United States v. Russell

728 F.3d 23, 92 Fed. R. Serv. 287, 2013 WL 4504822, 2013 U.S. App. LEXIS 17807
CourtCourt of Appeals for the First Circuit
DecidedAugust 26, 2013
Docket12-1315
StatusPublished
Cited by3 cases

This text of 728 F.3d 23 (United States v. Russell) is published on Counsel Stack Legal Research, covering Court of Appeals for the First 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. Russell, 728 F.3d 23, 92 Fed. R. Serv. 287, 2013 WL 4504822, 2013 U.S. App. LEXIS 17807 (1st Cir. 2013).

Opinion

THOMPSON, Circuit Judge.

Appellant Rodney Wayne Russell applied for and received government subsidized health care coverage for several years. Although Russell was working under the table during those years, he claimed on his renewal applications that he had no income to report. After a government investigation, indictment, and multi-day trial, a jury convicted Russell of making false statements in connection with the payment of health care benefits, 18 U.S.C. § 1035(a)(2). On appeal, Russell attacks his conviction on multiple grounds. After careful consideration, we affirm.

BACKGROUND

A. Health Care Subsidy

• We walk through the relevant facts in the light most favorable to the verdict. United States v. Mercadlo, 412 F.3d 243, 245 (1st Cir.2005).

Shortly after losing his job and accompanying health insurance in 2006, Russell applied for subsidized. health insurance coverage through the Dirigo Health Agency’s DirigoChoice Health Program (“Diri-go”). In 2003, the Maine legislature created Dirigo Health Agency to expand access to health insurance coverage for Maine citizens who cannot otherwise afford it. Dirigo negotiates competitive rates and benefit packages with private insurance carriers. Through the DirigoChoice Program (“Dirigo Choice”), the agency also subsidizes insurance premiums for Maine citizens whose income level falls below 300% of the federal poverty level. The subsidy 'must be renewed every twelve months.

To qualify for the subsidy, applicants must fill out two applications: an insurance application to the insurance carrier and a subsidy application to Dirigo. The applicant certifies the subsidy application and submits' supporting documentation, such as income tax returns and proof of income. . The primary determinants of subsidy eligibility are income and household size.

*27 In 2006, after losing his job as a stockbroker and financial advisor at the retirement investment firm Commonwealth Financial Network d/b/a Brown Company, and his accompanying health insurance, Russell applied for and .received subsidized health insurance coverage through Dirigo Choice. Russell’s 2006 application included information about his employment and income, as well as a pay stub from the Bureau of Unemployment Compensation. 1 It also included a signed certification statement that read:

In signing this statement, I certify that I meet the eligibility ■ requirements checked above. If I’m covering my spouse/domestic partner, I certify that he/she also meets individual eligibility requirements. I will contact the Dirigo Health Agency if my circumstances change. I understand that failure to do so may result in loss of coverage for me and my family members.

The following year, Russell applied to renew his subsidy. Where the application asked about gross wages, tips and salaries, Russell responded, “not available.” Russell also indicated “not available” when asked about his net self-employment income and gross receipts minus allowable business expenses. He reported an $8,000 IRA withdrawal, $575 monthly rent, and $600 cash left in his account which he said he would be “taking out soon.” Russell signed a verification clause on the application which read in pertinent part:

I understand the questions on this form. All statements and answers I have given are true and complete. The Dirigo Health Agency ... may check information submitted on this form.... I understand it’s a crime to knowingly provide false, incomplete, or misleading information on this form and that I could be charged with perjury.

Relying -on the information in Russell’s application,- in November 2007, Dirigo awarded him an 80% subsidy in the amount of $4,100 for another full year of coverage (December 1, 2007 through November 2008). 2

Russell applied to renew his subsidy a second time oh October 29, 2008. The 2008 renewal application included his 2007 tax return and reported IRA distributions of $9,133.33 and unemployment benefits of $4,160 for a total income of $13,293.33. Russell represented he had no gross wages, tips, or salaries before deductions to report by responding “zero” on the relevant section of the application. He also signed a similar certification that accompanied his 2007 renewal application. Relying on the information provided in the 2008 renewal application, Dirigo awarded Russell an 80% subsidy in the amount of $7,500. 3

A year later in 2009, Russell submitted a third renewal application. He represented he had nó gross wages, tips, salaries, or self-employment income by answering “zero” on the relevant lines in the application. He also completed the same certification that accompanied his 2007 and 2008 renewal applications. In an October 29, 2009 email exchange with Tarnya Brunelle, an eligibility specialist at Dirigo, Russell confirmed that he had “not received unemployment benefits or any other kind of income since spring 2007.” Based on Russell’s representations in his 2009 renewal *28 application, Dirigo awarded him an 80% subsidy in the amount of $4,100.

For three years — 2007, 2008, and 2009— Russell had received a subsidy based on his representations on each application that he had no income to report and that he was unemployed, but neither turned out to be true. He had in fact been working for his high school friend, Malcolm French, all along.

B. The Trial

A federal grand jury investigation eventually led to an indictment charging Russell with six counts of making false statements in receiving health care benefits in violation of 18 U.S.C. § 1035(a)(2). Each count corresponds to the date of an alleged false statement: November 7, 2007, the date of Russell’s 2007 renewal application (Count One); October 26, 2008, the date of his 2008 renewal application (Count Two); October 29, 2008, the date of the signed certification that accompanied the 2008 renewal application (Count Three); October 23, 2009, the date of the 2009 renewal application (Count Four), and the date of the signed certification (Count Five); and October 29, 2009, the time stamped on the email exchange between Russell and Bur-nell from Dirigo (Count Six). The case proceeded to trial on April 25, 2011.

1. Employment with Malcolm French

At trial, the government presented evidence that Russell, after losing his job at the Brown Company in 2006, started working in some capacity for French. French owns' several businesses including: Cold Stream Contracting, a gravel and construction business; 4 Malcolm French Professional Forestry, which cuts trees, hauls wood, and performs other forestry services; Malcolm French Logging; and a garage in Enfield (now in LaGrange), Maine. -

The jury heard testimony from French employees that they had seen Russell working in French’s office.

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Cite This Page — Counsel Stack

Bluebook (online)
728 F.3d 23, 92 Fed. R. Serv. 287, 2013 WL 4504822, 2013 U.S. App. LEXIS 17807, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-russell-ca1-2013.