Sjunde Ap-Fonden and The Cleveland Bakers and Teamsters Pension Fund, individually and on behalf of all others similarly situated v. General Electric Company

CourtDistrict Court, S.D. New York
DecidedJanuary 29, 2021
Docket1:17-cv-08457
StatusUnknown

This text of Sjunde Ap-Fonden and The Cleveland Bakers and Teamsters Pension Fund, individually and on behalf of all others similarly situated v. General Electric Company (Sjunde Ap-Fonden and The Cleveland Bakers and Teamsters Pension Fund, individually and on behalf of all others similarly situated v. General Electric Company) 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
Sjunde Ap-Fonden and The Cleveland Bakers and Teamsters Pension Fund, individually and on behalf of all others similarly situated v. General Electric Company, (S.D.N.Y. 2021).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ---------------------------------------------------------------------- X : SJUNDE AP-FONDEN et al., individually and on behalf : of all others similarly situated, : : Plaintiffs, : 17-CV-8457 (JMF) : -v- : OPINION AND ORDER : GENERAL ELECTRIC COMPANY et al., : : Defendants. : : ---------------------------------------------------------------------- X JESSE M. FURMAN, United States District Judge: In this putative class action, Lead Plaintiff Sjunde AP-Fonden and Plaintiff the Cleveland Bakers and Teamsters Pension Fund (together, “Plaintiffs”), two pension funds, bring claims against General Electric Company (“GE”) and six current or former GE executives (the “Individual Defendants” and, together with GE, “Defendants”). Plaintiffs allege violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 (the “Exchange Act”), 15 U.S.C. §§ 78j(b), 78t(a), and Securities and Exchange Commission Rule 10b-5, 17 C.F.R. § 240.10b-5. In a previous Opinion and Order, familiarity with which is assumed, the Court granted in part and denied in part Defendants’ motion to dismiss the Fourth Amended Complaint (“FAC”) and granted Plaintiffs leave to amend. See Sjunde AP-Fonden v. Gen. Elec. Co., 417 F. Supp. 3d 379 (S.D.N.Y. 2019) (ECF No. 185). Thereafter, Plaintiffs filed their Fifth Amended Complaint (the “Complaint”). See ECF No. 191 (“Compl.”). Defendants now move, once again pursuant to Rule 12(b) of the Federal Rules of Civil Procedure, to dismiss Plaintiffs’ amended claims. For the reasons that follow, the motion is once again granted in part and denied in part. BACKGROUND As they did in the FAC, Plaintiffs allege in the Complaint claims relating to misrepresentations about (1) the risk and quality of GE’s long-term care (“LTC”) insurance portfolio and (2) its accounting and revenue recognition for certain long-term service agreements (“LTSAs”) made by its power division between February 27, 2013 and January 23, 2018 (the

“Class Period”). See Compl. 1-4. The following background relevant to these claims is drawn from the Complaint, as well as attached exhibits; documents that the Complaint incorporates by reference; and legally required public disclosures filed with the SEC. See Tongue v. Sanofi, 816 F.3d 199, 209 (2d Cir. 2016). A. Long-Term Care Insurance Portfolio Plaintiffs’ first set of claims pertains to GE’s LTC insurance portfolio, a brief review of which is in order. See Sjunde AP-Fonden, 417 F. Supp. 3d at 385-87 (describing background facts supporting LTC insurance claims). LTC insurance protects an insured from “the out-of- pocket costs of LTC services, such as assisted living and nursing home facilities, home health

aides, respite or hospice care, and other similar services required when an individual becomes unable to independently perform the basic activities of daily living.” Compl. ¶ 83. LTC insurance companies are required by state regulators “to establish reserves to pay future claims, and to assess the adequacy of those reserves on a regular basis.” Id. ¶ 89. “LTC reserves are composed of ‘active life reserves’ (or ‘ALR’) and ‘disabled life reserves’ (or ‘DLR’). ALR (or ‘benefit reserves’) are maintained for LTC insurance policies on which no claim has yet been made, while DLR (or ‘claims reserves’) are maintained for LTC insurance policies on which a claim has already been made (i.e., the policyholder has filed a claim for coverage).” Id. ALR is calculated based on various assumptions, including incidence rates (how many insureds ultimately file claims); lapse rates (how many insureds will let their policies lapse); morbidity rates (how many insureds develop a condition requiring LTC); mortality rates (how long insureds will live); utilization rates (the amount of benefits used by insureds when they file claims); and interest rates. Id. ¶ 90. “DLR is calculated using (i) utilization rates; and (ii) claims termination rates, which are a function of lapse rates and mortality rates.” Id. ¶ 91.

Under Generally Accepted Accounting Principles (“GAAP”), “ALR assumptions are ‘locked’ at the time the policy is originated.” Id. ¶ 92. Accordingly, “th[e]se assumptions do not change until such time as a reserve deficiency is identified” through annual reserve testing processes. Id. “If a deficiency is identified, original ALR assumptions are ‘unlocked’ and ALR is recalculated using revised assumptions that account for the insurer’s actual claims experience and, potentially, the experience of the LTC industry as a whole.” Id. DLR assumptions, on the other hand, are not “locked” under GAAP; instead, “they are based on ‘best estimate’ assumptions . . . that reflect[] anticipated experience with no provision for risk of adverse deviation . . . based on experience studies, i.e., the insurer’s experience with respect to the

policies covered by the DLR.” Id. ¶ 93 (internal quotation marks omitted). “When a policy is entered into with a customer, the insurance company calculates and sets aside ALR for that policy. When a policy goes ‘on claim,’ ALR associated with that policy is generally transferred to DLR.” Id. ¶ 89. In the 1990s and early 2000s, GE Capital, GE’s financial services arm, wrote and reinsured LTC policies, capturing 20% of the market by 2001. Id. ¶ 8. In the mid-2000s, however, GE decided to exit the insurance business. To that end, it spun off the majority of its LTC insurance portfolio to a newly formed company, Genworth, in 2004, see id. ¶¶ 9, 108, and sold its remaining insurance stake to Swiss Re in 2006, see id. ¶¶ 113-14. In both transactions, however, GE agreed to reinsure portions of the transferred LTC insurance blocks and, therefore, retained significant exposure even as it had, on the surface, transferred much of its insurance portfolio to other companies and was no longer writing new LTC policies. Id. ¶¶ 109, 113-14.1 In fact, the reinsurance blocks GE retained were the “worst of the worst,” some of the “riskiest blocks of LTC insurance in the entire industry,” id. ¶¶ 110, 114, 265 (emphases omitted) — so

much so that, had GE not agreed to retain them, it “would have threatened” the deals with Genworth and Swiss Re, id. ¶ 111 (emphasis omitted); see id. ¶¶ 114-15. Following these transactions, and throughout the Class Period, GE’s remaining LTC insurance operations resided in Employers Reassurance Corporation (“ERAC”), a wholly owned indirect subsidiary of GE, organized within GE Capital and domiciled in Kansas, and Union Fidelity Life Insurance Company (“UFLIC”), a wholly owned subsidiary of ERAC. Id. ¶¶ 51-52. During this same period, a “perfect storm” of factors “catastrophically impacted the profitability of LTC insurers and reinsurers” as a result of “negative deviations between th[e] original pricing assumptions [employed at LTC policy origination] and actual claims

experience.” Id. ¶¶ 96-100, 104. This was especially problematic for “LTC reinsurers like GE, as only the [original] ceding insurer may apply to a state regulator for a rate increase, and reinsurers are at their mercy to do so.” Id. ¶ 101. Notwithstanding these developments and GE’s continued exposure, GE repeatedly publicly touted its successful exit from the insurance business and the quality and safety of GE Capital’s remaining portfolio. See id. ¶¶ 10, 15, 259. Beginning in 2013, GE changed the way it reported its insurance liabilities in annual regulatory filings. Before 2013, GE’s yearly SEC Form 10-K filings provided an “Insurance liabilities”

Free access — add to your briefcase to read the full text and ask questions with AI

Related

McCarthy v. Dun & Bradstreet Corp.
482 F.3d 184 (Second Circuit, 2007)
Tellabs, Inc. v. Makor Issues & Rights, Ltd.
551 U.S. 308 (Supreme Court, 2007)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Slayton v. American Express Co.
604 F.3d 758 (Second Circuit, 2010)
BIV-NY v. Smith Barney
471 F. App'x 30 (Second Circuit, 2012)
Novak v. Kasaks
216 F.3d 300 (Second Circuit, 2000)
Rombach v. Chang
355 F.3d 164 (Second Circuit, 2004)
Panther Partners Inc. v. Ikanos Communications, Inc.
681 F.3d 114 (Second Circuit, 2012)
Anschutz Corp. v. Merrill Lynch & Co.
690 F.3d 98 (Second Circuit, 2012)
Kleinman v. Elan Corp., plc
706 F.3d 145 (Second Circuit, 2013)
Staehr v. Hartford Financial Services Group, Inc.
547 F.3d 406 (Second Circuit, 2008)
ATSI Communications, Inc. v. Shaar Fund, Ltd.
493 F.3d 87 (Second Circuit, 2007)
South Cherry Street, LLC v. Hennessee Group LLC
573 F.3d 98 (Second Circuit, 2009)
In Re Elan Corp. Securities Litigation
543 F. Supp. 2d 187 (S.D. New York, 2008)
Katz v. Image Innovations Holdings, Inc.
542 F. Supp. 2d 269 (S.D. New York, 2008)
In Re AOL Time Warner, Inc. Securities & "Erisa" Litigation
381 F. Supp. 2d 192 (S.D. New York, 2004)
Litwin v. Blackstone Group, L.P.
634 F.3d 706 (Second Circuit, 2011)
Glaser v. The9, Ltd.
772 F. Supp. 2d 573 (S.D. New York, 2011)

Cite This Page — Counsel Stack

Bluebook (online)
Sjunde Ap-Fonden and The Cleveland Bakers and Teamsters Pension Fund, individually and on behalf of all others similarly situated v. General Electric Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sjunde-ap-fonden-and-the-cleveland-bakers-and-teamsters-pension-fund-nysd-2021.