Wiener v. MIB Group, Inc.

86 F.4th 76
CourtCourt of Appeals for the First Circuit
DecidedNovember 9, 2023
Docket22-1907
StatusPublished
Cited by17 cases

This text of 86 F.4th 76 (Wiener v. MIB Group, Inc.) 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
Wiener v. MIB Group, Inc., 86 F.4th 76 (1st Cir. 2023).

Opinion

United States Court of Appeals For the First Circuit

No. 22-1907

MALCOLM WIENER,

Plaintiff, Appellant,

v.

MIB GROUP, INC. and JONATHAN SAGER,

Defendants, Appellees.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

[Hon. William G. Young, U.S. District Judge]

Before

Rikelman, Lipez, and Thompson, Circuit Judges.

David G. Webbert, with whom Johnson & Webbert, LLP, Megan C. Deluhery, Todd & Weld LLP, and Carolyn T. Seely were on brief, for appellant.

Todd P. Stelter, with whom Marissa I. Delinks and Hinshaw & Culbertson LLP were on brief, for appellees.

November 9, 2023 RIKELMAN, Circuit Judge. Several years ago, Malcolm

Wiener sued his former life insurance company for negligence. He

claims that the defendants here tried to torpedo that lawsuit, to

which they were not parties, by illegally disclosing to his former

insurer confidential information protected by a federal statute.

This case presents one question: Does Wiener have Article III

standing to sue the defendants in this case based on the additional

attorney's fees and costs he incurred to respond to their actions

in that separate lawsuit? Because a past, out-of-pocket loss is

a quintessential basis for Article III standing, we conclude the

answer is yes. Therefore, we reverse the district court's order

dismissing this case at the pleading stage for lack of standing.

I. BACKGROUND

A. Relevant Facts1

MIB Group, Inc. is an information clearinghouse and is

owned by its member life and health insurance companies. For a

number of years, Jonathan Sager was its Executive Vice President

and General Counsel.2

1 We draw the relevant facts from Wiener's amended complaint. See Webb v. Injured Workers Pharmacy, LLC, 72 F.4th 365, 369 (1st Cir. 2023).

2 For the purposes of this opinion, and as we will discuss later, we assume that MIB Group, Inc. is a "consumer reporting agency" subject to the Fair Credit Reporting Act. We also assume that Sager was one of MIB's agents such that it could be held liable for his actions challenged in the amended complaint.

- 2 - MIB's services enable its members to evaluate "an

individual's risk and eligibility during the underwriting of life,

health, disability income, critical illness, and long-term care

insurances policies." For example, MIB collects information about

a life-insurance applicant's medical conditions from its members

and "makes this information available to member[s] . . . who

receive an authorized release" from the applicant. It also

collects information about "which member companies have reviewed

or queried an MIB file on a particular individual." For privacy

reasons, the medical information in an individual's MIB file "is

catalogued using proprietary 'codes'" selected by the reporting

member company. Other member companies with an executed

authorization may view the MIB codes assigned to a particular

individual, which member company supplied the codes, and whether

(and, if so, which) member companies have "formally queried the

file" or "made less formal reviews."

As of June 2020, MIB had 390 members that "represent[ed]

90-95% of all individual life insurance application activity in

the United States." One of its members was AXA Equitable Life

Insurance Company ("AXA").

In the late 1980s, Wiener purchased three universal life

insurance policies from AXA for a total value of $16 million. In

2013, following a "payment error or oversight," AXA terminated

these policies and sent Wiener an application for reinstatement.

- 3 - At AXA's request, Wiener submitted certain medical information to

provide "a preliminary indication" of his insurability. But AXA

denied Wiener's application after evaluating information from one

of his physicians, an evaluation he later learned had been

performed by AXA "falsely and negligently." AXA then reported to

MIB certain codes that identified four serious medical conditions,

which Wiener did not actually have, as the basis for its decision

not to reinstate his policies. The false report rendered Wiener

effectively uninsurable "at the appropriate rate for his true

health status."

In January 2018, Wiener sued AXA in North Carolina state

court, and AXA promptly removed the case to federal court on the

basis of diversity jurisdiction. See generally Wiener v. AXA

Equitable Life Ins. Co., No. 3:18-cv-00106 (W.D.N.C.) (the "North

Carolina Litigation").3 In the North Carolina Litigation, Wiener

alleged that AXA negligently "reported false conclusions about his

medical conditions to . . . MIB, causing him to become

uninsurable." Wiener v. AXA Equitable Life Ins. Co., 58 F.4th

3The parties agree that we may take judicial notice of the public filings in the North Carolina Litigation as part of our analysis of Wiener's amended complaint in this case. They are correct. See Rodi v. S. New Eng. Sch. of L., 389 F.3d 5, 19 (1st Cir. 2004) ("It is well-accepted that federal courts may take judicial notice of proceedings in other courts if those proceedings have relevance to the matters at hand." (quoting Kowalski v. Gagne, 914 F.2d 299, 305 (1st Cir. 1990))).

- 4 - 774, 778 (4th Cir. 2023).4 His complaint included a request for

attorney's fees and costs.

During the North Carolina Litigation, Sager provided AXA

with information about "an 'extended activity file' that MIB had

maintained on . . . Wiener going back to 1995." Specifically, he

disclosed that "no member companies except AXA . . . and [its

reinsurer] ever made an inquiry of . . . Wiener's MIB file since

1995" (the "Disclosure"). According to Sager, this meant that "no

information contained in . . . Wiener's file [had] ever been shared

with any other member company except AXA . . . and [its

reinsurer]." He provided this information to AXA "voluntarily,"

"not pursuant to any [c]ourt or other compelled process," and

without Wiener's authorization. At the time Sager searched the

extended activity file, he knew that AXA had a policyholder

relationship with Wiener at some point but did not know (or make

any effort to determine) whether Wiener was still insured by AXA.

Sager then worked with AXA to draft a declaration from

him conveying this information, which AXA submitted in support of

Wiener's complaint in the North Carolina Litigation also 4

alleged negligent misrepresentation, libel, and a violation of North Carolina's Unfair and Deceptive Trade Practices Act, but the district court dismissed these claims on summary judgment. See Wiener, 58 F.4th at 778.

- 5 - a motion in limine to exclude Wiener's causation expert at trial.5

That expert was prepared to testify that: (1) MIB's member

insurance companies review the information coded into an

individual's MIB file to determine that individual's insurability;

and (2) "AXA's inaccurate code reporting to MIB created an

insurmountable obstacle to [Wiener's] insurability with other

carriers" and rendered him "effectively uninsurable." Sager also

eventually testified at the North Carolina trial, reiterating the

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