Viejas Band of Kumeyaay Indians v. Lorinsky

976 A.2d 723, 116 Conn. App. 144, 2009 Conn. App. LEXIS 349
CourtConnecticut Appellate Court
DecidedAugust 4, 2009
DocketAC 29512
StatusPublished
Cited by13 cases

This text of 976 A.2d 723 (Viejas Band of Kumeyaay Indians v. Lorinsky) is published on Counsel Stack Legal Research, covering Connecticut Appellate Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Viejas Band of Kumeyaay Indians v. Lorinsky, 976 A.2d 723, 116 Conn. App. 144, 2009 Conn. App. LEXIS 349 (Colo. Ct. App. 2009).

Opinion

Opinion

ROBINSON, J.

The named defendant, Jay Lorinsky, appeals from the judgment of the trial court, rendered after a jury trial, in favor of the plaintiff, the Viejas Band of Kumeyaay Indians (Viejas). 1 On appeal, Lorinsky claims that (1) the court incorrectly concluded that the *147 accidental failure of suit statute, General Statutes § 52-592, permitted Viejas’ case to be filed in state court, (2) the evidence was insufficient to support the jury’s award of damages and (3) the court improperly denied the defendants’ motions for a mistrial and to set aside the verdict. We disagree, and, accordingly, affirm the judgment of the trial court.

The jury reasonably could have found the following facts. Lorinsky was an insurance broker and a representative of First Nations Financial Services, Inc. (First Nations). First Nations was at relevant times a corporation based in Norwich that sold insurance and brokerage services, and Lorinsky was one of its founders and the senior vice president. 2 Viejas, a federally recognized Indian tribe with more than 330 members, is located in Southern California. Viejas owns a casino, an outlet center and a community bank, among other holdings, and was First Nations’ biggest client.

Lorinsky initially was retained by Viejas to procure life insurance coverage for members of the tribe as well as the employees of Viejas’ businesses (Viejas employees) in approximately 1995. He later became involved in procuring health insurance for Viejas as well and was selected by the Viejas Tribal Council to be the broker of record on Viejas’ health insurance plan in early 2001. As its insurance broker, Lorinsky arranged for life and health insurance 3 coverage for Viejas to be provided by The Hartford Life and Accident Insurance Company (The Hartford). 4 The insurance policies covered both actual tribal members and employees of the *148 tribe’s casinos and other businesses under separate policies.

I

THE LIFE INSURANCE POLICIES

The Hartford sent Lorinsky a letter dated March 28, 2001, informing him that the premiums on Viejas’ group life insurance policies would increase effective May 1, 2001. The letter requested that Lorinsky notify Viejas about the new rates, as The Hartford would not be doing so directly. The bills generated by The Hartford for the payment of the life insurance policy premiums were directed to Lorinsky’s attention and sent to his office, rather than going directly to Viejas. 5

The life insurance policy bills were self-administered, meaning that each bill had to be completed by the client. The bills contained the applicable rate, and the client had to fill out the applicable number of employees and dependents during that policy period and multiply that number times the rate provided to calculate the premium amount for each period; the client was then expected to remit payment in that amount to The Hartford. Lorinsky was both the recipient of Viejas’ bills from The Hartford and the person who completed them. Once the new rates took effect on May 1, 2001, Lorinsky began altering the bills to make it appear as if the older rates were still in effect before forwarding the invoices to Viejas, who paid The Hartford directly.

On August 16,2001, Deborah Caul, an account analyst at The Hartford, sent Lorinsky a letter informing him that Viejas’ life insurance account showed an underpayment in the amount of $10,480.20 for the months of May through August, 2001, resulting from the May 1, *149 2001 rate change. 6 This underpayment resulted from Lorinsky’s alteration of the bills in an attempt to keep Viejas from paying the rate increase. Caul testified that it appeared that the older bills, containing the original lower rate, had been photocopied and the old dates whited out and new ones written in, making it appear that the lower rates were still in effect. 7 This happened every month from May, 2001, through January, 2002, where the name of the month and the rate was whited out and the new month was written in, making it appear that the lower rates that had been in effect in April, 2001, were still in effect. The premiums on the policy continued to be underpaid throughout that period.

There was concern about the continued underpayments among employees at The Hartford working on this account in September, 2001, and Caul was advised at that time that she might want to monitor Viejas’ next bill to see if the proper amount was paid. There also was discussion in September, 2001, about sending the Viejas account to the collections department.

The Hartford repeatedly contacted Lorinsky about the continued underpayments, including by letter dated October 26, 2001, and Lorinsky was told that October 31, 2001, was the last day for him to contact The Hartford with the money for the rate change and to compensate for the underpayments. On October 31, Lorinsky *150 claimed to Tom Rickis, one of Viejas’ account managers at The Hartford, that he had been under the impression that if there were not a large amount of claims, there would be no rate increase, and he alleged that there had not been any claims for the past eighteen months so he did not understand how there would have been a rate increase. The Hartford denied that he was led to believe any of this.

The group life insurance policy was cancelled by The Hartford on November 1, 2001, effective October 1, 2001. In December, 2001, Lorinsky contacted The Hartford and indicated that Viejas wanted its policy to be reinstated and would pay the amounts due on the account. The Hartford determined that Viejas’ underpayment of its account from May through November, 2001, totaled $19,168.05, 8 and after applying Viejas’ December payment of $19,461.26 to the underpayment amount, a credit of $293.21 remained, which was applied to Viejas’ December bill, leaving it owing a balance of $21,907.50 outstanding for the December premium.

On December 13, 2001, The Hartford sent a letter addressed to Anita Uqualla, tribal treasurer of Viejas, which indicated that it had concluded its review of Viejas’ policy for the period May, 2001, through September, 2001, and determined that Viejas had underpaid its premiums in the amount of $13,579.75 for the group life insurance policy. The letter also indicated that The Hartford received payment from Viejas for the October, 2001 premium in the amount of $19,406.56, but because the policy had lapsed as of October 1,2001, the payment could either be applied to the underpaid premium for the period of May through October, 2001, or be applied to October’s receivables after the underpaid premium *151 was received.

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Bluebook (online)
976 A.2d 723, 116 Conn. App. 144, 2009 Conn. App. LEXIS 349, Counsel Stack Legal Research, https://law.counselstack.com/opinion/viejas-band-of-kumeyaay-indians-v-lorinsky-connappct-2009.