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United of Omaha Life Ins. Co. v. Crane Fin. & Ins. Agency, Inc.

UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA
Sep 4, 2013
CV 12-4614 RSWL (AGRx) (C.D. Cal. Sep. 4, 2013)

Opinion

CV 12-4614 RSWL (AGRx)

09-04-2013

UNITED OF OMAHA LIFE INSURANCE CO., Plaintiff, v. CRANE FINANCIAL & INSURANCE AGENCY, INC. ET AL., Defendants.


ORDER Re: PLAINTIFF'S

MOTIONS FOR PARTIAL

SUMMARY JUDGMENT [105-

112]

Before the Court are Plaintiff United of Omaha Life Insurance Co.'s ("Plaintiff") Motions for Partial Summary Judgment [105-112]. Plaintiff's Motions were set for hearing on September 4, 2013, and taken under submission on August 29, 2013 [123]. Having reviewed all the papers and arguments submitted pertaining to these Motions, THE COURT NOW RULES AS FOLLOWS:

The Court hereby GRANTS Plaintiff's Motions.

I. BACKGROUND

This Action stems from a dispute between Plaintiff United of Omaha Life Insurance Company ("Plaintiff") and insurance agents who were authorized to solicit life insurance policies on its behalf.

Plaintiff is a life insurance company. Between August and October of 2011, Defendants Evelyn Namujulirwa, Marie Kalungi, Regius Kayongo, Ronald Lukwago, Regius Nambooze, Robinah Kayongo, Michael Chibueze Monday, and Adrien Muya ("Defendants") entered into separate General Agent Agreements with Plaintiff. These agreements identified Defendants as General Agents of Plaintiff and authorized Defendants to sell life insurance policies on Plaintiff's behalf. In addition, all of the Defendants signed Advance Commission Amendments with Plaintiff, which allowed Defendants to receive advances on their first-year commissions when they successfully solicited life insurance policies on Plaintiff's behalf. However, under the Advance Commission Amendments, Defendants were required to repay their commissions - "chargebacks" - to Plaintiff should any life insurance policies that they solicited lapse within the first year.

Defendants knew that these policies would become inactive after Defendants received their first-year commissions. Defendants also engaged in a variety of deceptive tactics. For example, Defendants caused policies to become inactive after receiving first-year commissions and submitted forged applications for policies on unknowing individuals. Furthermore, Defendants persuaded individuals to cooperate in submitting life insurance applications by promising financial and other inducements and submitted applications for individuals Defendants knew had no intention of keeping the policy in force. Defendants also submitted and paid the initial premiums for such policies, causing Plaintiff to advance Defendants' first-year commissions. Defendants eventually refunded premiums to individuals who paid insurance premiums after Plaintiff advanced the first-year commissions to Defendants. Plaintiff was unaware of the Defendants' scheme.

All of the life insurance policies that Defendants sold lapsed or became inactive within 13 months. However, Defendants have refused to repay the first-year commissions to Plaintiff as required by the Advance Commission Amendments. Defendants' total indebtedness to Plaintiff is now alleged to be in excess of $456,000.

Plaintiff filed a Complaint against Defendants Crane Financial & Insurance Agency Inc., Mohammed Kakooza, Damiano Kigoye, Evelyn Namujulirwa, Marie Kalungi, Regius Kayongo, Ronald Lukwago, Regius Nambooze, Robinah Kayongo, Michael Chibueze Monday, and Adrien Muya, asserting claims for (1) violations of RICO; (2) breach of contract; (3) fraud and deceit; and (4) constructive trust and accounting.

Plaintiff now moves for summary judgment on its breach of contract and its fraud and deceit claims against Defendants Evelyn Namujulirwa, Marie Kalungi, Regius Kayongo, Ronald Lukwago, Regius Nambooze, Robinah Kayongo, Michael Chibueze Monday, and Adrien Muya.

II. LEGAL STANDARD

Summary judgment is appropriate when there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). A genuine issue is one in which the evidence is such that a reasonable fact-finder could return a verdict for the non-moving party. Anderson v. Liberty Lobby, 477 U.S. 242, 248 (1986). The evidence, and any inferences based on underlying facts, must be viewed in a light most favorable to the opposing party. Diaz v. American Tel. & Tel., 752 F.2d 1356, 1358 n.1 (9th Cir. 1985).

Where the moving party does not have the burden of proof at trial on a dispositive issue, the moving party may meet its burden for summary judgment by showing an "absence of evidence" to support the non-moving party's case. Celotex v. Catrett, 477 U.S. 317, 325 (1986).

The non-moving party, on the other hand, is required by Federal Rule of Civil Procedure 56(e) to go beyond the pleadings and designate specific facts showing that there is a genuine issue for trial. Id. at 324. Conclusory allegations unsupported by factual allegations, however, are insufficient to create a triable issue of fact so as to preclude summary judgment. Hansen v. United States, 7 F.3d 137, 138 (9th Cir. 1993) (citing Marks v. Dep't of Justice, 578 F.2d 261, 263 (9th Cir. 1978)). A non-moving party who has the burden of proof at trial must present enough evidence that a "fair-minded jury could return a verdict for the [opposing party] on the evidence presented." Anderson, 477 U.S. at 255. In ruling on a motion for summary judgment, the Court's function is not to weigh the evidence, but only to determine if a genuine issue of material fact exists. Id.

A district court may not grant a motion for summary judgment solely because the opposing party has failed to file an opposition. Cristobal v. Siegel, 26 F.3d 1488, 1491 (9th Cir. 1994). However, the Court may grant an unopposed motion for summary judgment so long as the moving party's papers are themselves sufficient to support the motion and do not present an issue of material fact. Henry v. Gill Indus., Inc., 983 F.2d 943, 950 (9th Cir. 1993). See also Canal Ins. Co. v. YMV Transp., Inc., 867 F. Supp. 2d 1099, 1103-05 (W.D. Wash. 2011) (granting unopposed motion for summary judgment).

Furthermore, where a party fails to file opposing papers or evidence to a motion for summary judgment, the Court "may assume that the material facts as claimed and adequately supported by the moving party are admitted to exist without controversy." L.R. 56-3.

Partial summary judgment is authorized by Federal Rule of Civil Procedure 56. A partial summary judgment is not a final judgment but rather an interlocutory summary adjudication or a pre-trial order. Wynn v. Reconstr. Fin. Corp., 212 F.2d 953, 956 (9th Cir. 1954). Neither is appealable prior to the entry of a final judgment in the case in the absence of a specific statute authorizing an appeal. Id. Rule 56 allows a court to grant partial summary judgment, thereby reducing the number of facts at issue in a trial. State Farm Fire & Cas. Co. v. Geary, 699 F. Supp. 756, 759 (N.D. Cal. 1987).

III. ANALYSIS

A. Breach of Contract

The elements of a claim for breach of contract are: "(1) the existence of the contract, (2) plaintiff's performance or excuse for nonperformance, (3) defendant's breach, and (4) the resulting damages to the plaintiff." Oasis West Realty, LLC v. Goldman, 51 Cal. 4th 811, 821 (2011). See also Reinhardt v. Gemini Motor Transp., 879 F. Supp. 2d 1138, 1143 (E.D. Cal. 2012).

Because Defendants failed to file an opposition, the Court "assume[s] that the material facts as claimed and adequately supported by [Plaintiff] are admitted to exist without controversy." L.R. 56-3.

The Court finds that the elements of Plaintiff's breach of contract claims against Defendants have been established. The first Oasis West element is met as the undisputed facts establish that Plaintiff entered into two contracts with each Defendant: the initial General Agent Agreement and the Advance Commission Amendment. The Court also finds that the second Oasis West element is met because Plaintiff performed its obligations under all of these contracts by paying first-year advances upon the policies issued on applications submitted by each Defendant. The Court finds the third Oasis West element is also met as each Defendant refused to pay the chargebacks after these policies lapsed within the first year. Defendants were required to repay these chargebacks to Plaintiff. Finally, the Court finds the fourth Oasis West element met. Plaintiff was damaged in the amount of the unpaid chargebacks and the acquisition and conservation costs incurred.

These facts are sufficient to establish Plaintiff's entitlement to judgment as a matter of law on its claim for breach of contract against each Defendant.

Because there are no genuine issues of material fact and because the facts clearly show that Plaintiff is entitled to judgment as a matter of law, the Court GRANTS summary judgment as to Plaintiff's breach of contract claims against the eight remaining individual Defendants.

B. Fraud and Deceit

In California, "the elements of fraud which give rise to the tort action for deceit are: (1) misrepresentation of a material fact (consisting of false representation, concealment or nondisclosure); (2) knowledge of falsity (scienter); (3) intent to deceive and induce reliance; (4) justifiable reliance on the misrepresentation; and (5) resulting damage." Bower v. AT&T Mobility, LLC, 196 Cal. App. 4th 1545, 1557 (2011) (quoting City of Atascadero v. Merrill Lynch, Pierce, Fenner & Smith, Inc., 68 Cal. App. 4th 445, 481-82 (1998)). See also Rasidescu v. Midland Credit Mgmt., Inc., 435 F. Supp. 2d 1090, 1099 (S.D. Cal. 2006).

Because Defendants failed to file an opposition, the Court "assume[s] that the material facts as claimed and adequately supported by [Plaintiff] are admitted to exist without controversy." L.R. 56-3.

The Court finds that the first Bower element, misrepresentation of a material fact, is met. Defendants, while knowing that the policies would become ineffective after Defendants received their first-year commissions, concealed and falsely represented the validity of the submitted policies to Plaintiff. They did so by, inter alia, submitting forged applications for policies on individuals who had no knowledge of the policies and inducing individuals to submit applications by promising financial kickbacks upon Plaintiff's advances of first-year commissions. It appears that these actions were meant to mislead Plaintiff as to a material fact: whether these policies would lapse within the year.

The Court also finds the second Bower element, scienter, is met. Defendants knew that the policies would become inactive after they received their first-year commissions. Accordingly, Defendants knew the falsity of their representations when they made those representations to Plaintiff.

The Court also finds that the third element, intent to deceive and induce reliance, is met. The Court infers that Defendants' admitted actions evidence clear intent to defraud Plaintiff. For example, Defendants submitted forged applications for policies on individuals who had no knowledge of the policies and induced individuals to cooperate with their scheme through financial incentives.

The Court finds the fourth Bower element, Plaintiff's justifiable reliance, is met. "Reliance exists when the misrepresentation or nondisclosure was an immediate cause of the plaintiff's conduct which altered his or her legal relations, and when without such misrepresentation or nondisclosure he or she would not, in all reasonable probability, have entered into the contract or other transaction." Alliance Mortgage Co. v. Rothwell, 10 Cal. 4th 1226, 1239 (1995). Justifiable reliance means that "circumstances were such to make it reasonable for plaintiff to accept defendant's statements without an independent inquiry or investigation." OCM Principal Opportunities Fund, L.P. v. CIBC World Mkts. Corp., 157 Cal. App. 4th 835, 864 (2007) (quoting Wilhelm v. Pray, Price, Williams & Russell, 186 Cal. App. 3d 1324, 1332 (1986)). In other words, a plaintiff must have not only actually relied on the misrepresentation, but also must have justifiably relied on the misrepresentation.

The Court finds that Plaintiff actually relied on Defendants' misrepresentations, as evidenced by Plaintiff's issuance of policies pursuant to the applications submitted by Defendants. Furthermore, Plaintiff advanced first-year commissions to Defendants based on these applications. The Court finds that without Defendants' fraudulent actions, Plaintiff would not have issued these policies or advanced Defendants' first-year commissions.

The Court also finds that Plaintiff justifiably relied on Defendants' misrepresentations. Here, Plaintiff was unaware of Defendants' fraudulent scheme when it issued policies based on the applications Defendants submitted. Given that Plaintiff was unaware of Defendants' scheme, Plaintiff's reliance on Defendants' misrepresentations - such as the forged applications - was reasonable.

The Court also finds that the fifth Bower element is met. Plaintiff suffered damages from Defendants' acts in the amount of the unpaid chargebacks. Plaintiff further suffered damages when it incurred acquisition and conservation costs of $118.00 per policy.

Because there are no genuine issues of material fact and because the facts clearly show that Plaintiff is entitled to judgment as a matter of law, the Court GRANTS summary judgment as to Plaintiff's fraud and deceit claims against each of the eight remaining individual Defendants.

IV. CONCLUSION

For the above stated reasons, the Court GRANTS Plaintiff's Motions for Partial Summary Judgment.

IT IS SO ORDERED.

____________________

HONORABLE RONALD S.W. LEW

Senior, U.S. District Court Judge


Summaries of

United of Omaha Life Ins. Co. v. Crane Fin. & Ins. Agency, Inc.

UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA
Sep 4, 2013
CV 12-4614 RSWL (AGRx) (C.D. Cal. Sep. 4, 2013)
Case details for

United of Omaha Life Ins. Co. v. Crane Fin. & Ins. Agency, Inc.

Case Details

Full title:UNITED OF OMAHA LIFE INSURANCE CO., Plaintiff, v. CRANE FINANCIAL …

Court:UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA

Date published: Sep 4, 2013

Citations

CV 12-4614 RSWL (AGRx) (C.D. Cal. Sep. 4, 2013)