Western Reserve Life Assurance Co. v. ADM Associates, LLC

737 F.3d 135, 2013 WL 6498968, 2013 U.S. App. LEXIS 24639
CourtCourt of Appeals for the First Circuit
DecidedDecember 11, 2013
Docket18-2206
StatusPublished
Cited by15 cases

This text of 737 F.3d 135 (Western Reserve Life Assurance Co. v. ADM Associates, LLC) 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
Western Reserve Life Assurance Co. v. ADM Associates, LLC, 737 F.3d 135, 2013 WL 6498968, 2013 U.S. App. LEXIS 24639 (1st Cir. 2013).

Opinion

SELYA, Circuit Judge.

The outcome of this appeal is controlled by important questions of Rhode Island law and public policy as to which we have found no dispositive precedent. Because the Rhode Island Supreme Court is the ultimate arbiter of matters of Rhode Island law, we certify these unsettled questions to that court for guidance. See R.I. Sup.Ct. R. 6.

I. BACKGROUND

Joseph Caramadre believed that he had found the Holy Grail of investment strategies: a way to speculate in high-risk securities while shielding himself from the adverse effects of losses. To implement this scheme, he exploited a perceived loophole in certain annuities issued by, inter alia, plaintiff-appellant Western Reserve Life Assurance Company of Ohio. Because certain features of Western Reserve’s annuities are integral both to Caramadre’s contrivance and to the issues on appeal, we start by outlining those features.

The classic annuity offers a person a stream of periodic payments during his life that are actuarially calculated and fixed in amount. In exchange, the person makes an up-front, lump-sum premium payment to the issuing insurance company. For example, an investor might pay an insurance company a one-time $1,000,000 premium in exchange for a promise to pay him $5,000 per month for the rest of his life.

Over the years, annuity products have evolved, and the WRL Freedom Premier III annuity issued by the appellant is a far cry from the classic model. We sketch some of the salient differences.

To begin, the appellant’s product is a variable annuity, not a fixed annuity. Instead of ceding control of his premium dollars to the insurance company, the investor retains the right to direct that those dollars be invested in certain pre-selected securities. Moreover, the annuity does not necessarily entail fixed periodic payments to the beneficiary; rather, it presents a diverse menu of payment options, including payouts that are determined by the value, from time to time, of the acquired securities. Consequently, the amounts paid to the beneficiary may ebb and flow *137 with the performance of the investment portfolio.

In addition, the investor in a WRL Freedom Premier III annuity can use the lifetime of someone other than himself (the annuitant) as a measuring device to determine how long the annuity payments will last. The investor (the owner) provides the premium dollars, directs the investment strategy, and selects the recipient of the periodic payouts called for by the annuity (the beneficiary). The beneficiary, who may or may not be the owner, will receive those payouts as long as the annuitant remains alive. Significantly, a WRL Freedom Premier III annuity contains no requirement that the owner and the annuitant be one and the same person; in fact, the annuity contract does not require any extrinsic tie between the two.

Unlike a classic annuity, the WRL Freedom Premier III annuity allows the owner to infuse more than a single premium payment into the annuity. Up until a specified date (not relevant here), the appellant will accept premium payments, as long as the total investment does not exceed $1,000,000.

Last — but far from least — the owner can elect a “Double Enhanced Death Benefit’ 1 by agreeing to pay an additional daily charge. An owner who elects this benefit designates a beneficiary, who, upon the annuitant’s death, will be entitled to receive the greater of: (1) the total premiums invested in the policy, plus interest accrued at 5% per annum,- or (2) the highest value of the policy (that is, the highest value of its investment portfolio, adjusted for certain deposits and withdrawals) on any annual anniversary of the policy. The owner and the beneficiary may be one and the same person.

Caramadre figured out that if an individual named himself (or an entity he controlled) as both the owner and the beneficiary of a WRL Freedom Premier III annuity and elected the death benefit, that individual could engage in high-risk market speculation without any downside exposure. Caramadre decided that this scheme could best be perpetrated by applying for an annuity with a relatively low initial premium, invested conservatively so as to avoid red flags. The owner/beneficiary (whether Caramadre himself or his nominee) would subsequently deposit a substantially more munificent incremental premium and steer the investment of the aggregate premium dollars into speculative securities. The upshot was a “heads. I win, tails you lose” scenario: if the investment gamble paid off, he would reap the fruits of his speculation when the annuitant died; and if the speculation backfired, the death benefit guaranteed that he would fare no worse than a full return of premiums paid (plus interest). In the latter event, the insurance company would be left holding a collection of nearly worthless securities.

Despite the cleverness of Caramadre’s scheme, there was a rub: one had to be sure that the death benefit would be triggered within a relatively short time after the risky investments were made. 1 That timing would ensure that the owner/beneficiary of the annuity (Caramadre or his nominee) would receive either the benefit of a strike-it-rich investment gamble or, at worst, the return of his bet. Thus, the linchpin of the scheme was locating and recruiting potential annuitants whose lifespans were predictably short: the terminally ill-

*138 Caramadre rose to this challenge. Among other recruitment .tools, he circulated flyers promising up-front cash payments to terminally-ill patients for agreeing to let their names be used.

Charles Buckman, a Rhode Island resident suffering from chronic obstructive pulmonary disease, received one of Cara-madre’s flyers from a visiting nurse. His interest piqued, Buckman followed up on the flyer and contacted Estate Planning Resources, a Caramadre-controlled company.

To make a tawdry tale tolerably terse, Buckman accepted a cash payment to identify himself as the annuitant oh an application for a WRL Freedom Premier III variable annuity. The application designated a Caramadre nominee, defendant-appellee ADM Associates, LLC (ADM), as the prospective owner and beneficiary of the annuity. The application specifically requested inclusion in the annuity contract of the Double Enhanced Death Benefit. Buckman and ADM were wholly unrelated parties; indeed, up to that point Buckman had never heard of ADM. •

The appellant received the application on or about September 11, 2008. Four days later, it approved the application and issued a WRL Freedom Premier III annuity (the Policy). Pertinently, the Policy provided that it would be “incontestable from the Policy Date.”

The application had been accompanied by an initial $250,000 - premium payment. Roughly four months after the Policy went into effect, ADM made an additional premium payment of $750,000.

At some point, the appellant apparently learned of Caramadre’s scheme and came to believe that the Policy was an iteration of it. 2

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737 F.3d 135, 2013 WL 6498968, 2013 U.S. App. LEXIS 24639, Counsel Stack Legal Research, https://law.counselstack.com/opinion/western-reserve-life-assurance-co-v-adm-associates-llc-ca1-2013.