ZIFL
Zalma’s Insurance Fraud Letter
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ZIFL - Volume 26, Number 14
THE COURTS ARE BACK CONVICTING FRAUD PERPETRATORS WITH VIGOR - READ ABOUT THE CONVICTIONS IN THIS ISSUE OF ZIFL!
A ClaimSchool™ Publication © 2022, Barry Zalma & ClaimSchool, Inc., Go to my blog & Videos at: Zalma on Insurance, And at https://zalma.com/blog Go to the Insurance Claims Library, Listen to the Podcast: Zalma on Insurance, Videos from Zalma on Insurance, Subscribe to Barry Zalma on Substack.com,
Volume 26, Issue 14 – July 15, 2022, Subscribe to e-mail Version of ZIFL, it’s Free! Read last two issues of ZIFL here. Go to the Barry Zalma, Inc. web site here, Videos from “Barry Zalma on YouTube” , Go to Barry Zalma videos at Rumble.com at https://rumble.com/zalma, @zalma on Truth Social
Quote of the Issue
“If This Is the Best of Possible Worlds, What Then Are the Others?” Voltaire
Greg Lindberg Gets New Trial
Jury Instruction Misled Jury by stating that an “Official Act” Existed as a Matter of Law
Greg E. Lindberg and John D. Gray were convicted of honest services fraud and federal funds bribery in connection with a series of payments and offers of payment, in the form of campaign contributions, made to Mike Causey, the elected Insurance Commissioner for North Carolina. The jury found that these payments were made in exchange for Causey assigning a different Deputy Commissioner to oversee the affairs of Lindberg’s insurance companies.
In United States of America v. Greg E. Lindberg, Nos. 20-4470, 20-4473, United States Court of Appeals, Fourth Circuit (June 29, 2022) the Fourth Circuit granted a new trial.
FACTS
Greg E. Lindberg served as chairman of Eli Global LLC, an investment company, and as owner of Global Bankers Insurance Group, an insurance management company, during the relevant period from April 2017 to August 2018. Lindberg owns several insurance businesses subject to regulation in North Carolina. John D. Gray worked as a consultant for Lindberg during the relevant period. Lindberg and Gray (“defendants”) were convicted of conspiring to commit honest services wire fraud and federal funds bribery for offering millions of dollars in campaign contributions to Mike Causey, the Commissioner of the North Carolina Department of Insurance, in exchange for the reassignment of a Senior Deputy Commissioner assigned to review Lindberg’s insurance companies.
In November 2016, Mike Causey was elected as North Carolina’s Commissioner of Insurance. Several weeks after he was elected, Causey was scheduled to meet with Lindberg and other members of Eli Global’s leadership. Prior to the meeting, he received a phone call from his campaign treasurer notifying him that he had received a $10,000 donation from Lindberg. Causey testified that he thought the contribution was “unusual” both because of the size and the timing, and he decided to return the donation. At the meeting, Gray explained that Eli Global was in the process of purchasing another insurance company based in Michigan and asked Causey to call his counterpart in Michigan “to put in a positive word.” Causey agreed and made the phone call.
Causey testified at trial that Gray then called him to state that Lindberg had donated $500,000 to the North Carolina Republican Party (“NCGOP”) with $110,000 to be sent to Causey’s campaign and that Gray and Lindberg wanted to host a fundraiser for Causey in December. Causey later reached out to the Federal Bureau of Investigation (“FBI”) to express concerns about these offers of donations and agreed to cooperate with an FBI investigation into Lindberg and his associates.
Over the course of several meetings, they discussed Lindberg creating an independent expenditure committee and donating substantial amounts, between $500,000 and $2,000,000 to Causey’s reelection campaign. The day after the meeting, Causey’s campaign received $230,000 from the NCGOP. In total, Causey received $250,000 in donations funneled through the party.
Following the conclusion of the investigation, the defendants were each charged in March 2019 with one count of conspiracy to commit honest services fraud, in violation of 18 U.S.C. § 1349, and one count of federal funds bribery and aiding and abetting the same, in violation of 18 U.S.C. §§ 666(a)(2) and 2. Defendants pleaded not guilty, and a jury trial was held from February 18 to March 5, 2020.
At trial, defendants and the United States both objected to the district court’s proposed jury instruction defining “official act. Both parties agreed that the issue of what qualifies as an “official act” should be left for the jury.
The district court denied both objections. Further, the district court prevented defendants from arguing or putting on evidence to show that Obusek’s reassignment was not an “official act.” After three days of deliberation, Gray and Lindberg were convicted on both counts. Defendant Gray was sentenced to a term of imprisonment of thirty months, and Lindberg was sentenced to a term of imprisonment of eighty-seven months.
Count One: Honest Services Fraud
The trial court stated in no uncertain terms “that the removal or replacement of a [S]enior [D]eputy [C]ommissioner by the [C]ommissioner would constitute an “official act.”
In McDonnell v. United States, 579 U.S. 550, 580 (2016), the Supreme Court “defined honest services fraud with reference to § 201 of the federal bribery statute. In particular, the Court imported the “official act” requirement found in 18 U.S.C. § 201 and found that “the [g]overnment was required to show that Governor McDonnell committed (or agreed to commit) an ‘official act’ in exchange for the loans and gifts.”
Section 201(a)(3) defines the term “official act” and the Supreme Court narrowed the definition of the term:
In sum, an “official act” is a decision or action on a “question, matter, cause, suit, proceeding or controversy.” The “question, matter, cause, suit, proceeding or controversy” must involve a formal exercise of governmental power that is similar in nature to a lawsuit before a court, a determination before an agency, or a hearing before a committee. It must also be something specific and focused that is “pending” or “may by law be brought” before a public official. To qualify as an “official act,” the public official must make a decision or take an action on that “question, matter, cause, suit, proceeding or controversy,” or agree to do so. McDonnell, 579 U.S. at 574 (emphases added).
Although the district court properly defined the term “official act” according to the directive of McDonnell, it then instructed the jury in no uncertain terms “that the removal or replacement of a [S]enior [D]eputy [C]ommissioner by the [C]ommissioner would constitute an official act.” The Fourth Circuit found that in doing so, the district court impermissibly took an element of the crime out of the hands of the jury and violated the defendant’s Fifth and Sixth Amendment rights.
The district court erred, however, in interpreting the “official act” inquiry to be a pure question of law.
The Supreme Court was clear in McDonnell that “[i]t is up to the jury, under the facts of the case, to determine whether the public official agreed to perform an ‘official act’ at the time of the alleged quid pro quo.” And the McDonnell Court clearly considered it the province of the jury to determine what constitutes an official act.
Having determined that the district court improperly instructed the jury on the “official act” element, the Fourth Circuit was required to determine whether the error requires vacating the convictions.
A constitutional error is harmless when it appears beyond a reasonable doubt that the error did not contribute to the verdict obtained. [Neder v. United States, 527 U.S. 1, 2 (1999) (emphasis added) (quoting Chapman v. California, 386 U.S. 18, 24 (1967)].
The Fourth Circuit decided that it could not conclude beyond a reasonable doubt that the jury verdict would have been the same absent the error. As a result, the Fourth Circuit concluded that the instructional error was not harmless as to Count One and, therefore, that defendants’ verdicts on Count One must be vacated.
Count Two: Federal Funds Bribery
The solicitation or acceptance by an elected public official of a campaign contribution, the offer of money through an Independent Expenditure Committee, and the giving or offering of a campaign contribution to an elected public official by a donor do not, in and of themselves, constitute a federal crime even though the donor has business pending before the elected public official, and even if the contribution is made shortly before or after the public official takes official actions favorable to the donor. T
In order to satisfy the elements of bribery for this case, the public official need not actually perform an official act, or even intend to do so. When the defendant is a person who is charged with paying a bribe, it is sufficient if the defendant intends or solicits the public official to perform an official act in exchange for a thing of value.
The court’s erroneous “official act” instruction may, therefore, have effortlessly bled into the jury’s consideration of Count Two-federal funds bribery.
“Official Act” Instruction
Defendants also argued that the district court erred because it failed to instruct the jury that an “official act,” as defined by the Supreme Court, is an element of federal funds bribery.
Congress expressed its clear intent to reach the conduct of state and local officials (where such officials are agents of a covered entity that receives $10,000 or more annually in federal funds). Congress is within its prerogative to protect spending objects from the menace of local administrators on the take.
In conclusion, the district court erred by instructing the jury that an “official act”-an element of the crime of honest services fraud-was present as a matter of law. Further, the error is not harmless and, therefore, the Fourth Circuit vacated defendants’ convictions on Count One and Count Two because it found that the verdicts were improperly infected by the instructional error on Count One. The case is, therefore, remanded for a new trial.
ZIFL OPINION
Lindberg’s and Gray’s actions properly caused concern for the newly elected Insurance Commission, Mr. Causey, because of the large dollar amounts from two people who supported and contributed to his opponent. He, to protect himself, called in the FBI who, working with him, caused the U.S. Attorney to indict Lindberg and Gray, tried them to a jury and convicted them. The Fourth Circuit reversed. Lindberg and Gray are still serving time in prison and have moved to be released for the new trial. The court did not comment on their guilt, only that the trial court’s error tainted the verdicts. They could be convicted again as long as the trial court uses an appropriate instruction.
Wisdom
“All you have to do is take a close look at yourself and you will understand everyone else.” – Isaac Asimov
“Science is not only compatible with spirituality; it is a profound source of spirituality.” — Carl Sagan
“There’s nothing more dangerous than a man with nothing to do and no one to live for. This has been true in every place for all of time. our young men are drowning in idleness, purposelessness & godlessness, and we’re paying for it.” —Allie Beth Stuckey
“The Greater the Difficulty, The More The Glory In Surmounting It.” – Epicurus
“Let Us Temper Our Criticism With Kindness. None Of Us Comes Fully Equipped.” – Carl Sagan
“Freedom is never more than one generation away from extinction. We didn’t pass it to our children in the bloodstream. It must be fought for, protected and handed on for them to do the same.” — Ronald Regan
“The supreme irony of life is that hardly anyone gets out of it alive.” — Robert A. Heinlein
“In three words I can sum up everything I’ve learned about life: It goes on.” – Robert Frost
“Wish not so much to live long as to live well.” – Benjamin Franklin
“It was a bright cold day in April, and the clocks were striking thirteen.” –George Orwell
“Discourage litigation. Persuade your neighbor to compromise whenever you can. As a peacemaker the lawyer has a superior opportunity of being a good (hu)man. There will still be business enough.” -- Abraham Lincoln
Criminal Lawyers Should be Disbarred
Lawyer Convicted of Insurance Fraud Only Suspended for Two Years
Insurance fraud is considered, universally, as a crime of moral turpitude. Regardless, the New York State Bar was only asked to join with the New Jersey State Bar who suspended a lawyer, after he was convicted for insurance fraud and other wrongful conduct, for two years rather than being disbarred.
In the Matter of Neal Meredith Pomper, an attorney and counselor-at-law. (Attorney Registration No. 1726363); 2022 NY Slip Op 04173; No. 2021-02031; Supreme Court of New York, Second Department (June 29, 2022)
The respondent Neal Meridith Pomper was admitted to the Bar at a term of the Appellate Division of the Supreme Court in the Second Judicial Department on May 6, 1981. The Court directed Pomper to show cause why an order should not be made imposing discipline upon him for the misconduct underlying the discipline imposed by an order of the Supreme Court of New Jersey filed October 21, 2020.
The Supreme Court of New Jersey filed October 21, 2020, Pomper was suspended from the practice of law in New Jersey for a period of two years, retroactive to September 18, 2019, the date of his temporary suspension.
Pomper and the New York Office of Attorney Ethics (OAE) executed a stipulation providing in relevant part, as follows:
The respondent was admitted to the practice of law in the State of New Jersey, under the name Neal M. Pomper, in 1982. The respondent’s disciplinary history in New Jersey consists of a private reprimand in 1986, an admonition in 2004, and a censure in 2009 for assisting his paralegal in the unauthorized practice of law (In re Pomper, 197 N.J. 500, 964 A.2d 299). On September 18, 2019, the respondent was temporarily suspended from the practice of law based on the misconduct underlying this matter (In re Pomper, 239 N.J. 566, 218 A.3d 804), as set forth below.
Notice of Claim Later than 60 Days After Expiration is Too Late
Post 5089
Injury at Massage Causes Suit Against Therapist
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Hiscox Insurance Company (“Hiscox”) moved the USDC to Dismiss a suit for failure to state a claim because the insured reported its claim more than 60 days after expiration of the policy.
In Mluxe Williamsburg, LLC v. Hiscox Insurance Company, Inc., et al., No. 4:25-cv-00002, United States District Court, E.D. Missouri, Eastern Division (May 22, 2025) the trial court’s judgment was affirmed.
FACTUAL BACKGROUND
Plaintiff, the operator of a massage spa franchise, entered into a commercial insurance agreement with Hiscox that provided liability insurance coverage from July 25, 2019, to July 25, 2020. On or about June 03, 2019, a customer alleged that one of Plaintiff’s employees engaged in tortious ...
ZIFL – Volume 29, Issue 11
The Source for the Insurance Fraud Professional
Posted on June 2, 2025 by Barry Zalma
Post 5087
See the full video at and at
Read the full article and the full issue of ZIFL June 1, 2025 at https://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-06-01-2025.pdf
Zalma’s Insurance Fraud Letter – June 1, 2025
See the full video at https://lnkd.in/gw-Hgww9 and at https://lnkd.in/gF8QAq4d, and at https://zalma.com/blog plus more than 5050 posts.
ZIFL – Volume 29, Issue 11
The Source for the Insurance Fraud Professional
Read the full article and the full issue of ZIFL June 1, 2025 at https://lnkd.in/gTWZUnnF
Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at ...
No Coverage if Home Vacant for More Than 60 Days
Failure to Respond To Counterclaim is an Admission of All Allegations
Post 5085
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In Nationwide Mutual Insurance Company v. Rebecca Massey, Civil Action No. 2:25-cv-00124, United States District Court, S.D. West Virginia, Charleston Division (May 22, 2025) Defendant Nationwide Mutual Insurance Company's (“Nationwide”) motion for Default Judgment against Plaintiff Rebecca Massey (“Plaintiff”) for failure to respond to a counterclaim and because the claim was excluded by the policy.
BACKGROUND
On February 26, 2022, Plaintiff's home was destroyed by a fire. At the time of this accident, Plaintiff had a home insurance policy with Nationwide. Plaintiff reported the fire loss to Nationwide, which refused to pay for the damages under the policy because the home had been vacant for more than 60 days.
Plaintiff filed suit ...
ZIFL Volume 29, Issue 10
The Source for the Insurance Fraud Professional
See the full video at https://lnkd.in/gK_P4-BK and at https://lnkd.in/g2Q7BHBu, and at https://zalma.com/blog and at https://lnkd.in/gjyMWHff.
Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ You can read the full issue of the May 15, 2025 issue at http://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-05-15-2025.pdf
This issue contains the following articles about insurance fraud:
Health Care Fraud Trial Results in Murder for Hire of Witness
To Avoid Conviction for Insurance Fraud Defendants Murder Witness
In United States of America v. Louis Age, Jr.; Stanton Guillory; Louis Age, III; Ronald Wilson, Jr., No. 22-30656, United States Court of Appeals, Fifth Circuit (April 25, 2025) the Fifth Circuit dealt with the ...
Professional Health Care Services Exclusion Effective
Post 5073
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This opinion is the recommendation of a Magistrate Judge to the District Court Judge and involves Travelers Casualty Insurance Company and its duty to defend the New Mexico Bone and Joint Institute (NMBJI) and its physicians in a medical negligence lawsuit brought by Tervon Dorsey.
In Travelers Casualty Insurance Company Of America v. New Mexico Bone And Joint Institute, P.C.; American Foundation Of Lower Extremity Surgery And Research, Inc., a New Mexico Corporation; Riley Rampton, DPM; Loren K. Spencer, DPM; Tervon Dorsey, individually; Kimberly Dorsey, individually; and Kate Ferlic as Guardian Ad Litem for K.D. and J.D., minors, No. 2:24-cv-0027 MV/DLM, United States District Court, D. New Mexico (May 8, 2025) the Magistrate Judge Recommended:
Insurance Coverage Dispute:
Travelers issued a Commercial General Liability ...
A Heads I Win, Tails You Lose Story
Post 5062
Posted on April 30, 2025 by Barry Zalma
"This is a Fictionalized True Crime Story of Insurance Fraud that explains why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is designed to help everyone to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the Perpetrators than any Other Crime."
Immigrant Criminals Attempt to Profit From Insurance Fraud
People who commit insurance fraud as a profession do so because it is easy. It requires no capital investment. The risk is low and the profits are high. The ease with which large amounts of money can be made from insurance fraud removes whatever moral hesitation might stop the perpetrator from committing the crime.
The temptation to do everything outside the law was the downfall of the brothers Karamazov. The brothers had escaped prison in the old Soviet Union by immigrating to the United...