United States v. Robert Jennings

CourtCourt of Appeals for the Eleventh Circuit
DecidedMarch 16, 2010
Docket08-13434
StatusPublished

This text of United States v. Robert Jennings (United States v. Robert Jennings) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh 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. Robert Jennings, (11th Cir. 2010).

Opinion

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT FILED U.S. COURT OF APPEALS ELEVENTH CIRCUIT MARCH 16, 2010 No. 08-13434 JOHN LEY CLERK

DC Docket No. 07-00090-CR-J-33-HTS

UNITED STATES OF AMERICA,

Plaintiff-Appellee,

versus

ROBERT J. JENNINGS,

Defendant,

DONALD E. TOUCHET, RICHARD E. STANDRIDGE,

Defendants-Appellants.

Appeals from the United States District Court for the Middle District of Florida

(March 16, 2010)

Before BLACK, MARCUS and HIGGINBOTHAM,* Circuit Judges.

* Honorable Patrick E. Higginbotham, United States Circuit Judge for the Fifth Circuit, sitting by designation. HIGGINBOTHAM, Circuit Judge:

Richard E. Standridge and Donald E. Touchet1 were indicted on numerous

counts of conspiracy,2 mail and wire fraud,3 and money laundering,4 charging

participation in a scheme to sell fraudulent workers’ compensation insurance. A jury

convicted on all counts and the district court sentenced Standridge to 216 and

Touchet to 264 months’ imprisonment. Both appeal their convictions and sentences

on multiple grounds. We find no error and affirm.

I

Government witnesses described the workings of the industry in which the

alleged offenses occurred. It is useful to begin there. Workers’ compensation

insurance provides wage loss and medical expense reimbursement to individuals

injured while working. Most employers carry workers’ compensation insurance for

their employees and states require employers to obtain a certificate of insurance from

1 Robert J. Jennings, died in prison on December 4, 2009. Accordingly, his appeal was dismissed as moot and his case was remanded to the district court to vacate the judgment and dismiss the indictment. United States v. Jennings, No. 08-13434 (11th Cir. Jan. 5, 2010) (order dismissing appeal as moot and remanding case to vacate the judgment and dismiss the indictment); see also United States v. Romano, 755 F.2d 1401 (11th Cir. 1985). 2 18 U.S.C. § 371. 3 18 U.S.C. §§ 1341, 1343, & 2. 4 18 U.S.C. §§ 1956(a)(1)(A)(i) & 2.

2 the insurance company demonstrating they are covered or have otherwise assured

protection for their employees. Companies that sell workers compensation

insurance—termed carriers—are heavily regulated by the states. Every state requires

carriers to be “admitted” before operating within the state: Carriers must satisfy

various financial and administrative requirements and pay into “guaranty” funds used

to pay claims when an admitted carrier is unable to do so. That a carrier must be

admitted in order to insure employees within a state is common to the workers’

compensation industry.

Many employers outsource their human resource department to a professional

employer organization. PEOs operate by hiring the client employer’s employees and

then leasing them back to the client—so that the client’s employees become the

employees of the PEO. The client pays the PEO the costs of payroll plus a fee for

services. PEOs also must be licensed by the state and have proof of valid workers’

compensation insurance. A PEO failing to meet state regulatory requirements will

face a stop-work order from the state requiring the PEO to cease all operations in the

state.

The final gear in the workers’ compensation machine is the third party

administrator. Third party administrators work for both the carrier and the PEO in

administering the actual claims—in effect acting as an insurance company’s claims

3 department. The administrator evaluates the merits of an employee’s claims and pays

the bills for valid claims under the policy. It often has the most day-to-day contact

with the client companies and their employees. Like the other participants, third party

administrators are regulated by the states which seek to ensure claims are paid in a

timely manner.

II

The government argued at trial that Touchet and Standridge participated in a

wide-reaching scheme to defraud employers and their employees through the sale of

sham workers’ compensation insurance, that together with their coconspirators, they

utilized professional employer organizations to sell fraudulent insurance to client

companies, that the fraud left the employees without workers’ compensation

insurance, and that many injured and disabled employees, unable to collect

compensation, were abandoned without financial recourse.

Government witnesses offered the following account of relevant events: The

fraud began in late 2000 when TTC, a PEO, began to search for a new source of

workers’ compensation insurance after its previous carrier became insolvent. Touchet

and his business associate, Thomas Brown, had been doing business with TTC and

learned it needed workers’ compensation insurance. Touchet contacted Jerry Brewer

4 at United Insurance about potential available insurance who told him coverage was

available through his Regency Insurance of West Indies, Limited. Brown proposed

Regency but TTC declined, aware that Regency was nonadmitted and could not

legally be engaged. After a number of attempts to find legitimate workers’

compensation insurance failed, including an attempt to secure insurance through

Brown’s brother’s company, TTC became desperate—fearful that without workers’

compensation insurance it would be shut down. TTC finally agreed to Brown and

Touchet’s proposal and in February 2001 purchased workers’ compensation insurance

from Regency at the cost of $1.8 million a month.

Touchet prepared a policy for TTC—taking a sample workers’ compensation

policy from another carrier, copying it with Regency’s name, and making up a policy

number. While the policy itself recited that Regency was a nonadmitted carrier,

Touchet provided TTC with certificates of insurance without this critical disclosure

to be furnished to TTC’s clients.

TTC’s third party administrator refused to continue with a nonadmitted insurer.

Earlier Standridge had contacted Brown and Touchet regarding the possibility of

becoming the third party administrator for TTC’s workers’ compensation insurance.

Standridge owned and operated a healthcare third party administrator, Global

Healthcare Corp., and argued he could keep insurance costs down by aggressively

5 managing the claims. He also claimed to Brown that he could run “roughshod” over

state regulators concerned about Regency. Now needing a new administrator, TTC

turned to Global Healthcare.

Almost immediately the problems began. In March 2001, TTC refused to pay

the March premium, complaining to Standridge that claims had not been paid and that

states were rejecting Regency as a nonadmitted carrier. Standridge assured TTC that

he would deal with the regulators but at the moment he could not pay claims because

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