Nationwide Mutual Ins. Co. v. Perez

52 F. Supp. 2d 297, 1999 U.S. Dist. LEXIS 8983, 1999 WL 404606
CourtDistrict Court, D. Puerto Rico
DecidedJune 9, 1999
DocketCIV. A. 97-2172(JP), CIV. A. 97-2347
StatusPublished
Cited by1 cases

This text of 52 F. Supp. 2d 297 (Nationwide Mutual Ins. Co. v. Perez) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Mutual Ins. Co. v. Perez, 52 F. Supp. 2d 297, 1999 U.S. Dist. LEXIS 8983, 1999 WL 404606 (prd 1999).

Opinion

ORDER

PIERAS, Senior District Judge.

Before the Court is a Motion to Dismiss brought by Co-Defendants Jose F. Espada *299 Colón, his wife Carmen Miranda Colón and the conjugal partnership composed between them (“Movants”) (docket No. 216) and Plaintiff Nationwide Mutual Insurance Company’s (“Nationwide”) Opposition to Co-Defendant Jose F. Espada’s Motion to Dismiss (docket No. 253).

The original Complaint in this case was filed by Nationwide on August 1, 1997, and a First Amended Consolidated Complaint (“Amended Complaint”) was filed on January 19, 1999, alleging violations of the Civil Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1964. Movants were served with summons and a copy of the Amended Complaint on February 15, 1999 and filed their Motion to Dismiss on April 5, 1999. Movants contend that the Amended Complaint does not state a claim on which relief can be granted because: (1) the Amended Complaint does not state what acts constitute prohibited acts under RICO; (2) the Amended Complaint names Movants as both Defendants and part of the RICO enterprise; (3) the actions allegedly taken by Movants are not illegal in and of themselves; and (4) the allegations in the Amended Complaint are vague and ambiguous.

Under Rule 12(b)(6) of the Federal Rules of Civil Procedure, a defendant may, in response to an initial pleading, file a motion to dismiss the complaint for failure to state a claim upon which relief can be granted. It is well-settled, however, that “a complaint should not be dismissed for failure to state a claim unless it appears beyond doubt that the plaintiff can prove no set of facts in support .of his claim which would entitle him to relief.” Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957); see also Miranda v. Ponce Fed. Bank, 948 F.2d 41 (1st Cir.1991). The Court must accept as true “all well-pleaded factual averments and in-dulg[e] all reasonable inferences in the plaintiffs favor.” Aulson v. Blanchard, 83 F.3d 1, 3 (1st Cir.1996) (citations omitted).

Although there is a low threshold for stating a claim, the pleading requirement is “not entirely a toothless tiger.” Doyle v. Hasbro, Inc., 103 F.3d 186, 190 (1st Cir.1996) (quoting The Dartmouth Review v. Dartmouth College, 889 F.2d 13, 16 (1st Cir.1989)). Thus, a Complaint must set forth “factual allegations, either direct or inferential, regarding each material element necessary to sustain recovery under some actionable theory.” Gooley v. Mobil Oil Corp., 851 F.2d 513, 514 (1st Cir.1988). The Court, however, need not accept a complaint’s “ ‘bald assertions’ or legal conclusions” when assessing a motion to dismiss. Abbott, III v. United States, 144 F.3d 1, 2 (1st Cir.1998) (citing Shaw v. Digital Equip. Corp., 82 F.3d 1194, 1216 (1st Cir.1996)).

In order to avoid dismissal of a RICO claim, a plaintiff “must, at a bare minimum, state facts sufficient to portray (i) specific instances of racketeering activity within the reach of the RICO statute and (n) a causal nexus between that activity and the harm alleged.” Miranda, 948 F.2d at 44. Civil RICO claims are unique because they are “the litigation equivalent of a thermonuclear device. The very pendency of a RICO suit can be stigmatizing and its consummation can be costly,” and thus, a court must' be cautious in assessing a RICO complaint so as to “balance the liberality of the Civil Rules with the necessity of preventing abusive or 'vexatious treatment of defendants.” Id. (citations omitted). Therefore, a court must carefully examine a RICO plaintiffs allegations to assure they are not based on bald assertions and unsubstantiated conclusions. See Dibbs v. Gonsalves, 921 F.Supp. 44, 49-50 (D.Puerto Rico 1996).

In the instant case, the Court finds that Nationwide has satisfied both prongs of the Miranda analysis, alleging the specific instances of racketeering activity and a causal nexus between the acts and harm, and has further detailed the Movants’ involvement in the alleged fraud and enterprise. Nationwide’s Amended Complaint alleges a complex scheme involving numer *300 ous Co-defendants and the presentation of false claims under Nationwide automobile insurance policies as genuine claims for accidents. The alleged predicate acts involve mail fraud, 18 U.S.C. § 1341, wire fraud, 18 U.S.C. § 1343, the use of mail to distribute the proceeds of unlawful activity and use of facility in interstate commerce to distribute proceeds of unlawful activity and promote, manage, and carry out said unlawful activity, 18 U.S.C. § 1952, and bank fraud, 18 U.S.C. § 1344. The Amended Complaint claims losses of at least $2,092,398.00 over the course of several years related to these acts. In addition, the Amended Complaint goes into great detail regarding the specific instances of false claims and the involvement of each Co-defendant.

The Court finds that these allegations satisfy the Miranda requirements, and further, show that the predicate acts are related in that they “ ‘have the same or similar purposes, results, participants, victims or methods of commission, or otherwise are interrelated by distinguishing characteristics and are not isolated events.’ ” Dibbs, 921 F.Supp. at 50 (quoting H.J. Inc. v. Northwestern Bell Telephone Co., 492 U.S. 229, 240-41, 109 S.Ct. 2893, 106 L.Ed.2d 195 (1989). In addition, the involvement of Movant José Espada in presenting allegedly false claims to Nationwide is detailed in paragraphs 648, 649, 650, 747, 748, and 749.

Regarding Movants’ contention that they cannot be both a defendant and enterprise under RICO, the Court finds their argument is without merit.

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Bluebook (online)
52 F. Supp. 2d 297, 1999 U.S. Dist. LEXIS 8983, 1999 WL 404606, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutual-ins-co-v-perez-prd-1999.