United States of America, Plaintiff-Appellee-Cross-Appellant v. Steven B. Tencer and Ronald Lazar, Defendants-Appellants-Cross-Appellees

107 F.3d 1120, 1997 WL 104157
CourtCourt of Appeals for the Fifth Circuit
DecidedMarch 10, 1997
Docket95-31135
StatusPublished
Cited by86 cases

This text of 107 F.3d 1120 (United States of America, Plaintiff-Appellee-Cross-Appellant v. Steven B. Tencer and Ronald Lazar, Defendants-Appellants-Cross-Appellees) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States of America, Plaintiff-Appellee-Cross-Appellant v. Steven B. Tencer and Ronald Lazar, Defendants-Appellants-Cross-Appellees, 107 F.3d 1120, 1997 WL 104157 (5th Cir. 1997).

Opinion

W. EUGENE DAVIS, Circuit Judge:

Steven Tencer and Ronald Lazar challenge their convictions on multiple counts related to their scheme to submit fraudulent claims to insurance companies and obtain proceeds for unperformed chiropractic services. The government cross-appeals a number of the district court’s rulings. For reasons that follow, we affirm in part, reverse in part, and remand this case to the district court for sentencing.

I.

Appellants Tencer and Lazar, both licensed chiropractors, worked at the Allied Chiropractic Clinic (“Allied”) in Kenner, Louisiana. Tencer, who owned the clinic, turned over the bulk of his practice to Lazar, his employee, in 1989; thereafter, Tencer generally supervised the clinic’s financial affairs while Lazar treated patients on a day-to-day basis. From sometime in 1988 to early 1992, Allied submitted false insurance claims to three insurance companies, Blue Cross/Blue Shield of Louisiana (“Blue Cross”), Mail Handlers Benefit Plan (“Mail Handlers”), and National Association of Letter Carriers (“NALC”), and collected proceeds for patients who were not treated at all or who received only minimal treatment.

To execute the fraud, the appellants paid insurance premiums for some patients who, in return, signed multiple sign-in sheets indicating their presence in the office awaiting treatment. Those sheets were then used to generate false insurance claims. Appellants followed a similar pattern with patients recruited from local and federal government agencies; patients with good insurance benefits for chiropractic services were paid to sign their names and the names of family members on the clime’s sign-in sheets. They were also compensated for referring coworkers to Allied.

*-459 While Allied apparently provided some legitimate services, many patients testified that they and their family members received either no treatment or only cursory treatment consisting of brief massages or the application of heat pads. Yet, the claim forms Allied submitted for these same patients reported complicated diagnoses and elaborate treatment regimens. As a result of the scheme, Allied submitted hundreds of fraudulent claims and collected more than $450,000 in insurance proceeds related to these patients.

Before trial, Tencer moved unsuccessfully to sever his trial from Lazar. Following the jury trial, Tencer was convicted of one count of conspiracy to commit mail fraud and money laundering in violation of 18 U.S.C. § 371 (count 1); seventeen counts of mail fraud in violation of 18 U.S.C. § 1341 (counts 2-18); and eighteen counts of money laundering in violation of 18 U.S.C. § 1956 (counts 19-29, 31-37). The jury also returned a special forfeiture verdict of $1,598,645.18 and two vehicles allegedly involved in the money laundering. The district court acquitted Tencer on five money laundering counts (counts 26-29, 37) and reduced the jury’s forfeiture order to $700,000. Tencer was sentenced to 78 months’ imprisonment, fined $17,500, and ordered to pay restitution of $451,969.60 and to forfeit $700,000.

Lazar was convicted of conspiracy, mail fraud, and money laundering (counts 1-18, 37), but the court acquitted him on the money laundering count (count 37). He was sentenced to 33 months’ imprisonment and fined $30,000. Tencer and Lazar raise a number of issues on appeal, which we discuss below. We also consider below several issues the government raises in its cross-appeal.

II.

Both Tencer and Lazar argue that the evidence is insufficient to support their convictions for mail fraud, money laundering, and conspiracy. Faced with such a challenge, this court must determine “ “whether, after viewing the evidence and all inferences that may reasonably be drawn from it in the light most favorable to the prosecution, any reasonably minded jury could have found that the defendant was guilty beyond a reasonable doubt.’ ” United States v. Krenning, 93 F.3d 1257, 1262 (5th Cir.1996) (quoting United States v. Leahy, 82 F.3d 624, 633 (5th Cir.1996)).

A.

To establish a mail fraud violation under 18 U.S.C. § 1341, the government must demonstrate (1) a scheme to defraud; (2) the use of mails to execute that scheme; and (3) the defendant’s specific intent to commit fraud. United States v. Fagan, 821 F.2d 1002, 1008 (5th Cir.1987), cert. denied, 484 U.S. 1005, 108 S.Ct. 697, 98 L.Ed.2d 649 (1988). Counts 2-18 charged appellants with using the mails in furtherance of a scheme to defraud Blue Cross, Mail Handlers, and NALC. Counts 2-10 stem from nine separate mailings of checks from Blue Cross to Allied. Counts 11-18 involve checks mailed from Mail Handlers and NALC. The individual check that the government relies on for the “mailing” in each of the mail fraud counts is identified in the indictment and was introduced in evidence at trial.

1.

Appellants first argue that the evidence fails to establish the mailing requirement as it relates to the Blue Cross checks underlying counts 2-10. To convict a defendant under § 1341, the use of the mails must be ‘“incident to an essential part of the scheme.’” Schmuck v. United States, 489 U.S. 705, 711, 109 S.Ct. 1443, 1448, 103 L.Ed.2d 734 (1989) (quoting Pereira v. United States, 347 U.S. 1, 8, 74 S.Ct. 358, 362-63, 98 L.Ed. 435 (1954)). That is, completion of the alleged scheme must depend in some way on the information or documents that passed through the mail. United States v. Pazos, 24 F.3d 660, 665 (5th Cir.1994). Even a routine or innocent mailing may supply the mailing element as long as it contributes to the execution of the scheme. Schmuck, 489 U.S. at 714-15, 109 S.Ct. at 1499-50.

Ample evidence supports the existence of a scheme to defraud Blue Cross, Mail Handlers, and NALC, and appellants’ use of *-458 mails to execute that scheme. Several patients testified that they never received treatments for which their insurers were billed, and insurance representatives testified that payments for all claims were mailed to Allied. The evidence regarding Blue Cross in particular showed that Allied billed the insurer for 2,944 visits with patients about whom testimony was offered; Allied received approximately $362,000 from Blue Cross in payment for the visits. The Blue Cross-insured patients testified that they received little or no chiropractic care in return for the money Blue Cross paid Allied.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

United States v. Sterlingov
District of Columbia, 2023
United States v. Balagia
Fifth Circuit, 2023
United States v. Gas Pipe, Incorporated
901 F.3d 268 (Fifth Circuit, 2018)
United States v. Francisco Colorado Cessa
872 F.3d 267 (Fifth Circuit, 2017)
United States v. Randy Beltramea
849 F.3d 753 (Eighth Circuit, 2017)
United States v. Bikundi
125 F. Supp. 3d 178 (District of Columbia, 2015)
United States v. Greg Carter
742 F.3d 440 (Ninth Circuit, 2014)
United States v. Jermaine Surtain
519 F. App'x 266 (Fifth Circuit, 2013)
United States v. Richard Arledge
524 F. App'x 83 (Fifth Circuit, 2013)
United States v. Gordon
710 F.3d 1124 (Tenth Circuit, 2013)
United States v. St. Pierre
809 F. Supp. 2d 538 (E.D. Louisiana, 2011)
In Re 650 Fifth Ave. and Related Properties
777 F. Supp. 2d 529 (S.D. New York, 2011)
United States v. Paroline
672 F. Supp. 2d 781 (E.D. Texas, 2009)
United States v. Arledge
553 F.3d 881 (Fifth Circuit, 2008)
United States v. Brewer
591 F. Supp. 2d 864 (N.D. Texas, 2008)
United States v. Hirko
447 F. Supp. 2d 734 (S.D. Texas, 2006)
United States v. Elashi
440 F. Supp. 2d 536 (N.D. Texas, 2006)

Cite This Page — Counsel Stack

Bluebook (online)
107 F.3d 1120, 1997 WL 104157, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-of-america-plaintiff-appellee-cross-appellant-v-steven-b-ca5-1997.