Oriental Financial Group, Inc. v. Federal Ins. Co., Inc.

598 F. Supp. 2d 199, 2008 U.S. Dist. LEXIS 107716, 2008 WL 5663571
CourtDistrict Court, D. Puerto Rico
DecidedAugust 1, 2008
DocketCivil 00-2035(JAG)
StatusPublished
Cited by8 cases

This text of 598 F. Supp. 2d 199 (Oriental Financial Group, Inc. v. Federal Ins. Co., Inc.) 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
Oriental Financial Group, Inc. v. Federal Ins. Co., Inc., 598 F. Supp. 2d 199, 2008 U.S. Dist. LEXIS 107716, 2008 WL 5663571 (prd 2008).

Opinion

AMENDED OPINION AND ORDER

JAY A. GARCIA-GREGORY, District Judge.

This is a diversity action filed by Oriental Financial Group, Inc. (“Oriental”), a publicly held financial holding company incorporated under the laws of the Commonwealth of Puerto Rico, 1 against Federal Insurance Company (“FIC”), a stock insurance corporation organized under the laws of the state of Indiana, with its principal place of business in the state of New Jersey, based on FIC’s denial of coverage under certain financial institution bonds issued to Oriental. 2 Oriental filed with FIC five Proofs of Loss (POL 1-A, POL 2-A, POL 3-A, POL 1-B and POL 3-B) (collectively the “POLs”), claiming $9,589,571 in losses under the fidelity clause of the bonds. Said clause states:

FIDELITY

1. [The underwriter agrees to indemnify the Insured for] loss resulting solely or directly from one or more dishonest acts by an Employee, whether committed alone or in collusion with others, which acts are committed with intent:

1. to cause the Insured to sustain such loss, or
2. to obtain financial benefit for the Employee.

Salaries, commissions, fees, bonuses, promotions, awards, profit sharing, pensions or other similar benefits shall not constitute improper personal financial benefit.

Section (A) of the Insuring Agreements of the Bonds. 3

On July 12, 2000, FIC issued a letter informing Oriental that its claims under the POLs were denied. Shortly thereafter, Oriental issued a restatement of its financial reports for fiscal years 1998 and *203 1999, charging $9.6 million against its net income.

PROCEDURAL BACKGROUND

As a result of FIC’s denial of coverage, on August 11, 2000, Oriental filed a Complaint against FIC. (Docket No. 1). The complaint claimed payment for losses covered by the fidelity bonds underwritten by FIC and damages resulting from breach of contract, bad faith (“dolo”) and breach of the covenant of good faith and fair dealing.

The case went to trial and on October 3, 2005, the jury (“first jury”) returned a mixed verdict (“2005 verdict”). (Docket No. 244). The jury found in favor of Oriental on the claim under POL 1-A, finding that Oriental had suffered a covered loss of $353,219 as a result of one or more dishonest or fraudulent acts by Oriental employee Miguel Flores relating to the Accounts Receivable/Returned Checks Account (“AR/RC”), and on the claim under POL 2-A, finding that Oriental spent $100,000 in determining its losses related to POL 1-A. The jury also found for Oriental on its claim of bad faith (“dolo”), which is founded on FIC’s wrongful refusal to provide coverage. Additionally, the jury granted Oriental consequential damages totaling $7,078,640.60.

However, the jury found for FIC on the claim under POL 1-B, rejecting Oriental’s allegation that it suffered a covered loss of $5,605,396.24 resulting from one or more dishonest or fraudulent acts of employees Carlos Ayala and/or Juan Carlos Gonzalez pertaining to the Mortgage Loan Account Portfolio. 4 Finally, the jury could not reach an agreement on Oriental’s claim for $3,442,450 in losses resulting from one or more dishonest or fraudulent acts of employees Miguel Flores, Carlos Ayala and/or Juan Carlos Gonzalez in connection with the reconciliation of a Federal Home Loan Bank account and two Citibank cash accounts.

To determine coverage of Oriental’s claimed loss under POL 3-A, the case was partially retried before the undersigned. 5 On August 14, 2007, the jury (“second jury”) returned a verdict (“2007 verdict”) for defendant and against plaintiff, finding that Oriental did not suffer a covered loss under POL 3-A. Final Judgment was entered on August 15, 2007, stating the following:

Pursuant to the jury verdict filed on October 3, 2005 (docket #244); judgment is entered:
I. in favor of Oriental Financial Group, Inc. in the amount of $353,219.00 as to Proof of Loss 1-A;
II. in favor of Federal Insurance Company as to Proof of Loss 1-B;
III. in favor of Oriental Financial Group, Inc. in the amount of $100,000.00 for expenses incurred to determine its losses as to Proof of Loss 2-A; and
IV. in favor of Oriental Financial Group, Inc. for concept of damages in the amount of:
A. $900,000.00 for image campaign and public relations expenses,
B. $78,640.60 for legal expenses,
C. $100,000.00 for accounting expenses, and
*204 D. $6,000,000.00 for damage to Oriental Financial Group Inc.’s brand name.

Pursuant to the verdict filed on August 14, 2007 (docket # 341), judgment is entered:

I. in favor of Federal Insurance Company as to Proof of Loss 3-A.

(See Docket No. 342)

Pending before the Court are FIC’s “Renewed Motion for Judgment as a Matter of Law Pursuant to Fed.R.Civ.P. 50(b) or, in the Alternative, for a New Trial Pursuant to Fed.R.Civ.P. 59” (Docket No. 350) and Memorandum in support thereof (Docket No. 358); as well as “Oriental’s Motion to Set Aside the 2007 Jury Verdict, for New Trial, and to Alter or Amend Judgment” (Docket No. 351); Oriental’s Opposition to FIC’s Motion (Docket No. 364); and FIC’s reply thereto (Docket No. 368).

DISCUSSION

I. Oriental’s Motion for New Trial

Oriental’s motion for new trial concerns the second trial in this case, that is, the partial retrial held to determine whether Oriental suffered a covered loss under POL 3-A. POL 3-A was for $3,442,450 in losses sustained as a result of deliberate manipulations of the Federal Home Loan Bank (“FHLB”) and Citibank N.A. (“Citibank”) cash accounts reconciliations by former Oriental employees Miguel Flores, Carlos Ayala and/or Juan Carlos Gonzalez. As defined by Oriental’s expert, “[a] reconciliation in the broadest sense is the process that you follow to agree the balance of one account with another account. It might be accounts within the bank or, in the case of a cash account or with a bank, it’s the process of determining whether the balance that’s reported in the checkbook agrees with the balance reported in the bank statement. And if there are any differences, what accounts for those differences.” See Tr. 7/2/07, p. 130, lines 19-25; p. 132, line 1.

During trial, Oriental presented evidence that its employees, in preparing reconciliations, arbitrarily matched credits and debits without verifying their relation.

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598 F. Supp. 2d 199, 2008 U.S. Dist. LEXIS 107716, 2008 WL 5663571, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oriental-financial-group-inc-v-federal-ins-co-inc-prd-2008.