United States ex rel. Hendrickson v. Bank of Am., N.A.

343 F. Supp. 3d 610
District Court, N.D. Texas·Decided October 26, 2018·No. CIVIL ACTION NO. 3:16-CV-0292-S·Published·Cited by 14 cases

Opinion

KAREN GREN SCHOLER, UNITED STATES DISTRICT JUDGE

This Order addresses Defendants'1 Motion to Dismiss [ECF No. 92]. For the reasons below, the Motion is granted in part and denied in part.

*617I. BACKGROUND

A. The Federal Benefit Payment System

This qui tam action arises out of alleged violations of the False Claims Act ("FCA") by sixteen banks that process benefit payments for the recipients of federal benefits. Certain federal entitlement programs contemplate lifetime benefit payments, Am. Compl. ¶ 15. These include programs administered by the Social Security Administration ("SSA"), the Office of Personnel Management ("OPM"), the Railroad Retirement Board ("RRB"), and the Department of Veterans Affairs ("VA"). Id. The recurring benefit payments from these agencies are intended to cease once the person receiving the payments (the "Recipient")2 dies. Id. Relator Edward Hendrickson ("Relator") alleges that, due to fraud by Defendants, the payments often continue long after the Recipient has died and that a large percentage of the overpayments are never returned to the Government.

The process by which federal agencies make recurring benefit payments entails several steps. First, the agencies transmit the funds to the Automated Clearing House ("ACH") network. Am. Compl. ¶ 19. The bank where the Recipient has an account receives the funds from the ACH network and then deposits the payment into the Recipient's account. Id. ¶ 20. The banks participating in the ACH network are referred to as "Receiving Depository Financial Institutions" ("RDFI"). Id. ¶ 23. All of the banks named as defendants in the instant case are RDFIs. When an RDFI accepts a benefit payment, it agrees to be bound by applicable Department of Treasury ("Treasury") rules and regulations. Id. ¶ 21. The main sources of such regulations are 31 C.F.R. Part 210 ("Part 210") and the "instructions and procedures" issued under Part 210, including the Treasury Financial Manual and the Green Book. 31 C.F.R. § 210.3(c) ; see also Am. Compl. ¶ 27. Every time a bank accepts a deposit, it renews its contractual promise to abide by Treasury rules and regulations. See BUREAU OF THE FISCAL SERV. , GREEN BOOK 5-3 (2016), https://www.fiscal.treasury.gov/fsreports/ref/greenBook/downloads.htm. [hereinafter Green Book]; Am. Compl. ¶ 28. According to Relator, RDFIs are intended to act as "gatekeepers" and ensure that the payments they receive are authorized. Am. Compl. ¶ 29.

Relator posits that RDFIs typically learn of Recipients' deaths when they receive Death Notification Entries ("DNEs"). Id. ¶ 32. A DNE informs an RDFI that a Recipient has died. Id. ¶ 33. Only federal agencies can originate DNEs. Id. ¶ 32 (quoting Green Book 4-2). The SSA, OPM, and RRB all issue DNEs. Id. ¶ 34. In Relator's view, pursuant to the Green Book, RDFIs are obligated to stop accepting benefit payments and are "encouraged" to "flag" the deceased Recipient's account once they receive a DNE. Id. ¶¶ 36-37 (citing and quoting Green Book 5-8, 4-2). Pursuant to 31 C.F.R. § 210.10(a), "An RDFI shall be liable to the Federal Government for the total amount of all benefit payments received after the death ... of a [R]ecipient ... unless the RDFI has the right to limit its liability under [ 31 C.F.R. § 210.11 ]."

When the Government finds out that a payment was made to a deceased Recipient, *618it can issue a Notice of Reclamation ("NOR") to the appropriate RDFI. Am. Compl. ¶ 55. Upon receiving the NOR, the RDFI can limit its liability by certifying, on the NOR, the date it learned of the Recipient's death. Id. ¶ 56. The RDFI is only required to return payments received after it became aware of the death. Id. ¶ 58.

B. Relator's Allegations

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United States ex rel. Hendrickson v. Bank of Am., N.A., 343 F. Supp. 3d 610 (N.D. Tex. 2018).

343 F. Supp. 3d 610 (United States ex rel. Hendrickson v. Bank of Am., N.A.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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