United States v. Tencer

CourtCourt of Appeals for the Fifth Circuit
DecidedJune 2, 1997
Docket95-31135
StatusPublished
Cited by1 cases

This text of United States v. Tencer (United States v. Tencer) 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 v. Tencer, (5th Cir. 1997).

Opinion

REVISED UNITED STATES COURT OF APPEALS for the Fifth Circuit _____________________________________

No. 95-31135 _____________________________________

UNITED STATES OF AMERICA,

Plaintiff-Appellee - Cross-Appellant,

VERSUS

STEVEN B. TENCER,

Defendant-Appellant - Cross-Appellee,

AND

RONALD LAZAR,

Defendant-Appellant - Cross-Appellee.

______________________________________________________

Appeals from the United States District Court for the Eastern District of Louisiana ______________________________________________________ March 10, 1997 Before WISDOM, DAVIS, and DUHÉ, Circuit Judges.

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 clinic's sign-in sheets.

They were also compensated for referring coworkers to Allied.

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

2 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

3 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 (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 government relies in for the

"mailing" on 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

4 scheme.'" Schmuck v. United States, 489 U.S. 705, 711 (1989)

(quoting Pereira v. United States, 347 U.S. 1, 8 (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.

Ample evidence supports the existence of a scheme to defraud

Blue Cross, Mail Handlers, and NALC, and appellants' use of 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.

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