Travelers Property Casualty Company of America v. Clucis

CourtDistrict Court, N.D. Georgia
DecidedSeptember 30, 2022
Docket1:20-cv-00276
StatusUnknown

This text of Travelers Property Casualty Company of America v. Clucis (Travelers Property Casualty Company of America v. Clucis) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Travelers Property Casualty Company of America v. Clucis, (N.D. Ga. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION

TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, Plaintiff, v. MARK CLUCIS (a/k/a Mark Cluci, Marius Civil Action No. Cluci, Mihai Cluci, Marius Mihai Cluci, Mihai 1:20-cv-00276-SDG Marius Cluci, d/b/a MMC Construction, MMC Construction, LLC, and/or Mihai M. Cluci Construction); MMC CONSTRUCTION, L.L.C.; MMC CONSTRUCTION, LLC; and MM COMPANY, INC.; Defendants.

OPINION AND ORDER This matter is before the Court on Plaintiff Travelers Property Casualty Company of America’s (Travelers) summary judgment motion [ECF 79] and Defendants Mark Clucis, MM Company, Inc. (the INC), and MMC Construction, L.L.C.’s (the LLC) (collectively, Defendants) cross-motion for summary judgment [ECF 80]. After careful evaluation of the briefs, and with the benefit of oral argument, Travelers’ summary judgment motion [ECF 79] is GRANTED, and Defendants’ cross-motion for summary judgment [ECF 80] is DENIED. I. Background1 The following facts are agreed unless otherwise noted. This is a breach of contract and alter ego liability action arising from an admitted failure to pay outstanding premiums owed to Travelers pursuant to an assigned risk workers’

compensation policy it issued to Clucis and, later, the LLC.2 A. The 2016 and 2017 Policies and the Policy Declarations In April 2015, Clucis, doing business as MMC Construction, applied for a workers’ compensation insurance policy from the assigned risk market.3 The

application represented that MMC Construction was a sole proprietorship, with Clucis owning 100 percent of the business.4 The application also represented that MMC Construction had one employee with an estimated annual renumeration

1 On cross-motions for summary judgment, the Court views the facts “in the light most favorable to the non-moving party on each motion.” Greater Birmingham Ministries v. Sec’y of State for State of Ala., 992 F.3d 1299, 1317 (11th Cir. 2021). The Court accepts as admitted any facts set forth in the parties’ Statements of Undisputed Material Facts supported by evidence that the opposing party did not “specifically controvert[ ] with a citation” to record evidence. Pledger v. Reliance Tr. Co., No. 1:15-CV-4444, 2019 WL 10886802, at *1 n.2 (N.D. Ga. Mar. 28, 2019) (emphasis added). 2 ECF 88-7, ¶¶ 1, 6–7, 14–16; see also ECF 90, ¶ 5 (explaining that Clucis d/b/a MMC Construction was initially insured until a July 9, 2015 change request was approved and the LLC was substituted as the insured). 3 Id. ¶ 1. 4 Id. ¶ 2. payroll of $15,000, and that MMC Construction did not use subcontractors or sublet work without certificates of insurance.5 Travelers approved the application and issued a policy to Clucis (later substituted with the LLC) for the period of April 26, 2015 to April 26, 2016 (the 2016 Policy), which was later renewed until

April 26, 2017 (the 2017 Policy).6 In pertinent part, the 2016 and 2017 Policies outlined the criteria by which Travelers would calculate the premiums (the Policy Declarations). The Policy

Declarations provided that “[t]he premium . . . [would] be determined by [the] Manual of Rules, Classifications, Rates and Rating Plans,” and that all required information would be subject to an annual audit.7 They also provided that “[t]he final premium [would] be determined after [each] policy ends by using the actual,

not the estimated, premium basis and the proper classifications and rates that lawfully apply to the business and work covered by [each] policy,” and that Travelers would “audit all . . . records related to this policy . . . to determine [the]

final premium.”8 “If the final premium is more than the premium . . . paid to

5 Id. ¶¶ 3–4. 6 Id. ¶¶ 6–7; ECF 90, ¶ 3. 7 ECF 88-7, ¶ 8. 8 Id. ¶ 9. [Travelers],” then the insured would be responsible for paying Travelers the balance.9 B. The Audits The parties agree that Travelers performed audits of the 2016 and 2017

Policies as mandated by the Policy Declarations, though they dispute what was provided to and considered by Travelers as part of these audits, as well as the extent to which the LLC cooperated with these audits.10 As explained below, these disputes are immaterial to the question of Travelers’ contract liability, and merely

provide helpful context for the Court’s analysis.11 1. The Pre-Discovery Audit Before Travelers filed this lawsuit, it conducted initial audits of the 2016 and 2017 Policies (the Pre-Discovery Audit). Travelers first calculated that it was owed

a premium balance of $878,741 for the 2016 Policy, and $205,619 for the 2017 Policy, totaling $1,084,360.12 These premiums were due to Travelers on November 14, 2017, and November 4, 2017, respectively.13 However, neither the LLC nor Clucis

9 Id. 10 Id. ¶¶ 10–11. 11 See infra Section II.A.1. 12 ECF 88-7, ¶ 14. 13 Id. ¶ 15. made any payment toward the total sum calculated in the Pre-Discovery Audit because Clucis did not think the premiums were correctly calculated.14 Specifically, Defendants maintain that Clucis supplied Travelers with sub- contractors’ workers’ compensation certificates, which he contends should have

resulted in discounted premiums.15 However, no such certificates are part of the record in this case, and Defendants admit that they have not performed any of their own calculations to contradict Travelers’ Pre-Discovery Audit.16

When Travelers perceived Clucis’s documentation and efforts to comply with the Pre-Discovery Audit to be lacking, Travelers issued a notice of noncooperation on June 22, 2017, and, eventually, a notice of cancellation on June 23, effective July 13.17

2. The Post-Discovery Audits and the Final Premium During discovery, Defendants produced eleven 2016 IRS Form 1099s issued by the LLC totaling $4,038,586; a 2016 IRS Form 1040 reporting $0 in purchases above a line item for $4,038,586 in labor costs; and bank records showing hundreds

14 Id. ¶¶ 16–17. 15 Id. 16 Id. ¶ 18. 17 ECF 81, ¶ 15. of payments to workers.18 The parties dispute the extent to which these documents contradict the versions provided to Travelers pre-suit,19 but Travelers believes the materials were at odds with the LLC’s insurance application. Travelers asserts that the pre-discovery versions were altered to conceal payments to workers and

suppress premiums.20 Defendants maintain that they are not familiar with the pre- discovery versions of the disputed documents, and are unaware of how Travelers would have obtained the allegedly falsified records prior to this litigation.21 The

parties likewise dispute the authenticity of the allegedly altered bank records, contracts, and tax forms Travelers had in its possession pre-suit.22 Based on its perception that the Pre-Discovery Audit was premised on inaccurate and incomplete documentation, which it attributes to Defendants’

failure to fully cooperate with that audit, Travelers conducted a revised audit of the 2016 and 2017 Policies on July 22, 2021 (the Second Audit).23 Accounting for

18 ECF 88-7, ¶ 20. 19 Id. ¶ 21. 20 Id. ¶ 22. 21 Id. 22 Id. ¶ 23. 23 ECF 81, ¶¶ 12, 15–17. See also ECF 81-21 (Revised Audits for 2016 and 2017 Policies). the information Travelers obtained during discovery, the Second Audit results showed that the LLC owed $1,443,928 for the 2016 Policy and $488,914 for the 2017 Policy.24 Adjusting for the premium basis and the proper classifications and rates that lawfully applied to the business and work covered under the 2016 and 2017

Policies as required by the Policy Declarations, Travelers processed its revised final audit for the 2016 and 2017 Policies (the Final Audit).25 The Final Audit resulted in $1,511,359 in earned premium due to Travelers for the 2016 Policy26

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Travelers Property Casualty Company of America v. Clucis, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-property-casualty-company-of-america-v-clucis-gand-2022.