City of Westland Police & Fire Retirement System v. Metlife, Inc.

129 F. Supp. 3d 48, 2015 U.S. Dist. LEXIS 121571, 2015 WL 5311196
CourtDistrict Court, S.D. New York
DecidedSeptember 11, 2015
DocketNo. 12-cv-0256 (LAK)
StatusPublished
Cited by25 cases

This text of 129 F. Supp. 3d 48 (City of Westland Police & Fire Retirement System v. Metlife, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
City of Westland Police & Fire Retirement System v. Metlife, Inc., 129 F. Supp. 3d 48, 2015 U.S. Dist. LEXIS 121571, 2015 WL 5311196 (S.D.N.Y. 2015).

Opinion

OPINION

LEWIS A. KAPLAN, District Judge.

The principal issues in this putative class action1 are whether MetLife, Inc. (“MetLife” or the “Company”) misled investors (1) with respect to its financial performance and position because certain reserves underlying its financial statements failed adequately to take account of incurred but not reported (“IBNR”) death benefit claims with respect to group life insurance policies, and (2) by making alleg[55]*55edly deceptive statements concerning those reserves.

The Court previously ruled on defendants’ motions to dismiss the amended complaint.2 It later gave Central States leave to file a second amended complaint (“SAC”), which defendants subsequently moved to dismiss.' While those motions were pending, however, the Supreme Court granted certiorari in Omnicare, Inc. v. Laborers District Council Construction Industry Pension Fund,3 which raised questions similar to some of those presented here. Accordingly, the Court awaited the Omnicare decision and' obtained supplemental briefing in light of that ruling. The motions to dismiss the SAC now are ripe for decision.

Background

1. Parties

The principal defendant here is Met-Life, a multinational insurance company.4 Also named are (1) a number of individuals who were MetLife executives during all or part of the Class Period (the “Executive Defendants”),5 (2) MetLife directors (the “Director Defendants”),6 and (3) several securities firms that underwrote certain- MetLife- securities during the .relevant period (the “Underwriter Defendants”).7

II. Insurance Reserves and Accounting

It is useful to begin with some general background on accounting, the insurance industry, and IBNR reserves.

Generally accepted accounting principles (“GAAP”) typically require a corporation to measure and report its financial performance and position by considering pertinent economic events when they happen, not by waiting for cash inflows or outflows to clear the books.8 To ensure compliance with these principles — that is, to assure “that recognition [is] given to income when [56]*56it is-earned, and ... to expenses when they- are incurred,” “irrespective of when payment is made or received”9 — corporations generally eschew cash-based accounting for accrual-based accounting,10 which provides “a more realistic view” of a given company’s financial performance and position by requiring the company to account for future expected cash inflows and outflows, in addition to accounting for already-completed cash flows.11 In addition, accrual-based accounting deters unscrupulous companies from misrepresenting their financial condition by, among other things, failing to reflect expenses or known liabilities that have been incurred, but that, for one reason or another, have yet to be paid.12 As the late Judge Clark wrote, “the fundamental aim of accrual accounting - ... is to match revenues with the expenses incurred in producing such revenues.”13

MetLife, as a publicly held company, of course reports its. financial performance and condition on an accrual basis. Insofar as its policy-based liabilities are concerned, that fact probably does not have a dramatic impact on its reporting of such liabilities in those instances in which the insured loss occurs, the policyholder claim is made, and the claim is paid in the same accounting period.14 In other cases, however, significant periods of time may pass between the event creating the insurer’s liability and the eventual payment of a claim. And in some circumstances, no claim may be made for. a long- time, as for example where the loss-creating , event is unknown to the insured or' the beneficiary15 or where the existence of insurance coverage is not discovered for some time.

Whatever the reasons for the lack of temporal coincidence between the liability-creating event and the payment of any eventual claim, GAAP requires insurers to maintain loss reserves — estimates of what they will have to pay to cover insured losses incurred during a given period— regardless of whether claims have yet been made.16 These loss reserves, increases in which are charges against income for the periods in which the increases occur17 —must account for both known and IBNR claims.18 Reserves for known claims are “set aside to cover estimated losses based on reported claims” and are thus relatively easy to predict.19 IBNR reserves, on the other hand, are “extremely conjectural”20 [57]*57because they are “set aside to cover losses for which claims have not been, reported but must be estimated.”21 Accordingly, IBNR reserves “may need adjustment as time passes and their accuracy can -be tested in retrospect.”22

As the Second Circuit has said, it is “difficult [to] calculate] and mónitor[ ] the accuracy of loss reserves established by insurance companies.”23 Nevertheless, GAAP does require insurers- to make “a reasonable estimate of IBNR liabilities.”24 And yet, GAAP do not specify “a precise actuarial method” for estimating or setting those reserves.25

As relevant to this case, then, the accuracy of a company’s loss reserves — that is, the degree to which the loss reserves correspond to, or vary from, the insurance obligations that ultimately will be paid out in relation to the claims, known and unknown, covered by the reserve in question- — implicates the accuracy of its financial statements. If loss reserves are top low and later must be increased (resulting in a charge against income), earnings will have been overstated in SEC filings and financial statements. If reserves are too high and later are decreased (resulting in an increase in income), the excess will have resulted in an understatement of income during the period or periods in which it existed.

Facts and Prior Proceedings

I. The SSA-DMF and MetLife’s IBNR Reserves

We turn to the controversy at hand, which focuses importantly though not exclusively on-Central States’ contention that MetLife, during the relevant period, overstated its earnings • and its financial strength by' maintaining IBNR reserves insufficient to cover life insurance benefits payable in respect of the death of MetLife insureds covered by group life insurance policies for whom no death benefit claims had been received. That claim depends in substantial part upon MetLife’s use (or alleged non-use) of the Social Security Administration Death Master File (the “SSA-DMF”), which is a “database of deaths recorded in the United States.”26

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Bluebook (online)
129 F. Supp. 3d 48, 2015 U.S. Dist. LEXIS 121571, 2015 WL 5311196, Counsel Stack Legal Research, https://law.counselstack.com/opinion/city-of-westland-police-fire-retirement-system-v-metlife-inc-nysd-2015.