Unum Group v. Benefit Partnership, Inc.Unum Group v. Benefit Partnership, Inc.
MEMORANDUM AND ORDER ON UNUM GROUP AND PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY’S MOTION FOR SUMMARY JUDGEMENT
Plaintiffs Unum Group and Provident Life and Accident Insurance Company (collectively, Unum) brought this action primarily seeking the reimbursement of advance commissions paid to The Benefit Partnership, Inc. (Benefit Partnership) and Michael P. Ippolito in connection with the solicitation of applications for life insurance policies. In its Verified Amended Complaint, Unum asserts claims for breach of contract (Count I), breach of fiduciary duty (Count II), negligence (Count III), violations of Mass. Gen. Laws ch. 93A (Chapter 93A) (Count IV), reach and apply (Count V), trustee process (Count IV), and constructive trust (Count VII).
BACKGROUND
Unum Group, through its subsidiaries, including Provident Life and Accident Insurance Company, offers disability, long term care, life, and voluntary insurance products. Beginning in May of 2011, Unum entered into a series of agreements with Ippolito and the Benefit Partnership, a company of which Ippolito was the sole owner and director, president, treasurer, and secretary. In the agreements, defendants contracted to provide a range of services in connection with the sale of a life insurance product offered by Unum to employees of the Premier Financial Group and The People’s Ministry. Unum in turn agreed to pay defendants commissions for issued policies, including advance commissions for the first year that the policies were in force.
Over the next two and a half months, Unum issued 674 policies and advanced defendants $1,213,749.07 in commission payments. When, according to Unum, it subsequently learned that none of the policy applicants met the eligibility requirements, all of the policies were surrendered or cancelled. Unum then demanded that defendants pay back the advance commissions. Unum has to date recovered $150,000. Seeking the return of the remaining $1,063,749.07, Unum filed this lawsuit.
The Agreements
The agreements entered into by the parties included an Administrative Services Agreement, a General Agent Contract, an Advance Commission Program Amendment to the General Agent Contract, two Voluntary Workplace Benefits Commission Agreements, and two Enrollment Document of Understanding Voice Recording Authorizations. Unum entered into the Administrative Services Agreement with the Benefit Partnership on May 17, 2011. In exchange for a fee, the Benefit Partnership agreed to manage all billing and collection services relating to the insurance policies issued by Unum, including coordinating and collecting the appropriate employer payment or employee payroll deduction and remitting the payments to Unum. See Administrative Services Agreement, Preamble. The Benefit Partnership further agreed to defend Unum against any claim, damage, or penalty incurred as a result of its breach of the agreement or because of the gross negligence of its officers, directors, employees, or agents. See id. ¶ 4.a.
Two days after the execution of the Administrative Services Agreement with the Benefit Partnership, Unum entered into a separate General Agent Contract with Ippolito. The General Agent Contract authorized Ippolito to solicit and service insurance policies on Unum’s behalf. See General Agent Contract ¶ 2. Ippolito was also authorized to recruit “subbrokers” to solicit policies and submit applications through him. Id. ¶ 4(h). To the extent Ippolito elected to utilize subbrokers, he was required, among other things, to “[supervise the Subbrokers with respect to solicitation” and to “[p]rovide reasonable supervision designed to ensure that Subbrokers do not violate any [Unum] policies and procedures or any laws, rules, or regulations of any federal, state or local government, department or bureau having jurisdiction.” Id. ¶¶ 4(h)(2), 4(h)(4). Ip
Ippolito was eligible to be paid a commission on each policy he brought to Unum. Pursuant to an Advance Commission Program Amendment to the General Agent Contract, Provident Life agreed to advance Ippolito 40% of his share of the annualized first year commission at the time a policy was issued. See Advance Commission Amendment ¶ 1. Under a clawback provision of the agreement, Ippolito was required to “[pjromptly repay to [Unum] (1) any compensation paid on policies which are rescinded with a return of premiums and (2) any compensation advanced by [Unum] with respect to policies returned during any applicable ‘right to examine’ period.” General Agent Contract ¶ 4(e). Ippolito was required to “refund pro-rata to [Unum] compensation on premiums refunded for any reason at the same rate at which compensation was originally paid.” Id. ¶ 7. Ippolito further acknowledged in the Advance Commission Program Amendment that the amounts advanced to him were subject to a right of setoff for any amounts owed by him to Provident Life, and were subject to a lien by Provident Life against any indebtedness owed by him pursuant to the General Agent Agreement. Advance Commission Program Amendment ¶ 1. The agreement specified that indebtedness included any advances to Ippolito of first year commissions, interest, and any collection expenses, including attorney’s fees in the event legal action was required to collect indebtedness. Id. ¶¶ 1, 7; see also id. ¶¶ 4-5 (explaining interest calculation).
Also on May 19, 2011, Unum and Ippolito entered into a Voluntary Workplace Benefits Commission Agreement, pursuant to which Ippolito agreed that commissions with respect to policies issued by Unum for Premier Financial Group would be split between him and the Benefit Partnership. A similar agreement was entered into on July 20, 2011 with respect to The People’s Ministry. Correspondence between Ippolito and Unum later confirmed that the Benefit Partnership was to receive 100% of the commissions generated from the states in which it was licensed, and Ippolito was to receive 100% of the commissions from the remaining states.
In anticipation of the offerings at Premier Financial Group and The People’s Ministry, Unum prepared plan offerings detailing the plans’ eligibility requirements and coverage. A Plan Offering for voluntary benefits for the Premier Financial Group employees (Premier Plan Offering), prepared by Unum on April 20, 2011, indicated that the offering was limited to full time employees, defined as employees “actively at work for a minimum of 20 hours per week ... [and] actively at work at the time of application.” Premier Plan Offering at 3. The Premier Plan also stated Unum’s understanding, based on information provided by the Benefit Partnership and Ippolito, that Premier Financial Group had 550 employees, all of whom were eligible to enroll in the voluntary benefits plan. The Plan Offering for The People’s Ministry (The People’s Ministry Offering) prepared on June 24, 2011, incorporated the same full-time, active work requirement. See People’s Ministry Offering at 3. The offering conveyed Unum’s understanding that The People’s Ministry had 750 employees, of whom 700 were eligible to enroll. Id. at 1.
Unum also entered into two identical letter agreements with the Benefit Partnership entitled Enrollment Document of Understanding Voice Recording Authori
Applicant Ineligibility
The Benefit Partnership and Ippolito submitted applications for 634 individuals through the Premier Financial Group Of- • fering and 40 individuals through The People’s Ministry Offering. In anticipation of payment of the first-year commissions on these policies, Unum advanced $1,213,749.07 to Ippolito and the Benefit Partnership pursuant to the Commissions Agreements.
Before the enrollment period for The People’s Ministry was complete, Unum became concerned when investigators from ING Insurance Company notified Unum that ING was investigating Ippolito for possible fraud in connection with applications he had submitted for insurance though ING. As a result, Unum undertook its own investigation of the applications it had received through Ippolito.
Over the course of the investigation, Unum conducted over 500 interviews of putative applicants. Nearly all of the applicants interviewed confirmed that they did not meet the eligibility requirements for the policies, some because they were not actually employed by the Premier Financial Group or The People’s Ministry, others because they had been recruited to pose for applicants who were unable to meet the eligibility requirements. Call center recordings obtained by Unum confirmed that subbrokers not only deviated from the approved call center enrollment script but also consistently coached applicants as to how the applications should be completed so as to misrepresent eligibility for coverage.
The investigation further revealed that the subbrokers required The People’s Ministry applicants to list The People’s Ministry as a 50% co-beneficiary under the policy. In the case of the Premier Financial Group offering, applicants were required to list as a 50% co-beneficiary 4HIM Ministries, whose president, Giovanni Santiago, was also the CEO of Premier Financial Group and the person with whom Ippolito dealt at the time of the offering. Investigators learned that more than $1,000,000 of the advance commissions were transferred from a Benefit Partnership bank account to Sin Agua, a company owned and operated by Santiago. Unum was unable to obtain an explanation for the transfers from either Ippolito or Santiago. In July of 2010, Santiago was indicted in the U.S. District Court for the Eastern District of Missouri on multiple counts of wire and mail fraud arising out of an alleged Ponzi scheme.
On August 5, 2011, Unum sent a letter to Ippolito and the Benefit Partnership setting out the investigators’ findings and
Following the request for repayment, the Benefit Partnership and/or Ippolito repaid $100,000 of the total $1,213,749.07 in advance commissions. Unum has recovered an additional $50,000 in proceeds that were held by the U.S. District Court for the Eastern District of Missouri in connection with the criminal case against Santiago. The Benefit Partnership and Ippolito have not returned the remaining $1,063,747.07.
STANDARD OF REVIEW
Summary judgment is appropriate “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(a). “A ‘genuine’ issue is one that could be resolved in favor of either party, and a ‘material fact’ is one that has the potential of affecting the outcome of the case.” Calero-Cerezo v. U.S. Dep’t of Justice,
DISCUSSION
Ippolito’s Invocation of the Fifth Amendment
Ippolito has elected to exercise his Fifth Amendment privilege against self-incrimination and, consequently, has refused to answer any questions related to the allegations made in Unum’s Complaint. Unum argues that the court should draw an adverse inference against Ippolito based on his invocation of the privilege.
It is settled law that a trier of fact may draw an adverse inference in a civil action against a party who invokes the Fifth Amendment privilege. See Baxter v. Palmigiano,
[T]he evidence produced by a nonmoving party’s silence is not sufficiently weighty to carry a moving party’s burden in a motion for summary judgment. In other words, the plaintiffs motion for summary judgment must stand or fall on the merits of the evidence adduced.... The propriety of drawing an inference against the defendants in this action based on their invocation of the privilege is especially problematic in the context of a motion for summary judgment, where a court is admonished to construe all evidence, including the defendants’ silence, in a light most favorable to the non-moving party.
Fidelity Funding of California, Inc. v. Reinhold,
It is an open question whether the law of the First Circuit would permit an adverse inference to be drawn at summary judgment from a party’s silence. See In re Marrama,
Equally true, however, is the converse: invocation of the Fifth Amendment does not relieve Ippolito of his own burden on summary judgment. A litigant claiming the privilege is not “freed from adducing proof in support of a burden which would otherwise have been his.” United States v. Rylander,
Unwin’s Claims
Breach of Contract (Count I)
While Unum asserts that Ippolito and the Benefit Partnership breached numerous provisions of the agreements they entered into with Unum, the essence of Unum’s breach of contract claims is that defendants have failed to return the full' amount of advance commissions paid to them on policies that were surrendered or cancelled. To succeed on this count, Unum must prove with respect to each defendant: (1) the existence of an agreement supported by consideration; (2) that Unum performed its obligations under the agreement; (3) that the defendant breached the agreement; and (4) that Unum suffered injury as a result.
Defendants contest only the element of breach. Moreover, because Ippolito has chosen to exercise his Fifth Amendment privilege and the Benefit Partnership has elected to submit no evidence in opposition to Unum’s motion, their defense is reduced to arguing that there are weaknesses in Unum’s marshaling of its own evidence. The argument fails to convince.
The Advance Commission Agreement required Ippolito to repay advance commissions on policies refunded for any reason, see General Agent Contract ¶¶ 4(e), 7, which the opening facts outlined above plainly establish he has failed to do. In an attempt to stave off the obvious conclusion that he was therefore in breach of contract, Ippolito argues that there is no evidence that he submitted any of the applications for life insurance from the Premier Financial Group or The People’s Ministry or that any commission was paid to him. Defs.’ Resp. to Pis.’ Statement of Material Facts Nos. 19, 20. Highlighting that the total $1,213,749.07 in advance commissions was deposited into a bank account held solely in the name of the Benefit Partnership, Ippolito contends that there are no facts that he received “as much as one dime” from Unum: “The Plaintiffs’ money trail, at most, shows Unum paid money to an account of The Benefit Partnership.... Further, there is no evidence that The Benefit Partnership advanced any of that [money] to Mr. Ippolito.” . Defs.’ Opp’n at 5-6.
The record evidence belies Ippolito’s contentions. A report kept in the ordinary course of Unum’s business details the breakdown of advance commission payments and establishes that $1,053,423.83 of the total advance commissions was credited to Ippolito and $160,325.24 was credited to the Benefit Partnership (based on the sharing formula set out in the Voluntary Workplace Benefits Commission Agreements). Supp. Aff. of Drew C. Heisig ¶ 7 & Ex. C. The full $1,213,749.07 was deposited into a Benefit Partnership account only on Ippolito’s instruction. Id. ¶ 7. Unum is thus entitled to summary judgment on its breach of contract claim against Ippolito.
In sum, Unum has fulfilled its burden of proving the elements of breach of contract, while Ippolito and the Benefit Partnership have not met their burden of raising any material dispute of fact that would require resolution by a jury. Therefore, the motion for summary judgment will be allowed as to the breach of contract claim.
Negligence (Count III)
Unum claims that by failing to supervise their subbrokers to ensure that appropriate procedures were followed in enrolling applicants, Ippolito and the Benefit Partnership were negligent, and that the negligence caused Unum harm. In support of its position, Unum relies on St. Paul Surplus Lines Ins. Co. v. Feingold & Feingold Ins. Agency, Inc.,
It is doubtful that St. Paul provides a basis for negligence liability because of the contractual relationship between Unum and defendants. “The traditional economic loss rule provides that, when a defendant interferes with a contract or economic opportunity due to negligence and causes no harm to either the person or property of the plaintiff, the plaintiff may not recover for purely economic losses.” Garweth Corp. v. Boston Edison Co.,
Chapter 93A (Count IV)
Finally, Unum asserts that Ippolito and the Benefit Partnership violated Chapter 93A by “fail[ing] to manage [the enrollment] process, and indeed, by all appearances, facilitating] applications from unqualified applicants.” Pis.’ Mem. 16-17. Under Chapter 93A, a person “who engages in the conduct of any trade or commerce” may bring an action for damages or other relief against another party who, in the course of his trade or business, engages in an “unfair method of competition or an unfair or deceptive act or practice.” Mass. Gen. Laws ch. 93A, § 11. Although the statute does not define “unfair” or “deceptive,” Massachusetts courts have recognized that “[a] practice is unfair if it is within the penumbra of some common-law, statutory, or other established concept of unfairness; is immoral, unethical, oppressive, or unscrupulous; and causes substantial injury to other businessmen.” Kenda Corp., Inc. v. Pot O’Gold Money Leagues, Inc.,
Although “mere breaches of contract, without more, do not violate chapter 93A,” Pepsi-Cola Metro. Bottling Co. v. Checkers, Inc.,
Whatever its applicability to Unum’s negligence claim, St. Paul plainly supports the imposition of Chapter 93A liability in these circumstances. See St. Paul, 427 Mass, at 376,
Defendants demur, maintaining that Unum offers no credible evidence to show that Ippolito or the Benefit Partnership engaged in any activity “primarily and substantially within the commonwealth,” as required by the statute. Mass. Gen. Laws ch. 93A, § 11. As the remainder of the statute’s text makes clear, however, “the burden of proof shall be upon the person claiming that such transactions and actions did not occur primarily and substantially within the commonwealth.” Id. Beyond stating that both Unum Group and Provident Life and Accident Insurance Company are not Massachusetts corporations, and that applicants for the cancelled policies may have come from various states, Ippolito and the Benefit Partnership offer no evidence to support the claim that their activities occurred outside Massachusetts. Ippolito was at all relevant times a Massachusetts resident and the Benefit Partnership was incorporated under the laws of Massachusetts and had its principal place of business in Massachusetts. The advance commissions were paid to and withdrawn from a Massachusetts bank. The “center of gravity of the circumstances that give rise to the claim” is thus within the Commonwealth. See Kuwaiti Danish Computer Co. v. Digital Equip. Corp.,
ORDER
Unum’s motion for summary judgment is ALLOWED on its breach of contract and Chapter 93A claims. Summary judgment on the negligence claim is DENIED. The Clerk will enter judgment for Unum on Counts I and IV of its Complaint. Should Unum elect to voluntarily dismiss Counts II and III, the Clerk will schedule an assessment of damages hearing on Counts I and IV. Unum will have twenty-one (21) days from the date of this Order to advise the court as to whether it wishes nonetheless to proceed on Counts II and III.
SO ORDERED.
Notes
. The constructive trust claim was added to assert a lien on $50,000 of commission payments deposited with the Clerk of the U.S. District Court for the Eastern District of Missouri pursuant to Rule 67. Because these funds have been recovered without any need to serve the Clerk, the court deems the claim (Count VII) to have been voluntarily dismissed.
. Ippolito has chosen in this action to exercise his Fifth Amendment privilege against self-incrimination, while the Benefit Partnership has elected to submit no evidence in opposition to Unum’s motion for summary judgment. The facts recited are therefore uncontested.
. In both its Complaint and summary judgment briefing, Unum tends to treat Ippolito and the Benefit Partnership as one and the same, referring to breaches of agreements signed only by one defendant as having been committed by both. Given the rather blurred lines of demarcation between Ippolito and his corporation, the temptation to do so is clear. Unum has not, however, argued for a piercing of the corporate veil. See My Bread Baking Co. v. Cumberland Farms, Inc.,
. The evidence underpinning Unum's claim that Ippolito failed to return advance commissions applies equally to the Benefit Partnership. But, while the Benefit Partnership was designated in the Voluntary Workplace Benefits Commission Agreements to receive advance commissions on policies sold in states where it was licensed, it was not a party to the Advance Commission Agreement requiring the repayment of advance commissions on refunded policies. The court therefore looks only to those agreements to which the Benefit Partnership was a party.