United States Ex Rel. Pilecki-Simko v. Chubb Institute

443 F. App'x 754
CourtCourt of Appeals for the Third Circuit
DecidedSeptember 6, 2011
Docket10-3907
StatusUnpublished
Cited by10 cases

This text of 443 F. App'x 754 (United States Ex Rel. Pilecki-Simko v. Chubb Institute) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States Ex Rel. Pilecki-Simko v. Chubb Institute, 443 F. App'x 754 (3d Cir. 2011).

Opinion

OPINION

GREENAWAY, JR., Circuit Judge.

Plaintiffs Mary Beth Pilecki-Simko and Tom Guinta (“Appellants”) filed a qui tam action against The Chubb Institute (“TCI”), The Chubb Corporation (“TCC”), Chubb America Service Corp., 1 and High-Tech Institute, Inc. (“HTI”), pursuant to the False Claims Act (“FCA”), 2 31 U.S.C. § 3729 et seq. 3 Appellants alleged that TCI knowingly caused false claims to be presented to the Government and made or used false statements to get false claims paid by the Government. These claims are rooted in Appellants’ allegation that TCI made misrepresentations to the Department of Education (“DOE”) that wrongfully enabled it to secure student financial aid in the form of loans and *756 grants from the federal government. They also sought liability for this conduct against TCI’s relevant corporate parents, HTI and TCC, on the basis of their alleged control of TCI’s actions.

Appellants appeal the District Court’s denial of their Motion for Reconsideration of the Court’s denial of leave to amend their complaint and the order dismissing, with prejudice, their second amended complaint (“SAC”). For the reasons discussed below, we will affirm the orders of the District Court. Additionally, we will grant Appellee TCC’s Motion for Damages and Costs, pursuant to Federal Rule of Appellate Procedure 38.

I. BACKGROUND

We write primarily for the parties and recount only the essential facts.

This matter is a qui tam action brought by Appellants against their former employer, TCI. The FCA prohibits, in relevant part: 4

(1) knowingly presenting], or causing] to be presented, to an officer or employee of the United States Government ... a false or fraudulent claim for payment or approval;
(2) knowingly making], us[ing], or causing] to be made or used, a false record or statement to get a false or fraudulent claim paid or approved by the Government;

31 U.S.C. § 3729(a)(1) — (2). (West 2003 & Supp.2008). In their claim, Appellants allege that Appellees, with knowledge of their falsity, presented or caused to be presented to the United States Government claims, and caused payments for the claims to be made by the Government, pursuant to § 3729(a)(1); and knowingly made, used or caused to be made or used false records or statements to get a false or fraudulent claim paid by the Government, pursuant to • § 3729(a)(2). 5 Appellants allege that TCI knowingly caused false claims to be filed by making misrepresentations to the DOE, its accrediting agencies, and students that wrongfully enabled TCI to secure student financial aid pursuant to Title IV of the Higher Education Act (“HEA”).

“When an educational institution wishes to receive federal subsidies under Title IV and the [HEA], it must enter into a Program Participation Agreement with the [DOE], in which it agrees to abide by a panoply of statutory, regulatory, and contractual requirements.” U.S. ex rel. Hendow v. Univ. of Phoenix, 461 F.3d 1166, 1168 (9th Cir.2006). Appellants claim that TCI knowingly violated Title IV requirements by falsely certifying compliance with the Program Participation Agreement (PPA) 6 and knowingly continuing to sub *757 mit students’ applications for financial aid, which included certifications that the students were eligible for Title IV financial aid, although TCI was allegedly in violation of the incentive compensation ban contained within the PPA. 7

Appellees moved to dismiss Appellants’ SAC for failure to state a claim, pursuant to Federal Rule of Civil Procedure 12(b)(6) and failure to satisfy the pleading requirements of Federal Rule of Civil Procedure 9(b). The District Court granted the motions. The District Court analyzed Appellants’ claims under the implied false certification theory, which is premised “on the notion that the act of submitting a claim for reimbursement itself implies compliance with governing federal rules that are a precondition to payment.” U.S. ex rel. Willis v. United Health Grp., Inc., No. 10-2747, 659 F.3d 295, 305 (3d Cir.2011) (citation and internal quotation marks omitted). 8 The District Court found that Appellants’ allegations of Ap-pellees’ misconduct failed to plead a FCA claim with particularity under Rule 9(b), which governs pleading for special matters, including fraud. Alternatively, the District Court also found that TCI’s salary compensation policy fell within the FCA’s safe harbor; thus, saving TCI from liability-

Additionally, the Court found insufficient support in Appellants’ pleading for their corporate liability and veil-piercing claims against TCC and HTI. The District Court dismissed the SAC, without prejudice, and permitted Appellants to explain why they should be given a third opportunity to amend, ordering Appellants to show cause why the SAC should not be dismissed with prejudice.

Appellants responded to the Order to Show Cause with two allegations — that TCI (1) falsely certified compliance with the incentive compensation ban imposed by Title IVs incentive compensation ban and (2) misrepresented employment placement statistics. The District Court found that Appellants’ submissions did not cure their previous pleading deficiencies and determined that further amendment would be futile. The Court dismissed the SAC with prejudice. 9

Appellants then moved for reconsideration of the District Court’s dismissal with prejudice to the extent that it dismissed Appellants’ claim that TCI falsely certified compliance with Title IVs incentive compensation ban. For the first time, Appel *758 lants argued that (1) the safeharbor is an affirmative defense not appropriately raised in a motion to dismiss; (2) the safeharbor regulation had only been in effect since 2003 and therefore did not apply to allegations about TCI’s conduct prior to that time; and (3) the safe harbor did not cover appropriations such as gifts and offers of trips to its top admissions officers.

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Bluebook (online)
443 F. App'x 754, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-ex-rel-pilecki-simko-v-chubb-institute-ca3-2011.