State v. Ferguson

2015 UT App 45, 345 P.3d 763, 781 Utah Adv. Rep. 10, 2015 Utah App. LEXIS 51, 2015 WL 798098
CourtCourt of Appeals of Utah
DecidedFebruary 26, 2015
Docket20130005-CA
StatusPublished

This text of 2015 UT App 45 (State v. Ferguson) is published on Counsel Stack Legal Research, covering Court of Appeals of Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Ferguson, 2015 UT App 45, 345 P.3d 763, 781 Utah Adv. Rep. 10, 2015 Utah App. LEXIS 51, 2015 WL 798098 (Utah Ct. App. 2015).

Opinion

Opinion

CHRISTIANSEN, Judge:

11 Defendant William Ricker Ferguson appeals his conviction after a jury trial for one count of insurance fraud, a second degree felony. We affirm.

12 In 2009, Defendant operated a business that used several lasers for cosmetic procedures, including sear reduction and hair removal. 2 In May 2009, cable installers working near Defendant's business struck a sprinkler line, causing the basement to flood. Defendant and his business manager immediately entered the basement and noticed that the water had reached a depth of about an inch and a half, The water drained from the basement through a drain in the floor, resulting in only minor property damage. None of Defendant's lasers were located in the basement at the time of the flooding.

3 In the days following the flooding, Defendant repeatedly asked his business manager to write a statement describing the *764 property damage for insurance purposes. Defendant requested that his business manager specifically state "that there were lasers in the basement that were damaged." Defendant even offered the business manager "a ent" of the insurance proceeds if she agreed to do so. But the business manager refused Defendant's repeated requests.

T4 The owner of the cable-installation company eventually filed a claim with his insurance company on Defendant's behalf for the replacement cost of the lasers. To obtain proof of the lasers' value for the claim, Defendant contacted the laser manufacturer and requested that the manufacturer provide a quote for the replacement cost of the lasers. The laser manufacturer prepared the requested quote, which set forth the replacement cost of a new laser and stated that the lasers had been damaged beyond repair. The manufacturer gave the invoice to Defendant, who then submitted the invoice to the insurance company.

15 A claims adjuster and an investigator employed by the insurance company investigated Defendant's claim. Both the adjuster and the investigator sought Defendant's and the laser manufacturer's cooperation in securing evidence of the damaged lasers. After neither Defendant nor the manufacturer cooperated with the investigation, the insurance company denied Defendant's claim.

16 In January 2011, the State charged Defendant with one count of insurance fraud pursuant to Utah Code section 76-6-521. Defendant was tried by a jury. At the close of the State's case, Defendant moved for a directed verdict. The trial court denied Defendant's motion. The jury found Defendant guilty, and he appeals.

ISSUE AND STANDARD OF REVIEW

T 7 The sole issue on appeal is whether the trial court erred by denying Defendant's motion for a directed verdict. In ruling on the motion, the trial court determined that Utah's insurance-fraud statute does not require the State to prove that a defendant pursued a fraudulent claim to the point it could reasonably be expected to be paid by the insurer. But see State v. Wilson, 710 P.2d 801, 803 (Utah 1985). Defendant's argument that the trial court misinterpreted the insurance-fraud statute presents a question of law, which we review for correctness. See Salt Lake City v. Christensen, 2007 UT App 254, ¶ 7, 167 P.3d 496.

ANALYSIS

18 Defendant argues that the trial court erred by denying his motion for a directed verdict on the charge of insurance fraud. Following the close of the State's case, defense counsel moved for a directed verdict, arguing that the State failed to present sufficient evidence to show that Defendant had "presented a claim" to the insurer for payment. See Utah Code Ann. § 76-6-521(1)(b)(1)(A) (LexisNexis 2008). "A person commits a fraudulent insurance act if that person with intent to defraud ... presents, or causes to be presented, any oral or written statement or representation ... as part of or in support of a claim for payment or other benefit pursuant to an insurance policy...." Id. Defendant premised this argument on State v. Wilson, in which the Utah Supreme Court held that "one who causes a [false or fraudulent] claim 'to be presented must have at least pursued a company's claim procedure to the point where the insurance company would reasonably be expected to pay a claim on the basis of the defendant's oral or written submittals." 710 P.2d 801, 803 (Utah 1985). Defendant argued that the State failed to prove that Defendant pursued his claim to the point where Sharp's insurance company would reasonably have been expected to pay on the claim. The trial court rejected Defendant's argument, explaining that post-Wilson amendments to the insurance-fraud statute rendered the supreme court's analysis in Wilson inapplicable to Defendant's case.

T9 On appeal, Defendant again asserts that because the State failed to produce evidence that Defendant "pursue[d] a claim to the point where the 'insurance company would reasonably be expected to pay a claim on the basis of [his] oral or written submit-tals," the trial court erred by not granting his request for a directed verdict. (Quoting Wilson, 710 P.2d at 808.) Defendant argues *765 that the plain language of the insurance-fraud statute and the legislative history behind the post-Wilson amendments to that statute demonstrate that the supreme court's holding in Wilson "remains binding on the trial court and on this court despite an esthetic rearrangement of the relevant language in the fraudulent insurance act statute." Therefore, in evaluating Defendant's claim, we analyze both the version of the insurance-fraud statute in effect at the time Defendant submitted the invoice to Sharp's insurer and the version in effect when the supreme court decided Wilson.

1 10 When we engage in "statutory interpretation, our primary goal is to effectuate the intent of the [Utah] Legislature." LeBeau v. State, 2014 UT 39, ¶ 20, 337 P.3d 254. "The best evidence of the Legislature's intent is the statute's plain language." Id. "We presume that the [Llegislature used each word advisedly and give effect to each term according to its ordinary and accepted meaning." Id. (alteration in original) (citation and internal quotation marks omitted). Additionally, we interpret statutes to give meaning to all parts, and avoid rendering portions of the statute superfluous. Id. "We resort to legislative history and other interpretive tools only if the statute's plain meaning cannot be discerned from its text." Reynolds v. Bickel, 2013 UT 32, ¶ 10, 307 P.3d 570.

1 11 The primary evidence supporting the State's allegation that Defendant committed insurance fraud is the invoice Defendant submitted to the insurance company. The version of the insurance-fraud statute under which Defendant was charged provides in relevant part,

A person commits a fraudulent insurance act if that person with intent to defraud:
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(b) presents, or causes to be presented, any oral or written statement or representation:

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Related

Reynolds v. Bickel
2013 UT 32 (Utah Supreme Court, 2013)
Madsen v. Borthick
769 P.2d 245 (Utah Supreme Court, 1988)
State v. Kruger
2000 UT 60 (Utah Supreme Court, 2000)
Salt Lake City v. Christensen
2007 UT App 254 (Court of Appeals of Utah, 2007)
State v. Lebeau
2014 UT 39 (Utah Supreme Court, 2014)
State v. Wilson
710 P.2d 801 (Utah Supreme Court, 1985)

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Bluebook (online)
2015 UT App 45, 345 P.3d 763, 781 Utah Adv. Rep. 10, 2015 Utah App. LEXIS 51, 2015 WL 798098, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-ferguson-utahctapp-2015.