The story of James Capwill and Liberte Capital Group, involving viatical transactions and fraud, is a long-running one that spans a number of lawsuits over the course of years.
The most recent opinion in one of those lawsuits contains a good general summary of what happened. The court, in Chicago Ins. Co. v. Capwill, No. 1:01CV2588 (N.D. Ohio Dec. 21, 2011), concluded that Capwill lied when he applied for insurance with the plaintiff, Chicago Insurance Company. The Court also determined that Capwill "persisted in his falsehoods when he applied for renewal", "[h]is motive and intent when he did so are manifest," that the "questions he fraudulently answered were material to the plaintiff's decision to issue and then renew the policies, and the pricing thereof" and that "had plaintiff been told the truth, it would not have accepted the applications." Accordingly, the court concluded, Chicago Insurance Company's "entitlement to rescission is clear" and "neither laches nor doctrines of estoppel, acquiescence or waiver bar the right to rescind." The court therefore granted the insurance company's motion for summary judgment, seeking rescission.
The court's general summary of the overall facts follows after the break.
As of 1996, Capwill was a Certified Public Accountant running his own small accounting firm. He entered into negotiations with another accountancy firm, Wesley, Mills & Co., to form a separate company, CWN Group. Though the Wesley, Mills participants did not go forward with CWN, Capwill did.
In addition, Capwill, along with a different Wesley, Mills employee, formed Viatical Escrow Services (VES). VES serviced viatical insurance policies that Liberte and Alpha held for investors. Richard Jamieson, the principal in Liberte and Alpha, and Capwill jointly defrauded the investors of several tens of millions of dollars.
Jamieson's part of the fraud involved arranging for life insurance policies for persons afflicted with AIDS. Jamieson provided financial incentives to individuals to apply for life insurance, but withheld relevant medical information or provided false medical information in exchange for the issuance of a policy. These professional 'viators' would then secure multiple insurance policies through this method, described as 'clean-sheeting.' The policies were then obtained by Jamieson and marketed as an investment opportunity to the public-at-large. Interests in these policies were then sold to investors for a portion of their face value with the promise of a significant return within a given time frame. Jamieson perpetrated a fraud not only upon the various insurance companies, but upon investors by not disclosing the insureds' true life expectancy. The jig was up when Jamieson, through Liberte and Alpha, was unable to meet the returns promised.
The servicing which Capwill, through VES, was to provide included payment of the policy premiums. For that service, he received fees.
Capwill had exclusive control over the funds which he was, through VES, to pay for the policy premiums. At some point, he began using those funds to make investments through another company which he established. Those investments, on the whole, were unwise and unsound.
As policies began to lapse for nonpayment of premiums, Liberte and Alpha sued Capwill in 1998. Liberte and Alpha went into receivership, with its investors having lost tens of millions of dollars from their purchase of fraudulently obtained life insurance policies for which they never received payment on the death of the insured. Following determination of Capwill's defalcations and Jamieson's frauds, they each were indicted. The government successfully prosecuted Jamieson and Capwill. Each remains in prison.
In 1997, Capwill first sought professional liability insurance from the plaintiff through an insurance brokerage firm, Todd Associates, Inc. Todd submitted Capwill's application to the Herbert H. Landy Insurance Agency.
Landy was . . . [Chicago Insurance Company]'s managing agent for its line of accountant's malpractice insurance. Landy referred the application to plaintiff, which ultimately issued three annual policies covering Capwill, CWN and VES for accountancy professional liability.
To obtain continued coverage, Capwill submitted renewal applications. Each of the applications included the same or similar questions on a variety of topics. The purpose of those questions was to enable the plaintiff to assess the risk, decide whether to provide coverage and appropriately price the premiums.
Plaintiff claims that Capwill's answers to questions on five subjects were deliberately false and fraudulently intended to induce it to issue its policies, namely, questions relating to: 1. Investment activities while the owner of VES; 2. Professional disciplinary actions; 3. Lawsuits and claims; 4. Potential claims; and 5. Number of professionals performing accountancy for a covered entity.
According to plaintiff, Capwill gave false answers on each application. In doing so, the company contends, he intended to defraud it into providing coverage which it otherwise would not have covered, or would have priced differently. Capwill's fraudulent intent is the gravamen of plaintiff's demand for rescission.
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The parties agree that the insurance policies covered accountancy malpractice. They did not, and could not, in light of the intentional and criminal nature of Capwill's defalcations, cover losses which that misconduct engendered.
The receiver, as successor in interest to Liberte and Alpha, seeks to recover on the 1999 policy vis-a-vislosses resulting from alleged negligence in performing accounting for VES during the coverage period. . . . In addition to asserting that plaintiff is not entitled to rescission, the receiver claims that laches and estoppel/acquiescence/waiver bar the insurer's action.
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Capwill's false responses to questions about his investment activities and disciplinary actions suffice . . . to entitle the plaintiff to rescission. No rational fact-finder could conclude otherwise than that Capwill lied with the intent to deceive the plaintiff and induce it to issue the policies.
In addition to challenging the plaintiff's claim for rescission on the basis of Capwill's false answers, the receiver asserts affirmative defenses of laches and estoppel/acquiescence/waiver.
The gravamen of the estoppel/acquiescence/waiver defense is that once the plaintiff became aware of the creation of the receivership and Capwill's apparent role in the events leading to the collapse of Liberte and Alpha, it did not immediately cancel the 1998 policy. It had not done so because the policy entitled Capwill to a ninety-day notice of cancellation. To provide notice for that period, the plaintiff renewed the policy, gave the notice and then cancelled the renewed policy. This, according to the receiver, either estops the plaintiff from recovering or constituted acquiescence in any lies in the renewal application or a waiver of the right to rescind on the basis of those lies.
The gravamen of the receiver's laches defense is that when, on November 1, 2001, plaintiff filed this action for declaratory judgment, it did not include a claim for rescission. Instead, it asserted coverage issues.
Plaintiff did not assert a claim for rescission until April, 2004. In addition to arguing that the delay between the filing of the original and the amended complaint caused him prejudice, the receiver protests how the plaintiff's factual contentions in support of its demand for rescission have expanded during the intervening years. Most principally, he complains about being prejudiced due to the loss of documents and other evidence, including the loss of potential testimony due to faded memories.
I conclude that no rational trier of fact could find for the receiver on either of his defenses.
Accordingly, I grant summary judgment for the plaintiff on its demand for rescission and against the receiver on his affirmative defenses.