Wiener v. MIB Group, Inc.

86 F.4th 76
Court of Appeals for the First Circuit·Decided November 9, 2023·No. 22-1907·Published·Cited by 17 cases

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.

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.

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))).

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.

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 information in his declaration and confirming that he had conducted the search of the extended activity file "on [his] own initiative . . . knowing that there was some controversy."

Wiener "incurred attorney's fees and costs associated with having to respond to" the Disclosure, which came after the close of discovery in the North Carolina Litigation. "This placed [Wiener] at a substantial disadvantage in the litigation and caused not only financial harm but distress as well."

In this case, Wiener alleges in his amended complaint that 5

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