United States v. Rising

631 F. App'x 610
CourtCourt of Appeals for the Tenth Circuit
DecidedNovember 23, 2015
Docket14-1518
StatusUnpublished
Cited by2 cases

This text of 631 F. App'x 610 (United States v. Rising) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth 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. Rising, 631 F. App'x 610 (10th Cir. 2015).

Opinion

ORDER DENYING CERTIFICATE OF APPEALABILITY *

GREGORY A. PHILLIPS, Circuit Judge.

On October 26, 2011, Gerald R. Rising pleaded guilty to one count of mail fraud, one count of theft or embezzlement in connection with a healthcare program, and one count of money ¿laundering. In his plea agreement, Rising waived his right to appeal his sentence; and he also waived his right to collaterally attack his prosecution, conviction, or sentence except for any relief from a retroactive change to the sentencing guidelines, for denial of the effective assistance of counsel, or for prose-cutorial misconduct. Ultimately, Rising was sentenced to a below-advisory-guideline sentence of 66 months. Rising did not try to appeal his sentence.

On December 2, 2014, Rising filed this 28 U.S.C. § 2255 motion, raising four claims: (1) ineffective assistance of counsel for failing to raise and argue meritorious defenses and by advising Rising to plead guilty; (2) prosecutorial misconduct; (3) ineffective assistance of counsel resulting in an excessive sentence and failure to perfect an appealable error; and (4) actual innocence. On April 15, 2015, Rising filed a second motion seeking an order on his § 2255 motion and entry of final judgment and, on May 13, 2015, he filed a third. The district court denied Rising’s motions and declined to issue a certificate of ap-pealability. Rising has applied to this court for a certificate of appealability to *612 challenge the district court’s ruling. We deny that request.

I. Factual and Procedural Background

On April 4, 2011, a federal grand jury charged Rising -with one count of mail fraud, one count of theft or embezzlement in connection with a health care program, eighteen counts of money laundering, and eighteen counts of aiding or abetting money laundering. The charges stemmed from Rising’s ownership and operation of a business, Rural Health Plans Initiative Administration (RHPI)y a closely held Colorado corporation that sold and administered health-benefit and employee-welfare plans to various business entities including school districts. Rising and RHPI “represented that it would retain part of plan contributions, approximately 20%, for administrative costs, and that the remainder was to be held in a designated trust account to pay claims .... and to purchase excess loss or stop-loss coverage ... through established insurance providers like Lloyd’s of London and AIG to cover any claims that exceeded $25,000.” Id. Rising also incorporated RHPI Captive Insurance Co., Ltd. (RHPIC) in Anguilla, British West Indies to maintain residual fund contributions. Plea Agreement 10. As stipulated in the plea agreement, RHPIC was created “to avoid regulation by the Colorado Board of Insurance.” Id. at 11.

In 2003, RHPI began to experience financial problems after incurring “unplanned for catastrophic losses.” Tr. of Change of Plea 25. As a solution, Rising used incoming premium contributions to fund claims incurred in earlier months. From then forward, Rising falsely represented to his customers that RHPI would maintain in trust the money each plan holder contributed to its plans and use that money to pay claims of each plan’s beneficiaries. He also falsely represented that insurance companies, such as Lloyd’s of London and AIG, would provide stop-loss coverage at $25,000, meaning that once RHPI had paid out $25,000, one of those insurance companies would cover any further medical expenses. In fact, those policies did not provide coverage until the medical expenses reached $125,000. Id. Through these misrepresentations, RHPI significantly underestimated to its customers the risk that it would not be able to pay out claims.

In 2008 and 2009, Rising “increased his salary in order to siphon monies held by RHPIC for the benefit of plan beneficiaries.” Plea Agreement 11. In 2009 and 2010, Rising “began to kite checks between various bank accounts he controlled for himself, RHPI and RHPIIIC, in order to create a false impression as to the financial status of the businesses as he solicited their sale.” Id.; see Tr. of Change of Plea 26 (admitting this fact to the court). Rising also “directed employees to falsely represent to various plan beneficiaries and employers that the claims for health care services were in fact paid when they were not____” Plea Agreement 11; see Tr. of Change of Plea 27. Additionally, he “directed employees to send balance statements to plan employers that falsely represented balances in their accounts because such statements were influenced by the issuance of checks that were held at [Rising’s] direction, and never sent.” Plea Agreement 11-12. In 2010, Rising had invoices mailed to plan employers “that billed and created a false indebtedness to the employers for payments RHPIC made of beneficiary and health care provider claims.” Id. at 12.

Rising retained Gregory Goldberg of Holland & Hart to represent him throughout the criminal prosecution. See Appellant Rising’s Combined Opening Br. and *613 Appl. for a Certificate of Appealability 2. Afterward, Rising cooperated with the prosecution, producing his financial records, helping decipher those records, and meeting with victims. On October 26, 2011, Rising pleaded guilty to one count of mail fraud, one count of theft or embezzlement in connection with a health care program, and one count of money laundering. As a part of the plea agreement, the parties stipulated that Rising had caused victim losses of more than $2.5 million but not more than $7 million. As mentioned, as part of his plea agreement Rising also agreed to waive his right under 28 U.S.C. § 2255 to collaterally attack his conviction and sentence, except challenges based on a retroactive change in the guidelines, ineffective assistance of counsel, or prosecuto-rial misconduct.

During the Rule 11 colloquy, Rising explained his criminal conduct to the district court and admitted all stipulated facts in the plea agreement. The court advised Rising of the consequences of pleading guilty and thoroughly reviewed with him the rights he was waiving. In addition, the court reviewed the plea agreement’s terms with Rising, verified that Rising had reviewed the agreement with his attorney, and verified that Rising was satisfied with his counsel’s performance.

Based on the presentence report, which incorporated the parties’ agreed guideline calculations, the probation office recommended a sentence of 72 months, below the applicable advisory range of 87 to 108 months (resulting from a total offense level 29, and a criminal history category I). Based on Rising’s “extraordinary” cooperation in the investigation, the government recommended a sentence of 60 months. See Government’s Resp. to Def.’s Mot. for Downward Departure and/or Variance from the Sentencing Guidelines Pursuant to U.S.S.G. § 5K2.0 and 18 U.S.C. § 3553(a) (Doc. 56) 1-2 (requesting a sentence of no less than 60 months); Tr. of Sentencing 20 (requesting a sentence of 60 months).

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Bluebook (online)
631 F. App'x 610, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-rising-ca10-2015.