SPOKANE v. NATIONWIDE LIFE INSURANCE COMPANY

CourtDistrict Court, E.D. Pennsylvania
DecidedJuly 27, 2022
Docket2:14-cv-05287
StatusUnknown

This text of SPOKANE v. NATIONWIDE LIFE INSURANCE COMPANY (SPOKANE v. NATIONWIDE LIFE INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SPOKANE v. NATIONWIDE LIFE INSURANCE COMPANY, (E.D. Pa. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

DR. DAVID SPOKANE and DAVID C. CIVIL ACTION SPOKANE ORTHODONTIC ASSOCIATES, P.C., Plaintiffs,

v. NO. 14-5287

NATIONWIDE LIFE INSURANCE COMPANY, Defendant.

MEMORANDUM OPINION Plaintiffs David Spokane and David C. Spokane Orthodontic Associates, P.C. contend that, by taking certain actions as the insurer of life insurance policies which were devalued through a larger, complex scheme to swindle funds from welfare benefit plans operated by one John Koresko, Defendant Nationwide Life Insurance Company (“Nationwide”) violated two sections of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1132(a)(2)-(3), two sections of the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. §§ 1962(c)-(d), and committed the following offenses under Pennsylvania common law: fraud, breach of fiduciary duty, knowing participation in and aiding and abetting breach of fiduciary duty, breach of an obligation of good faith, and negligence. Plaintiffs now move for summary judgment pursuant to Federal Rule of Civil Procedure 56 on their ERISA claims, and Defendant cross-moves for summary judgment on all of Plaintiffs’ claims. For the reasons that follow, Plaintiffs’ Motion shall be denied, and Defendant’s Motion shall be granted in part and denied in part. I. BACKGROUND This story arises from a complex scheme run by John Koresko and his affiliates to steal tens of millions of dollars from hundreds of welfare benefit plans. In the decade of litigation following the discovery of this scheme, the focus of these suits has shifted from Koresko to the insurers which provided life insurance policies used in the welfare benefit plans. Plaintiffs are some of Koresko’s victims and contend that Defendant Nationwide was in on Koresko’s scheme.

Specifically, Plaintiffs contend that Defendant was an ERISA fiduciary because it exercised undirected control by changing the owner of the life insurance policy on Plaintiff David Spokane’s life and issuing a loan on said policy, and that Defendant breached such fiduciary duties. Plaintiffs also argue that Defendant was part of a RICO enterprise with Koresko and his cohorts. To follow the narrative, one must be familiar with the myriad characters involved and the roles they played. Plaintiff David Spokane owns Plaintiff David C. Spokane Orthodontic Associates, P.C. (“SOA”). He is a participant in the David C. Spokane Orthodontic Associates, P.C., Health and Welfare Benefit Plan (“SOA Plan”). In 1999, Spokane was looking for ways to reduce business expenses and retain employees. A colleague suggested that he join a Voluntary

Employees’ Beneficiary Association whereby he could purchase life insurance for himself and for his staff. He was introduced to John Koresko’s brother, Lawrence, who described to him how to participate in the arrangement. Much of the work in running the SOA and other plans was done by John Koresko who established several entities which he used to perpetuate his fraud. These entities included the Regional Employers’ Assurance Leagues (“REAL”)—a loose, unincorporated association of unrelated employers through which Koresko offered to employers his program of employee welfare benefit plans and benefits. Koresko also established two trusts, the Regional Employers Assurance League Voluntary Employees’ Beneficiary Association Trust (“REAL VEBA Trust”) and the Single Employer Welfare Benefit Plan Trust (“Single Employer Trust”). Four different entities, First Union National Bank (“FUNB”), Community Trust Company (“CTC”), Farmers & Merchants Trust Company (“F&M”) and Penn Public Trust (“PPT”), served as the two Trusts’ trustees in that order. The last of these trustees, PPT, was established and owned by Koresko.

Koresko also founded, owned and served as the director of PennMont Benefits Services, Inc. (“Penn-Mont”), which served as the administrator for each employer’s plan, including the SOA Plan. Finally, Koresko founded and wholly owned two law firms—the Koresko Law Firm and Koresko & Associates, P.C.—which represented and acted on behalf of the other Koresko entities. To join the arrangement, Spokane and SOA executed several interrelated documents, 1 which consolidated power into the hands of John Koresko and his affiliates, including Penn- Mont and the trustee of the REAL VEBA and Single Employer Trusts. These documents established and named Plaintiffs’ welfare benefits plan, the SOA Plan, and referenced certain entities and persons involved in the management of the plan and the Koresko arrangement. They

named Koresko a fiduciary of the SOA Plan, authorized him to complete any documents on behalf of Spokane which Penn-Mont determined to be incident to the SOA Plan, and provided that his signature alone could direct the Trustee to act in matters related to the trusts and the SOA Plan. These documents similarly authorized Penn-Mont to: (1) complete and execute any documents on behalf of Spokane which it determined were related to the SOA Plan; (2) instruct the Trustee to act on behalf of the trusts and the SOA; and, (3) exercise its sole discretion to delegate any and all fiduciary responsibilities under the Trusts. The Trustee, which was FUNB

1 These documents included: (1) an “Adoption Agreement” which required Plaintiffs to adopt and agree to the “REAL Health and Welfare Plan Document”—a prototype plan document created by Koresko, and a Master Trust Agreement called the “REAL VEBA Trust Agreement”; and, (2) an “Employee Participation Agreement.” at the time of execution, could take all manner of action on behalf of the Trusts at the direction of Penn-Mont, or Koresko. Koresko and Penn-Mont thus held all the authority to act on behalf of the SOA Plan and the Trusts, Spokane with respect to matters pertaining to the SOA Plan, and could direct the trustee to exercise its powers to do their bidding.

Once the SOA Plan was established, life insurance policies were taken on the lives of plan participants though the trustee, then FUNB, which was named as the owner for the benefit of the welfare benefit plans. The Trust functioned as a pass-through vehicle, receiving insurance premiums paid by the employer and paying them to the insurance company for the policies. In this case, at Spokane’s request, a written application was submitted on behalf of the EAS Plan to Nationwide for a $2 million life insurance policy on Spokane’s life (the “Policy” or the “Spokane Policy”). The application listed the owner and beneficiary for the Policy as the “First Union Bank, Trustee f/b/o Spokane Orthodontics P.C. Welfare Plan” and its address as a King of Prussia P.O. Box left to the care of Penn-Mont. The application also did not specify the role or relationship of Penn-Mont to the Policy or FUNB. Nationwide issued the policy on February 1,

1999. Aside from John Koresko and his companies, two other individuals were key to his arrangement. The first is his brother, the aforementioned Lawrence Koresko,2 who was the Vice President and part-owner of Penn-Mont and worked inter alia as an independent insurance broker at Koresko Financial, an insurance wholesaler he founded and jointly owned with his brother John. The other key person involved in the execution of the Koresko scheme is Jeanne Bonney. She, like the Koreskos, held a variety of hats in the arrangement. The record indicates that she

2 Unless otherwise noted, “Koresko” as used in this opinion refers only to John Koresko.

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SPOKANE v. NATIONWIDE LIFE INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spokane-v-nationwide-life-insurance-company-paed-2022.