rule 9(b) to provide a defendant with fair notice of the claim and discourage baseless actions. Suna v. Bailey Corp., 107 F.3d 64, 68 (1st Cir. 1997). b. Defendants Materiality next attack the more fundamental question of whether any of the alleged omissions and misrepresentations was material. requirement, Yet, even without Plaintiffs any extant nevertheless insurable allege a interest series omissions that, if proven, could be found material by a jury. 30 of i. The insurers duty of inquiry Defendants first strategy is to emphasize the absence of any questions about the owner s relationship to the annuitant, or the forms. annuitant s Anything health status, Plaintiffs did material, according to Defendants. on not Plaintiffs ask about application cannot be This, they say, is because the insured has no duty [to disclose information] where the application makes no specific inquiries. 6 Russ & Segalla, supra, § 84:2. It is true that the general rule appears to assume that the insured or applicant does not have reason to know of the information s materiality apart from whether the insurer makes an inquiry. Such knowledge, combined with knowledge that the insurer is ignorant of the information, generally would impose a duty to disclose. 6 Russ & Segalla, supra, § 84:2. general rule, however, is not without exception. The As at least one decision in this District has recognized, many state courts allow claims for [f]raudulent concealment . . . even without inquiry concerning the concealed material facts by the insurer. Putnam Res. v. Pateman, 757 F. Supp. 157, 162 n.1 (D.R.I. 1991); see Lighton v. Madison-Onondaga Mut. Fire Ins. Co., 106 A.D.2d 892, 892-93 (N.Y. App. Div. 1984) (allowing a claim for fraudulent concealment based on omitting the fact that fires had 31 occurred in the plaintiffs basement several months before applying for insurance, even though plaintiffs were asked no question with relation to prior fires ); Sun Ins. Co. of N.Y. v. Hercules Sec. Unlimited, Inc., 195 A.D.2d 24, 30 (N.Y. App. Div. 1993) (affirming judgment on claim for fraudulent concealment even though the insured ha[d] not been asked about the concealed fact that the insured planned to steal the insured assets); see also Harrison State Bank v. U.S. Fid. & Guar. Co., 22 P.2d 1061, 1064 (Mont. 1933) (stating that any concealment of a material fact known to a party, increasing the ordinary risk, would be deemed . . . fraudulent, and explaining that the applicant for bank insurance knew of a planned robbery that law enforcement intended to allow in an attempt to catch the criminals). While the Rhode Island Supreme Court has not addressed the issue directly, it has, as Defendants concede, recognized fraud See Guilbeault v. R.J. Reynolds claims based on concealment. Tobacco Co., 84 F. Supp. 2d 263, 269 (D.R.I. 2000) (citing Home Loan & Inv. Ass n. v. Paterra, 255 A.2d 165, 168 (R.I. 1969). That recognition, finding insurance combined fraud with where the decisions applicants hid cited above information the insurer did not request, indicates that the Rhode Island Supreme Court would recognize a very narrow exception to the general 32 rule that the insurance company must ask about facts to make them material. The exception, in its most limited form, can be simply stated as follows: if the non-disclosure is such that it amounts to fraud, then it surely must be material.11 That is, the rule that assumes (for the benefit of the insured) that insurers must ask in order for the information to be material cannot be used to facilitate or promote common law fraud. This would doubtless violate public policy, because it would cause a policy-based rule designed to protect insured parties to swallow the general rule of law that forbids fraud. The Court therefore rejects the argument that any information Plaintiffs did not demand on the annuity applications is immaterial as a matter of law.12 11 The exception cannot, however, be so narrow as to require Defendants to be convicted of the crime of fraud for their omissions to be considered material. Yet, at this time, the Court need not define the precise contours of the exception that a jury might eventually have to consider. For now, it is sufficient to conclude that the lack of inquiry on Plaintiffs part does not preclude materiality. 12 Defendants argue that Testa v. Norfolk & Dedham Mut. Fire Ins. Co., 764 A.2d 119, 121 (R.I. 2001) confirms their position that the insurer must ask about a fact to make it material. They over-read the case. In rejecting an insurer s fraud claim, the court in Testa noted that no inquiry was made of the insured about an allegedly concealed fact. Testa, 764 A.2d at 121. Yet, the defendant s policy had been transferred from one carrier to another without any requirement to re-apply for coverage. The court stressed that the original representations made to the transferor did not constitute an application to 33 ii. Alleged omissions and misrepresentations Rhode Island courts allow actions for fraudulent concealment in circumstances where the defendant bears a duty to speak. Home Loan, 255 A.2d at 168. Whether or not the duty arises in other words, whether a fact is material, such that it must be disclosed depends on the circumstances of [the] case. Id. at 168. The duty generally obligates a party to divulge facts if that, withheld, render other affirmative See Nisenzon v. Sadowski, 689 A.2d representations misleading. 1037, 1046 (R.I. 1997) (finding a letter from an attorney that not only . . . fail[ed] to disclose [the attorney s] ownership of disputed property, but also affirmatively sought to induce the recipients to take no action against his client, supported a fraud claim). Under this standard, Plaintiffs fraud hurdle of Defendants motions to dismiss. of any Defendants insurable concealed interest a clear the True, in the absence requirement, statutory claims violation the holds theory no that water.13 the plaintiff-transferee. Id. Thus, unlike in this case, it was questionable whether the defendant made any representations at all to the plaintiff (instead of only to the transferor). 13 Plaintiffs also allege that the payments to the annuitants violate the anti-kickback rules established by R.I. Gen. Laws § 27-8-7 (2010). However, as with the insurable interest provision in § 27-4-27, the anti-kickback statute is not written 34 Yet, there are more than enough fragments of allegedly withheld information threshold. that remain to meet or exceed the materiality Specifically, Plaintiffs assert that Defendants hid: (i) the recruitment of annuitants who faced imminent death (see, e.g., 471 Compl. ¶¶ 24-25; 472 Compl. ¶ 23; 564 Compl. ¶¶ 22, 39, 56); (ii) in some cases, the annuitants ignorance of the terms of the policies (see, e.g., Am. Compl., C.A. no. 09-470, Doc. No. 9, Oct. 16, 2009 (hereinafter 470 Compl. ) ¶ 21; 471 Compl. ¶ 39; 473 Compl. ¶ 56); (iii) the payments to some annuitants to sign the applications (see, e.g., 472 Compl. ¶ 44; 471 Compl. ¶ 39; 502 Compl. ¶ 45); (iv) in some cases, the forgery e.g., or 470 possible Compl. ¶ forgery 21-24; of 564 annuitants Compl. ¶ signatures 24); and (iv) (see, with respect to the agents, the fact that they were not the agents who sold the policies, in contradiction of representations on the applications that they brokered the annuity sales and deemed them appropriate (see, e.g., 472 Compl. ¶ 43; 502 Compl. ¶ 44; 564 Compl. ¶ 77). to govern annuities. By its terms, it only prohibits payments in connection with contract[s] for insurance of various types, not annuities. R.I. Gen. Laws § 27-8-7. In the Court s view, this language does not include annuities, particularly in light of the consistent statutory distinction between annuities and insurance in Rhode Island, discussed above. Nevertheless, as explained in this section, the fact that the payments to the annuitants could not have violated § 27-8-7 does not spoil Plaintiffs fraud claims. 35 This last point bears a further comment: Plaintiffs pleadings focus in part on the agents as the source of what could be considered misrepresentations. either omissions or affirmative Each annuity contains a signature section for the agent with the following text printed immediately above it: I HAVE MADE REASONABLE EFFORTS TO OBTAIN INFORMATION CONCERNING THE CONSUMER S FINANCIAL STATUS, TAX STATUS, INVESTMENT OBJECTIVES AND SUCH OTHER INFORMATION USED OR CONSIDERED TO BE REASONABLE IN MAKING THE ANNUITY RECOMMENDATION AND FIND THE ANNUITY BEING APPLIED FOR APPROPRIATE FOR HIS/HER NEEDS. (564 Compl. Ex. G at 10.) Plaintiffs, however, contend the agents did not have any substantive involvement in selling the annuities, but were merely go-betweens for the sponsors. sponsors needed these particular annuity applications, The which could only be sold by licensed brokers, for their pre-arranged investors. (Id.) A jury could reasonably find that those facts, if proven, were material, because shrouding them rendered the statements printed above misleading.14 14 The agents try to duck the effect of those statements by uncorking, in the middle of their fraud argument, the issue of whether they owed any duty to Plaintiffs as a matter of agency law. That issue could be relevant for negligence claims, see Gen. Acc. Ins. Co. of Am. v. Am. Nat l Fireproofing, Inc., 716 A.2d 751, 756-57 (R.I. 1998) (finding that insurance brokers owed duties both to the insurer and the insured), but for fraud, the relevant duty is the duty to disclose, which turns only on 36 Simply put, according to Plaintiffs, Defendants collectively did not tell them they were conspiring to exploit a loophole in Plaintiffs annuity products. As explained above, Plaintiffs theory in this case is that each of the parties understood the nature of the fraudulent scheme, and each had his or her part to play and played it. Thus, much like a criminal enterprise, the fraud was the product of a group effort. Miller, 563 F. Supp. 2d at 81. Under these See circumstances, evidence substantiating the allegations would be sufficient to create a jury question as to whether the information Defendants withheld was material. Cf. Affleck v. Potomac Ins. Co., 140 A. 469, 470 (R.I. 1928) (explaining that [s]ometimes questions of materiality are for the jury, although the court may find misrepresentations on an insurance application to be material as a matter of law); Smith v. Beaumier, 703 A.2d 1104, 1107 (R.I. 1997) (finding sufficient evidence in the record from which a jury could reasonably have concluded that the defendant made material misrepresentations ); In re Cabletron Sys., Inc., 311 F.3d 11, 36 (1st Cir. 2002) (reversing dismissal of fraud claims and noting that materiality would present a question of fact for a jury ). the materiality of the omissions identified above. arises independently from any agency relationship. 37 It thus c. Defendants Scienter submit that, even accepting Plaintiffs allegations as true, they cannot prove the scienter element of fraud: that Defendants inten[ded] Zaino, 818 A.2d at 638. again rests on their deceive Plaintiffs. The sponsors argument on this point objection omissions was material. to that none of the alleged They do not dispute that the Complaints all allege they knowingly withheld the facts discussed above. Rather, they assert it was not inappropriate to stay silent about those facts, because the facts were immaterial as a matter of law. For the reasons discussed at length above, this argument must be rejected. The agents and brokers, for their part, argue that the Complaints fail to allege they knowingly concealed information or lied. The agents fasten on the fact that Plaintiffs say they had no substantive involvement in selling the policies (see, e.g., 564 Compl. ¶ 77), and that, in some cases, the annuitants had never met the agents before signing the applications (see, e.g., 472 Compl. ¶ 34). However, the Complaints declare that the . agents knew the . . omissions described above were misleading. in the applications (See, e.g., 472 Compl. ¶ 54; 502 Compl. ¶ 47; 549 Compl. ¶ 125; 564 Compl. ¶ 80.) Plus, Plaintiffs allege that it was the sponsors, not the agents, who 38 identified the buyers, and who solicited the annuitants to sign the applications. See supra n.10. At a minimum, these facts, if proven, would make it unlikely that the agents had actually brokered the sales; this, in turn, would provide a basis for inferring that each agent knew it was misleading to proclaim on the application that he had made the annuity recommendation and found the investment appropriate. N. Am. Catholic Educ., 567 F.3d at 13. Because the Complaints properly allege scienter on the part of the agents, the brokers cannot escape liability by pleading ignorance. They may be vicariously liable for fraud if Plaintiffs prove the allegations that the agents acted in an agency capacity applications. for the brokers when delivering the See In re Atl. Fin. Mgmt., Inc., 784 F.2d 29, 32 (1st Cir. 1986) (explaining the basis for vicarious liability for fraud).15 15 Defendants also argue Plaintiffs cannot prove the justifiable reliance element of fraud. They argue big insurance companies are too sophisticated to justifiably rely on the absence of information they did not ask for. However, as noted, the insurers lack of inquiry does not rule out fraud. Furthermore, sophistication does not preclude reliance. See Kenda Corp. v. Pot O'Gold Money Leagues, Inc., 329 F.3d 216, 227 (1st Cir. 2003) (rejecting an argument that the principal of a corporation was sophisticated and therefore could not have reasonably relied on misrepresentations by a potential business partner). 39 3. Claims for conspiracy, civil liability crimes, and unjust enrichment against sponsors, agents, and brokers According enrichment to claims Plaintiffs specific Defendants, cannot deficient intent prevail, fraud to the do because claims. that make A something Guilbeault, 84 F. Supp. 2d at 268. circumstances conspiracy it each and illegal unjust springs conspiracy or for the from requires tortious. Unjust enrichment requires inequitable for a defendant to retain [a] benefit gained from a plaintiff, Bouchard v. Price, 694 A.2d 670, 673 (R.I. 1997) (internal citation omitted), such that the enrichment to the defendant [is] unjust, R&B Elec. Co. v. Amco Constr. Co., 471 A.2d 1351, 1356 (R.I. 1984). There are no cognizable allegations that Defendants have done anything wrongful or tortious, they insist, failed to plead fraud adequately. because Plaintiffs have However, since the fraud claims against the sponsors, agents and brokers may proceed for the reasons already discussed, the conspiracy and unjust enrichment Counts may follow against those parties. Plaintiffs offenses, similar on to argument. depend only claims the other for civil hand, the one that The insurance criminalizes trip obstructs fraud over a their statute deceit 40 liability in on for crimes statutory insurable which connection and barrier interest the with claims any application for the issuance of an insurance policy. R.I. Gen. Laws § 11-41-29(b)(1); see R.I. Gen. Laws § 9-1-2 (providing civil liability for victims of crimes). The words insurance policy are even less susceptible to the interpretation that they include annuities than the words insurance contract in § 27-4-27(a). Again, given the statutory division between insurance and annuities in Rhode Island law, the Court declines to transpose the rules for insurance policies onto annuities. Defendants may have defrauded Plaintiffs, and thereby violated some other part of the state criminal code; but § 11-41-29 cannot serve as a basis for civil liability in these cases. 16 16 In their opposition to Defendants motions, Plaintiffs coin two new theories as to why the contracts are void: forgery and fraud in the factum. The latter occurs when someone is tricked into signing an instrument without knowledge of its true nature or contents. Vasapolli v. Rostoff, 39 F.3d 27, 35 (1st Cir. 1994). It renders a contract void and not merely voidable. R.I. Depositors Econ. Protection Corp. v. Bowen Court Assoc., 763 A.2d 1005, 1009 (R.I. 2001). Forgery may have the same result, if for no other reason than that it is one instance in which fraud in the factum may occur. See Giannone v. Ayne Inst., 290 F. Supp. 2d 553, 563 (E.D. Pa. 2003). The twist here is that, if either claim were successful, this could rope the owners back into the lawsuits in cases 09-472 and 09473: they could no longer rely on the incontestability clauses, which never would have come into effect. However, none of the Complaints articulates any separate claims for relief based on forgery or fraud in the factum which, as species of fraud, are subject to Rule 9(b). Instead, the only reasonable reading of the Complaints is that they plead garden-variety claims of fraud in the inducement: concealing the annuitants ignorance of the policies, and the possible forgery of their signatures, allegedly induced Plaintiffs to issue the annuities. See R.I. 41 D. Contract claims 1. Breach of contract A necessary consequence of the Court s preservation of the fraud claims against the agents is that the breach of contract claims against the brokers also cannot be dismissed. Plaintiffs entered agreements with each of the brokers setting conditions for selling their insurance and annuity products. If proven, the fraud could create liability under at least two contract provisions cited in the Complaints. First, Western Reserve alleges that its agreements obligate the brokers to indemnify Western Reserve for fraudulent . . . acts of the brokers employees . products. (564 Compl. ¶ 88; see 470 Compl. ¶ 46; 472 Compl. ¶ 61; 473 . Compl. Transamerica s brokers . to products. ¶ and or 64; agents 502 Western supervise when Compl. Reserve s their agents selling ¶ Western 54.) Second, contracts in Reserve selling require both the Plaintiffs (471 Compl. ¶ 62; see 549 Compl. ¶ 132.) If the Depositors Econ. Prot. Corp. v. Duguay, 715 A.2d 1278, 1280 (R.I. 1998) (distinguishing fraud in the inducement from fraud in the factum). The Court s decision here is without prejudice to any motion for leave to amend the Complaints to add fraud in the factum or rescission on grounds of forgery as separate causes of action. The Court takes no position at this time on the merits of such a motion, or on the question of whether such claims would in fact allow re-joining the owners to these cases by effectively negating the incontestability clause defense. This issue, if it arises, would need to be fully briefed and argued. 42 agents engaged in fraud, this may allow Plaintiffs to establish that the brokers failed to supervise the agents.17 The brokers make no headway with objections to Plaintiffs lack of specificity in pleading breach of contract, or failure to attach the relevant contracts to the Complaints. Plaintiffs have satisfied the relaxed pleading standards of Rule 8, which apply to claims for breach of contract. See 5 Charles Alan Wright and Arthur R. Miller, Federal Practice & Procedure § 1235 (3d ed. 2010) ( In pleading the existence of an express written contract, the plaintiff, at her election, may set it forth verbatim in the complaint, attach a copy as an exhibit, or plead it according to its legal effect. ). Leaders also falls short in asserting, for the first time in its reply memoranda, that the Complaints in cases 09-473 and 09-502 rely on an outdated agreement. Arguments raised for the first time in reply briefs are procedurally barred. Weaver's Cove Energy, LLC v. R.I. Coastal Res. Mgmt. Council, 589 F.3d 458, 474 n.14 (1st Cir. 2009). Regardless, the Complaints say the agreement remains valid, and Western Reserve stated at oral argument that it stands by that assertion. 17 Whatever the facts Given that the breach of contract claims must be allowed to go forward on the basis of the indemnification for fraud and supervision clauses, the Court need not decide whether any other provisions might ultimately create liability. 43 may eventually reveal about the status of the contract, the Court must accept Western Reserve s allegations as true for purposes of Defendants motions. 2. Breach of the duty of good faith and fair dealing The Transamerica contracts include an express choice-of-law clause designating New York law as governing the terms of the agreement. (See Pl. s Obj. to Mot. to Dismiss Ex. A at 3, ¶ 11(a), C.A. No. 09-549, Doc. No. 17 (Feb. 1, 2010).) New York law thus controls Transamerica s contract claims. See DeCesare v. (R.I. Lincoln Benefit Life Co., 852 A.2d 474, 481 2004) ( [C]hoice-of-law provisions are enforceable if the intention of the parties to stipulate to the jurisdiction is made clear by express language . . . . ); see also Baker v. St. Paul Travelers Ins. Co., 595 F.3d 391, 392 (1st Cir. 2010) ( Because this court is sitting in diversity, we apply the choice of law rules of the forum state . . . . ). New York law does not recognize a separate cause of action for breach of the implied covenant of good faith and fair dealing when a breach of contract claim, based upon the same facts, is also pled. Harris v. Provident Life & Accident Ins. Co., 310 F.3d 73, 81 (2d Cir. 2002). Thus, Transamerica can only rely on its contract claims. Florida law governs the Western Reserve pursuant to an express choice-of-law clause. 44 contracts, also (See Pl. s Obj. to Mot. to Dismiss Ex. A ¶ 15, C.A. No. 09-472, Doc. No. 37 (Feb. 1, 2010).) duty of Florida law requires claims based on the implied good faith and fair dealing to piggyback violation of a specific contractual provision. Corp. v. Weaver, 169 F.3d 1310, 1318 on the See Burger King (11th Cir. 1999) (explaining that under Florida law, an action for breach of the implied covenant cannot be maintained . . . in the absence of breach of an express term of the underlying contract ). Since Western Reserve has viable claims for the breach of express contractual terms, as a matter of law it may proceed with its claims for violation of the implied covenant of good faith. See Nautica Int l, Inc. v. Intermarine USA, L.P., 5 F. Supp. 2d 1333, 1340-41 (S.D. Fla. 1998) ( That action constituted an express breach of a term of an agreement between [plaintiff and defendant], and, therefore, plaintiff, as a matter law, may bring a claim for breach of implied covenant of good faith. ). E. Negligence Finally, Rhode Island law forbids Plaintiffs negligence claims, because they do not assert any physical or emotional damages. parties The economic loss doctrine in this state prohibits who have contracted to protect against potential economic liability from recovering purely economic damages in tort claims. Franklin Grove Corp. v. Drexel, 936 A.2d 1272, 45 1275 (R.I. 2007) (quotation marks and citation omitted). Plaintiffs are correct that the Rhode Island Supreme Court has not applied the economic loss rule to service contracts, such as the broker agreements at issue. However, in this case, the rationales for the rule apply, and the exception to it does not. Some courts have recognized that the economic loss doctrine preserves the distinction between tort and contract law, allows sophisticated contract, parties and freedom enables the to party economic risk to allocate it. allocate best economic positioned risk to by assess See Ins. Co. of N. Am. v. Cease Elec. Inc., 688 N.W.2d 462, 470 (Wis. 2004). Here, as a general matter, permitting the contract claims and not the negligence claims to move forward is consistent with these ends. This result enforces the allocations of risk Plaintiffs bargained for in the agreements. Indeed, Western Reserve s contracts allegedly create an express remedy for negligence on the part of the agents, which requires the brokers addition, sophisticated economic loss commercial there is no corporations. rule entities for in dispute that Therefore, the ordinary Rhode indemnify Western (See, e.g., 564 Compl. ¶ 88.) Reserve for any resulting losses. In to consumers Island does Plaintiffs exception [who] not to deal are the with apply. Rousseau v. K.N. Constr., Inc., 727 A.2d 190, 193 (R.I. 1999). 46 See Accordingly, judging by the purposes of the economic loss doctrine, the Court has little trouble concluding that the rule prevents Plaintiff s negligence claims, notwithstanding the fact that the state s high court has not yet had occasion to apply the rule to service contracts. Cf. Maine Rubber Int l v. Envtl. Mgmt. Group, Inc., 298 F. Supp. 2d 133, 137-38 (D. Me. 2004) (discussing various approaches to the economic loss doctrine, and concluding that it would reach a contract for services under Maine law). They must therefore be dismissed.18 III. Conclusion For the reasons stated above, GRANTED in part and DENIED in part. declaratory judgment that the Defendants motions are All Counts for rescission, contracts are void, civil liability for crimes and offenses, and negligence are dismissed. The Counts for fraud and civil conspiracy are against ADM in case 09-472 and DK in case 09-473. 18 dismissed as Finally, the Plaintiffs contend that the close economic relationship between the parties allows bypassing the economic loss rule. However, in the case cited as authority for that argument, there was no privity of contract between the plaintiff and the defendant, unlike in these disputes. See Forte Bros., Inc. v. Nat l Amusement, Inc., 525 A.2d 1301, 1303 (R.I. 1987) (finding an architect owed a duty of care to a third-party general contractor and that there is no requirement of privity . . . to maintain an action in tort ). Forte Brothers also does not announce any general exception to the economic loss doctrine. Rather, its holding was merely that an architect owed a duty of care to a general contractor working on the same project even in the absence of a contract between the two. See id. at 1303. 47 Counts for breach of the duty of good faith and fair dealing in cases 09-471 and 09-549 are both Counts may proceed. IT IS SO ORDERED. /s/ William E. Smith William E. Smith United States District Judge Date: June 2, 2010 48 dismissed. The remaining

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