US EX REL. BRANCH CONSULTANTS, LLC v. Allstate Ins. Co.

782 F. Supp. 2d 248
CourtDistrict Court, E.D. Louisiana
DecidedJanuary 24, 2011
DocketCivil Action No. 06-4091
StatusPublished
Cited by5 cases

This text of 782 F. Supp. 2d 248 (US EX REL. BRANCH CONSULTANTS, LLC v. Allstate Ins. Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
US EX REL. BRANCH CONSULTANTS, LLC v. Allstate Ins. Co., 782 F. Supp. 2d 248 (E.D. La. 2011).

Opinion

782 F.Supp.2d 248 (2011)

UNITED STATES of America ex rel. BRANCH CONSULTANTS, L.L.C.
v.
ALLSTATE INSURANCE. CO., et al.

Civil Action No. 06-4091.

United States District Court, E.D. Louisiana.

January 24, 2011.

*252 Allan Kanner, Conlee Schell Whiteley, Cynthia Green St. Amant, M. Ryan Casey, Melissa McConnell Fuselier, Kanner & Whiteley, L.L.C., Soren Erik Gisleson, Stephen J. Herman, Herman, Herman, Katz & Cotlar, LLP, New Orleans, LA, Jonathan Bridges, Susman Godfrey, LLP, Dallas, TX, Matthew R. Berry, Susman Godfrey, LLP, Seattle, WA, Tibor L. Nagy, Susman Godfrey, LLP, New York, NY, for United States of America ex rel. Branch Consultants, L.L.C.

Judy Y. Barrasso, Celeste R. Coco-Ewing, John W. Joyce, Keith L. Magness, Barrasso, Usdin, Kupperman, Freeman & Sarver, LLC, Gordon P. Serou, Jr., Law Offices of Gordon P. Serou, Jr., Peter Stephan Koeppel, Ashley Ian Smith, Brian Arthur Gilbert, William Scarth Clark, Best Koeppel Traylor, Harry Rosenberg, Brent Bennett Barriere, Phelps Dunbar, LLP, New Orleans, LA, Blanca F. Young, Genevieve Cox, Munger, Tolles & Olson, LLP, San Francisco, CA, Brad Brian, Gregory Weingart, Marc A. Becker, Munger, Tolles & Olson, LLP, Douglas M. Fuchs, James L. Zelenay, Jr., Robert C. Bonner, Timothy J. Hatch, Gibson, Dunn & Crutcher, LLP, Deborah L. Stein, Simpson, Thacher, & Bartlett, LLP, Los Angeles, CA, Richard *253 L. Fenton, Steven M. Levy, SNR Denton Us, LLP, Chicago, IL, Russell R. Yager, Vinson & Elkins, LLP, Dallas, TX, Jay M. Lonero, Angie Arceneaux Akers, Christopher Raymond Pennison, Jennifer R. Kretschmann, Robert Jeffrey Bridger, Larzelere, Picou, Wells, Simpson, Lonero, LLC, Robert A. Kutcher, Nicole S. Tygier, Chopin, Wagar, Richard & Kutcher, LLP, Metairie, LA, James Hilton Crosby, Crosby Law Firm, Mobile, AL, Charles Edward Sutton, Jr., Michael B. Alker, Sutton & Alker, LLC, Mandeville, LA, Bryce L. Friedman, Paul C. Curnin, Simpson, Thacher, & Bartlett, LLP, New York, NY, for Allstate Insurance. Co., et al.

ORDER AND REASONS

SARAH S. VANCE, District Judge.

In this False Claims Act case arising out of Hurricane Katrina, defendants American Reliable Insurance Company, Standard Fire Insurance Company, Colonial Claims Corporation, Liberty Mutual Fire Insurance Company, SIMSOL Insurance Services, Inc., American National Property & Casualty Company ("ANPAC"), Fidelity National Insurance Company, and Fidelity National Property and Casualty Insurance Company ("Fidelity") have filed motions for summary judgment. In addition, all of these defendants plus Allstate Insurance Company and Pilot Catastrophe Services, Inc. have filed motions to dismiss. Because the Court lacks jurisdiction over Branch's claims, defendants' motions are GRANTED, and this case is DISMISSED.

I. Introduction

This case arises out of the aftermath of Hurricane Katrina. The storm struck southern Louisiana and Mississippi in late August of 2005, causing damage in the billions of dollars. In numerous places, particularly within New Orleans, homes and commercial property were damaged by the wind and rain generated from the hurricane, as well as by flooding that inundated the area.

Although insurance against wind and rain is available from private insurance companies, flood insurance generally is not. "It is uneconomical for private insurance companies to provide flood insurance with reasonable terms and conditions to those in flood prone areas." Gowland v. Aetna, 143 F.3d 951, 953 (5th Cir.1998). In 1968, the federal government established the National Flood Insurance Program ("NFIP"), which provides flood-insurance coverage "at or below actuarial rates," and payments on these insurance policies are made with federal money. Id. The NFIP is in turn administered by the Federal Emergency Management Agency. In 1983, FEMA established a program within the NFIP known as "Write Your Own" ("WYO"), which allowed certain private insurers to issue standard, government-guaranteed flood insurance policies in their own names. See generally 44 C.F.R. § 62.23. FEMA drafts the policies and the insurers cannot alter them without governmental approval. Id. §§ 61.4(b), 61.13(d); see also Dwyer v. Fidelity Nat. Prop. & Cas. Co., 565 F.3d 284, 285 (5th Cir.2009). The private companies under WYO act as "fiscal agents" of the United States and are responsible for adjustment, settlement, payment, and defense of claims under the policies. 44 C.F.R. § 62.23(d)-(g). Payments under the policies, however, "ultimately come[] from the United States treasury." Dwyer, 565 F.3d at 285.

The damage caused by Hurricane Katrina resulted in a tremendous number of NFIP claims. On account of this strain, FEMA relaxed the requirements for submitting proofs of loss to claim flood damage. Specifically, when policyholders did not dispute the insurance company's adjustment, FEMA waived the proof-of-loss requirement and allowed the claim to be *254 paid on the basis of adjuster's reports. See Monistere v. State Farm Fire & Cas. Co., 559 F.3d 390, 394-95 (5th Cir.2009); Eckstein v. Fidelity Nat. Prop. & Cas. Ins. Co., 07-4567, 2009 WL 1870558, at *4 (E.D.La. June 29, 2009).

Branch Consultants brought this qui tam action in 2006 on behalf of the United States government under the False Claims Act ("FCA"). Branch accuses certain WYO insurance companies and adjusters that were involved in the adjustment of NFIP flood claims after Katrina of fraud in the administration of the flood insurance program. Branch alleges that the circumstances after Katrina gave the defendants complete control over adjustments and payments under NFIP policies and allowed them to systematically overstate the amount of flood damage sustained by properties covered by NFIP policies.

Specifically, in what the Court has described as the "loss-shifting" claim, Branch alleges that the defendants attributed damages to flooding that should instead have been attributed to wind or wind-driven rain. This in turn increased the amount of money that the government was obligated to pay under the individual flood policies, and accordingly reduced the amount that insurance companies were obliged to pay under the wind/homeowners policies they allegedly wrote. Put differently, Branch alleges that defendants shifted the costs of paying for wind damage to the government by fraudulently claiming that the damage was caused by flooding. The government allegedly subjected these claims to less scrutiny than it would have in typical circumstances because of the expedited claims-handling process that was put in place after Katrina.

In the complaint, Branch provides examples of properties that it alleges were the subject of this fraud. For each property, Branch identifies the insurance company that allegedly issued the applicable NFIP and wind policies. Further, Branch alleges the existence of a broad fraudulent scheme extending beyond the exemplar properties. This scheme allegedly resulted in the submission of myriad fraudulent insurance claims to the government.

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782 F. Supp. 2d 248, Counsel Stack Legal Research, https://law.counselstack.com/opinion/us-ex-rel-branch-consultants-llc-v-allstate-ins-co-laed-2011.