Rajsic v. Valley Forge Insurance CoRajsic v. Valley Forge Insurance Co
Order on appeal
This matter is before the Court on the Appellant Goran Rajsic‘s appeal of the bankruptcy court‘s order granting the Appellee Valley Forge Insurance Company‘s motion for summary judgment, as well as the bankruptcy court‘s entry of final judgment against Rajsic. (Notice of Appeal, ECF No. 1). After reviewing the parties’ briefs, the record on appeal, the relevant legal authorities, and for the reasons explained below, the Court affirms the bankruptcy court‘s entry of summary judgment in favor of Valley Forge.
1. Procedural Background
Rajsic filed for Chapter 7 bankruptcy on August 19, 2014. (IB at 6, ECF No. 16.) Valley Forge filed an adversary complaint against Rajsic, in which Valley Forge objected to the dischargeability, pursuant to
2. Factual Background
Rajsic, the principal of REC Entertainment, Inc. (“REC“), owned real property located at 4244 West Diversey Avenue, Chicago, Illinois. (AB at 11; R. 7-2 at 15-16; R. 7-4 at 4.)1 On May 26, 2009, the property sustained severe water damage (“the incident“), for which Rajsic initiated an insurance claim with Valley Forge. (AB at 11.) Rajsic contended that the roof had been damaged by a faulty utility pole alongside the building. (AB at 13; R. 7-4 at 11-12.) PuroClean, a disaster recovery company, was hired to clean up and mitigate the property damage, for which PuroClean submitted an invoice of $19,823.45. (AB at 12;
Valley Forge‘s State-Court Mot. Summ. J. Ex. 2, Aff. of Peter Quinn ¶ 4, DE 103, R. 7-11 at 43, 52.) During the claim process, Rajsic submitted a letter to Valley Forge noting that PuroClean had completed work on the property and that REC was renting temporary studios. (R. 7-3 at 8.) Rajsic stated in the letter that he had “already paid” the invoices for rental of the temporary studios and requested reimbursement of $136,324.85. (Id.) Rajsic further requested that Valley Forge issue payment of the PuroClean invoice. (Id.)
Meanwhile, Valley Forge investigated the claim. (AB at 12-14.) Valley Forge‘s investigation involved retaining several independent contractors, including a private investigator, a forensic accounting firm, a damage assessment firm, a construction consultant, and a forensic engineering firm. (Am. Compl. Ex. 3, Aff. of Tognarelli ¶ 27, DE 48, R. 7-2 at 27.) The cost of hiring these independent contractors totaled
Rajsic provided little to no cooperation with the investigation, failing to submit requested documents and repeatedly failing to appear for an examination under oath. (Valley Forge‘s State-Court Mot. Summ. J. at 8-11, DE 103 Ex. 5, R. 7-11 at 75-78.) In fact, on April 10, 2010, Rajsic withdrew his insurance claim. (Id. at R. 7-11 at 78; IB at 8.)
Valley Forge concluded that Rajsic had staged the incident and had submitted forged invoices for the temporary rental studios. (AB at 14.) Thus, Valley Forge denied the claim on June 7, 2010. (IB at 8.) Nonetheless, although the record is unclear as to the underlying facts, Valley Forge submitted partial payment to PuroClean in the amount of $10,000.00 as a full and final settlement of PuroClean‘s invoice for $19,823.45. (Valley Forge‘s State-Court Mot. Summ. J. Ex. 2, Aff. of Peter Quinn ¶ 7, DE 103, R. 7-11 at 43, 61.)
These events led to both criminal and civil proceedings in Illinois state court. Rajsic was indicted for crimes involving schemes to defraud Valley Forge and two other insurance companies. (Am. Compl. Ex. 4, Plea Agreement, DE 48, R. 7-10 at 2.) On January 18, 2012, Rajsic pleaded guilty to forgery by delivery, one of four felony counts in the indictment. (Id. at 3.) As part of his plea, Rajsic
“admit[ted] that he knowingly executed a scheme to defraud [Valley Forge] . . . and in furtherance of the scheme [he], with the intent to defraud, knowingly delivered a document apparently capable of defrauding another . . . .” (Id. at 5.) Rajsic further admitted that the invoices for rental of the temporary studios that Rajsic submitted to Valley Forge on June 11, 2009, “were capable of defrauding [Valley Forge] because . . . [Valley Forge] uses such a document to determine whether to pay a claim for loss and how much to pay on such a claim . . . .” (Id.)
Valley Forge brought civil suit against Rajsic in Illinois state court. (AB at 14.) Valley Forge sought, in part, civil damages for insurance fraud in violation of Section 46-5 of the Illinois Criminal Code (
3. Legal Standard
This Court has jurisdiction over appeals of a final judgment in a bankruptcy adversary proceeding.
4. Legal Analysis
Rajsic raises four errors with the Bankruptcy Court‘s order and judgment: (1) collateral estoppel did not apply to the state-court judgments because the
issues in state court were not identical to the issues raised in bankruptcy court; (2) an issue of material fact existed—namely, whether Rajsic received a benefit from Valley Forge—which precluded entry of summary judgment; (3) Valley Forge did not properly plead the elements of a
Valley Forge argues that the Supreme Court abolished the “receipt of benefits” requirement for nondischargeability under
A. The doctrine of collateral estoppel precludes Rajsic from relitigating the Illinois state judgments
Collateral estoppel, or issue preclusion, “prevents successive litigation of an issue of fact or law actually litigated and resolved in a valid court determination essential to the prior judgment.” Novak v. State Parkway Condo. Ass‘n, 141 F. Supp. 3d 901, 906 (N.D. Ill. 2015) (quoting Taylor v. Sturgell, 553 U.S. 880, 892 (2008)) (internal quotations omitted). “It is well-established that the doctrine of collateral estoppel applies in a discharge exception proceeding in bankruptcy court.” In re Bilzerian, 100 F.3d 886, 892 (11th Cir. 1996) (citing Grogan v. Garner, 498 U.S. 279, 284 n.11 (1991)) (”Bilzerian 1“). The Court must consider Illinois law with respect to collateral estoppel because the judgments at issue were rendered by Illinois state courts. See In re Gonsalves, 519 B.R. 466, 473-74 (Bankr. D. Md. 2014) (“Determinations regarding the preclusive effect of state court judgments are made using the law of the state in which the judgment was rendered.” (citing Marrese v. Am. Acad. of Orthopaedic Surgeons, 470 U.S. 373 (1985))).
In these bankruptcy adversary proceedings, Valley Forge had the burden to show: (1) the parties litigated the issue in a previous proceeding, and the court rendered
(1) The parties raised the issue of collateral estoppel
In its motion for summary judgment before the bankruptcy court, Valley Forge raised the issue, albeit poorly, of collateral estoppel. Valley Forge delineated the facts underlying the criminal and civil judgments against Rajsic and provided the legal basis for applying collateral estoppel to the fraud judgments in the bankruptcy proceedings. (Mot. Summ. J. at 2-3, 5, DE 82, R. 7-10 at 28-29, 31.) Rajsic‘s single opposition to the application of collateral estoppel in his response concerned Valley Forge‘s purported failure to prove that Rajsic had obtained a benefit as a result of the fraudulent conduct.3 (Opp‘n to Mot. Summ. J. at 2-5, DE 95, R. 7-10 at 38-41.) However, during the summary-judgment hearing, Rajsic raised several times––in a cursory and conclusory manner––the additional issue of justifiable reliance. (Transcript at 13, 16-17, DE 150, ECF No. 8.) The bankruptcy court then determined that Rajsic was “collaterally estopped from challenging the determination of fraud by the State Court . . . .” (Order Granting Mot. Summ. J. at 7, DE 117, ECF No. 7-10 at 125.)
Rajsic, then, did not raise the issue for the first time on appeal, as Valley Forge alleges. Nor did Rajsic only make passing reference to collateral estoppel in his appellate brief, as he did before the bankruptcy court. Thus, Rajsic has not waived appellate review of the application of collateral estoppel. Cf. United States v. Hale, 618 F. App‘x 521, 524 (11th Cir. 2015) (declining to resolve an issue not discussed in any meaningful way in the appellate brief); Greenbriar, Ltd. v. City of Alabaster, 881 F.2d 1570, 1573 n.6 (11th Cir. 1989) (declining to address the merits of a claim not raised in the appellate briefs).
(2) The bankruptcy court properly estopped relitigation of the issue of fraud
The bankruptcy court specifically found that the elements of collateral estoppel existed with respect to a factual finding that Rajsic had committed fraud.4 (Order Granting Mot. Summ. J. at 7, DE 117, ECF No. 7-10 at 125.) The record supports this finding.
However, whether the “issue” decided in the state adjudications was identical to the “issue” before the bankruptcy court requires clarification. Rajsic insists on appeal that the bankruptcy court erred in applying the doctrine of collateral estoppel because the central issue in the state-court actions was not identical to the issue before the bankruptcy court. (IB at 13.)
elements of fraud in the state actions and the elements required for nondischargeability under
The bankruptcy court likely contributed to the confusion by stating somewhat imprecisely, “[A]ll the elements of collateral estoppel are present. The elements for finding nondischargeability under
More accurately, in order to determine whether the bankruptcy court properly applied collateral estoppel in this case, the Court must determine whether the elements of fraud in the state-court judgments are identical to the elements of “false pretenses, a false representation, or actual fraud” required under
The Supreme Court “has historically construed the terms in
the representation; (3) the creditor‘s reliance was reasonably founded; and (4) the creditor sustained a loss as a result of the representation.” In re Villa, 261 F.3d 1148, 1150 (11th Cir. 2001).
The elements under the actual-fraud standard are less precise. See Husky, 136 S. Ct. at 1586; see also In re Nunnelee, 560 B.R. 277, 284 (Bankr. N.D. Miss. 2016) (“The precise elements of actual fraud are currently in flux.“). As a general guideline, the creditor must prove
This Court will not enter into a needless parsing and dissection of the Illinois Criminal Code under which Rajsic was found both criminally and civilly liable. In other words, the Court need not resolve whether the Illinois Criminal Code requires justifiable reliance, the third element of common-law fraud under the false-pretenses and false-representation standards.5 The record makes patently clear that Rajsic committed actual fraud. Any other finding would lead to absurd results and frustrate the Bankruptcy Code. See Bilzerian 2, 153 F.3d at 1282 (“Any other decision would conflict with the general principles behind
Rajsic admitted to “knowingly execut[ing] a scheme to defraud” Valley Forge. (Plea Agreement at 4, DE 48, R. 7-10 at 5.) In granting Valley Forge‘s summary judgment, the Illinois state court found that Rajsic staged the incident, falsified documents, and used deception in an attempt to obtain money from Valley Forge on a claim valued at $1.47 million. (Valley Forge‘s State-Court Mot. Summ. J. at 16, DE 103 Ex. 5, R. 7-11 at 83; Am. Compl. Ex. 3, Aff. of Tognarelli ¶ 26, DE 48, R. 7-2 at 27; Partial Summ. J. at 2, R. 7-10 at 14; Final Summ. J., R. 7-10 at 16.) These actions indicate “fraud that involves moral turpitude or intentional wrong” and include knowing “deceit . . . used to circumvent and cheat
another.” Husky, 136 S. Ct. at 1586; McClellan, 217 F.3d at 893 (internal quotations and citation omitted). Rajsic‘s conduct as determined in the state-court proceedings satisfies the actual-fraud standard of
B. Rajsic obtained a benefit, as required for a finding of nondischargeability pursuant to § 523(a)(2)(A)
Rajsic asserts that he did not receive a benefit from any fraudulent conduct, as required by
The facts of this case do not require this Court to decide whether Cohen rejected the “receipt of benefits” test because Rajsic did receive a benefit. First and foremost, the state-court expressly found that Rajsic “wrongfully obtained . . . $33,269.94.” (Final Summ. J., R. 7-10 at 16.) This Court already determined that Rajsic cannot attack or dispute the state-court judgments in these bankruptcy proceedings.
Next, Rajsic‘s contention that he did not receive a benefit rests primarily on the unfounded and incorrect assumption that the bankruptcy court based its finding that Rajsic received a benefit on the “disputed” PuroClean payment. (IB 10-12.) The bankruptcy court found, “Rajsic did receive a benefit from his fraud in Valley Forge analyzing, investigating[,] and assisting in the clean-up and remediation of the damage on account of Rajsic‘s utterly fraudulent claim.” (Order Granting Mot. Summ. J. at 7, CE 117, ECF No. 7-10 at 125.) In its findings of
fact, the bankruptcy court expressly noted that the amount “wrongfully obtained” by Rajsic totaled $33,269.94. (Id. at 122.) Taking these two findings together, the “benefit” received by Rajsic simply does not include the purportedly disputed $10,000.00 payment to PuroClean. More specifically, the $10,000.00 payment to PuroClean constitutes only a portion of the total $19,823.45 invoice, which the Illinois state court included in the total amount that Rajsic “attempted to obtain,” and not in the amount Rajsic “wrongfully obtained.” (Final Summ. J., R. 7-10 at 16; Am. Compl. Ex. 3, Aff. of Tognarelli ¶ 23, 26, Ex. H, DE 48, R. 7-2 at 26-27; R. 7-9 at 14.) Further, Rajsic has never raised a dispute regarding the line-item amounts that comprise the $33,2369.94 total relied upon by the state court in entering final judgment.
Finally, Rajsic appears to misunderstand the “receipt of benefits” test for which he advocates. As noted above, the debtor need not have received actual money or property for a court to find that the debtor received a “benefit.” Bilzerian 1, 100 F.3d at 890 n.4 (“The better view, however, appears to be that the debtor need not actually procure the money or property for himself. If the debtor benefits in some way from the property obtained through his deception, the debt is nondischargeable.” (quoting Matter of Holwerda), 29 B.R. 486, 489 (Bankr. M.D. Fla. 1983))) (emphasis added).
Here, Rajsic benefited from Valley Forge‘s investigation of his fraudulent claim. As Valley Forge notes, it had a legal obligation as an insurer to investigate the claim—an obligation intended to benefit and protect the insured. Feijoo v. Geico Gen. Ins. Co., 137 F. Supp. 3d 1320, 1328 (S.D. Fla. 2015), aff‘d, No. 15-14947, 2017 WL 429254 (11th Cir. Feb. 1, 2017) (Moore, J.) (“[A]n insurer [has a] duty and right to fully investigate claims.“); Johnson v. Geico Gen. Ins. Co., 318 F. App‘x 847, 851 (11th Cir. 2009) (“An insurer––acting with diligence and due regard for its insured––is allowed a reasonable time to investigate a claim . . . part of [an insurer‘s] good faith duty is [the] obligation . . . to investigate the facts.“). Had Rajsic‘s claim been authentic, he would have received the coverage provided by his policy. Valley Forge acted properly under the policy—for Rajsic‘s benefit—in investigating the claim.
Thus, the bankruptcy court properly found that Rajsic obtained a benefit as required by
C. Valley Forge properly pleaded and proved exceptions to discharge pursuant to §§ 523(a)(2)(A) and (6)
Rajsic argues that Valley Forge failed to plead and prove both a
Additionally,
As mentioned previously, Rajsic admitted to “knowingly execut[ing] a scheme to defraud” Valley Forge, “with the intent to defraud . . . .” (Plea Agreement at 4, DE 48, R. 7-10 at 5.) Such an admission fulfills the “willful and malicious” element under
D. Entry of summary judgment was not procedurally improper
Rajsic claims that Valley Forge‘s motion for summary judgment was procedurally improper for two reasons: (1) it did not attach certain documents required by the bankruptcy court‘s order setting filing and disclosure requirements for pretrial and trial; and (2) Valley Forge attached affidavits to its reply. (IB 33.)
First, Rajsic has failed to include in his designation of items to be included on appeal the relevant bankruptcy-court order. (Appellant‘s Designation, R. 7-2 at 1-4.) The Court cannot review and ensure compliance with an item not in the record on appeal. See Selman v. Cobb Cty. Sch. Dist., 449 F.3d 1320, 1333 (11th Cir. 2006) (“[T]he burden is on the appellant to ensure the record on appeal is complete, and
factual positions by “citing to particular parts of materials in the record . . . .”
Second, each and every exhibit attached to Valley Forge‘s reply directly rebutted an argument raised by Rajsic in his response.7 No rule prohibits a moving party from attaching rebuttal evidence to its reply. S. D. Fla. L.R. 7.1(c) (“All materials in support of any . . . reply, including affidavits and declarations, shall be served with the filing.“); Giglio Sub s.n.c. v. Carnival Corp., No. 12-21680-CIV, 2012 WL 4477504, at *2 (S.D. Fla. Sept. 26, 2012), aff‘d, 523 F. App‘x 651 (11th Cir. 2013) (Rosenbaum, J.) (“A significant difference exists, however, between new arguments and evidence, on the one hand, and rebuttal arguments and evidence, on the other.“); Stewart-Patterson v. Celebrity Cruises, Inc., No. 12-20902-CIV, 2012 WL 5997057, at *1 (S.D. Fla. Nov. 30, 2012) (Cohn, J.) (“[N]othing in the extant authorities, or in the
Rajsic has not identified any procedural defect to undermine the bankruptcy court‘s granting of summary judgment and entry of final judgment.
5. Conclusion
Based on the foregoing reasons, the Court affirms the bankruptcy court‘s order granting Valley Forge‘s motion for summary judgment, as well as the bankruptcy court‘s entry of final judgment against Rajsic (DE 117 and DE 126). The Court directs the Clerk to close the case.
Done and ordered in chambers, at Miami, Florida, on May 15, 2017.
Robert N. Scola, Jr.
United States District Judge