Commonwealth v. Ellis

708 N.E.2d 644, 429 Mass. 362, 1999 Mass. LEXIS 139
CourtMassachusetts Supreme Judicial Court
DecidedApril 14, 1999
StatusPublished
Cited by29 cases

This text of 708 N.E.2d 644 (Commonwealth v. Ellis) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth v. Ellis, 708 N.E.2d 644, 429 Mass. 362, 1999 Mass. LEXIS 139 (Mass. 1999).

Opinions

Wilkins, C.J.

The matter before us involves the question whether or not the Attorney General’s office is a disinterested prosecutor and, therefore, the indictments against the defendants should have been dismissed, or, alternatively, the Attorney General’s office should be disqualified from prosecuting the indictments. Each defendant was a partner, of counsel, an employee, or a client of the former Worcester law firm of Ellis & Ellis, and each is charged with insurance fraud and related offenses. The firm represented plaintiffs in workers’ compensation and personal injury cases. The defendant, James N. Ellis, Jr., moved to dismiss the indictments against him, in a motion which the other named defendants joined, based on the partiality of the attorneys prosecuting the cases. The judge who denied the motion to dismiss or to disqualify reported the propriety of his ruling to the Appeals Court, and we granted the parties’ applications for direct appellate review.2

The defendants contend that the statutorily prescribed fund[364]*364ing scheme for insurance company underwriting of the costs of investigations and prosecutions conducted by the insurance fraud division of the Attorney General’s office is unconstitutional, on its face and as applied. They claim a violation of the due process clause of the Fourteenth Amendment to the United States Constitution and of provisions of the Massachusetts Declaration of Rights. In support of their claim that the Attorney General’s office must be and is not a disinterested prosecutor, they assert that insurance companies pay the salaries and benefits of assistant attorneys general in the insurance fraud division (as well as certain litigation expenses), that those attorneys must devote their full time to cases referred to the division by the insurance fraud bureau (IFB), a statutorily authorized investigation agency financed by insurers, and that there is an unacceptably close relationship between the IFB and the Attorney General’s office which permits the IFB improperly to influence the prosecutorial process.

The Superior Court judge concluded that the defendants had not shown that any insurance organization had a controlling influence over the discretionary prosecutorial decisions of the insurance fraud division. He accepted all the defendants’ asserted subsidiary facts as true and denied the defendants’ request for an evidentiary hearing.

We shall first describe the plan that the Legislature proposed for the investigation, financing, and prosecution of insurance fraud. Next, we shall set forth the law that bears on the requirement of a disinterested prosecutor. We shall then analyze the facts in relation to the law and shall conclude that the legislative scheme does not on its face violate the defendants’ rights. Finally, we shall consider and reject the defendants’ claim that the way in which the insurance fraud program was operated violated their constitutional rights and common-law requirements that we have established concerning the independence of prosecutors. We shall also conclude that the circumstances did not require granting the defendants an evidentiary hearing during which they could seek to prove IFB’s improper control over prosecutorial decisions.3

1. The Legislature has prescribed a plan for the investigation [365]*365and prosecution of insurance fraud crimes. It has authorized the creation of an entity, the IFB, to investigate charges of fraudulent insurance transactions and to refer any violation of law regarding insurance fraud to the appropriate prosecutor. St. 1996, c. 427, § 13. The Legislature has also established a mechanism for paying the Commonwealth for certain costs of insurance fraud investigations and prosecutions in the office of the Attorney General and has required the appointment of assistant attorneys general who must devote full time to the investigation and prosecution of insurance fraud mátters. St. 1991, c. 399, § 3, as amended by St. 1995, c. 38, § 210.

The Automobile Insurance Bureau (AIB), licensed under G. L. c. 175A, § 8, and the Workers’ Compensation Rating and Inspection Bureau (WCRIB), licensed under G. L. c. 152, § 52C, are authorized to create an insurance fraud bureau for the prevention and investigation of fraudulent insurance transactions. St. 1996, c. 427, § 13. The IFB, which was created pursuant to that authorization, is governed by a board of fifteen members, five from the governing committee of each rating bureau and five public officials.4 § 13 (a). The executive director of IFB is directed to ensure that appropriate resources “are dedicated to the investigation of . . . fraudulent insurance transactions.” § 13 (b). Costs of administration of the IFB are borne equally by the two rating bureaus. § 13 (c). Authorized IFB personnel have access to various information and records, if relevant to an IFB investigation and if used solely for IFB purposes, such as Department of Revenue records and certain criminal offender record information. § 13 (d).

Every insurer “having reason to believe that an insurance transaction may be fraudulent” must so advise the IFB. § 13 (e). The IFB must review each report and may undertake any appropriate further investigation. Whenever IFB’s executive director is satisfied that a material fraud, deceit, or intentional misrepresentation has been committed in an insurance transaction, he must “refer the matter to the attorney general, the appropriate district attorney or the United States attorney [and to [366]*366appropriate licensing agencies].” § 13 (h). A person convicted of any law concerning insurance fraud, following an EFB referral for prosecution, “shall be ordered to make restitution to the insurer for any financial loss sustained as a result of such violation.”5 § 13 (k).

The Commissioner of Insurance (commissioner) must make annual assessments against the AIB and WCRIB. St. 1991, c. 399, § 3, as amended by St. 1995, c. 38, § 210. For fiscal year 1999, the appropriation from the general fund for the investigation and prosecution of automobile insurance fraud is $270,871, and the assessment against AIB toward that cost is $250,000. St. 1998, c. 194, § 2, line item 0810-0338. In that same year, the appropriation for the investigation and prosecution of workers’ compensation fraud is $463,159 and the assessment against WCIRB toward that cost is $250,000. Id. at line item 0810-0399. The commissioner must also assess and collect from the rating bureaus an amount equivalent to funds expended from the general fund of the Commonwealth for fringe benefits “attributable to personnel costs of the attorney general’s office related to the purposes for which [the annual] assessment is collected.” St. 1991, c. 399, § 3, as amended by St. 1995, c. 38, § 210. The Attorney General must use the assessments “for the purpose of the investigation and prosecution of automobile insurance fraud matters and workers’ compensation insurance fraud matters referred to” him by the IFB. Id. He must “designate at least six assistant attorneys general who shall devote full-time to the investigation and prosecution of automobile insurance fraud matters which are referred by said insurance fraud bureau, and shall designate at least seven assistant attorneys general who shall devote full-time to the investigation and prosection of workers’ compensation insurance fraud matters which are referred by said insurance fraud bureau.” Id.

2.

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Bluebook (online)
708 N.E.2d 644, 429 Mass. 362, 1999 Mass. LEXIS 139, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-v-ellis-mass-1999.