Warriors and Family Assistance Center LLC v. VA Claims Insider, LLC

CourtDistrict Court, W.D. Texas
DecidedNovember 7, 2024
Docket1:23-cv-01473
StatusUnknown

This text of Warriors and Family Assistance Center LLC v. VA Claims Insider, LLC (Warriors and Family Assistance Center LLC v. VA Claims Insider, LLC) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Warriors and Family Assistance Center LLC v. VA Claims Insider, LLC, (W.D. Tex. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS AUSTIN DIVISION

WARRIORS AND FAMILY § ASSISTANCE CENTER LLC, TONYA § PRICE, MANRING & FARRELL § ATTORNEYS AT LAW, and § CLIFFORD FARRELL, individually and § 1-23-CV-1473-DII on behalf of all others similarly situated, § Plaintiffs, § v. § § VA CLAIMS INSIDER, LLC, BRIAN T. § REESE, and LAUREL REESE f/k/a § LAUREL DANIELSON, § Defendants. §

ORDER AND REPORT AND RECOMMENDATION OF THE UNITED STATES MAGISTRATE JUDGE

TO THE HONORABLE UNITED STATES DISTRICT JUDGE:

Before the court are Defendant’s Opposed Rule 12(f) Motion to Strike Privileged Communications from Plaintiffs’ Amended Complaint and Original Complaint (Dkt. 23), Defendants’ Motion to Dismiss Plaintiffs’ Complaint (Dkt. 24), and all related briefing.1 Dkts. 30, 32, 33, 35, 39, 40. Having considered the pleadings, the relevant case law, and the entire case file, the undersigned submits the following Report and Recommendation to the District Judge. I. BACKGROUND Warriors and Family Assistance Center LLC, Tonya Price, Manring & Farrell Attorneys at Law, and Clifford Farrell, individually and on behalf of all others similarly situated, bring this class action against Defendants VA Claims Insider, LLC (“VACI”), Brian T. Reese, and Laurel

1 The motions were referred by United States District Judge Robert Pitman to the undersigned for disposition and a Report and Recommendation as to the merits, as appropriate, pursuant to 28 U.S.C. § 636(b), Rule 72 of the Federal Rules of Civil Procedure, and Rule 1(d) of Appendix C of the Local Rules of the United States District Court for the Western District of Texas. See Text Orders dated July 8, 2024. Reese f/k/a Laurel Danielson (collectively, “Defendants”). Dkt 17 (Amd. Class Action Compl. (“ACAC”). Plaintiff Price is a Veteran’s Affairs accredited agent, who works for Warriors. Id. ¶¶ 104-05. Plaintiff Farrell is a VA-accredited attorney, who assists Veterans in applying for disability benefits. Id. ¶¶ 112, 117. The VA requires that any person assisting a veteran with preparing, presenting, and/or

prosecuting a VA claim must be accredited with the VA, which thoroughly regulates them and the fees they can charge for their assistance. See 38 C.F.R. § 14.629(b)(1). In the initial stage, veterans may turn to county governments or Veteran Service Organizations (“VSOs”), which offer accredited representatives to assist veterans without charge. ACAC ¶ 28. Once a veteran receives an initial claim rating, they may continue with their VSO or engage a for-profit VA-accredited agent or attorney. Id. ¶ 29. In order to maximize the benefits that flow directly to veterans, the VA has—by design—precluded any person or entity from receiving compensation for an initial claim, even those that are VA-accredited. 38 U.S.C. § 5904(c)(1). Unlike the county and VSO representatives, accredited attorneys and agents may charge regulated fees for assistance with steps

other than the initial claim. ACAC ¶ 37. The VA also protects veterans by regulating the fees accredited attorneys and agents may charge and their payment arrangements. Id. ¶ 42; 38 C.F.R. § 14.636(e). Additionally, all fee agreements must be in writing and signed by both the claimant or appellant and the accredited agent or attorney. 38 C.F.R. § 14.636(g). A copy of those signed written agreements must then be sent to either the VA or Office of General Counsel (“OGC”) within 30 days. 38 C.F.R. § 14.636(g)(3). Failure to comply with these fee regulations permits the VA to terminate the accredited attorney or agent’s accreditation. Id. § 14.636(j). If a veteran believes the accredited attorney or agent has unfairly charged them, the VA’s OGC can review a fee agreement on its own or at the veteran’s request and order that the accredited attorney or agent’s fee be reduced. Id. However, the VA does not currently have the authority to enforce its accreditation requirements under federal law and instead rely on “federal, state, and local enforcement agencies . . . for possible prosecution under their laws” because there is no federal enforcement mechanism

against unaccredited actors “charging illegal fees[.]”Veterans Guardian VA Claim Consulting, LLC v. Platkin, No. CV-23-20660-MAS-JBD, 2024 WL 69920, at 3 (D.N.J. Jan. 5, 2024), appeal docketed, No. 24-1097 (3d Cir.). Brian Reese is VACI’s sole member, owner, and manager. ACAC ¶ 8. Laurel Reese is its Chief Financial Officer. Id. ¶ 15. VACI’s employees are not VA-accredited attorneys or agents. Id. ¶ 24. VACI describes itself as offering “educational consulting,” “medical consulting,” and “claims coaching.” Id. ¶ 49. VACI asserts it plays no part in preparing, presenting, and/or prosecuting claims. Id. VACI contends its practices pass muster under all of the VA’s regulations because they constitute consulting services and not assistance with disability claims. Id.

Plaintiffs allege VACI’s claims are false. Id. Plaintiffs assert VACI assesses illegal fees for assisting with initial claims; unlawfully prepares, presents, and/or prosecutes claims before the VA (often under the guise of a pro se veteran); sends those prepared claims in the mail to veterans for review and signature; mails the prepared claims to the VA and/or submits the claims using veterans’ e-benefits portal, charges interest and late penalties on illegally prepared claims; fails to submit its fee agreements to the VA; bills veterans for claims assistance even when VACI never assisted with the claim; and charges fees that exceed the cap under federal law. Id. ¶ 50. Plaintiffs allege the VA sent VACI and Brian Reese a letter informing them that the VA had received information that VACI may be engaged in illegal activities. Id. ¶ 91. The letter further informed Brian Reese and VACI that if they did not take “appropriate measures to cease any and all illegal activities,” it would “refer the matter to the appropriate law enforcement authorities.” Plaintiffs allege Defendants did not immediately cease the preparation, presentation, and prosecution of VA disability claims, even though they were informed that their practices are illegal and misleading. Id. ¶ 97.

Plaintiffs assert two claims against Defendants: (1) a Lanham Act false advertising claim and (2) a Texas common law unfair competition by misappropriation claim. Id. ¶¶ 162-88. Defendants have moved to dismiss and have moved to strike portions of the Complaint. Because the motion to dismiss turns on the facts pleaded, the court will address the motion to strike first. II. MOTION TO STRIKE Plaintiffs pleaded: 98. Instead, an investigative-journalism piece from the Texas Tribune reports that VACI “hired a law firm to perform an internal risk analysis.” According to the Texas Tribune exposé, the firm stated that it “cannot give VACI assurance that the business model and existing contracts will not be reviewed, investigated, and challenged by regulatory authorities (or prosecutors) empowered to do so, or that if challenged, VACI will prevail.”[]

ACAC ¶ 98. Plaintiffs also reference the law firm’s internal risk analysis in paragraphs 174a, 176, and 185.

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Warriors and Family Assistance Center LLC v. VA Claims Insider, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/warriors-and-family-assistance-center-llc-v-va-claims-insider-llc-txwd-2024.