mslitigationreview

Miss. Supreme Court complicates statute of limitations analysis in vanishing premium cases

In the late 1990’s and early 2000’s there was a cottage industry of life insurance sales practice litigation in Mississippi. The cases were commonly referred to as “vanishing premium” cases because most plaintiffs alleged that the selling agent promised that premiums would vanish in a set number of years, but didn’t.

To a large extent the Court’s opinion in Stephens v. Equitable, 850 So. 2d 78 (Miss. 2003) killed vanishing premium litigation in Mississippi. Stephens held that the policy contract was inconsistent with the vanishing premium sales pitch so that the statute of limitations began running when the plaintiff bought the policy–usually years before suit was filed. After Stephens, many cases were either dismissed under the statute of limitations or settled cheaply.

On December 11, 2008 the Court reversed the Court of Appeals and retracted from Stephens in Wilbourn v. Equitable. The Court agreed with Judge Chandler’s dissent in the Court of Appeals that argued that Stephens was distinguishable. Judge Chandler observed that the statute of limitations analysis was complex and not susceptible to being decided based on a selective quotation of the policy. The Court agreed and replaced a bright line analysis under Stephens with a murky, fact intensive analysis under Wilbourn.

It remains to be seen whether Wilbourn will revive sales practice litigation in Mississippi. But one thing is certain. Between 2003 and 2008 many cases were dismissed under Stephens that would not have been dismissed under Wilbourn.

Twitter
Facebook
Email
LinkedIn

Obama Justice Department should take fresh look at homeowner Katrina-fraud cases

The indictment of Gulfport mayor Brent Warr and his wife, Laura, brings widespread attention to questionable criminal prosecutions of Gulf Coast homeowners for allegedly making fraudulent claims for government benefits to repair homes destroyed by Hurricane Katrina. The government alleges that the Warrs’ claim was fraudulent because it was not made on their primary residence. The Warrs bought the house in 2004, renovated it, and were in the process of moving in when Katrina hit in 2005.

As reported in the February 8, 2009 edition of the Sun Herald, the outcome could be decided by a determination of which home was the Warrs’ “primary residence.” The problem with having a criminal case decided on this question is that, according to the Sun Herald, there is no accepted definition of “primary residence.” For instance:

Court testimony in a previous case indicates neither MDA nor FEMA regulations define what constitutes a “primary residence.”

Gerald Bordelon, a special agent who investigates Katrina fraud for the State Auditor’s Office, testified in another federal court case about homeowner-grant qualifications.

Bordelon said “primary residence” was a “fluid” term. He added, “It is based on a totality of the circumstances.”

The Warrs have the highest profile of many Coast residents subject to federal prosecution based on the justice department’s questionable interpretation of a fluid term with no set definition. Making matters worse, some people now claim that FEMA and other government agencies encouraged Coast residents to apply for benefits if there was any doubt as to whether they were eligible. DOJ is now taking the opposite approach, however, and prosecuting all close cases.

Attorney General Holder and the Justice Department leadership under President Obama should re-evaluate all homeowner Katrina-fraud cases. In cases such as the Warrs where the question is close, all charges should be dismissed. The department should also concentrate its investigations on fraud claims involving government contractors who fraudulently bilked millions, if not billions, from the government. Doesn’t that make more sense than going after homeowners whose lives were destroyed by Katrina?

Twitter
Facebook
Email
LinkedIn

National nursing home chain defendant in massive qui tam action filed in Mississippi

In October 2008 the Department of Justice intervened in a qui tam action against national nursing home chain Beverly Enterprises/ Golden Gate, LLC that was originally filed in 2004. Here is the government’s complaint filed in the Northern District of Mississippi. Mississippi attorneys Cliff Johnson and Brad Pigott filed the original complaint on behalf of a private citizen.

The government alleges that Beverly/ Golden Gate and other companies submitted false claims to Medicare arising from illegal kickbacks and the establishment of sham durable medical equipment supplier companies. No one who has studied Beverly / Golden Gate will be surprised by these allegations. Beverly has run afoul with DOJ previously and in 1999 agreed to pay $175 million to settle Medicare fraud charges. Beverly’s entire operating system is built around squeezing Medicare dollars from the government by, among other things, only performing skilled therapy on residents who are eligible for high-rate Medicare reimbursement. The company now operates nursing homes under the name Golden Living Centers. The only thing golden about these places is the pot of gold in the operator’s pockets.

The current action looks bleak for Beverly/ Golden Gate, which is owned by the hedge fund Fillmore Capital Partners. My understanding of qui tam actions is that if the government intervenes, the defendants are DOA and almost always settle.

Twitter
Facebook
Email
LinkedIn

Federal judge to decide amount of attorney’s fee for lawyers he sanctioned

As reported in the Clarion-Ledger on January 29, 2009, the City of Jackson settled a sexual harassment lawsuit filed by a female firefighter and three former firefighters. The case was originally tried in 2007 and resulted in a $757,000 verdict for the plaintiffs. Judge Henry Wingate threw out the verdict citing jury error and attorney misconduct. Here is Judge Wingate’s opinion, which is worth the read.

Judge Wingate was not impressed by one plaintiff who testified on cross-examination that the money for her car payment came directly from God who placed it into her account every month. Frankly, I thought this was a little cheap on God’s part. Couldn’t God have delivered the car without a note, or at least paid it all off at one time?

Judge Wingate was also unhappy with plaintiffs counsel’s trial conduct. Basically, Judge Wingate would tell counsel to stop doing something and counsel continued anyway. Judge Wingate indicated that he did not believe that any disrespect to the court was intentional. From the small amount of the trial that I saw it seemed that plaintiffs’ counsel were inexperienced in the courtroom and flustered by the pressure.

In any event, the parties’ settlement provides that Judge Wingate will decide the amount of the attorney’s fees recovered by plaintiffs’ counsel. Obviously not an ideal situation for attorneys who Judge Wingate was unhappy with at trial.

Twitter
Facebook
Email
LinkedIn

MC Law Review examines Mississippi Supreme Court voting patterns

In 2008 the Mississippi College Law Review published the results of its 2008 Judicial Administration Project. You can access the the results of the study here.

The study examined Mississippi Supreme Court opinions in civil cases starting on January 1, 2004. During this time period the Court reversed twice as many plaintiff verdicts (176) as defense verdicts (86). In addition, the Court affirmed 43% of verdicts for plaintiffs (134 of 310) compared to 69% of the verdicts for defendants (195 of 281). Interestingly, trial court judges and juries were more balanced than the Supreme Court, rendering 310 verdicts for the plaintiff and 281 for the defense.

The study contained the following important disclaimer:

Take note that this chart displays the disposition of ALL civil cases. It does not reflect the court’s dispositions on any particular topic. Instead, it includes everything from contract disputes to domestic issues to will contests. Procedural matters, including appeals from summary judgment and motions to dismiss, are likewise incorporated.

Because the study included all civil actions and was not limited to jury verdicts involving a business interest against an individual, it does not squarely address the controversy raised by former Mississippi Bar President and highly respected Jackson lawyer, Alex Alston. According to Alston, in the 4 1/2 years prior to June 2008 the Mississippi Supreme Court reversed 88% of jury verdicts that favored wronged victims. During the same time period, the Court reversed 0% of jury verdicts that favored big business.

The MC study does not refute Alston’s criticisms and suggests that Alston had a valid point. Hopefully, the Law Review will continue its analysis to further explore these important questions. The civil justice system does not efficiently resolve disputes when either side has reason to believe that the deck will be stacked in its favor on appeal.

Twitter
Facebook
Email
LinkedIn