Reich v. Lancaster

55 F.3d 1034, 1995 WL 337650
CourtCourt of Appeals for the Fifth Circuit
DecidedJune 22, 1995
DocketNo. 93-1953
StatusPublished
Cited by119 cases

This text of 55 F.3d 1034 (Reich v. Lancaster) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reich v. Lancaster, 55 F.3d 1034, 1995 WL 337650 (5th Cir. 1995).

Opinion

FITZWATER, District Judge:

An insurance agent and his agency appeal a judgment entered following a bench trial, holding each defendant liable for over $1.425 million in restitutionary relief, and permanently enjoining them from serving as fiduciaries or service providers to any ERISA1 plan, based on findings that they had breached various fiduciary duties and caused or engaged in prohibited transactions with respect to an ERISA employee welfare benefit plan. See Reich v. Lancaster, 843 F.Supp. 194 (N.D.Tex.1993). We affirm.

I

Plaintiff-Appellee Robert Reich (the “Secretary”),2 Secretary of the United States Department of Labor (“DOL”), brought this civil enforcement action alleging breaches of fiduciary duties imposed by 29 U.S.C. § 1104, and the commission of transactions prohibited by 29 U.S.C. § 1106, arising from purchases of individual permanent or whole life insurance policies by Plumbers & Pipefitters Local 454 Health & Welfare Fund (the “Fund”), a self-funded ERISA employee wel[1040]*1040fare benefit plan. The Secretary sued defendant-appellant Jerry D. Lancaster (“Lancaster”); defendant-appellant Jerry D. Lancaster and Associates, Inc. (“JDL”); Diversified Consultants, Inc. (“DCI”); Lancaster’s three sons, Derek Lancaster (“Derek”), Daron Lancaster, and Aaron Lancaster; and eight Fund Trustees, including the Chairman of the Board, Kenneth Poole (“Poole”).3 The Secretary also joined the Fund as a party-defendant pursuant to Fed.R.Civ.P. 19(a) so that complete relief could be granted.

In 1983 the Fund’s Board of Trustees hired Lancaster, a licensed insurance agent, and his companies to provide insurance services to the Fund. The Trustees retained DCI as a consultant to the Fund, and JDL as claims administrator. Lancaster owned all the stock in and was Chairman of the Board of Directors of JDL. DCI was JDL’s wholly-owned subsidiary. Lancaster’s three sons were employees, officers, and directors of JDL and DCI.

At the time the Fund entered into its relationship with Lancaster, JDL, and DCI, the Trustees approved changes in the Fund’s insurance contracts. The Fund had previously obtained group term life insurance for participants and beneficiaries. Lancaster proposed, and the Trustees approved, the purchase of individual whole life insurance policies with death benefits of $10,000 from Guaranty Income Life Insurance Company (“GILICO”) for each member of Local 454 under age 71. Lancaster also recommended to the Trustees, and they agreed, to prepay three years of premiums in order to qualify for a discount on second and third year premiums. By persuading the Fund to pay these premiums in advance, Lancaster and JDL became entitled to commissions of 85% of premiums paid for the first year, 55% for the second year-, and 10% for the third year. JDL received total commissions of $211,000 on the purchases of the 1983 GILICO policies. The Fund paid in excess of $390,000 in premiums, which amounted to more than 50% of its assets as of May 1983, and $100,-000 more than the Fund had in excess of its net desired reserves. Lancaster neither disclosed to the Trustees the amount of his fees and commissions nor revealed that JDL was regional manager for GILICO, and was obligated to attempt to meet a production goal of at least $500,000 of first year life insurance premiums.

The following year, in 1984, Lancaster proposed, with the Board’s approval, the purchase from GILICO of an additional $10,000 individual whole life policy for each plan participant. This entitled JDL to commissions equal to 80% of the premiums paid the first year, 50% of premiums paid for the second, and 20% of premiums paid for the third. The Fund expended the sum of $380,000 for these policies. JDL received commissions in an amount of no less than $195,000. As a result of the 1983 and 1984 purchases, the Fund had paid $770,000 in premium payments to GILICO as of August 1984. Lancaster and his companies received $406,000 of these expenditures as commissions.

In 1985 GILICO canceled Lancaster’s agency and regional manager contracts for reasons unrelated to this case. Poole thereafter canceled the Fund’s life insurance policies with GILICO and requested that the cash values and unearned and prepaid 1983 and 1984 policy premiums be refunded. The Fund then purchased $25,000 death benefit individual universal life insurance policies from American General Life Insurance Company (“AGLIC”) for each plan participant. The Fund paid total premiums of $211,005 for these policies. AGLIC, in turn, paid commissions to JDL and Lancaster’s sons in the total amount of $145,177. On September 1, 1986 the AGLIC policies lapsed due to nonpayment of premiums. The Fund lost the sum of approximately $109,000, calculated according to what the Fund paid AGLIC in excess of the cost of term insurance.

During 1983 and 1984 Lancaster also purchased stop loss,4 group term life, and acci[1041]*1041dental death and dismemberment insurance on behalf of the Fund. He billed the Fund a higher amount in premiums than was remitted to the insurance companies. Lancaster kept these so-called “premium differentials” — that is, the difference between what the Fund paid to Lancaster and the sums that he in turn remitted to the insurance carriers. The companies also paid Lancaster, JDL, and DCI commissions and other fees on the purchase of this insurance.

By the end of 1985, approximately two and one-half years after Lancaster became the Fund’s consultant, the Fund had expended nearly $1 million in life insurance premiums, of which Lancaster and his companies and employees had received in excess of $550,000 in commissions.

The Secretary predicated the instant civil enforcement action on two aspects of these transactions that are germane to this appeal. First, he alleged that the Fund had paid excessive and unwarranted premiums in purchasing individual permanent or whole life policies, when the Fund could have obtained the same or better benefits for Fund participants and beneficiaries by obtaining other types of insurance, such as group term life insurance, at far less cost. Second, the Secretary contended that Lancaster, his sons, JDL, and DCI had received more than reasonable compensation in connection with the insurance purchases.

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Bluebook (online)
55 F.3d 1034, 1995 WL 337650, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reich-v-lancaster-ca5-1995.