Patterson v. Mobil Oil Corp.Patterson v. Mobil Oil Corp.
This case arises from a wave of state and federal litigation brought by employees and former employees of Mobil, as well as their relatives. Generally, the employees assert that Mobil failed to comply with Texas workers’ compensation law, such that Mobil was never a valid subscriber to the workers’ compensation system. Under Texas’s scheme, employees covered by subscriber-purchased policies receive compensation on a no-fault basis, and, in exchange, subscribing employers benefit from an exclusive remedy provision. This provision prevents employees from suing subscribers for negligence'. Thus, the theory is that these employees were injured because Mobil’s allegedly fraudulent representations that it was a subscriber caused them to forgo negligence lawsuits against Mobil.
In the instant case, the plaintiffs, Ozan Patterson and John Ballenger, are using this theory to allege a variety of civil violations under the Racketeer Influenced and Corrupt Organizations Act (“RICO”),
I
The issues presented by this case necessitate a detailed recitation of the facts and procedural background, including a brief summary of the allegations in the pleadings and the roles of the parties. In the primary cause of action, the plaintiffs allege that Mobil violated RICO by conspiring with various insurers and claims adjusters over a thirty-year period (hereinafter “the RICO suit”). Specifically, they allege that the defendants engaged in a long-term scheme to deprive the plaintiffs of their common-law negligence causes of action against Mobil for workplace injuries. Mobil allegedly used “fronting” insurance companies to obtain “sham” workers’ compensation policies in order to hide the fact that it was self-insuring, which was not permitted by the Texas workers’ compensation scheme then in force. Further, the plaintiffs allege that the defendants used the interstate mail and telephone wires to further this illegal enterprise.
During the relevant years, Mobil obtained its workers’ compensation insurance from several different companies. Pre-1970 through 1981, Mobil’s insurer was Forum Insurance Company (“Forum”); from 1982 through 1991, Mobil’s insurer was National Union Fire Insurance Company of Pittsburgh, Pennsylvania; in 1992, Mobil’s insurer was American Home Assurance Company; and, in 1993, Mobil was insured through the Insurance Company of the State of Pennsylvania. All are
Patterson was a Mobil employee from 1947 to 1982. In 1974, 1976, 1979, 1981, and 1982, Patterson suffered on-the-job injuries. For each injury, Patterson sought and received workers’ compensation benefits from Mobil’s various insurers. Ballen-ger is the son of Thomas J. Ballenger, who died in 1970 from burns sustained after an explosion at a Mobil plant. Ballenger’s mother, Ella Ray Whitehead, sought and received workers’ compensation benefits from Forum, Mobil’s carrier at that time. She also filed suit, on behalf of her and her surviving children, against Mobil, claiming gross negligence and seeking punitive damages.
See Ballenger v. Mobil Oil Corp.,
On March 23, 1999, the same day the plaintiffs filed the RICO suit, Whitehead filed a “Request for Relief from Judgment” under
The RICO suit was originally assigned to Judge Fisher. Just after granting class certification, Judge Fisher recused himself,
sua sponte,
without explanation. The case was reassigned to Judge Cobb.
2
The
The plaintiffs moved to have Judge Cobb recuse himself, citing
At the hearing on the defendants’ motion to vacate, Judge Cobb asked the plaintiffs whether Tucker or OB&T were mentioned in the complaint or whether the plaintiffs were seeking recovery against Tucker or the firm. The plaintiffs answered no to both questions, and Judge Cobb denied the motion to disqualify. Following this, the plaintiffs petitioned this court for a writ of mandamus, seeking Judge Cobb’s disqualification, and we denied that petition. In re Patterson, No. 00-40001 (5th Cir. Jan. 10, 2000) (unpublished) (order denying mandamus).
After this court reversed the class certification, the defendants moved for summary judgment and the plaintiffs made a supplemental motion for disqualification. The basis of the plaintiffs’ motion was new evidence that Judge Cobb had represented Forum in a Mobil workers’ compensation case in 1975.
See Forum Ins. Co. v. Mitchell,
No. A-98,195 (58th Dist. Ct., Jefferson County, Tex. Apr. 25, 1975) (unpublished). They contended that this gave Judge Cobb personal knowledge of relevant facts, including whether Forum was a sham company that was actually controlled by Mobil at that time and whether Mobil was a valid subscriber in the Texas workers’ compensation system. The defendants opposed the motion. Judge Cobb noted in a later order that he was asked to recuse himself in an earlier stage of the
McClelland
litigation
4
for similar reasons, but had refused to do so. In one of his final memorandum orders, Judge Cobb explicitly stated that his position as Forum’s counsel of record twenty-seven years ago in a separate litigation did not warrant disqualification and emphasized that the plaintiffs’ earlier attempt to secure disqualification from this court had been un
In a separate order, the district court granted the defendants’ motion for summary judgment and denied the
II
We first address the recusal issue. The denial of a motion to recuse is reviewed for abuse of discretion.
Matassarin v. Lynch,
A
Under
This provision relates only to charges of actual bias.
Henderson v. Dep’t of Pub. Safety & Corr.,
Admittedly, Judge Cobb did not specifically address the sufficiency of Ballenger’s
Although Ballenger’s affidavit is slightly more specific than the one at issue in
McClelland,
we find that it suffers from the same overall defect. Judge Cobb’s relationship with Tucker and OB&T is, by itself, insufficient to convince a reasonable person that Judge Cobb would be biased against the plaintiffs or in favor of Mobil. Tucker’s representation of Mobil in the
Ballenger
suit is also insufficient. That suit was litigated more than twenty-five years ago, and it has little bearing on the merits of the present action. It was a workers’ compensation suit involving Mobil, and Mobil’s participation in Texas’s workers’ compensation system had no direct bearing on whether it was grossly negligent with regard to the explosion that
B
Recusal is also addressed in
When considering a claim under
The plaintiffs have a stronger argument under this provision than under
C
1
Although we conclude that Judge Cobb should have stood recused under
The plaintiffs dispute the applicability of the harmless error rule, arguing that when a judge erroneously fails to stand recused, our precedent dictates that the judge’s post-recusal orders must be automatically vacated.
Tramonte v. Chrysler Corp.,
Finally, although- the plaintiffs focus many of their recusal arguments on
2
We now apply the harmless error test of
In re Continental
to the district court’s subsequent rulings; specifically, its summary judgment ruling in the RICO suit and its denial of the
The grant or denial of
Next, we consider whether it is likely that our refusal to vacate the post-recusal orders would create injustice in future cases. Again, we note that other cases appealed after a summary judgment ruling will receive fair, impartial treatment from this court. Moreover, our holding that Judge Cobb erred by failing to stand re-cused will serve as a cautionary note to future district courts considering recusal motions in similar circumstances. Thus, we find the risk of injustice to other cases to be slight, and so the second prong is met.
Finally, we do not believe the public’s confidence in the judicial process will be undermined if we hold the violation of
Ill
A
Finding the recusal error to be harmless, we turn to the merits of the district court’s summary judgment ruling. The district court held that the defendants were entitled to summary judgment because the evidence showed that Mobil had workers’ compensation insurance from 1961 through 1995, and thus was a subscriber in Texas’s system. Further, it held that Ballenger and Patterson had not raised a genuine issue of material fact as to whether Mobil’s arrangements with its various workers’ compensation insurers were fraudulent under Texas law.
Thus, the district court’s decision was based entirely on Texas law. For this reason, Mobil, Forum, Matouse and Gron-waldt have asked this Court to certify the following question to the Texas Supreme Court: 8
Where an employer is the holder of a policy of workers’ compensation insurance from an authorized insurer and gives notice of such to its employees, isthe employer’s right to the exclusive remedy provisions available to a “subscriber” under the Texas Workers’ Compensation Act conclusively established?
The plaintiffs oppose this motion, arguing that we should not ask the Texas Supreme Court to consider this case because the record is too undeveloped. Alternatively, the plaintiffs ask that we abate this appeal pending the outcome of Ballenger’s state court action.
The decision of whether to certify a question lies within our sound discretion.
Nationwide Mut. Ins. Co. v. Unauthorized Practice of Law Comm.,
B
As noted above, we review a grant or denial of summary judgment
de novo,
using the same criteria employed by the district court.
Mongrue v. Monsanto Co.,
1
First, the plaintiffs argue that Mobil was not a subscriber during the years that Forum was its insurer because Mobil and Forum have not proven that Mobil actually purchased policies from Forum during the relevant years. Moreover, the plaintiffs emphasize that Forum was a subsidiary of Mobil and that Forum was completely controlled by Mobil. According to the plaintiffs, Forum was nothing more than a “front for self-insurance” and so Mobil was not a valid subscriber.
Under the relevant statutory scheme, a workers’ compensation subscriber is defined as “any employer who has become a member of the association by faying the required, premium; provided that the association holds a license issued by” the Texas Commissioner of Insurance. Tex. Rev.Civ. Stat. Ann. art. 8809, § 1 (Vernon 1967) (emphasis added). “Association” is defined as the state-created workers’ compensation carrier “or other insurance company authorized” to write workers’ compensation policies. Id. Thus, the plaintiffs are correct that, in order to achieve subscriber status, Mobil was required to obtain a workers’ compensation policy by paying a premium to an authorized insurer. 11
In response to this allegation, the defendants produced the following proof: (1) Certificates of Authority for Forum issued by the State of Texas, which indicate that Forum was authorized to write workers’ compensation insurance during the relevant period; (2) declaration pages from the workers’ compensation policies issued by Forum from 1970 to 1981, accompanied by the sworn affidavit of an authorized agent for Forum stating that the declaration pages were true and correct copies; and (3) copies of notices of coverage from the Industrial Accident Board, indicating that Mobil was a subscriber in the system during each of the eleven years. Despite this overwhelming proof, the plaintiffs persist in their argument that there is a genuine issue of material fact because (1) the defendants have not produced the policies themselves, but only the declaration pages, and (2) Mobil and Forum have not shown that the premium funds actually exchanged hands. We find these arguments to be meritless.
Martinez v. H.B. Zachry Co.,
Likewise, we reject the plaintiffs’ self-insurance argument.
12
The workers’ compensation scheme does not forbid an employer and an insurer from being one and the same.
Otis Elevator Co. v. Allen,
2
Second, the plaintiffs contend that Mobil was not a subscriber, during the years it was insured by the AIG Defendants, 1982 through 1993, because the AIG Defendants only fronted coverage for Mobil and thus Mobil was actually self-insured. This self-insurance argument is similar to the one mentioned above, see supra Part III.B.1, but the alleged scheme is slightly more complex. During this period, Mobil supposedly engaged in a cash-flow retrospective plan. Under this plan, Mobil had the insurer file a conventional retrospective rated insurance .policy with the state, but did not actually pay the premium indicated by that .policy. Instead, Mobil paid only a fraction of that premium to cover the insurer’s expected losses paid, expenses, insurance risk premium and premium taxes. In addition, Mobil issued letters of credit to the insurer for the difference between the conventional premium and the amount actually paid. . Mobil also reinsured the insurer’s risk through an off-shore subsidiary. Through this complex arrangement, Mobil and its reinsurance subsidiary became the true insurers of the risk associated with Mobil’s workers’ compensation program.
Mobil does not dispute that it used this “cash-flow retro” plan. Instead, it argues that such an arrangement does not invalidate its subscriber status because its side agreements with the insurer and reinsurer are immaterial. Our review of the summary judgment evidence leads us to believe that Mobil’s cash-flow retro plan was, at the very least, highly improper. Mobil was aware that such a plan had been formally forbidden by .the Texas State Board of Insurance,
13
but chose to use a
The wording of the Texas Insurance Code is clear:
The Board [of Insurance] shall prescribe a uniform policy for workmen’s compensation insurance ... and any contract or agreement not written into the application and policy shall be void and of no effect and in violation of the provisions of this subchapter, and shall be sufficient cause for revocation of license to write workmen’s compensation insurance within this State.
Tex. Ins. Code Ann. art. 5.57 (emphasis added). Further, the Texas courts have repeatedly held that a “side agreement to a valid and enforceable workers’ compensation policy which violates a statutory or regulatory requirement is invalid and ineffective.”
Brookshire Grocery Co. v. Bomer,
Thus, the cash-flow retro agreements between Mobil and the AIG Defendants were illegal and void. The conventional policies executed by the parties and filed with the state remained in full force and effect during the years in question. If the AIG Defendants had become bankrupt and their trustees had chosen to sue Mobil for the premiums it did not pay, Mobil might well have been liable. In addition, if the scheme had been discovered by the appropriate state agencies, Mobil and the AIG Defendants would undoubtedly have been fined, and the AIG Defendants might have lost their workers’ compensation insurance licenses. See Tex. Ins. Code Ann. art. 5.57. But nothing in Texas’s statutory law or case law suggests that these illegal cash-flow retro arrangements would have affected Mobil’s subscriber status. 14
The defendants have provided copies of the entire policies issued by the AIG Defendants to Mobil for the relevant policy years, as well as authenticating affidavits. We have examined the policies and find no mention of a rebate system or cash-flow arrangement in any of them. We conclude that these policies remained valid during their terms and satisfied the necessary conditions for Mobil to achieve subscriber status.
See Tankersley v. Durish,
855
3
Third, the plaintiffs contend that Mobil’s own employees adjusted Mobil’s workers’ compensation claims from 1965 to 1994, in viplation of Texas law. They argue that this precludes summary judgment on the issue of whether Mobil qualified as a workers’ compensation subscriber. After considering the arguments of the parties and the applicable state law, we again conclude that Mobil’s actions were probably illegal. Again, however, we cannot conclude that these actions deprived Mobil of its subscriber status under state law.
The plaintiffs first cite to Tex. Ins. Code Ann. art. 1.14-1, which was repealed in 1999. Although it existed in various forms over the thirty-year period at issue, article 1.14-1 generally addressed unauthorized insurance. It included the act of adjusting claims or losses in the definition of “insurance business” and prohibited unauthorized persons or insurers from directly or indirectly doing the acts of an insurance business. See, e.g., id. § 2-3 (Vernon 1990). A violation of article 1.14-1 subjected the offending person or entity to administrative and civil penalties. Id. § 3. But the statute does not contain any language that could be interpreted to affect an employer’s subscriber status. Id.; see also 28 Tex. Admin Code §§ 65.5, 65.10 (suggesting that it is unethical and fraudulent for an insurer to allow an employer to adjust claims and that the remedy for such conduct is to ban the person from appearing before the workers’ compensation board).
The plaintiffs attempt to buttress then-argument by citing to
Aranda v. Insurance Co. of North America,
Aranda
and
Natividad
do offer one valuable insight into Texas workers’ compensation law: together they indicate that the duty of good faith and fair dealing owed by an insurer to an employee is separate from the compensation claim and non-delegable.
Natividad,
Mobil may have risked administrative and civil penalties when it adjusted the workers’ compensation claims of its own employees, in violation of article 1.14-1. Likewise, Forum and the AIG Defendants may have risked tort liability or various civil sanctions by improperly allowing Mobil to adjust claims. But, even under this worst case scenario, Mobil’s subscriber status was not invalidated.
Thus, despite the plaintiffs’ vigorous arguments to the contrary, we conclude that there is no genuine issue of material fact with regard to Mobil’s subscriber status. 15 And, in turn, there is no genuine issue of material fact that Mobil was engaged in a scheme to defraud its employees by lying about its subscriber status during the years in question. In light of the foregoing, we find that the district court correctly awarded summary judgment to the defendants with regard to the RICO suit. 16
For these reasons, we find that the district court properly awarded summary judgment to the defendants and we AFFIRM.
AFFIRMED; DEFENDANTS’ MOTIONS TO CERTIFY IS DENIED; PLAINTIFFS’ MOTION FOR ABATEMENT OF THE APPEAL IS DENIED; PLAINTIFFS’ MOTION FOR JUDICIAL NOTICE IS GRANTED IN PART AND DENIED IN PART; AIG DEFENDANTS’ MOTION FOR JUDICIAL NOTICE IS DENIED.
Notes
. This case also has an extended and complex litigation history in state court. First, both plaintiffs were members of a class action suit, filed in 1992, which involves similar theories and defendants.
McClelland v. Gronwaldt,
No. A-144, 481 (58th Dist. Ct., Jefferson County, Tex.). Most recently, a Texas Court of Appeals reversed the class certification on procedural grounds.
See
.
Gronwaldt v. McClelland,
Nos. 09-99-125-CV, 09-99-591-CV,
. In addition, on October 5, 1998, Patterson and Ballenger filed separate suits based on various state causes of action in the 60th Judicial District of Jefferson County, Texas. Patterson v. Mobil Corp., No. B-l 59,657 (60th Dist. Ct., Jefferson County, Tex.); Whitehead v. Mobil Corp., No. B-l 59,657 (60th Dist. Ct., Jefferson County, Tex.). The Ballenger case is set for tried in September 2003.
Although not all of the above information on the state court proceedings is part of the record on appeal, we may take notice of pending judicial proceedings.
See, e.g., Lowrey v. Tex. A&M Univ. Sys.,
. Judge Cobb also ended up with the
. Tucker is not listed as an interested party or counsel at the beginning of Mobil’s appellate brief, but he was listed as Of Counsel for Mobil at least as late as December 16, 1999, when the defendants filed their motion to vacate the class certification.
. At one point, Mobil removed the
McClel-land
litigation to federal court on grounds of federal question jurisdiction. On interlocutory appeal, we held that federal question jurisdiction was lacking and that an exercise of supplemental jurisdiction would be an abuse of discretion.
McClelland v. Gronwaldt,
. Plaintiffs do not, however, brief the merits of the
. We recognize that the issue is tangentially related to the present suit. Obviously, if Mobil's subscriber status had been found invalid in 1971, then Whitehead and her children would have been able to sue Mobil for simple negligence. Nonetheless, the possibility that another cause of action against Mobil might have been available thirty years ago is remote and speculative. It is not as if Whitehead attempted to bring a negligence suit at the time and failed. Accordingly, that possibility has no bearing on whether a reasonable person would think Judge Cobb, a man with considerable judicial experience, would actually be biased all these many years later.
. In relevant part,
(a) Any justice, judge, or magistrate judge of the United States shall disqualify himself in any proceeding in which his impartiality might reasonably be questioned.
(b) He shall also disqualify himself in the following circumstances:
(1) Where he has a personal bias or prejudice concerning a party, or personal knowledge of disputed evidentiaiy facts concerning the proceeding;
(2) Where in private practice he served as lawyer in the matter in controversy, or a lawyer with whom he previously practiced law served during such association as a lawyer concerning the matter, or the judge or such lawyer has been a material witness concerning it ....
. The AIG Defendants do not oppose this motion. Instead, they ask that, should we grant certification, we also certify several sub-issues. We treat this as a second motion for certification.
. The plaintiffs argue that Mobil bears the burden of establishing its status as a workers’ compensation subscriber. We disagree. In a common-law negligence suit, Mobil would be required to prove its subscriber status as part of its affirmative defense that it was entitled to the exclusive remedy protections of the workers' compensation system. This is not a common-law negligence suit, however. It is a RICO action. To maintain a civil RICO action using mail and wire fraud as the predicate acts, the plaintiff must show that the defendant engaged in a scheme to defraud and used the mail or wires to execute that scheme.
See
. At the outset, we note that the period of time covered by the RICO suit spans two different workers’ compensation systems in Texas. The "old” system, adopted in 1914 and repealed in 1991, was codified at Tex. Rev. Civ. Stat. Ann. arts. 8306
et seq.
The current scheme is codified at
. Mobil was also required to provide notice to its employees that it was a participant in the workers' compensation system, either by filing constructive notice with the Industrial Accident Board or by providing actual notice. Tex Rev. Civ. Stat. Ann. art. 8306, § 3c, art. 8308, §§ 18a-20 (Vernon 1967). Mobil submitted summary judgment evidence that it provided both kinds of notice during the entire time period in question, and plaintiffs do not dispute this. For the purposes of this case, we consider the notice requirement to be met.
. In fact, we find the plaintiffs’ argument on this point to be smoke and mirrors. Generally, "self insurance” means that one has established reserves for future losses instead of purchasing insurance. Such action would certainly fall outside the bounds of Texas's "old” workers’ compensation system. But Mobil and Forum have essentially uncontro-verted evidence of insurance policies and repeated contractual relationships. Under Texas law, if a Mobil worker was injured during the term of one such policy, Forum would be liable for any workers’ compensation benefits awarded, not Mobil.
See, e.g., Aranda v. Ins. Co. of N. Am.,
. In 1980, the State Board of Insurance issued Workers' Compensation Bulletin No. 511, which clearly stated that "paid loss retrospective” or “cash flow” plans were of great concern to the department because they fell outside the uniform policy approved by the board and referred to in Tex. Ins. Code art. 5.57. The bulletin concluded that insurers
. Presumably, this reflects a conscious choice by the state legislature and judiciary. It is not our task to say what sanctions are appropriate in this context. In fact, a bias against depriving employers of their subscriber status for this type of violation may be wise. It creates a level of certainty in the workers' compensation system and ensures that workers will not be deprived on the benefits of the system every time an employer or insurer violates the state’s various administrative rules and regulations.
See, e.g., Larchmont Farms, Inc. v. Parra,
. The plaintiffs also argue that the district court abused its discretion by refusing to allow them the opportunity to conduct any discovery. They argue that, had discovery been permitted, they could have created a genuine issue of material fact sufficient to survive summary judgment.
We review a district court's discovery decisions for abuse of discretion and affirm such decisions unless they are clearly unreasonable or arbitrary.
Moore v. Willis Indep. Sch. Dist.,
. The plaintiffs’ RICO claims are predicated on Mobil's allegedly fraudulent representations regarding its subscriber status. See note 10 supra. Because we conclude there is no genuine issue of material fact on this issue, the plaintiffs’ RICO claims must fail. Thus, it is not necessary to discuss all the possible RICO issues in detail. We suspect, however, that the plaintiffs’ complaint does not state a valid RICO claim for other reasons.
Even if we assume both that the plaintiffs had a valid property interest in their causes of action under Texas law and that Mobil deprived them of this property by fraudulently representing that it was a subscriber, we doubt the plaintiffs have satisfied the RICO standing requirement. A plaintiff may not sue under RICO unless he can show concrete financial loss.
In re Taxable Mun. Bond Secs. Litig.,
In addition, at the time of the injuries, the plaintiffs were notified by Mobil that it was a subscriber to Texas's workers’ compensation system, chose not to opt-out, and recovered from Mobil on a no-fault basis for their various injuries. Thus, despite the plaintiffs’ boilerplate damages allegations, it is hard to see how they received less than they were entitled to.
Cf. Price v. Pinnacle Brands, Inc.,
Moreover, this cause of action seems to stretch the bounds of RICO far beyond its intended purpose.
See, e.g., Cedric Kushner Promotions, Ltd. v. King,