USCA1 Opinion
UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT
____________________
Nos. 93-1877
93-1878
93-1879
93-1880
93-1881
93-2209
93-2300
AETNA CASUALTY SURETY COMPANY,
Plaintiff - Appellee,
v.
P&B AUTOBODY, ET AL.,
Defendants - Appellees.
____________________
ARSENAL AUTO REPAIRS, INC., ET AL.,
Defendants - Appellants.
____________________
No. 93-1903
AETNA CASUALTY SURETY COMPANY,
Plaintiff - Appellee,
v.
RODCO AUTOBODY, ET AL.,
Defendants - Appellees.
____________________
BETTY ARHAGGELIDIS,
Defendant - Appellant.
____________________
No. 93-2257
AETNA CASUALTY SURETY COMPANY,
Plaintiff - Appellee,
v.
P&B AUTOBODY, ET AL.,
Defendants - Appellees.
____________________
BETTY ARHAGGELIDIS,
Appellant.
____________________
APPEALS FROM THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MASSACHUSETTS
[Hon. William G. Young, U.S. District Judge]
___________________
____________________
Before
Torruella, Chief Judge,
___________
Boudin, Circuit Judge,
_____________
and Keeton,* District Judge.
______________
_____________________
William F. Spallina, with whom Carol A. Molloy was on brief
____________________
_______________
for defendants Arsenal Auto Repairs, Inc., et al.
Kenneth R. Berman, with whom David A. Guberman and Sherin
__________________
_________________
______
and Lodgen, were on brief for defendant Jack Markarian.
__________
James P. Duggan, Alfred E. Nugent, John G. Lamb, Flynn,
________________
_________________ ______________ ______
Hardy & Cohn, Giovano Ferro II, Ferro, Feeney, Patten & Galante,
_____________ ________________ _______________________________
Daniel T. Sheehan, Ralph Stein, Edward G. Ryan, Ahmad Samadi,
__________________ ____________ _______________
____________
Joseph S. Carter, William D. Crowe, Crowe, Crowe & Vernaglia and
_________________ ________________ ________________________
Abdullah Swei for defendants P Autobody, et al.
_____________
____________________
*
Of the District of Massachusetts, sitting by designation.
-2-
David S. Douglas and David O. Brink, with whom Howard S.
________________
_______________
__________
Veisz, Kornstein Veisz & Wexler, Glenda H. Ganem and Smith &
_____
_________________________
________________
_______
Brink, were on brief for plaintiff-appellee Aetna Casualty and
_____
Surety Company.
____________________
December 29, 1994
____________________
-3-
KEETON, District Judge.
______________
widespread
fraudulent
shops and two
scheme,
insurance claims
This case concerns an alleged
involving
five
adjusters.
The
automobile body
purpose of
the
scheme was to obtain payments on fraudulent insurance claims.
Seven
challenge on
jury
appellants,
defendants
in
the
trial
court,
numerous grounds the final judgment entered after a
trial.
The
judgment was
for
Aetna Casualty
and Surety
Company ("Aetna") against
(a)
conspiracy in
Betty
Arhaggelidis
on
the sum of $373,857.28 plus
the
theory
of
civil
interest from October
2, 1989 to the date of entry of judgment;
(b)
the
Tirinkians
and
the
Markarians
(the
five
individual "Arsenal defendants") for $3,859,901.72 (consisting of
damages of
1962(c)
$789,967.24 trebled to $2,359,901.72
and 1962(d)
Organizations
of the
Act ("RICO"),
under 18 U.S.C.
Racketeer Influenced
and costs,
and Corrupt
expenses, disbursements
and attorneys' fees
of $1,500,000.00) together with
prejudgment
interest from October 2, 1989 to the date of entry of judgment;
(c) three
Peter
Markarian,
of the Arsenal
and
Jack
defendants (Zareh Tirinkian,
Markarian)
for
separate
irreducible penalty of $1,579,934.48 under Mass. Gen. L.
and
ch. 93A
in addition to the amount set forth in (b); and
(d)
Arsenal Auto
Repairs,
Inc.
("Arsenal Auto"),
separate defendant in the action, for the sum of $789,967.24 on a
claim of civil conspiracy
plus interest from October 2,
1989 to
the date of entry of judgment.
-4-
For the reasons that follow,2 we affirm.
I.
I.
We
jury might
BACKGROUND
BACKGROUND
begin this Opinion with
have found them;
most favorable to
Santiago, 872 F.2d
________
we view
the verdicts.
a summary of
facts as the
the evidence in
See United States v.
___ ______________
1073, 1078-79 (1st
the light
Rivera_______
Cir.), cert. denied,
____________
492
U.S. 910, (1989).
One of
and
operated
appealed
appellant
the body
by
shops, Rodco/P&B Autobody,
defendant
the judgment
Petros Arhaggelidis,
against
him.
Betty Arhaggelidis.
He
is
was owned
who
the
has
husband
not
of
She was the owner of two Mercedes
upon which six fraudulent claims were made to Aetna.
Another
appellant in
the
body
this action), was
Zareh Tirinkian.
Markarian
of
shops, Arsenal
Auto
owned and operated
(also
an
by appellant
His wife, Lena Tirinkian, and her brothers John
and Peter
Markarian
were employees
of Arsenal
Auto
during the period of the alleged fraudulent scheme.
Tarja Markarian
and her husband
Peter Markarian
were
the co-owners of a Mercedes upon which two fraudulent claims were
made to Aetna.
From
1987 to
1989, the
Arsenal defendants,
together
____________________
2
The published version of this Opinion includes only the
background statement of facts (Part I) and discussion of those
issues that may be of
general interest (Parts II-IX and
Conclusion). The remaining portions of the Opinion (Parts X-XIV)
contain a detailed explanation of the sufficiency of the evidence
to support the jury findings and address other issues that do not
appear to have precedential importance. See First Cir. R. 36.2.
___
-5-
with
employees
insurance claims
paid
and
friends,
to Aetna
submitted
ten additional
cars.
fifteen fraudulent claims
either Lena or Tareh
Peter and
The Tirinkians submitted a
(seven to Aetna)
Tarja Markarian submitted four
in his own name, was the
where most of
other insurance
Tirinkian was the claimant or
to Aetna) on their Mercedes.
Aetna
The Arsenal defendants filed
fraudulent claims with
companies on the same group of
total of
fraudulent
involving luxury automobiles.
$137,346.83 on these claims.
at least
sixteen
upon which
the insured.
fraudulent claims (two
John Markarian, who filed no claims
supervisor of repairs at Arsenal
the cars
involved in the
Auto,
fraudulent claims
were
stored and purportedly repaired.
Timothy Cummings and Steven Dexter were two of the many
Aetna
appraisers who covered the area where Arsenal Auto and the
other body shops were located.
appraisal
Arsenal
for
ten of
defendants
friends)
filed
Cummings
and
the
Either Cummings or Dexter did the
sixteen fraudulent
(personally
over a
Dexter
or
three-year
submitted
claims
in cooperation
period
that the
with
their
commencing in
1987.
false appraisals
to
help
the
Arsenal defendants defraud Aetna.
In the district court,
judgment was entered by default
against Cummings and Dexter under RICO for $789,967.24 (being the
amount paid out
Aetna
that
the
by Aetna
jury
on 112 insurance
found
to
be
claims submitted
fraudulent)
trebled
to
to
$2,359,901.72 plus interest at 12% per annum from October 2, 1989
on the
trebled amount, plus $1,500,000
in costs, disbursements,
-6-
and attorneys' fees.
For
involving
each of
the
the
sixteen
Arsenal defendants
them, Aetna, in accordance
fraudulent claims
and friends
directly
cooperating with
with its business practices, required
a completed work form to be submitted by the claimant.
the
Arsenal defendants
Arsenal
Auto or
repairs in
did not
any other
autobody shop
connection with any of
some claims, the evidence shows
occurred; in
inflicted.
provide any
other cases,
The jury
At trial,
documentation that
completed any
the claims.
With
of the
respect to
that the claimed accidents never
the claimed damage
was intentionally
may have supportably inferred that
in some
cases defective parts were placed on the cars for the purpose
of
appraisal and then later replaced with the original parts.
The
defendants
1962(c)
jury found
was liable
for
for
that
each of
the individual
a substantive
participating in
pattern of racketeering activity.
the affairs
Arsenal
RICO violation
of Aetna
under
through a
The jury also found all of the
individual
Arsenal defendants liable,
conspiracy
with the
shops
adjusters and the
under
1962(d),
operators of
for RICO
other body
(not including Betty Arhaggelidis).
The judgment against the
same amount, and on
Arsenal defendants was in the
the same calculus, as that
against Cummings
and Dexter, explained above.
Appellant
fraudulent
Betty Arhaggelidis
scheme through
Autobody, one
of
the
was associated
her husband,
five
autobody
the owner
shops
with the
of Rodco/P&B
involved.
Betty
-7-
Arhaggelidis owned
her
mother's
two Mercedes, one of which
name.
These two
Mercedes
was registered in
were involved
in six
fraudulent claims, as to all of which Cummings did the appraisal.
The jury found
theory
that she
centered around
was liable under
Rodco/P&B
a "civil
Autobody, and
conspiracy"
therefore
was
liable in connection with thirty-seven fraudulent claims.
The
them
except
on
appellants challenge the judgments entered against
a variety
for
of grounds.
Arsenal Auto
Repairs,
In addition,
Inc.,
each appellant,
appeals the
district
court's
denial of his or her motion
for judgment as a matter of
law because of insufficiency of the evidence.
First
relationships
we
consider
among the
the
RICO
issues
counts and
arising
the civil
from
the
conspiracy
count, then we consider other issues raised by one or more of the
appellants.
II.
II.
RELATIONSHIPS AMONG COUNTS OF THE AMENDED COMPLAINT
RELATIONSHIPS AMONG COUNTS OF THE AMENDED COMPLAINT
Appellants,
at various points,
and in briefs before this court,
judgment against them in
some
aspect of
oral argument
have seemed to suggest that the
this case is somehow flawed
the relationships
alleged and tried before
both in
the jury.
among the
We address
of this suggestion in Part III, infra.
_____
because of
different theories
specific aspects
We address the suggestion
more broadly here.
The district court
(asserted in
five different
considered five different
counts) that are
-8-
theories
relevant to
this
inquiry:
three claims of RICO substantive violations, one
claim
of RICO conspiracy, and one non-RICO conspiracy claim.
First. Count VII, a RICO substantive
_____
violation under
1962(c) alleging an
association-in-fact enterprise.
This
theory was dismissed from the case in the
trial court.
Second.
Count
VIII,
a
RICO
______
substantive
violation under
1962(c)
alleging Aetna as the enterprise.
The
jury found that this claim was proved
against
all
individual
Arsenal
appellants.
Third.
Count VI, a RICO substantive
_____
violation
under
1962(c),
alleging
Arsenal Auto as the enterprise. The jury
found that this claim was proved against
all individual Arsenal appellants.
Fourth.
Count IX, alleging a RICO
_______
conspiracy under
1962(d).
The jury
found that this claim was proved against
all individual Arsenal appellants.
Fifth.
Count X, common law civil
_____
conspiracy.
The jury found that this
claim
was
proved
against all
the
appellants, including Arsenal Auto and
Arhaggelidis.
The judgment against
the individual Arsenal appellants
jointly and severally in the amount of $2,359,901.72 is supported
by
the
jury's
Therefore,
or
liability
on
Counts
VIII and
IX.
if we determine that either the finding on Count VIII
______
that on
judgment must
the
finding of
Count IX
stand.
evidence was
is supported
by sufficient
evidence, the
In fact, as we explain below, we find that
sufficient
for the
jury
reasonably to
find
liability on both Count VIII (the RICO substantive violation with
____
Aetna as the enterprise) and Count IX (the RICO conspiracy).
-9-
The Arsenal appellants do not challenge the sufficiency
of the evidence in
Count VI or
on Count X.
with respect
deficiency
support of the jury's finding of liability on
to
Count
that
VI is
we have
Moreover, because
the individual
The only
an
rejected
we have
argument raised by appellants
argument
as
regarding
pleading
wholly without
support.
determined that the
judgment against
Arsenal appellants is supported
by jury findings
on Count VIII and Count IX, we have no reason to consider whether
appellants are independently
liable under Count VI,
Count X, or
both.
The
judgment against Arsenal
is also an
appellant in this action, is
finding of
liability on
Count X,
Arsenal Auto has not challenged
Auto Repairs, Inc. which
supported by the jury's
the civil conspiracy
the sufficiency of the
theory.
evidence
supporting the jury's finding with respect to its liability under
Count X.
The judgment against Arsenal Auto is
affirmed for the
reasons stated in other parts of this Opinion.
The
supported
civil
judgment
by the
against
appellant
jury's finding
conspiracy theory.
sufficient to support the
Arhaggelidis
of liability
We conclude
on Count
that
is
X, the
the evidence
was
jury's finding against Arhaggelidis on
Count X.
From this summary, it is clear that
assertions
is
true:
the
legal
relationships
defendants,
and
claims
are
factually.
A question remains,
one of appellants'
among
complex
transactions,
both
however, as to
legally
and
how, if at all,
-10-
any of those complexities or all of them taken together bear upon
any of the issues before this court on appeal.
Nowhere in the trial record, or in their
this court, except in
in
a passage from their brief
Part III, infra, and
_____
was too
complex for a
did the appellants ever
an argument that
briefs before
that is quoted
the consolidated case
jury to understand, App.
Brief at 59-61,
clearly formulate an argument or
set of
arguments based upon their hints and innuendos about complexity.
Nevertheless, we have read
with special care all parts
of the briefs containing such hints or suggestions.
We have done
so,
any argument
first, to
presented
be certain
we have
not overlooked
and, second, to assure that we have taken into account
any cited cases that
fact pattern
as
might bear upon the
complex as
issues presented by
that before
us, with
interlocking
personal, family, and institutional relationships.
Entirely apart
from the complexities added
by RICO, a
risk of confusion has long existed because of relationships among
different legal and factual theories
invoked by the parties or
potential
consequences
conspiracy is
in
civil.
of conspiracy that might be
by a court.
of
invoking
The law bearing
different
more extensively developed in
Even with
relevant statutes
respect to the
and precedents
upon the
theories
of
criminal cases than
criminal context, however,
provide only
limited guidance
for structuring factual and legal analysis.
In criminal
cases, issues arise often
whether a case should be viewed as one involving:
-11-
with respect to
(1)
single
conspiracy of
many
parties,
multiple
objectives, and broad sweep;
(2) multiple independent conspiracies; or
(3)
involve
nest
overlapping
conspiracies
of
interlocking
conspiracies
or
conspiracies
smaller,
that
discrete
may
inner
of fewer persons and smaller scope that are tied in
with a larger conspiracy
whose members include some but
not all
of the members of the discrete inner conspiracies.
See, e.g., United States v. Glenn, 828 F.2d
_________ _____________
_____
855 (1st Cir. 1987).
One
result of
this
range of
possible
interpretations of
the
evidence in a particular case is that a question concerning legal
theory and
arguments based upon it,
and concerning instructions
explaining the law to the jury, is difficult and "is probably not
susceptible to an abstract answer unrelated to context."
United States v. Oreto, No. 91-1769, slip
______________
_____
op. at 19 (1st Cir. Oct. 4, 1994).
The persons
alleged to be RICO
conspirators and civil
conspirators in the present case, like those charged under a nonRICO conspiracy theory in Oreto
_____
have engaged in a series of transactions
that could be viewed as a set of separate
conspiracies, or one overall conspiracy
embracing numerous wrongful transactions,
or . . . both an overarching conspiracy
and
a
nest
of underlying
smaller
conspiracies.
Partly this is a problem
of proof and
inference; partly
the
problem arises from trying to squeeze
into the conceptual cubbyhole of "an
agreement" activities that in practice
often have the more shapeless character
of
an
evolving
joint
criminal
enterprise.
-12-
Id. at 20 (citations and reference to
___
double jeopardy omitted);
see also United States v. Sep lveda, 15
________ ______________
_________
F.3d 1161, 1191 (1st Cir. 1993), 114 S.Ct.
2714
(1994)("[T]he
fact
that
the
organization's methods and tactics evolved
over time did not dictate a finding of two,
three, or four separate conspiracies.").
In a
choice
of
criminal context, the prosecutor
theory,
consequences,
though
including
the
choice
those incident
may
be
to
the
is allowed some
burdened
law of
with
double
jeopardy.
In a
some choice
also, may
civil context,
of theory.
But
be burdened with
likewise, parties may
the choice,
in the
be allowed
civil context
consequences -- a point
to which we
return below.
In this
case, added
relationships
among
relationships
between different
layers of complexity
theories exist,
not
conspiracy
only
incident to
because of
counts --
the
Count IX
(RICO
conspiracy) and
Count
X (civil
conspiracy) --
because of the
relationships among these
alleging
substantive
RICO
Also, as in criminal
op.
counts and the
violations (Counts
VII
cases, see, e.g., Oreto, No.
_________ _____
at 19, an answer as to
but also
counts
and
VIII).
91-1769, slip
what significance, if any, the legal
and factual theories may have, must be context sensitive.
Because procedural law allows
parties to
legal
a civil action involving such an array of factual and
theories as
choice at least
court.
alternative contentions,
this case
until late
For example, both
presents may
be allowed
stages of proceedings
to defer
in the
plaintiffs and defendants
trial
in a civil
-13-
case may be allowed to maintain alternative contentions at
until the evidence
choices
to be
is closed,
made about
the
when the court
form of
about instructions
either
"special
to the jury.
question"
may require
verdict to
submitting the case to the jury -- see Fed.
___
some
be used
in
R. Civ. P. 49 -- and
When a party does
or an
least
instruction
not request
submitting
particular theory of conspiracy
choice that
has the
associated consequence of
precluding the assertion
conspiracy.
limit
after verdict of the
See, e.g.,
__________
procedural
rule, in
the scope
to the jury, that party
Fed.
R.
Civ.
this instance)
of
choice by
attached
to each of the
complete
freedom of choice.
almost certainly
omitted theory of
P. 49.
The
allows choice,
defining
makes a
law
(a
but it
may
consequences that
are
available options, rather than allowing
A
party making
a choice
of this
kind, among legally defined options only, is making an "election"
in the classic sense.
See John S. Ewart, Waiver or Election, 29
___
___________________
Harv. L. Rev. 724 (1916).
Of
allow
course, a
submission to
trial
court may
jury
of
two
in some
or
more
circumstances
theories,
with
appropriate instructions explaining as to each theory the factual
elements the jury must
theory.
factually
theories
The
find to return a verdict
different
compatible
submitted
-may
theories submitted
that
be
is,
to
Also,
may
be
sustaining all
however,
the
conspiracy submitted to a
case may be so factually
-14-
a jury
verdict
permissible.
evidence and the different theories of
jury in a particular
sustaining that
incompatible that
the
jury's choice is
limited to finding
one or another
of the
theories supported, but not all.
In the present case, the trial judge, in submitting the
case to the jury, used a verdict form that at
appear
to
"general
be
submission
verdict,"
examination,
R.
Civ.
P.
against each
as a
that the court
the jury, under Fed. R. Civ.
that were alleged but
theory
Fed.
it, discloses
general verdict of
claim
"special questions,"
with
49(a).
no
Closer
however, of both the verdict form and the record of
colloquies about
each claim
under
on
first glance might
matter
alleged in
required only
P. 49(b), as to
defendant, after elimination
as to which either the court
of law
of claims
rejected the
(the association-in-fact
Count VII) or
Aetna elected
conspiracy
not
to request
submission to the jury.
The
submission of
jury to report
allegedly
a separate
an answer as to
fraudulent
claims
question requiring
each of at least 122
was
necessary
the
of the 176
because
disputed
factual issues were presented not only with respect to whether an
alleged
RICO
conspiracy
and
the
alleged
RICO
substantive
violations existed, and, if so, what defendants were liable under
each
theory,
transactions
but
also with
was
within
substantive violation.
of
the judgment
to
The
respect
the
scope
to
of
whether
the
each of
the
conspiracy
or
answers have a bearing on
be entered,
even
though the
the terms
trial
judge
determined
(supportably,
we
have
concluded)
that no
genuine
dispute of fact existed as to the amount paid by Aetna on each of
-15-
the 112 claims the jury found to be fraudulent.
In summary, we conclude
for
plaintiff
against
the
that the verdicts and judgment
appellants
are
evidence received in this case, and by law.
supported
by
the
-16-
III.
III.
A.
__
SUFFICIENCY OF PROOF
SUFFICIENCY OF PROOF
Standard of Review
__________________
Appellants challenge the sufficiency of the evidence to
support the judgment entered
against them.
They argue
district court should have granted their motions
that the
for judgment as
a matter of law.
The district court may grant a motion for judgment as a
matter
of
law only
if, after
reasonable inferences
the
nonmovant," it
reasonable
person
examining
the evidence
therefrom "in the light
determines that "the
to only
one
and all
most favorable to
evidence could
conclusion,"
lead a
favorable to
the
movant.
Gallagher v. Wilton Enterprises, Inc., 962
_________
_________________________
F.2d
120,
124 (1st
Cir. 1992)(quoting
Hendricks & Associates, Inc. v. Daewoo Corp.,
____________________________
____________
923 F.2d 209, 215 (1st Cir. 1991)).
A
denial of judgment
which
as a matter
means that we use the
of law is
"reviewed de novo,
__ ____
same stringent decisional standards
that control the district court."
Id. at 125.
___
With respect to the five individual Arsenal defendants,
appellee argues
is
supported,
that the judgment in the amount of $2,369,901.72
independently, by
first,
the finding
liable
on a theory of
the
enterprise
finding that
theory of
that all
under
each of
individual Arsenal
RICO substantive violation
1962(c)
(Count
all individual Arsenal
RICO
two jury
conspiracy
under
VIII)
findings --
defendants are
with Aetna as
and, second,
defendants are liable
1962(d) (Count
IX).
the
on a
With
respect to defendant Betty Arhaggelidis, the appellee argues that
-17-
the judgment in
the amount
of $373,857.28 is
supported by
the
jury finding that she was liable on a theory of civil conspiracy.
We examine the evidence supporting each of these theories against
each defendant in Parts III.C, III.D, and III.E, infra.
_____
B.
__
Appellants' Preclusion Argument Based
on the
__________________________________________________
Relationship of Count VII to Other Counts
_________________________________________
The appellants challenge the district court's denial of
their motion for
RICO
judgment as a matter of law
substantive charge
alleging Aetna
Count IX, the RICO conspiracy charge.
district
court
matter of
law
on
alleging
an
association-in-fact
defendants),
granted defendants'
the
Count VII
district
(the
court
on Count VIII, the
as the
enterprise, and
They contend that once the
motion
RICO
for
substantive
enterprise
should
judgment as
have
violation
including
granted,
all
also,
defendants' motion for judgment as a matter of law on Counts VIII
and IX.
(This argument was
not made in the
defendants' motion for judgment as
nor is it asserted on appeal.
the enterprise, alleges
alleged in Count
VII.
trial court as
a matter of law on
to
Count VI,
Count VI, alleging Arsenal Auto as
a scheme
Thus, no
of a smaller
scope than
plausible argument can
that
be made
that the court's dismissal of Count VII requires the dismissal of
Count VI.)
Appellants do
their preclusion
not clearly state the
argument.
Reading
legal premises of
generously to
appellants,
however, to assure that we address any contention that might even
-18-
plausibly be presented, we infer that some asserted principle
preclusion is
at least
implicitly if not
explicitly suggested.
For example, appellants say:
The trial judge's ruling directing a
verdict for all Defendants on Count VII
of the Complaint, because
there was
"insufficient evidence to sustain Count
7,
an
overall
association-in-fact
enterprise," (App. 4092), separated the
Arsenal
Defendants
from
the
other
Defendants in the
case and
thereby
disassociated [sic] the actions of the
Allston
Group from the acts of the
Arsenal
Defendants.
Without
the
association-in-fact enterprise to meld
the acts of the various Defendants into
an overall conspiracy, the link between
the Arsenal Defendants and the Allston
Group was severed thereby absolving the
Arsenal Defendants from any wrongdoing
concerning bribery. As such, the trial
judge's ruling, by implication, absolved
the Arsenal Defendants from bearing the
burden of the Allston Group's bribery.
Appellants' Brief at 41-42.
of
It
alleges a
is true
that
each of
fraudulent scheme
Counts
VII, VIII,
that includes all
and
the body
IX
shops.
These three theories have the same "scope" in the sense that each
of them would support the judgment against the Arsenal individual
defendants in
count
asserts
theories
Counts
the amount
has
but
different.
distinctive
all of
VII and
1962(c),
of $2,369,901.72.
the elements
VIII
the
theory,
allege RICO
entities
and
of any
Nevertheless, each
none
of the
other of
the three.
substantive violations
alleged
as
the
three
under
enterprise
are
In contrast to these substantive violations, Count IX
___________
alleges a RICO conspiracy under
__________
1962(d).
-19-
Since
elements of
that
each
of
proof, the
the dismissal
the three
counts
appellants are
of one
of these
requires
incorrect when
counts, namely
different
they say
Count VII,
requires the dismissal of one or both of the other two counts.
________
Although the appellants' argument
fails as a matter of
law,
we proceed
to
consider
implicit premise that may
the
possibility
have led to such a
of
some
other
patently incorrect
statement of law.
One
argument
is
premise
that
in
that
may be
order
to
inferred
prove
from
Count
appellants'
VIII,
the
RICO
substantive violation with Aetna as the enterprise, the plaintiff
had
to prove the same relationships
were essential to
Count VII.
the association-in-fact enterprise
alleged in
This assumption is incorrect.
Section 1961
defines an "enterprise" for
of RICO to include "any individual,
. or
between the defendants that
other legal entity,
associated-in-fact
1961(4).
Thus
partnership, corporation . .
and any union or
although
to satisfy
not a
the purposes
legal
group of individuals
entity."
18
the "enterprise" element
U.S.C.
of a
RICO
substantive violation, a plaintiff may prove either the existence
of a
legal entity,
individuals
were
such as
a corporation, or
__
associated-in-fact.
Since
that a
Aetna
group of
is
corporation, Aetna can constitute an "enterprise" for the purpose
of Count VIII, even
if there is no
proof of an
association-in-
fact enterprise.
In
contrast,
Count
VII
-20-
requires
proof
of
an
association-in-fact
enterprise.
enterprise
"ongoing
is
"function[ing]
apart
an
as a
from the
association-in-fact
organization,"
continuing
pattern of
An
unit," which
racketeering in
with
members
is "separate
which
and
it engages."
United States v. Turkette, 452 U.S. 576, 583 (1981).
_____________
________
Since
no
party has
challenged
grant of the defendants' motion
the district
court's
for judgment as a matter
of law
on Count VII, we need not determine the precise elements required
for
plaintiff
to prove
an
Nevertheless, it is clear that
is
different from
Aetna.
Since
different
of
consistent
law
with
enterprise.
an association-in-fact enterprise
an enterprise
different kinds of
matter
association-in-fact
that is
proof is
a legal
required to
entity, like
establish these
an enterprise, the court's determination as a
in
favor of
the
the
court's
defendants
determination
on
Count
VII is
that
fact
issues
remained for the jury to decide with respect to Count VIII.
Another
possible
articulated or acknowledged
premise,
which
is
not
explicitly
by the appellants, is
that in order
to prove a RICO conspiracy of the scope alleged in
Count IX, the
plaintiff was required to prove
the existence of an association-
in-fact enterprise of that same scope.
This premise is
require
proof
of
an
not valid.
Section 1962(d) does
association-in-fact
enterprise.
not
Any
enterprise meeting the definition of enterprise in
Under
like
1961 an enterprise
Aetna as
the victim
1961 will do.
may include a legitimate
of the
legal entity
racketeering activity.
This
-21-
court has
previously upheld convictions under
both
1962(c) and
1962(d), that alleged a victim enterprise like Aetna.
See United States v. Boylan, 898 F.2d 230
___ _____________
______
(1st Cir.), cert. denied, 498 U.S. 849 (1990)
____________
(victim enterprise was the Boston Police
Department).
Therefore, in order to
satisfy the enterprise element of
a RICO
conspiracy of the scope alleged in Count IX, the plaintiff needed
only
to prove
necessarily an
hand,
some
kind
of
enterprise
of
association-in-fact enterprise.
that
scope,
In the
not
case at
proving a RICO conspiracy with Aetna as the enterprise was
sufficient.
For these reasons, the trial judge's ruling as a matter
of law
for defendants on Count VII, based on the conclusion that
there was not enough evidence to go to the jury on the
an
theory of
"association-in-fact" enterprise, is entirely consistent with
the jury findings of a
as
the victim
1962(c) substantive violation (with Aetna
enterprise)
and of
1962(d)
conspiracy (with
Aetna as the victim enterprise).
C.
__
Substantive RICO Violation Under 1962(c) with
__________________________________________________
Aetna as the Enterprise -- Count VIII
_____________________________________
For an
individual defendant to
with
Aetna
as
RICO
violation
enterprise,
the evidence must be sufficient for the jury to find
the
Aetna was an enterprise affecting interstate or foreign
commerce,
with
1962(c),
for a
substantive
that (1)
under
be liable
(2) that the
defendant under consideration associated
the enterprise, (3) that this defendant participated in the
-22-
conduct
of
the
enterprise's
defendant's participation
activity.
28 U.S.C.
and
(4)
was through a pattern
that
this
of racketeering
1962(c).
We consider,
prove each of these
affairs,
whether
the evidence
was sufficient
elements against each of the
to
defendants the
jury found liable under Count VIII.
First Element.
_______________
Aetna is
interstate commerce" within
purpose
of RICO
is to
from infiltration by
act,
the meaning of
racketeers.
states,
and
casualty
Aetna's conduct
of
The major
as used in
See
___
United States
_____________
2524 (1981).
insurer doing
its
affecting
business enterprises
"Enterprise"
corporations.
Turkette, 452 U.S. 576, 101 S.Ct.
________
property
1962(c).
protect legitimate
includes legitimate
major
an "enterprise
business
this
v.
Since Aetna is a
business
"affects
in
many
interstate
commerce."
See
United
States
v.
South-Eastern
___
________________
_____________
Underwriters Ass'n, 322 U.S. 533 (1944) (a
___________________
fire insurance company
that conducts
a
substantial part of its business transactions
across state lines is engaged in "commerce
among the several states" and is subject to
regulation under the Commerce Clause).
Appellants
"enterprise" because
argue
that
Aetna
cannot
constitute
the
the alleged racketeering activities were to
the detriment and not the benefit of
Aetna.
on a misinterpretation of the RICO statute.
This argument rests
The statute does not
require that the pattern of racketeering be in furtherance of the
enterprise.
convictions
In United States
_____________
of Boston
police
v. Boylan, this
______
detectives who
-23-
court upheld the
violated RICO
by
illegally
participating
in the
affairs
of
the Boston
Police
Department (the enterprise), through a pattern of racketeering by
accepting bribes.
Boylan, 898 F.2d 230.
______
case, the
of
affairs
the enterprise
In
were
Boylan, as in this
______
undermined
by
the
illegal activity.
See also Yellow Bus Lines, Inc. v. Drivers
___ ____ ______________________
_______
Chauffeurs & Helpers Local Union 639, 913
_______________________________________
F.2d 948, 952 (D.C. Cir. 1990), cert. denied,
____________
501 U.S. 1222 (1991)("Section 1962(c) nowhere
requires proof regarding the advancement of
the enterprise's affairs by the defendant's
activities or proof that
the enterprise
itself is corrupt . . . .");
United States v. Provenzano, 688 F.2d 194
_____________
__________
(3rd Cir.), cert. denied, 459 U.S. 1071
_____________
(1982)(RICO is not limited to racketeering
activities that advance
or benefit
the
enterprise, but also encompasses racketeering
activities that work to the detriment of the
enterprise).
Second Element.
_______________
Aetna, attempt
Boylan
______
to distinguish
the defendants
constituted
the
Appellants, who are
Boylan by
______
were employees
RICO enterprise.
not employees of
pointing
of the
Appellants
out that
in
organization that
argue that
the
statute prohibits
affairs
through
detriment of
are
employees
a
pattern
of
affairs
with the
to
its
conducting
racketeering
the enterprise, but
merely associated
enterprise's
from
an
enterprise's
activity
does not prohibit
enterprise from
detriment through
to
the
persons who
conducting the
a
pattern
of
racketeering activity.
The
proposed
language of the statute,
or associated
__________
distinction
is
not
supported
which refers to "person[s]
with any enterprise."
____
18 U.S.C.
by
the
employed by
1962(c)(emphasis
-24-
added).
Nor is it supported by any identifiable public policy or
by precedent.
See, e.g., United States v. Yonan, 800 F.2d
_________ _____________
_____
164 (7th Cir. 1986) cert. denied, 479 U.S.
____________
1055 (1987)(upholding conviction of attorney,
who was not an employee of the enterprise, a
prosecutor's office, for violating RICO by
conducting the affairs of the prosecutor's
office through bribery);
United States v. Bright, 630 F.2d 804, 830_____________
______
31 (5th Cir. 1980) (upholding RICO conviction
of a bail bondsmen, who was not an employee
of the enterprise, a sheriff's office, for
unlawfully participating in the affairs of
the enterprise through bribery).
Appellants
held
also
liable for a RICO
enterprise
because
the defendants
substantive violation with
they
enterprise, but were
argue that
were
not
even
outsiders and, as
said
to "have participated
This
is an argument more
Aetna as the
"associates"
of
outsiders, could not
in the conduct"
of words than
cannot be
the
be
of Aetna's affairs.
substance.
The statute
uses the phrase "associated with" rather than creating a category
of "associates,"
those who
narrowly defined to include
may be said to have "associated with" an enterprise in
a broader sense of this phrase.
In ordinary usage,
example, buys an insurance policy
on
fewer persons than
the solidarity
of
defined risks, has an
one who, for
from an enterprise and depends
that enterprise,
for protection
against
association with, and may be said
to have
"associated with," the enterprise.
Each of the individual appellants was either an insured
or a claimant under an Aetna policy, or an owner or operator of a
body
shop involved
in repairing
-25-
automobiles insured
by Aetna.
Three of
the five individual Arsenal
and Peter Markarian)
insured,
were both
claimant,
appellants was
in a
or a
appellants (the Tirinkians
insureds and operators.
body
shop
operator,
contractual relationship
appellant) and its owners and
"associated
Aetna
evidence
because
each of
each body
an
the
with Aetna.
body shop (also an
with"
As
The
operators were
shop
about
which
was received at trial was a place where Aetna employees
conducted
appraisals and
where cars
that
were the
subject of
insurance were purportedly repaired.
Third Element.
______________
jury could have found
Appellants
argue that
no reasonable
that the appellants "participated directly
or indirectly in the conduct of the enterprise's affairs" because
the
defendants
management
did
not
"participate
of the enterprise itself."
in
the
operation
Reves v.
_____
or
Ernst & Young,
_____________
113 S.Ct. 1163 (1993).
Contrary
sufficient
evidence
to
for a
defendants'
activities
adopted by
the Supreme
"operation
or
allegedly
paying
the
met
reasonable
management"
damaged vehicles
assertion,
jury
the definition
Court in
automobile insurance
business.
appellants'
test.
and
to
of
Reves, which
_____
Id.
___
at
there
was
find that
the
"participation"
is known
1172.
as the
Appraising
investigating, processing,
claims are
vital parts
and
of Aetna's
By acting with purpose to cause Aetna to make payments
on false claims, appellants were participating in the "operation"
of Aetna.
The
Supreme
Court
in
Reves
_____
interpreted
the phrase
-26-
"conduct of the
direction," which
directing
was
enterprise's affairs" to
the court
described as
the enterprise's affairs."
sufficient to support a
defendants'
direction of
activities
not have
be
affected,
in
other employees make payments
made.
The Court
part in
The evidence
material
degree,
employees having authority
the
Appellants'
to do so
to
Aetna otherwise would
in Reves emphasized that,
_____
as in this
could be "indirect" in the
that persons with no formal position in the enterprise can
held liable under
1962(c) for
of the enterprise's affairs."
to
Id. at 1170.
___
of
finding that the individual Arsenal
case, the defendants' "participation"
sense
taking "some
Aetna's affairs by employees of Aetna.
activities caused Aetna
direct that
indicate a "degree
Id.
___
"participating in the conduct
The evidence
was sufficient
support a finding that each of the appellants participated in
the conduct of Aetna's affairs in this way.
Moreover, in Reves the
_____
"an
enterprise
also might
'associated with'
operated
the enterprise who
for example, by bribery."
most favorable to
be
court expressly recognized that
Id. at 1173.
___
the plaintiff,
or
managed by
others
exert control over
it as,
When viewed in the light
in support of
the verdict
in
this case, the evidence supports a finding that appellants caused
the Aetna appraisers
to approve false
claims and conduct
their
appraisals in a manner contrary to Aetna's business practices and
caused Aetna to pay out large sums of money on false claims.
evidence
was sufficient
exerted control
over
to
support a
the enterprise,
finding that
if
not by
The
appellants
bribery
(the
-27-
example given
by the
Court in Reves),
_____
methods of inducement.
some
aspect
least by
Since a reasonable jury could
the appellants exerted some
directing
then at
control over Aetna and took
of
the
enterprise's
other
find that
part in
affairs,
the
appellants'
actions
could
be
found
to
have
satisfied
the
"operation or management" test.
Fourth Element.
_______________
liability under
was
1962(c) is that each
"through a pattern of
establish a
show
The final element necessary to support
that
defendant's participation
racketeering activity."
pattern of racketeering activity,
each defendant
activity within the span
defined by 18 U.S.C.
committed
two
of ten years.
In order to
the evidence must
acts of
racketeering
The predicate acts
are
1961 to include mail fraud, wire fraud, and
bribery as well as aiding and abetting these offenses.
See Oreto, No. 91-1769, slip op. at 27
___ _____
(jury could find a pattern of racketeering
activity for the purposes of 1962(c) if the
appellants aided and abetted the commission
of at least two predicate acts);
see also Pereira v. United States, 347 U.S.
___ ____ _______
_____________
1, 9 (1954)(a person who aids and abets
another in the commission of mail fraud, a
violation of 1341, also violates 1341);
18 U.S.C.
1961
(violations of
1341
constitute predicate racketeering activity).
Although
which
these
terms
refer to
the beyond-reasonable-doubt
plaintiff in
civil RICO
action
burden
criminal
of
may prove
offenses to
proof applies,
these
preponderance of the evidence.
See Combustion Engineering, Inc. v. Miller
___ ____________________________
______
Hydro Group, 13 F.3d 437, 466 (1st Cir.
____________
1993)(the
preponderance of
the evidence
standard applies to fraud claims in civil
-28-
acts by
RICO proceedings);
see also Moss v. Morgan Stanley, Inc., 553
___ ____ ____
____________________
F. Supp. 1347 (S.D.N.Y.), aff'd 719 F.2d 5
_____
(2nd Cir. 1983), cert. denied sub nom. Moss
____________ _________ ____
v. Newman, 465 U.S. 1025 (1984) (although
______
proof
in
civil proceedings
under RICO
requires
only
a
preponderance of
the
evidence, which is a lower standard of proof
than in criminal proceedings, the standard
does not relate to the elements of the
predicate crimes, but to the burden that the
plaintiff bears in showing the elements).
The
defraud and
scheme.
The
elements of a mail fraud violation are a scheme to
the
use of
the mails
to execute
or further
this
United States v. Brien, 617 F.2d 299, 311
_____________
_____
(1st
Cir.), cert. denied, 446 U.S. 919
_____________
(1980).
plaintiff alleged
that each
defendant committed
predicate
acts of mail fraud.
The
intentional
filing of
false insurance
claims or
false completed work forms in order to obtain payments from Aetna
constitutes
a "scheme to defraud" Aetna.
need to prove that
The plaintiff does not
each defendant personally used the
mails but
only that the defendant acted "with knowledge that the use of the
mails will follow in
in
the ordinary course of business,
circumstances] where
such use
can be
United States v. Maze, 414 U.S. 395,
______________
____
it
reasonably foreseen."
399 (1974).
In this case,
could reasonably be foreseen by each defendant that either an
insured, a
claimant, a body
mails in connection with
Aetna would use
All
or [acted
of
of
would use the
each of the fraudulent claims,
the mails
these uses
shop or an appraiser
to send payments
the mails
were
in
to the
or that
recipients.
furtherance of
the
defendants' fraudulent scheme.
-29-
See United States v. Martin, 694 F.2d 885,
___ _____________
______
890 (1st Cir. 1982) (refund checks mailed by
an insurance company to the defendant, an
insurance agent, were closely enough related
to the agent's insurance fraud scheme to
bring his conduct within the statute).
In addition
there must be
the
predicate
activity.
established by
to proof of
at least two
evidence of "continuity"
acts
Boylan,
______
constitute
898
proving that
F.2d
predicate acts,
sufficient to show
"pattern"
at
250.
the predicate
of
that
racketeering
Continuity
acts "form a
may
be
closed
period
of repeated conduct" or
that they "are
a regular way of
conducting the enterprise."
Id.;
___
see also Digital Equipment Corp. v. Curie
___ ____ _______________________
_____
Enterprises,
142
F.R.D.
16 (D.
Mass.
___________
1992)(holding that the use of the mails forms
a "pattern of racketeering activity" if the
uses are related and they amount to, or pose
threat of, continued illegal activity).
The
evidence
of the
ongoing
succession
of fraudulent
claims
presented in this case easily satisfies this requirement.
The
appellants
claim is an act of
to
constitute
Similarly,
do
not dispute
that
mail fraud and that mail fraud
predicate
the appellants
offense
do
insurance claims were unrelated
continuity
necessary to
activity.
The
evidence of fraud on the
not contend
the
is sufficient
RICO
that the
statute.
fraudulent
or so dissimilar as to
establish
appellants
under
each fraudulent
simply
a "pattern"
contend
of racketeering
that there
part of any of the appellants.
concluded that this assertion is contrary to the record.
-30-
lack the
was
no
We have
D.
__
RICO Conspiracy under Section 1962(d) -- Count IX
_________________________________________________
In
addition
individual
Arsenal
defendants liable for a RICO substantive violation with
Aetna as
the enterprise,
the
Arsenal defendants
1962(d).
to
jury
finding
the
also found
each
liable for a RICO
of
the
individual
conspiracy violation under
Liability on this theory is proved against a defendant
by showing
(1) the existence of
commerce, (2) that the
to participate in the
enterprise affecting interstate
defendant knowingly joined the conspiracy
conduct of the affairs of
the enterprise,
(3) that the defendant participated in the conduct of the affairs
of the enterprise,
pattern of
and (4) that the
racketeering activity by
defendant did so through
agreeing to
fact committing, two or more predicate offenses.
commit, or
in
See Boylan, 898
___ ______
F.2d at 241.
Even
though no
party
objected
(on grounds
here) to the trial court's charge to the jury on
the
alleged
RICO conspiracy
(as well
as
relevant
the elements of
the elements
of the
alleged RICO substantive violations), we have examined the charge
to the jury and determined it
to be consistent with the elements
of a RICO conspiracy as we have stated them here.
In arriving at
this formulation, we have been sensitive to the fact that earlier
cases
in
this circuit
used
the phrase
"knowingly
enterprise."
United States v. Angiulo, 847 F.2d 956, 964
_____________
_______
(1st Cir.), cert. denied, 488
U.S. 928
joined the
_____________
(1988);
United States v. Winter, 663 F.2d 1120,
______________
______
1136 (1st Cir. 1981), cert. denied, 460 U.S.
____________
1011 (1983).
-31-
In Boylan,
______
the court
first
used this
same phrase
("knowingly
joined the enterprise"), 898 F.2d at 241 (emphasis added), but in
__________
a passage
following shortly
thereafter referred to
whether the
defendants had knowingly joined the conspiracy.
__________
Id. ("Our inquiry thus reduces to whether
___
such a conspiracy, knowingly joined by all
defendants, was satisfactorily proven.").
In
Boylan
______
(and
perhaps
the
earlier
cases
as
well),
this
difference in phrasing was immaterial to the outcome of the case.
This
all
was so in Boylan
______
because the evidence
was undisputed that
of the defendants alleged to have joined the conspiracy were
indisputably
alleged
employees
enterprise.
of
In the
the
Boston
Police Department,
present case,
on the
the
other hand,
plaintiff alleged that defendants who were not employees of Aetna
(the enterprise
in Count VIII) knowingly
joined the conspiracy.
For this reason we have addressed the issue more precisely in our
formulation, stated above, of the elements
of a RICO conspiracy,
as applied to this case.
We
conclude that
the issue
we must
consider is
not
whether the defendants knowingly joined the victim enterprise (as
first
whether
phrased in Boylan) but
______
the
conclude that
defendants
(as later stated
knowingly
the evidence
joined
is sufficient
in that Opinion)
conspiracy.
to support a
that each of the appellants "knowingly joined"
the
We
finding
1962(d) RICO
conspiracy.
The alleged
conspiracy to violate
1962(d) RICO conspiracy (Count
IX) was a
1962(c).
between a
The major difference
-32-
violation of
of
1962(c) itself (such as Count VIII) and a violation
1962(d) based on
1962(c)(such as Count IX) is the additional
required element that the defendant knowingly joined a conspiracy
to violate
1962(c).
defendant violated
prove two
Another difference is that, to prove that a
1962(c), it is necessary for the plaintiff to
predicate offenses; under
1962(d),
is not an element required to be proved.
1962(d), it is enough to prove
or more others
Boylan,
______
that two
898 F.2d
difference
is of
in contrast, this
To prove a violation of
that a defendant agreed with one
______
predicate offenses be
at 252.
In the
no practical
present
committed.
case, this
consequence because
See
___
latter
we conclude
that there was sufficient evidence to support a finding that each
defendant in fact committed two predicate offenses.
One
argument,
RICO
assertion,
perhaps
is that, in order
conspiracy
(a
implicit
to prove each
1962(d)
violation),
in
the appellants'
defendant liable for
the
plaintiff
was
required to prove a conspiracy to defraud Aetna in
which each of
the
one
Arsenal
defendants
conspired
directly with
or
more
persons associated with each of the other body shops.
This
assertion
is
incorrect
necessarily upon a misinterpretation
the elements necessary
to prove a RICO
that to find a defendant liable under
the defendant conspired to
not
of
because
it
depends
1962(d) with respect to
conspiracy.
It is
true
1962(d) one must find that
violate a subsection of
1962.
It is
necessary, however, to find that each defendant knew all the
details or
the
full extent
of
the conspiracy,
-33-
including
the
identity and role of every other conspirator.
Boylan, 898 F.2d at 242 ("A RICO conspiracy
______
does not demand . . . that all defendants
participate in all racketeering acts, know of
the entire conspiratorial
sweep, or
be
acquainted with all other defendants.")
All that is necessary to prove this element of the RICO
conspiracy, against a particular
or
the
defendant, is to prove that
she agreed with one or more co-conspirators to participate in
conspiracy.
Moreover,
it
is
not
conspiratorial agreement to be express,
can
plausibly
interdependence
States v.
______
defendant
be
inferred
of
activities
necessary
for
words,
and
persons
actions,
and
involved.
950 (1st Cir. 1992).
reasonably could have
the
so long as its existence
from
Concemi, 957 F.2d 942,
_______
case, the jury
each
he
the
United
______
In this
found that, although
each
may not have known the entire sweep of the conspiracy,
defendant knew
fraudulent scheme.
that
For
he or
she
was a
part
example, since the evidence
of a
larger
supported a
finding that each of the Arsenal defendants was well aware of the
fraudulent business
practices of
Dexter and Cummings,
the jury
could find that all of the Arsenal defendants knew they were part
of a larger conspiracy
to their
in which other persons made
own of fraudulent
appraisals by
uses similar
Dexter, Cummings,
or
both.
A
defendant
conspiratorial
who
sweep"
is
does
not
nevertheless
know
jointly
liable, in the civil context, for all acts
conspiracy.
Using a
the
and
"entire
severally
in furtherance of the
common metaphor, one may say
that Cummings
-34-
and Dexter, the Aetna appraisers, were at the hub of the
RICO conspiracy,
providing the
central point through
the defendant body shops were connected.
find that, through Cummings
extended
to
all the
which all
A jury could reasonably
and Dexter, the conspiratorial sweep
body shops
individual defendants.
overall
and most,
if
not all
of the
The jury in this case found that the RICO
conspiracy included all other appellants, except for Arsenal Auto
Repairs, Inc.
and
Betty Arhaggelidis.
We need
not
consider
whether the evidence would have supported a finding against these
two appellants as
of others under
well.
That was not essential to the liability
this theory, nor to
the liability of these
two
appellants under a different theory.
From evidence
of the
extensive dealings of
all other
appellants with Cummings and Dexter, the jury could have inferred
an
agreement,
to
defraud
Aetna,
defendants (Arhaggelidis not being
appraisers.
Through
among
all
of
the
Arsenal
an Arsenal defendant) and the
evidence
of
each
individual
Arsenal
defendant's actions, the jury could infer that each defendant had
the
requisite state of mind
for a RICO
conspiracy violation --
knowing participation.
See
Boylan, 898
F.2d at
242 ("[The
___
______
plaintiff] may prove [a RICO conspiracy]
through the use of circumstantial evidence,
so long as the total evidence, including
reasonable
inferences, is
sufficient to
warrant [the jury's findings].").
The appellants do not
conspired
dispute that Dexter and Cummings
with the owners and operators of the other body shops.
Through Dexter
and Cummings, the Arsenal
defendants were linked
-35-
to
all the
conspiracy.
agreed
to
other
defendants who
Thus, upon proof
the
commission
were
found liable
that each defendant
of
two
predicate
for
RICO
committed or
offenses,
each
defendant could be held liable for the overall RICO conspiracy.
Moreover,
plaintiff to
although
it
was
not
necessary
for
the
prove that the Arsenal defendants knew the identity
of defendants from
the other body
shops and conspired
directly
with them, the evidence was sufficient for the jury to infer that
this
was in
fact
testified that
the
case.
he frequently
For
example,
Zareh
attended parties and
other social
engagements with the operators of the other body shops.
Tirinkian
denied discussing
insurance claims with
showed
that
the
reported nearly
obtained
practice of
the other body
body
unusually similar.
his
The
shops'
body shops
identical types
all
considered
activities
of fraudulent claims,
along
sufficient to support a jury finding
with
evidence
defrauded Aetna,
appraisals from the same appraisers.
similarities,
Although
filing fraudulent
shop owners, the
racketeering
Tirinkian
were
they
and they
Evidence of these
other
evidence,
was
that the owners of the body
shops conspired directly with one another.
Id. at 242 (a jury may infer that a single
___
overall conspiracy existed when evidence of
racketeering
acts
shows
"hallmarks
of
similarity" and "a significant degree of
interconnectedness").
E.
__
Civil Conspiracy -- Count X
___________________________
Defendant
liable
Arsenal
under any RICO theory.
Auto
Repairs, Inc.
was
not
held
The judgment against Arsenal Auto
-36-
rests instead, upon
liable
for civil
challenge
the jury's
finding that Arsenal
conspiracy.
this finding
The appellants'
against
Arsenal Auto
insufficiency of the
evidence.
discussion of
conspiracy concerns
civil
For
Auto
was
brief does
on
not
the basis
this reason, the
of
following
Arhaggelidis's
appeal
only.
Appellant Arhaggelidis challenges the
against her for
of the
civil conspiracy on the ground
evidence.
conspired
with
The plaintiff
her
fellow
alleged that
Rodco/P&B
Autobody
judgment entered
of insufficiency
Ms. Arhaggelidis
defendants
to
defraud Aetna.
The
required
those
nature
of
"civil conspiracy"
to invoke this type
applying to
conspiracies in
the
proof
of claim differ significantly from
criminal conspiracies
particular.
and
generally and
Under Massachusetts
to RICO
law, either of
two possible causes of action may be called "civil conspiracy."
First.
______
cause of
There is precedent supporting
action in
coercive type.
Mass. 1985).
Massachusetts" for
See Jurgens v.
___ _______
a "very limited
"civil conspiracy"
Abrams, F. Supp. 1381,
______
"In order to state a claim of [this type
of a
1386 (D.
of] civil
conspiracy,
unison,
plaintiff
must
allege that
had some peculiar power
defendants,
acting in
of coercion over plaintiff that
they would not have had if they had been acting independently."
Id. (quotations omitted)(citing Fleming v.
___
_______
Dane, 22 N.E.2d 609 (Mass. 1939)).
____
Plaintiff,
complaint,
in
does allege
paragraph
a
480
of
Count
circumstance that,
of
if proved,
its
might
-37-
constitute such
is
that
a "peculiar power of coercion."
"defendants
were
collectively
able
The allegation
to
negate
the
safeguards that would have prevented any one group of defendants,
acting alone from
accomplishing a
fraud of this
type."
(App.
609).
Despite the
state a
fact that
the pleading was
sufficient to
claim of this type of civil conspiracy, however, Count X
was tried and the jury was
ultimately instructed on a second and
quite different "civil conspiracy" cause of action.
Second.
_______
This second type of civil
conspiracy is more
akin to a theory
of common law joint liability
in tort.
It
is
explicitly recognized in Massachusetts law.
See Gurney v. Tenney, 84 N.E. 428, 430
___ _________________
(Mass. 1908);
see also Phelan v. Atlantic Nat'l Bank, 17
___ ____ ______
___________________
N.E.2d 697, 700 (Mass. 1938)("[A]verment of
conspiracy does not ordinarily change nature
of cause of action [sounding in tort] nor add
to its legal force.").
In
the civil context,
both elsewhere and
word conspiracy is frequently
in Massachusetts, the
used to denote vicarious liability
in tort for "concerted action."
See W. Page Keeton, Prosser and Keeton on
___ _______________________________________
Torts 322 (5th ed. 1984);
_____
Restatement (Second) of Torts 876 cmt. b
______________________________
(1977).
That
is,
person for
on
the concept
is invoked
to
support liability
a tort committed by another.
this basis,
there
must be,
first, a
agreement, although not necessarily
persons to do
of one
For liability to attach
common
design or
an
express, between two or more
a wrongful act and, second, proof of some tortious
-38-
act in furtherance of the agreement.
See
___
b.
Where two or
Restatement (Second) of Torts
______________________________
more persons act
876 cmt.
in concert, each will
be jointly
and severally liable for the tort.
See id.;
___ ___
see also New England Foundation Co. v.
___ ____ ____________________________
Reed, 95 N.E. 935, 935 (1911)("The gist of a
____
civil action of this
sort is not
the
conspiracy, but the deceit or fraud causing
damage to the plaintiff, the combination
being charged merely for the purpose of
fixing joint liability on the defendants.").
According to the Restatement:
For harm resulting to a third person from the
tortious conduct of another, one is subject
to liability if he (a) does a tortious act in
concert with the other or pursuant to a
common design with him . . . .
Restatement (Second) of Torts,
The
Supreme
Massachusetts
common
876 (1977).
Judicial
Court
has
law
civil
conspiracy
liability of this nature,
of
implied
even if the elements of
that
the
encompasses
liability are
not in all respects identical to those defined in this section of
the Restatement.
Kyte v. Philip Morris, Inc., 556 N.E.2d
____
____________________
1025, 1027 (Mass. 1990)(citing Gurney, 84
______
N.E.
428, and
declining to
"pause to
determine whether the principles of
876 and
the law of the Commonwealth are, in all
respects, in complete accord" because the
parties accepted this section as governing
the principles of civil conspiracy in the
Commonwealth);
see also Gurney, 84 N.E. at 430 (alluding
___ ____ ______
to concert of action theory
similar to
876(a));
Payton v. Abbott Labs, 512 F. Supp. 1031,
______
___________
1035 (D. Mass. 1981)("The concert of action
-39-
theory in Massachusetts tracks
Restatement.").
The district court, in
876(a) of the
this case, instructing the jury
on civil
conspiracy, stated:
The essence of conspiracy is that the person
agreed with one or more other persons [to
commit an unlawful act] . . . .
Plus for
conspiracy . . . somebody has to do something
to attempt to make it come about.
(App. 4817-18).
Although
this
Restatement
instruction
876,
is
not
the appellant
before this court regarding
precisely
has
not
in
accord
with
presented any
the instruction.
In any
issue
event, she
would be precluded from doing so here, not having objected to the
instruction in the district court.
She
evidence
did,
by her
Fed. R. Civ. P. Rule 51.
however, challenge
motion for
judgment as
the
sufficiency
a matter
of the
of law.
We
conclude, nevertheless,
that we
need not determine
state
of Massachusetts law on concerted
under
any plausible
reasonably could
with
her
formulation
find that
husband and
the precise
action in tort, because
of Massachusetts
law, a
Betty Arhaggelidis acted
fellow
Rodco/P&B
jury
in concert
Autobody defendant
to
defraud Aetna.
The
Rodco/P&B
jury,
with
Autobody was
support
in
associated with
evidence,
found
that
thirty-seven fraudulent
claims that were submitted to Aetna, and that Betty
Arhaggelidis
was directly involved in six of those claims.
From the
find
also
that Ms.
evidence at trial, the
Arhaggelidis
jury reasonably could
"acted in
concert"
with her
-40-
husband, the owner
design.
All
six claims
claimed damage
six
with which she
of the
represented
pursuant to a
was connected
purportedly repaired at Rodco/P&B
claims were supported by
defendant.
many
of Rodco/P&B Autobody,
appraisals by Mr.
to
Aetna that
Evidence
the repairs
All
Cummings, a co-
was received
had
involved
Autobody.
Her husband, Petros Arhaggelidis, allegedly
cars personally.
common
been made.
repaired
that she
Also,
evidence
was received of other fraudulent conduct on the part of
Mr. Arhaggelidis:
found
to be
totalling
bribes.
he was a claimant
fraudulent, and
on several claims the jury
he made
payments to
Mr. Cummings
over $35,000, which the jury could have inferred to be
From the evidence as
a whole, the jury
could infer an
agreement between Betty Arhaggelidis and her husband, under which
they played different roles, but nevertheless acted together with
a common design to defraud Aetna.
IV.
IV.
SUBMISSION OF CLAIMS TO THE JURY
SUBMISSION OF CLAIMS TO THE JURY
The Arsenal appellants argue
involving the
the
jury,
Arsenal defendants
instead
of
should have been
the thirty-three
Arsenal defendants on which
correctly assert
that only sixteen
claims
evidence was heard.
that only sixteen of
claims
submitted to
involving
the
The appellants
these thirty-three claims
were made to Aetna; the other seventeen claims were made to other
insurance
companies
(except
for
Tareh
Tirinkian's
worker's
compensation claim).
Aetna
insurance claims
recovered
paid by
damages
for the
Aetna -- claims
-41-
sixteen
automobile
the jury found
to be
fraudulent.
The trial
seventeen claims
court
because each was relevant
of fraud with respect to one
at issue.
For example,
companies duplicated
or
admitted evidence
more instances,
damage that
district
was
correct
insurance
at trial,
In one
was allegedly sustained
in one
with another
we need not decide whether the
in
admitting
each of the seventeen
in some instances the appellants
evidence
claims to other
to Aetna in connection
On this appeal
this
to the determination
one or more of the claims to Aetna.
alleged accident.
corresponding to
the other
or more of the sixteen Aetna claims
many of the
accident was later reported
court
of
the
evidence
claims because, although
objected to the introduction of
their briefs
in
this court
have not
directly challenged these rulings of the district court.
Instead,
the appellants
argue that
the
verdict form
should not have asked the jury to determine whether each of these
seventeen other claims was
fraudulent.
We will
assume, without
deciding, that the trial court's inclusion in the verdict form of
questions about these seventeen claims was unnecessary because at
most they concerned findings of an evidentiary nature rather than
findings on ultimate
determine
issues of fact
whether each
element
that had to
of some
claim
be decided
or defense
to
was
proved.
Since the appellants do
an argument for prejudicial
they
were in fact
not even articulate grounds of
error, however, much less show
prejudiced in
any way
by the
that
submission of
these
seventeen other insurance claims
to the jury,
we have no
-42-
occasion to determine whether their submission was improper.
trial
court
arguments
did consider
that
they
and
were
reject
prejudiced
evidence
of these seventeen claims.
evidence
because
it tended
the Arsenal
by
the
to support
the Aetna claims and others as
issue
regarding
admissibility
of
defendants'
jury's
hearing
The trial court allowed the
a
finding of
pattern and scheme of fraud that the jury might
all
The
well.
the
a common
find extended to
Even assuming that an
evidence
is
properly
preserved for our consideration, we conclude that this ruling was
not an abuse of discretion.
Nor was it an abuse of discretion to
submit to the jury questions about these claims.
It is true that
the jury's findings with respect to the seventeen other insurance
claims were not essential to the judgment entered on the verdict.
We
note, however,
that an
argument can
be made,
appellee does
not advance it
view of other
findings), that each of these claims,
constitute mail fraud,
on appeal (and
although the
need not do
so in
if found to
would constitute a predicate act
for the
purposes of Count VI, the substantive RICO violation with Arsenal
Auto as
the enterprise.
related, fraudulent
and
one
was
For
example, one could argue
claims, although one was
submitted
to
another
that two
submitted to Aetna
insurance
company,
would
constitute a "pattern of racketeering activity" through which the
defendants participated in the conduct of the
affairs of Arsenal
Auto.
In considering the sufficiency of evidence, we need not
address the merits of such an argument because even when limiting
-43-
the scope
of our
review of the
insurance claims, we
evidence to
find that there was
1962(c) by committing two
Aetna
sufficient evidence to
support the finding that each of the Arsenal
RICO
the sixteen
defendants violated
related, predicate acts of mail
fraud.
V.
V.
UNFAIR TRADE PRACTICES:
UNFAIR TRADE PRACTICES:
Mass. Gen.
acts
Mass.
or
L. ch.
practices in
Gen.
L. ch.
93A
93A prohibits "unfair
the conduct
2.
MASS GEN. L. CH. 93A
MASS GEN. L. CH. 93A
The
of
any trade
or deceptive
or commerce."
statute provides
for treble
damages
jury
in the case of a willful
found
Markarian's
that
Zareh
violation of the statute.
Tirinkian, Jack
deceptive business
Markarian,
and
practices constituted
The
Peter
a willful
violation of this statute.
Appellants contend
purely
personal and
that
that their dealings with Aetna were
they did
not
violate this
statute,
because they did not deal with Aetna in a business context.
Appellants
"persons
to
are
correct in
asserting that
the phrase
engaged in . . . trade or commerce" refers specifically
individuals acting
in a
business context.
Carson, 373 N.E.2d 973 (Mass. 1978).
______
See
___
Lantner v.
_______
Contrary to the appellants'
assertions, however, the evidence was sufficient for the
find that
these
three
defendants were
acting
context and engaged in unfair or deceptive
in
jury to
business
business practices in
violation of this statute.
All three defendants were
business:
Zareh
Tirinkian
was an
-44-
involved in the Arsenal Auto
owner
and Jack
and
Peter
Markarian performed
members
and friends
repair work.
of
these
claims to Aetna for damages.
by
submitted
Auto.
family
fraudulent
Most of these cars were
appraised
of the repair
Many of the
to Aetna with respect
"Arsenal Auto
found that
defendants submitted
Aetna appraisers, and most
performed at Arsenal
The jury
work was allegedly
work completion
to these claims
Repairs," certifying
forms
bear the stamp
that Arsenal Auto
completed
the repair work.
Under Massachusetts law, "unfair
and deceptive acts or
practices" include acts of fraud.
See Evans v. Yegen Associates, Inc., 556 F.
___ _____
______________________
Supp. 1219, 1227 (D. Mass. 1982)("Acts of
fraud clearly fall within 2 [of Mass Gen. L.
ch. 93A].");
see also Heller v. Silverbranch Const.
___ ____ ______
____________________
Corp.,
382
N.E.2d
1065,
1069
(Mass.
_____
1978)(Chapter 93A expands common law notion
of fraud).
We
conclude that
the
evidence was
ample to
support
findings of fraudulent practices by these three defendants.
the
evidence before them, the
defendants used
jury could find
deceptive business
From
that these three
practices in
their dealings
with Aetna in violation of Mass. Gen. L. ch. 93A.
VI.
VI.
In
addition
JURY INSTRUCTIONS
JURY INSTRUCTIONS
to
arguing
insufficient to support the finding
Arsenal appellants violated 18
that
the
evidence
that each of the
U.S.C.
1962(c) and
was
individual
1962(d), the
appellants assign error in the district court's jury instructions
on these counts.
-45-
The
court
'participate
in
instructed
the
conduct
the
of an
jury
that
enterprise'
"[t]he
term
includes
the
performance of acts, functions or duties which are related to the
operation of
the enterprise."
instruction on
or indirectly
The
the meaning of the
appellants argue that
this
phrase "participated directly
in the conduct of the enterprise's affairs" failed
to comport with the "operation or management" test adopted by the
Supreme Court in Reves v. Ernst & Young, 113 S.Ct. 1163 (1993).
_____
_____________
The appellants
this
are precluded from
successfully making
argument on appeal, however, since they failed to object on
this ground
at trial.
appellants contend
Fed. R. Civ.
that they
P. Rule 51.
objected to this
Although the
instruction, the
most that can be said is that they objected to the "RICO -- Aetna
as the enterprise" charge on
the
enterprise as a matter
the ground that Aetna could not
of law.
See App.
___
4833.
be
The record
shows that the court did not interpret this to be an objection to
any jury instruction,
their motion
("You've
for judgment
as a
matter of law.
the theories going to the jury. .
to
interpreted
sufficient
that.").
as
In any
an objection
case, even
to
to preserve an issue
"state distinctly
the matter
the
App. 4834
Of course you
. . Your rights are
if this
instruction,
for appeal because
objected to
support of
See
___
made a directed verdict, I've overruled.
object to
saved as
but merely further argument in
and
were to
it
is
be
not
it does not
the grounds
for
objection."
Fed. R. Civ. P. Rule 51;
see also Jordan v. United States Lines,
___ ____ ______
_____________________
-46-
Inc., 738 F.2d 48 (1st Cir. 1984)(holding
____
that appellant's objection to
the trial
court's instruction on the definition of
"unseaworthiness" was not specific enough to
satisfy Rule 51).
Moreover, even if
viewed as an objection, counsel's statement is
reasonably understood as an objection
"enterprise"
and not
to the
only to the definition
definition of "participate
of
in the
conduct
of the affairs."
The appellants never
objected to the
district court's definition of "participate in the conduct of the
affairs of the enterprise,"
test or offer
nor did they ever mention
any alternative
to the instruction
the Reves
_____
given by
the
judge.
Although this
broader interpretation,
jury instruction
it
is
also
is arguably open
reasonably
convey a meaning consistent with the Supreme
Reves that
_____
in order to
"participate
itself."
in the
Reves,
_____
be liable under
operation or
113
S.Ct.
to
Court's language in
RICO, a defendant
management of
at
understood
to a
1173.
must
the enterprise
"Because
of
the
[appellants'] failure to comply with Rule 51, we review the trial
court's
instructions only for plain error."
F.3d 979, 982 (1st Cir.
1994).
Poulin v. Greer, 18
______
_____
"The plain error rule
should be
applied sparingly and only in exceptional cases or under peculiar
circumstances
(quotations
to prevent
omitted).
a clear
The
miscarriage of
alleged error
in this
justice." Id.
___
instruction
fails to pass this test.
VII.
VII.
A.
__
JURY TRIAL ON DAMAGES
JURY TRIAL ON DAMAGES
Post-Verdict Hearings and the Standard of Decision
__________________________________________________
-47-
The Arsenal appellants
against them
damages in
challenge the judgment
on the ground that they were denied a jury trial on
violation of the
Seventh Amendment guarantee
right to a jury trial upon a timely demand.
Appellants demanded a jury
verdict on the issues
that no
of the
Fed. R. Civ. P. 38.
trial and agreed to a
liability issues and damages.
determined
entered
bifurcation of
Following the jury trial and
of liability, the district
genuine disputes
jury
court properly
of material
fact remained
with respect to damages.
The appellants' challenge fails because, after the jury
verdict, damages could be determined purely "as a matter of law,"
in
the sense
legal
that reasonable
standard could
amount
of damages
factfinders applying
come to
to be
but one
awarded under
the correct
determination as
the jury's
to the
findings on
liability.
Precedents
guidance
regarding
summary judgment
provide useful
on issues arising after jury verdict in the first phase
of a phased trial such as occurred in this case.
In the pretrial context,
made
by
the parties,
summary
regardless of any jury demand
judgment
is warranted
triable fact issues have been identified.
See
Anderson v.
Liberty Lobby,
Inc., 477
when
no
___ ________
____________________
U.S.
242
(1986)(summary
judgment
is
appropriate when there are no disputed issues
of material fact);
see also Plaisance v. Phelps, 845 F.2d 107
___ ____ _________
______
(5th Cir. 1988)(plaintiff did not have an
absolute right to a jury trial where there
was no genuine issue of material fact, since
the function of a jury is to try disputed
material facts);
-48-
Bloomgarden v. Coyer, 479 F.2d 201, 206
______________________
(D.C.
Cir.
1973)("The summary
judgment
procedure is properly and wholesomely invoked
when it eliminates a useless trial. . . .").
In addition, under Federal
the
court may take action
"including
Fed.
the elimination
R. Civ.
P. 16.
Rule of Civil Procedure 16,
to formulate and
of
Rule
frivolous
16 also
simplify the issues
claims or
defenses."
authorizes courts
to take
action with respect to the "appropriateness and timing of summary
adjudication under Rule 56."
to
confirm
the power
issues" without
Id.
___
of the
awaiting a
Moreover, Rule 16 was intended
court
to "identify
formal motion for
Advisory Committee Notes, 1983 Amendment.
[] litigable
summary judgment.
In this case, the trial judge's determination regarding
the
damages to
liability.
court stated
trial
if
be
awarded was
the
jury trial
on
At the conference
on damages held
after trial, the
its intention to
enter a judgment
without another
no genuine
dispute of
determination remained.
stated,
made after
fact
material to
the damages
In a conference with counsel, the court
"[u]nder Rule 16, I have the
power to narrow the issues
for trial . . . I can in effect talk through a proceeding akin to
a motion for summary judgment."
This court
summary
Stella
______
has held
that a district
court may
grant
judgment sua sponte as long as two requirements are met.
v. Town of Tewksbury,
__________________
4 F.3d
53,
55 (1st
Cir. 1993).
"First the discovery phase must be sufficiently advanced that the
court can
make an accurate
issue
material
of
fact
determination of
[exists]."
Id.
___
whether a
(citation
genuine
omitted).
-49-
Second, "the target
of its
evidence."
must have been on notice
Id.
___
to bring forth all
"'Notice' in this context means that the
losing party
foot
. . . received
forward."
a fair opportunity to
put its best
Jardines Bacata, Ltd. v. Diaz-Marquez, 878 F.2d
______________________
____________
1555, 1560 (1st Cir. 1989).
These two
was not
requirements were met.
merely "sufficiently advanced."
The discovery phase
It was complete.
trial on the liability issues had been completed.
received notice and
judge,
before
an opportunity
entering
opportunity to file
The appellants
to be heard.
judgment,
allowed
The
the
written submissions on the
And a
district
parties
an
issues that were
raised at the conference.
In
substantially
their
post-trial memorandum,
the same argument
the
as they make
appellants made
before this court
(discussed below), and in both instances without any proffer that
they would be able to offer at a damages-phase trial any evidence
that would raise a genuine dispute of fact that might be resolved
by a factfinder in their favor.
B.
__
The Alleged Need for a Jury Trial
_________________________________
The appellants argue that
necessary
legitimate,
to determine
how much
that reported
losses
a jury trial on
of
damages was
each fraudulent
were merely
claim was
exaggerated, and
that Aetna's damages should be limited to the difference
the payment made
by Aetna and the actual loss
between
to the appellant.
Each of these arguments fails because, as a matter of
law, Aetna
is entitled to damages equal to the entire amount of its payments
-50-
on
fraudulent claims,
that might have
regardless of any
been shown
portion of
to be supportable
if no
the claims
fraudulent
enlargement of the claims had occurred.
We put aside Aetna's argument that
appellants violated
the cooperation clause of the various policies under which claims
were made.
In part that clause provides:
After an accident or loss, you or
anyone else covered under this policy
must
cooperate
with
us
in
the
investigation, settlement and defense of
_________________________________________
any claim or lawsuit. . . .
____________________
(App. 4800)(emphasis added).
forms,
Earlier automobile insurance policy
from which this language
in the Aetna
descended, contained an Assistance
was then called.
applied only to liability
here
were
precedent has
and Cooperation Clause, as it
That clause initially appeared among conditions
that
made
policies at issue
under
coverages.
collision coverage.
explicitly determined
The
claims at issue
No
Massachusetts
that this clause
in policy
forms like those at issue here applies to collision coverage.
these circumstances,
Judicial Court will
any
prediction about
hold that this
whether the
clause applies to
In
Supreme
collision
coverage is speculative, but
this
matter
in order
to
we need not make any
decide
this
appellants' favor, without deciding,
in
case.
prediction on
We
assume
in
that the cooperation clause
these Aetna policies does not apply to claims under collision
coverage.
The "cooperation
provision concerning
clause," of
course, is not
the only
insureds and
claimants
the obligations of
-51-
after
an
accident or
loss.
Other
provisions
concern giving
notice and filing a proof of loss.
Appellants
preclusion doctrines
that
making a
provisions of
contend
that
or another
of insurance law bars
fraudulent claim
the policy under
reason all of the
one
is a
various
Aetna from asserting
violation of
which the
of
claim is
any of
the
made.
One
appellants' preclusion arguments fail
is that
on
the facts of this case, as determined by supportable findings
of
the
jury,
calculation
of
fraudulent claim.
every
the
claim
damages
included
award
has
in
the
been
trial
found
court's
to
be
In addition, every claim for which the Arsenal
defendants were held
liable was made within the
substantive violation and
which
appellant
scope of a RICO
a RICO conspiracy, and every claim for
Arhaggelidis was
held
liable
was within
the
finding against her on the ground of civil conspiracy.
A
claimant,
in
making
fraudulent
claim,
was
committing a material breach -- indeed, a most fundamental breach
-- of the contract between
Aetna and its policyholder.
This is
true, of course, not only of a claim by the policyholder but also
of any claim under the policy by any other person entitled by the
terms of the policy to make a claim under the policy.
A
breach
as
fundamental as
assertion of any further
guilty of the breach.
E.
this
is
bar to
rights under the contract by
the party
This is a basic rule of contract law.
Allan Farnsworth, Contracts 632-38 (2d ed. 1990).
_________
the
See
___
It applies
to insurance contracts as well as other contracts.
-52-
Appellants
preclusion doctrines
contend
developed
that
one or
another
distinctively in
of
various
insurance
law
nevertheless bars Aetna from asserting fraud by the appellants in
this
case.
This contention
fails because the
this case have negated at least
jury findings in
one of the essential elements of
each preclusion theory appellants attempt to invoke.
The jury's findings negate the voluntary relinquishment
of known rights that
sense,
the
detrimental
characteristic of
choice of an
estoppel in
have
election beyond
by
that
is characteristic of
is
stretched
their classic
election in
is
the
informed and
cases
waiver,
meaning to favor
that
the voluntary
of a less
characteristic of
doctrines of
the classic
claimant
the classic sense,
and insurer overreaching
bargainer
precedents
reliance
option that
classic sense,
unequal
is characteristic of waiver in
in
which
estoppel, and
a disadvantaged
insured.
See generally id. at 92-102, 319-23, 586___ _________ ___
92;
John S. Ewart, Waiver Distributed Among the
____________________________
Departments:
Election, Estoppel, Contract,
_____________________________________________
Release, 7-9, 84-87 (1917);
_______
John S. Ewart, Waiver or Election, 29 Harv.
__________________
L. Rev. 724 (1916).
Appellants
have
not
Massachusetts law or elsewhere,
part of the
doctrine
beyond
cited
rights in
precedent,
in
that supports application to any
verdict and judgment in this
establishing
any
favor
case of any preclusion
of
insurance claimants
those provided by the terms of the contract of insurance.
These terms
include the limitations,
conditions, and exceptions
-53-
as
well
as
coverage.
its clauses
Indeed,
in
substantive violation
need
granting
view
of
and
the jury
with Aetna as
or occasion to invoke
defining
finding
victim, if
more congenial
of
there were
of
RICO
any
principles of preclusion rather than
ordinary contract doctrine to decide this case,
be
the scope
to preclusion
against a
the record would
fraudulent claimant
than to preclusion of any of Aetna's defenses.
Although
aware
of any
the parties
have not
Massachusetts precedent
cited
and we
directly determining
effect of fraudulent claims and RICO violations upon the
of
recovery
decisions
this
to which
on analogous
case.
the
insurer
is entitled,
issues support
For example,
are not
measure
Massachusetts
the judgment
Massachusetts courts
the
entered in
have held
in a
number of different contexts that an insured
who committed fraud
either in obtaining a
claim was precluded
policy or in making a
from recovering on a claim under the policy.
See Airway Underwriters v.
Perry, 284
___ ____________________
_____
N.E.2d 604 (Mass. 1972)(holding
that an
attempt
to defraud
the insurer
was a
violation of the policy's cooperation clause
and a clause stating that the policy was void
in case of fraud, and therefore insurer was
relieved of its obligation to indemnify the
insured or defend on the insured's behalf);
Bockser v. Dorchester Mutual Fire Ins. Co.,
_______
_______________________________
99 N.E.2d 640 (Mass. 1951)(holding that an
insured, whose property was destroyed by fire
and whose agent attempted to defraud the
insurance company by exaggerating the losses
was precluded from recovery under the policy
in light of a provision
of the policy
rendering the policy void if the insured
attempted to defraud the
company either
before or after a loss).
In addition, fraud on the part of a party to a contract
-54-
has been determined to be a breach of the covenant
and fair dealing.
Glaz
____
of good faith
v. Ralston Purina Co., 509 N.E.2d
___________________
297
(Mass. App. Ct. 1987).
The
Aetna
amounts
by
appellants do
paid out
on the
the jury
the
policies were
that the
ever in
amounts that
dispute.
These
were the only facts, in addition to the facts determined
in the liability
court's judgment.
to
not contend
existence
Although
and
phase, that were
material to the
there may have been some
extent
of
any
actual
dispute as
losses
by
the
defendants, any dispute about these facts was not material to the
judgment because the appellants' fraud (by either exaggerating or
completely fabricating losses) precluded them from asserting
any
right to recover for actual losses under the insurance contracts.
Since no triable fact disputes remained, the
denied their right to
of the sums
a jury trial.
certain to
properly made
The
appellants were not
court's determinations
be awarded against
the defendants
were
as matters of law -- that is, by the judge without
submission to a jury.
VIII.
VIII.
As
court
a part of the
awarded $1,500,000 in
attorneys'
judgment,
fees
each
to
ATTORNEYS' FEES
ATTORNEYS' FEES
judgment in this
costs, expenses, disbursements, and
the plaintiff.
individual
case, the district
Arsenal
Under
defendant
the
terms of
the
jointly
and
is
severally liable for the entire amount of $1,500,000.
The
amount
of it
sole challenge in this appeal to this award or the
is
that the
Arsenal
appellants argue
that
the
-55-
district
court
improperly held
them
liable for
not
only the
attorneys' fees
fees
expended in
expended in
Surety Co. v.
__________
case").
In
Inc. and
this case
related case
but also
entitled
Sport Auto Body, Inc., No.
______________________
Aetna Casualty and
___________________
91-11718 (the
the Sport case, Aetna alleged that
_____
its operators were
a part
the attorneys'
of the
"Sport
_____
Sport Auto Body,
same conspiracy
to
defraud Aetna, which included Arsenal Auto and the other autobody
shops.
The Sport case was consolidated with this case on May 17,
_____
1992.
Subsequently, the Sport defendants defaulted and the Clerk
_____
entered judgment against them.
The
appellants
argument
fails
because
18
U.S.C.
1964(c) authorizes the recovery of reasonable attorneys' fees by
a prevailing plaintiff in a civil RICO case.
Since
the
judgment
Sport
_____
was
case
entered
individual Arsenal
was consolidated
against
the
with
Sport
_____
defendants for the same
district court correctly held
18 U.S.C.
this
1964(c).
action and
defendants
and
the
RICO violations, the
the Arsenal defendants jointly and
severally liable for reasonable attorneys' fees expended by Aetna
for
the
entire
unconvincingly,
did not extend
suit.
Arsenal
appellants
argue,
but
that the district court's order of consolidation
to the phased trial.
The district court rejected
the argument, and we find no abuse of discretion in this ruling.
IX.
IX.
PREJUDGMENT INTEREST
PREJUDGMENT INTEREST
Raising
this issue for the first time in a reply brief
on appeal, appellant Jack
the
Markarian challenges the inclusion, in
judgment against him, of
prejudgment interest on the treble
-56-
damages awarded under the RICO claims.
treble
damages
are punitive
in
He argues that since
nature
and not
the
compensatory,
prejudgment interest is inappropriate.
The appellant failed to raise the issue either at trial
or even
all
the
in his opening brief,
Arsenal
defendants.
which was submitted on
The
first
statement
behalf of
of
this
contention appears in this appellant's reply
brief, filed on his
behalf
alone.
by
new
circumstances,
counsel
representing
him
In
these
we hold that he has failed to preserve this issue
for appeal.
American Automobile Manufacturers Assoc. v.
________________________________________
Commissioner,
31 F.3d 18, 25 (1st Cir.
____________
1994)(appellant failed to preserve issue for
appeal when the argument was first raised in
his reply brief);
Frazier v. Bailey, 957 F.2d 920, 932 n.14
_______
______
(1st. Cir. 1992)(same);
Pignons S.A. de Mecanique
v. Polaroid
____________________________
________
Corp., 701 F.2d 1, 3 (1st Cir. 1983)(same);
_____
see also McCoy v. Massachusetts Institute
________ _____
________________________
of Technology, 950 F.2d 13, 22 (1st. Cir.
______________
1991), cert. denied, 112 S.Ct. 1939(1992)("It
____________
is hornbook law that theories not raised
squarely in the district court cannot be
surfaced for the first time on appeal.").
"[A]n appellee is entitled to rely on the content of an
appellant's [opening]
brief for
the scope of
Pignons S.A., 701 F.2d at
____________
3.
in
appellee
reply
brief,
the
opportunity
to respond.
F.2d 83, 87
(1st Cir. 1990).
deprived
of
parties.
Id.
__
the
When an argument is first raised
is
See Sandstrom
___ _________
benefit
of
issues appealed."
not
given
an
adequate
v. Chemlawn Corp., 904
_______________
Moreover, the
court of appeals is
written submissions
by
all
the
-57-
This
court
circumstances are shown,
has
recognized
an issue may be
that
if
exceptional
considered even though
it has not been timely raised.
Id. (citing United States v. LaGuardia, 902
___
_____________
_________
F.2d 1010, 1013 (1st Cir. 1990)).
Such
exceptional circumstances
compelling
as virtually
arguments
that
include arguments
to insure
must be
that are
the appellant's
ruled upon
to
avoid a
"so
success" or
miscarriage of
justice.
Johnston v. Holiday Inns, Inc.,
________
___________________
890, 894 (1st Cir. 1992).
The
not
one
argument presented by
that
decision to
satisfies
this
595 F.2d
appellant Jack Markarian is
standard.
A district
award prejudgment interest under
court's
RICO is ordinarily
subject to review under the "abuse of discretion" standard.
Cf. Earnhardt v. Commissioner of Puerto
___ _________
_______________________
Rico, 744 F.2d 1, 3 (1st Cir. 1984)(abuse of
____
discretion standard is applied to district
court's decision whether to award prejudgment
interest in a Title VII case);
see also Abou-Khadra v. Mahshie, 4 F.3d
___ ____ ___________
_______
1071, 1084 (2nd Cir. 1993), cert. denied, sub
____________ ___
nom. Bseirani v. Mahshie, 114 S.Ct. 1835
____ ________
_______
(1994) ("Since the RICO statute does not
contain any provisions concerning the award
of prejudgment interest, the district court
had discretion as to whether to award such
interest.");
Louisiana Power and Light Co. v. United Gas
_____________________________
__________
Pipe Line Co., 642 F. Supp. 781 (E.D. La.
______________
1986)(same).
We
appellant's
recognize
argument
that
that
there
the
is
district
some
force
court
in
abused
the
its
discretion
reasons
in
that
awarding
treble
prejudment
damages
under
interest.
RICO
The
constitute
appellant
punitive
-58-
damages, and that since
prejudgment interest on punitive damages
is ordinarily inappropriate, the district court erred in awarding
prejudgment interest in this case.
Cf. McEvoy Travel Bureau, Inc. v. Norton
___ ___________________________
______
Co., 563 N.E.2d 188, 196 (Mass. 1990)(holding
___
that prejudgment interest should
not be
awarded in Mass. Gen. L. ch. 93A cases
because multiple damages are punitive in
nature);
Wickham Contracting Co. v. Local Union No.
________________________
_______________
3, Int'l Brotherhood of Elec. Workers, 955
________________________________________
F.2d 831, 834 (2nd Cir.), cert. denied, 113
_____________
S.Ct. 394 (1992)(prejudgment interest should
not be awarded when damages are punitive in
nature).
It
may reasonably
be
primarily compensatory
argued, however,
that
in nature, and thus
RICO damages
are
prejudgment interest
was properly awarded.
Cf. Liquid Air Corp. v. Rogers, 834 F.2d
___ _________________
______
1297, 1310 (7th Cir. 1987), cert. denied 492
____________
U.S. 917 (1989)("Although there is some sense
in which RICO treble damages are punitive,
they are largely compensatory in the special
sense that they ensure that wrongs will be
redressed
in
light
of the
recognized
difficulties of itemizing [the damages caused
from racketeering activity].").
Thus,
the
the appellants' argument is not so compelling as to ensure
appellant's success.
that
Nor is his argument so clearly correct
a failure to rule in his
miscarriage of justice.
favor on this issue constitutes a
Therefore, the appellant cannot prevail
under the Johnston standard.
________
CONCLUSION
CONCLUSION
In
advanced on
summary, we
appeal
conclude
supports
that none
reversal
of
any
of the
arguments
aspect
of
the
-59-
judgment in this case.
The district court commendably
fashioned
an order for phasing of trial in two consolidated cases, with all
disputed and
before
material issues bearing
a jury in the
first phase.
on liability
to be
tried
In post-verdict proceedings
analogous
to a
hearing on
district court
fact
correctly determined
remained for
should be
a motion
jury
entered for
liability, and on
for summary
that no genuine
determination and
Aetna on the
judgment, the
dispute of
that final
jury verdict,
the court's calculation of
judgment
establishing
damages based upon
facts disclosed on the record and not subject to genuine dispute.
The district
verdict
court's pretrial
proceedings
were
order for
phasing and
well-tailored
to
the
its post-
distinctive
characteristics of this legally and factually complex litigation.
Together they
achieved fair and appropriate
claims and defenses on
the merits.
Proceeding in
the court also effected substantial reductions
for the
parties
and the
court
adjudication of all
system, an
this fashion,
of delay and cost
objective
strongly
commended by Rule 1 of the Federal Rules of Civil Procedure.
The judgment of the district court is AFFIRMED.
________
-60-