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EXPERIENCE SUMMARY
I have been an attorney since 1985 and an AV rated attorney since 1993. I have 20 years of experience in complex litigation and over 14 years of experience as an insurance insolvency practitioner. I have concentrated my practice in the area of the insolvency of domestic and offshore insurance companies, including ERISA employee welfare benefit plans.
I have served as lead counsel to policyholders in class actions, as counsel to domestic and international liquidators and counsel to independent fiduciaries appointed by the Department of Labor. I have collected over $40 million to pay unpaid claims. I am currently working as the attorney for an Independent Fiduciary selected by the Department of Labor and appointed by the Federal Court on one of the largest health insurance frauds in the country.
I am a member of the International Association of Insurance Receivers (IAIR) and the International Association of Insurance Fraud Agencies (IAIFA). I was certified as an Accredited Insurance Receiver in December 2002 by IAIR, demonstrating special competence with legal matters arising in connection with insurance insolvencies.
PROFESSIONAL MEMBERSHIPS
Santa Barbara County Bar Association (Chief Financial Officer 2004)
California Bar Association
The State Bar of California (Bar No. 122240)
Committee on State Bar Approved Professional Liability Insurance
International Association of Insurance Receivers (Accredited Insurance Receiver Legal)
International Association of Insurance Fraud Agencies
ADMITTED TO PRACTICE IN THE FOLLOWING COURTS
All State Courts of California
U.S. District Court, Southern District of California
U.S. District Court, Eastern District of California
U.S. District Court, Central District of California
U.S. District Court, Northern District of California
9th Circuit Court of Appeals
2nd Circuit Court of Appeals
11th Circuit Court of Appeals
ADMITTED PRO HAC VICE
Circuit Court of Jackson County, Missouri
U.S. District Court, Western District of Missouri
U.S. District Court, Northern District of Texas
U.S. District Court, District of New Mexico
U.S. District Court, Southern District of New York
U.S. District Court, District of Nevada
U.S. District Court, Southern District of Florida
U.S. District Court, District of Columbia
PUBLISHED OPINIONS
Bailey, et al. v. Empire Blue Cross/Blue
Shield, et al., 856 F. Supp. 837 (S.D.N.Y.1994)
Janice Loyd as Trustee and Liquidator
of First Assurance v. Aguilar & Sebastinelli, et al., 208
F.3d 755 (9th Cir. 2000)
General Insurance Company of America
v. Stephen Rhoades,
196 F.R.D. 620 (D.N.M. 2000)
John C. Craft, Special Deputy Liquidator
of Meadowlark Insurance Company v. Sunwest Bank of Albuquerque,
N.A., n/k/a NationsBank, 84 F. Supp. 2d 1226 (D.N.M. 1999)
PUBLISHED ARTICLES
A Lawyer Should Be Liable For Failing
To Prevent Known Insider Looting
Of A Corporate Client, Mealeys Litigation Report: Insurance
Insolvency, Volume 13, Issue #18,
February 28, 2002, 13-18 Mealeys
Litig. Rep. Ins. Insolv. 13 (2002)
Enforcement Of NAIC Trusts Can
Prove To Be Very Difficult For Liquidators
of Insolvent Insurers, Mealeys Litigation Report: Insurance Insolvency, Volume 14, Issue #7, September 12, 2002, 14-7 Mealeys
Litig. Rep. Ins. Insolv. 11 (2002)
The Adverse Impact That Unnecessary
Regulatory Allegations Have Had
On E&O Coverage In The Employers Mutual, LLC Litigation, Mealeys Litigation Report: Insurance Insolvency, Volume 16, Issue #3, July 15, 2004, 16-3 Mealeys
Litig. Rep. Ins. Insolv. 22 (2004)
An Update On Employers Mutual,
LLC Litigation: Florida Federal Judge
Finds Exclusions Were Not Triggered
In Malpractice Action Against 400
Insurance Agents, Mealeys Litigation Report: Insurance Insolvency, Volume 17, Issue #11, March 2006, 17-11 Mealeys
Litig. Rep. Ins. Insolv. 16 (2006)
FACULTY
International Association of Insurance
Receivers (IAIR) Workshop 1999 in Kansas City, Missouri.
Lectured on Standing of Court Appointed
Liquidator.
International Association of Insurance
Fraud Agencies (IAIFA) meeting in June 2001 in Budapest,
Hungary. Lectured on the Recovery
of Assets to Pay Claims.
Federation of Regulatory Counsel
meeting in December 2002 in San Diego,
California. Lectured on Ethical Issues Created by Legal
Representation of Troubled
Insurer.
Santa Barbara Bar Association meeting
in October 2002. Lectured on Lawyer
Liability for Failing to Prevent Insider Looting of Corporate
Client.
IAIFA meeting in April 2004 in London,
England. Lectured on the Adverse
Impact that Unnecessary Regulatory
Allegations can have on E&O
Coverage.
ASPPA, DOL Speaks: the 2005 Employee
Benefits Conference in April 2005
in Washington, D.C. Lectured on fraudulent MEWAs.
American Bar Association, Tort Trial
and Insurance Practice Section, in
August 2005, Chicago convention of ABA. Lectured on the
Anatomy of a Health Insurance Scam:
Health Insurance Fraud Schemes and
Their Impact on the Industry.
International Association of Insurance
Receivers (IAIR) Workshop 2006 in San Diego, California.
Lectured on Issues In Collecting
On Professional Liability Insurance.
INSOLVENCY ENGAGEMENTS
1. Bailey, et al. v. Empire Blue
Cross/Blue Shield, et al. United States
District Court, Southern District of
New York Case No. 93 CIV 61797(MP)
[MDL 902 ERISA Litigation]. For facts of case see
Bailey v. Empire, 856 F. Supp. 837
(1994).<
As lead counsel in the Bailey
case, my firm sued over 400 insurance
producers who sold defective health
insurance to 10,000 insureds and collected over
$12 million to pay $20 million in unpaid
health claims. The case was prosecuted
as a class action, which required me
to communicate with all claimants and
pay the unpaid claims after the recovery
of funds from culpable defendants.
The matter was heard before the Honorable
Milton Pollack, Senior Federal District
Judge in the Southern District of New
York.
See Judge Pollacks comments
at end of resume.
2. Janice Loyd as
Trustee and Liquidator of First Assurance
v. Aguilar & Sebastinelli,
et al., United States District Court,
Southern District of California Case No.
95-1194 BTM (JFS). See Loyd v. Aguilar & Sebastinelli,
208 F.3d 755 (9th Cir. 2000).
My firm
represented Janice D. Loyd, the Bankruptcy
Trustee and Liquidator of First Assurance and Casualty Company,
Ltd., a Turks and Caicos insurer.
My firm filed a civil case on behalf
of the
plaintiffs contending that a major
brokerage firm, its account executive,
and the operators
of First Assurance were liable for
fraud and for violations of RICO,
in particular 18 U.S.C. 1962(c).
The major brokerage firm agreed to
settle the class action for a principal
and interest payment totaling at
least $7 million.
3. Burditt, et al.
v. Stickney, et al. United States District
Court,
Eastern District of California Case
No. 96 6006 REC SMS [ERISA Litigation].
I was counsel to a class of policyholders of an insolvent ERISA
plan. The Burditt
action arose out of the sale of medical
and dental insurance benefits issued
by California Western Management
Benefit Trust ("CWMBT"),
an alleged MEWA.
4. Craft as Special
Deputy Liquidator of Meadowlark v.
Sunwest Bank, aka NationsBank. United
States District Court for the District
of New Mexico, Case No. CIV
98 966 BB/DJS. See also Craft v.
Sunwest Bank, 84 F. Supp. 2d 1226
(D.N.M. 1999).
In Craft v. Sunwest
Bank, I was retained by the Special
Deputy Liquidator of Meadowlark Insurance Company.
Meadowlark was operated by Travis
Riley and Cheryll Coon who
were convicted in Missouri for operating
a RICO enterprise. Meadowlark left
over $4 million in unpaid property
and casualty claims.
Litigation was commenced in Federal
Court in New Mexico against NationsBank,
the successor to Sunwest Bank, for
breach of an NAIC Trust Agreement.
The bank and Meadowlark
entered into the NAIC Trust Agreement
in February of 1990, which required
the deposit of at least $1.5 million
in cash, letters of credit on U.S.
Banks and/or readily marketable securities.
Instead
of receiving these approved assets,
Sunwest Bank accepted promissory
notes, real property, and leases
with a purported value
of $2.6 million, but with a liquidated
value of
$203,000. The lawsuit against NationsBank
was to recover the difference between
the trust fund minimum of $1.5 million
and the liquidated value of the trust,
$203,000, which was $1.3 million.
The case settled on the second day
of trial for $900,000.
5. Craft
as Special Deputy Liquidator of Meadowlark
Insurance Company v.
Stephen J. Rhoades, et al., United
States Circuit Court of Jackson County
Missouri at Kansas
City, Case No. 99-CV-225685.
I was also retained by the Liquidator of Meadowlark to pursue Meadowlarks
attorneys for malpractice.
A trial was held in November 2001
before Judge Forrest Hanna in the
Jackson County Superior Court in
Kansas City, Missouri. The theory
against the law firm that represented
Meadowlark for five years, working
2000 hours per year, was that it
breached its duty of undivided loyalty
by failing to stop the looting committed
by Meadowlarks insiders. Craft presented
evidence that numerous red flags existed
which should have alerted a reasonably
prudent practitioner to conclude that Meadowlark
was being operated as a tool of fraud for
the benefit of Travis Riley and Cheryll
Coon and to the clear detriment of Meadowlark.
Given this factual scenario, the lawyer
for the corporation was duty bound to intercede
on the clients behalf to stop the
looting. Interdiction included seeking
court or regulatory supervision. Legal
authority for the case included the law
review article Taking the Entity
Theory Seriously: Lawyers Liability for
Failure to Prevent Harm to Organizational
Clients Through Disclosure of Constituent
Wrongdoing by
George C. Harris, which was published
in 1998 in the Georgetown Journal
of Legal Ethics and then cited as
authority in 96 Restatement of
Law, the Law Governing Lawyers (1998).
Judge Hanna entered Judgment against
Rhoades for $945,989. The Court concluded
that Rhoades should have known that
Riley and Coon were
looting Meadowlark and, therefore,
he should have resigned. All
fees charged by Rhoades after the
date he should have resigned were
Ordered disgorged.
6. Craig as
Joint Liquidator of Alpine Assurance
Ltd. v. Chase Manhattan
Bank, United States District Court,
Northern District of Texas, Case
No. CIV 3-00CV-822-G.
In Craig v.
Chase, I was retained to recover funds
allegedly on deposit in an NAIC Trust at Chase. The trust
had been prematurely terminated by
Chase without retention
of funds to pay claims of over $6
million. The case settled for $3.1
million.
7. Thomas A. Dillon v. James Graf,
et al., United States District Court,
For the District of Nevada, Case
No. CV-N-03-0119-HDM-VPC
In Dillon v. Graf, I was retained
by Thomas Dillon, the court appointed
Independent Fiduciary of thousands
of small employer created Employee
Welfare Benefit
Plans (EWBPs). The EWBPs purchased
health insurance for their employees
which turned out to be fraudulent.
On behalf of Dillon,
we sued over 400 insurance producers
across the country for malpractice
and for breach of the contract to
procure insurance.
The case is still pending. There
is $25,000,000 in unpaid health claims.
We have entered into partial settlements
totaling close
to $15 Million.
8. Caroline Houck, et al.
v. Board of Trustees of the International
Union for Natural Health, Complementary & Alternative Medicine
Professions Health and Welfare Fund,
United States District Court, Central
District, Case No. 03-2494 R (CWx)
In Houck v. Trustees, we were retained
to represent the Participants of
a failed health plan which left over
$4,000,000 in unpaid claims. A Stipulated
Judgment
for $6,000,000 has been entered and
litigation was prosecuted against
ULICO, the insurer that issued a
Fiduciary Liability
policy to the Trustees and who has
denied cover. The coverage litigation
was entitled Ulico v. IUNHCAMP Fund,
and filed in
the United States District Court
for the District of Columbia. The
case settled for $1.6 million.
CLAIMS ADMINISTRATION CAPABILITIES:
Hollister & Brace employs claims administrators
who have handled thousands of insurance
claims in class actions and insurer
liquidations. The claims administration process
is the driving force to resolve
litigation against third parties
whose conduct injures the insurer
or the insured.
The Judicial Panel On
Multidistrict Litigation
REFERENCES
The following references may be contacted
regarding my work on ERISA, insurer
fraud, insolvency, liquidations and
insurance coverage.
Timothy D. Cohelan
Cohelan & Khoury
605 C Street, Suite 200
San Diego, CA 92101
(619) 233-6160 Thomas D. Dillon, Esq.
851 Burlway Road, Suite 216
Burlingame, CA 94010
(650) 558-8384
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Thomas D. Dillon, Esq.
851 Burlway Road, Suite 216
Burlingame, CA 94010
(650) 558-8384
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Robert Craig
Joint Liquidator of Alpine Assurance Company, Ltd.
645 Hembree Parkway, Suite A
Roswell, GA 30076-3868
(770) 676-3912
John C. Craft, Esq.
Lathrop & Gate, L.C.
2345 Grand Boulevard, Suite 2800
Kansas City, MO 64108-2612
(816) 292-2000
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John C. Craft, Esq.
Lathrop & Gate, L.C.
2345 Grand Boulevard, Suite 2800
Kansas City, MO 64108-2612
(816) 292-2000
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R. Bradford Huss (ERISA)
Trucker & Huss
120 Montgomery Street, 23rd Floor
San Francisco, CA 94104-1244
(415) 788-3111
Tess J. Ferrera (Retired form DOL)
Tighe Patton
1747 Pennsylvania Ave., N.W.
Washington, D.C. 20006
(202) 454-2860
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Tess J. Ferrera (Retired form DOL)
Tighe Patton
1747 Pennsylvania Ave., N.W.
Washington, D.C. 20006
(202) 454-2860
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Janice D. Loyd
Liquidator of First Assurance & Casualty, Ltd.
2050 Oklahoma Tower
210 Park Avenue
Oklahoma City, OK 73102-5604
(405) 235-9371
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Kirte M. Kinser, Esq.
Locke Liddell & Sapp, LLP
2200 Ross Avenue, Suite 2200
Dallas, TX 75201-6776
(214) 740-8000
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Douglas McLeod
Crain Communications
Business Insurance
711 Third Avenue
New York, NY 10017
(212) 210-0139
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John F. McGuire, Esq.
Thorsnes, Bartolotta, McGuire & Padilla
2550 Fifth Avenue, Suite 1100
San Diego, CA 92103
(619) 236-9363
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William Scott
US Department of Labor
Office of the Solicitor
Plan Benefits Security Division
P.O. Box 1914
Washington, D.C. 20013
(202) 693-5597
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Honorable Milton Pollack (deceased)
United States District Court
Southern District of New York
40 Foley Square, Room 2102
New York, NY 10007
(212) 805-6115
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