United States v. Craig B. Sokolow

91 F.3d 396, 1996 U.S. App. LEXIS 18473, 44 Fed. R. Serv. 972, 1996 WL 417637
CourtCourt of Appeals for the Third Circuit
DecidedJuly 26, 1996
Docket95-1367, 95-1292
StatusPublished
Cited by136 cases

This text of 91 F.3d 396 (United States v. Craig B. Sokolow) 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 v. Craig B. Sokolow, 91 F.3d 396, 1996 U.S. App. LEXIS 18473, 44 Fed. R. Serv. 972, 1996 WL 417637 (3d Cir. 1996).

Opinion

ORDER

MANSMANN, Circuit Judge.

It is hereby ORDERED that the opinion dated April 18, 1996, in the above case is hereby vacated.

It is further ORDERED that the petition for panel rehearing filed by appellant in the above entitled case having been substituted to the judges who participated in the decision of this court, and no judge who concurred in the decision having asked for rehearing, is denied.

It is further ORDERED that the Clerk shall file the enclosed opinion.

OPINION OF THE COURT

RESTANI, Judge.

Defendant Craig B. Sokolow (“Sokolow”) appeals from his conviction in the United States District Court for the Eastern District of Pennsylvania following a two month jury trial. On March 18, 1994, Sokolow was convicted of 107 counts of mail fraud in violation of 18 U.S.C. § 1341 (1988), 17 counts of money laundering in violation of 18 U.S.C. § 1957 (1988), and one count of criminal forfeiture in violation of 18 U.S.C. § 982 (1988). Following several sentencing hearings, the district judge sentenced Sokolow to 92 months in prison, to be followed by three years supervised release, and ordered a $50,-000 fine, $6200 in special assessments, $690,-246.34 in restitution, and the forfeiture of $2.1 million. On appeal, defendant challenges both his conviction and sentencing. For the reasons stated herein, we will affirm the conviction, sentencing, and the order of forfeiture, but remand for reconsideration of the restitution order.

I. BACKGROUND

The events leading to Sokolow’s indictment and subsequent conviction occurred between May 1, 1987 and July 23, 1990. Sokolow, an attorney and licensed insurance agent, offered health benefits plans to the public in Pennsylvania and several other states through a series of corporations that he established and controlled, but primarily through the National Independent Business Association, Inc. (“NIBA”). 1 The plans were marketed to small business employers, their employees, and their families. Association Insurance Marketing, Inc. (“AIM”), a corporation established and controlled by Sokolow, served as the primary marketing arm of NIBA Through AIM, Sokolow received commissions on all premiums received for the sale of NIBA policies.

Prior to May 1987, NIBA members were fully insured by NIBA’s group insurance contract with World Life and Health Insurance Company (“World Company”). On May 1, 1987, Sokolow replaced World Life with Independence Blue Cross and Pennsylvania Blue Shield to administer and process NIBA’s health care claims. Sokolow purchased stop-loss coverage from Blue Cross, whereby NIBA assumed responsibility for the payment of NIBA members’ medical care claims up to the first $25,000. Blue Cross would pay any remaining claims in excess of $25,000. The indictment charged that Soko-low falsely represented to the public that NIBA was fully-insured by Blue Cross, when, in fact, it was a self-funded plan, thus defrauding members of their premiums. In addition, Sokolow allegedly used the Blue Cross logo on marketing and billing materials, in violation of NIBA’s agreement with Blue Cross, to foster the impression that NIBA was the equivalent of a Blue Cross fully-insured health benefits plan.

On June 30, 1988, Blue Cross terminated its service plan with NIBA when Sokolow failed to pay approximately $2 million in *401 claims for which Blue Cross sought reimbursement. Sokolow then contracted with another company for higher stop-loss coverage that required NIBA to pay the first $50,000 of a member’s medical care claims. The indictment alleged that Sokolow again misrepresented that NIBA was fully insured by the new coverage, when, in fact, it was self-funded.

After receiving complaints concerning NIBA’s claims administration in late 1988, the Pennsylvania Insurance Department (the “Department”) began to investigate NIBA’s operations. The Department determined that Sokolow had been operating NIBA as an illegal, unlicensed insurer in Pennsylvania. Sokolow objected to the Department’s inquiries on the basis that NIBA was a Multi-Employer Welfare Arrangement (“MEWA”) that could file a benefits plan under ERISA and, thus, was not subject to state regulation. 2 The Department disagreed with Soke-low’s contentions and, on May 2, 1989, suspended NIBA’s operations. On August 31, 1989, the Commonwealth Court of Pennsylvania ruled that NIBA did not constitute a válid MEWA plan, but was a commercial enterprise “marketing insurance, without the benefit of a licensed company status, while purporting to be a valid ERISA plan, such that state licensing would not be necessary.” 3 Appellant’s App. [hereinafter “App.”] at 1193. Consequently, NIBA was ordered liquidated by the commonwealth court on February 15,1990.

Sokolow collected more than $34 million in premiums from NIBA plan members who were allegedly defrauded by Sokolow during the period covered by the indictment. The indictment alleged that Sokolow converted approximately $4 million of the premiums for his personal benefit. He received $2,239,-575.67 in commissions through AIM and two other related insurance companies 4 ($1,837,-152.30 of those commissions went to AIM) and $1,806,259.23 in salary, officer’s loans, and other disbursements. These monies were deposited into AIM and NIBA accounts. The indictment alleged that Sokolow laundered these funds through a number of bank and brokerage accounts, as well as real property and mortgages.

The jury trial commenced on January 10, 1994, and concluded on March 18, 1994, with the return of guilty verdicts on all counts considered by the jury. Sentencing proceedings were held on January 6 and 11, and February 6, 1995, during which sentencing issues were argued, and evidence of forfeiture, loss calculations, and restitution was presented. On March 14, 1995, the district court filed three separate Memorandum Opinions and Orders, inter alia, determining the Sentencing Guidelines calculations, and ordering the restitution and forfeiture obligation. Following entry of judgment, Soko-low filed this timely appeal challenging both his conviction and sentence.

II. CHALLENGES TO THE CONVICTION

A. Evidentiary Challenges

Sokolow challenges three evidentiary rulings made by the district court. Sokolow claims that the district court (1) erred in admitting into evidence Government Exhibit B-110 (“Gov’t Ex. B-110”), a summary of unpaid insurance claims of NIBA members; (2) improperly allowed evidence of NIBA’s alleged operation as an unlicensed insurance *402 company; and (3) abused its discretion in admitting irrelevant and highly prejudicial victim impact testimony.

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Bluebook (online)
91 F.3d 396, 1996 U.S. App. LEXIS 18473, 44 Fed. R. Serv. 972, 1996 WL 417637, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-craig-b-sokolow-ca3-1996.